The problem of morning back and neck pain may be due to the position of sleeping or it may be related to inflammatory arthritis which can be familial. Morning back pain is largely related to wrong sleeping posture and less commonly due to arthritic conditions like Ankylosing Spondylitis or Rheumatoid Arthritis. Whatever be the cause- this condition requires attention by an Orthopedic doctor as it may worsen in due course of time and should not be taken lightly. 

Some common factors causing this are: 

Mattress: Too soft or too hard a mattress might induce back ache after sleep. For people with waist and hips of equal proportion, a firmer mattress would do well. For those with narrower waist than their hips, a flexible and softer mattress that can move with the pelvic weight would be a perfect choice. Refrain from using old hardened mattresses. 
Pillow: The pillow you use must be able to render support to your neck naturally. Instead of using excessively firm or soft pillow, try substituting it with memory foam pillows, refillable water pillows or cervical support pillows. 
Posture: Not changing your position while sleeping or sleeping on the belly exerts strain on the back muscles, causing pain. On the other hand, sleeping on the back or on the sides causes comparatively less strain on the spine. 
Other causes such as strenuous workouts or physical activities or sitting at a stretch during the day might cause pain while sleeping or after getting up from bed. 
Remedies for Morning Back Pain: 

Fortunately, there are some home remedies to cure the morning back pain. 

Switching your mattress is a more expensive remedy for back pain, but may often be the ultimate cure. Most people sleep the best on medium-firm mattresses. Be sure to try out the mattress before you buy it. 
For occasional back pain after sleeping, apply heat to your back to relax your muscles before you go to bed and when you get up in the morning. 
Massage your back with pain relieving creams and apply heat on it with a heating pad for quick relief. 
Specific spinal stretching exercises and Planks (a type of exercise) can greatly help in easing back pain, if done on a regular basis. 
It is always recommended to CONSULT an Orthopaedic doctor if you suffer from morning back pain.

Morning Back Pain And Neck Pain

Ankylosing spondylitis refers to a form of arthritis that affects the spinal column. This condition causes the bone vertebrae to fuse together leading to a rigid spine. Depending on the extent of the damage, this could result in mild changes or in a stooped posture. Although the cause of this disease is not known, it is said to be passed down from one generation to another through a gene called the HLA-B27. This gene is also linked to spondylitis.

Ankylosing spondylitis cannot be cured, but with treatment, the pain and stiffness associated with it can be managed. Along with medication, physical and occupational therapy is a must when treating this disease. In some cases where the disease has caused severe deformities, surgery may also be recommended. However, an early diagnosis can also help prevent significant deformity.

A physical exam and an X-ray are the key factors used to confirm a diagnosis of Ankylosing spondylitis. Some of the symptoms associated with this disorder are:

Pain and stiffness: Everyone complains of a backache at some point or the other but a persistent lower back ache could be a sign of something serious. Spondylitis often starts in the sacroiliac joints and hence the lower back, buttocks and hips are the first to be affected. Pain that lasts for more than three months should not be ignored as it could be a sign of Ankylosing spondylitis.
Bony fusion: This condition causes an abnormal growth of bones in the spinal column. This can lead to the fusing of bones in the spine. The bones of the neck, back and hips are most affected by this bone fusion. While this can affect a person s mobility it can also cause complications. For example, the fusing of the ribs to the spinal column or the breastbone can restrict the expansion of the chest while breathing.
Pain in ligaments and tendons: Apart from the bones, this condition also affects a person s tendons and ligaments attached to the bones. For example, pain in and around the heel may be caused by tendonitis.
Other symptoms: The symptoms of ankylosing spondylitis are not restricted only to the joints. Hence, it is also known as a systemic disease. Some of the other symptoms exhibited by people suffering from this condition are fever, fatigue, inflammation of the eyes and a loss of appetite. Some people may also complain of lung and heart problems. 

Ankylosing Spondylitis - How To Know You Are Suffering?

The neck and shoulder have a huge range of movement and thus they are more prone to injury. The ball and socket joint at the upper arm is the shoulder and both the neck and the shoulder are made up of soft tissues, muscles and ligaments. 

Reasons behind pain Injured rotator cuffs: 

Rotator cuffs are the tendons supporting the shoulder. If they are injured it might lead to a chronic loss of the range of movement. This is more commonly known as a frozen shoulder. 

Dislocation: Dislocated disc of the neck or shoulder due to an accident would cause severe pain in the affected area. 
Fractures: Fractured collarbone or the upper arm bone may result in chronic pain. 
Tendonitis: This occurs due to the over usage of the arms or neck or strains due to over exertion like in sports. 
An unstable shoulder joint: If there is instability in the ball and socket joint of the upper arm, chances of having a chronic pain is high. Others: Degenerative arthritis, herniated disc, and even heart attacks can be the other possible causes of chronic neck and shoulder pain. 
When to go to the doctor? 

When the patient experiences a pain due to a severe blow or injury, the neck pain radiates down the legs and arms, a feeling of numbness and tingling sensation, or has a stiff neck with fever or vomiting, it is essential to seek the advice of a Doctor. 

Diagnosis for shoulder and neck pain X-ray: 

The main form of diagnosing a pain is an x-ray. It helps to reveal diseases from arthritis, tumour, slipped disc, narrowing spinal cord, fractures and spinal cord instability. 

MRI: Magnetic Resonance Imaging or simply the MRI reveals the detail of nerve-related issues along with the problems in the ligaments and tendons. 
CT scan: There may be instances when the injuries are difficult to be diagnosed. And, in the case of a fracture, a CT Scan is advised for more details. It is also an alternative to MRI. 
ECG: An Electrocardiogram is a way of diagnosis if shoulder and neck pain continues along with chest pain or shortness of breath. If there is a risk of an individual having a heart attack, then an ECG is recommended. 
Electro Diagnosis: Electromyography referred to as EMG and Nerve Conduction Velocity (NCV) are used to diagnose pain in the arm, neck, shoulder followed by a numb feeling on the affected areas. 
Treatment for chronic shoulder and neck pain 
A simple sprain on the neck and shoulder would demand a rest for a few days along with pain medication. If the pain is due to muscle spasms application of dry or moist heat may provide relief. In the case of a swelling due to injuries, a cold ice pack 4 to 8 times a day will provide immense relief. Patients might be advised a cast or sling for the shoulder pain. The soft tissues in the neck and shoulder can be treated with pain relievers taken for a few days. Muscle relaxants are also prescribed depending on the severity of the pain. Local corticosteroid injections are helpful for shoulder arthritis. Platelet rich plasma injection is another modern treatment for arthritis or tendinopathy. In some situation, radio frequency procedures are very helpful. Exercises are very effective for both neck and shoulder pain movement. Surgery might be an option if nerve roots are affected.

Chronic Shoulder & Neck Pain - Ways It Can Be Diagnosed!

Although it is still a matter of debate within medical circles, recorded instances of symptoms in middle aged men that resemble the symptoms of female menopause are not at all unnatural and not uncommon either. Commonly referred to as male menopause, this condition alludes to the reduced testosterone level of the male body. However, this condition significantly differs from female menopause in the very fact that not every middle aged man will go through this phase or be afflicted by this condition.

What is the cause behind it?
The causes of male menopause are as follows:

    Drop in testosterone levels: The hormone testosterone produced in the testes not only regulates the sexual drive in a man, but also ushers in puberty as a boy gradually becomes a man. Testosterone secretion helps in the development of body hair, regulation of physical and emotional energy, the change in your voice and the muscular mass of the body. The reduction of testosterone occurs gradually in the male body as you reach the age of 30 and by the age of 40-45, the testosterone level falls significantly. It can drop even further after 50 which may lead to male menopause, also termed as andropause.
    Underlying physical or psychological conditions: As a man gets older, other physiological factors that may afflict his body could be hypertension, diabetes, sleep apnea and many others. These could also end up reducing the testosterone levels within the body resulting in male menopause. Depression, anxiety and even mental disorders have been attributed to triggering this condition.

What are its signs
The symptoms of male menopause typically occur at the same age as when a female approaches menopause. The symptoms are as follows:

    Decreased sex drive.
    Lack of concentration and enthusiasm in general.
    Depression and a reduced sense of self-belief.
    Infertility and problems with erection.
    Significant loss in muscular mass and body hair.
    Sudden growth of breasts and decrease in bone density.
    Body fat suddenly increases.
    Prolonged sensation of fatigue.

Male Menopause - Facts You should Know About It

Whether you are running out of time or just not hungry in the morning, missing a breakfast is equivalent to a grave crime. It is particularly a big mistake if you are aiming to lose weight or avoiding gaining weight. The metabolism rate slows down while you are asleep for conserving energy, and it invariably requires a power-packed energy to restart the metabolism with a forceful vigour. Therefore, the sooner you fuel your body with a healthy breakfast, the better it is.

When should you eat?

In a report published by National Weight Control Registry, it was declared that about 78 percent of successful dieters have a wholesome breakfast every morning. The ideal time is within an hour from when you wake up because you are more plausible to eat more than needed in the latter half of the day if you do not eat anything in the morning. This will lead to unwanted weight gain and other health troubles. Furthermore, eating a moderate meal in the morning improves cognition and mood as well.

If you are not able to eat immediately after you wake up, you must at least eat something wholesome within one hour. Eating early can keep your blood sugar and insulin levels under control while boosting your metabolism. When you are waiting too long to have the first meal of the day, you will develop a habit of opting for food rich in fats and bad carbohydrates and lower in nutrient content owing to irresistible hunger.

What should you eat?

Before breakfast 1 glass of water is necessary for cleaning of stomach. The ideal first meal of the day must include a balance of carbohydrates, protein and healthy fat. It is advised to abstain from high sugar foods like cookies, pastries, donuts or sugary cereals. Instead, you can look for hard-boiled eggs, proteins, brown bread, oatmeal, muffins and fruit juices. You must also have a cupful of green tea with a few drops of lime juice squeezed over it. This will help in detoxifying your body and bring out your skin's natural beauty and glow.

Why You Should Eat Breakfast Within an Hour of Waking Up?

Anger is good. It protects you. But intense, uncontrolled anger may destroy valuable relationships. Anger is a result of anxiety and fear. When we assume that our expectations will not be met, we become anxious. When we feel unsure about our own capabilities we become anxious. This anxiety creates fear. Anxiety comes from our beliefs. All beliefs can be modified.

Anger has lots of energy. Avoid arguments/confrontations when you are very angry. When you are very angry you are likely to use rough language which may damage your relations and you are likely to behave impulsively. All this you might regret later on. Following are a few techniques which will help you to manage your anger in difficult situations :

Sit down and have a glass of water, slowly. This will help you to calm down a little.
Avoid or go away from that room or situation. Tell the people concerned, that you are angry and would like to discuss it some other time.
Deep breathing exercises help a lot. Close your eyes, take 10 deep breaths, turn your attention towards your body. See what is happening to your body. Tell your body muscles to relax. If your heart is beating fast, if you are breathing fast, continue deep breathing, till it normalises.
Now understand what is making you angry. Understand your own anxiety and fear related to the issue.
Let the other person know how you are  feeling . Start your statements, I feel hurt/insulted/let down/neglected etc. when you do this , instead of saying  You hurt/neglect me . When you express your feeling in this manner, the other person does not feel blamed, which makes the other person more receptive.
Focus on the current issue, don t bring in past situations.
Tell the other person, what you want or expect, instead of telling what you do not want. E.G. Instead of saying  I don t want you to go out now , say  I would like you to stay at home today .
Listen carefully what the other person wants to tell you. Give others a chance to voice their opinions.
Make an eye contact and be firm but polite while communicating your point of view.
Understand everyone s responsibility in the situation. Try to see, what is your share in the problematic situation? Work on that.
Understand what change you want.
Have realistic expectations from others and also from yourself.

Anger Management - 12 Tips To Help You!

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