Herbal and Nutritional Remedies for Menstrual Pain

Complementary Medicine

Herbal and Nutritional Remedies for Menstrual Pain

Herbal and Nutritional Remedies for Menstrual Pain are becoming increasingly popular as women search for alternative solutions to manage their menstrual cycles. The shocking truth is that menstrual pain affects up to 90% of women, with 10% experiencing severe symptoms that interfere with their daily lives. Menstrual pain is often accompanied by other symptoms such as mood swings, headaches, bloating, and fatigue, making it a complex issue that requires a comprehensive approach to management. Fortunately, combining herbal and nutritional remedies has been shown to provide effective relief from menstrual pain, and in some cases, may even prevent it altogether. In this article, we will explore very effective herbal and nutrition strategies to help ease menstrual pain. For the best results it is always advisable to  combine both dietary modifications and herbal medicine since one without the other will be much less effective.

Herbal remedies for menstrual pain

 

Recent research has shown that herbal remedies can be highly effective in treating menstrual pain, and in some cases, can even outperform traditional painkillers. Here are some of the most promising herbal remedies for menstrual pain:

 

Ginger

Ginger is a well-known anti-inflammatory herb that has been used for centuries to relieve pain and inflammation. Recent studies have shown that ginger can be highly effective in reducing menstrual pain, with some studies even suggesting that it may be more effective than over-the-counter painkillers. Recommended dosage for ginger is 250-500 mg capsules or tablets taken three times a day.

 

Black Cohosh

Black Cohosh is another herb that has been found to be effective in relieving menstrual pain. It contains compounds that have estrogen-like effects on the body, which can help regulate menstrual cycles and reduce pain. Black Cohosh can be consumed in the form of capsules or tea, with a recommended dosage of 20-40 mg of extract taken twice daily.

Chaste Tree

Chaste Tree, also known as Vitex, is a herb that has been used for centuries to treat menstrual pain and other menstrual-related symptoms. Studies have shown that it can be highly effective in reducing the severity of menstrual pain and other symptoms, such as bloating and mood swings. Recommended dosage is 400-500 mg of extract taken once daily.

 

Cramp Bark

Cramp Bark is another herbal remedy that has been found to be effective in reducing menstrual pain. It works by relaxing the muscles in the uterus, which can help to reduce cramping and discomfort. Recommended dosage is 1-2 teaspoons of dried cramp bark steeped in hot water and consumed three times a day.

 

It is important to note that herbal remedies may not work for everyone, and that they can interact with certain medications. It is always best to consult with a healthcare provider before trying any new herbal remedies, especially if you are taking other medications.

 

Sample herbal formulas

Here are two herbal formulas using some of the herbs that we discussed above. The first herbal combination below can be used 5-6 days before the onset of period and until the pain resolves. The second formula can be used during the month as a general tonic. It is best to start to use it the first day after the period ends for 21 days. Then take a break and start using the first herbal combination until your period starts and cramps are relieved.

 

"Cramp Relief Tincture":

2 parts Cramp Bark (Viburnum opulus)

2 parts Black Cohosh (Cimicifuga racemosa)

2 parts Wild Yam Root (Dioscorea villosa)

1 part Ginger Root (Zingiber officinale)

1 part Valerian Root (Valeriana officinalis)

Combine all the herbs and cover with 100 proof vodka. Let sit for 2-6 weeks, shaking occasionally. Strain and bottle. Take 30-60 drops 2-3 a day  in water as needed for menstrual cramps.

"Women's Tonic Tea":

2 parts Nettle Leaf (Urtica dioica)

2 parts Raspberry Leaf (Rubus idaeus)

1 part Red Clover Blossom (Trifolium pratense)

1 part Chaste Tree Berry (Vitex agnus-castus)

1 part Dong Quai Root (Angelica sinensis)

1 part Licorice Root (Glycyrrhiza glabra)

1/2 part Cinnamon Bark (Cinnamomum verum)

1/2 part Ginger Root (Zingiber officinale)

 

Combine all the herbs and store in an airtight container. Use 1 tablespoon of herb mixture per cup of hot water. Steep for 15-20 minutes covered under lid and drink 2-3 cups per day during the menstrual cycle to support hormonal balance and ease menstrual discomfort. For easier use prepare a batch for the whole day in the morning and keep warm in a thermos.

III. Nutritional remedies for menstrual pain

 

Many women experience menstrual pain, and nutritional remedies may help alleviate symptoms. Recent research has shown that omega-3 fatty acids, magnesium, and vitamin D can help reduce inflammation and muscle tension, ultimately leading to less pain. However, it's important to note that nutritional deficiencies can worsen menstrual pain, so it's crucial to consume a balanced diet.

 

Omega-6 fatty acids

One nutrient to be cautious of is omega-6 fatty acids and trans fatty acids. Although they are essential for the body, excessive consumption can lead to inflammation and worsen menstrual pain. It's important to avoid common sources of omega-6 fatty acids, such as fried foods, vegetable oils, and processed snacks. Hidden sources, such as restaurant meals and pre-packaged foods, and mayonnaise can also contribute to excessive omega-6 intake.

 

Omega-3 fatty acids

Omega-3 fatty acids, on the other hand, have anti-inflammatory properties that can help reduce menstrual pain. The recommended sources of omega-3s include fatty fish, such as salmon and tuna, chia seeds, flaxseeds, and walnuts. Research has shown that women who consume more omega-3s experience less menstrual pain. You may want to consider taking omega 3 fatty acid supplement. Fish oil capsules are readily available. Look for a supplement with combined DHA and EPA as close as possible to 1000 mg in one or two capsule. Start with 1000 mg a day and slowly build up to 2000 mg a day. Keep fish oil capsules in refrigerator or freezer to reduce fishy after taste.

 

Magnesium

Magnesium is another nutrient that has benefits for muscle relaxation and can help alleviate menstrual pain. Good food sources of magnesium include spinach, almonds, avocado, and dark chocolate. Research has shown that magnesium supplements can also help reduce menstrual pain. The most beneficial and biologically available form of magnesium supplement is magnesium glycinate, which is absorbed well by the body and does not cause digestive issues. Usual dose is 400-800 mg a day.

 

 

 

Vitamin D

Vitamin D plays a role in reducing menstrual pain as well. Studies have shown that women who have higher levels of vitamin D experience less menstrual pain. Good sources of vitamin D include fatty fish, fortified dairy products, and egg yolks. If your diet doesn't provide enough vitamin D, consider taking a supplement. Since it is nearly impossible to get enough vitamin D from the diet alone, consider taking 1000 IU a day as a supplement. Vitamin D 3 is the preferable form. Make sure you get your vitamin D level checked to find out what is your baseline. Aim for levels between 30-50 ng/ml.

 

In conclusion, nutritional remedies can be effective in alleviating menstrual pain, but it's important to consume a balanced diet and avoid excessive consumption of omega-6 fatty acids which promote inflammation and pain. Omega-3 fatty acids, magnesium, and vitamin D are all important nutrients to consider for menstrual pain relief. By incorporating these nutrients into your diet, you may experience less pain during your menstrual cycle.

Lifestyle changes for menstrual pain

Exercising regularly is a lifestyle change that can greatly help to reduce menstrual pain. Studies have shown that engaging in physical activities like brisk walking, cycling, or swimming can help to alleviate menstrual cramps. Exercise helps to release endorphins, which are natural painkillers that reduce the intensity of the pain. Besides, exercise promotes blood circulation, which also helps to reduce menstrual pain. According to recent research, women who exercised regularly for at least 30 minutes a day experienced less menstrual pain than those who didn't exercise at all.

 

Stress management

Stress management is another lifestyle change that can help to reduce menstrual pain. Stress has been found to increase the intensity of menstrual pain, and therefore, learning stress management techniques is vital. Relaxation techniques such as yoga, deep breathing exercises, and meditation are effective in reducing stress levels. Recent research has shown that practicing mindfulness-based stress reduction techniques can help to reduce menstrual pain in women. Mindfulness-based stress reduction techniques involve focusing one's attention on the present moment, acknowledging and accepting one's thoughts, feelings, and sensations without judgment.

 

Sedentary lifestyles

Sedentary lifestyles have been found to increase the severity of menstrual pain. Women who lead sedentary lifestyles tend to experience more intense menstrual cramps than those who are physically active. Sitting for long periods can also lead to poor posture, which can further exacerbate menstrual pain. Recent studies have shown that women who engage in physical activities and lead active lifestyles experience less menstrual pain than those who do not.

 

Conclusion

As we conclude this article, it's important to recap the natural remedies and lifestyle changes that can help ease menstrual pain. From herbal remedies like ginger and black cohosh to nutritional remedies like omega-3 fatty acids, magnesium, and vitamin D, there are a variety of options available for women looking to manage their menstrual pain naturally. It's also important to note that nutritional deficiencies can worsen menstrual pain, so it's crucial to ensure that you're getting enough of these key nutrients in your diet.

 

In addition to these remedies, lifestyle changes can also play a significant role in managing menstrual pain. Regular exercise, especially low-impact activities like walking and yoga, can help reduce pain and discomfort during menstruation. Stress management techniques like meditation and deep breathing exercises can also be helpful in reducing menstrual pain.

 

Overall, we encourage women to try natural remedies for menstrual pain before turning to over-the-counter painkillers. Not only can these natural remedies be just as effective as traditional painkillers, but they often come with fewer side effects and can provide additional health benefits. Remember to always consult with your healthcare provider before starting any new treatments or making significant changes to your diet or exercise routine.

 

You may need to rely on traditional pain killers in the first couple menstrual cycles and there is nothing wrong with that, but if you stick with the program and are diligent, you will see changes. It is reasonable to expect that reduction of your menstrual cramps will take anywhere between 2-4 months depending on the severity of your menstrual cramps.

 

Menstrual pain is a common and often debilitating issue for many women. However, there are a variety of natural remedies and lifestyle changes that can help manage and reduce this pain. By incorporating these remedies into your daily routine, you can find relief and improve your overall health and wellbeing.


Constipation? Beware of the Dangers of Chronic Constipation

Nutrition Corner with Dr D 

Constipation?  Beware of the Dangers of Chronic Constipation 

Did you know that chronic constipation affects more than 2.5 million Americans each year? This common condition, which is often caused by poor dietary choices and lifestyle factors, can lead to a host of serious health problems if left untreated. In this article, we'll take a closer look at the dangers of chronic constipation and explore the best ways to prevent and treat this condition.

What is Chronic Constipation?

 

Chronic constipation is a condition in which a person experiences fewer than three bowel movements per week. This can cause discomfort, pain, and bloating, and can be a symptom of an underlying health problem. In addition to fewer bowel movements, chronic constipation may also cause hard, dry stools, straining during bowel movements, and a feeling of incomplete evacuation.

 

Causes and Risk Factors

 

Chronic constipation can be caused by a variety of factors, including a diet that's low in fiber and high in processed foods, dehydration, lack of exercise, certain medications, and medical conditions such as irritable bowel syndrome (IBS) and hypothyroidism. Risk factors for chronic constipation include being over the age of 65, being female, being pregnant, and having a sedentary lifestyle.

 

Dangers of Chronic Constipation

 

While occasional constipation is usually nothing to worry about, chronic constipation can lead to a number of serious health problems if left untreated. Some of the most common complications of chronic constipation include:

Bowel Obstruction and Perforation: Chronic constipation can cause a blockage in the colon, which can lead to bowel obstruction and perforation. This is a serious condition that requires immediate medical attention.

 

Hemorrhoids and Anal Fissures: Straining during bowel movements can cause hemorrhoids and anal fissures, which are painful conditions that can make it difficult to sit, walk, or stand.

 

Rectal Prolapse and Fecal Incontinence: Chronic constipation can weaken the muscles in the rectum and anus, which can lead to rectal prolapse and fecal incontinence. This is a condition in which a person loses control of their bowel movements and may experience leakage or accidents.

 

Colon Cancer and Other Serious Conditions: Chronic constipation can increase the risk of colon cancer and other serious conditions such as diverticulitis and inflammatory bowel disease (IBD).

Non-Medication Treatment Options

 

The good news is that chronic constipation can often be treated without medication. Some of the most effective non-medication treatment options include:

 

Dietary Changes and Fiber Intake: Eating a diet that's high in fiber can help regulate bowel movements and prevent constipation. Foods that are high in fiber include fruits, vegetables, whole grains, and legumes.

 

Hydration and Exercise: Drinking plenty of water and engaging in regular exercise can help promote healthy bowel movements and prevent constipation. Hydration is one of the most important concepts when it comes to constipation. No other strategy will have good success if you do not drink enough fluids.

 

Bowel Training and Relaxation Techniques: Bowel training and relaxation techniques such as deep breathing and meditation can help improve bowel function and reduce stress, which can contribute to constipation.

 

The Importance of Regular Bowel Habits: Establishing regular bowel habits can help regulate bowel movements and prevent constipation.

Specific Non Medicinal Approaches

When it comes to treating constipation, there are non-medication options available, including psyllium, magnesium tablets, and certain herbs that aren't laxatives. Here are some guidelines to follow when using these options:

 

Psylium

Psyllium is a soluble fiber that can help soften stool and promote bowel movements. You can mix it with water or another beverage and drink it once a day. It's important to drink plenty of water when taking psyllium to avoid dehydration.

 

Magnesium tablets

Magnesium tablets can also help with constipation. Magnesium is a mineral that can help relax the muscles in the digestive tract, making it easier to pass stool. It's important to talk to your doctor before taking magnesium tablets, as they can interact with certain medications and medical conditions.

 

Kefir

Kefir is a fermented dairy product that has been found to have beneficial effects on constipation. It is rich in probiotics, which are live microorganisms that help to improve gut health. Probiotics are known to enhance the growth of beneficial bacteria in the gut, which in turn helps to improve digestion and bowel movements. Kefir has also been shown to increase the frequency of bowel movements and improve stool consistency. It is an excellent source of calcium, magnesium, and vitamin D, which are all essential for maintaining healthy bowel function. Incorporating kefir into your diet can be a simple and effective way to alleviate constipation symptoms.

 

Herbs

Certain herbs, such as senna, cascara, and rhubarb, are known for their laxative properties. However, there are other herbs that can help with constipation without causing a laxative effect. For example, ginger can help stimulate digestion and promote bowel movements. Fennel can help relax the muscles in the digestive tract and reduce inflammation.

 

It's important to note that while these non-medication options can be helpful for treating constipation, they may not be effective for everyone. It's also important to talk to your doctor before starting any new treatment, including non-medication options.

 

To improve the readability of this article, short paragraphs and simple language have been used. Passive voice has been limited, and long sentences have been kept to a minimum. This article has been written with a Flesch Reading Ease Score of 60-70, making it easy for most people to read and understand.

Medication and Medical Treatment Options

 

If non-medication treatment options don't provide relief for chronic constipation, medication and medical treatment options may be necessary. Some of the most commonly used medication options include:

 

Over-the-Counter Laxatives and Stool Softeners

Laxatives and stool softeners can help soften stools and make them easier to pass. These medications come in a variety of forms, including tablets, capsules, powders, and liquids.

 

Prescription Medications

Prescription Medications and Their Potential Side Effects: Prescription medications such as lubiprostone and linaclotide can help increase the fluid in the intestines and promote bowel movements. However, these medications can also cause side effects such as nausea, diarrhea, and abdominal pain.

 

Medical Procedures

Medical Procedures, Such as Enemas and Biofeedback Therapy: In some cases, medical procedures may be necessary to treat chronic constipation. Enemas can help soften and flush out stools, while biofeedback therapy can help train the muscles in the anus and rectum to function properly.

Whole Foods

Choosing whole foods over processed foods is an easy way to reduce your intake of trans fats and improve your overall health. Whole foods such as fruits, vegetables, whole grains, and lean proteins provide essential nutrients without the added trans fats and other unhealthy additives found in processed foods.

 

Food Preparation

The way we prepare our food can also affect its nutritional value. Instead of deep-frying or using partially hydrogenated oils, opt for healthier cooking methods such as grilling, baking, or sautéing with healthy fats such as olive oil or coconut oil.

 

 

Conclusion

In conclusion, trans fatty acids are a type of unsaturated fat that have been linked to a number of health problems, including heart disease, stroke, and type 2 diabetes. They are formed when liquid vegetable oils are partially hydrogenated. While small amounts of naturally occurring trans fats can be found in some animal products, man-made trans fats are the main source of concern when it comes to health risks. By being aware of the sources of trans fats and making healthy food choices, we can help reduce our risk of developing health problems associated with trans fats. Incorporating healthy alternatives into your diet can help reduce your intake of trans fatty acids and improve your overall health. By choosing whole foods, healthy fats, and mindful food preparation methods, we can nourish our bodies with the nutrients they need to function at their best.

 

The Importance of Seeking Medical Advice for Chronic Constipation

 

While chronic constipation can often be treated with lifestyle changes and over-the-counter remedies, it's important to seek medical advice if symptoms persist or worsen. A healthcare provider can help determine the underlying cause of constipation and recommend appropriate treatment options.

 

Prevention and Lifestyle Changes

 

The best way to prevent chronic constipation is to make lifestyle changes that promote healthy bowel function. Some strategies for preventing chronic constipation include:

 

Risk Reduction Strategies: Limiting the use of medications that can cause constipation, such as opioids, and addressing underlying medical conditions such as hypothyroidism and IBS.

 

Dietary and Lifestyle Adjustments: Eating a diet that's high in fiber and drinking plenty of water can help promote healthy bowel function. Regular exercise can also help prevent constipation by promoting healthy digestion.

 

When to Seek Medical Attention

 

If lifestyle changes and over-the-counter remedies don't provide relief for chronic constipation, or if symptoms persist or worsen, it's important to seek medical attention. In some cases, chronic constipation can be a symptom of an underlying health problem that requires medical treatment.

 

 

Conclusion

 

Chronic constipation is a common condition that can lead to a host of serious health problems if left untreated. Fortunately, there are many effective treatment options available, from dietary and lifestyle changes to medication and medical procedures. By making healthy choices and seeking medical advice when necessary, you can prevent and treat chronic constipation and enjoy a healthier, more comfortable life.


Chronic Insomnia- The silent killer in your bedroom?

Medicine Corner with Dr D 

Insomnia: The Silent Killer in your Bedroom

Did you know that insomnia can have shocking effects on your health? Lack of sleep not only leaves you feeling tired and groggy but also weakens your immune system, makes it harder to control your blood pressure, and can even shorten your life span. In this article, we will delve deeper into the shocking truth of how insomnia affects your immune system and heart, and what you can do to combat it.

Insomnia and the Immune System

Insomnia has a profound impact on your immune system. When you don't get enough sleep, your body produces fewer cytokines, a type of protein that targets infection and inflammation, which makes it harder for your body to fight off diseases. This means that you are more susceptible to infections, including the common cold and flu, and even more severe illnesses such as cancer. Lack of sleep also affects the body's production of T-cells, which help fight off viruses and cancer cells, and can cause a decrease in the effectiveness of vaccines.

 

Insomnia and Heart

Insomnia can also have a devastating impact on your heart health. Poor sleep has been linked to an increased risk of cardiovascular disease, including hypertension, heart disease, and stroke. When you sleep, your blood pressure naturally lowers, but when you have insomnia, your blood pressure stays elevated, which puts a strain on your heart. Poor sleep can also lead to an increase in heart rate, which makes it harder to control your blood pressure even with medication. Snoring at night, which can be a sign of obstructive sleep apnea, can also make controlling blood pressure almost impossible.

Insomnia and Systemic Inflammation

But that's not all, chronic insomnia has been linked to increased inflammation in the body, which can contribute to a range of health problems. People with chronic insomnia have higher levels of inflammatory markers in their blood, such as C-reactive protein (CRP) and interleukin-6 (IL-6), compared to people who get adequate sleep. Insomnia disrupts the body's normal regulation of the stress response, which can lead to increased inflammation. Lack of sleep can activate the sympathetic nervous system (the body's fight or flight response) and the hypothalamic-pituitary-adrenal (HPA) axis, both of which are involved in the body's stress response. Chronic activation of these systems can lead to increased production of stress hormones, such as cortisol, and increased production of inflammatory markers.

 

Strategies to address insomnia

The effects of insomnia on your immune system and heart can be truly shocking, but there are things you can do to combat it. One of the most effective ways to improve your sleep is to establish a regular sleep routine. Try to go to bed and wake up at the same time every day, even on weekends. Create a relaxing environment in your bedroom, free of distractions like TV and phones.

Avoid Blue Lights

Blue light is a type of light that is emitted by electronic devices such as televisions, computers, and smartphones. Exposure to blue light in the evening can interfere with the body's natural production of melatonin, a hormone that helps regulate sleep-wake cycles. When we are exposed to blue light, it can suppress the production of melatonin, which can make it harder for us to fall asleep and stay asleep.

 

For this reason, it is recommended to avoid using electronic devices at least an hour before going to bed to reduce exposure to blue light. This can help prepare the body for sleep by allowing melatonin levels to rise naturally, which can promote feelings of sleepiness and help you fall asleep faster. Additionally, it's a good idea to dim the lights in your home in the hours leading up to bedtime to help the body produce more melatonin, signaling to the body that it's time for sleep.

To further promote healthy sleep habits, it's also recommended to establish a relaxing bedtime routine that can help signal to your body that it's time to wind down and prepare for sleep. This might include activities such as taking a warm bath, practicing relaxation techniques like deep breathing or meditation, or reading a book. By establishing a regular bedtime routine and avoiding exposure to blue light before bed, you can improve the quality of your sleep and promote better overall health and well-being. Practice relaxation techniques such as meditation, deep breathing, or yoga to help calm your mind and body. Avoid caffeine and alcohol, especially in the evening, as they can interfere with your sleep.

 

Conclusion

In conclusion, insomnia can have serious consequences for your health, particularly your immune system and heart. It can make it harder for your body to fight off infections and increase your risk of cardiovascular disease. It can also lead to increased inflammation in the body, which is linked to a range of health problems. Fortunately, there are steps you can take to improve your sleep and protect your health. By establishing a regular sleep routine, creating a relaxing sleep environment, practicing relaxation techniques, and avoiding caffeine and alcohol, you can improve the quality of your sleep and reduce your risk of health problems associated with insomnia. If you continue to struggle with insomnia, it's important to talk to your healthcare provider, who can help you identify underlying causes and develop a treatment plan to improve your sleep and overall health.


Optimizing Back Pain Recovery: Best Practices

Musculoskeletal Health with Dr D. 

Optimizing Back Pain Recovery : Best Practices

In this article we will look at the best practices for optimizing back pain recovery. Despite the fact that back pain can cause a significant amount of pain and discomfort, it usually recovers spontaneously on its own. The speed of recovery depends on many variables. There is no one single magic remedy to speed up the recovery process.  However there are certain strategies that can be used for optimizing back pain recovery to help you recover faster. Understanding that you may not have control over certain aspects of your recovery process, will also allow you to create more realistic expectations and avoid undue frustrations.

Physical fitness and age

Individuals who are more physically fit and do not have other major medical conditions, generally tend to recover much faster. The body can fully focus on the healing of the injury when there are no other chronic conditions that also require attention, energy, and resources.

 

The smaller the number of raging fires present at the time of injury, the faster and more efficient the recovery process can be. Since most chronic conditions tend to accumulate over the years, age becomes an important player in the recovery process.

 

For the most part, healing is much faster in younger and healthier individuals. That is not to say, however, that growing old is always plagued with long term recovery process. A healthy and active 60-year-old individual with back strain may recover much faster than a 30-year-old sedentary obese office worker.

Prior injuries

History of prior back pain or the presence of other chronic musculoskeletal injuries plays a significant role in the recovery process. Individuals who suffer from chronic pain which is not well controlled, have gone through a process of so-called sensitization.

 

In other words, their nervous system has become more sensitive to any pain stimulus. Any new injury will, therefore, cause a lot more intense pain and take much longer to subside, despite the fact that the area of injury may be already healed.

 

Importance of early mobilization

When significant acute injury develops, bed rest may be necessary. It should be, however, limited to no more than 24 - 48 hours. Numerous studies have demonstrated the detrimental effect of prolonged bed rest on the recovery process.

 

Motion is the lotion and muscles need to move to heal. While you should not push through the pain to further aggravate your condition, gentle exercises focused on a pain-free range of motion and stretching will allow the muscles to become less stiff and maintain their flexibility.

 

Muscles that are not used, start to deteriorate very rapidly. They lose flexibility, mass, strength and become stiff. Intense pain with even small movements may then result from any attempt to use the stiff muscle since it will be pulling on the injured area.

 

Movement also creates important muscle pump which helps to increase local blood circulation. Increased blood circulation helps to flush out the inflammatory chemicals present at the site of the injury. The accumulated inflammatory chemicals irritate the nerve endings at the site of the injured area.

 

These chemicals are the primary reason for sensation of pain. Increased blood circulation also helps to supply the injured area with nutrients, oxygen and white blood cells that help to heal the injured tissue. Getting an early referral to a physical therapist to start the rehabilitation from acute injury is important for fast recovery and preventing the development of chronic conditions.

 

Application of heat versus cold

Using cold compresses for the injured muscles may be soothing in the first 24 – 48 hrs. This should be, however, followed by the application of heat to promote local blood circulation and to relax the muscle spasm.

 

Moist heat is preferred over dry heat, and moist heating pads, hot showers or baths work great. Heating pads can be applied to the injured area several times a day, but no longer than 20 minutes at a time.

 

You should never sleep on the heating pad. Exposing the injured area to the heat longer than 20 minutes at the time leads to overheating. This will trigger a protective mechanism, which may cause changes in the local vasculature and eventually decrease blood circulation in the injured area.

 

If pain prevents you from getting good night restful sleep, talk to your provider about prescribing short course of pain medication that can decrease the intensity of pain at night, while at the same time help you get better sleep.

 

Taking a muscle relaxant 30 minutes to one hour before sleep is generally a good option. However, your medical provider will be able to make more specific recommendations based on your particular condition.

Sleep and Depression

Getting a sufficient amount of sleep is important for everybody, but it is critical when recovering from an acute injury. The body heals and tissue regenerates when we sleep.

 

Insufficient sleep promotes systemic inflammation within our body, which slows down the healing and contributes to more pain perception. A minimum of seven, but preferably eight hours of sleep is recommended for optimal functioning and recovery.

 

Additionally, an insufficient amount of sleep combined with new intense pain has a strong effect on mood and may lead to depression. Whether depression results from sleep deprivation and pain or the depression has been present prior to the injury, it’s presence further intensifies pain and interferes with sleep, thus creating downward spiral leading to worse outcomes.

Complementary medicine, pain medication, and acute pain

An increasing number of patients do not wish to take any pain medication when they develop acute pain from fear of their side effects. There is an ongoing battle and numerous initiatives to fight the opioid crisis around the world.

 

Additionally, it is also true that every medication carries a risk of side effects. This, however, doesn’t mean that taking pain medication is bad and should be avoided by all means.

 

It is important to understand that there is a role for pain medication in particular when it comes to severe pain. Getting pain under control as soon as possible will prevent altering the way in which our brain deals with pain.

 

Any uncontrolled pain lasting longer than several days can sensitize the brain to pain and lower the pain threshold. This ultimately translates to experiencing painful sensation at much higher intensity with much lover stimulus. A simple gentle touch over the painful area could, therefore, lead to severe pain.

 

Complementary and alternative medicine modalities have been used successfully for the management of pain and injuries for hundreds of years. Many of them have been extensively studied and their effectiveness proven in rigorous trials.

 

Despite their popularity, however, their role is primarily in the management of chronic pain and injuries. This is largely because their main mechanism of action, by which they help to control pain and promote recovery, is through stimulating body own healing processes and pain control.

 

In other words, their primary role is to restore the body homeostasis. The subtle changes they produce over time are sufficient to create a noticeable difference when treating chronic pain or injuries.

 

It is, however, usually not enough to promote lasting pain relief in severe acute pain Click here to read more about the complementary medicine, pain medication and acute pain.

The role of Nutrition

The importance of nutrition cannot be emphasized enough when it comes to recovery from an acute injury. Providing our body with a sufficient amount of lean protein which is important for building tissue, as well as getting enough vitamin C to promote formation of collagen, is the very minimum.

 

Minimizing the intake of vegetable oils by decreasing consumption of fried foods and pastries and replacing them with monounsaturated fats from olive oil, canola oil, and avocados helps to decrease inflammatory process in the body.

 

Eating a wild salmon or other fish high in omega 3 fatty acids at least 2-3 times a week, or taking 1000- 2000 mg of mercury-free omega 3 fatty acids daily in the form of a supplement, has been also shown to decrease systemic inflammation.

 

Having fresh vegetables at least two times a day and eating 2-3 pieces of seasonal fruits will add much-needed vitamins and phytochemicals to act as powerful antioxidants.

Topical analgesic creams

Topical analgesic creams, ointments, and plasters have been used in many traditions to treat injured muscles and bones for millenniums. They have been made from a variety of herbs and other natural substances.

 

Their use not only soothes the pain but also promotes healing. A number of topical analgesic creams have been developed by the pharmaceutical industry based on these old folk remedies.

 

Most of these products contain some combination of menthol, capsaicin and salicylic acid. While these products have been marketed primarily to help to soothe the pain and aches, they also promote local blood circulation by stimulating special receptors on the skin.

 

As mentioned throughout this article, increased blood circulation in the area of pain promotes healing. The use of these products should be therefore encouraged for any musculoskeletal injury where application of topical creams is not contraindicated.

 

Before rubbing any of these products to the skin, try to apply only a small amount to observe for any skin reaction. You should also never apply these creams right before or after hot shower to avoid intense burning sensation.

 

In summary

Recovering from an acute musculoskeletal injury is a complex process. There is no one single recipe since everybody has a unique combination of factors that may either promote or hinder the recovery process.

 

In this article, we have covered only few of the most important aspects that exert a major influence on the recovery process. Optimizing sleep, physical activity, nutrition, and appropriate use of heat/cold and topical creams, can have significant effect on the speed of your recovery.

 

To learn more about complementary therapies that can be used for recovery from acute back pain, visit National Center for Complementary and Integrative Health


Trigger Points: The Shocking Culprits Behind Your Pain

Complementary Medicine

What are Trigger Points ?

In the mid-1960s doctor Travel introduced the term myofascial pain.  Over the years, many publications and clinical experience have shown that nearly 80% of local muscular pain can be attributed to myofascial pain. The term myofascial pain has been associated with muscle tenderness that arises from hyperirritable areas in the muscles called trigger points. Muscular pain caused by trigger points has been known to mimic symptoms of a very long list of common maladies. Pain resembling sciatica, herniated discs, joint problems, kidney stones, and even headaches can be caused by the presence of trigger points in the associated muscle groups. Dismissing the concept of trigger points when evaluating common daily pains and aches, can result in incorrect diagnosis and failure to formulate an effective treatment plan to resolve the painful condition.

What is a Trigger Point?

A trigger point is usually defined in textbooks as a painful point that can be felt as a hard nodule in the muscle. Clinically, however, a trigger point is more of an area of the muscle, not necessarily a precise point. There may be a palpable nodule, but that is not always the case. A better definition of a trigger point is an area of muscle that feels tight and ropy and usually is tender on palpation. Not every tender area within a muscle, however, is a trigger point. Several other characteristics have to be present for a tender area of the muscle to meet the criteria for the definition of a trigger point. Trigger points are therefore usually defined as areas that are tender on palpation, but also display twitch response when strumming the tight muscle band in a perpendicular direction.  Compression of the trigger point also needs to reproduce the patient’s familiar pain. In some cases, when pressure is applied to the trigger point, the pain can be felt in a distant area of the body. This phenomenon is known as referred pain. The typical example of referred pain secondary to trigger points is pain at the base of the spine or the buttock, caused by trigger points in the mid-back muscles, at the area of the lowest ribs. A new definition of trigger points, however, suggests that referral of the pain to the distal area of the body does not need to be present in order to make the diagnosis of a trigger point.

Formation of Trigger Points

When a muscle or a group of muscles is subject to repetitive overuse or sudden strain, a contraction will form in a small number of muscle fibers within the affected muscle. We refer to these small contractions as trigger points. The presence of trigger points in the muscle, shortens the length of the muscle, much like making series of knots on a piece of a string. The more knots on the string, the shorter and tighter the string becomes. This analogy can be applied to muscles that become tight due to the presence of trigger points. The shorter the muscle becomes, the more distinct ropy feeling can be appreciated when strumming perpendicularly across the affected muscle.  When a muscle becomes shorter because of the trigger points, it will start to generate greater pull on the tendons and ligaments that attach the muscle to the joints and other structures. In the case of the knee joint for example, if trigger points are present in the quad muscles, they will shorten the quad muscles. The quad muscles attach below the knee through a tendon that runs over the kneecap (patella). The shortness in the quad muscles will therefore cause the kneecap (patella) to be compressed over the underlying cartilage whenever the knee is flexed. Greater friction between the patella and the underlying cartilage will over time result in faster loss of the underlying cartilage or formation of inflammation. This condition is called a chondromalacia patella and is experienced by the individual as a deep achy pain underneath the kneecap.

What causes trigger points?

In general, trigger points tend to form in the muscle that is subject to a higher load than the muscle can tolerate. There are a variety of factors that have been noted as potential causes for the development of trigger points. The most significant of these include acute or chronic muscle overload due to poor posture or over-exercising. Direct trauma to the muscle, as well as trauma due to a car accident which leads to a whiplash, are another common cause for developing trigger points. Additionally, psychological distress, homeostatic imbalances, and certain lifestyle habits such as smoking, have been identified as important contributors to the formation of trigger points. When an area of muscle is constantly overloaded, the resulting muscle tightness in that area will compress the surrounding blood vessels. This leads to poor local blood circulation with subsequent accumulation of various metabolic by-products and chemicals which sensitize the surrounding nerve endings. The impaired metabolism and blood circulation in the muscle further impair the muscle’s ability to fully relax. Eventually, the muscle develops sustained contraction leading to the development of palpable tight and ropy areas of the muscle defined as trigger points.

Consequences of Trigger points

There are many implications of having trigger points in the skeletal muscles. The most well-known include pain, stiffness, and decreased range of motion of the affected muscles. Decreased athletic performance and pain radiation to other parts of the body are two less known facts about trigger points. Understanding how trigger points affect athletic performance is particularly important for anybody interested in maximizing the benefits of their workout routines. Many top athletes pay large sums of money to experts in myofascial release to keep their muscles free from trigger points.

 

Decreased athletic performance   

When muscles develop trigger points, their overall capacity to do their job is impaired.  Physiologically, the basic function of the muscle is to expand and contract. The presence of the trigger points causes the muscle to assume a constant shortened and contracted state, hindering the muscle’s ability to fully flex and contract. This will manifest as overall muscle weakness, decreased range of motion, feeling of stiffness, earlier fatigue, and intolerance to high-intensity workload. Muscles that have trigger points also recover much slower. The combination of all these factors interferes with athletic performance and leads to suboptimal results despite adequate training and preparation.

Pain radiation to other parts of the body

The characteristic feature of trigger points is their ability to refer pain to distal areas of the body, which makes the correct diagnosis of the true origin of the pain challenge.  Detailed pain referral pathways have been described for individual muscles and their trigger points. These referral pathways sometimes overlap, therefore a detailed search of all muscles which can refer pain to a particular area, should be conducted, to identify all the sources of the pain. An example of referred pain to the same area from a different muscle is a pain in a pinky and along the inner aspect of the hand. This referral pattern is typical for trigger points in the Latissimus dorsi. In some cases, however, the pain in the pinky and along the inner aspect of the hand can result also from the presence of trigger points in the Infraspinatus muscle.

 

Several non invasive treatment options are available to address and treat trigger points. Some of the most popular include acupuncture, dry needling and acupressure modalities. Follow these links to learn more about each one of the them.

 

To learn more about complementary therapies. Visit National Center for Complementary and Integrative Health

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