Myofascial pain syndrome refers to a chronic condition that affects a person s musculoskeletal system. With this disorder, pressure on the sensitive points (known as trigger points) in the muscle induces pain in various parts of the body.

Myofascial pain syndrome mostly affects people in the age group 40-60 years.

What causes myofascial pain?

Typically, myofascial pain syndrome occurs because of repetitive muscle contraction or overuse, or due to an injury. Sensitive areas of the tight muscle fibres can develop following an injury/trauma, and ultimately lead to pain and strain throughout the muscle.

Symptoms to watch out for-

Common signs and symptoms of myofascial pain syndrome include-

  Severe pain in localized muscle areas
  Pain that worsens when you stretch or strain the affected muscle
  Muscle pain that persists for longer than usual, or worsens with time
  Painful, tender knots in the muscles that lead to severe pain when pressed
  Weakness and stiffness in the muscles
  Inflexibility or a reduced range of motion

Although muscle pain is temporary in most cases, and usually subside on its own, you should visit a doctor immediately if the pain becomes intense and severe. Otherwise, the symptoms of myofascial pain syndrome can aggravate and impede your daily routine.

What is the treatment for myofascial pain syndrome?

Treatment for myofascial pain syndrome include a range of pain management options such as the following-

  Medications
Your doctor will likely prescribe medications that include anticonvulsants, analgesics, and over-the-counter Non-steroidal Anti-inflammatory Drugs (NSAIDs). These work as painkillers and help relieve pain and reduce muscle spasms.

  Dry-needling
Dry-needling is a quicker way of getting rid of myofascial pain symptoms. The doctor inactivates the trigger points by directly inserting a needle into it. He/she will then slowly move the needle around and poke it inside and out. The initial process can be a little painful, but it certainly helps manage the pain in your muscles. Alternatively, acupuncture needles can be used for the same procedure since they are small and are less painful.

  Local injections
Local injections, also known as trigger point injections, are similar to dry-needling. The only difference is that local injections involve injecting a solution (saline/steroid/or a local anaesthetic) into the trigger points. The method yield similar results as does dry-needling.

  Therapy
Different types of therapies can be used to ease the pain associated with this chronic pain disorder.

Ultrasound therapy where sound waves are transmitted into the muscle tissues through a sound-conducting gel applied on the skin. The sound waves heat up and relax the muscles, thereby improving blood circulation and removing the scar tissues. Ultrasound therapy is also effective in reducing muscle stiffness and increasing one s mobility.
Massage therapy also is very effective in treating myofascial pain syndrome. The therapist usually uses his/her fingers or some sort of equipment to induce pressure on the various trigger points. When performed, this procedure may first aggravate the muscle pain and then release muscle tension.
Apart from these, the doctor may prescribe regular exercising or physiotherapy treatment for patients suffering from chronic muscle pain.

Myofascial pain syndrome can be managed well using the techniques mentioned above. In addition, it is very important that you stick to some sort of physical activity. Talk to your doctor and incorporate these pain management techniques to live a pain-free healthy life.

Myofascial Pain - Causes, Symptoms & Treatment Of It!

Did you know that your tooth brush could be home of over a million bacteria including the flu virus, E coli, staph and yeast fungus? But, can your tooth brush really make you fall ill? Luckily, our immune system ensures that toothbrushes do not make us ill. However, in rare cases, the bacteria on a toothbrush can get past our defenses.

The problem lies in how a toothbrush is stored. The bathroom is humid and moist making it the best place for bacteria to multiply. Storing a toothbrush near the toilet further adds to the problem. Here are a few tips to make your toothbrush healthier.

Wash your hands before and after brushing. Also rinse your toothbrush well before putting toothpaste on it. Using hot water is better than cold water.
Change your toothbrush every three months or whenever the bristles are worn out; whichever comes first. In addition, also change your toothbrush after recovering from any illness. If you use an electric toothbrush, change the head every 3-4 months. Children s brushes need to be changed more often than adult s toothbrushes.
Do not share a toothbrush and avoid storing toothbrushes together. If the bristles touch each other, germs could move from one toothbrush to the other.
Toothbrush caps may not be as good an idea as they seem as it traps moisture inside and does not allow the brush to dry properly. Instead, keep your brush submerged in hydrogen peroxide or any alcohol based mouthwash.
Do not store your toothbrush horizontally. Your toothbrush should always be stored vertically with the brush side on top.
When travelling, if you use a toothbrush cap, allow the brush to dry completely before putting the cap on.
Store your toothbrush away from the toilet and away from the sink such that it cannot get contaminated form water that splashes when you wash your hands or face.
If possible, store your toothbrush in your medicine cabinet.
Always put the cover down before flushing the toilet. This will reduce the number of air borne bacteria that can attach themselves to your toothbrush,
Along with your toothbrush also clean out your toothbrush holder regularly.
Do not try sterilizing your toothbrush in a microwave. Toothbrushes are not designed to withstand extreme temperatures and hence this could damage your toothbrush.
Use a mouthwash after brushing to rinse out any bacteria that may be left behind form your teeth or your toothbrush.

Can Your Toothbrush Make You Ill?

An immune system disorder distinguished by dry mouth and dry eyes is known as Sjogren s Syndrome. It can also cause dryness in places that require moisture, such as throat, nose and skin. Sjogren s syndrome is often linked to other diseases such as rheumatoid arthritis and lupus (disease in which the immune system destroys its own tissues and causes inflammations). Sjogren s syndrome normally affects people over the age of 40, and it mostly affects women.

Symptoms 
Sjogren s syndrome has mainly two symptoms, and they include:

Dry eyes: You feel like there is sand in your eyes as it burns and itches
Dry mouth: You have difficulty speaking or swallowing
Sometimes, you might experience other symptoms as well, such as:

Joint pain, stiffness and swelling
Inflamed salivary glands
Dry skin or skin rashes
Vaginal dryness
Continuous dry coughs
Sustained fatigue
Causes
The exact cause of Sjogren s syndrome is not known, but research strongly suggests that the autoimmune disease could be caused by genetic factors; especially if the illness has been found in more than one member of the family. Also, families with members suffering from type I diabetes, lupus and autoimmune thyroid disease can cause one or more members of the family to develop Sjogren s syndrome.

Complications
The complications of Sjogren s syndrome include:

Dental cavities: Saliva protects the teeth from harmful bacteria that cause cavities. Since your mouth is dry, you become more susceptible to develop cavities.
Yeast infections: Oral thrush, an oral yeast infection, is likely to develop if you have Sjogren s syndrome.
Vision problems: Dry eyes can cause corneal ulcers, sensitivity and blurred vision.
Problems in the lungs, liver or kidneys: Inflammations can lead to bronchitis or pneumonia in your lungs; may cause cirrhosis or hepatitis C in your liver; and may lead to kidney malfunctions.
Lymphoma: Some people with Sjogren s syndrome might develop lymphoma, or lymph node cancer.
Peripheral neuropathy: Another complication of this illness is peripheral neuropathy, which is a tingling, burning and numbness sensation felt in your feet and hands.

Treatment
Sjogren s syndrome is either treated with drugs, or with surgery. Doctors may prescribe drugs to increase the production of saliva and to treat inflammations. Alternatively, surgery is done to either seal the tear ducts or insert silicon or collagen plugs to close the ducts temporarily.

Dry Mouth and Eyes - Complications Associated With It!

Basics That Beat Bad Breath

Bad breath is embarrassing. It inconveniences you and everyone around you. It affects your life in more ways than you might be aware of. It is crucial that you give due care to your oral health well in time to save difficult procedures and unbearable decay in time. Here are a few ways how you can do that:

1. Brushing Twice: This is the first and the most important. The reasons of odour in the mouth are mainly gum disease, tooth decay, and cavities. You should brush your teeth twice, once right after you wake up and just before you go to bed.

2. Tongue Cleaning and Flossing: It’s not just brushing, you need to clean your tongue too. This is the area where harmful bacteria are present. To avoid odour and mouth diseases, ensure that you have a tongue cleaner and that you clean your tongue every time you brush your teeth. Also remove the in-betweens of the teeth with a flossing thread. It ensures complete deposit free oral hygiene.

3. No to Mints: Avoid using mints and gums to disguise the odour in your breath. They are temporary disguises and do more harm than good. They have sugar which stays back in your mouth and spoils your oral health, drastically. If you have to choose ones which are free of sugar.

4. Drink Ample Water: If your mouth is dry, it is a bad sign. Saliva has the important enzymes which help kill bacteria. If your mouth is dry, bacteria are increasing. So, drink water. Ensure you drink at least eight glasses of water in a day.

5. Rinse After Every Meal: Always wash the insides of your mouth well, after eating anything, esp. chocolates and other sugary foods. A good swirl with water inside your mouth will get rid of the food lodged in corners.

6. Pick The Right Fruits: Certain fruits and vegetables are very good for oral health. Juicy and crunchy Vitamin C rich fruits like bell peppers, broccoli, berries and apple have a cleansing effect on your teeth.

If you would like to consult with me privately, please click on 'Consult'.

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6 Effective Basics That Beat BAD Breath

A missing tooth can be responsible for causing different health issues. Along with these, a person loses his ability of chewing with missing teeth, develop problems related to speaking and his overall facial appearance also gets affected.

In case of a missing tooth or several missing teeth, it is best advised to get dentures fitted. Dentures are false teeth, which are fitted in the oral cavity in place of lost natural teeth.

Here are several reasons why it is important to fill up a missing tooth:
1. Shifting of tooth: when a tooth is lost, the surrounding teeth start drifting or moving in the open gap where the lost tooth used to be. The surrounding teeth are shifted out of the alignment. This affects the appearance of your face, and your teeth seem crooked and misplaced. It is necessary to replace a missing tooth with dentures in order to restrict the shifting before it is too late.
2. Tmj syndrome: after a tooth is lost and the surrounding teeth start shifting, the alignment is changed. This gives rise to problems with biting and creates issues with the jaws. The upper jaw and the lower jaw fail to meet correctly, and this causes strain and damage to the jaw joint. This phenomenon is called tmj syndrome.
3. Decay of tooth and gum diseases: after the shifting of surrounding teeth when a tooth is lost, the teeth alignment changes. This makes it difficult for a person to reach several areas in the gum with a toothbrush or floss. This makes plaque and bacteria accumulate in that area and they cannot be reached or cleaned. Tooth decay and gum diseases or periodontal diseases that are likely to affect those spots. These diseases and disorders cause further tooth loss.
4. Alteration in facial appearance: a missing tooth should be replaced properly and a dentist must make sure that the root of the missing tooth is removed. In case the root is not removed totally, bone deterioration is likely to occur. Bone loss occurs in the jaw area, and this may result in a change or alteration in your facial appearance. A timely replacement of a missing tooth will prohibit bone loss from the jaw area, and you will be saved from any kind of alteration in your facial appearance, which might affect your looks and self-esteem greatly.

A missing tooth should never be ignored and in case you lose a tooth, you should see a dentist as soon as possible. By filling up a missing tooth, you will be able to save yourself from several issues related to the mouth and gums.

Why to Fill Up a Missing Tooth?

Nasal congestion (blocked nose) can give you nightmares. The condition often results in people breathing through their mouth. Mouth breathing, once a while (due to factors that affect the nasal breathing) is understood. The main problem arises when people, especially kids continue to breathe through their mouth even under normal conditions. Nasal breathing is what we have learned and practiced all along. Breathing through the nose is a healthy practice that has many health benefits. Any alteration in this habit can have a deleterious effect on the health in the long run. It can alter the body dynamics and mechanisms, necessary for the proper functioning of the body.

Though cold and nasal congestion are the most common causes of mouth breathing, other conditions that often contribute towards this unhealthy postural habit include:
  Severe respiratory infections.
  Allergies which tend to block the nasal airway (either partial or complete).
  Kids who have a habit of sucking their thumbs or fingers are often found to breathe through their mouth.
  Sinus, enlarged adenoids or tonsils, hay fever, can also result in mouth breathing.

Harmful effects of mouth breathing
In mouth breathing, there is less absorption of oxygen into the bloodstream as compared to the nasal breathing. This oxygen deprivation can give rise to serious consequences and health problems.

Snoring and sleeping disorders (sleep apnea, often resulting from oxygen deprivation) are common among people who breathe through the mouth. Many people wake up with a terrible headache, feeling tired, irritated, and fatigued (in spite of having their full quota of sleep) in the morning. Unable to have a sound sleep often interfere with the overall performance of the affected person. Low levels of oxygen in the bloodstream can also result in hypertension and cardiac problems. Some people also suffer from brain fog (mental fatigue resulting in confusion and at times, hallucinations).
Dry mouth along with cracked lips is one of the harmful consequences of mouth breathing. Under normal situations, the saliva (in the mouth) prevents the bacteria from thriving within the mouth and causing infections. When the mouth becomes dry (less saliva), bacteria can easily thrive inside, resulting in infections (throat and ear), cavities, bad breath, Gingivitis (gum inflammation brought about by a bacterial infection).
A person with mouth breathing may suffer from digestive problems such as acid reflux, gas, and stomach upsets.
Believe it or not, but mouth breathing can give rise to skeletal and facial deformities (especially in children). The face may appear narrow and long, the chin and jaws lower, and the cheekbones often suppressed. There is also an improper alignment of the teeth (teeth appear crooked).
Mouth breathing can also lead to speech impediments, especially in children between the age group of 4-12 years. 

Mouth Breathing - Did You Know How It Is Bad For You?

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