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Prostate Cancer – New Study Shows PSA Tests Have Lower Readings With Painkillers – Nurse’s Report

April 11th, 2011
Helen Hecker asked:




A new study reports that taking certain painkillers can lower the levels of prostate specific antigen (PSA), which can cause problems with the PSA screening tests used for prostate cancer detection.

In this study of more than 1000 men who took nonsteroidal anti-inflammatory drugs called (NSAIDs), levels of PSA were about 10% lower than for men who didn’t take these over-the-counter painkillers.

NSAIDs include aspirin, ibuprofen (Advil, Motrin), Naproxen (Aleve) and many others.

This was also seen to some degree for acetaminophen (Tylenol), which is not an NSAID but is not as much of a concern. (acetaminophen is in another class of drugs called analgesics (pain relievers) and antipyretics (pain reducers).

It is not known whether this has anything to do with preventing prostate cancer but might be important to note that it can affect your PSA test. Your PSA reading may actually be higher if you are not using painkillers but it doesn’t mean that it has any protective effect.

You may want to let your doctor know if you are taking any over-the-counter painkillers whether it is Tylenol or the NSAIDs. It also leads one to believe what else might affect your PSA level. Does this mean that PSA tests are not reliable? That it may be solely dependent on what you are taking in the way of medications, medicines or drugs? Or anything else that you’re ingesting.

Over recent months it seems that the PSA test has become more and unreliable. Yet many men worry themselves to death if they have a high PSA reading and certainly it can be an indication that something is amiss or that even prostate cancer is present. So it cannot be ignored.

Medications used to treat an enlarged prostate have also been known to affect PSA levels.

If you get your PSA test from your regular doctor he will know what medications he is prescribing for you and but he will not know what you are taking that is over the counter. So you may want to let your doctor know or discuss this study.

There may be new trials to explore why the PSA levels are lower and their relationship to prostate cancer. But for now that is not going to happen. It could take many years and many men to do it. So it is not something that’s going to happen anytime soon.

So as it stands now aspirin or NSAIDs as or Tylenol should not be taken to prevent prostate cancer. They may actually be masking prostate cancer symptoms which would not be good. So that is something to think about also.

If you are scheduled for a PSA screening test make sure to ask your doctor if you should avoid taking any of your medications, over-the-counter painkillers or prescription painkillers or any other medications anytime before the test. That’s one good way to help get a better reading, that is, IF we can rely on the PSA test to help diagnose prostate cancer.

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New Treatment Brings Sciatica Symptom Relief

February 17th, 2011
George Best asked:




Sciatica symptom relief has been hard to come by for many sciatica sufferers, but a new treatment option is now available that brings fast relief with a minimal risk of side effects to the vast majority of sciatica sufferers.

Sciatica (commonly misspelled as syatica) is an irritation of the sciatic nerve which is formed by nerves that arise in the low back. Most cases of sciatica are caused by herniations or bulges of one or more spinal discs. The spinal discs are soft tissue structures that separate the spinal bones (the vertebrae) and act as shock absorbers.

When a spinal disc is damaged through a single injury or multiple small injuries over time, the outer wall of the disc may not be able to contain the pressure from within and the disc bulges outward into the canals where the spinal nerves exit the spine. This results in compression and irritation of the nerves, which often produces sciatica that begins in the buttock muscles and may travel downward across the back of the leg to the bottom of the foot.

The treatment options for sciatica symptom relief vary depending on the case. The first line of sciatica treatment is usually medication to reduce pain and inflammation. Muscle relaxers may also be prescribed to reduce muscle spasm. Medication may be effective enough to provide relief short-term until inflammation subsides and/or the disc stabilizes. In more severe cases, oral medication may not be effective, and some patients may not be able to tolerate the common side effects of anti-inflammatory drugs and/or the diminished mental alertness seen with pain killers and muscle relaxers.

Steroid injections are often the next line of sciatica symptom relief treatment, and they are used to try to reduce inflammation around the discs and spinal nerves. While steroid injections often provide relief short-term, the long-term effects are less favorable. Due to the fact that the main effect of steroid injections is to reduce inflammation, once those effects wear off, inflammation and the resulting pressure on the nerves often builds up again, and symptoms return. Steroid shots come with a number of side-effects including bone thinning, damage to soft tissues, and suppression of immune function, so doctors limit the amount of steroids used in order to avoid adverse health effects from the treatment.

Surgical treatment is often suggested for sciatica sufferers, and in a few cases it may be the only real option. Surgery has a poor track record (about a 50% success rate overall), and in some cases, symptoms may worsen following surgery. Complications of surgery include problems from post-surgical scar tissue formation and increased stress on adjacent spinal discs which may result in additional problems with other discs in the years following surgery.

Fortunately, there is a new option in sciatica symptom relief that has a high success rate and a very low risk of side-effects. Spinal decompression is a new, advanced form of spinal traction that uses special computerized traction motors to gently and slowly apply a decompressive force to the spine, reducing pressure in the spinal discs. Spinal decompression systems can comfortably create negative pressure (suction) within the spinal discs that can pull disc bulges and herniations back in and away from sensitive nerve structures, as well as increase disc hydration and nutrition to help with disc healing. Unlike the old forms of spinal traction which could be painful due to the traction pull triggering muscle spasm, spinal decompression systems monitor and respond to the body to keep muscles relaxed so the treatment is comfortable and effective.

Preliminary studies have shown a success rate for spinal decompression of 80 to 90%, with the beneficial effects holding up well over the long-term. The one-year recurrence rate post-treatment is less than 5%. While spinal decompression is not appropriate for everyone with sciatica and is not effective in every case, it does represent a big improvement in sciatica treatment.



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Back Pain Treatment Options – Traditional Ways

November 2nd, 2010
emmamadison asked:




Knowing back pain treatment options is important when you realize that approximately 85% Americans complain of back pain by the time they are 50 years old. Backache is the most frequent cause of limiting activity among working adults. It could be caused due to injury or irritation of muscles, nerves, ligaments, joints, bones, and spinal discs. So, what are the various options for treatment? Here are some of them.

Non Invasive Therapies Exercise: Strengthening muscles that support the spine with back and abdominal exercises reduce and eliminate back pain. Stretching exercises which help lengthen shortened muscles and increase mobility of spinal joints are often recommended by physicians. These exercises could vary with age.

Meditation: Over-the-counter and prescribed medications include anti-inflammatory drugs (aspirin, Naproxin, and ibuprofen) which stimulate the healing process and reduce discomfort and swelling, muscle relaxants, and acetaminophen (Anacin-3, Tylenol, and Phenaphen). Opioids (a morphine derivative that can be additive) is normally prescribed as a last-resort medication by a physician.

Manual Manipulation Therapy: Delivered by a chiropractor physician, this practice is widely used to treat the lower back pain.

Transcutaneous Electrical Nerve Stimulation (TENS): A non-invasive technique where a low-voltage electrical current is delivered to electrodes attached to the skin. This is an alternative or addition to medication.

H-wave stimulation: H-WAVE type stimulators become necessary when patients fail to respond adequately to conventional treatments of diabetic peripheral neuropathy including analgesics, creams, anti-depressants, inhibitors, anti-seizure medications, and blood glucose normalization.

Orthotics: A field of medicine which involves designing and manufacturing devices (orthoses) to support or correct musculoskeletal deformities.

Physical Therapy: Those suffering from chronic back pain and stiffness in the lower part of the spine are generally provided with physiotherapy to develop, maintain and restore maximum movement and functional ability throughout life. Invasive Therapies.

Injections: Epidural steroid (low back pain and sciatica), facet joint (facet joint block), sympathetic nerve blocks, and selective nerve root epidural injections are given to relieve pain. Proliferant injections are very effective in eliminating aches caused by strained, scarred ligaments. This method is used as a back pain treatment option to relieve discomfort before further investigations.

IDET: Intradiscal electro-thermal coagulation of the nucleus has been specifically designed to treat intervertebral disk disorder pain.

Nucleoplasty: A spinal disc herniation, often called a slip disc, is corrected by burning the nucleus using this procedure.

Microsurgical Discectomy: A minimally invasive surgery especially for lumbar ischemia.

Major surgeries: These include complicated procedures such as removal of a portion of the vertebral bone called the lamina, relieving pressure on nerves that are being compressed, treating nerve roots or spinal cord compression, spinal cord stimulation, and morphine pumps.



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Instant Relief From Muscle Pain

October 31st, 2010
Bertil Hjert asked:




Muscle pain has become a common problem these days. People are involved in many jobs that require muscle work. Hence, it is common to have pain at one time or the other. Some people may also suffer from chronic muscle pain. This may result in intolerable pain.

Muscle pain can also be the result of a specific injury, a condition affecting ligaments, spasm or problem in connective joint tissue. In some cases, muscle pain can also result from arthritis.

The pain can vary in intensity depending upon the condition of the patient.

Fortunately, many therapies are available these days for muscle pain relief. One can easily choose one of these therapies depending on the conditions they suffer from or the intensity of the pain. Duration, for which a patient has been suffering from, also plays an important role in choosing a muscle pain relief therapy.

You can also go for many over-the-counter non-prescription and prescription medications available for muscle pain relief. Those medicines include acetaminophen or Tylenol and certain non-steroidal anti-inflammatory drugs or NSAIDs such as ibuprofen. Ibuprofen works towards helping in alleviating muscle pain.

There are some nutritional supplements that provide muscle pain relief. For instance, Emu oil is used to treat arthritis symptoms and also helps in reducing muscle tension and stiffness.

Experts in this field feel that a good massage therapy can help a lot in soothing aching muscles via releasing tension. It also allows muscles to relax.

Another technique that can relieve muscle pain is the ancient acupuncture technique. It uses needles to achieve good results. You can also opt for Chiropractic for easing muscle pain via rectifying improper vertebral alignment. This emphasizes on adding extra-pressure on leg, back and neck muscles.

There are also some homes remedies to relieve muscle pain. These include treatments like putting ice packs, engaging in physical aides such as wrist, wraps or back braces that tend to minimize muscle strain via helping to hold joints and bones in correct positions.

There are also certain exercises specifically designed for enhancing muscle strength as well as flexibility. These exercises are usually prescribed by the health care practitioner or physical therapist. You can attend a course of physical therapy in order to educate yourself on employing ergonomic tools and at the same time minimizes muscle strain.

A therapist will also teach you methods of walking, lifting, sitting and engaging in repetitive movement to prevent muscle strain problems in future.

A massage therapy is fruitful because it works towards increasing blood circulation. This helps in transporting nutrients and oxygen to the affected muscles. The process also flushes away toxic substances. A massage is also helpful in preventing the shortening of the muscle during the healing process.

Aromatherapy also eases muscle pain, spasms or inflammation via providing soothing effect through herbs and plants present in the oil. The essential oils that can be helpful in easing muscle pain include marjoram, thyme, ginger, helichrysum and peppermint.

All the technique mentioned above have a lot of affect on muscle pain. You can find instant muscle relief via utilizing the techniques mentioned above.



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Usual Cures For Persistent Headaches

September 27th, 2010
Daniel Disuja asked:




Chronic headache can turn out to be a major obstacle and may not let perform your daily activities. However, a little time the situation can be severe and prolonged headache may hamper your ordinary life. A person suffering from protracted headaches may be unable to focus for dull hours. Therefore , it becomes imperative that you treat protracted headache before the situation gets out of control. Some of the routine methods of treating chronic headache are noted .

Use of NSAIDs (Non Steroidal Anti-Inflammatory Drugs): These types of drugs are commonly used to treat chronic headache. These are essentially against platelets and inside the brain help in prevention of clumping of platelets, a chief cause of occurrence of migraine. The most often prescribed NSAID prescriptions for treatment of chronic headache include aspirin, amitriptyline plus propranolol, ibuprofen, and valproic acid. Apart from them, there are certain other drugs which can be obtained only through prescription. These include Alpha blockers, Divalproex sodium, Methysergide, Nardil (Phenelzine) and Marplan (isocarboxazid), and Serotonin uptake inhibitors (SSRIs).

A fusion of Acetaminophen with Codeine is yet another common medicine that may be put to use to heal protracted headaches. By essence, codeine is a narcotic pain reliever drug. When codeine is employed together with acetaminophen, the efficiency of the drug is increased and it helps relieve discomfort better. These two drugs may be used to dump both moderate and severe headache forms.

Physical therapy: Studies have shown that muscles inside the skull play a somewhat important role in the appearance of chronic headache. Hence, physical therapy can play some role in lessening the pain caused during the chronic headache.

If the above discussed approaches are not useful to relieve headache, you could have to opt for another group of medications known as uppers. These drugs change the level of chemicals inside the brain and so scale back the pain. They are useful to treat both- migraines and strain headaches.

The approach to use anti-depressants to treat chronic headache: To take the greatest advantage of anti-depressants, it is advisable that you get the proper diagnosis of headache done by a doctor. After ruling out other causes, he or she would determine whether the headache is acute or chronic. If the headache is acute, there is no reason for you to worry. However, if it is chronic, the doctor would prescribe you an anti-depressant medication of a specific category and strength.

Your doctor can prescribe several categories of anti-depressant medications to you. These include tricyclic anti-depression drugs, for example notriptlyine, doxepin and amitriptyline. He could also ask you to take Serotonin Reuptake Inhibitors (SSRIs) that’s a separate class of anti-depressants meant to alleviate chronic headaches. Monoamine Oxidase inhibitors (MAO inhibitors) are one more kind of anti-depressants that might be prescribed to stop prolonged migraine.

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Constipation from Arachnoiditis

September 2nd, 2010
Kristy Annely asked:




Arachnoiditis may result in constipation since most drugs and medicines used to treat arachnoiditis can cause constipation. The basic causes of constipation are excess dehydration of feces, relaxed or reduced bowel muscle activity and obstructions in the bowel passage.

Arachnoiditis is an incurable and dangerous condition in which inflammation occurs inside or around the spinal cord. This can damage the nerve roots. Arachnoiditis in the lumbar spine is one of the major causes for constipation. The nerve roots from the conus medullaris of the lumbar region control the nerve supply to the lower legs, bowels and bladder. The damage of the nerves controlling bowel activities (especially S3 and S4 nerves) by arachnoiditis can result in reduced muscle contractions and feces movement. This can cause constipation.

Constipation as a result of arachnoiditis has all the same symptoms as normal constipation. As the symptoms are almost the same, it will take some serious test to detect the proper cause. There will be pain at the end of the bowels and weakness in completing bowel action. The persons with arachnoiditis usually also experience the problem of urinary retention as both are regulated by nerve branches arising from same region. Often the patients? lower body parts have poor reflexes and diminished pain sensing ability.

Almost all drugs used to treat arachnoiditis can cause decreased mobility of bowel muscles. The most widely used drugs are opiates (e.g. Morphine, Pethidine (Demerol, Methadone, and Tramadol), anti-inflammatory drugs (e.g. Brufen, Mobic, Naproxen, and Vioxx), antidepressant drugs (e.g. amitriptyline and Prozac), anticonvulsant drugs (e.g. Tegretol, Neurontin and Vigabatrin) and muscle relaxants (e.g. Baclofen Robaxin Dantrolene and Zanaflex). As most of these drugs are pain killers, and nerve depressants, they reduce the ability of the nerves to carry impulses to respective organs. Because of this many doctors prescribe drugs for constipation along with treatments for arachnoiditis.

To minimize constipation, patients are given a chemical stimulant which performs digital stimulation for evacuation when placed inside the rectum. This is practiced once in every two days.

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