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Chronic pain I often associated with different medical conditions such as arthritis, osteoarthritis and fibromyalgia, however it can also be caused by a trauma or medical condition the patient has suffered in the past. Still, in some cases the actual cause for chronic pain is hard to identify or there seemingly aren’t any factors causing it at all. Doctors have a wide arsenal of treatments and procedures that are very effective in cases chronic pain, including acupuncture, pharmaceutical medications, biofeedback, yoga, psychotherapy and behavior adjustment. A number of herbal preparations have also been observed to be effective in relieving chronic pain. Chronic pain is a very common source of stress, and stress can increase the unpleasant sensations of chronic pain. That’s why employing stress-reducing techniques and procedures can actually benefit those suffering from chronic pain. Moreover, such techniques not only help overcome the unpleasant experience of chronic pain but also improve well-being, help reduce anxiety and can sometimes relieve the pain in full. Here are some of the most common techniques used to overcome chronic pain that you can employ as an alternative to such medications as Tramadol: 1) Tai Chi Tai chi represents a special type of Chinese martial art that is very gentle, free of typical fast moves and combining slow movement, special breathing techniques and meditation. This is believed to improve the flow of chi within a person’s body, which when imbalanced leads to different symptoms such as chronic pain. A number of recent studies conducted with musculoskeletal chronic pain patients practicing tai chi have all come to the conclusion that this physical practice can relieve pain and reduce disability, being very helpful to those suffering from arthritis. 2) Meditation In 2008, a study conducted with the participation of 27 adults suffering from chronic low back pain (moderate to severe cases) has shown that an eight-week course of guided meditation has contributed to an improvement in the quality of life in these patients. They have reported that their painful sensations have decreased, their sleep has improved as well as their well being. This practice has also been found to be helpful in reducing pain and stress effects of fibromyalgia. 3) Guided imagery Guided imagery is a special relaxation technique that involves imagining oneself in a deeply peaceful state of being. This technique was observed to be quite beneficial for patients with chronic pain. A 2006 study of patients with fibromyalgia who had a six-week course of listening to guided imaginary recordings reported that this practice has helped them in pain management. Another study in the very same year had a 12-week course of guided imaginary that has significantly improved the condition of osteoarthritis patients taking part in it. 4) Yoga Yoga is very popular amongst those who want to relieve stress and improve the overall state of their body. In a 2009 study, a number of people suffering with rheumatoid arthritis patients have taken a 10 week course of 75-minute yoga classes. As a result their ability to manage pain has increase and so did their overall well being. Of course, this doesn’t mean that you don’t have to buy Tramadol in order to relieve pain. However, by employing one of these techniques you will be able to better control your chronic pain and your need in drugs like Tramadol hcl will probably decrease over some time.



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One of the most debilitating issues is to develop chronic lower back pain. This kind of pain can limit mobility, sitting, driving, walking and even laying down. Nothing seems comfortable and the longer you are forced to stand, sit or drive, the stiffer and more painful your back becomes until you stand up and everyone around you sees at the bent over version of what used to be you. Images of the old crone come to mind, and you try to stand erect only to yelp in pain. Things are not good, and you need a good pain treatment like Tramadol.

What is Tramadol?

Tramadol is a pain treatment medication for people, like you and I, who suffer chronic lower back pain. Whether your injury is from a lumbar strain or osteoarthritis, if you slump over every time you get out of a car, it is time to talk to your doctor about chronic pain treatments, like Tramadol. This medication is a man-made pain reliever that is not unlike morphine. It binds to the pain receptors in the brain allowing folks like you and me to lead ordinary lives, which means we can sit at a desk, play ball with our children and even ride in a car without undue agony.

What are the Risks and Side Effects?

Like all pain treatments, Tramadol is not without risks and side effects. One of the greatest risks involved with this medication is dependency. Therefore, care must be taken to avoid abuse of this narcotic. Additionally, once a treatment regimen with Tramadol has begun, it is important not to abruptly stop taking the drug. This is because abrupt withdrawal can cause sleeplessness, anxiety, sweating, rigors, pain, and hallucinations.

Further side effects include:

·Nausea

·Constipation

·Dizziness

·Headache

·Vomiting

·Drowsiness

These effects are the ones most commonly reported, but are usually reported as something that comes and goes. In rare cases, a rash, diarrhea, vertigo or vertigo has been reported, so it is good to be aware of any changes after starting a treatment regimen so that you and your doctor can adjust your dosage accordingly.

Back pain treatments, like Tramadol, are not for everyone. However, if you suffer the chronic variety of back pain, and you have reached the point where it has begun to affect your quality of life, then it may well be time to have a discussion with your doctor about pain treatment and Tramadol.



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In light of his new book being released, “Acupuncture Desk Reference”, David J. Kuoch, LAc details effective acupuncture treatments for 5 different symptoms:

Arthritis

Arthritis is a condition that causes pain, stiffness and swelling in and around joints. There are more than 100 different types of arthritis, and each type is characterized by joint and musculoskeletal pain, often the result of inflammation of the joint lining. Arthritis affects hundreds of millions of people across the globe. Approximately 50% of people older than 65 live with arthritis, but it can affect people of all ages, even young children. Although symptoms vary in each person, those with arthritis find that the condition will interfere with daily activities at some point. Due to the pain and stiffness, patients may have trouble getting out of bed, writing, sewing, buttoning clothes, dressing, walking, and climbing stairs, for example. But this is not always the case. Some days are better than others, and the severity of symptoms can change from day to day. Sometimes living with the loss of function and movement is more difficult than the pain of arthritis itself.

Acupuncture alleviates pain and improves movement for patients suffering from it, whether it is arthritis of the knee, hip, shoulder, hand or back. The effectiveness applies to both rheumatoid arthritis (RA) and osteoarthritis (OA) conditions, and treatments focus on controlling the painful symptoms as well as balancing the immune system. The majority of our patients see immediate results after just a few treatments and experience positive long-term benefits in combination with Chinese formulas and regular exercise.

Lower Back Pain

Acupuncture treatment for low back pain is usually rather straightforward and the condition responds extremely well to acupuncture, Chinese formulas, herbs and herbal plasters. In fact, major studies have shown that acupuncture care serves to re-establish normal health care of the low back. For cases arising out of simple overexertion, strain or knotted muscles, acupuncture increases blood flow to the afflicted area(s), relaxes the muscles, eases pain and relieves inflammation. Even arthritic joints are affected by muscle spasms and can be effectively treated. Your acupuncturist can help.

Constipation and Diarrhea

The term “constipation” can mean infrequent or hard stools, or it can refer to difficulty passing stools. Constipation may involve pain during the passage of a bowel movement, the inability to have a bowel movement after straining for longer than 10 minutes, or no bowel movements at all for more than 3 days. The most common causes of constipation include a diet with not enough fiber, lack of physical activity, stress, travel, inadequate intake of fluid each day, or delay in going to the bathroom when the urge to defecate presents itself. Other causes are IBS, pregnancy, thyroid conditions, depression, neurological diseases, or certain medications.

Constipation and diarrhea, while very common, are two of the least discussed physical complaints. The effects of irregular bowel movements are often poor food absorption, fatigue, sallow complexion, frequent break-outs, pain in the lower abdomen, upset in appetite and weight control, and more. When someone is not eliminating their waste at a regular rate and consistency, it is a sign of a deeper imbalance within the body.

Regular acupuncture combined with Chinese herbs can have a positive effect on gastrointestinal motility. The treatment will either be used to relax a more spastic colon or to stimulate peristalsis. Within the concepts and theories of TCM, there is a more complete method of interpreting digestive disorders. When someone has stool that is very dry or stubborn to pass, herbs will be given to moisten the intestines and long-term treatment will focus on re-establishing a moister digestive environment. When someone has chronic, explosive diarrhea that burns or causes other pain, acupuncture will help calm the large intestine and herbs will be administered to remove toxins such as bacteria or viruses and to clear heat from the digestive system. Likewise, when someone experiences chronic watery painless diarrhea, acupuncture will be used to tonify the digestive system and herbs will be administered to warm the digestion so that food is transformed into usable energy more efficiently.

Fibromyalgia

For those who suffer from fibromyalgia, acupuncture is critical for keeping the body in harmony. Within Traditional Chinese Medicine practice, fibromyalgia is generally regarded as a deficiency disorder, manifesting as a deficiency of qi, yin or yang. However, an excess can also be present, usually one of dampness or damp-heat. Treatment, in most cases, seeks to address the underlying deficiencies by moving the qi and blood and strengthening the overall visceral organs of the spleen, heart or kidney. Left untreated, this vicious cycle will continue and, over time, will lead to increased pain and muscle tightness, a loss of movement, and difficulty sleeping. Chronic fatigue is a difficult condition to address, but acupuncture and custom herbal formulas for which TCM is so justly famous and highly effective in fibromyalgia treatment.

It is not uncommon for those with fibromyalgia to receive treatments three to four times a month to keep everything mobile and relaxed. The biggest concern in treating people with fibromyalgia is that their muscles have a diminished healing ability. For this reason, acupuncture treatments are usually modified slightly to decrease the stress in a patient and keep the qi and blood moving.

Headaches

Acupuncture and Chinese herbs are very helpful for headaches, and patients often feel immediate relief after treatment. Regular treatment prevents future onset of headaches.

Numerous research studies have shown that acupuncture and Chinese herbs are very effective for treating tension headaches, especially headaches that originate in the neck. According to a report published in the June 2003 issue of Medical Acupuncture, doctors found that acupuncture resulted in the resolution or reduction in the frequency and severity of cluster headaches, and a decrease or discontinuation of medications. It was concluded that acupuncture can be used to provide sustained relief from cluster headaches and to stimulate adrenal cortisol to aid in discontinuing corticosteroids. Researchers found that, compared with standard medical care, acupuncture offers substantial benefits in preventing headaches and improving the quality of life for people who suffer from frequent headaches, especially migraines.

Each individual’s case is different and requires a thorough evaluation before a proper course of acupuncture can be determined. However, in most cases of tension headaches, significant improvement is accomplished through Chinese herbal formulation and movement of qi and blood..These treatments are helpful in most cases of migraine headaches, as long as food and lifestyle triggers are avoided as well.

While treatment during tension-type headaches is very beneficial and is not difficult, treatment during migraine attacks needs extra attention. Many migraine medications target migraine headache pain by constricting blood flow. This approach provides symptomatic relief but will not prevent the recurrence of migraine symptoms. Therefore, it is rather important to avoid accumulating stress and to minimize the consistent activation of the sympathetic system in order to prevent eliciting the parasympathetic rebound response. If the early stage of the migraine involving excessive vasosconstriction can be prevented, then the entire headache episode can be avoided.

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