January 2017

What Causes Shoulder Bursitis And How To Fix It

A bursa is a tiny fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. The plural of bursa is bursae. There are 160 bursae in the body. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.

Bursitis is inflammation of a bursa. Injury or inflammation of a bursa around the shoulder joint causes shoulder bursitis.

What causes shoulder bursitis?

A bursa can become inflamed from injury, infection (rare in the shoulder), or an underlying rheumatic condition. Examples include infection of the bursa in front of the knee from a knee scraping on asphalt (septic prepatellar bursitis), inflammation of the elbow bursa from gout crystals (gouty olecranon bursitis), or injury as subtle as lifting a bag of groceries into the car, which could inflame the shoulder bursa and lead to shoulder bursitis.

What are risk factors for shoulder bursitis?

Injury or strain to the shoulder joint causes shoulder bursitis. Activities that are common risk factors for shoulder bursitis include throwing a ball, lifting objects overhead, and trauma from a fall onto the shoulder.

Bursitis is typically identified by localized pain or swelling, tenderness, and pain with motion of the tissues in the affected area. X-ray testing can sometimes detect calcifications in the bursa when bursitis has been chronic or recurrent. MRI scanning (magnetic resonance imaging) can also define bursitis. Shoulder bursitis is often accompanied by tendinitis of tendons adjacent to the affected bursa in the shoulder. Shoulder bursitis causes focal tenderness of the inflamed tissues. It can also cause a “pinching” pain when the elbow is moved away from the body, referred to as an “impingement” sign.

Sometimes shoulder bursitis requires aspiration of the bursa fluid. This procedure involves removal of the fluid with a needle and syringe under sterile conditions and can be performed in the doctor’s office. Often the fluid is sent to the laboratory for further analysis. Noninfectious shoulder bursitis can also be treated with an injection of cortisone medication into the swollen bursa. This is typically done at the same time as the aspiration procedure. Physical therapy can be used to aid the recovery from bursitis, especially when it is accompanied by a frozen shoulder.

Infectious (septic) bursitis, which is uncommon in the shoulder, requires even further evaluation and aggressive treatment. The bursal fluid can be examined in the laboratory to identify the microbes causing the infection. Septic bursitis requires antibiotic therapy, sometimes intravenously. Repeated aspiration of the inflamed fluid may be required. Surgical drainage and removal of the infected bursa sac (bursectomy) may also be necessary. Generally, the adjacent joint functions normally after the surgical wound heals.

Are there home remedies for shoulder bursitis?

Bursitis is initially treated with ice compresses, rest, and anti-inflammatory and pain medications.

What is the prognosis for shoulder bursitis?

The outlook for shoulder bursitis is generally excellent for a full recovery with shoulder bursitis. If the bursitis is accompanied by scarring around the shoulder joint (adhesive capsulitis or “frozen shoulder”), it can require long-term physical therapy.

Is it possible to prevent shoulder bursitis?

By avoiding overuse of the shoulder by excessive straining the shoulder and gradual exercise training, shoulder bursitis can be prevented.

What health-care specialties treat shoulder bursitis?

Specialists that treat shoulder bursitis include general medicine physicians, including general practitioners, family medicine doctors, and internists, as well as orthopedic surgeons, rheumatologists, and sports medicine specialists. Often physical therapists and rehabilitation physicians are involved in the care of shoulder bursitis.

Could it be your neck?   Check out this article and see if it helps:  5 Techniques for Alleviating Neck Pain

Roger SafontWhat Causes Shoulder Bursitis And How To Fix It
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10 Common Reasons Why Your Feet Hurt

What do you suffer from???

Fungal Nail Infection

Tiny fungi can get inside your nail through a crack or break, causing an infection that can make nails thick, discolored, and brittle. The fungus, which thrives in warm, wet places, can spread to people who swim a lot or who have sweaty feet. An infection won’t go away on its own, and it can be hard to treat. Creams you put on your nail may help mild cases. Antifungal pills or surgery to remove the nail offer the best chance of clearing up a severe infection.

Avoid a Sandal Scandal

Is a bunion, corn, ingrown toenail, or a bad case of athlete’s foot causing you pain? Keep your feet happy and healthy — learn the symptoms of common foot problems and what you can do to treat them.

Bunion

This bony bump at the base of the big toe causes that toe to veer toward the others. It throws foot bones out of alignment and can be painful due to pressure or arthritis. It might also lead to corns. Pain relievers, pads to cushion the bunion, custom shoe inserts, or surgery may help. You could also wear roomy shoes and avoid high heels.

Corns and Calluses

Friction or pressure causes these thick, hard, dead areas of skin. Corns look cone-shaped and point into the skin, usually forming on pressure points from poorly fitted shoes or a bone spur. Calluses tend to spread out more and can appear anywhere something rubs on your skin. Moleskin pads can help relieve a corn. Your doctor can trim calluses or correct them with surgery. You can also wear patches with medication that can remove calluses.

Gout

It’s a form of arthritis that causes sudden pain, redness, swelling, and stiffness. It usually affects the large joint of the big toe, but it also can flare in the foot, ankle, or knees. Gout comes from too much uric acid (UA) in your body, which can form needle-like crystals in joints. Attacks can last days or weeks. You can treat it with drugs that fight inflammation (pain, redness, and swelling) or UA-lowering medication. Some diet changes help break down uric acid, too.

Plantar Warts

These tough growths form on the soles of the feet. You get them when a virus enters your body through broken skin. They can spread through skin-to-skin contact or on surfaces in places like public pools and showers. The warts are harmless, so you don’t have to treat them. In many cases they’re too painful to ignore, though. You can apply salicylic acid to help get rid of them. But burning, freezing, laser therapy, and surgery to remove them work best for more severe cases.

Athlete’s Foot

This fungal infection can cause peeling, redness, itching, burning, and sometimes blisters and sores. It’s mildly contagious, spreading to others by direct contact or by walking barefoot in places like locker rooms or near pools. The fungi then grow in shoes, especially tight ones without air flow. Treatments usually include fungus-fighting lotions, or pills for more severe cases.

Hammertoe

When toe muscles around the joints get out of balance, they can cause painful problems. Hammertoe generally makes the second, third, or fourth toes bend downward at the middle joint. The condition sometimes runs in families. Other risks include tight footwear or an old injury to a toe. Well-fitted shoes with the right amount of space in the toe box, shoe supports, and surgery may offer relief.

Ingrown Toenail

It’s just how it sounds — a toenail that has grown into the skin. The problem can cause pain, redness, swelling, and infection. You can get them from cutting your nails too short or not straight across, injuring a toenail, and wearing tight shoes. For mild cases, soak your foot in warm water, keep it clean, and wedge a small piece of cotton under the corner of the ingrown nail to lift it off the skin. Minor surgery can remove all or part of the nail.

Flatfoot (Pes Planus)

You have this condition when your sole makes complete or near-complete contact with the ground. You can get it after an injury or because of a health problem, such as rheumatoid arthritis. Most people don’t have symptoms, although weight gain, ill-fitting shoes, or standing a lot may cause pain in your feet and legs. Foot-strengthening exercises and shoes with good arch support or orthotics can help.

Roger Safont10 Common Reasons Why Your Feet Hurt
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Things That Trigger Your Gout

When you have gout, you have higher than normal levels of uric acid in your body. When too much uric acid builds up around a joint, uric crystal forms, causing a painful gout flare.

All sorts of things — from certain foods and drinks to stress and medicines — can cause your uric acid levels to go up. Knowing what can trigger the uric acid to build up in your body may help you avoid future gout attacks.

Common Gout Triggers

There are some things that are likely to trigger flares in most people with gout, also known as gouty arthritis. If you know you have gout, you should try to stay away from these gout triggers.

Foods — Foods that are high in a substance called purines can raise the uric acid level in your blood. This includes organ meats like liver; seafood like sardines, anchovies, mussels, and salmon; and even some vegetables such as spinach. Eating just one of these foods or several of them together, can cause a gout flare. Purines are found in all foods that have protein.
Alcohol — Beer and liquor can raise the uric acid level in the blood and many bring on a gout flare. They can be extra bad for you because they also can make you dehydrated — another common gout trigger. Wine is not linked to gout attacks and can be enjoyed in moderation.
Medication — Some drugs that people take for other medical conditions — such as high blood pressure or heart failure — may also bring on a gout flare. Some possible flare-triggering drugs include diuretics, beta-blockers, and cyclosporine. Even low-dose aspirin can cause an attack. If your doctor is going to start you on a new medicine, be sure to tell her that you have gout.
Dehydration — When your body is dehydrated, the amount of uric acid in your body rises, and your kidneys’ ability to get rid of extra uric acid decreases. So when your body doesn’t have enough water, you can be more likely to get a gout attack.
Fructose beverages — Don’t drink lots of sugary drinks containing fructose. Fructose-sweetened beverages can bring on gout flare-ups.
Medical stress — Hospital visits, surgery, pneumonia, and other medical conditions and procedures can cause your uric acid levels to go up and your gout to flare. If you’re going into the hospital or if you become sick, be sure to tell your doctor that you have gout.
Know Your Gout Triggers

These gout triggers are common in most people who have gout, but not every one of them will set off an attack in every person with gout. Some people may have an attack after limited exposure, while others only react in extreme cases.

“Everybody has their own little nuances,” says Robert T. Keenan, MD, MPH, assistant professor of medicine at Duke University School of Medicine. “For some people, certain foods will trigger it — like a seafood and beer binge. Others will have their first gout attack when they go into the hospital or for stress or hydration reasons.”

There’s no test that lets gout patients figure out what triggers will cause their uric acid to rise. But nearly everyone with gout is able to determine the source the very first time they have an attack, says Keenan.

“Most patients will figure it out on their own relatively quick,” he says. “Maybe it’s, ‘I was watching the game last night and drank six beers and at 3in the morning I woke up and my toe’s killing me.’

Avoid Gout Flare-Ups

Once you have had a painful gout flare-up, you wíl never want to experience another one.

“We really think of it as an explosive arthritis, where you go from zero to 60 in 24 hours,” says rheumatologist Rebecca Manno, MD, MHS, assistant professor of medicine at Johns Hopkins University School of Medicine. “People say gout can be some of the most severe and worst pain they have ever experienced.”

But there are other reasons for gout prevention than just pain, says Manno.

“Gout can be more than just a nuisance. It can cause destruction in the joint itself,” she says. “Once there is damage done to the joint from gout — it cannot reverse.”

You don’t have to sit around and wait for a gout attack in order to treat it. You can help avoid gout flare-ups by lifestyle changes and medication. Here are some tips for gout prevention.

Avoid gout triggers. Although its impossible to completely avoid all purines in your diet, if you know which foods tend to set off your gout attacks, try to avoid them. You may still be able to enjoy foods with fewer purines such as beans, lentils, and asparagus.
Preventive medication. If you have two or three gout flares in one year, many doctors will suggest daily medicine — such as feboxostat (Uloric), allopurinol (Lopurin, Zyloprim), and probenecid (Benemid) to lower uric acid level in the blood, and colchicine (Colcrys), to help prevent future attacks. In the first few months that you take the medicine, be aware that the gout prevention drugs may actually cause an attack. Your doctor will prepare you for this possibility by giving you medicine to take in the event you have a flare.
Healthy lifestyle. Eating a healthy diet, reducing or eliminating alcohol, and exercising regularly can help prevent gouty arthritis attacks and keep your uric acid level stable. Remember to drink water when exercising to avoid flare-ups due to dehydration.
Lose weight. If you are overweight, work with your doctor to develop a weight loss plan. Being overweight can contribute to elevated levels of uric acid and lead to gout attacks. “When we talk to patients about foods they should avoid, we also talk about weight,” says Manno. “There’s definitely a risk factor with being overweight.”

 

Still Struggling?   Check out this post for some helpful hints to manager your pain:  Pain Relieving Foods: 7 Foods that Naturally Help With Pain

Roger SafontThings That Trigger Your Gout
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Top 10 Painful Conditions That Hurt The Most

After an ER doc determined that a tiny kidney stone caused my husband’s sudden agony last year, a nurse came to deliver more pain meds and a dose of sympathy: “I passed a stone a couple of months ago, and it was worse than any of my four labors,” she told him. Indeed, when Prevention asked doctors for their opinions about which conditions trigger the most horrific pain, kidney stones made the list. But even they’re outranked by several other diagnoses with more intense, longer-lasting distress.

10. Post-Surgical Pain

Whether you were in the hospital for work on your shoulder or your ticker, you’re at risk for nerve injuries that lead to constant pain. “Some research has shown that half of people who have chest surgery develop chronic pain,” says Lynn Webster, MD, past president of the American Society of Pain Medicine. (Here are 9 thnigs only someone with chronic pain understands.) “In the future, we’ll be able to identify, through genotyping, who is most at risk.” In the meantime, he cautions patients not tough it out in the hospital because managing the acute pain lessens the risk of long-term problems.

9. Kidney Stones

The pain from these itsy bitsy masses (which range in size from a grain of salt to a pearl) comes on fast and furious, with the back, lower abdomen, and groin area being in the greatest discomfort. Most of the time, doctors prescribe pain-killers and advise you to drink plenty of water and wait. Once you pee out the stone, the pain subsidies almost immediately. But don’t think you’re out of the woods yet: The doctor will probably suggest that you have the stone tested, because, depending on the type, changes in your diet may prevent the whole ordeal from happening again.

8. Chronic Lower-Back Pain

“Lower back pain is like death and taxes; everybody gets it at some point,” says out Sean Mackey, MD, PhD, chief of the division of pain medicine at Stanford University School of Medicine. About 9 in 10 of those patients recover fairly quickly, he says, but for the remainder, the pain becomes chronic and life-altering. (Try this 60-second fix for back pain.) “The severity of the original injury and how prone you are to anxiety plays a role in whether your pain will persist,” he says. Physical therapy focused on core strengthening is one of the most effective treatments.

7. Peripheral Neuropathy

Commonly caused by diabetes, damage to the tips of the nerves going to the fingers, hands, and toes trigger this pain. “I’ve been told that it feels like walking on razor blades,” says Charles Kim, MD, assistant professor of rehabilitation and anesthesiology at NYU Lagone Medical Center. Anti-seizure medications calm down irritated nerves, but Kim says exercise is also important to improve blood flow.

6. Cancer Pain

Whether it’s from the disease itself, treatments like chemo, or a combo of the two, some cancer patients especially those with advanced disease suffer immense pain. Among the most agonizing cancers: pancreatic, brain tumors, and sarcomas. Doctors prescribe medications based on the type of pain; for instance, steroids may help pain caused by swelling.

5. Postherpetic Neuralgia

It’s the pain that lingers in about 10% of patients who come down with shingles, the mature version of chickenpox. (After you have chickenpox, the virus lies dormant in your brain and spinal cord and may re-activate as shingles as you age.) “When the shingles rash goes away, some patients are left with burning nerve pain that’s difficult to treat,” says Mackey. (Feel better starting today with Rodale’s The Thyroid Cure, a new book that’s helped thousands of people finally solve the mystery of what’s ailing them.)

4. Trigeminal Neuralgia

Infections, tumors, and other conditions can trigger this pain in the trigeminal nerve, which carries sensation from your face to your brain. “Patients describe it as feeling their face is on fire,” says Kim. The pain tends to be throbbing, and in some cases, occurs every few minutes with the right side of the face most often being affected. One of the go-to treatments: anti-seizure medication.

3. Interstitial Cystitis

It’s a fancy way to refer to an inflamed bladder. “Patients tell me that it feels like their pelvic area is burning all the time,” says Webster. In extreme cases, sufferers may urinate 60 times a day. Physical therapy, nerve stimulation, and medications, such as anti-inflammatories, help provide relief.

2. Complex Regional Pain Syndrome

Although the name of this condition sounds bogus, the pain is all too real, typically occurring in one of the limbs after trauma or simple injury even a run-of-the-mill twisted ankle or broken arm. The pain and swelling starts in a small area then spreads throughout the limb, causing it to feel “like a blow torch,” in the words of one sufferer. “I saw a patient who came in on a winter day with one of his pant legs cut off,” says Kim. “Just having the material touch his skin brought about too much pain to bear.” Doctors aren’t sure why some people develop the condition, though they generally agree there’s a genetic component, and more women are affected than men. An intense combo of rehab, medications, and neuro-stimulation helps control the pain.

1. Cluster Headaches

More debilitating than a migraine, cluster headaches produce sudden, sharp pain that’s usually concentrated around one eye or one side of the head, and episodes occur in clusters for weeks or months. “It’s nicknamed the suicide headache because patients have suicidal thoughts to get away from the pain,” says Mackey. “My patients have told me that it makes them want to bang their heads against a wall or take a drill to their head.” While the cause isn’t known, steroids, calcium-channel blockers, and anti-seizure medication may bring relief for sufferers, most of whom are men.

Roger SafontTop 10 Painful Conditions That Hurt The Most
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Easy and Effective DIY Home Remedies For Neck Pain

The neck, with its intricate structure and wide range of mobility, needs to remain in good condition to support healthy functioning and movement of your body. When there is pain in the neck making it difficult to move your head in any direction, it can be hard to carry out day-to-day activities.

Neck pain results in a sharp or dull aching in the neck, shoulder and nearby muscles. This can even cause headaches, numbness, tingling, stiffness, tenderness, difficulty swallowing and swelling in the neck.

You can suffer from neck pain for a variety of reasons. The main cause is muscle tension and strain that can be due to poor posture, working at a desk for long hours without taking breaks, sleeping with your neck in a bad position and jerking the neck during exercise.

Other causes include nutritional deficiencies, neck injury, nerve compression, cervical spondylosis, fibromyalgia, etc. In rare cases, it can also be caused by infections of the spine or even cancer that involves the spine.

Most of the time, neck pain is not a serious condition and can be treated effectively using safe, natural methods.
Here are the top 10 home remedies for neck pain.

Ice Pack

Ice is one of the simplest remedies for neck pain. The cold temperature will help reduce inflammation and alleviate pain. A bag of frozen peas also works well.
1.Put some crushed ice cubes in a plastic bag.
2.Wrap the plastic bag in a thin towel.
3.Put the ice pack on your neck for not more than 15 minutes at a time.
4.Follow this remedy every two to three hours for the first 24 hours.
Note: Never apply ice directly on your skin.

Hydrotherapy

Hydrotherapy is another very effective home remedy for neck pain. It can easily be done at home in the shower. The force of the water on the affected body part will help reduce pain as well as soreness.
1.Target the neck area with warm water for three to four minutes in the shower.
2.Switch to cold water and target the neck for 30 to 60 seconds.
3.Repeat as many times as necessary.
While the hot water will increase blood circulation and ease off stiff muscles, cold water will help reduce inflammation.
Note: While you are in the shower, make sure to keep your neck straight, and do not turn your neck in any direction.

Epsom Salt Bath

An Epsom salt bath can help relieve muscle tension, reduce stress and give you instant pain relief. The magnesium sulfate in Epsom salt works as a natural muscle relaxant that helps reduce swelling and pain.
1.Add one to two cups of Epsom salt to a warm bath.
2.Soak your body, especially the neck area, in it for 15 to 20 minutes.
3.Do this daily until your neck pain is healed completely.
Note: Avoid this remedy if you have heart problems, high blood pressure or diabetes.

Apple Cider Vinegar

Apple cider vinegar is a powerful antioxidant and anti-inflammatory that can relieve neck pain quickly. Plus, it has a number of important nutrients to eliminate the possibility of nutrient-deficiency related pain.
Soak a paper towel in apple cider vinegar. Place it over the affected part of your neck. Leave it on for a couple of hours. Repeat twice daily until the pain is gone.
Alternatively, add two cups of apple cider vinegar to lukewarm bath water. Soak in it for at least 15 minutes. Do this once daily until you recover completely.

Neck Exercises

There are a wide range of motion exercises that help reduce neck pain. Exercise will strengthen and stabilize your neck muscles as well as your upper back. Also, it will help to reduce stress.
Two types of neck exercises in particular can help ease and prevent neck pain. Apply moist heat to the neck before performing the exercises.
Slowly rotate your neck in a circular motion, clockwise as well as anti-clockwise, to help stretch out the agitated muscles. This may cause a little pain in the beginning, but it will ultimately help your neck loosen up and heal.
You can also move your neck slowly back and forth as well as from side to side.
Each exercise should be done five times per session, three sessions per day. If it hurts too much, don’t do the exercises and consult your doctor.

Lavender Oil

Lavender oil can be used to relieve neck pain. It is very effective when used along with massage therapy. Massage can help ease tense muscles and may help you sleep better.
1.Take a hot bath or shower to relax your sore neck muscles.
2.Rub some lavender oil on your neck and shoulders.
3.Apply gentle pressure in small circular motions to massage the affected area for 10 minutes.
4.Repeat daily as needed.
You can even dilute lavender oil with coconut oil or olive oil.
Note: Don’t massage the neck area if it causes pain.

Blackstrap Molasses

If your neck pain is linked to a nutrient deficiency, specifically a lack of calcium and potassium, then blackstrap molasses is a great remedy for you. It has an abundance of calcium and potassium, which are essential for maintaining strong muscles, bones and joints.
1.Mix one tablespoon of blackstrap molasses in a glass of warm water.
2.Drink this mixture twice daily until you get relief from the pain.

Turmeric

You can also use turmeric to treat neck pain. Turmeric’s curcumin is an important phytochemical that acts like an anti-inflammatory agent and hence helps ease pain. Also, turmeric helps improve blood circulation, which helps speed up the recovery process.
1.Mix one teaspoon of turmeric powder in a glass of milk.
2.Heat it over low heat for five minutes.
3.Remove from heat, add little honey and allow it to cool.
4.Drink this twice a day until your pain is gone completely.

Ginger

Ginger is a natural anti-inflammatory agent that also improves circulation and blood flow to the affected area. This in turn helps reduce pain as well as inflammation.
Cut a small piece of ginger root into small slices. Boil the ginger slices in two cups of water for 10 minutes. Strain, add honey and drink the tea. You can drink up to three cups of ginger tea daily for a few days.
Alternatively, mix one-half teaspoon of powdered dry ginger in a glass of water and drink it three times daily for a few days.
You can also make a ginger compress. Wrap three tablespoons of freshly grated ginger in a piece of cheesecloth. Put the cheesecloth in hot water for 30 seconds. Allow it to cool and then place it on the neck area for 15 to 20 minutes. Repeat a few times daily until you get relief.

Cayenne Pepper

Cayenne pepper contains capsaicin which has analgesic as well as anti-inflammatory properties that help reduce neck pain.
Add one teaspoon of cayenne pepper powder to two tablespoons of lukewarm olive oil. Mix it well and then apply it on the sore muscles in your neck area. Follow this simple remedy twice daily until the pain is gone.

You can also get a capsaicin cream and rub it gently on your neck and back muscles for quick relief. You can use this cream a few times a day.

Roger SafontEasy and Effective DIY Home Remedies For Neck Pain
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