Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it  the vicious cycle of pain and sleep  as pain affects your ability to sleep and lack of sleep makes the pain even worse.

Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.

The following are the primary sleep disorders associated with chronic pain:

Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night s sleep.
Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren t sleeping.
Some of the causes of sleep disorders due to chronic pain are:

Pain
Worry and anxiety
Sweating at night
Depression and other mental disorders
Treatment

A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night s sleep are:

Limiting caffeine intake
Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
Practicing meditation and other relaxation techniques
Pain killers or sleeping pills can be administered, but only with the doctor s advice.
Hot water fomentation over painful area during night, for better sleep.

Back Pain and Bad Sleep

According to physiologists, human bodies are of three types: endomorph, mesomorph and ectomorph. Endomorphs are round and fat; they find it difficult to lose weight. Mesomorphs are neither too fat nor too thin; they can lose the weight they gain very easily. Ectomorphs are usually thin and tall; they can eat whatever they want without gaining much weight.

If you are an ectomorph and you wish to gain weight, the bad news is that it will be difficult for you. Your metabolic rate is too high and your muscle growth is comparatively lower. If you want to gain muscles, you need a comprehensive workout routine and the right diet. Along with the right training, you need to remember to eat from the three major food groups: carbohydrates, proteins and fats.

I. Carbohydrates: Carbohydrate is the main energy source for your body and you need 50-60 per cent of it in your daily intake. The foods you can include in your diet are as follows:
1. Fruits
2. Oatmeal
3. Potatoes
4. Yam
5. Pasta
6. Whole grain cereal
7. Quinoa
8. Vegetables

II. Proteins: Protein is the most important macronutrient (food you need in huge amounts in your diet). Protein plays an important part in repairing your body and building muscles. You need 1.5 grams of protein intake as per your bodyweight. Proteins you can eat include:
1. Lean meat (Such as turkey or chicken)
2. Fish (Such as halibut, tilapia, cod, etc.)
3. Seafood (Such as crabs, prawns or lobsters)
4. Eggs
5. Skim milk
6. Whey protein
7. Cottage cheese

III. Fats: The correct fat intake will raise your testosterone levels (this hormone is responsible for muscle growth), protect the joints in your body, provide extra energy and improve your mood. You can add fat to your diet by consuming the following foods:
1. Nuts
2. Organic nut butter (Such as peanut butter or almond butter)
3. Fatty fish such as salmon, sardines, trout, tuna, mackerel and herring
4. Healthy oils (Such as olive oil, fish oil or flaxseed oil)
5. Avocado

Diet Tips for an Ectomorph

While some people see tears as a sign of weakness, for others crying is a crucial way of dealing with grief. Though as children we re told not to cry and to  keep a hold  of our emotions, letting go of a few tears can help alleviate grief and emotional distress. 

Here are a few reasons crying could be a good idea when dealing with loss.

Crying can stimulate the release of endorphins: Crying cleanses the mind of negative emotions and allows you to express your emotions. Crying can be described as a reaction to pain and in order to control pain, the body releases endorphins. Endorphins are also known as happy hormones as they block the transmission of pain signals and create a sense of contentment. These chemicals can take a little time to have an effect and hence in most cases, you will notice an improvement in your mood after a good cry.
Crying elevates the mood: Crying can help reduce your body s manganese levels. A higher than normal manganese level can heighten anxiety, irritability, tiredness and emotional disturbances. By lowering manganese levels, the brain is left with enough space for happier emotions and hence crying can help elevate a person s mood.
Crying stimulates the body s parasympathetic nervous system: The parasympathetic nervous system controls a number of functions including heart rate. Crying can stimulate this system and trigger a state of relaxation. For this reason, you may feel sleepy after crying. This gives your body time to relax and deal with the problem at hand with a calmer mind.
Crying helps deal with stress: A stressful experience or emotional situation can cause a build-up of stress hormones known as cortisol. As the levels of cortisol increase in the body, it goes into flight or fight mode as an automatic response to stress. Crying reduces the cortisol levels and helps relieve tension and stress almost immediately.
Crying is cathartic: Every day we are exposed to conflicts and stressful situations that can build up into resentments and leave a person feeling anxious and depressed. Sometimes, giving vent to emotions and crying can help release these pent-up feeling and heap cleanse the mind of these negative emotions. Crying also allows us to open ourselves up to the people around and can improve the levels of intimacy between them. In this way, it can help a person become part of a community.

Crying - Can it Help You Overcome Sadness?

Did you know that yoga poses help you in achieving greater flexibility rather than develop it? If you are suffering from stiff hamstrings, painful lower back and locked-up hips and tried many yoga poses without any help, then you may not have tried the right poses. When the body is stiff, it feels like you are trapped within your own body. Flexibility exercises can help in alleviating joint stiffness that may have developed due to a wide array of reasons. Here are the main asanas that are great for joint flexibility.

1. Big toe pose or Padangusthasana: This yogic pose can calm the nervous system and relieve stress and anxiety and stimulate your kidney and liver to optimize their functions. With regular practice, your calf muscles and hamstrings would stretch and your thighs would become stronger. If you are suffering from indigestion and insomnia, then big toe pose is a must try and it also helps in alleviating the symptoms of menopause.

2. Bound angle pose or Baddha Konasana: This pose offers a host of benefits that include stimulating your abdominal organs, prostate glands, ovaries, kidneys and bladder. It also stimulates blood and oxygen circulation throughout the body and improves the heart condition. It is a therapeutic treatment for high blood pressure, anxiety, mild depression, fatigue flat feet, asthma and infertility. With consistent practice, you will be able to stretch your knees, groin and inner thigh.

3. Child's pose or Balasana: This resting pose calms the mind and improves digestion to a great extent. It helps in elongation of the lower back by opening up and stretching this part of the body where all the weight is dumped while you sit and work all day long. This pose is perfect for opening up the hip and reducing hip pains and improving their flexibility.

4. Cow face pose or Gomukhasana: When performed regularly, this pose helps in deep stretching the hips, thighs, ankles, armpit, shoulders, triceps, chest and deltoid. If you had been suffering from a chronic knee pain, this pose can help relieving it. It also aids in strengthening the spine and abdominals, and its folded variations are a great way of decompressing lower spine and clearing the hip joint.

Increased flexibility is one of the topmost benefits of yoga that would surely equip you with the freedom of movement and relaxation. However, it is always important to consult an expert before you try these poses, as they can evaluate your medical history and select the ideal yogic postures that would work best for you.

Improving Joint Flexibility Through Yoga

Root canal treatment is a procedure to save or repair a decayed tooth. Without proper treatment, the decayed tooth might get infected and adversely affect the health of the gums as well as rest of the teeth. Abscessed tooth (pus formation in a tooth owing to an infection) may also pose as another major complication if this condition is not treated at the right time. In this procedure, the pulp and the nerve of the decayed tooth are removed; this absence of a nerve in your tooth should not affect your daily routine and also not inflict any pain.

When is root canal treatment needed?
Root canal treatment is only required when dental X-rays show that the pulp has been damaged by a bacterial infection. The pulp will begin to die if it's infected by bacteria, allowing the bacteria to then multiply and spread.

The symptoms of a pulp infection include:

pain when eating or drinking hot or cold food and drink
pain when biting or chewing
a loose tooth
As the infection progresses, these symptoms often disappear as the pulp dies. Your tooth then appears to have healed, but the infection has in fact spread through the root canal system.

Further symptoms eventually occur, such as:

pain when biting or chewing returning
swelling of the gum near the affected tooth
pus oozing from the affected tooth
facial swelling
the tooth becoming a darker colour
It's important to see your dentist if you develop toothache. If your tooth is infected, the pulp can't heal by itself.

Leaving the infected tooth in your mouth may make it worse. There may also be less chance of the root canal treatment working if the infection within your tooth becomes established.

Antibiotics   medication to treat bacterial infections   aren't effective in treating root canal infections.

What happens during a root canal procedure?
A root canal can be performed by an endodontist (root canalling specialist) or a dentist. To treat the infection in the root canal, the bacteria need to be removed. This can be done by either:

removing the bacteria from the root canal system (root canal treatment)
removing the tooth (extraction)
At the very onset, an X-ray will be performed to see the size of the infection and the condition of the surrounding gums. The dentist will then apply anesthesia on that spot. It is important to keep the spot as dry as possible. Next, the dentist will put a rubber sheet around your teeth, after which a hole will be drilled to remove the decayed tissues. After the process, you wash your teeth, either with sodium hypochlorite or normal water.

Before having root canal treatment, you'll usually be given a local anaesthetic. This means the procedure shouldn't be painful and should be no more unpleasant than having a filling.

Root canal treatment is usually successful. In about 9 out of 10 cases, a tooth can survive for up to 10 years after root canal treatment.

Root Canal Procedure For Infected Tooth Nerve!

The sciatic nerve is the longest nerve in the human body. It runs from the lower back, through the buttocks, your hamstrings and into the lower leg. Sciatica means pain in the leg, numbness or any kind of weakness in the lower back. There can be many reasons for a leg pain such as an injury to the leg or it can be due to the main nerve which travels in the lower back. Many times, it is not diagnosed properly and hence it will take a lot of time to respond to the treatment or in some cases, it may not respond at all. 

Symptoms of Sciatica: 

You will experience pain in the lower back only on one side of the body. 
The pain continues from the lower back to the sciatic nerve. 
Rarely, you will see the pain on both sides of the body or buttocks. 
The pain is very sharp. 
In some cases, the patient may experience a needles or pins sensation in the leg and in some cases, it is weakness or numbness in the lower back. 
The pain gets so severe that you will not be able to walk or even stand. 
If you have lower back pain combined with leg pain, then lower back pain is not going to be as severe as the leg pain. With the help of the symptoms, your doctor will be able to diagnose sciatica but in order to know the exact cause and origin of this pain, you will have to undergo other tests and examinations. 
Physiotherapy for Sciatica: 
There are many surgical treatments available for sciatica, but it is always good to go for non-surgical treatments. So you can opt for physiotherapy. You will be able to see better and long lasting results with this treatment. As it involves a thorough assessment of it on which the treatment protocol is laid. 

Physiotherapy involves four phases: 

Pain relief 
Restoration of normal flexibility 
Restoration of full functionality 
Prevention of recurrence 
In sciatica, it is due to unbearable pain, you seek treatment. So that has to be treated initially. When you can see that the pain is under control, then the physiotherapist will start working on the range of motion for your joints. The muscle tension will be reduced and muscle strength will be improved. In the third stage, your physiotherapist will start working on restoring the normal function of your body, especially your legs and your lower back. In the last stage, the physiotherapist will help you with some exercises that will stop its recurrence. Usually, sciatica will return after some time but taking a little care at the early stage can prevent it.

Physiotherapy For Sciatica - Why Is It The Best Treatment Option?

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