TAO of Medicine

Archive for the ‘Pain Management’ Category

Carpal Tunnel and Trigeminal Neuralgia with Acupuncture

Thursday, November 17th, 2011

Treatment of Neurological Disorders with Acupuncture

migraine-headacheA neurological disorder refers to a problem with the nervous system, which is a complex, sophisticated system that regulates and coordinates the body’s activities. Nerve pain can arise from trauma, inflammation, stroke, disease, infection, nerve degeneration, exposure to toxic chemicals, and nutrient deficiencies.

Nerve pain is usually a sharp shooting pain or a constant burning sensation. Typically occurring in the same location with each episode, it can often be traced along the nerve pathway. Sometimes weakness or impaired function in the affected area occurs and the skin may be either overly sensitive or numb.

Some common neurological disorders acupuncture treats include:

Peripheral Neuropathy – damage to the peripheral nervous system, which transmits information from the brain and spinal cord to every other part of the body. Neuropathy caused by diabetes often affects the feet.

Trigeminal Neuralgia – facial pain, sometimes called Tic Douloureux, affects the trigeminal nerve which is responsible for impulses of touch, pain, pressure and temperature sent to the brain from the face, jaw, and gums.

Carpal Tunnel Syndrome – also known as median nerve entrapment, it occurs when swelling or irritation of the nerve or tendons in the carpal tunnel results in pressure on the median nerve.

Headaches – Headaches that can be treated with acupuncture include migraines, tension headaches, headaches occurring around the menstrual cycle, sinus headaches and stress-related headaches.

Acupuncture and Oriental medicine have been found effective as a conjunctive therapy for several neurological disorders and in treating pain and inflammation.

If you or someone you know is suffering from a neurological disorder or nerve pain please contact us for more information or to schedule an appointment!

Acupuncture Treats Peripheral Neuropathy

Peripheral neuropathy describes damage to the peripheral nervous system, which transmits information from the brain and spinal cord to every other part of the body. In most cases, peripheral neuropathy is secondary to conditions such as diabetes, lupus, rheumatoid arthritis, scleroderma, alcoholism, nutritional deficiencies, AIDS, or poisoning from heavy metals, chemotherapy, or various drugs.

Other causes include direct physical injury to a nerve (trauma), penetrated injuries, fractures or dislocated bones, pressure involving superficial nerves (ulna or radial) which can result from prolonged use of crutches or staying in same position, tumor, intraneural hemorrhage, exposure to cold, compression or entrapment (i.e. carpal tunnel syndrome), radiation or atherosclerosis.

Symptoms of peripheral neuropathy may include:

  • numbness or insensitivity to pain or temperature
  • burning, tingling, or prickling sensation
  • sharp or burning pain
  • cramps
  • extreme sensitivity to touch
  • loss of balance and coordination
  • muscle weakness
  • muscle wasting
  • paralysis

Oriental medicine teaches that peripheral neuropathy is due to dampness moving to the limbs, where it obstructs the flow of Qi (energy) and blood within them. The treatment is twofold, to treat the underlying factor that is causing this dampness to accumulate and to directly facilitate the circulation of Qi and blood in the affected area. By improving circulation, the nerve tissues of the affected area can be nourished to repair function and reduce pain.

Peripheral neuropathy is a symptom for many different patterns of disharmony within the body. Acupuncture and Oriental medicine aims to treat each individual uniquely depending on what caused the neuropathy and how it manifests.

Do you or someone you know suffer from peripheral neuropathy? Contact us today to find out what acupuncture and Oriental medicine can do for you!

Relief for Carpal Tunnel Syndrome

One of the most common job-related injuries, carpal tunnel syndrome (CTS) is responsible for the highest number of days lost among all work-related injuries. With more than two million visits to physicians’ offices and approximately 465,000 carpal tunnel release operations each year, it is the most frequent surgery of the hand and wrist.

Acupuncture is extremely effective at treating carpal tunnel syndrome, eliminating the need for surgery or the use of anti-inflammatory drugs or corticosteroids and recent studies suggest that acupuncture may be more effective than corticosteroids when it comes to treating carpal tunnel syndrome.

What Is Carpal Tunnel Syndrome?

The carpal tunnel is a narrow passageway in the wrist made up of ligaments and bones. The median nerve and the tendons that connect the fingers to the muscles of the forearm pass through this tightly spaced tunnel. Carpal tunnel syndrome, also known as median nerve entrapment, occurs when swelling or irritation of the nerve or tendons in the carpal tunnel results in pressure on the median nerve. The median nerve controls sensations to the palm side of the thumb and fingers, as well as impulses to some small muscles in the hand that allow the fingers and thumb to move.

Symptoms usually start gradually, with frequent burning, tingling, or numbness in the palm of the hand and the fingers, especially the thumb, index and middle fingers. The symptoms often first appear during the night. As symptoms worsen, people might feel pain, weakness, or numbness in the hand and wrist, radiating up the arm during the day. Decreased grip strength may make it difficult to form a fist, grasp small objects, or perform other manual tasks. If not properly treated, carpal tunnel syndrome can cause irreversible nerve damage and permanent deterioration of muscle tissue.

Diagnosis and Treatment of Carpal Tunnel Syndrome with Acupuncture

From an Oriental medicine perspective, carpal tunnel syndrome is seen as a disruption of the flow of Qi and blood within the area and is associated with cold, dampness or wind penetrating the muscles and sinews of the wrist. In addition to reducing swelling, inflammation, and pain in the wrist, acupuncture addresses any headaches, neck pain, shoulder stiffness and sleeping problems that often accompany this condition. Your treatment may also take into account underlying conditions that contribute to the development of carpal tunnel syndrome including obesity, rheumatoid arthritis, thyroid problems, diabetes, and hormonal changes due to pregnancy and menopause.

If you or someone you know suffers from carpal tunnel syndrome, please call to find out more about how acupuncture and Oriental medicine can help you.

Foods to Boost Brain Health

Boost your brain’s overall heath and enhance its day to day functioning by including these foods in a healthy well-balanced diet.

Blueberries – Well known for their role in improving motor skills and overall learning capacity, blueberries are rich in antioxidants that are great for boosting your brain and helping to reverse the effects of aging on the brain. Most berries contain fisetin and flavenoid, which are great for improving your memory and allowing you to easily recall past events.

Fish – Omega-3 rich wild salmon, tuna, and herring help brain function by providing more oxygen, allowing it to retain new information while remembering old information. It also coats neurons with good fat, allowing them to move easier through the brain. Eating one serving of fish a week can decrease your chances of getting Alzheimer’s.

Leafy Green Vegetables – Vegetables such as cabbage, kale, spinach, collards, turnip greens and others are rich in vitamins, folate, and iron, all of which are essential for memory recall and increasing cognitive activity.

Nuts/Seeds – Rich in omega-3 and omega-6 fatty acids, folate, vitamin E, vitamin B6 and zinc all of which allow you to think more clearly. Choose seeds and nuts rich in thiamine and magnesium, which are great for memory, cognitive function, and brain nourishment.

Whole Grains – Rich in folate, thiamine, vitamin B6, and zinc, the nutrients found in whole grains increase blood flow to the brain, improving the quality and quantity of brain function and recall.

Trigeminal Neuralgia

One of the largest nerves in the head, the trigeminal nerve is responsible for impulses of touch, pain, pressure and temperature sent to the brain from the face, jaw, and gums. Characterized by a sudden, severe, electric shock-like or stabbing pain felt on one side of the jaw or cheek, these periodic attacks of pain generally last a few seconds and may be repeated one after the other.

The exact cause of trigeminal neuralgia is not known; however, physical nerve damage and stress can trigger painful attacks. Damage may also be the result of a biochemical change in the nerve tissue itself or an abnormal blood vessel compressing the nerve as it exits from the brain. In almost all cases, an excessive burst of nervous activity from a damaged nerve causes the painful attacks.

Acupuncture is considered a safe, adjunctive therapeutic option in patients with trigeminal neuralgia especially before invasive intervention is done

Are You Having Trouble Sleeping Due To Back Pain?

Tuesday, October 11th, 2011

Have you ever had back pain in your life, most probably you would say, “yes.”

About 80 percent of the adults in the U.S. experience back pain at some point in their lives, and the back pain is one of the most common reason for missed work and  second most common reason to visit the doctor’s office.

And a lot of them go to Acupuncturists or chiropractors and I also treat many back pain patients in my office.

Today I am going to talk about every thing about “Back Pain” but since many patients ask me, “it hurt so much at night, I can sleep or have to turn alot.”

Here is the way you try on the bed to avoid that back pain provided by Mayo Clinic.

 

Sleeping on your side

Your usual sleep position — along with other factors, including your weight and your sex — can strain your back and contribute to development of back pain. Sleeping positions also affect existing back pain, either by letting you sleep comfortably or by making you wake up sore. Similarly, back pain is more likely to keep you awake when your sleeping position provides no relief.

The most common sleeping position is on your side, with your legs and hips aligned and flexed. Because this position leaves your upper leg unsupported, the top knee and thigh tend to slide forward and rest on the mattress, rotating the lower spine. This slight rotation may contribute to back or hip pain. To prevent that problem, place a pillow between your knees and thighs.

 

Lower-back pain disrupts many aspects of life. In our survey, 46 percent said that it interfered with their sleep, 31 percent reported that it thwarted their efforts to maintain a healthy weight, and 24 percent said that it hampered their sex life.

Sleeping on your back

If you sleep on your back, place a pillow under your knees to help maintain the normal curve of your lower back. You might try a small, rolled towel under the small of your back for additional support. Support your neck with a pillow.

This position may be helpful if you have low back pain.

Sleeping on your abdomen

Sleeping on your abdomen can be hard on your back. If you can’t sleep any other way, reduce the strain on your back by placing a pillow under your pelvis and lower abdomen. Use a pillow under your head if it doesn’t place too much strain on your back. If it does cause strain, try sleeping without a pillow under your head.

And if you explore mor about back pain, here is the link, Back Pain an Mayo Clinic.

Carpal Tunnel Syndrom Pain in Wrist and Hand

Tuesday, June 29th, 2010

What is carpal tunnel syndrome?

carpaltunnel

Carpal tunnel syndrome is a painful disorder of the wrist and hand.

The carpal tunnel is a narrow tunnel formed by the bones and other tissues of your wrist. This tunnel protects your median nerve. The median nerve helps you move your thumbs and the first 3 fingers on each hand.

Carpal tunnel syndrome occurs when other tissues in the carpal tunnel (such as ligaments and tendons) get swollen or inflamed and press against the median nerve. That pressure can make part of your hand hurt or feel numb.

Symptoms of carpal tunnel syndrome

  • Numbness or tingling in your hand and fingers, especially the thumb, index and middle fingers.
  • Pain in your wrist, palm or forearm.
  • More numbness or pain at night than during the day. The pain may be so bad it wakes you up. You may shake or rub your hand to get relief.
  • Pain that increases when you use your hand or wrist more.
  • Trouble gripping objects, such as a doorknob or the steering wheel of a car.
  • Weakness in your thumb.

What causes carpal tunnel syndrome?

Doing the same hand movements over and over can lead to carpal tunnel syndrome. It’s most common in people whose jobs require pinching or gripping with the wrist held bent. People at risk include people who use computers, carpenters, grocery checkers, assembly-line workers, meat packers, musicians and mechanics. Hobbies such as gardening, needlework, golfing and canoeing can sometimes bring on the symptoms.

Women are more likely to develop carpal tunnel syndrome than men. It also tends to be hereditary (which means it runs in families).

Carpal tunnel syndrome may also be caused by an injury to the wrist, such as a fracture. Or it may be caused by a disease such as diabetes, rheumatoid arthritis or thyroid disease. Carpal tunnel syndrome is also common during the last few months of pregnancy.

Who is at risk of developing carpal tunnel syndrome?

Women are three times more likely than men to develop carpal tunnel syndrome, perhaps because the carpal tunnel itself may be smaller in women than in men. The dominant hand is usually affected first and produces the most severe pain. Persons with diabetes or other metabolic disorders that directly affect the body’s nerves and make them more susceptible to compression are also at high risk. Carpal tunnel syndrome usually occurs only in adults.

The risk of developing carpal tunnel syndrome is not confined to people in a single industry or job, but is especially common in those performing assembly line work – manufacturing, sewing, finishing, cleaning, and meat, poultry, or fish packing. In fact, carpal tunnel syndrome is three times more common among assemblers than among data-entry personnel. A 2001 study by the Mayo Clinic found heavy computer use (up to 7 hours a day) did not increase a person’s risk of developing carpal tunnel syndrome.

During 1998, an estimated three of every 10,000 workers lost time from work because of carpal tunnel syndrome. Half of these workers missed more than 10 days of work. The average lifetime cost of carpal tunnel syndrome, including medical bills and lost time from work, is estimated to be about $30,000 for each injured worker.

How is carpal tunnel syndrome diagnosed?

Your doctor will probably ask you about your symptoms. He or she may examine you and ask you how you use your hands. Your doctor may also do these tests:

  • Your doctor may tap the inside of your wrist. You may feel pain or a sensation that feels like an electric shock.
  • Your doctor may ask you to bend your wrist down for 1 minute to see if this causes symptoms.
  • Your doctor may have you get a nerve conduction test or an electromyography (EMG) test to see whether the nerves and muscles in your arm and hand show the typical effects of carpal tunnel syndrome.

How is carpal tunnel syndrome treated?

Treatments for carpal tunnel syndrome should begin as early as possible, under a doctor’s direction. Underlying causes such as diabetes or arthritis should be treated first. Initial treatment generally involves resting the affected hand and wrist for at least 2 weeks, avoiding activities that may worsen symptoms, and immobilizing the wrist in a splint to avoid further damage from twisting or bending. If there is inflammation, applying cool packs can help reduce swelling.

Non-surgical treatments

Drugs – In special circumstances, various drugs can ease the pain and swelling associated with carpal tunnel syndrome. Nonsteroidal anti-inflammatory drugs, such as aspirin, ibuprofen, and other nonprescription pain relievers, may ease symptoms that have been present for a short time or have been caused by strenuous activity. Orally administered diuretics (“water pills”) can decrease swelling. Corticosteroids (such as prednisone) or the drug lidocaine can be injected directly into the wrist or taken by mouth (in the case of prednisone) to relieve pressure on the median nerve and provide immediate, temporary relief to persons with mild or intermittent symptoms. (Caution: persons with diabetes and those who may be predisposed to diabetes should note that prolonged use of corticosteroids can make it difficult to regulate insulin levels. Corticosterioids should not be taken without a doctor’s prescription.) Additionally, some studies show that vitamin B6 (pyridoxine) supplements may ease the symptoms of carpal tunnel syndrome.

Exercise – Stretching and strengthening exercises can be helpful in people whose symptoms have abated. These exercises may be supervised by a physical therapist, who is trained to use exercises to treat physical impairments, or an occupational therapist, who is trained in evaluating people with physical impairments and helping them build skills to improve their health and well-being.

Alternative therapiesAcupuncture and chiropractic

Surgery

Carpal tunnel release is one of the most common surgical procedures in the United States. Generally recommended if symptoms last for 6 months, surgery involves severing the band of tissue around the wrist to reduce pressure on the median nerve. Surgery is done under local anesthesia and does not require an overnight hospital stay. Many patients require surgery on both hands. The following are types of carpal tunnel release surgery:

Open release surgery, the traditional procedure used to correct carpal tunnel syndrome, consists of making an incision up to 2 inches in the wrist and then cutting the carpal ligament to enlarge the carpal tunnel. The procedure is generally done under local anesthesia on an outpatient basis, unless there are unusual medical considerations.

Endoscopic surgery may allow faster functional recovery and less postoperative discomfort than traditional open release surgery. The surgeon makes two incisions (about ½” each) in the wrist and palm, inserts a camera attached to a tube, observes the tissue on a screen, and cuts the carpal ligament (the tissue that holds joints together). This two-portal endoscopic surgery, generally performed under local anesthesia, is effective and minimizes scarring and scar tenderness, if any. One-portal endoscopic surgery for carpal tunnel syndrome is also available.

Although symptoms may be relieved immediately after surgery, full recovery from carpal tunnel surgery can take months. Some patients may have infection, nerve damage, stiffness, and pain at the scar. Occasionally the wrist loses strength because the carpal ligament is cut. Patients should undergo physical therapy after surgery to restore wrist strength. Some patients may need to adjust job duties or even change jobs after recovery from surgery.

Recurrence of carpal tunnel syndrome following treatment is rare. The majority of patients recover completely.

How can carpal tunnel syndrome be prevented?

 At the workplace, workers can do on-the-job conditioning, perform stretching exercises, take frequent rest breaks, wear splints to keep wrists straight, and use correct posture and wrist position. Wearing fingerless gloves can help keep hands warm and flexible. Workstations, tools and tool handles, and tasks can be redesigned to enable the worker’s wrist to maintain a natural position during work. Jobs can be rotated among workers. Employers can develop programs in ergonomics, the process of adapting workplace conditions and job demands to the capabilities of workers. However, research has not conclusively shown that these workplace changes prevent the occurrence of carpal tunnel syndrome.

Many products you can buy — such as wrist rests — are supposed to ease symptoms of carpal tunnel syndrome. No one has proven that these products really prevent wrist problems. Some people may have less pain and numbness after using these products, but other people may have increased pain and numbness.

Things that may help prevent carpal tunnel syndrome

  • Lose weight if you’re overweight.
  • Get treatment for any disease you have that may cause carpal tunnel syndrome.
  • If you do the same tasks over and over with your hands, try not to bend, extend or twist your hands for long periods of time.
  • Don’t work with your arms too close or too far from your body.
  • Don’t rest your wrists on hard surfaces for long periods of time.
  • Switch hands during work tasks.
  • Make sure the tools you use aren’t too big for your hands.
  • Take regular breaks from repeated hand movements to give your hands and wrists time to rest.
  • Don’t sit or stand in the same position all day.

Tips on relieving carpal tunnel syndrome

  • Prop up your arm with pillows when you lie down.
  • Avoid overusing the affected hand.
  • Find a new way to use your hand by using a different tool.
  • Try to use the unaffected hand more often.
  • Avoid holding your wrists in a downward bent position for long periods of time.

Resources: Carpal Tunnel Syndrome at Familydoctor.org

http://familydoctor.org/online/famdocen/home/common/pain/disorders/023.html

The Carpal Tunnel Syndrome Facts Sheet

http://www.ninds.nih.gov/disorders/carpal_tunnel/detail_carpal_tunnel.htm#toc



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