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!

A quite serious bacterial infection, diphtheria is caused by the Corynebacterium diphtheria. It usually tends to affect the throat and the mouth of an affected person, although there are other varieties which can infect your skin as well. However, the most common cases of diphtheria affect the throat and the mouth. 

Symptoms of diphtheria in general
It may take up to five days for symptoms to show up when you are infected with the disease. Some of the symptoms would be:

You neck would swell up due to swelling in the lymph nodes, especially in the neck
Your throat and tonsils will develop a thick grayish membrane 
Your throat may become sore and hoarse
You may face difficulty in breathing, depending on the size of the membrane and the resultant inflammation
You may have difficulty swallowing as well
These are the primary symptoms which will affect your throat in general. Some of the other symptoms that may show up are:

Fever
Nasal discharge
Malaise or a general feeling of discomfort 
Chills
The parts of your body, which are affected the most tend to be your throat, tongue and the neck. The pain tends to persist for quite some time as you recover.

Causes of diphtheria 
Diphtheria is usually spread by the following methods

Airborne droplets: This is possibly the most common method of contracting the disease. This usually happens when a person is infected with diphtheria coughs or sneezes around you. The airborne droplets then travel from one person to another, transmitting the infection. This is particularly the case in crowded area such as public transport and public spaces.
Touching personal items which may be infected: Touching used towels, paper tissues or drinking from an unwashed glass may cause an infection as well. These tend to happen mostly in an indoor setting such as offices and houses. Even toys, door and equipment handles can cause transmission of this virus. 
If you are showing any of these symptoms, it is prudent to go visit your doctor immediately as diphtheria, if left untreated, may also result in serious complications.

Diphtheria - How it Affects Your Throat and Tongue?

What you must know before you get root canal treatment

Root canal treatment also known as endodontics is performed to treat and heal an infected or badly damaged tooth rather than removing it. When your teeth start decaying, you do not feel any pain for a very long time. However, gradually the darkening of your tooth color may become prominent which could mean that the tooth nerve is dying or has died. That's the time you will need root canal treatment which involves cleaning of the canals inside the roots of your tooth.

Why you may need the root canal treatment

Teeth consist of a soft core known as dental pulp. This pulp goes beyond the crown &#x2013; the noticeable part of your tooth to the root tip inside your jawbone. The pulp contains blood vessels, nerves, and connective tissue. So when your tooth is damaged or has a severe cavity, bacteria can easily make their way through the pulp. Symptoms and signs of a sore tooth include a hole in your tooth, a swelling around the regions of your face and neck, gum swelling, tooth pain or a toothache and temperature sensitivity. If it is left untreated, the decaying material and bacteria can cause a tooth abscess or severe infection, resulting in a bone loss, pulp death and even loss of the tooth itself. The root canal treatment is the best way to save the damaged teeth and escaping the painful process of extraction.

What does the treatment involve?

The purpose of the treatment is to free your root canal from every possible infection. The root is then cleaned and filled to avoid any further infection.


	
	Root canal treatment is a skilled procedure which is time-consuming and usually requires from 2-3 visits to your dentist.
	
	
	In the initial stage, the infected pulp is isolated to drain out abscesses (if any), followed by the cleaning of your root canal which is then prepared for a temporary filling.
	
	
	Your tooth is then left to settle down.
	
	
	In the next visit, your tooth is checked to see whether it&#x2019;s free from all forms of infection so that it can be permanently filled. 
	


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

Related Tip: Only 6 Basics That Beat Bad Breath

What You Must Know Before You Get ROOT CANAL Treatment

Everybody loves a bright white smile, and there are a variety of products and procedures available to help you improve the look of yours. 

Many people are satisfied with the sparkle they get from daily brushing and regular cleanings at your dentist’s clinic, but if you decide you would like to go beyond this to make your smile look brighter, you should investigate all of your whitening options.

Start by speaking with your dentist. He or she can tell you whether whitening procedures would be effective for you. Whiteners may not correct all types of discoloration. For example, yellow-ish hued teeth will probably bleach well, brownish-colored teeth may bleach less well, and grayish-hued teeth may not bleach well at all. If you have had bonding or tooth-colored fillings placed in your front teeth the whitener will not affect the color of these materials, and they will stand out in your newly whitened smile. You may want to investigate other options, like porcelain veneers or dental bonding.

If you are a candidate for whitening there are several ways to whiten your smile:

•	In-office bleaching. This procedure is called chairside bleaching and usually requires only one office visit. The dentist will apply either a protective gel to your gums or a rubber shield to protect the oral soft tissues. A bleaching agent is then applied to the teeth, and a special light may be used. Lasers have been used during tooth whitening procedures to enhance the action of the whitening agent.

•	At-home bleaching. Peroxide-containing whiteners actually bleach the tooth enamel. They typically come in a gel and are placed in a specially made bleaching trays. Usage regimens vary. There are potential side effects, such as increased sensitivity or gum irritation. Speak with your dentist if you have any concerns.

•	Whitening toothpastes. All toothpastes help remove surface stain through the action of mild abrasives. "Whitening" toothpastes have special chemical or polishing agents that provide additional stain removal effectiveness. Unlike bleaches, these products do not change the color of teeth because they can only remove stains on the surface.


Whitening / Bleaching

Hyperdontia is a peculiar and quite rare dental problem which involves the growth of excess number of teeth. It can appear during birth and last till the primary teeth fall out to be replaced by the permanent set of teeth, or appear with the rise of the permanent teeth. If a person shows a tendency to grow more than 20 temporary teeth or more than 32 permanent teeth, he or she suffers from hyperdontia. 

Where do the additional teeth occur?
The additional teeth or supernumerary teeth can appear anywhere inside the mouth or dental arch, but the most common ones are called wisdom teeth and they grow as anterior molars after a certain age. Extra teeth in new born infants are called natal teeth. Occurrence of more than 4-6 supernumerary teeth is rare, although there have been known cases of more than 30 supernumerary teeth. 

Why does hyperdontia occur?
1. Hyperdontia often occurs in association with a few select disorders like cleidocranial dysplasia, Ehler - Danlos syndrome, Gardner syndrome, and cleft lip and palate. 
2. Although the exact cause of hyperdontia has not yet been discovered, some studies have shown that it might be a result of over activity of dental lamina during the phase of tooth development in infancy. 
3. It could also possibly be due to genetic or environmental factors. 

What problems does it pose and how can hyperdontia be corrected?
1. The existence of extra teeth often causes problems in speaking.
2. It may also cause deformation in the mouth region, and impediments in a lot of other functional activities like eating. 
3. In rare cases, the extra tooth/teeth may be agents of tumors or cysts. 
4. Therefore, treatment must be swiftly undertaken so as to remove the extra teeth and prevent rise of further teeth in the same spot. 
5. Sometimes, hyperdontia also leads to overcrowding and misshapen rows of teeth; this can also be corrected with extensive procedures.

All About Hyperdontia

Homeopathy is often associated only with chronic illnesses. Another myth associated with this form of treatment is that it takes ages for the effect of the medication to be visible. However, in the case of a toothache, homeopathy can be very relevant and can quickly ease the pain. Homeopathic treatment for toothaches addresses the underlying cause of the problem. Some of the common triggers for a toothache are tooth decay, an abscess or gum problems. Take a look at these common homeopathic remedies for a toothache.

1. Plantago: plantago is an efficient remedy for toothaches that is accompanied by tooth sensitivity, increased salivation and swollen cheeks. Plantage can be taken in the form of pills or applied externally on the tooth that is paining.

2. Silicea: silicea is the ideal homeopathic remedy to treat tooth abscesses and their accompanying toothaches. It addresses the collection of pus around the root of the tooth and hence controls the pain. Silicea is also useful against toothaches that are aggravated by cold water.

3. Chamomilla: if the toothache is unbearable and affects not one, but an entire row of teeth, chamomilla is what you need. It is also beneficial for toothaches that are aggravated by the intake of warm drinks.

4. Hekla lava: a toothache that is associated with a swollen jaw can be treated with hecla lava. This homeopathic remedy will relieve both the pain in the tooth and the swelling of the jaw.

5. Calcarea fluorica: homeopathic medicine can be used to treat not only a toothache, but also the decaying of a tooth. Calcarea fluorica is known to slow the decay of tooth enamel. It also prevents the flaking of enamel and is has a beneficial impact on people who have enamel deficiency.

6. Staphysagria: unhealthy gums and retracted gums are common causes for tooth decay. Staphisagria is a homeopathic remedy that can treat the drawing of tooth roots in such cases and the pain associated with them. It also addresses the formation of excessive plaque.

7. Arnica: arnica addresses the toothache and bleeding that follows a tooth extraction and the filling of dental cavities. It is also very useful against the pain and swelling of the gums that accompanies wearing false teeth.

Homeopathic remedies for toothaches offer fast pain relief. Since, homeopathic medication has negligible side effects, it can be safely administered to both children and adults. However, a tooth ache should never be ignored so do not replace a visit to the dentist with self medicated homeopathy.

Toothache and Homeopathy

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