Saturday, December 26, 2009

Trusting Your Doctor

I was speaking with a friend who just got results from her doctor, saying her liver enzymes were raised. The doctor advised her not to drink any alcohol. I immediately asked, “Are you taking Ibuprofen?” I knew her knee had been hurting her, and she wasn’t one to avoid over the counter medications. Her response was, “but my doctor said Ibuprofen would not raise my enzymes like that.”

I feel like I’ve heard this type of story a hundred times. You or a friend go to the doctor and something is wrong, and the doctor never gets to the bottom of it. Why? I think the reason is because most doctors fail to listen or ask questions. They’re on a time schedule. They do a quick assessment. They make assumptions. Not all doctors are like this but I feel that far too many are.

Though I’ve had some great doctors in my life, I’ve been disappointed just as many or more times. One of these visits was when I was a fifteen years old. I had my wisdom teeth out. They weren’t quite in yet, but because of previous braces,it was suggested to remove the roots of the wisdoms before they formed, so my teeth wouldn’t become crooked again. And despite how many times I went to the orthopedic surgeon to tell him I was in severe pain, he disregarded it, handing me heavier pain medications. I was taking codeine. The codeine didn’t help much, the pain was so bad. Finally the surgeon on my last visit realized I had an infection and after a few days of antibiotics, my pain was gone! Had I simply believed the doctor was right and my pain was just a result of recovery, what could have happened if the infection had lasted longer?

For my friend, I knew she had gone in to see the doctor because her knees were bothering her. She’s a dancer and her dancing is very hard on her knees. I asked her how much ibuprofen she was taking each day. Knowing painkillers don’t work that great when you’re having chronic severe pain, I knew it was highly likely she was taking too much. It turned out she was taking over the maximum dosage. If the doctor had taken the time to really listen to his patient and ask questions, he would have figured this out. Instead, a patient with ill advice will continue taking the high dose of ibuprofen, further damaging her liver and her intestinal tract, later to find other chronic diseases up ahead.

I feel like our health system severely lacks preventative care. Without a doctor’s listening ear, problems go on unnoticed and as a result health care rises because ailments continue to spike. And when someone gets an ailment such as damaged intestines due to too much NSAIDs usage, autoimmune diseases like “leaky gut syndrome”, IBS, Crohn’s, Lupus, Fibromialgia and RA might be the result. Then what comes next? More painkillers, steroids and other various drugs that will further damage the body, causing more and more harm.

I’m not a doctor, so I can’t say what’s best. And because everyone’s chemistry is different, it’s hard to say how some people will react. But I do think that other choices are out there before you hit the drugs. Exhausting those choices first, in my opinion, is your best bet. For my friend, I can think of a few options off the top of my head that could help. Strengthening the muscles around the knee offer as a natural knee brace. I would suggest that she stops the painful movements in her dance class for a while and instead, works on reinforcing the muscles surrounding her knee. I would make this physical therapy a top priority and a continuous effort. Next, I would use a cream that’s great for the knees and will help bring down the inflammation. And when she’s resting at home and in pain, I would recommend that she elevates her leg and wraps an ace bandage around her knee to help push the swelling out.

Beyond that, of course there’s supplements that will reduce the swelling in her knee instead of using painkillers. For her liver, I would suggest considering three supplements that help the liver function. That I know of, those are milk thistle, N-acetylcysteine and SAM-e. SAM-e is particularly great because it would help her knee and her liver. N-acetylcysteine is a little more complicated because it pulls out toxic metals and requires additional vitamin C. Taking a supplement like Ultra Antioxidant from pro-health would cover the basics of what’s involved with this supplement in particular.

In the end, it’s important that you trust your doctor. If your doctor is not listening and not asking questions, life is too short…find one who will!

[Via http://gentlehugs.wordpress.com]

Tuesday, December 22, 2009

Really, another "cause" of fibromyalgia... how many can there be?

Recent research hypothesizes that the abnormal pain processing associated with fibromyalgia actually occurs because of a problem with the healing process of fasica (the translucent connective tissue over muscle). 1  The idea behind this research is that fibromyalgia is caused by a dysfunctional healing response of injured fascia, that is characterized by inflammation, HPA dysfunction (Hypothalamus, Pituitary, Adrenal axis), leading to central sensitization (highly sensitized nerves that make every sensation painful).

This is a plausible symptom of fibromyalgia, but the question remains, why isn’t the fascia healing normally?  If the answer is inadequate HGH (human growth hormone) production by the pituitary gland (which is mentioned by the author), then the next questions should be, well why isn’t there enough HGH?  The questioning should go on and on until you get to a root cause.  One thing you will discover as you learn more about fibromyalgia, there are probably 50 different hypotheses for the cause of fibromyagia.  I encourage you, when presented with one of these ideas, that you always ask why.  In this case, the proposed cause is the abnormal healing of fascia, but shouldn’t we be asking why isn’t the fascia healing normally? Always continually ask why until you are at the root cause, not just another symptom or side effect of a deeper underlying problem.  I encourage you to go through this line of questioning, knowing that currently, there is not a completely agreed upon cause of  fibromyalgia, but I think it is stress.

Stress in the form of chemical, physical and emotional stressors, that disrupt your body’s normal physiology/function. Once you have come to the conclusion that stress is at the root of your problem (and I firmly believe it is), your plan should be to figure out how to address the stressors in your life, and treat your symptoms without creating more problems as a result of the treatment, as some medications can do.

I’ve got a plan to help you begin tackling this problem, and to help you remove this stress from your life. I use all natural,  drug free, neurologically based treatments to help you reduce stress.  Here is an overview of the plan, but not very many specific. I designed a lot of this plan, and it’s my intellectual property, and part of the value in my care.  It is also part of my competitive advantage.

1) REMOVE

  • Remove all possible chemical, physical and emotional stressors.

2) REPAIR

  • Repair your body…there is a lot more to this.

3) Maintain

  • Continue some aspects of the plan to maintain your health.

That’s basically the overview of how my program and is designed to help patients with fibromyalgia.  This approach is also successful at treating other conditions because it focuses on reducing the cause of so many of our health problems, STRESS.

If you have fibromyalgia our treatment may be able to help you.  Dr. Shook is available for complimentary phone consultations to see if you could benefit from our care.  If you would like to schedule an appointment or if you have any questions, just give us a call at (828) 324-0800, or email Dr. Shook at drshook@alliancechiropracticcenter.com.

1. Liptan GL. 2010. Fascia: A missing link in our understanding of the pathology of fibromyalgia. J Bodyw Mov Ther. Jan;14(1):3-12.

THIS INFORMATION IS PROTECTED BY COPYRIGHT AND IS NOT AVAILABLE FOR DUPLICATION.  WE DO RANDOM SEARCHES FOR THIS MATERIAL ON THE INTERNET.  IF FOUND, YOU WILL BE CONTACTED BY OUR ATTORNEY. THANK YOU FOR RESPECTING OUR TIME AND WORK.

[Via http://drbradshook.com]

God Always Provides a Light

“You, O Lord, keep my lamp burning; my God turns my darkness into light” (Psalm 18:28).

Seventy-year-old George went for his annual physical. All of his tests results were normal. Dr. Smith said, “George, everything looks great physically. How are you doing mentally and emotionally? Are you at peace with yourself, and do you have a good relationship with your God?”

George replied, “God and me are tight. He knows I have poor eyesight, so he’s fixed it so that when I get up in the middle of the night to go to the bathroom, poof! The light goes on, and when I’m done, poof! The light goes off.”

“Wow,” commented Dr. Smith, “That’s incredible!” A little later in the day Dr. Smith called George’s wife. “Thelma,” he said, “George is just fine. Physically he’s great. I’m in awe of his relationship with God. Is it true that he gets up during the night and poof! The light goes on in the bathroom and then poof! The light goes off?”

Thelma exclaimed, “That old fool! He’s peeing in the refrigerator again!”

The Greeks had a unique race in their Olympic games; the winner was not the runner who finished first, but the runner who finished with his torch still lit. We’re often more concerned with the I-wants than with the journey.

There’s a fall season in San Diego when I want to light candles to create a homey atmosphere once the sun goes down. At the same time, the air conditioner still comes on, flickering the candles. I have to choose-do I blow out the candles or turn off the air? I can’t have it both ways. The illnesses in our lives can cause every bit of light within us to flicker and blow, attempting to put out our flame for Christ.

God, I can’t have it both ways; I have to rid myself of some of life’s luxuries and follow Christ in order to keep Your light burning. “Your word is a lamp to my feet and a light for my path,” (Psalm 119:105). Poof! Turn my light on!

ABOUT THE AUTHOR

Lisa Copen is the founder of Rest Ministries and has lived with rheumatoid arthritis and fibromyalgia 16 years. She is trying to figure out how to entertain her 6-year-old over the holidays as she recovers from joint replacement surgery. This is reprinted from her book Mosaic Moments: Devotionals for the Chronically Ill.

[Via http://chronicillnesspaindevotionals.wordpress.com]

Tuesday, December 15, 2009

Repetitive Motion Tied to Trigger Points and Fibromyalgia

Repetitive motion can lead to trigger points, which are very common sources of pain for patients with low back pain, neck pain, headaches, and fibromyalgia just to name a few.1  Repetitive motion injuries are often referred to as cumulative trauma disorders (CTDs).  CTDs are very common in jobs where you repeatedly perform the same movement for most of the day (manufacturing and keyboard work), or where you stay in a static position (working at a desk or standing) without having much variation or break.  Identifying and addressing trigger points are an essential part of treating muscle, joint and nerve pain.  At our clinic we take a comprehensive approach and work with you to reduce and correct the cause of your pain.  If you or someone you know is suffering with pain, trigger points are a likely contributing factor that we have had good success treating.  If you would like a complementary phone consultation with Dr. Shook, please don’t hesitate to give us a call and schedule a time.  (828) 324-0800

  1. Starlanyl, Devin and Copeland, Mary Ellen. 2001. Fibromyalgia & Chronic Myofascial Pain, A Survival Manual 2nd Edition.  Oakland: New Harbinger Publications, Inc.

THIS INFORMATION IS PROTECTED BY COPYRIGHT AND IS NOT AVAILABLE FOR DUPLICATION.  WE DO RANDOM SEARCHES FOR THIS MATERIAL ON THE INTERNET.  IF FOUND, YOU WILL BE CONTACTED BY OUR ATTORNEY. THANK YOU FOR RESPECTING OUR TIME AND WORK.

[Via http://drbradshook.com]

Tuesday, December 8, 2009

Well, Another Change

I’ve decided to change the purpose of this blog to be information about Fibromyalgia, Rheumatoid Arthritis, and how I live with them day in and day out.

This will take all the whining out of the other blogs, put it here (where it will belong), and allow me to make the other blogs more internally consistent.

The next post will define Fibromyalgia and Rheumatoid Arthritis. The posts that follow that will detail treatments, medications, coping, etc., as well as my life with these two debilitating and crippling disease entities.

[Via http://turtlemom2.wordpress.com]

Sunday, December 6, 2009

The Benefits of Medical Marijuana for Chronic Pain Sufferers

December 5, 2009 – Cannabis, otherwise known as marijuana (or marihuana), has been a topic of debate for many years, not only in Canada, but also in several other countries including the U.S. and the U.K. However, while marijuana for recreational use has not been legalized in Canada, medical marijuana use can be granted for medicinal needs.

The Definition of Chronic Pain

Although “chronic pain” seems all encompassing and thus easily used as a reason for medical marijuana use, the organization of Health Canada very clearly defines what can be considered severe enough pain for medical marijuana. With that said, there are many suffering from chronic pain – due to a variety of reasons – with grants for the medical use of cannabis.

Arthritis, headaches and back pain are the most common, but fibromyalgia, carpal tunnel syndrome, neuropathy and phantom limb pain are also common reason for chronic pain. Continuing pain can also be caused by debilitating illnesses such as MS (multiple sclerosis), scoliosis, osteoporosis and others.

Original Treatments for Chronic Pain

For many, medical marijuana use is a “last resort”, used only after several pharmacologic treatments fail. Typically, the first treatments include pain relievers such as aspirin or ibuprofen. Unfortunately, long-term use can cause serious side effects; even if there is pain relief, it can only be in short periods due to the need for short-term use of the “first line” of treatments.

Should the first treatments fail, narcotic opioids such as codeine, morphine and oxycodone are generally prescribed. Although often highly affective, the concern for these types of narcotics is that they have a high possibility for addiction and abuse. As well, their use is also limited, due to possible side effects in higher doses. The withdrawal symptoms for addictive pharmaceuticals can be mild to painfully severe.

Medical Marijuana for Chronic Pain

For those that don’t respond to the first or second line of treatments, medical marijuana may be prescribed. As well, there are those who prefer not to use man-made pharmaceuticals that have a high rate of addiction or serious side effects.

According to Health Canada, “Dependence is unlikely to be problematic when cannabis is used therapeutically, although withdrawal affects may be uncomfortable. These include restlessness, anxiety, mild agitation, irritability, tremor, insomnia and EEG/ sleep disturbance, nausea, diarrhea and cramping.”

Relief from chronic pain, however, far outweighs the possibility of addiction for many:

- Migraines – Severe, incredibly painful and often lasting as long as 72 hours, migraines can cause serious debilitating issues such as nausea, vision changes, vomiting and a high sensitivity to light and sound. Many of the pharmaceuticals used to either stop or lessen the amount of migraines cause the same issues as the onset of the migraines themselves. Often, sufferers stop treatment because it doesn’t work or because the side effects are too severe.

Medical marijuana, on the other hand, has been a well-documented treatment for many years – even throughout the nineteenth century. Cannabinoids have often demonstrated anti-inflammatory effects, as well as dopamine blocking. It is believed by some that one of the causes of migraines is the lack of natural endocannabinoids in the body, which might explain why cannabis works to decrease the pain as well as the symptoms.

- Multiple sclerosis (MS) – MS is a degenerative disease that attacks myelin in the brain and spinal cord. If you imagine nerves to be like electrical wires, myelin is the insulating, protective sheath around the nerves. The autoimmune system treats myelin as a foreign invader, destroying patches of it and leaving nerve fibers exposed, interrupting their normal function. It is debilitating and painful, causing such symptoms as tingling and numbness, painful muscle spasms, tremors, paralysis and more.

Prescribed pharmaceuticals can cause severe, debilitating medical issues such as seizures, abdominal cramps, dizziness, mental disturbances and other problems. Many MS sufferers prefer to self-medicate with marijuana, and have noticed that cannabis helps them control tremors, spasms and bladder control. Tests have also shown that THC helps reduce pain intensity and sleep disturbance significantly.

Although these two illnesses are common for the use of medical marijuana in relieving chronic pain sufferers, the same can be said for rheumatoid arthritis, spinal cord injuries and even phantom limb pain. While more studies need to be performed to explain exactly how cannabinoids and medical marijuana work, the fact that they do work is clear. Source.

[Via http://hempnews.tv]

Saturday, December 5, 2009

Hmph!

So I finally relented and went to see the GP about the nasty acne on my back and he gave me antibiotics for it. Two months’ worth of nasty ones to be precise. And a steroid cream for the contact dermatitis on my finger that’s stopping me from wearing my wedding ring.

So now I feel sick. Damn drugs.

Aside from the annoying acne on my back and the irritating contact dermatitis, things are kind of ok. I have been very busy making Christmas cards, hence the recent absence, and only have one Christmas present left to buy. Still a lot of knitting to do though, so will have to get on with that shortly…

R is much better now, and we hope for more news on L at the end of next week, so maybe more info there in my next post.

Quite boring really…

[Via http://craftgirlfightsthefibro.wordpress.com]

Tuesday, December 1, 2009

I've said it once, and I'll say it again...

The latest research shows that fibromyalgia is a disruption in the way pain is processed by the brain. 1, 2  If you have fibromyalgia, and you are currently being managed by a physician, therapist, or other health care practitioner, how are they treating you for the disruption in central nervous system pain processing?  I hope your health care provider can answer that question, otherwise, your treatment probably isn’t going to change this very important aspect of decreasing, and normalizing your response to a pain stimulus.

We use brain based therapy (BBT), that is focused on strengthening and building the neural networks of the brain.  BBT works, because of a physiological concept called neural plasticity.  Neural plasticity is the brains ability to strengthen and rewire the existing nerve networks inside and between different regions of the brain.  We identify weak areas of the brain, and use specific therapies to stimulate and strengthen these areas.  BBT, has proven clinically, to be very helpful in the treatment of fibromyalgia syndrome, and in the treatment of chronic pain in which states of central sensitization have been developed.

1 Burgmer M, Pogatzki-Zahn E, Gaubitz M, Stüber C, Wessoleck E, Heuft G, Pfleiderer B. “Fibromyalgia unique temporal brain activation during experimental pain: a controlled fMRI Study.” J Neural Transm. (2009) Jan;2(1):26-40.

2 McCabe CS, Cohen H, Hall J, Lewis J, Rodham K, Harris N. “Somatosensory conflicts in complex regional pain syndrome type 1 and fibromyalgia syndrome.” Curr Rheumatol Rep. (2009) Dec;11(6):461-5.

[Via http://drbradshook.com]