Archive for the ‘Diseases’ Category

First of all let me say this: no, I do not have fibromyalgia–for which I am eternally grateful! It’s no fun to have. I’m also not a rheumatologist, and if you have fibromyalgia–or “fibro” to its ‘friends’– you will probably want to see a rheumatologist.

I am a health psychologist–board certified, with 15+ years in a hospital pain clinic, so I do see and treat a lot of fibromyalgia. And I can tell you that seeing a rheumatologist won’t “fix” your fibro. Pills won’t, shots won’t, and no, as much as you might laughingly wish, surgery won’t either. You can’t have your head put on a new body–you’d still have the fibro-fog, anyway!

Fibromyalgia is a complex condition–probably a cluster of related conditions, actually–and ultimately, recovery demands changes to mind/brain/body interactions, if you want to deal with fibro effectively.

I haven’t found a general review of fibro that gives the whole story, and most of the books and even websites I’ve seen are too “victim” focused to be of much use. Yes, fibro is really real, a physical condition. And yes, you deserve compassion and respect. But shutting down your life, moving toward disability–those are not the answer. People actually get worse after disability.

Recovery takes work, but it’s possible. Recovery is the best answer.

Knowledge is the key if you want to recover. You will have to make long-term sustained behavior changes to restructure some unhealthy but well-established biochemical/neuronal /psychophysical interactions and get them working for you again.

Here’s a REALLY simplified picture of what happens, physically, to switch you into fibro-land. But while this is simplified, it is aqn accurate understanding of the basic process. It helps to understand what happened, and why.

The stress system has lots of protective functions, and one function is to shut down your immune system, so you can put all your energies into survival mode during an emergency. But when you’re stressed for too long, even if it’s at a fairly low level, your immune system gets tired of being told to shut down. So after a while it “pulls in its ears”, pulls in the receptors for the biochemical signals that tell it to shut down. And that leaves you with an immune system stuck on “on”. Low level ‘on’, but still on. And it never quite goes off.

You feel sick, achy; you want to go lie down and get well. Only no matter how long you lie down, you don’t really get better. You may have times with a low-grade fever. It can hurt to be touched. You don’t want to get up in the morning; you’re tired and sore, and you never feel perky and alert. Your sleep is a mess–probably because your stress system continues to “shout”, biochemically, messing up your calm-down-and-go-to-sleep processes, even though your immune system refuses to listen any more. You can’t remember what fresh and rested feels like–but then, you can’t remember anything.

Basically, nothing’s working right!

Fibromyalgia happens most often after years and years of long-term stress signals disrupting your body. I think of that as the “Grand Canyon style” development of fibromyalgia–years of stress erosion that just wears down your body and changes your brain. But I’ve also seen fibro happen post-traumatically, “Tsunami-style”. That’s when the stress is so overwhelming that it just roars in and changes the brain-function landscape overnight.

Incidentally–why do some people get fibro and other people get depression, or cancer, or heart disease or chronic back pain, or any other illness impacted by stress? I have no idea–and I do not see any evidence that any one else does either–yet! But we will!! And it won’t be long–the brain system research is amazing, and the field is growing daily.

No matter how you got here, though–you’re here now, if you have fibro. And your job is to get those systems working normally again.

No, we just don’t have medicine to really “fix” it, though some can help. Pain pills don’t cover it, and no, narcotic pain meds do NOT help–they actually do more damage to the systems inside, and eventually your pain will get worse. (And if you’re on Xanax, please get off! It also changes systems, actually increases anxiety and damages memory. It’s too high a price to pay for a momentary warm calm feeling, which I know it does deliver!)

So what should you do?

To get your physical systems working normally, you have to change the brain’s stress/relaxation systems, and keep them changed long enough for your neuronal pathways to re-establish new processes. Yes, your brain does re-build–but it takes time, and effort, to get it going in the right direction.

Here are the behavior changes that make a difference, per the research: exercise, eliciting the relaxation response (meditation), healthy thoughts and healthy relationships. And healthy sleep–but it takes a lot of the others to get to that one!!

Exercise washes out the old stress biochemicals. Lots of research on protective and restorative function. Meditation puts in more healthy new biochemicals. Lots of research on that, too, and much of it has been done directly with fibro. Healthy thoughts DO change biochemicals and physical processes, and keep them going in a healthy direction. (Healthy thoughts–positive, empowered, loving–books and books on this!) If you have any PTSD symptoms, you have to change that process, too. EMDR is the best plan for that. Treat your depression–and no, not just with anti-depressants. Those help for a while–but only psychologically-focused therapy helps long-term. ONLY! Really. And your goal is not just being ‘not depressed’, but actively choosing to be happy, to have FUN!

I know real bad stuff put you here. You’re not weak, it’s not your fault, and you didn’t just decide to have this. But it IS up to you to find the stuff that will get you out.

And you can.

You can read about these healthy behaviors, and should. And you can get most of it right here on the internet, as long as you focus on these healthy areas.

But it can also help to see a health psychologist, or a positive psychology therapist, or a trauma specialist if that’s needed too–lots of people have lots of useful information.

And it can all help. I’ve seen recovery happen, seen lives taken back. There is hope–hope for a good life, not just for more of your old ability to work yourself to death!

Stopping a cold sore outbreak may seem difficult, however with the proper knowledge it can be quite simple. In order to heal the affected area fast you have to react quickly and in an efficient manner. The first defense you have against an outbreak is your immune system. To keep this working right, you have to eat properly and get enough rest. The healthier your body is, the stronger is it.

In order to cure a cold sore fast, you have to recognize the symptoms, this way you can take the precautions before the virus gets time to duplicate. Some symptoms that an outbreak can bring on are:

- tingling
- redness
- swelling
- itching
- irritation
- flu like symptoms

If any of these symptoms persist then it is most definitely a cold sore. This is the time to react proficiently and apply treatment. If proper treatment techniques are applied then your sore will never surface.

If a cold sore has appeared or feels like it is starting to appear then it is crucial to apply treatment. Immediately put ice in a plastic Ziploc bag, and press the ice on the affected area, this will reduce swelling and stop the virus from duplicating. Take 2000 mg of vitamin C and drink two cups of water along with 1 cup of green tea. Apply your favorite lip medication and relax. Do something that relieves stress, this will put your mind at ease and let your body deal with the outbreak.

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Osteoporosis is a silent disease. No symptoms often are present until the bones become so weak that fractures become common. These fractures usually are of the hip, ribs, wrist or spine. Osteoporosis is not limited to elderly women. In the US one out of every two women and one in four men sustain fractures related to osteoporosis. This bone disease occurs a high rate of disability and even mortality with patients aged 50 or older who suffer hip fractures.

Are you at risk for this “swiss cheese” disease? Heredity is a significant risk factor. The older you get, the more the likelihood of acquiring osteoporosis. Estrogen deficiency also contributes to later in life osteoporosis for many women.

How can women, and even men, prevent this horrible diagnosis? Changing eating habits and lifestyle is a good start. A diet low in calcium and vitamin D3 contributes to bone deterioration. In order for calcium to be absorbed by the body, Vitamin D3 is very important. Eating too much salt is another factor as is drinking too much alcohol accompanied by poor nutrition.

Another reason to stop smoking cigarettes and adopting an exercise routine. During the growing up years, childhood exercising increases bone mass and then will prevent bone loss in old age. Exercises which force muscles to work against gravity are recommended for most individuals. Walking is good for any age group.

Osteoporosis does not have to be a part of your life if good nutrition and a good exercise routine is followed faithfully. This silent disease does not have to alert you of its existence when unannounced fractures occur.

The treatment for chronic fatigue syndrome is not specific, but it involves sleep initiators, antidepressants, analgesics, stimulants, muscle relaxants, anticonvulsants, vasopressors and beta blockers. These drugs are used to manage the signs and symptoms experienced by the patient. Patients who find it difficult to sleep are given sleeping pills and muscle relaxants. Patients who develop depression are given antidepressants. Those who experience pain anywhere in their body are given analgesics. Whenever changes in blood pressure happen, beta blockers and vasopressors are given. Stimulants are also given to improve the energy and mental acuity of patients.

While the above medications are prescribed to patients as chronic fatigue syndrome treatment, supplements and herbs are not discouraged. Melatonin and valerian root are often given to induce sleep instead of the usual sleeping pills. To boost the energy, vitamin B complex, DHEA, magnesium malate and CoQ10 are given. For pain, Vitamin D, B complex and white willow bark are used. To increase their mental capacity, ginkgo biloba is advised, while olive leaf extract is for immune system support. Sometimes, physicians give supplements in a cocktail known as Myers’ cocktail. It consists of B vitamins, vitamin C, magnesium, and calcium, and is administered intravenously.

Apart from these, complementary therapies are also provided to patients with chronic fatigue syndrome. Part of chronic fatigue syndrome treatment is bodywork, which includes myofascial release therapy, therapeutic massage, and energy medicine. Myofascial release involves manipulation of the fascia or the connective tissue between the skin and muscles. The goal of the therapy is to release the restricted and tight fascia so that pain is eased and the patient’s range of motion is increased. In therapeutic massage, soft body tissues are manipulated to aid in relaxation, improvement of blood circulation, stress and pain reduction, and induction of sleep. Lastly, energy medicine is done by putting the practitioner’s hand over the patient’s body and then identifying energy imbalance. Though this is practiced, little scientific evidence supports its effectiveness.

Proper exercise is also part of chronic fatigue syndrome treatment. Doctors encourage patients to move as much as they can, making sure that they take frequent rests. They should stretch their muscles from time to time throughout the day, and breathing should start from the lower part of the diaphragm. Known as deep breathing, this practice can improve blood circulation, as well as release tension from the body. Exercise sessions should also be broken down in 3-minutes per session instead of a 15-minute one-time workout. CFS patients won’t be able to tolerate exercises for a long time, so short sessions of exercises are preferred.

Though these treatment modalities are available, the most important thing for CFS patients is to have a well-grounded social support system. Families are often part of chronic fatigue syndrome treatment, and if this is not possible, patients are referred to different support groups so that they will know other people who have the same condition. They can share their experiences with each other, and coping with this chronic illness won’t be as tough.

What is a lifestyle disease? When you think of a disease you usually think of the H1N1 swine flu or tuberculosis something you can catch from someone. A lifestyle disease is associated with your environment, by the way you live your life and the choices you make everyday.

When you go out and eat a lot of junk food everyday, drink too much alcohol, smoke, lie on your couch and watch TV all day these things all contribute to you getting what they call non communicable diseases. These are diseases like diabetes, cancer, stroke, heart disease and others.

Our lifestyle choice c many times in the beginning start out as minor issues like a little weight problem, then a sore knee. If we continue with that lifestyle then obesity slowly sets in and the sore knee turns into a major knee joint problem that doctors many times recommends operation instead of losing the weight which caused it in the first place. I see it happening everyday to my friends.

Hang on it gets worse. Over time this person gets diabetes and not to mention high blood pressure and other joint problems like their back and shoulders. From here they start to develop heart related diseases. When I talk to them about their problems they show me a handful of pills they take so they do not have to lose the weight. In other words they do not want to change their lifestyle.

People now days want to treat the symptom and not the cause of the problem, yet they complain all day that their knee is so sore. They tell the doctor to give them a stronger pain killer. Next thing you know they are scheduled for knee surgery. Why? The signs are all there that it is the weight that is causing the problem. Now these are smart people. They are just ignorant of the fact that they got to change their lifestyle. Imagine the problems uneducated people and their families with little medical care have. Their health problems are far worse.

A lot of this is due to lack of proper health care, low income, poor eating choices, lack of education and not enough exercise. Also poor common sense plays a big part in the choices people make because even educated people get these lifestyle diseases.

We are bombarded all day by advertisements for the newest double chocolate chip cookie or some new burger place opening up does not help in fact it just adds to the problem. What about the beer ads which try to be funny to make people watch and remember them.

It is all about choices. What we eat and what we feed our children is our choice. You see children now days getting things like childhood diabetes which was unheard of 20 years ago. These lifestyle diseases are spreading at an alarming rate and are turning into an epidemic. They are just as deadly as the swine flu or TB. This affects all of us some how. It may be our spouse, parent or child. Even our finances, if you are sick you cannot go to work.

It also adds to the burden of our health care system like increases in our medical insurance premiums, lack of hospital beds, doctors and nurses. It also adds to the burden of the state when people sign up for free health care program.

We need to teach the people to get them making wiser choices like eating more fruits and vegetables versus cookies and burgers. Getting them to get off the couch and outside and start taking walks which by the way costs no money. In fact with better choices they will actually stat to save money which they spend on junk food, bad snacks, tobacco and alcohol.

It all starts with education. Some how we got to teach people what is good and healthy to eat versus what is bad and the consequences are. Not only people with lack of education are teaching their children the wrong lifestyle. We got to protect our children from these diseases. They learn by watching us and what we eat. We got to stop feeding them the junk and sweets or at least have a limit.

Children today spend far too much time indoors. You got to get them off the computer and to turn off the TV. Get them outside and playing in the yard. They need to exercise and they can do it just by running around.

Sometimes education in the schools will actually rub off on the parents at home. Schools are now spending time and money to teach children about proper diet and health issues. This in turn can influence the choices their parents make at the grocery store and where they decide to dine out and how often. But we cannot only depend on our schools and our children. We must educate the adults; make them aware of the problem the causes of them and the consequences. It should in the start in the home from the parents.