CHRONIC PAIN HERO ONLINE JOB OPPORTUNITIES

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Chronic Pain can't control everything we do. It's a hard thing to overcome Chronic Pains. I've met a few folks with fibromyalgia and neck pains and lower back pains. I've even met folks with pure D Hell Sciatica.

The lumbar, thoracic, cervical to the entire spine to the thigh bone and it makes you wanna say connected to the hip bone...it ain't really funny but after being in chronic pain for as long as some of us, you just laugh to keep from crying.

Nerve Damage: Diabetic neuropathy is a serious complication of diabetes that affects millions of people every day. Nerves damaged by diabetic neuropathy can cause stinging or burning sensations, tingling, pain, numbness or weakness in the hands and feet. Diabetic neuropathy puts you at risk for foot injury, infection, even amputation.

Diabetic Socks for Foot Pain and Neuropathy

When you go to your health care team for acute pain they will do their best to determine the type of pain you have. Here are some of the questions your health care team may ask you:

*Where is your pain?
*Point to any area on your body where there is pain.
*What does the pain feel like?
*Use your own words to describe your pain. Examples of words that may help you describe what you are feeling are :cramping, pressure, burning, tingly, numb, shooting, sharp, aching, or throbbing.
*How much does it hurt?
*You will be asked to describe or rate your pain using one of the following three methods: Number scale that uses numbers from 0-10; Word scale that uses words; Face scale that uses pictures

Pain is an uncomfortable feeling that tells you something may be wrong in your body. It is a very personal response that is both physical and emotional. Pain may occur suddenly or come about slowly. It may range from mild to severe.

You are the best judge of your own pain

Some pain medications commonly used include:

Acetaminophen - Commonly known by its brand name, Tylenol. It takes care of mild to moderate pain. It usually has very few side effects.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) - Aspirin and ibuprofen (Motrin), are some NSAIDs you may know. They are commonly used to reduce or prevent swelling. Some NSAIDs are available only by prescription. Others can be purchased over the counter. NSAIDs may not be the best choice for everyone because of some of their side effects.

Narcotic Analgesics - Also called opiates. These include morphine, hydromorphone, meperidine, codeine, and oxycodone. Some narcotics are commonly combined with acetaminophen. These include Tylenol #3, Percocet, and Lortab. Narcotics are available only by prescription.

Side effects may include drowsiness, stomach upset, nausea, itching, and constipation. Stool softeners or laxatives may be given if narcotics are used for more than a few days.

Don't drink alcoholic beverages while taking narcotics.

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Your health care team will consider the following conditions when selecting the right pain medication for you:

*The type of pain you have
*Which medications work best for that type of pain
*The pain medications that have worked well for you before
*Problems you have had with certain medications
*Other medications you are taking, including vitamins and herbs
*Health care problems you may have
*Allergies you may have

What about other pain relief methods?

Besides pain medications, other complementary treatments may be used for pain control. If you are interested in learning more about one or more of these treatments, please ask your doctor or nurse.

*Massage
*Heat or cold at the pain site
*Physical therapy or exercise
*Breathing exercises
*Relaxation and/ or Imagery
*Music therapy
*Distraction therapy
*Biofeedback techniques
*Transcutaneous Electronic Nerve Stimulators (TENS units)

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How is chronic back pain diagnosed?

Most cases of back pain are not serious and respond to simple treatments. Your orthopaedist can accurately diagnose and effectively treat most types of back muscle pain in the office. You will be asked about the nature of your symptoms and whether you sustained an injury. You also will have an examination of your spine and legs. For many episodes of back pain no expensive tests are needed for initial assessment and treatment.

If you have severe pain and when it is not responding to treatment or if you have significant leg pain, some imaging tests may be required. Plain X-rays will show arthritis and bone diseases, but will not show soft tissues such as the lumbar disks or nerves. For conditions or injuries that involve these soft tissues, CT scan (computerized tomography) or MRI (magnetic resonance imaging) may be needed. Occasionally, a bone scan will be needed to assess bone activity and electrical tests, EMG (electromyography) may be needed to determine if the spine condition has caused nerve or muscle damage.

What are the common causes?

Severe back pain can be caused by a number of factors from injuries to the effects of aging.
Back Sprain and Strain - The muscles of the back provide power and strength for activities such as standing, walking and lifting. A strain of the muscle can occur when the muscle is poorly conditioned or overworked. The ligaments of the back act to interconnect the five vertebral bones and provide support or stability for the back. A back sprain can occur when a sudden, forceful movement injures a ligament which has become stiff or weak through poor conditioning or overuse.

These injuries, or sprain and strain, are the most common causes of back pain problems. Frequently, a combination of other factors may increase the likelihood of injury or disease:

• Poor conditioning
• Improper use
• Obesity
• Smoking

The natural effects of normal aging on the body, in general, and back, in particular, are osteoporosis or decreased amount of bone; decrease in strength and elasticity of muscles; and decrease in elasticity and strength of ligaments. Although you cannot totally halt the progress of these effects, they can be slowed by regular exercise, knowing the proper way to lift and move objects, proper nutrition, and avoidance of smoking.

What is the back?

Your back is a complex structure of vertebrae, disks, spinal cord, and nerves. There are:
• five bones called lumbar vertebrae - stacked one upon the other, connecting the upper spine to the pelvis
• six shock absorbers called disks - acting both as cushion and stabilizer to protect the lumbar vertebrae
• spinal cord and nerves - the "electric cables" which travel through a central canal in the lumbar vertebrae, connecting your brain to the muscles of your legs
• small joints - allowing functional movement and providing stability
• muscles and ligaments - providing strength and power and at the same time support and stability

Prevention Of Back Problems

The normal effects of aging that result in decreased bone mass, and decreased strength and elasticity of muscles and ligaments, can't be avoided. However, the effects can be slowed by:
• exercising regularly to keep the muscles that support your back strong and flexible
• using the correct lifting and moving techniques; get help if an object is too heavy or an awkward size
• maintaining your proper body weight; being overweight puts a strain on your back muscles
• avoid smoking
• maintaining a proper posture when standing and sitting; don't slouch

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What is Diabetic Neuropathy?

Diabetic Neuropathy is a peripheral nerve disorder caused by diabetes. The symptoms of diabetic neuropathy are often slight at first. In fact, some mild cases may go unnoticed for a long time. Numbness, pain, or tingling in the feet, or legs may, after several years, lead to weakness in the muscles of the feet. Occasionally, diabetic neuropathy can flare up suddenly and affect specific nerves so that an affected individual will develop double vision or drooping eyelids, or weakness and atrophy of the thigh muscles.

Nerve damage caused by diabetes generally occurs over a period of years and may lead to problems with the digestive tract and sexual organs, which can cause indigestion, diarrhea or constipation, dizziness, bladder infections, and impotence. The loss of sensation in the feet may increase the possibility for foot injuries to go unnoticed and develop into ulcers or lesions that become infected.

What is restless legs?

Restless legs syndrome (RLS) is a neurological disorder characterized by unpleasant sensations in the legs and an uncontrollable urge to move when at rest in an effort to relieve these feelings. RLS sensations are often described by people as burning, creeping, tugging, or like insects crawling inside the legs. Often called paresthesias (abnormal sensations) or dysesthesias (unpleasant abnormal sensations), the sensations range in severity from uncomfortable to irritating to painful.

The most distinctive or unusual aspect of the condition is that lying down and trying to relax activates the symptoms. As a result, most people with RLS have difficulty falling asleep and staying asleep. Left untreated, the condition causes exhaustion and daytime fatigue.

People with low iron levels or anemia may be prone to developing RLS. Once iron levels or anemia is corrected, patients may see a reduction in symptoms.
Chronic diseases such as kidney failure, diabetes, Parkinson's disease, and peripheral neuropathy are associated with RLS. Treating the underlying condition often provides relief from RLS symptoms.
Some pregnant women experience RLS, especially in their last trimester. For most of these women, symptoms usually disappear within 4 weeks after delivery.
Certain medications-such as antinausea drugs (prochlorperazine or metoclopramide), antiseizure drugs (phenytoin or droperidol), antipsychotic drugs (haloperidol or phenothiazine derivatives), and some cold and allergy medications-may aggravate symptoms. Patients can talk with their physicians about the possibility of changing medications.

Researchers also have found that caffeine, alcohol, and tobacco may aggravate or trigger symptoms in patients who are predisposed to develop RLS. Some studies have shown that a reduction or complete elimination of such substances may relieve symptoms, although it remains unclear whether elimination of such substances can prevent RLS symptoms from occurring at all.

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