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!

Dealing with Migraine through Homeopathy

A migraine is a headache that causes a distinct pulsating pain, usually in one side of the head. It is different from normal headaches in the sense that the pain is much more intense and it may be accompanied by nausea or vomiting as well. Some patients have also complained about light sensitivity while others have also complained about pain in all areas of the head.

Some of the factors that separate a migraine from a normal headache are as follows:

While a headache may last at best a day, migraines may last longer, sometimes even up to 3 days.

- Feelings of nausea or actual vomiting
- Sensitivity to light
- Extreme sensitivity to changes in sound

Causes Behind Migraines

Some of the common and known causes, which may trigger migraines in people are:

- Hormonal changes in the body that may have adverse effects
- Dehydration is also known to trigger migraines
- Patients with hypoglycemia may also face migraines if the blood sugar level drops within their body
- Change in air pressure due to change in altitude may also cause migraines to appear
- Lack of sleep
- Stress
- Lifestyle issues such as smoking and excessive alcohol consumption.

Remedies for Migraine in Homeopathy

Migraine is treated in homeopathy by attacking the root causes that may trigger them. Rather than temporarily alleviating pain, homeopathic treatments aim at curing the problem completely.

Some of the medicines that are known to be effective are:

Natrum Mur: This provides great relief from migraines, which may have been caused by stress. Also, if a proper dosage is taken, it can help cure it as well.

Belladonna: This had been known to be a great provider of relief for people who regularly face throbbing headaches.

Glonoine: For people who frequently have migraines due to congestion of the sinuses, this medicine has been known to be very effective.

Spigelia: To treat migraines in the left side of the head.

Sanguinaria: Is highly effective for situations where the migraine is on the right side of the head.

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

Dealing with Migraine through Homeopathy

Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation. After first seizure MRI and EEG may help to know whether you have the risk of second seizure or not.

All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:

You must take medications exactly as your doctor has prescribed.
Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
You should never stop taking the medicines.
In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.
Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.

When to Seek Medical Help for Epilepsy

Autism is a developmental disorder that is usually diagnosed within the first three years of a child s life. Speech disorders and an inability to communicate with others are characteristic symptoms of autism. Speech therapy can be very beneficial for such children. Thus, it is often a major part of a treatment plan for autism. Some of the benefits of speech therapy for autistic children include:

Better articulation: Autistic children often find it hard to make certain sounds. Hence, they tend to babble or make harsh sounds or grunt instead of talking. A speech therapist can help the child learn to articulate sounds in a better way. For this, the therapist will help the child exercise the facial muscles and lips. This can make it easier for them to be understood by others.
Treating echolalia: Echolalia refers to a child s behaviour where he or she answers a question by repeating part of it. This may be because they find it difficult to express their own thoughts and feelings. Echolalia is very common amongst autistic children. Speech therapy is the only way to treat this condition. If left untreated, it could make the child withdraw into himself.
Better vocabulary: Autistic children often memorize words without understanding them. A speech therapist can help the child put words into context and thus help reduce their dependence on gestures. This can also make autistic children more confident. In addition to expanding their vocabulary, a therapist can also teach children the proper time and place for communication. For example, when to say good morning and good evening.
Initiate communication: When children are not confident of expressing themselves, they wait to be called on before saying anything. By helping them articulate sounds better and expanding their vocabulary, a speech therapist can help children gain the confidence needed to initiate conversations. With therapy, autistic children can also follow simple instructions and begin to answer questions independently. This will make them more independent.
Speech therapy does not follow the same techniques for all children. For therapy to be effective, the therapist must work in close collaboration with the child s parents and caregivers to set the right goals and monitor the child s progress. Some of the techniques that may be used include the use of electronic talkers, typing or signing, picture boards, facial exercise and massages, using rhyme to help construct sentences and using sounds to help the child expand speech sounds. If the child is non-verbal, the therapist may also introduce alternatives to verbal communication.

Can Speech Therapy Help Autistic Children?

World Alzheimer s Day is celebrated on the 21st of September each year. A number of organizations, from all over the world concentrate on raising the awareness about Alzheimer s disease and dementia. Alzheimer s disease is a very common type of dementia. It falls under the group of disorders in which mental functioning gets impaired. Life for an Alzheimer s patients is quite difficult, but by following the following tips, you can support yourself and will also help you to cope with it. 

You have to accept the changes and accept that life will continue getting difficult. Instead of trying to cover your difficulties for protection from embarrassment, you should face the fact. You also have to accept the changes in your physical abilities and adapt to skills, which are beneficial.
You should develop some ideal coping strategies. Try to be occupied and involved and respond to the challenges you face in everyday life. By practicing the coping skills you will be able to gain a sense of control in your life.
Try to identify stuff. Make a list of all the tasks which seem challenging to you and try to develop coping strategies for these tasks. Prioritize your tasks and determine whether it is really necessary to overcome certain tasks. You should also strategize solutions and come up with solutions which would suit you best.
You should set realistic goals and expectations for yourself and use the coping skills to deal with difficult tasks. In case of very challenging tasks, do not hesitate to take help.
A daily routine or plan is required for keeping a track of several tasks. A schedule reduces the amount of time you spend to figure out something, simplifying your task and also prevents mistakes.
Always approach one task at a time and take enough time to complete tasks. Do not give up on challenging tasks and take breaks to figure things out.
Always remember that you have more than a single chance to solve problems. If one chance fails, you should adopt new strategies and try again and again with better assessment.
You should identify the triggers which cause anxiety and stress. Knowing the causes will allow you to plan in advance so that you can prevent them.
Keep in mind that your family, friends, pets, will power and prayers are sources of great strength and will help you get past any obstacle.
You should accept help from others and do not hesitate or think about being dependent on others.
You should take the advice from your psychiatrist or from Alzheimer Association National Early-Stage Advisors in order to understand the challenges such as medications, management of schedules and dealing with emotional or relationship changes.

Alzheimer's - 10 Tips to Help Dementia Patients Cope with their Problem

Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them and possibly even prevent them. The two types of migraine are- 

Migraine without aura: The majority of migraine sufferers have Migraine without Aura. 
Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.
Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.

Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are 

Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
Motor: Usually related with the movement problems like the limb weakness
Verbal: It is related with the speech problems
Headache: In case of a migraine attack one might experience:

Pain on both sides or one side of the head
Pain is throbbing in nature
Vomiting and nausea
Sensitivity to smells, sound and light
Vision is blurred
Fainting and lightheadedness
Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.

Red flags that the patient may be having underlying serious disorder not migraine

Onset of headaches >50 years 
Thunderclap headache - subarachnoid haemorrhage 
Neurological symptoms or signs 
Meningism 
Immunosuppression or malignancy 
Red eye and haloes around lights - acute angle closure glaucoma 
Worsening symptoms 
Symptoms of temporal arteritis
These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests. 

Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.

The doctor might advise for some tests like:

Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.
Treatments

Migraine treatments can help stop symptoms and prevent future attacks.

Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:

Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.
Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.

Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Your doctor can help find the right medication for you.

Migraine - Identifying the Early Signs!

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