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!

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?

Fluoride products for the teeth have immense importance in dentistry. Fluoride is one such chemical, the balance of which is highly required for strong and healthy teeth. However, there is an optimum amount of fluoride needed for teeth. Anything lesser than that or greater than that can cause harm and serious teeth and gum problems and tooth decay. The best option, therefore, is to get a fluoride based toothpaste or mouthwash, which will keep on providing the teeth with the optimum quantity of its daily dose of fluoride.

The benefits of fluoride products
Before delving into the types of fluoride products available, let's have a look at the benefits of fluoride on teeth. Fluorides actually save the teeth from dental caries. It happens such that fluoride makes a certain mineral bonding on the teeth which is called fluorapatite. This is not normally found in human teeth, but when teeth damage is done, then to heal it fast this compound is needed to repair the damages. This adds to the mineral bonding in the teeth and strengthens the teeth.  

The fluoride products
The various fluoride based products, which you may use are as follows:

1. Fluoridated water: Fluoridating water is a simple process where the optimum amount of fluoride is mixed with drinking water so that drinking the water automatically keeps on adding fluoride to the body and keeps in contact with teeth. This therapy alone is enough and needs no more therapies generally. But not all water reserves contain this, and it's not possible to add fluorides to all water reserves. That is why the other fluoride treatments are needed.

2. Fluoride toothpaste: This is one of the most common forms for fluoride treatments. Every common daily use toothpaste contains a 0.22 to 0.312 percent of fluoride, and this is highly beneficial to the teeth for healing of decay and fast repairs. It lets the teeth get stronger. 

3. Mouth Rinses: Fluoride mouth rinses are an option. The sodium fluorides commonly used in the rinses are used in small amounts in the product which is used just like toothpaste and washed off.

4. Fluoride foams and gels: The foam and gel are used when the teeth of the child or adult are under high risk of cavities. The foam or gel is rubbed on the teeth, and kept for a while and then washed off. The typical application time is 30 minutes. 

5. Varnishes: The fluoride varnishes are just like gels, and they are also used on the tooth surface similarly. It's the choice of the dentist or patient as to which one they want to go with. Besides, these slow fluoride releasing devices, medical supplements and lozenges are also there, which slowly release the optimum amount of fluorides to keep the teeth strong and healing.

Use of Fluoride Products for Teeth

Canker sores are also known as aphthous sores and are the most common type of mouth ulcers. They mostly occur on the inside of the lips or cheek and are mostly whitish or yellowish in color. The sores are mostly surrounded by inflamed, reddish soft tissue. Canker sores commonly appear between the age of 10 and 20 years. They mpe ay create a tingling sensation in the mouth that makes eating, talking or swallowing difficult. In some cases, canker sores may cause general malaise and headache.

Reasons behind canker sores

Any kind of viral infection
Unhygienic brushing habits, such as not cleaning the mouth often or well enough.
Hormonal fluctuations, especially during the menstrual cycle
Inadequate rest and sleep
Low immunity
Stress
Food allergy
Deficiency of certain vitamins or minerals
Some kind of mouth injury
Ill-fitted dental appliances such as braces or dentures.
Acidic or spicy food.
Types of canker sores and symptoms
Canker sores are mainly of two types

Simple canker sores: These may occur twice or thrice in a year and can heal without treatment within a span of 3 to 4 weeks.
Complex canker sores: These sores generally appear in the elderly, mostly in those who have a history of frequent sores. These may be accompanied by swelling of lymph nodes, very painful sores, high fever, headache, fatigue and general illness. Inflammation and infection of the ulcers may also occur if not diagnosed and treated on time.
Ways canker sores can be treated

Antimicrobial mouth wash to rinse the mouth
Antibiotic mouthwashes or oral pills
Corticosteroid ointments can be applied on the affected area to reduce the inflammation and promote rapid healing.
Drinking milk, consuming yoghurt or ice cream is known to provide relief.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Canker Sores - Ways They Can Be Treated!

Facial Palsy is a paralysis of facial muscles. The weakness of facial muscles is also known as Facial Palsy. It may be caused by temporary or permanent damage to facial nerves. There are different facial nerves for different sides of the face. When nerve bundles on one side are affected, muscles on that side of the face become weak. 

Since different nerves are involved, cerebral palsy may affect different parts of the face such as lower part, left side, right side, etc. There are medicines for Facial Palsy. However, there is no standard treatment approach in modern medicine for treating Facial Palsy. However, Ayurveda can help in treating these patients.

Ayurvedic Interpretation of Facial Palsy:

In Ayurveda, Facial Palsy is referred to as Ardita, and it is defined as a disability in facial expressions and communication. The source of the disease is facial nerve paralysis, which precipitates motor and sensory impairment on the affected side of the face. According to Ayurveda, this disease can affect people of all ages. 

Ayurveda targets the dosha responsible for this disease. According to Ayurveda, the dosha responsible for this problem is known as Vata. It is thought that the face or the relevant side of the face is afflicted by Vata, which needs to be rectified.

Factors Responsible for Facial Palsy:

According to Ayurveda, there are some factors which may precipitate Facial Palsy in the long term. These include:

Speaking loudly.

Chewing hard stuff.

Laughing, sneezing or yawning excessively.

Putting heavy load on head.

Sudden change of direction of head or neck.

Having uncomfortable posture during sleep.

Using too high or too low pillows.

Anemia.

Injuries.

Excessive sleeping during the day.

Excessive use of tongue scrapers.

Excessive rubbing of the ears, eyes, and nose.

Consuming excess of alcohol.

Symptoms of Facial Palsy According to Ayurveda:

Preliminary symptoms of Facial Palsy, as mentioned in different Ayurvedic books, include: 

Blurred vision.

Loss of sense of touch on facial skin.

Pain.

Neck stiffness.

Jaw stiffness.

Distortion of the affected side.

Tremors of the head.

Shaking of teeth.

Incomplete closure of affected eyelids.

Distortion of nose.

Slurred speech.

Hoarseness in voice.

Impairment of hearing loss and smell sensation.

Pain in the ear on the affected side.

Trouble chewing and swallowing.

Sneeze getting suppressed.

Severe pain in the neck, chin, teeth, on the affected side.

Ayurvedic Treatment of Facial Palsy:

Ayurveda depends on the following to treat the problem.

Oil massages on the head.

Applications of oil to the ears and eyes.

In the case of any burning sensation, therapeutic bloodletting may also be conducted.

Medicated oil in nostrils

Oral drugs include Akaangavira Rasa, Sameera Pannaga, Ashwagandha Churna, Ashwagandharishta, etc.

Exercise including balloon breathing exercise

Conclusion:

A study published in the European Journal of Pharmaceutical and Medical Research has come up with astounding results for the efficacy of Ayurveda on Facial Palsy. This indicates that in the absence of any standard therapy, Ayurveda can offer an excellent remedy against Facial Palsy. However, it is always recommended to consult an Ayurvedic physician before opting any ayurvedic remedies or purchasing any ayurvedic medicines. Any treatment depends upon the condition of the individual. This is why one should always consult a doctor before going for any treatment.

Facial Palsy - Causes, Symptoms & Ayurvedic Treatment For It!

Why it's more important to brush your teeth in the night than in the morning

Most people wake up every morning and stumble to wash their teeth first thing. Do you believe that brushing your teeth in the morning is sufficient to keep your mouth healthy?

While it is important to brush your teeth in the morning for good oral hygiene, what goes on in your mouth all night is even more important. Brushing your teeth once a day is barely enough to maintain perfect oral hygiene. By brushing twice a day you can make the difference.

Do you know why it can be important to brush at night since you are only about to sleep?

Here are a few things that brushing before bed does.

1. Reduces acid build up

Everyone has acid being constantly produced in their mouths. The saliva secreted contains calcium which neutralizes the acid being built up. At night the saliva secretion slows down which allows the acids to get accumulated. The acids keep corroding the teeth all night. When you brush your teeth, the fluoride present in the toothpaste stimulates saliva secretion. So by brushing before bed you ensure that the saliva secretion does not fall drastically. In the process you prevent your teeth from getting corroded.

2. Reduce bacterial multiplication

The saliva in our mouth not only neutralizes the acid it reduces bacteria from multiplying as well. During the reduced saliva production, as you sleep, the bacteria in your mouth multiply manifold and attack your teeth and gums. This is why keeping your saliva secretion regular by brushing before bed is of utmost importance.

3. Reduce the decay of food particles

After you have your dinner just rinsing your mouth is not enough. Tiny food particles that get stuck in your teeth rot overnight. It is best to go to bed with a clean mouth rather than a mouth with tiny decaying food particles.

No matter how much of a task it might seem like, brushing at night is as important, if not more important, than brushing in the morning.

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

Is it More Important to Brush Your Teeth in the Night Than in the Morning?

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