Archive for October, 2010

Ankle Pain for Runners and Triathletes

October 8th, 2010
Shawn Baldwin asked:




Triathlon training is a funny thing in that pain management is a priority for all Triathletes. I can’t think of a sport where pain is such an integral part of the training process. Hopefully endurance athletes can learn a little bit from my suffering.

At the same time I was experiencing knee pain I was also experiencing ankle pain. It took a little longer to figure out why but eventually I resolved these issues with a little research and a lot of trial and error.

Ankle problems for runners are most likely caused by the shoes they wear. Older shoes that have seen a few too many miles are no longer doing the trick and unfortunately it is time for a new pair. This is always the first thing to try when experiencing ankle pain. I don’t change my shoes often enough and usually experience a little suffering before taking my own advice. When I finally listen to my advice it has always fixed my issues. However, there are some additional things to consider if the shoes you wear are relatively new and you are confident that the shoes are not the issue.

If you experience the pain some days and not others, then the route may have something to do with it. The route you choose can impact your lower joints differently. Roads and paths are sloped for drainage. Different roads and different paths will have different sloping and obviously if you run in different directions or take a different path the slope would also impact you differently.

Watch out for changes in your form. You will likely be experiencing form changes if you are running at high intensity or low intensity. If you are running at low intensity, in all likelihood you will do one of two things differently. You may bounce more or you may become a heel striker instead of a mid foot striker when you run faster.

Generally when we run at a slow pace we control our forward momentum by hitting our heel to the ground fist, role to our mid-foot and then push off our toes. If we want to go quicker, we lean a bit forward, land mid-foot and push off our toes, and if we are sprinting we land on our fore foot and push off our toes. If you continually jam your heel into the ground for an hour it will affect all of your lower body, especially any of the joints below the waist including the ankles.

The other option is that you bounce. In order to slow down you try and keep everything the same but the one thing you change is that you have more vertical movement, at a faster pace it is about keeping up the intensity, so you stay more efficient, don’t bounce and keep your movement more horizontal.

It is important to maintain form while running regardless of the level of intensity. You never want to be a heel striker, always a mid-foot striker. Keep your head level and float from foot strike to foot strike. One rule of thumb that has worked well for me is becoming a silent runner. I try to sneak up to people I pass so that they don’t hear me coming. The point of this is simply because I know that if I manage to stay silent, I know that the impact on my feet is lessened and I am likely running more smoothly and more efficiently plus if I am thinking about it then I am thinking about my form which is the most important thing of all to focus on.



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The Treatment for Fibromyalgia- a Combination of Medication and Self-care

October 8th, 2010
Groshan Fabiola asked:




Treating fibromyalgia includes medication and self-care, and the target that must be touched is improving general health and minimizing symptoms.

The doctor may prescribe analgesics, such as Acetaminophen and this can ease the pain and stiffness, but its effectiveness varies from case to case. With Acetaminophen can be also administrated Tramadol, another pain reliever, or it can be taken without the other drug. There can also be taken nonsteroidal anti-inflammatory drugs, like aspirin, ibuprofen, or naproxen sodium, in association with other drugs.

Amitriptyline, doxepin, or nortriptyline are some antidepressant medications, that the doctor may prescribe if you have sleep problems. Also fluoxetine combined with amitriptyline can show results in this situation, and if you are having depression, sertraline and paroxetine are some medications that the doctor may prescribe.

In order to treat muscle pain and spasms, cyclobenzaprine may be taken at bed-time, but this medication should be used only for a short period of time.

Sleeping pills, like zolpidem can sometimes show benefits in some people with fibromyalgia, but the long-term using of these drugs is not advised by the doctor, because your body can become resistant to the drug’s effects, and as a last result there can appear even more sleeping problems .

Also, the doctors don’t recommend the benzodiazepines, and they even avoid prescribing these drugs, because even if they may help relax muscles and promote sleep, can become habit-forming and do not show long-term benefits.

Narcotics are “black-listed” too, because they can develop dependence and addiction potential.

Cognitive-behavioral therapy can be very useful, it helps the patient to increase the belief in his own potential, in his abilities, it teaches him how to deal with stressful situations and how to manage the fibromyalgia.

Interdisciplinary treatment programs can be very useful, these programs can have effect in improving the symptoms, they can even relieve the pain. They include a combination of a variety of treatments, like biofeedback, relaxation techniques, and receiving information about chronic pain. Of course, there isn’t a combination generally available, the doctor will create a program that suits best to each patient.

Self care is also very important. Getting enough sleep is essential, that’s why it is recommended that you go to bed and wake up at the same hour every day, and you should also limit daytime napping. Also try to reduce stress, allow yourself some time for relaxation, try stress management techniques, like deep-breathing exercises or meditation. Also it is important not to drop all your activity, because many times, it was shown that this situation can make even worse then if you continue working. You should continue your activities, but also you must learn to have a break and to say no if it is necessary.

You can do exercises, like swimming, biking, water aerobics or walking, and you should maintain a healthy life, by eating healthy foods and limit your caffeine intake.

By following all these advices, you may discover that you can find enjoyable every day.

For more resources on fibromyalgia and espcially about fibromyalgia pain please visit this link http://www.fibromyalgia-info-center.com/fibromyalgia-pain.htm



Taking Tramadol

Precautions with Tramadol pain medication

October 8th, 2010
Jaun Koos asked:




Tramadol pain relief medication is an analgesic which is soluble in water. It is used to treat pain symptoms. It treats moderate to severe pain. It acts on the chemicals and receptors in the body. These receptors make patients feel pain. Tramadol pain relief neutralizes these receptors and patients no longer feel pain. Tramadol is taken in normal casual pain in any part of the body. Apart from it, it also improves pain symptoms caused due to surgery or any other chronic condition. It decreases pain sensations and patient gets relaxed in post surgery condition. It is available in tablet form and is marketed with a name called Ultram. It is taken with or without food. But it is always better to take it after meal.

Tramadol pain relief medication is FDA approved and can be purchased only with a prescription for it. But in some states of America is sol even without prescription. This pain relief medication is clinically tried and tested and is supposed to be safe. But still there are some precautions attached to it. In the absence of these precautions Tramadol may cause trouble to some extent. Patients taking Tramadol pain medication are supposed to drink alcohol. It may affect his liver and cause breathing problem. People engaged in hazardous activities like driving, operating machineries are also not allowed to engage in these activities just after taking Tramadol.

The intake of Tramadol pain relief medication should be characterized by orderliness. It should be stopped abruptly. Moreover its dose should not be increased without taking any advice from the physician. If you feel restless and want to increase the dose it should be done only if your doctor is agree with you. Besides you should consult your doctor immediately as and when you feel any abnormal change in your mood or behavior. If you stop taking Tramadol pain medication suddenly it may affect you negatively.

With Tramadol pain relief medication you should consult your doctor and share with him your medical history. Don’t hide the fact that you are allergic to Tramadol. If you are already taking vitamins, herbal medicines or nutrients, you must inform your doctor before you decide to take Tramadol. Moreover in case of diabetes, blood pressure, heart complication and any cardiovascular diseases, Tramadol is usually avoided. Pregnant and breast feeding women are suggested not to take Tramadol pian relief medication. If you take these precautions, you will always be safe with Tramadol pain relief medication.



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