Archive for the ‘Pain Management’ Category.

Shin Running Pain and How to Avoid It

Carol Bartram asked:




Anyone who has ever suffered from shin running pain will tell you that it is best to avoid it. The pain, usually just above your ankle has a dreadful, toothache quality that does not go away until you rest. If you are in the middle of a marathon at this point, that might be a problem!

Pain at the front of the shin is almost invariably caused by a shin splint. This is an inflammation of the long, thin muscle that goes down the front of your leg from the knee to the ankle. Many people acquire shin splints running on hard surfaces or overtraining. Man is not designed to gallop for miles on tarmac roads – these are designed for machines made from metal and rubber, not flesh and bone!

It is often hard to explain why some people get shin splints while others don’t. Sometimes it is physical – if you are heavy-boned and muscled like an all-in wrestler, then the strain of running for miles is going to be too much for your frame, no matter how fit you are. It comes as no surprise that most successful long-distance runners are light boned and lean as wolves.

Avoiding actually getting shin splints may not be easy. Women are as likely to suffer as men, age does not seem to be much of a factor – although if you take up running when you are older, I would advise you to start carefully. Just because you used to run for your school 30 years ago does not mean you should try again after half a lifetime of no exercise!

Here are some guidelines on avoiding shin splints:-

Always warm up before you start to run – at least 5 minutes walk, longer in cold weather. Check your footwear and change running shoes for new ones regularly. Never increase your training by too much at one time – if you try to run faster and farther in the same session, you are asking for trouble. Change the type of training you do. Alternate running with non-impact cardio like cycling or swimming. Cool down after your run and always finish by stretching all your major muscle groups – ask a fitness professional if you are unsure what to do.

Sometimes shin splints are caused by poor running technique and muscle imbalances. If your feet roll inwards or markedly outwards when you run, there may be strain. With women, it is often knees moving inwards that is the root of the problem – caused by women having naturally wider pelvises than men. A good idea is to strengthen leg muscles with exercises such as lunges and squats. Investing in a session with a Personal Trainer and telling them about the problem can be a great idea, as it is important that strengthening exercises are carried out with good form.

With a little thought and preparation, it may be possible to avoid getting shin splints altogether, and prevention is always much better than cure.

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The Best Hemorrhoids Pain Treatment – Stop the Pain in the Comfort of Your Home

Kerry Maulochon asked:




Hemorrhoids can easily be described as a pain in the rear. These swollen tissues and varicose veins found in the anus and rectum can cause a lot of pain, itching, discomfort, and bleeding.

Thankfully, hemorrhoids is a condition that usually tends to get worse over the years. So safe, gentle, and effective hemorrhoids pain treatment is usually the best option for sufferers. Many people have found treatments you can use at home to be very effective for stopping hemorrhoidal pain.

One of these home treatment methods involves soaking your body in a warm bath for about 20 minutes. By taking this warm bath you will be able to get relief from the burning and itching symptoms and also shrink the size of the hemorrhiods.

Another effective hemorrhoids pain treatment you can use in your home is the use of ice packs. You can make your own ice packs or buy pre-made ones from your local drug store. The ice pack will help deal with the swelling of your condition.

You can also take pain relievers such as tylenol, motrin, or aspirin to deal the pain. To help with the itching and burning you can try using a hydrocortisone cream.

Another effective home treatment is witch hazel and there are a lot of different varieties of creams and lotions that use witch hazel as an ingredient to eliminate the pain of your condition.

If these hemorrhoids pain treatment methods fail you should talk to your doctor. Your doctor will probably prescribe you with medication that may help. Your doctor will also recommend that you increase your fiber and fluid intake in your diet.

By increasing your fiber and fluid intake you will experience softer stools. A softer stool will make emptying bowels much easier and will decrease the pressure on hemorrhoids caused by straining.

Fruits, vegetables, and whole grains are all good sources of fiber. Morever, your doctor may recommend you take fiber supplements like psyllium or methylcellulose. These hemorrhoids pain treatment methods are usually for external hemorrhoids which causes the most discomfort and pain.

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Pain Treatment – Different For Diabetes, Herpes Zoster and HIV

Erica Goodstone, Ph.D. asked:




Pain is pain is pain.? Right?? No, not quite right.? At least 3 million Americans suffer from some form of neuropathic pain, but from different causes.? More than half of these pain sufferers have an auto-immune disease such as herpes zoster, diabetes or human immunodeficiency virus (HIV).

Recognizing and treating the underlying disease can substantially reduce the degree and frequency of the pain. There are a wide variety of pharmocologic (drug) treatments availalbe to treat pain symptoms, but only certain drugs will help for specific disease related neuropathic pain.

Many physicians do not know or recognize the underlying disease condition and perhaps do not associate the particular disease with the appropriate pharmacologic treatment.? Often, people with herpes zoster, diabetes and even HIV are given nonsteroidal antiinflammatory agents or aspirin – which has very little effect in alleviating the patient’s pain.? Instead, their unique type of pain may be alleviated by the appropriate analgesic therapy, such as anticonvulsants, lidocaine patch, or tricyclic antidepressants.

In a satellite symposium held in conjunction with?the January 29, 2009 Annual Meeting of the American Academy of Pain Medicine, physicians discussed what research indicates may be the best treatments for pain associated with herpes zoster, diabetes, HIV and other autoimmune diseases.? If you are being treated for neuropathic pain and the pain has not lessened, ask your doctor about the possibility of being treated with drugs that may be more specific for your particular disease. A group of physicians presented a satellite symposium to discuss this issue in conjunction with the January 9, 2009 25th Annual Meeting of the American Academy

There are several treatments available and recommended for the pain,?PHN (postherpetic neuralgia),.?associated with herpes zoster and also for the pain, DPN (diabetic peripheral neuropathy) associated with diabetes.? Gabapentin, pregabalin, and tricyclic antidepressants are?recommended as first line therapies, while opioids, which areused to treat many different types of pain, are considered to be second or third line therapies.? However, for the?neuropathic pain associated with HIV, there are few recommended treatments.? The only recommended treatment, lamotrigine, may reduce pain.

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