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!

Teeth stains are a major inconvenience as a well as harmful for your teeth. Teeth stains can occur due to consuming certain foods and drinks. It can also be caused due to unhealthy lifestyle choices, such as not brushing teeth or flossing. Here a few tips to how to prevent teeth stains. Read on more to find out all about them.

1. Practicing healthy habits: It is a good idea to brush, or use a mouthwash after a having a meal. Keep in mind that the foods and drinks mentioned below can stain your teeth more than others. Coffee or tea, soda, red and white wine, grape or cranberry juice, blueberries, beets, soya sauce and tomato sauce cause teeth stains so while consuming them keep in mind to always brush floss or wash your mouth after consuming these.

2. Drinking with a straw: Drinking with a straw keeps away the stains from your mouth as the liquid doesn't go near the visible front surfaces of the teeth.

3. Brush, floss and rinse with an antibacterial mouthwash: By brushing, flossing and rinsing with a mouthwash on a regular basis you reduce the growth of the bacteria called plaque. Plaque is sticky in nature and promotes the formation of teeth stains. By eradicating plaque you also prevent teeth stains.

4. Get your teeth professionally cleaned:Make sure to visit a dentist at least twice a year. Even while maintaining your teeth by regular brushing, flossing and mouthwash, getting your teeth professionally cleaned is beneficial and can help you guard against teeth stains.

5. Using teeth whitening kits: At-home teeth whitening kits are available in local drugstores, which help in preventing teeth stains. They usually cause slight discomfort, which goes away in a few days' time.

6. Professional tooth whitening: You can also get your teeth whitened by your dentist. In this procedure, the dentist applies a bleaching agent to your teeth after applying a rubber shield on your gums. This procedure usually takes a single or in some instances multiple visits to perform.

6 Tips to Prevent Teeth Stains

4 myths about teeth scaling - busted!

Teeth scaling is a dental procedure with which plaque and tartar deposits that form on the teeth are cleaned or scraped away. While plaque is a soft, sticky film that develops on the teeth containing millions of bacteria which cause tooth decay, tartar is a hardened form of plaque that develops if the plaque is not removed on time. Tooth decay is a natural process that takes place with time but plaque and tartar deposits tend to speed up that process.

Teeth scaling involves a thorough cleaning of the teeth down to the roots. Teeth scaling is usually recommended when the gum disease is of a moderate level, in order to stop it from spreading, leading to further complications. When the gum disease is found to be severe, then teeth scaling is done prior to the surgery.

Here are some common myths surrounding teeth scaling:

1. Scaling weakens the teeth and makes them lose - one of the most common myths surrounding teeth scaling is that it weakens the teeth. However, this is not the case. Scaling removes the elements deposited on the teeth that eventually lead to gum disease. When these elements are removed from the teeth, one feels the teeth weakened and lose. Scaling does not weakens the teeth as they are already made weak by the deposit of elements like calculus and plaque.

2. Scaling makes the teeth sensitive - with the onset of gum disease, the gaps between the tooth are filled with tartar. When this tartar is removed by scaling, the teeth get exposed to the oral environment and become moderately sensitive. In most cases, the sensitivity vanishes in a couple of days.

3. Scaling causes gaps between the teeth to increase - when the gum disease is progressing at a moderate level, the usual gaps between the teeth get filled by tartar which forms on the teeth. After scaling, when the harmful tartar fillings are removed from the teeth, patients feel that the gaps between the teeth have increased.

4. Scaling is painful - contrary to popular belief, scaling is a virtually painless process, with the patient feeling a mild scraping sensation on the teeth when the scaling is taking place.

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4 Myths About Teeth Scaling - Dental Myth Busted

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!

Mouthwash has become an essential ingredient of one's oral hygiene kit. Though not a substitute for flossing or brushing, it offers additional oral protection. Due to a host of ingredients, such as alcohol,
Chlorhexidine, cetylpyridinium chloride, menthol, methyl salicylate, fluoride, antibacterial enzymes, hydrogen peroxide, essential oils, zinc chloride and other herbs and "natural" ingredients mouthwash has a number of benefits.

Alcohol is the basic ingredient in all of them. While fluoride protects against decay, chlorhexidine protects against gum diseases. Hydrogen peroxide produces a mild bleaching effect. Herbs and essential oils produce a freshening effect.

Benefits of using a mouthwash

1. Reduces formation of tartar and plaque.
2. Protects from oral problems like gingivitis and periodontal disease, especially if it contains cetylpyridinium or essential oils. Chlorhexidine is also effective in protecting plaque formation and gingivitis.
3. Kills bacteria in the mouth and prevents cavities or decay, especially if it contains fluoride.
4. Mouthwash, to some extent, covers up bad breath due to oral hygiene or oral disease and produces a fresher breath.
5. Certain mouthwashes containing cetylpyridinium chloride and zinc chloride produce a better breath freshening effect.
6. Helps manage dry mouth, especially if containing biotene.

Types of Mouthwash

1. Cosmetic
2. Therapeutic

The cosmetic one is usually for freshening up the breath and is not regulated by the FDA. The therapeutic ones contain active ingredients aimed at addressing one of the issues like plaque formation, bad breath, dry mouth, or decay. They kill bacteria, reduce plaque, fight gingivitis, and control decay. They are not a substitute for brushing or flossing but supplement these two very well. These are approved by FDA and are proven in terms of safety and efficacy. Rinses with zinc chloride are effective against bad breath, those with fluoride are useful in people who are cavity-prone, and chlorhexidine helps prevent gum disease.

Choosing a mouthwash: This depends on the oral health condition, and it is always advisable that the dentist prescribes the right rinse for you.

When and how to use mouthwash: When you are done with your brushing and flossing, rinse your mouth with a capful of the mouthwash liquid. Swish it around your mouth for about 30 seconds and spit it out. Avoid brushing, drinking water, or rinsing your mouth after using a mouthwash for about 15 to 20 minutes. This will give sufficient time for the active ingredients in the mouthwash (especially if it is a therapeutic one) to act in the mouth. Brushing after mouthwash removes all the effect of the rinse.

Mouthwash: All You Need to Know About it

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!

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