Acupuncture is well proven for pain relief. Everyday, thousands of people in the United States alone receive acupuncture for their pain. A recent study sponsored at the National Institutes of Health shows conclusively that acupuncture is effective for the relief of knee pain caused by osteoarthritis. In fact it reduced the need for pain medications by 40% at the same time increasing functionality be 40%. A study from Demark even showed acupuncture to reduce the need for knee replacement surgery. It can also help reduce pain and swelling from tendonitis, bursitis, injuries and from rheumatoid arthritis.
If you are in pain, 40% reduction sounds pretty good. No two people have exactly the same level of response but, generally speaking, I like to see 80% reduction in knee pain within eight treatments. Being able to lower your pain medication also means that you lower your risk of side effects associated with long-term drug use. Speaking of side effects, acupuncture has proven to be very safe with a very low incidence of minor side effects. In fact, most people, rather than suffering negative side effects, have a sense of well-being and relaxation after acupuncture. Now that’s good medicine!
We don’t know exactly how acupuncture works. There are two main scientific theories. Gate Theory and endorphins. The Gate Theory suggests that stimulation of the acupuncture needles inhibits certain nerve fibers from relaying the pain message. Another theory suggests that acupuncture stimulates the release of endorphins, a powerful morphine like substance that occurs naturally in the brain. Both theories may have merit, but we are still far from understanding exactly how acupuncture works scientifically. Don’t worry. We don’t know exactly how some commonly used drugs, like Tylenol work either.
Does it hurt?
Acupuncture needles are much smaller that most other needles. A good acupuncturist can often insert needles without any pain at all. Once the needles are placed you may feel unique sensation associated with the stimulation of the acupuncture point. Normally six to twelve of the tiny needles are placed near the area of pain or on various other areas on the body. I have treated knee pain successfully using only one point but usually several are needed to affect relief.
How long does it take to work?
Most of my patients have relief the moment they step off of the treatment table! Some patients will take up to six treatments before experiencing significant relief. Lasting pain relief will usually take several treatments. In my office, I suggest two treatments per week for three weeks, then one treatment a week for two weeks. At this point we will reassess to see if more treatments are needed. Some patients will not need to come in after the course of treatment, while other with chronic conditions, find that regular maintenance treatments are needed to keep the knee pain at bay. There are cases where it doesn’t work but, they are relatively infrequent.
Acupuncture may be the only treatment needed for knee pain, but it’s good to know that it works well with other therapies like anti-inflammatories, pain relievers, exercise, physical therapy and massage. Most acupuncturists, including myself are very happy to work with doctors and other therapists when it means getting better results for you.
Good Luck and Good Health!
Archive for August, 2009
Acupuncture Works For Knee Pain
08.30
Elbow Joint Replacement – Low Cost Surgery Under Knee Replacement in India’s World Class Hospitals
08.28
Elbow joint replacement is also called elbow arthroplasty. The elbow is a hinge joint consisting of three bones: the humerus bone of the upper arm, and the ulna (bone on the small – finger side ) and radius (bone on the thumb side) bones of the forearm which are side by side. All three of these bones are in contact with each other.
The most common reason for an artificial elbow replacement is arthritis. There are two main types of arthritis, degenerative and systemic. Degenerative arthritis is also called wear-and-tear arthritis, or osteoarthritis. Any injury to the elbow can damage the joint and lead to degenerative arthritis. Arthritis may not show up for many years after the injury.
Joint replacement surgery is usually considered a last option for a badly damaged and painful elbow joint. It is highly technical procedure; each step plays a critical role in the outcome.
Procedure of Elbow Joint Replacement as below :
The orthopedic surgeon makes an incision, usually in the back of the upper and lower arm, to expose the elbow joint. Special, precision guides and instruments will be used to cut the ends of the humerus (upper arm bone) and ulna (forearm bone), and prepare the bone to accept the implant.
The orthopedic surgeon then drills out a portion of the center of the humerus and ulna and inserts one part of the artificial joint into each bone. The artificial joint consists of two stems made of high-quality metal. They are joined together with a metal and plastic hinge that allows the artificial elbow joint to bend. The artificial joints come in different sizes to fit the patient.
Usually, bone cement is used to hold the stems in place.
The surgeon then attaches the two stems together with the hinge system. The orthopedic surgeon closes the wound with stitches, applies a bandage, and might place the arm in a splint for stability.
This procedure is done under general anesthesia. The surgery usually takes one to three hours. Depending on your specific situation, you will probably remain in the hospital from one to three days.
In this surgical procedure complications can occur. Some of the most common complications following elbow replacement are -
o anesthesia
o infection
o loosening
o nerve or blood vessel injury
The success rate of TER ( Total Elbow Replacement ) is approximately 80% (Conzemius and others 2003). This means that 20% of dogs have complications with the procedure and this can lead to the need for further surgery perhaps requiring fusion (arthrodesis) of the elbow, or even amputation.
Every case is unique and requires careful evaluation before an estimate can be given. However, elbow replacement cases typically cost in the range of $5000, but can run higher if additional surgery becomes necessary.
Shoulder, hip replacement, hip resurfing, knee replacement surgery and other most advanced computer navigated joint replacement surgery is done at serveral hospitals in India such as Apollo Hospital in Mumbai, Wockhardt Hospital in Mumbai, Apollo Speciality Hospital in Chennai, MOIT hospital, Chennai etc. which compares with the USA & U.K.
Augmentation Therapy, Holistic Medicine, and Homepathy Treatments For Senior Canines
08.27
Augmentation Therapy
It is also known as orthomolecular medicine uses large amounts of vitamins and minerals for preventing pathology, remedying nutritional deficiencies, and healing damaged tissue. This has shown great benefit in humans and now it has been shown to be effective in canines.
Homeopathy
The system of homeopathy used currently was started by Samuel Christian Hahnemann in the middle 1800′s. He was a medical doctor. It revolves around the idea that “like cures like.” For example, a diluted, small dose of a poison/toxin can cure, but a large amount, say that is swallowed by a dog can kill him.
Homeopathic doctors make their remedies from animal substances, drugs, plants, viruses, and minerals. They say that these treatments treat the real cause, not the symptoms.
Holistic Veterinary Medicine
Practitioners of holistic medicine use the least invasive philosophy to judge how to treat illness. This approach also thinks of the animal in his environment, considering every aspect thereof. They look into your pet’s personal history and family history, his diet, any stress factors, and exercise. A holistic vet will try to stay away from the blood test and other technological methods. It incorporates all of these methods: botanical medicine, massive therapy, acupuncture, acupressure, chiropractic, homeopathy, nutraceuticals, and physical therapy. It also includes surgery and conventional medicine if necessary.
There are other terms for holistic veterinary medicine; they are complimentary veterinary medicine, integrated veterinary medicine and alternative. In the U.S. sixty percent of the schools for vets have some alternative veterinary medicine classes.
Insomnia? Don’t Let These Mistakes Sabotage Your Sleep
08.26
If you suffer from insomnia, every night becomes a grueling contest in pursuit of a few hours of undisturbed sleep. There are times when you may feel like throwing in the towel, but it’s important to keep trying. Everyone makes mistakes in their quest for a restful night’s sleep. Here are some sleep tips to help you overcome and avoid the most common slip-ups in the future.
Eating late at night
To have the best chance at falling asleep fast and sleeping through the night, you should avoid eating any heavy meals in the evening. What we’re really talking about here is fat content. High-fat foods (like fast food) can really upset your sleep patterns by making your digestive system work when it doesn’t really want to. You should also avoid high-fiber foods or raw foods. Your best bet for bedtime is a small high-carbohydrate snack. The carbs will replenish energy in your muscle fibers and could also increase serotonin levels in your brain, which will boost your mood and encourage relaxation.
Smoking
If you’re a longtime smoker, it may seem like a cigarette helps you relax. But nicotine actually stimulates your senses and makes it more difficult to fall asleep. Plus, nicotine can also cause your throat and nasal passages to swell, which will make it more difficult to breathe and increase your chances for snoring.
The bedtime glass of wine
That little shot of alcohol may seem indispensable for making yourself drowsy, but it’s also much more likely to wake you up in the middle of the night. The chemicals that your body uses to break down the alcohol normally act as stimulants. If you want to stay asleep through the night, you should avoid drinking alcohol within four hours of your bedtime.
Afternoon tea
If you crave caffeine to get you through your afternoon, you could also be sabotaging your sleep at night. You should at least experiment with eliminating all caffeine sources–tea, coffee and soft drinks–after noon. This will give your body time to eliminate most of the caffeine from your system.
These are just a few of the lifestyle choices that could be derailing your journey to Sleepytown. To increase your chances of getting a full night of restorative sleep, you should put together a sleep program that includes bedtime routines, improvements to your bedroom, and, if necessary, the use of natural sleep aids. By making small decisions in favor of sleep throughout the day, you should be able to beat insomnia for good.
Lower Back Pain – Hip External Rotation
08.25
Lower back pain is commonly due to irritation of the L5 and S1 nerve roots. Hip pain may result secondary to pain and spasm muscles of the lower back and all muscles that cross the hip.
Patients may have trouble with external rotation of the hip due to pain and spasm of muscles that perform external rotation or from pain and spasm of muscles that perform internal rotation and thus limiting the performance of the external rotators.
This week, we shall talk about muscles that perform external rotation. To test these muscles, the patient should lie on his stomach and bend the knee up. The patient then turns the leg and foot in toward midline. This motion produces external rotation of the hip. To test the strength of the external rotators, the examiner must try to push the leg outward away from the midline.
The hip external rotators are:
- gluteus maximus lower fibers (inferior gluteal nerve L5, S1 primarily S1)
- obturator internus (L5, S1, S2)
- superior gemellus (L5, S1, S2)
- inferior gemellus (L4, L5, S1)
- quadratus femoris (L4, L5, S1)
- obturator externus (obturator nerve, L2, L3, L4)
- adductor magnus, lower portion (sciatic nerve, L5, S1)
- adductor brevis (obturator nerve, L2, L3, L4)
- piriformis (S1, S2)
Leukemia Cancer – Everything You Need to Know
08.23
Leukemia is generally considered and known as blood cancer, where as if considered in its real terms leukemia is a cancer of the white blood cells and the platelets. These platelets actually help blood to clot. Additionally when the white blood cells reduce in amount they actually leave the immune system unlocked for attack and the patient sometimes die of a very usual illness like flu. In general the deficiency of normal white cells impairs the body’s ability to struggle against infections. A shortage of platelets results in bruising and easy bleeding whenever there is a need of clot to stop the flow of blood.
All kinds of various acute or chronic diseases of leukemia are dangerous. Acute leukemia being a swiftly succeeding disease affects typically cells that are embryonic or primitive (which means the cells that have not yet fully developed or differentiated from the others). These not fully formed cells thus cannot achieve their standard utility. These cells are described as “nonfunctional” because they do not work like normal cells. They also number out the usual normal healthy cells in the marrow, resulting in a decrease in the number of new healthy normal cells made in the marrow. These later results in low red cell counts which is a typical form of anemia.
On the other hand chronic leukemia develops gradually, and allows the development of larger amounts of more developed cells. In broader perspective, these more grown-up cells can achieve some of their typical functionality but due to the increase in the number of cells like white blood cells the blood flow may slow down and result in severe anemia.
The leukemia is categorized in to four basic categories which are as follows:
o Acute Myelogenous Leukemia (AML)
o Acute Lymphocytic Leukemia (ALL)
o Chronic Myelogenous Leukemia (CML)
o Chronic Lymphocytic Leukemia (CLL)
For acute leukemia following are the signs and symptoms of leukemia:
o Fatigue or tiredness
o Shortness of breath during physical activity
o Sluggish curing of cuts and excess bleeding
o Mild fever or night sweats
o Black-and-blue spots (bruises) for no evident cause
o Pinhead-size red spots under the skin
o Pale skin
o Low white cell counts
o Aches in bones or joints
As far as chronic leukemia is concerned people with CLL or CML may not have any symptoms. Some patients learn they have CLL or CML after a blood test as part of a usual checkup. Occasionally, a person with CLL may see enlarged lymph nodes in the neck, armpit or groin and go to the doctor. The person may feel exhausted or short of breath or have frequent infections, if the CLL is more severe. In these cases, a blood test may show an increase in the lymphocyte count.
A comprehensive blood count is utilized to make a diagnosis of leukemia. This blood examination may confirm high or low point of white cells and show leukemic cells within the blood. Sometimes, number of platelet and red cell are fairly low. Bone marrow tests like aspiration and biopsy are often carried out to verify the analysis and to glance for any chromosome irregularities. All these tests spot the leukemia and its cell category. These tests must be continued after regular intervals after treatment commences to gauge how sound the healing is.





