Some common facts about Complex Regional Pain

Thanks to our modern science which helped us know a lot about CRPS (complex regional pain syndrome). CRPS is basically a pain condition that effects limbs like feet, hand, legs and arms especially after a trauma or injury. In some cases it is mild, some its moderate and in other cases it is severe too.

CRPS can occur due to malfunction or damage of central or peripheral nervous system. The central nervous system comprise of spinal cord and brain and peripheral nervous system consists of nerve signaling via spinal cord and brain to the entire body.

Some common facts about CRPS are

The pain is not directly associated to range of damage or injury

The pain that occurs in case of CRPS can be unbearable without affecting much to tissue health. Remember this pain part of protection of the body on its own and doesn’t indicate any tissue damage.

The limb that is affected can feel different from the way it actually looks

Here temperature and size are included. It also feels like detaches, not mine, doesn’t belong to me . The loss of sensation of owning the limb occurs as brain produces this sense, but brain can also regulate it.

The symptoms absolutely can change depending on how you feel and your mood

Stress can increase the pain. This is because of identified threat to the individual triggering  protection.

Looking at someone who can move their body part leads to depression or hurt you

The brain imitates the similar movement leading to actual pain.

Change in color of limb because of change in blood flow

The ANS (automatic nervous system) controls our blood flow. This system answers to identified threat – fright, flight, freeze.  In simple words this system responds to what and how we think. When it is a embarrassing situation for us we turn to red.  This is due to how we though of that situation. The ANS becomes sensitive, and is asoosciated with CRPS – sweaty palms, changed sense regarding size and color change.

The women are affected almost 3 times more than men. A series of CRPS  treatment is conducted normally to improve symptoms of CRPS. A MRI, x-ray, bone scan or a test of nervous system can help a person know if he/s she has CRPS.

A majority of CRPS patients within the age group of 30-55 years and CRPS can spread occasionally from one part to another anywhere in our body like opposite limb. Symptoms and signs exists from months and extend to years and treatment is only effective when started in initial stages of the disease.

The condition takes several to many years to improve. Approx 75% of patients get back to normal condition whereas some near normal. About 15 per cent have permanent diability(moderate) and 10% cases suffer from permanent diability(severe). Fifty percent of people who remain untreated end up facing extreme residual impairement.

It is better to get your CRPS condition treated in early stages of illness to avoid severe impairment.

Drugs and treatment for Complex Regional Pain Syndrome

Remission and improvement of Complex Regional Pain Syndrome is absolutely possible if you start the treatment within first couple of months of first symptoms that you notice. Combining different therapies is essential. Your doctor can customize the treatment for you depending on your medical condition. The treatments for Complex Regional Pain Syndrome comprise of the following

Medications

Doctors may use different types of medications to treat Complex Regional Pain Syndrome symptoms they are

Anticonvulsants/Antidepressants- sometimes anticonvulsants like gabapentin or antidepressants like Amitriptyline are used for treating pain that occurs due to nerve damage.

Pain Relievers- OTC pain relievers like ibuprofen, Motrin B, Naproxen and aspirin can help ease inflammation and pain. Your doctor might prescribe strong pain relievers in case OTC is not effective. Opioid medication is another option, which when taken in right doses can provide relief in case of unbearable pain.

Medication for bone loss- your doctor can suggest medications that help in preventing or slow bone loss.

Intravenous Ketamine- studies say that taking intravenous ketamine in low doses can help eliminate pain as it is a strong anesthetic.

Corticosteroids- medications related to steroids like prednisone helps improve the movement of affected limb and also reduces inflammation.

Therapies

Topical analgesics- topical treatments help decrease the hypersensitivity like capsaicin cream etc.

Physical therapy- very gentle and properly guided exercising of your affected limb can help reduce pain, improve mobility and strength. In case the disease is detected in its early stage, there are many exercises that can prove to be quite helpful.

Applying cold and heat- Application of cold packs and reduce sweating and swelling. Applying heat is useful if the area that is affected is cool.

Biofeedback- for some patients learning techniques used in biofeedback can help. Biofeedback helps you learn more about your body and you can help your body relax and eliminate pain.

Stimulation of Spinal Cord- tiny electrodes are inserted by the doctor along the spinal cord. Electric current (small) sent to your spinal cord gives relief from pain.

Physiotherapy- it helps with flexibility, strength, balance, regaining the muscle mass, cardiovascular conditioning and the therapy is very effective in treating Complex Regional Pain Syndrome.

Relaxation techniques- the techniques help reduce anxiety, depression, anger, calms the body. It helps treating pain without any drugs.

Yoga- some yoga postures are also helpful in relieving pain but yoga should be done under the supervision of a trained yoga instructor.

Well it is always better to treat the condition in its early stages as if the pain becomes chronic, each treatment takes longer period of time to show results. The treatments work well when the symptoms are treated in the beginning itself. In severe cases some people also need surgery, but otherwise the above mentioned medications and therapies are quite effective in relieving pain.

Make sure you follow a healthy lifestyle and maintain a good exercise routine and be stress free to fight the symptoms of Complex Regional Pain Syndrome. You can meditate to be stress free.

Learning about causes of Complex Regional Pain Syndrome

Complex Regional Pain Syndrome is a disease and is a nerve disorder which is rare. Its symptoms start with intense pain that can arise in legs, hands, feet and hands. It happens when you come across a serious injury to the nerve or tissue of the area which is affected. The pain increases and often captures leg or arm. Some changes noticed in areas that get affected post the disorder is sudden changes in temperature and color of the skin. Other symptoms are burning pain which is very intense, skin sensitivity, sweating and swelling.

The theory written for the cause of this condition says it is because of triggering of our immune system, which causes inflammation in the area that is affected. Various symptoms of Complex Regional Pain Syndrome are

The affected area gets sensitive to touch

Change in texture of the skin

Painful and burning sensation in area which gets affected

Movement loss in affected area

Muscle weakness and pain

Change in color of the skin

Affected area gets sensitive o sometimes touch and sometimes to temperature.

Even if the disorder is not very common, the doctors are very much aware about this condition. The doctors diagnose based on the result of pain symptoms and physical examination. The above stated symptoms help doctor diagnose the problem correctly. The doctors also take other test like thermography, sweat test, tests for sympathetic nervous system. The disease can be diagnosed but there is not test that determines the disease Complex Regional Pain Syndrome.

Two types CRPS are

Type one CRPS (Complex Regional Pain Syndrome) – this type of disorder is caused because of injuries of ankles which get sprained or fractured. The nerve damage in this case is minimal.

Type two Complex Regional Pain Syndrome- this type of disorder is caused due to serious injuries where the nerve damage is quite serious like a broken bone or infection. Though it is rare there is a solution to this condition and doctors suggest sympathetic block, which involves anesthesia injection that helps in obstructing signals. Counseling and physiotherapy also helps many times. If the disorder is detected in its early stages the pain can be prevented from recurring through relevant treatments.

The disease affects women that fall under the age of forty to sixty. During advance stages a mere touch on the part that is affected or exposure to change in temperature increases the pain which is unbearable. Some people get frequent attacks while some are lucky and the pain disappears completely after a couple of months. There are also some symptoms which are extreme and visible such as growth of hair and nail. The growth is at either abnormal speed or is very slow.

Some people also experience clammy hands due to excessive sweating. If you notice symptoms being mentioned above it is better to consult your doctor immediately in order to get timely treatment which can help you reduce pain and stop pain from recurring.

Understanding about Complex Regional Pain Syndrome

Complex Regional Pain Syndrome is amongst the most weakening medical condition to deal with. It can influence your sleep, job, mental health, your relationships etc., ideally you should be able to enjoy and have fun with your family, yourself without worrying about what is going to happen next. Chronic pain leads to affect your ability to enjoy with yourself and your family and this result in spending a stressful life. There are some treatments that can help you enjoy quality life without worrying about your chronic pain.

Cause of Complex Regional Pain Syndrome

You might wonder as what could be the cause of Complex Regional Pain Syndrome? Well the exact reason for this syndrome is still not known, but in 90% cases the reason is trauma or major injury that starts Complex Regional Pain Syndrome. The injuries that result in Complex Regional Pain Syndrome are injuries related to soft tissues like bruises, burns and cuts, bone fractures, limb immobilization, sprains, strains. Nerve abnormalities like arthritis and if the Complex Regional Pain Syndrome is hereditary it can lead to CRPS.

Pain remedies and alternatives

Remedies for treating Complex Regional Pain Syndrome vary and the remedies solely depend on the nature of pain and its severity. Some extreme treatments are surgical procedures, drug pumps, nerve blocks and stimulation of spinal cord. Some common treatments include Botox injections, anti-depressants, corticosteroids, anti-epileptics, anti-inflammatory medicines. Another common treatment is use of topical anesthetic creams or patches.

Benefits of Topical Cream

Topical creams are known to be the popular treatment for Complex Regional Pain Syndrome as they non-dependency forming and highly effective. Topical creams are difficult to get abuse or dependent and side effects are very less in these creams. These creams are better as compared to patches and pills as they can be harmful and result in addiction or cognitive impairment in a lot of cases. These topical creams are not only safe, but you can also get them free through insurance carriers.

Complex Regional Pain Syndrome is a strange form of difficult to bear chronic pain that needs to be treated early to prevent severe complications. The pain sensation can occur in hand, arm, leg, foot and can be aching and throbbing. The area that is affected tends to change texture, skin color, temperature or change in nail and hair growth. There are also chances of causing inflammation in affected area followed by swelling and tenderness. Eventually it leads to deteriorate joints, bones and muscles from disuse.

If Complex Regional Pain Syndrome is not treated, in the areas that are affected, the area can be tighten to such an extent that foot or hands get stuck in a particular contracted position. As the cause for this condition is still not known, the theory says that is a kind of malfunction of inflammatory response and nervous system is involved. As stated above early treatment shows better results, the person should approach the physician for proper treatment in early stages when he/she notices symptoms to avoid other related complications.

Key causes and symptoms of Complex Regional Pain Syndrome

The disease CRPS or Complex Regional Pain Syndrome is the rare disorder of nerves. The symptoms generally cause extreme pain and affected areas are hands, legs, feet and arms. It generally happens after the serious injury to nerves or to tissue of an affected area. This disorder is known as Causalgia. The causes responsible for such disorder are unknown. However, pain quite often spreads to entire leg or arm. There are some changes that are observed in affected areas after the disorder such as dramatic changes in color and also in temperature of skin in the exaggerated limb. Other symptoms also include skin sensitivity, intense burning pain, swelling and sweating. Even though, there are also some theories that are behind the cause of such disorder, authenticity of theories are also questionable. The theory is main cause that is behind sustenance of pain might be considerate nervous system. The next speculation about CPRS cause is that it is caused through triggering of immune response that might leads to inflammation in affected area.

Key symptoms of CRPS:

  •        A burning and painful pain in an affected area such as your leg, foot, hand and arm
  •        Change in the color of your skin that might turn as white, blue or even red
  •        The affected area might be also sensitive to temperature and touch
  •        Change in the texture of skin texture such as too shiny or too thin
  •        Loss of the movement in the affected region
  •        Weakness or Muscle pain

Though it is completely rare disorder, many doctors are much familiar. The doctor also makes the diagnoses of physical exam along with the symptoms of pain. The above mentioned symptoms will assist doctor to make correct diagnosis. Though, the disease is also diagnosable, certainly there is no such single test to identify CRPS. For instance, doctor may take the test to check your skin temperature and also blood circulation of a specific area. In such a case diagnose becomes doubtful, hence MRI can help to identify CRPS.

There are mainly 2 two types of CRPS that have completely various causes.

  •        CRPS Type 1 – This disorder gets triggered by various injuries like ankles that are sprained and fractured. There is generally minimal damage to nerve.
  •        CRPS Type 2 – This disorder is mainly caused by serious injuries that have nerve damage like operation, broken bone or serious infection.

This disorder is quite rare, but it is usually not eradicated completely. Complex Regional Pain Syndrome seems to be quite common amongst people and especially women between ages of 50 to 70. But, there is also a solution for this disorder. Doctors generally suggest sympathetic block. It mainly involves the injection of anaesthesia that obstructs entire pain signals. Counselling and Physiotherapy may also help at times. In case this disorder gets diagnosed quite early so regular treatments can help to keep pain from recurring. But in case it is diagnosed after some time or if symptoms are quite severe, so there is a possibility that patients might not respond properly to treatments.

Chronic Fatigue Syndrome Without Pain

Symptoms of chronic fatigue syndrome often last for years and vary. In most cases, the disability affects daily living in a significant manner. The symptom of key importance is the unrelenting, severe fatigue that persists for at least six months. This fatigue worsens with activity, and does not improve with rest.

Despite the fact that researchers have not been able to pinpoint an exact reason for the development of chronic fatigue syndrome, there are some symptoms that are generally associated with this condition.

Start your day hydrated: drink water as soon as you wake up in the morning before your coffee. After 8 hours of sleep, your body is dehyrated and if you start your day with coffee, it will dehydrate you even more. Drink some water first then drink your coffee.

I spent the next year being shuffled around from one specialist to another trying to figure out what was wrong with me. By the time, I was diagnosed with Chronic Fatigue Syndrome and Fibromyalgia my health had deteriorated. I hardly slept, I was in constant pain, and my legs collapsed on a regular basis.

Many chronic fatigue syndrome sufferers report frequent headaches. Headaches are a consequence of physical and/or mental stress and can result from not being properly hydrated. Headaches caused through poor hydration are a condition shared by many sufferers of chronic fatigue syndrome.

The depression experienced alongside CFS may be chemically induced, due to a serotonin and norepinephrine imbalance, as well as a consequence of external events, such as severe pain, disability, and hopelessness due to lack of treatment options.

The characteristic symptom is prolonged, often overwhelming fatigue which is commonly associated with a varying complex of other symptoms that are similar to those of many infections. Chronic Fatigue Syndrome can last for many years.

Some studies have found that people with chronic fatigue syndrome have lower levels of the hormone cortisol, which is secreted by the adrenal glands. Low levels of cortisol may increase inflammation and activate immune cells. Thyroid disorders have also been blamed in chronic fatigue syndrome.

Easier said than done I know. Let us examine a common sequence of events which may ring a bell with sufferers, to understand the prejudice from an outsider perspective.

Without a prescription painkillers could support to ease joint and muscle pain as well as for headaches. Powerful painkillers could even be recommended by the GP, even though these have to be used for a short period. Antidepressants could be used by the individuals having depression with chronic fatigue syndrome.

Chronic Fatigue Syndrome Without Pain

Chronic Fatigue Syndrome – A Definition

Chronic fatigue syndrome (CFS), is a complicated medical condition that causes severe fatigue that becomes worse with physical activity. CFS fatigue symptoms do not improve with rest. Usually, patients who have CFS cannot sustain the same amount of activity as before they developed the disorder.

In addition to fatigue, chronic fatigue syndrome may cause other generalized symptoms such as muscle weakness and pain, insomnia and impaired ability to concentrate.

The medical profession has defined the following two criteria for for chronic fatigue syndrome:

Severe, debilitating fatigue for six months or longer, with an exclusion of other medical conditions. Coexisting with this fatigue, at least four of the following symptoms: sore throat; tender lymph nodes; multi-joint pain without swollenness or inflamation; muscle pain; headaches not experienced before in pattern or severity; awakening from sleep and not feeling rested. These symptoms must not have been experienced before chronic fatigue. They also must have recurred or persisted for at least six months.

Symptoms of Chronic Fatigue Syndrome

Symptoms of chronic fatigue syndrome often last for years and vary. In most cases, the disability affects daily living in a significant manner. The symptom of key importance is the unrelenting, severe fatigue that persists for at least six months. This fatigue worsens with activity, and does not improve with rest.

In some cases, CFS symptoms become worse for a time and then symptoms get better for a time. This suggests a pattern of relapse and remission. It is thought that becoming too active during remission can bring on a relapse of symptoms.

Other common symptoms of CFS include:

– Fever
– Headaches (type not previously experienced
– Joint pain without swelling or inflammation
– Generally feeling unwell, that lasts for at least 24 hours.
– Difficulty concentrating
– Loss of memory
– Painful muscles and joints
– Unrestful sleep
– Sore throat
– Sore lymph nodes

To make a CFS diagnosis the following criteria must be present in the patient:
Severe, debilitating fatigue for six months or longer, with an exclusion of other medical conditions.
Simultaneously, at least four the following symptoms: sore throat; tender lymph nodes; multi-joint pain without swollenness or inflamation; muscle pain; headaches not experienced before in pattern or severity; awakening from sleep unrefreshed. These symptoms must not have been experienced before chronic fatigue. They also must have recurred or persisted for at least six months.

A thorough physical examination must be carried out to detect other symptoms of CFS, such as fever and swollen lymph nodes and to rule out other medical conditions with similar symptoms. Laboratory tests that may be used to rule out other conditions include blood tests (e.g., white blood cell count) which could indicate a similar disorder, mononucleosis. Imaging tests such as MRI must be carried out.

The following medical conditions must be ruled out:

– Autoimmune disorders
– Mononucleosis
– Dependecy on drugs
– Fatigue related to psychological factors alone (depression)
– Cancer
– Heart, kidney, or liver disease
– Hypothyroidism
– Infection
– Muscle or nerve diseases (multiple sclerosis)

Since symptoms vary, patients with CFS need medical treatment that addresses the patient’s individual symptoms. Most often, treatment programs are devised by a team of health care providers, such as a team of physicians, physical therapists, mental health personnel and dieticians. Over-the-counter and prescription medications may be used to reduce symptoms of CFS such as pain and depression.

Patients must learn how to manage and monitor activity levels and rest and sleep periods. Usually the correct level of activity and rest will improve symptoms. The aim of treatment is to correctly balance periods of activity and rest, lower pain and stress andf improve sleep.

Different types of treatments that may be beneficial include the following:

– Deep breathing techniques
– Muscle relaxation
– Massage
– Yoga
– Tai chi (type of movement therapy)

Sensible Therapeutic Preparation For Fibromyalgia Syndrome

Fibromyalgia syndrome (FMS) is originally a disorder of sensory amplification in which heightened sensory input leads to a complex array of symptoms, including pain, fatigue, insomnia, and mood disorders. (1) This broad range of clinical manifestations can make fibromyalgia syndrome difficult to cure and usually needs a multi disciplinary approach to remedy. A rational therapeutic plan will aim at both the underlying sensory amplification disorder and the resultant functional symptoms.

 

The study of pain pathways is an area of great interest for fibromyalgia researchers, and along with genetics, provides significant hope for advancement in the diagnosis and treatment of FMS. Current research indicates that dysfunctional sensory amplification can occur via several neurochemical pathways, and treatment modalities usually involve pharmacologic manipulation of these neurochemicals.

 

Recently, much of the focus has been centered on the serotonin-norepinephrine descending pain pathway. (2) In this pain processing pathway, serotonin and norepinephrine are used by the brain as intermediaries to inhibit pain signals from the body. Deficiencies of serotonin or norepinephrine cause this feedback mechanism to misfire, and pain processing signals remain unregulated.

 

This has sparked interest among clinicians because some studies indicate that serum levels of serotonin and norepinephrine are diminished in fibromyalgia patients. Subsequent clinical trials with medications that modulate serotonin and norepinephrine (i.e. amitriptyline, duloxetine, venlafaxine) have proven beneficial to some subjects. (3,4)

 

Another area of active research involves the voltage-dependent calcium channel which controls the release of excitatory neurotransmitters involved in pain processing, including glutamate and substance P. Inhibiting the release of these compounds decreases pain signal processing. Pregabalin and gabapentin are the two primary medications of this class used in fibromyalgia patients.

 

One of the more troubling aspects of developing effective treatments is the idea that fibromyalgia syndrome can affect more than one pain processing pathway, and further, the pathways involved may not be the same for each patient. So, a medication that works reasonably well in one patient may be completely ineffective (or detrimental) in another.

 

Genetic research into fibromyalgia even raises the possibility of multiple etiologies for FMS. Several different genetic markers are under study, and it is possible that not a single gene, but a variable combination of genes, is responsible for the expression of fibromyalgia syndrome. (5,6,7,8) Simply stated, the root cause of fibromyalgia may not be the same for all patients.

 

Because the currently available treatments for primary pain provide incomplete relief, attention also must be given to treating the functional symptoms of fibromyalgia syndrome. The treatment of pain amplification disorder is almost exclusively the domain of pharmacology, but the broad nature of related functional symptoms invites the use of many treatment modalities, both pharmacologic and non-pharmacologic.

 

It is easy to imagine how a pain amplification disorder like fibromyalgia syndrome could cause otherwise sub-clinical ailments to become symptomatic and require treatment. For instance, a headache in a hyper sensitized fibromyalgia patient might be experienced as intolerably painful, while the same headache in a person with normal pain processing pathways might be perceived as only a nuisance.

 

Of course, this is an oversimplification. The connection between fibromyalgia and other conditions (like depression) involves both genetics and endocrinology, and is not just a result of heightened pain sensations, but the point is that fibromyalgia syndrome has the potential to adversely effect virtually any system in the body.

 

Treatment of these functional symptoms is primarily symptomatic or palliative in nature, and since not everyone has the same symptoms, the treatment must be individualized. This variability accounts, at least in part, for the numerous testimonials and miracle cures found online. It may be possible to virtually eliminate a particular functional symptom of fibromyalgia without correcting the underlying pathology. Confusion arises when this is mistaken as a “cure” for fibromyalgia syndrome.

 

Some of the more popular treatment modalities for these functional symptoms include:

 

Pharmacologic agents
Education
Cognitive Behavioral Therapy
Nutrition & Dietary Supplements
Biofeedback
Exercise Programs
Therapeutic Yoga
Massage Therapy
Acupuncture
Electro therapy

It is important to remember that the treatment must be individualized when addressing these symptoms. Therapies will not always have the same effect on individual fibromyalgia patients. The only way to arrive at a truly optimized treatment plan is through trial-and-error. Understanding this before treatment begins should help fibromyalgia patients keep a positive attitude while sorting through the broad collection of available treatments.

 

Due to the variable etiology and expression of fibromyalgia syndrome, finding effective treatments can be difficult. Dividing treatment goals into two categories- reduction of primary pain amplification, and reduction of resulting functional symptoms- can clarify the procedure, and allow for the individualized development of an optimal therapeutic plan.

 

1. Lawson K. Treatment options and patient perspectives in the management of fibromyalgia: future trends. Neuropsychiatr Dis Treat. 2008 Dec;4(6):1059-71.
2. Senba E, Imbe H, Okamoto K. Descending facilitation in chronic stress and chronic pain state. Nihon Shinkei Seishin Yakurigaku Zasshi. 2008 Feb;28(1):29-35.
3. Russell IJ, Vaeroy H, Javors M, Nyberg F. Cerebrospinal fluid biogenic amine metabolites in fibromyalgia/fibrositis syndrome and rheumatoid arthritis. Arthritis Rheum. 1992 May;35(5):550-60.
4. Hauser W, Bernardy K, Uceyler N, Sommer C. Treatment of fibromyalgia syndrome with antidepressants: a meta-analysis. JAMA. 2009 Jan 14;301(2):198-209.
5. Bondy et al. The T102c polymorphism of the 5-HT2A-receptor gene in fibromyalgia. Neurobiol. Dis. 1999;6:433-439.
6. Offenbaecher et al. Possible association of fibromyalgia with a polymorphism in the seratonin transporter gene regulatory region. Arthritis Rheum. 1999;42:2482-2488.
7. Buskilla et al. An association between fibromyalgia and the dopamine D4 receptor exon III repeat polymorphism and relationship to novelty seeking behavior. Mol. Psychiatry 2004;9:73.
8. Gursoy et al. Significance of catecholamine o-methyl transferase gene polymorphism in fibromyalgia syndrome. Rheumatol. Int. 2003;23:104-107.

Irritable Bowel Syndrome Treatment Options

Having cramps in your abdomen? Feeling bloated or gassy? Then you might be suffering from a condition called Irritable bowel syndrome (IBS). IBS is a condition that creates pain in the abdominal region and causes you to feel bloated and gassy. It has plagued many people in the past years and continues to be a big problem. The good thing about IBS is that it is not contagious, inherited, or cancerous, but it will interrupt your day to day activities in life. Some people feel that they need to treat it with heavy drugs. But there are natural ways to help your IBS. Some ways are:

1. Change of diet– No one likes to change a routine diet that they are on. Unless you are eating junk food from fast food restaurants all the time, you may feel that your diet is rather good. Staying away from food that makes you gassy or bloated such as broccoli and cabbage is a good idea. You need to also change that you may eat things that will only worsen you IBS.

2. Calcium tablets– This seems simple enough. Taking vitamins or supplements are always going to settle down your IBS. When you take the Calcium tablets, your body reacts to the natural medicine and helps reduce flare ups that cause you big problems. With Calcium tablets, you are giving your body a chance to repair itself with the help of a natural aide.

3. Lower your stress– This is the most important thing to get under control. When you have stress in your life, you cause your stomach muscles to tense up and those with IBS, it causes flare ups. Keeping yourself healthy is very important if you are suffering from IBS. When you take care of yourself, you won’t have to worry about health issues.
 
Iritable bowel syndrome (IBS) is never a fun condition to live with. Having constant abdomen pain is a very hard thing to have to work around. But with the treatments above, you won’t have to worry too much with the IBS causing you too much grief. IBS is only a condition that can be maintained. Those who have IBS have the occasional flare ups because they ate something that the IBS did not like and it causes the extreme pain again. If you are suffering from Irritable bowel syndrome (IBS) make sure to follow the plan that is prescribed by your primary care physician. A doctor can help you in your pain and find a solution.

Pain in the Butt – Understanding Piriformis Syndrome

Piriformis Syndrome is a condition where a small muscle known as the piriformis muscle  spasms or contracts in a way that irritates the sciatic nerve.  This results in pain in the hip or buttocks region, though it may also shoot into the lower back and thigh as well.

What is this piriformis muscle and why is it such a pain in the butt — literally?

The piriformis is a small muscle that is responsible for the rotation of your hip and legs.  It is located deep inside the hip joining the sacrum and the femur bone (basically the lower back and the thigh).

The hip is a very complex joint made up of many muscles and tendons.  The piriformis is the small muscle in the middle of it all running over the sciatic nerve.

Piriformis Syndrome is primarily caused by tightening of the piriformis muscle causing it to crush the sciatic nerve.  This tightening can be the result of either overworking the muscle (as in training errors) or mechanical imbalances (poor posture, etc.).

Overworking the muscle is often attributed to athletes and others that participate in a good degree of physical exercise.  However many cases occur in people that live relatively sedentary lives rarely exerting themselves the way an athlete would.  These other overworking causes may include:  exercising on hard surfaces or uneven ground, beginning a fitness program too aggressively after not exercising for quite some time, increasing intensity too fast, wearing shoes that don’t fit you properly, or sitting for long periods of time (say, in a cubicle?).

Mechanical Imbalances are related to the structure of the body and its mechanisms.  Poor posture, herniated discs, or simply the manner with which you hold yourself or move your body as you walk can be responsible for this.

The symptom of Piriformis Syndrome is most commonly a deep pain within the hip or buttocks, but as stated earlier, this pain can also run into the thigh or lower back as well.  However, weakness and stiffness is also a rather common symptom as well (remember that Piriformis Syndrome is caused by an overworked or tense muscle).  Tingling and numbness in the legs can be experienced from time to time.

Fibromyalgia Syndrome

Fibromyalgia is a disease that involves pain in the muscles and the fibrous connective tissues. People with this syndrome often experience long-lasting widespread pain in pressure points found in joints, tendons, muscles and other soft tissues.
This is condition occurs in both men and women aged 30 to 50 years old although it has been found to be more common in women. People who suffer from fibromyalgia may have been experiencing bouts of headaches, depression, sleeplessness anxiety and fatigue. The actual cause of fibromyalgia is unknown but there are several theories that are being considered.
Genetic Predisposition is one of the probable causes of fibromyalgia. It has been said that there is a tendency for families to be affected by this condition although the mode of inheritance is not known.
There is also said to be a correlation between the level of certain neurotransmitters in the body and the occurrence of fibromyalgia. Among these neurotransmitters is dopamine. Abnormal levels of dopamine in the body leads to an increase in pain perception as well as decrease in analgesia. Another would be serotonin. Abnormal serotonin metabolism is said to be the culprit, affecting the regulation of a persons moods, concentration, sleep patterns and pain.
Stress is also among the precipitating factor of fibromyalgia. Studies show that there is a correlation between the stress level of an individual and fibromyalgia. Stress-related conditions include post-traumatic stress syndrome, depression and chronic fatigue.
Diagnosis of fibromyalgia has been a source of controversies. There is no one test to conform this diagnosis. There has been much ado about the definitive tests because when an individual undergoes laboratory examination for fibromyalgia, the results usually come out normal. In cases wherein there are abnormalities found in the blood tests, these are usually found to be similar to the test results that can be found in patients with arthritis and osteoarthritis.
To try and ease this problem, a classification system has been created to try and identify fibromyalgia for research purposes. It defined fibromyalgia as the presence of widespread pain occurring for at least three months. The patient should also experience pain while pressure is applied to 11 out of 18 pressure points identified in the body.
Treatment for fibromyalgia is symptomatic. There is no one cure for it. Among the medications used in treating fibromyalgia include drugs like antidepressants, dopamine agonists, anti-seizure medications and muscle relaxants to name a few. Some have resorted to behavioural therapies. Still there are patients with fibromyalgia who exercise to ease the pain. Among the more popular forms of exercise is tai chi and stretching. Physical therapy may also work for some cases.
The cost of living with fibromyalgia can be expensive. Although it is a not a degenerative disease nor is it fatal, the primary symptoms of fibromyalgia like pain, seldom dissipate. The pain remains and usually do not improve at all. It is quite a surprise that this disease are often diagnosed by means of exclusion. When the signs, symptoms and laboratory work in association with the clinical picture do not coincide with arthritis, that is the only time that fibromyalgia is considered.

Causes Of Complex Regional Pain Syndrome

Complex Regional Pain Syndrome (CRPS) is a rare nerve disorder. It’s symptoms usually causes intense pain and the affected areas may be hands, arms, legs and feet. It usually happens after a serious injury to the tissue or nerve of the affected areas. The disorder is also called Causalgia. The cause responsible for the disorder is unknown. The pain often spreads to the entire arm or leg. Some of the changes observed in the affected areas post the disorder are dramatic changes in the color and temperature of the skin of the affected limb. Other symptoms also include skin sensitivity, intene burning pain, swelling and sweating. Although there are some theories behind the cause of this disorder, the authenticity of these theories are questionable. One theory is the cause behind the sustainance of the pain may be the sympathetic nervous system. The other speculation is the CPRS is caused by the triggering of the immune response which leads to the inflammation in the affected area.

The various symptoms of CRPS are listed as below:

A burning, painful pain in the affected region (usually an arm, leg, hand oe foot)
Change in skin color (may turn red, blue or white)
The affected area may be sensitive to touch, temperature
Change in skin texture (either too thin or shiny)
Loss of movement in affected areas
Muscle pain and weakness

Although it is a rare disorder, most doctors are familiar with it. The doctor will make a diagnose on the basis of a physical exam and the pain symptoms. The above symptoms will help the doctor make a correct diagnosis. Although, the disease is diagnosable, there is no one single test to determine CRPS. For instance, the doctor may take a test to check the skin temperature and the amount of blood circulation to a particular area. In case the diagnose is doubtful, a magnetic resonance imaging (MRI) can help determine CRPS.

There are two kinds of CRPS which have completely different causes. They are listed as follows:

1)Type one CRPS- This disorder is triggered by injuries such as ankles which are fractured or sprained. There is usually minimal nerve damage.
2)Type two CRPS- This type of disorder is caused by more serious injuries where there has been nerve damage such as an operation, a serious infection or a broken bone.

Although the disorder is rare, but it is not completely eradicated. Putting a number is hard, the estimate change from country to country. Some countries have 1 affected in 18, 000 whereas others have 1 in 4000. CRPS is more common amongst women and people between the ages of 50 to 70.

There is solution for the disorder. Doctors usually recommend sympathetic block. This usually involves an injection of anaesthesia which obstructs the pain signals. Physiotherapy and counselling may help at times.

If the disorder is diagnosed early regular treatments may help keeping the pain from recurring. But if it is diagnosed later or if the symptoms are severe, the patients may not respond to treatments.

Causes Of Complex Regional Pain Syndrome

The disease Complex Regional Pain Syndrome (CRPS) is a rare nerve disorder. It’s symptoms usually causes intense pain and the affected areas may be hands, arms, legs and feet. It usually happens after a serious injury to the tissue or nerve of the affected areas. The disorder is also called Causalgia. The cause responsible for the disorder is unknown. The pain often spreads to the entire arm or leg. Some of the changes observed in the affected areas post the disorder are dramatic changes in the color and temperature of the skin of the affected limb. Other symptoms also include skin sensitivity, intene burning pain, swelling and sweating. Although there are some theories behind the cause of this disorder, the authenticity of these theories are questionable. One theory is the cause behind the sustainance of the pain may be the sympathetic nervous system. The other speculation is the CPRS is caused by the triggering of the immune response which leads to the inflammation in the affected area.

The various symptoms of Complex Regional Pain Syndrome are listed as below:

A burning, painful pain in the affected region (usually an arm, leg, hand oe foot)
Change in skin color (may turn red, blue or white)
The affected area may be sensitive to touch, temperature
Change in skin texture (either too thin or shiny)
Loss of movement in affected areas
Muscle pain and weakness

Although it is a rare disorder, most doctors are familiar with it. The doctor will make a diagnose on the basis of a physical exam and the pain symptoms. The above symptoms will help the doctor make a correct diagnosis. Although, the disease is diagnosable, there is no one single test to determine Complex Regional Pain Syndrome. For instance, the doctor may take a test to check the skin temperature and the amount of blood circulation to a particular area. In case the diagnose is doubtful, a magnetic resonance imaging (MRI) can help determine CRPS.

There are two kinds of CRPS which have completely different causes. They are listed as follows:

1)Type one CRPS- This disorder is triggered by injuries such as ankles which are fractured or sprained. There is usually minimal nerve damage.
2)Type two CRPS- This type of disorder is caused by more serious injuries where there has been nerve damage such as an operation, a serious infection or a broken bone.

Although the disorder is rare, but it is not completely eradicated. Putting a number is hard, the estimate change from country to country. Some countries have 1 affected in 18, 000 whereas others have 1 in 4000. Complex Regional Pain Syndrome is more common amongst women and people between the ages of 50 to 70.

There is solution for the disorder. Doctors usually recommend sympathetic block. This usually involves an injection of anaesthesia which obstructs the pain signals. Physiotherapy and counselling may help at times.

If the disorder is diagnosed early regular treatments may help keeping the pain from recurring. But if it is diagnosed later or if the symptoms are severe, the patients may not respond to treatments.