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!

Small painful mouth sores can be anywhere in the mouth lips, soft palate, hard palate, cheeks, gum base, tongue and even on the roof of the mouth. When situated  inside the mouth, they can cause pain during eating or swallowing, especially with hot or spicy foods. A bigger cause for concern is that these mouth sores or mouth ulcers or canker sores could be an indication of an underlying health condition. A lot of chronic diseases, including HIV, herpes, and syphilis, manifest themselves as mouth sores. The following are some of the health conditions to watch out for when you have mouth sores. Each disease has characteristic appearance and so very often are easy to identify.


1. Herpes simplex (HSV1): The herpes simplex virus causes sores on the lips only which are usually painful with red blisters that last about 10 to 14 days. These are caused by herpes simplex virus type 1 and the sores appear about 20 days after contracting the virus. Also, once they enter the system, they can cause recurrent attacks especially when the immunity is low.


2. Canker sore: The most common type of mouth ulcer, they are also known as aphthous ulcers and are usually seen on the soft tissues of the mouth (not the hard palate or the gum base). These are generally innocuous and heal within 5 to 7 days. Do reach out for medical help if there are more than 5 to 6 bouts of canker sores in a year.


3. Oral thrush: Also known as candidiasis, this is where there are whitish lesions on the tongue and the insides of the mouth. Candida is a fungus that is normally present in the mouth, but when the immune system is weakened, it can lead to an infection, orally manifested as white lesions. These are typical and appear in toddlers and in patients with anemia, diabetes, HIV/AIDS, or cancer patients on chemotherapy.


4. HIV/AIDS: Another disease which first can be diagnosed in the mouth is HIV/AIDS. In the first stages of infection, known as acute retroviral syndrome, where the first symptoms of the disease begin to manifest, oral ulcers are one of the first symptoms. With the other associated symptoms, more workup for diagnosis should be done followed by appropriate treatment.


5. Oral cancers: The lining of the inside of the mouth can develop cancer and usually it appears in the form of chronic non healing ulcer that just does not go away. Seen anywhere in the mouth, nonhealing ulcers are a cause for concern and should be investigated and treated.


As seen above, mouth sores may be harmless often, but in some cases, may have something more to tell about the health in some cases. 

Mouth Sores - Could They Be More Than Just a Sore!

Gingivitis is a disorder, which is characterized by inflammation, swelling and irritation in the gums. Usually, the symptoms of this disorder are mild, so you might not pay much heed to them. However, if left untreated, this condition can result in other serious disorders, such as teeth loss and periodontitis. The primary cause of gingivitis is an improper oral hygiene.

The symptoms of gingivitis are:

    Red gums that bleed easily
    Swelling in the gums
    Tender gums that are receding
    You may have bad breath
    You may bleed from your gums during brushing and flossing

Causes: The most common cause of this disorder is bad oral hygiene, which facilitates the formation of plaque on your teeth. If the foods you eat contain excess sugar, the bacteria in your mouth may interact with them to produce acid (plaque) if you don't manage to maintain good oral habits. If not removed, the plaque can turn into tartar; plaque can be difficult to get rid of as tartar.

Treatment: The treatment for gingivitis usually begins with an initial evaluation and a professional cleaning to get rid of the tartar. You should use proper brushing and flossing techniques to prevent the recurrence of plaque. You should also follow up with the dentist on a regular basis for check-ups.

Scaling is the procedure by which the plaque from the teeth is removed. If the sources of problems are misaligned teeth and poorly fitted dentures, then these need to be fixed. There are certain home remedies for gingivitis such as:

    Use toothbrush that has soft bristles
    Visit a dentist for regular oral check- ups, it is very essential for the upkeep of sound oral health
    Regular flossing can help
    Use a non-alcoholic mouthwash which can help in removal of cavities and plaque to a certain extent, though not majorly
    Use fluoride based toothpaste to brush your teeth at least twice a day
    Clean your teeth regularly, avoid eating foods laden with sugar and eat plenty of vegetables

Gingivitis and Its Causes and Symptoms

5 foods you didn't know were ruining your teeth

Brushing is not the only way to keep your teeth free from damage. To have perfectly healthy and sparkly teeth, you should avoid certain foods as well, especially those high in sugar and acid content.

Fruits rich in sucrose (such as cherries, mangoes and pears) are like food to the bacteria in your mouth. These bacteria give rise to plaque build-up; and produce lactic acid, which causes the erosion of your tooth enamel.

As for foods containing acid (like meat, cashew nuts and peanuts), their acidic content is chiefly responsible for tooth decay. In fact, these foods eat away at your enamel and cause your teeth to chip and break.

Which are the foods that spell danger for your teeth?

1. Apples: sadly, an apple a day doesn't keep the dentist away. Apples have high acidic content and are very harsh on your enamel. Remember to rinse your mouth thoroughly with water just after having apples.

2. Pickles: pickles are either made of sugar or vinegar and can be sweet and sour, depending on what's used. While the vegetables and fruits used in these pickles may do you good, it's the brine that brings about tooth decay. Make sure to brush your teeth after an hour of having pickles to prevent any sort of damage.

3. Bread: processed white bread that you have at breakfast every morning is loaded with sugar. It's quite sticky as well and easily gets lodged between your teeth, giving rise to cavities.

4. Popcorn: working in the same way as bread, popcorn can get easily stuck in the lines between your teeth, leading to a rise in the level of bacteria in your mouth. You can indulge yourself in a bit of popcorn as long as you floss and brush after an hour or two of eating it.

5. Diet sodas: just because sodas contain no added sugar doesn't mean they are healthy for your teeth. The acidity of diet sodas is very high, making it one of the worst things out there for your teeth. The only thing you can do is to cut down your consumption of diet sodas.


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

5 Foods that Ruin Your TEETH Without Your Knowledge, Every Day!

Natural and effective mouth fresheners

Bad breath is a condition in which a stale odor comes out of the mouth. Bad breath can be chronic and serious and a minor issue as well. It usually develops due to germ build-up inside the mouth. When a person eats or drinks anything except water, germ build-up initiates. These germs cause decay of food substances in the mouth, causing the odor. To tackle this problem, mouth fresheners must be used. There are numerous natural mouth fresheners that can be effectively used on daily basis.

1. Fennel seeds-
Chewing fennel seeds helps in eliminating bad breath after meals. You can also chew them whenever you feel that the germ build up has begun and an odor is coming out.
2. Mint leaves-
A spoonful of mint leaf juice can work wonder on neutralizing bad breath. It halts germ build-up immediately. You can also choose the easier option and simply munch onto some mint leaves.
3. Citric fruits-
Have a good portion of orange or sweet lime pulp whenever you experience bad breath. Citric acid in these fruits acts against the germs and the fruit dominates the odor forcing it to disappear.
4. Guava-
Not many people know that guava is an excellent mouth freshener. Don’t just eat the pulpy part of the fruit; consume it with the outer layer. The skin of this fruits effectively fights germs in the mouth, decreasing the bad odor.
5. Pomegranate-
The seeds of pomegranate must be regularly chewed to effectively tackle chronic mouth odor issues. It also works immediately on germ build-up and neutralizes it.
6. Clove-
Clove is an ideal cure not only to your bad breath but also to all your dental and oral problems. Rather than chewing it, it’s better to keep it on your cheek side and sucking it in every few seconds. It doesn’t let any germs to build-up in your mouth, at the same time it ensures better dental and oral health.
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You Can Never Have Bad  Breath If You Have These Natural Mouth Fresheners

Did you know that peppermint leaves can reduce toothache?
A toothache can have at its heart one or more causes, whether its tooth decay, tooth fracture or infected gums. Among the different kinds of remedies that you can employ to relieve yourself of toothache, peppermint leaves is one of the most effective ways in providing temporary respite. Possessing anti-inflammatory properties, you can use peppermint leaves in the following ways to cure that painful toothache:

1. Chew some fresh peppermint leaves to experience its cooling sensation and bring down the soreness.

2. You could lessen the swelling by holding dried peppermint leaves against the aching tooth.

3. Even having peppermint tea can provide you with respite from the pain. 
For this, take 1 cup of warm water into which you add 1 teaspoon of peppermint leaves. Let it steep for about 20 minutes before allowing the tea to cool down. Take a small sip of the tea, and gargle it in your mouth before throwing it out. Repeat as needed.

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Did you know that peppermint leaves can reduce toothache?

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