Panchakarma is an ayurvedic technique which is used to detoxify the body, boost the immune system and restore the balance in the body. Due to lack of exercise and a poor diet, the waste material generated by the body is not effectively discharged. This causes accumulation of toxins in the body that can result in diseases.

Panchakarma can be used to treat and heal the pain in the joints and the spine. There are specific treatments in panchakarma that targets these regions, they are:

1. Abhyanga - Abhyanga is a technique where warm oil is used to cover the entire body. The oil is then gently massaged so that it can penetrate the underlying tissues. It is used to lubricate the joints, muscle toning and to increase blood supply around nerve endings.

 2. Pindasweda - In this technique hot cotton bags consisting of herbs, rice, and sand or medical powder are used to massage the body. This rejuvenating therapy induces perspiration in the body by which the herbs and the heat penetrates into the body. It is used to treat problems of the joints such as gout, arthritis, and sciatica.

 3. Upanaha - A combination of herbal medicine is applied to the affected part and then covered with medicinal leaves. The herbs help in easing the muscles and tendons of the affected part. It relieves pain, reduces swellings and improves mobility in the joint.

 4. Kati vista - In this treatment, medicated oil is pooled into a collar made from dough and then placed on the lower back for a specific amount of time. It strengthens the lower back, lubricates the spine and acts as a muscle pain reliever.

Soothe Your Joint and Spine Pain with Ayurvedic Panchakarma

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain. 

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

Patient Controlled Analgesia (PCA): This method is also known as  Pain Pump . An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

Multimodal Pain Relief After Total Knee Replacement

Osteoporosis is a disease of the bones. It occurs when the mesh-like structures present inside the bones becomes thin. This is a condition in which the bones become extremely fragile and have a tendency of breaking easily. The broken bones cause extreme pain. There are artificial medicines available in the markets for treating this condition. However, treatment of osteoporosis can be best done by the naturally produced Parathyroid hormone (PTH). 

It is secreted by the parathyroid glands in our body. It is an 84-amino acid polypeptide. The most interesting thing about PTH treatment is that it actually builds new bones. Other medications for osteoporosis only reduce the rate of loss of bones. PTH helps in increasing the amount of calcium in body. It also prevents bone loss due to osteoporosis. It is often considered to be an anabolic agent. If an osteoporosis patient is given low doses of PTH, his or her bones get strengthened. It also helps in increasing the bone mass.

Why a doctor recommends PTH for osteoporosis? Is it better than other drugs?
Traditionally, bisphosphonates were used to treat osteoporosis. However, it has been observed in a number of cases that bisphosphonates only help in slowing down the loss of bone density. However, PTH increases bone mineral density. Therefore, it is a better option for the treatment of osteoporosis. It is usually given to patients who have extremely low bone mass. It has been found effective in cases where other medications failed to show results. Moreover, it also works for postmenopausal women. 

Doctors believe that it can also be used for treating men with osteoporosis who are at high risk for fracture. It improves the microarchitecture of the bone and can do wonders in altering the bone size. Moreover, it has lesser side-effects on the health of the patient. It is known to cause dizziness and nausea and no major discomfort. It has also been noticed that patients who are being treated with PTH develop less back pain. These are also cost-effective for the long term treatment of osteoporosis.

Parathyroid Hormones - Is It a Better Treatment For Osteoporosis?

Green tea has been promoted as one of the healthiest beverages around. It is made from the same kind of leaves (camellia sinensis) as generic black tea or oolong tea. The primary difference is that while processing the leaves for green tea, the withering and fermentation procedures are avoided, which helps the leaves retain more nutrients. However, green tea comes with quite a few side effects just like ordinary tea or coffee. They are:

1. Digestive problems
Since green tea is not put through the oxidation or fermentation process, the tannins present in the leaves are not removed. Tannins, can cause nausea and constipation by producing more gastric acid. Adding a little milk to your tea might help with this problem.

2. Reduced absorption of iron
Green tea contains catechins- antioxidants, which can block the absorption of iron from food. Iron deficiency has a number of negative impacts, the most threatening one being anemia where red blood cell formation is hindered. Anemia causes fatigue because sufficient oxygen is not circulated throughout the body due to low haemoglobin levels.

3. Problems with the nervous system
Green tea contains caffeine, just like tea or coffee, though its caffeine content is lower. Excessive consumption can lead to insomnia-like tendencies, heightened anxiety, frequent urination, irregular heartbeat, muscle cramps etc.

4. Risks during pregnancy
Caffeine decreases calcium content in the body, leading to weaker bones, which is an alarming symptom in an expecting mother. Also, caffeine, catechins and tannins are individually related to increased risks of miscarriage and other negative effects. Tannins and catechins passed on to breast milk can also block absorption of nutrients like proteins and fats in an infant's system.

5. Reactions with medication
Several chemical drugs are extremely reactive to the polyphenols in green tea, especially stimulant drugs like nicotine, ephedrin and amphetamine. Green tea reduces the functioning of lithium and dipyridamole. The polyphenols may also block the healing properties of the anti-cancer drug name bortezomib. Any kind of interference with your regular medication may impact your health adversely.

6. Negative impact on patients with glaucoma
The disease impairs the optic nerve and green tea increases the pressure on the eye within minutes of drinking it because caffeine accelerates intraocular pressure. The effects take more than an hour to subside.

Green Tea: SIde effects and why you may need to avoid it

Lower abdomen pain can originate from a range of medical issues. In some cases, the pain disappears just like the way it came, in some cases, it takes longer medical treatment to cure the pain. Once the origin and the root cause of the pain are diagnosed, there are plenty of medical options to cure the pain. In this piece, we will briefly touch upon the causes of lower abdomen pain:

Appendicitis: This is one of the most common causes of lower abdomen pain. It typically originates from the right side of the stomach and soon diverges into the other side as well. The pain can become unbearable in a matter of hours.
Pelvic inflammatory disease: This is an infection that is caused in the reproductive system of a woman. This is often characterized by vaginal discharge, fever, weakness, intercourse related pain and pain in the lower abdomen.
Miscarriage: In case there is a loss of fetus on or before the twentieth week, the mishap is termed as miscarriage. It results in acute pain in the lower abdomen pain, vaginal bleeding, back pain, fluid expulsion from the vagina etc.
Fibroids: This is a growth in the uterus that is often non-cancerous and is commonly characterized by symptoms such as heavy periods, constipation, pain in the legs and back area, pain in the lower abdomen area, frequent urination etc.
Cancer: A cancerous growth in the lower abdomen area can lead to very sharp pain in the back and surrounding area. The pain is dull in nature and slowly spreads to other areas in a short interval of time.
Cholecystitis: This is a disorder that results in swelling of the gallbladder area. It results in a sharp pain in the lower abdomen area. A doctor needs to be immediately consulted if a person is suffering from this disease.
Intestinal obstruction: When the lower bowl gets blocked due to the contents of the lower intestine, a person can feel a sharp pain in the lower abdomen area.
Salpingitis: When a woman faces stiff pain in the lower abdomen area due to an inflammation of the fallopian tube, Salpingitis is the culprit behind it. This is a sexual disease and needs a doctor s consultation to get rid of it.
PMS: A woman can face throbbing pain in the lower abdomen area during her monthly periods. Other symptoms include cramps, weakness, fatigue etc.
Endometriosis: When there is an extension of the uterus tissue just outside the wall of the uterus, it leads to symptoms such as lower abdomen pain, cramps etc.
Polycystic ovarian syndrome: This is a disorder of the hormone and can lead to symptoms such as heavy periods, a growth of facial hair accompanied with sharp pain the lower abdomen area.

Pain In Lower Abdomen - What Could Be The Causes?

It is a known fact that the human body requires natural sugar for it to have energy and benefit the body but, when examined, It was found that we consume more of refined sugar. Foods that we buy from markets or shops outside contains large quantities of this refined component but once we know what happens to our body and choose to stop eating sugar completely, those mouth-watering savories will no longer allure us.

Read on to know what happens to your body when you ignore sugar completely-

Glow with the healthy glossy skin: Those pastry donuts and sweets will tempt you for sure, but once you cut them of blatantly, you are bound to notice a vibrant glow on your skin. This is because sugar tends to disrupt the elastin content and intervenes with collagen buildup.
High on energy: Excess sugar consumption tends to make you feel fatigued and sluggish. So ignoring it can give you the power you deserve. Also, it does reduce your chances of having diabetes to almost half.
Vibrant Mood: It might seem paradoxical, but it is true. Having chocolates or sweets can make us feel happy, but the feeling is temporary. On the longer and more permanent page, once you overcome the craving phase you will notice a change in your mood. Excess sugar intake can cause a short circuit in the brain giving rise to anxiety disorders and even schizophrenia. Sugar inhibits the secretion of dopamine transporter as well.
More Active: Sugar has a relation with joint pain. It tends to increase inflammation and joint pain making the autoimmune disorder even worse. The more sugar content there is in your body, the more will be insulin levels. This increased insulin is the key cause of pain and inflammation. Stopping sugar completely will get you rid of this completely. You feel much more active and healthy.
Quality Sleep: If you cut down sugar intake you can have a better sleep. This is because cutting of sugar has link-ups to getting relief from insomnia.
Balanced weight: When you cut down sugar intake, you consume a lot less calorie thus making your system free of harmful substances and toxins. Sugary foods contain carbohydrates and fat contents that make your body obese and tired. Removing sugar will help you gain a balanced weight and make you fat-free which in its course is a relief as you shun of majority risks of having ailments related to weight issues.
Quitting sugar completely can be a real-time pain as it is almost a primeval addiction more like smoking but once it is shunned of you can experience and feel the bliss that you will be going through. Make your life healthy!

Ignoring Sugar Completely - This Is What Will Happen To Your Body!

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