Posts Tagged ‘Pain Patients’
Sciatica – Ayurveda
Sciatica is a general term for pain originating from the sciatic nerve. Sciatica is a symptom of a disorder that causes mild to sharp and sometimes excruciating pain. Patients have described sciatic pain as mildly disturbing to burning, aching, deep, and similar to a sudden bolt of lightning. Sciatic nerve pain travels from the buttock, down the back of the thigh, and into the leg. Leg pain is the classic hallmark of sciatica. Low back pain may accompany sciatica, and some patients experience sciatic pain extending into the foot. Another characteristic of sciatica is it usually affects either the lower left or right side of the body.
Sciatic pain can make life miserable. Walking, standing, bending over, driving a car, working at a computer, catching up on household chores, sneezing or coughing, and many other activities of daily living can cause sudden and intense pain. Patients who suffer sciatica, especially of a more acute nature, find the symptoms disrupt many aspects of their life.
One reason the sciatic nerve causes so much pain is because it is the longest nerve in the body! The nerve starts at the back of the pelvis and runs downward through the hip area and buttocks into each leg. Near the knee, the sciatic nerve divides into two nerves—the tibial and peroneal nerves. The tibial nerve runs behind the knee and the peroneal nerve runs along the side of the calf and ankle. Through the tibial and peroneal nerves, the sciatic nerve innervates (‘stimulates’) the action of many muscles in the lower legs and enables feeling in the thighs, legs, and feet.
Besides pain, other symptoms may accompany sciatica. These symptoms include sensations such as tingling, pins and needles, burning, numbness or muscle weakness. Such symptoms may be felt in the buttock, thigh, behind the knee, calf, ankle, and sometimes the foot.
Causes of Sciatica
It’s important to understand what conditions cause sciatica because remember, sciatica is not a condition — it’s a medical term used to describe symptoms caused by other low back conditions.
Several low back conditions can cause sciatica, including:
- Bulging disc or herniated disc: This is the most common cause of sciatica. When a disc bulges, the gel-like center (nucleus pulposus) pushes against the outer wall of the disc (annulus fibrosus). A herniated disc means that the nucleus pulposus breaks through the annulus fibrosus. With both bulging and herniated discs, the disc material can press on nerve roots, causing sciatica. The consequences of a herniated disc are worse than those of a bulging disc. The disc material that leaks out contains an acidic, chemical irritant (hyaluronic acid) that causes nerve inflammation.
- Degenerative disc disease (DDD): Sciatica is a common result of the aging process that affects discs called degenerative disc disease. DDD is a change in the disc shape and function, and it can result in a bulging disc or a herniated disc and pain.
- Piriformis syndrome: The piriformis muscle, located in the lower part of the spine, connects to the thighbone, and helps you rotate your hip. The sciatic nerve runs under the piriformis muscle, so muscle spasms can compress the sciatic nerve. It may be difficult to diagnose and treat as it is not easily identified by x-ray or MRI.
- Pregnancy: The extra weight and pressure on your spine caused by pregnancy can cause compression of the sciatic nerve. The symptoms will usually go away after childbirth.
- Spinal stenosis: Your nerves travel through passageways in your spine, and when this space narrows (stenosis), it can put pressure on the nerves in your low back.
- Spinal tumors and spinal infections: Although very rare, tumors and infections can compress the sciatic nerve.
- Spondylolisthesis: If a vertebra slips forward over the vertebra below it, it’s called spondylolisthesis. This slip can pinch the nerve root and cause sciatica.
- Trauma: You can develop sciatica because of direct nerve compression from an outside force. For example, you could be injured in a car accident, resulting in a pinched nerve in your low back.
Treatment for sciatica or sciatic symptoms will often be different, depending upon the underlying cause of the symptoms.
Ayurveda is specialized in treating Sciatica with highest treatment success rate. It offers excellent Panchakarma therapies along with internal medicines for treating Sciatica.
Ayurveda described sciatica as Gridhrasi (Gridhra means Eagle), as the gait of the affected person resembles that of an eagle’s walk and the inflamed nerve appears like eagle’s beak.
Ayurveda categorized Sciatica as one of diseases caused by vitiation Vata (one of the principle dosha in the body, responsible for the movement and functionality of the body). Sometimes even kapha (dosha responsible for lubrication and bodily fluids) vitiation along with vata (vata kaphaj) also causes sciatica.
Treatment in Ayurveda is aimed at restoring the equilibrium through correction of the underlying functional in-equilibrium. Ayurvedic treatments for Sciatica concentrate on bringing back the aggravated vata or vata kapha to the state of equilibrium and thereby to the state of health.
Treatment comprises of three approaches, Elimination (Sodhanam) of the accumulated toxic products of digestion, metabolism and the disease process, Pacification (Samanam) and correction of the entities responsible for altered functioning and Rasayanam (Rejuvenation) of the bodily tissue to regain and maintain natural strength and vitality.
The strength of Ayurveda in the area of spine and joint treatments is globally appreciated. Since it addresses the root cause of the issue the results are fantastic. Therapies like Abyanga swedam, Pathrapotala swedam, Choornapinda swedam, Pizhichil, Shirodhara, Kadeevasthy, Navarakizhi, Vasti (the most important procedure in Ayurveda for curing Sciatica permanently) etc. are done as per the necessity and condition. These therapies are directed towards relieving the inflammatory changes and underlying causes of Sciatica, releasing the spasms and nerve compressions in the affected area, strengthening and nourishing entire spine & supporting tissues. Usually the treatment period is 3 – 5 weeks according to the severity of the disease.
Along with these therapies, Ayurveda has also described Sira vedana (Venesection) and Agni karma (Heat therapy) for treating Sciatica.
In four to six weeks, the majority of patients find their symptoms are relieved without surgery.
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dr m chandrashekhar
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Chronic Back Pain Limitations
Thousands and thousands of people annually seek medical care for Back Pain. For some, the pain is gone within 6 weeks. For others, it becomes Chronic Back pain.
Chronic back pain affects individuals in various ways. Most make repeated visits to physicians, seeking relief. They want to know what causes their chronic back pain. They want new tests. They want to try whatever treatment may be available.
Chronic back pain sufferers may report difficulty in performing normal daily activities. They may believe the pain is increasing. They may simply want someone to sympathize, and agree that it is not “all in your head” at all.
Although back pain is the main reason people visit orthopedic surgeons and neurosurgeons, and the second main reason they visit primary care physicians, an estimated 5 to 10 percent of those visitors will receive no cure. They will go from low back pain to chronic back pain.
Patients are frustrated because physicians do not cure back pain. Physicians are frustrated because they cannot cure low back pain. Many think they can do little to prevent occasional severe back pain from becoming chronic back pain.
If nothing is done, however, chronic back pain limitations can seriously impinge on daily activity.
Possible Limitations
A look at possible chronic back pain limitations reveals a long list. There are limitations placed by a physician, but there are many more limitations that patients place on themselves. They may include physical limitations, emotional limitations, or mental limitations. Of the many chronic back pain limitations we can discuss only 7 here.
1. Depression: One of the most common limitations of chronic back pain, depression affects everyone involved in the daily life of the sufferer. The type of depression experienced by sufferers of chronic back pain is not simply a matter of feeling sad or “down at the heels” for a day or so. “Major depression” and “clinical depression” are the terms used for this kind of depression.
When chronic back pain limitations include a major depression, the person feels emotionally miserable everyday for at least two weeks. He or she also may have unexplained crying spells; major appetite changes; fatigue, sleep problems; agitation; and thoughts of death or suicide. There may be little interest in activities that were normally enjoyable.
2. Social Activity: A second of the chronic back pain limitations reported is that of social activity. People suffering chronic back pain become reluctant to attend parties and other social functions. They may curtail recreational activities or outings with the family.
3. Work Time: Those who suffer chronic back pain are also more likely to take off more work time. Statistics show that back pain causes the loss of more than 83 million days of work time each year due to back pain.
4. Job Loss: Since it often means lost work time, another of chronic back pain limitations is job loss. Too many lost days, or poor performance due to chronic back pain, can result in replacement.
5. Work Ability: Chronic back pain is a leading cause of work limitations. Back pain limits workers’ ability to lift, carry, and perform other duties that are required. It places restrictions on workers, and narrows the job field for many people.
6. Low Pay: Chronic back pain limitations include financial limits for some. Those who are limited in work by chronic back pain earn, on average, only two-thirds the amount of those without back pain.
7. Housework: One of the largest limitations of chronic back pain appears to hit normal activities associated with housework, gardening, and lawn work. Patients with back pain that lasted more than 60 days often report they are no longer able to do any gardening, lawn work, or normal cleaning activities such as vacuuming, mopping floors, etc.
Clinically Proven Limitations
For the patient, it is difficult to believe that chronic back pain limitations are often unnecessary. They continue to believe that the pain has a cause that can be readily diagnosed, despite their physician’s repeated assurances to the contrary. They believe the physician can find a medical sure for their back pain if pressed often enough and hard enough. As for treatment, patients often believe that until the cure is found, the best treatment is bed rest and limited activity.
The result of such beliefs is that back pain that could initially be resolved with exercise becomes chronic back pain. Chronic back pain that might still be resolved if the patient were to exercise regularly gradually develops and produces chronic back pain limitations.
TIP: Back pain is very, very common in our society. Rather than let it lead to complications and limitations, you may want to ask your physician for gentle exercises that may resolve your back pain before it becomes chronic.
Anna Hart
http://www.articlesbase.com/medicine-articles/chronic-back-pain-limitations-125257.html
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How to Exercise for Back Pain Relief
The health of your back depends to a great extent on your posture and body movements, your ability to cope with stress, and your Exercise regime.
Many types of back pain can be blamed on weak abdominal and back muscles. That’s why most doctors oppose prolonged bed rest for back pain and instead recommend light physical activity along with pain relief medication and other proactive treatments.
Physical activity may not only provide pain relief, but it can also prevent future back pain. Along with pain relief medication, many doctors and physio-therapists tailor individualized Exercise routines to treat patients who suffer from various types of back pain.
A typical Exercise program for back pain may involve stretching and strengthening exercises, flexing, and endurance training. A variety of exercises and techniques are available for back pain relief; your doctor can help you choose an appropriate routine, taking into account the cause and severity of your back pain.
Advantages of Exercise for Back Pain Patients
Along with a healthy diet, doctors recommend exercise as an important component of a healthy lifestyle for most people, not only those who suffer from back pain.
The potential benefits of an exercise program for back pain may include: * Immediate, short-term pain relief * Stretching of tight, contracted muscles * Strengthening of weak muscles, which can contribute to back pain * Reducing mechanical stress on the back * Stabilizing the back * Increasing the ease and efficiency of body movements * Improving posture, which can guard against future back pain * Minimizing the frequency and magnitude of chronic back pain * Increasing the likelihood of quicker recovery from back pain in the future * Improving fitness to prevent future injuries
A Basic Exercise Program for Back Pain Relief
A basic exercise program for dealing with back pain involves strengthening the back and supporting muscles. If you have injured your back or have other health problems such as osteoporosis, start the exercises only after consulting with a doctor.
You can start on a gentle stretching and strengthening routine if you have no serious spinal problems.
Exercise #1 For Back Pain Relief:
Abdominal contractions gently stretch the back muscles: 1. Lie on your back. Bend your knees and place your hands below the ribs. 2. Tighten your stomach muscles to squeeze the ribs toward the back. Do not hold your breath. 3. Keep your muscles contracted for five seconds and then release. 4. Repeat ten times.
Exercise #2 To Prevent Back Pain:
Even when you no longer have back pain, doctors often recommend that you continue exercising to strengthen the back. Choose exercises that help align your body correctly and improve your posture to prevent back pain from recurring. For example, curling against the wall can help improve your standing posture. 1. Stand with your back against the wall, with your feet approximately six inches away from the wall. 2. Bend your knees and drop your head and shoulders. 3. Pull your stomach in and slowly roll up one vertebra at a time against the wall.
Exercise #3 To Prevent Back Pain
Strong abdominal muscles prevent many types of back pain so exercises that involve those muscles are often part of physical therapy programs designed to avoid back pain. For example, diagonal crunches not only strengthen the stomach muscles, but also keep the tummy from sagging. 1. Lie on your back. Place your hands behind your head. Bring your knees to your chest at right angles to the waist and cross your feet at the ankles. 2. Exhale slowly while raising your trunk, and move your right elbow as much as you can to the left knee. Slowly lower your trunk. 3. Repeat with the left elbow and the right knee. 4. Repeat ten times.
To improve fitness, you may wish to include stamina-building exercises such as aerobics. As these exercises are more rigorous, start them slowly and only after checking with your physician.
Always warm up before the physical activity and cool down afterward. Walking or light jogging, bicycling, and swimming are some exercises that can provide excellent aerobic conditioning.
Alternative Exercise Therapy Options for back pain Relief and Recovery A variety of alternative exercise therapies and programs are available to help alleviate, cure and prevent future back pain. Some of the more popular programs are:
* Tai Chi Chuan: This gentle martial art form provides exercise for the body, while helping the mind to concentrate. The movements relax the muscles, free the joints, and ease tension. Some people suffering from back pain use this technique along with pain relief medication.
* Yoga: This ancient Indian tradition involves a wide range of mind-body exercises including postural and breathing exercises, deep relaxation, and meditation. Many yoga postures focus on increasing spinal strength and flexibility, which can provide back pain relief. According to researchers, regular yoga practice may also prevent some types of chronic back pain.
* Chi Kung: Also known as Qigong, this ancient Chinese system of exercise focuses on breathing and posture while teaching the mind to concentrate. Chi Kung therapists claim that this system may be used effectively for back pain relief.
* Feldenkrais Method: This exercise technique aims to increase the ease and efficiency of body movements. Therapists try to increase your awareness of body movements, while teaching you to recognize and correct muscle tension.
* Buteyko Breathing Technique: This Russian therapy involves exercises in slow breathing and holding the breath. Therapists claim that this technique reduces muscle tension and can provide back pain relief.
Note: When you perform any type of exercise, it is imperative to distinguish between pain and the feeling of exertion. Pain is a signal from the nerves that a certain activity is wrong for you. If you experience pain while exercising, including back pain, you should instead start with mild exercises that feel comfortable.
Treating AND Preventing Your Back Pain
Exercise can be an important part of an effective treatment program for back pain. Customizing an exercise program that’s suitable for you can help you safely strengthen your back, improve your stamina and fitness, and prevent future back pain.
For more information on back pain and effective pain relief options, consult the online knowledge base at eDrugstore.md. To order prescription pain relief medications at discount prices, visit eDrugstore.md home page and look for the pain relief section.
Mark Smith
http://www.articlesbase.com/wellness-articles/how-to-exercise-for-back-pain-relief-443992.html
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