July 2015 - Wellness Katie

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Myofascial Pain Syndrome
Myofascial pain syndrome of the low back and hips is caused by pain producing "trigger points"(TrP) in the gluteus medius muscle. Some patients will refer this as "a pain in the butt". It is important to stress that myofascial pain syndrome can affect any muscle in the body, and in any area of the body. A common area affected can be in the upper back over the shoulder blade (scapula) area that is caused by trigger points in the trapezius muscle. The myofascial pain syndrome can even affect the side of the face, causing pain in the jaw, commonly affecting the tempero-mandibular joint TMJ).

For now we will focus on the low back and hip myofascial pain syndrome. To understand what causes the myofascial pain syndrome, we need to understand what causes it. The pain is caused by nodules (knots) causing areas of irritation in the muscle or fascia associated with the muscle. These trigger points (TrP) are areas of irritation within extremely tight bands of muscle and or fascia.

These irritations are caused by various traumas, such as engaging in sports, aerobic exercises, working out with weights and sudden falls. Another cause can be standing on one leg for extended periods of time without changing positions. This causes the muscles of the leg you are standing on to be become tired making them work harder so that they go into spasm. This spasm sets up areas of irritation that become trigger points. Another precipitant can be when the muscle becomes chilled. The chilling of a muscle can cause it to go into spasm, resulting in the same phenonemen that will result in trigger points.

One of the muscles that are very often affected in this manor is the gluteus medius. This muscle starts at the top of the ilium (hip bone) and is attached to the outside head of the thigh bone (femur). The function of this muscle is mainly to stabilize and keep the pelvis level while the individual is walking. This prevents the pelvis from dropping when raising the foot on the opposite side.

Pains are not always localized at the trigger point area. These trigger points can also cause radiating pain in surrounding tissues, or radiate into areas further from the trigger point site. Pains in the buttock, back of the thigh, the sacral area (the large triangular bone between the hips), and up into the side of the lumbar spine, are commonly affected sites.

Structural instability of the lower spine and pelvis is the foremost cause for the myofascial syndrome. When there is a tilt or rotation of the pelvis and/ or a shortness of one of the legs, will set up the weakness that that makes the individual more prone to injuries. Once being prone to this type of situation produces injuries while engaging in sports, aerobic exercise, weight lifting, running, golf, tennis, or even sitting in a slumped position. Even lying on the affected side for a length of time can be a causative factor. This causes the gluteus medius muscle to become shortened and loose it's flexibility. It is the muscles loss of flexibility that makes it more prone to injury, and set up one or more trigger points within that muscle.

The pains, once they occur can last for extended periods of time, or there can be remissions that can last from hours to days, or even longer. The patient sustaining a myofascial pain syndrome may be prone to future episodes even after the initial occurrence is resolved, especially if there is a spinal imbalance unless it is properly diagnosed and treated. A spinal imbalance can best be diagnosed and treated by a Chiropractor. The Chiropractor will not only correct the spinal instability, but will treat the primary pain symptoms so as to give the patient the needed relief from pain.

The patient must also take an active part in their treatment if they wish to lessen the pain and length of disability. Home health care by the patient will determine how soon they will be pain free and able to get back to their normal daily activities. At first they should curtail any and all strenuous sports, exercise, and the more difficult household chores, such cleaning windows, mopping floors, vacuuming, ironing, etc. Applying heat (preferably moist), 3 or 4 times daily for 20 minutes will soothe and relax the muscles. After the heat, rub in a good analgesic gel.

As the symptoms subside, the degree of activities can be increased. If, when they are increased, pain reoccurs or increases, then that particular activity should be stopped. When the individual is pain free, they then can resume their normal daily activities. At this point an exercise should be started. Exercise is the single most important component in the strengthening of the abdominal and low back muscles. Strengthening these muscles will help stabilize the back and prevent future episodes of this debilitating syndrome.

The type of exercise program must be carefully selected. A wrong type of program can reactivate the pain. A no impact exercise program would be best. and is excellent for strengthening the abdominal and back muscles. The program picked, even though it is a no impact program, it still gives you a total body workout. The exercise should permit the individual to set their own pace and set their goals higher as their muscles become stronger and their strength increases. With the increase of strength will come a more flexible physique that will enable the individual to live a vigorous and a more vital lifestyle!


Dr. Emanuel M. Cane was a practicing Chiropractor for over 53 years, focusing on encouraging his patients, both young and old, to pursue an active and healthy lifestyle. Over the years in the development of this video workout, Dr. Cane became devoted to performing it daily, increasing his personal strength and stamina. His weight went from 165 lbs. to 144 lbs., his waist from 36 inches to a firm 33. Dr. Cane also reduced his cholesterol and triglyceride levels by well over 100 points each, and is maintaining a normal level for both. He has been devoting his time in creating and maintaining his website: [http://www.doctorsexercise.com] He responds to questions from his viewers concerning their particular health concerns. He also sends out a monthly newsletter to which anyone can subscribe too.

Dr. Emanuel M. Cane, D.C.

doc1@gate.net

Article Source: http://EzineArticles.com/?expert=Dr._Emanuel_M._Cane,_DC

Myofascial Pain Syndrome Of the Low Back and Hips

Like many of my patients, maybe you have lost weight recently in an effort to boost your health and lower your risk for serious diseases like diabetes and heart disease. And like my patients, you may not have been prepared for the loose skin that can occur along with weight loss - especially if you're over age 40! Take heart, though, as there are several things you can do to tighten up your skin again that I'd like to tell you about.

Loose Skin After Weight Loss: How To Get Rid Of It

Lose The Weight AND The Loose Skin!

In your 20's you could lose 20-30 lbs in a month and your skin could bounce back fairly easily. As we get older, past the age of 40, and especially past age 50, skin loses some of its elasticity and ability to bounce back as quickly as it once did. We shouldn't try to lose a significant amount of weight quickly - 1-2 lbs a week is best to help our skin re-adjust itself.

If you've lost a significant amount of weight, such as 50 lbs or more, it will take a little longer for your skin to re-form to a smaller frame with less fat. If your BMI (body mass index) was over 40 to begin with, you may need a surgical procedure to remove excess skin in certain areas, especially if it is prone to rashes and infections. However, your skin is an amazingly resilient organ and, with the proper treatment, it can re-form to a smaller frame. Here are some things that help:

Diet. While you were dieting, hopefully you were eating more protein. If not, some of your weight loss could have been muscle tissue and this needs to be rebuilt so that the skin has pumped up muscle to cover now instead of fat. Make sure you are eating adequate amounts of protein. Figure 0.5 grams per pound of body weight. Ex. Weight: 150 lbs/75 grams protein every day to re-gain muscle mass.

Water. Water is crucial to skin elasticity and plumping up sagging skin. In fact, a simple test of dehydration is skin "tenting" on the back of your hand or forearm. If you can pick up skin in these areas, you're dehydrated and need water. Drink a minimum of 64 ounces of water a day, although many researchers advocate more, such as 90 to100. However, drinking more than this, unless you are sweating very heavily can have negative health effects.

Vitamins. The best vitamins to rebuild skin and its collagen that helps it stay firm and elastic is Vitamin C. I recommend dieters take at least 1,000 mg of Vitamin C a day in divided doses of 500 mg. This helps build collagen that creates the "scaffolding" structure of your skin and holds it together. Other supplements that can help are liquid collagen which can be bought in most health food stores. This will help skin elasticity.

Weight training. As I mentioned earlier, skin lies over fat and then muscle beneath it. When you lose most of the fat, skin only has muscle and bone to drape across. Hopefully, you were weight training during your weight loss to build muscles while losing fat. If not, you have some work in the gym to do! Start weight training, 3-4 times a week. Ladies, don't worry, you don't have the testosterone levels to get huge bulky muscles. You will get tighter, toned, and slightly bigger muscles that your skin can drape across more attractively. Your weight numbers may bump up on your scale, but added muscle is good weight. It's fat weight that's unhealthy. Glutamine. This recommendation comes via bodybuilders who regularly supplement with this amino acid to build strong muscles AND tighten skin during and after significant weight loss.

Glutamine powder, or capsules, can be bought at most health food stores. Take 5 grams on an empty stomach before weight training and 5 grams afterwards. Take an additional 5-10 grams before bedtime to augment muscle and skin repair that occurs during sleep repair.

Skin brushing/exfoliating. Skin cells die and slough off on a daily basis. Sometimes they do not shed as quickly as they should and form a dry, dull layer over new skin. It's important for new skin cell growth and health to remove this layer of old, dead skin cells. This can be done either vigorously doing a dry skin brushing on a daily basis or using a medium-coarse exfoliating skin cleanser in the shower 2-3 times a week.

Skin wraps. A service of many spas, these are basically gauze bandages soaked in herbal mixtures that draw and tighten skin. You can be wrapped head to toe, or just problem areas like arms, thighs, and waist/stomach. Then you either do light aerobic exercise to raise your body heat or are placed on a far infrared heating blanket. Many of my patients swear by wraps for tightening skin, reducing unsightly cellulite that can make loose skin look much worse, and inch loss.

Laser tightening. Laser procedures heat collagen and elastin fibers beneath the skin and result in shrinkage and tightening of these structures, tightening the loose skin. Consult a good plastic surgeon for this procedure.

Can be a little costly, but the results may be worth it to you. Burn more fat. You may be surprised to hear that part of sagging skin is that it actually still has fat pockets in it causing it to hang. This is especially true of upper/under arm skin, and inner/upper thighs, knees, waistline. Be sure to do some cardio/aerobic work, lower your carb intake a little to help burn those extra fat pockets out of the skin. Add these nutritional supplements: Omega 3's, green tea extract, L-carnitine to assist in fat burning and drink plenty of water.

Far infrared sauna. Available at certain spas for a weekly fee, or you can buy your own unit for home use.

There are also far infrared arm, thigh, and body wraps for spot fat burning. Unlike steam saunas, far infrared saunas burn subcutaneous fat and reduce cellulite, as well as remove toxins from the body and burn calories. Recommended twice a week. Drink lots of water during use.

Let me also say, congratulations on your weight loss! It's a big accomplishment and you should be proud of your effort. Now, put a little extra effort into tightening up your loose skin and you'll be even more proud of yourself and how amazing you look!

With more than three decades of experience in treating thousands of patients, you could say I've seen it all. I treat a wide range of skin conditions- from cancer to acne- and believe that natural, practical alternatives carry the day.

3 Week Diet << The System That Makes Weight Loss Simple Again! >>

I believe that education is fundamental to prevention and wellness. I've partnered with other medical experts and developed an online health education site, http://www.HealthyAnswers.com, which offers a wealth of natural health information, written by top physicians and medical experts.
Article Source: http://EzineArticles.com/?expert=Jay_Brachfeld,_M.D.

Excess Skin After Weight Loss: How To Get Rid Of It