Disease, it is good there!

In these times of flu we are showered with tips on how to stay healthy, and be as little ill as possible. There's even a vaccine against influenza. But the disease also causes something good with it.

This Christmas has for me been marked by illness. First I had a normal and straightforward colds that have lasted since the end of November, marked by exhausting cough. But 2 day of Christmas went over to fever and aching all over. This year's flu epidemic took my body and confiscated all the resources that exist. It was to be a cozy family dinner two days after Christmas, was a tiring meeting with family members I had not seen in a year.

Now that christmas peace has descended, and the vast majority of family companies is done, I can sit back and relax a little. I can concentrate on getting healthy.

I can not remember the last time I had the flu. It is many years since I've had to lie under the covers for several days, isolated from the outside world. My immune system has now been on my side.

Now I'm thankfully on the mend, and the forces start to come back. It feels great! In fact, it feels like I've been through some sort of purification.

In my opinion, namely disease a form of purification. Both a large and a little perspective. The big picture we get when we look at what the disease does to the Earth. In a cynical way disease affects the poorest hardest. They die.

Disease cleans away those individuals who are too weak, and allows for the healthy to live. To ensure the biology of those with the best genes survive and ensure the best offspring. To the best of life on earth in general.

The little perspective we find in ourselves.

When we get sick, it is a signal that we should take a break from everyday life. It is a signal that we need some focus on ourselves for a while, and that we need rest. Illness forces us simply to pay attention to these signals. Our life is changing in a really short period when we are sick, and purification is in this change.

We eat differently, maybe we only manage to eat fruit or soup. It's almost like a period of fasting . We sleep and rests us more than normal. We have less contact with other people, since we are away from work or school. We can not bear to have visitors, nor to go visit.

Illness can almost comparable to that of a ritual in which the person performing the ritual standing up on the other side as a new person. A ritual can mean a transition from something old to something new.

For it is often the case that when we recover from illness, so a renewed fervor in us that was not there before the illness hit us. We are happy to be healthy and we know that we have new powers. We think positive and maybe we will even see life differently.

I know people who have been cured of cancer. They have changed their lives completely. They got a real eye when they were sick. They have stopped smoking, they have begun to exercise and altered diet. They see their friends with completely different eyes. Both positive and negative. They have cut out friends who were bad, nor focused on the good. The disease has changed their lives in a positive way, after all.

Now you do not need to have cancer to change their lives. It can actually hold a little flu.

My tip here is that when you get sick, take the signals your body gives you. Rest as much as you need, and do only what you feel. Not that you would otherwise have imposed.

And an important thing in the end: Observe the thoughts that pop into your head when you are sick. Since both the physical and psychological defenses are put out of action due. disease, you may begin to think thoughts that you have not been aware that you had. The mind may have something to tell you. There may be thoughts about plans for the future, a project that you have thought of. Or thoughts about yourself, about your friends or other family members. Listen to your inner self.

What is a mouse arm?

Mouse arm / elbow / lateral epicondylitis

What is a mouse arm ?

A mouse arm is simply a tendon inflammation of tendons on the outside of the forearm. The reason for this disorder is called both mouse arm and elbow is because this is typical causes of that suffering develops. We are talking about thousands of small strain on the tendon attached which are individually insignificant but which together exceed the tissue tolerance capacity and develop an injury.

What causes a mouse arm ?

In today's society, our jobs so specialized that we often do the work day with only small variations in load patterns. When one employee who uses the PC the work day, only use one arm and the working day otherwise offer little variety, then you are very likely to'll develop mouse arm .

Although PC user is clearly the most frequent cause of development of mouse arm then also other stresses cause irritation and damage to the tendon attachments on the exterior of the arm. Both artisans and others who use their hands and arms much of the work is delayed.

How can we prevent the development of mouse arm ?

There are a number of measures can be initiated to prevent the development of museram. It is important to create enough variety in their tasks. This may be going out on that one cuts up the work PC to multiple sessions during the day. It is also important to take frequent short breaks during the day so the tendon structures get enough time to rest between periods of stress.

There are also many different variations of computer mouse. It is important to try to work out a solution that works for the individual. Some workplaces have access to a physiotherapist or occupational therapist who can help with getting this organized properly.

A simple but massively effective trick may be to learn to use both the right and left arm on PC mouse. This can be somewhat clumsy at first, but after a few days so mastered most use also the other arm. For those who use the computer a lot during a day, so this is something that certainly should be considered as a preventive measure.

Programs focusing on strength training can also be helpful. When the body is stimulated by exercise and build stronger tendon structures that can better withstand the strain exposed to.

What is Tendonitis?
A Tendonitis is an acute response of tendon and muscle as a result of overload or friction. Many compares a tendonitis mistaken for an infection. This can be explained by the word inflammation often used in connection with inflammation. The infection then a foreign bacteria or similar attack the body. This body must defend against, and in some cases one has to use antibiotic to help the body on the way.

The inflammation, however, is a physiological response to an overload, and completely natural. When a structure, for example. A tendon is overloaded as it is the body's natural defense mechanism to initiate the inflammatory process. The first few weeks so the area can become swollen, hot and painful. This process is a repair phase and the body is dependent on the process of repairing the damage.

Acute or chronic? 3 phases

Acute phase:

An acute tendonitis is the phase where the pain first appears. The pain provseres of stress and is often limited in localization to a smaller area. The area is often irritated and swollen. It is often painful to touch muscle and tendon and for many it is also pain at night when the arm is at rest.

On ultrasound , one can see that there is more fluid in the tissue and collagen fibers see something untidy out.

Failed healing:

In this phase it happens further changes in the tissue that suggest the extent of the damage. In some cases, one might indeed ultrasound now see the ingrowth of blood vessels in the tendon tissue, which otherwise do not exist in fresh tendon tissue. Major changes in the organization of collagenfibrene is evident, and one can often see areas of the tendon where collagen fibers are almost gone. This tendon is much weaker than a healthy tendon, and if this is not treated then you will probably experience a relapse of pain when Resuming activity.

Man when "failed healing" phase when the body in an attempt to repair an acute injury, errors and further tendon injury aggravates the situation. Immune system and the repair phase. Recent research suggests that drug use in the acute phase may be one reason why many tendon injuries are the acute phase and over in this phase. The drugs stop effective reparation of tissue, while a pain subdued ties are more susceptible to further congestion.

Chronic phase:

In this phase there is damage to the tissue most evident on ultrasound. Damaged collagenvev is often replaced by areas of calcium deposits. Small tearing of the tendon are not uncommon, when a chronic tendon injury makes the scene very vulnerable to further structural damage. In the chronic stage as is the risk of a complete tear of the tendon greatest.

Why is inflammation painful?
Just like when we break a leg, you want your body to protect the body part that is damaged. The same applies to the inflammation. The brain receives the pain stimuli from the damaged area so that we keep it quiet enough in the repair process will take its course. Pain Stimuli coming because inflammatory cells into the damaged area make tissue sensitive to strain. This is not cells that enter the tissue as a bacterial infection, but tendon tissue's own cells that release chemicals which irritate nerves to transmit impulses of pain to the central nervous system.

At a protracted pain from an injured tendon, save brain information so that less and less load, before this is perceived as painful.

Should I take medication?
We do not recommend that you take medication either in the acute or chronic phase of the infection . In the acute phase, so that works NSAID Voltaren, Brexidol, Naproxen and Ibux good at pain since this is drugs that suppress the activity of the cells that stimulates pain. But inflammation should be suppressed if the pain is so intense that it becomes difficult to sleep or move. Nyee research suggests that there is a inflammation as previously thought, but a chemical reaction and release of neurotransmitters from tissue which activates nerve fibers to transmit impulses to the brain. This process is a natural physiological response to an overload, and the body has the best advantage of this phase will burn itself out. When prevents the repair phase stops and the damage sustained.

If the pain is too bad so you might as well take common pain relievers like Tylenol or similar, to mitigate the most intense pain. But be careful that you do not overload the tendon when the pain is muted. Treatment with laser can also have a good analgesic effect, while treatment can accelerate the repair process significantly.

What about cortisone?
It is not clear how cortisone affect tendon tissue by inflammation. But research shows that some chronic tendon injuries may benefit from treatment with cortisone. What we do know is that steroids can have pain relief. In addition damper cortisone effective immune system, and part of the pain-relieving effect should probably be attributed to this particular point. Immune system activity by an injury is pain rewarding, and a slowing of the process would thus provide pain relief.

But since we now have good treatment by pressure waves, eccentric training and laser on acute and chronic tendon inflammation, so not recommended treatment with cortisone before other methods are tried first. Just as one should avoid drugs in the acute phase, so one should avoid cortisone in this phase.

Corticosteroids should be administered by a properly trained physicians with special expertise in this. Cortisone treatment is only effective when the person puts injection to hit precisely. If you miss one reason or another, so the treatment is useless and one may be led to believe that the diagnosis is wrong. Research says that 50% of cortisone injections inserted without ultrasound guidance, booms. About the doctor puts injection is not a specialist in the area so the chances are even greater for the injection misses the target, and the result is either an aggravation of the injury or no effect of treatment.

There is some research that shows that the tendons are more likely to smoke after treatment with cortisone. What reason is we do not know for sure, but it's presented several hypotheses. I'm not going to go into this in this article.

Supraspinatus tendinosis definition

Supraspinatus tendinosis / Inflammation in the shoulder


Do you have pain in the shoulder?
If you have pain in the shoulder, this can be due to many reasons. A common cause is an injury or overuse of the tendons that support the shoulder bullet in the shoulder joint. One of the ligaments that often gets damaged is supraspinatus. The extent of damage will determine what treatment is most effective. This can be evaluated by a clinical examination supplemented by ultrasound diagnostics . Using ultrasound then physiotherapist see how the scene moves in the joint and the large extent of the damage.

What can you see with ultrasound?
Using ultrasound as physiotherapist can look in on your bones and joints. Comparing photos of the fresh side helps the physiotherapist to determine whether the findings obtained in the pictures, is relevant for your ailments. Before a scan with ultrasound device implemented physiotherapist takes a thorough medical history and do a relevant clinical examination.

There are a number of pathological conditions an experienced clinics can view ultrasound images . The most common conditions we look for is damage to the muscle and connective tissue ingrowth of vessels and nerves in tendon tissue which may indicate inflammation, deposition of calcium in the muscle and tendon tissue and enlarged mucus bags. It is also common for fluids that may indicate damaged tissue.

When it comes to the shoulder so you can not see what's hiding under the roof which forms the acromion. (Bony edge of the shoulder blade, which is above the joint as a roof). You have to either take the radiograph with precise angle, MRI or CT.

What is calcification?
Lime is calcium deposited in the tendon tissue. This may occur where, for example, a tendon has been injured and how the injury has not healed sufficiently. In most cases it is not the lime in itself a problem, as it generally is never painful. But physiotherapist can find calcium in your shoulder as this is a proof that the tendon is damaged and not functioning optimally. As I said, not the lime problem in itself in most cases, but in the shoulder, the situation is slightly different. Where can chalk making the tendon becomes too thick to get into the acromion. In those cases it will make the tendon cup crushed bones under this roof and damaged and irritated by repetitive movements. Then one can also find that slime bag between the acromion and supraspinatus becomes inflamed. This mucus bag which is also called a bursa may then be so inflamed forming more liquid adhesives bag and it expands. Then the cycle stopped by both tendon with classification and slime bag takes up so much space that they do not manage to squeeze into the acromion. This would provide a same terminal the joint that can be very painful.

What is a bursa ?
A bursa or bursa is a structure that is found everywhere in the body. It is a thin, flexible fiber bag with a thin content of fluid that lubricates the inside of the slime bag . bursae has the property that it acts as a friction pad where bones and muscles glide over each other. In this way it prevents the muscle fibers are damaged when they are pulled over and past the bones. When this slime bag becomes inflamed by excessive friction or impact, then fill it with fluid and become painful. When we call it a bursitis or bursa inflammation .

What happens during an inflammation of the supraspinatus ?
One of the most common findings as one does in a damaged and painful supraspinatus tendon is fluid and damaged tendon fibers. The fluid then fills up the room where the damaged fibers normally would. By using a special form of ultrasound (power Doppler) you can see if there are blood vessels in this part of the tendon. In a healthy tendon that are not normally such vessels, and their presence is therefore a sure sign of damage. Research has revealed that blood vessels and small nerve fibers growing into a tendon is injured, but this happens only after the immediate inflammation has subsided. Then tendon tissue normally has little blood flow, it is necessary to increase this through bleeding to ensure reparation takes place satisfactorily.

Prolonged and excessive damage to the fibers of the tendon, one can also find a corresponding scale in parts of the tissue, which we regard as a proof that the tissue has been damaged and not properly healed on a stage. But that's not necessarily a bad lime in late, and you can also find calcium in a painless slow, so the cup itself is not evidence of any ongoing pain condition (inflammation) or progressive claims.

What is Knee arthritis / osteoarthritis

What is Knee arthritis?
Knee osteoarthritis is a disease that is relatively common. Gradual degradation of the cushioning cartilage in the knee joint allows the bone is exposed and might cause pain upon loading of the joint.

Why does it hurt?
Pain associated with osteoarthritis of the knee can be linked to the cartilage that normally protects the bone surface is worn away. In bone retina there are a number of pain fibers that sweetens signals from the knee. When cartilage no longer covers and protects the bone, it can cause inflammation and pain.

In addition to the pain from the bone membrane then inflammatory processes occur in the synovial membrane and cause swelling in the joint. It is also common that there is muscular pain from the muscles around the joint by this disorder.

What treatments can help?
There are a lot of good research showing that treatment with a physiotherapist can help. Man has been able to prove that the cartilage to a certain extent can build up again by proper training. This is something we never thought possible, but recent studies have shown that cartilage partly to build up again. Strength training and training in the pool and bike are important forms of training.

For those who have developed moderate to extensive arthrosis and where no training has helped well enough, injection therapy may be an option. The first step will be tried by local cortisone injection. If this does not sufficiently long lasting effect then injection of hyaluronic acid is a good method to provide pain free for up to 6 months.

On Apex Clinic we have good experience with these injections is a method we recommend to patients who do not experience the effect of different treatment and who does not want to be operated with a prosthesis.

What about surgery?
Operation prosthesis is the most common form of treatment in knee osteoarthritis. Whether uniprotese (prosthesis comprising 50% of the element) or total prosthesis for the joint are removed and replaced with a prosthesis. For younger active patients so often used other methods with either cartilage transplant or stem cell therapy. The surgeons would prefer to postpone replacement surgery as long as dentures do not have eternal life.

Prolapse / Sciatica / slipped disc

Both in the media and among patients and healthcare professionals so often used herniation / sciatica / slipped disc as designations for the same disorder.

Basically it is a prolapse completely harmless and a natural part of the body's tissues are broken down and rebuilt. Many of the people you meet every day, and that has not hurt either back or neck, have prolapse. So why do some hurt and some do not? It all depends on how dangerous the brain perceives the injury to be. About prolapse pressing on a nerve so there is a greater chance that your nervous system perceives it as being dangerous, than when prolapse is free and not bothering anyone.

Where do we find the intervertebral discs?
As the word describes, we find the intervertebral discs in the neck and back between each vertebra. The spine consists of 24-25 vertebrae of bones. To allow movement between the vertebrae so forming each swirl multiple joints with both vertebral above and below itself. Between each vertebra we find the discs. These are constructed from strong fiber cartilage and a soft core (nucleus). The discs are attached to the vertebrae with powerful ligaments that help to stabilize the spine and protect the spinal cord.

What shall we do with the intervertebral discs?
Intervertebral discs are designed in such a way that they can allow great mobility and receive strong shocks and stresses. In this way gives us a spinal discs that are agile and flexible. To make blade best suited to withstand the loads applied to it, it has very little nerves and corresponding poor blood circulation. A high degree of vasculature would have meant that the blade is also susceptible to damage these blood vessels. Blood vessels are more vulnerable than cartilage cells, and would put the disc prone to bleeding.
To ensure that the disc cells constantly maintained, it must be moved. It so happens that the blade acts as a sponge. When the pressure increases on the dial in that we are standing or sitting, push the blade something together and fluid seeps out of the cells. This must not miss understood with the same happens when the disc ruptures and form a prolapse . When the disc is released, for example, when we move or lie, then seeping fluid into cartilage cells again. When taking this liquid with the nutrients that cartilage cells need to maintain and repair skaderpå cartilage cells and the weaving of the fabric.

How damaged intervertebral discs?
Damage to the intervertebral discs can be largely attributed to age and wear. In addition, genetic factors play a role. It is common for an MRI examination on a healthy person in 50 years show significant degenerative changes (wear) of the spine and neck. Even if the person has never had pain in the back and neck.
We know today that the discs have varied load to function optimally. Persistent unilateral load with eg much sitting at work can be a factor that can damage the intervertebral discs. The pressure on the disc is then largely only the front part of the blade, and that mellomvirvelskivens cartilage cells become damaged due to poor maintainability. Fiber cartilage forming the blade edge is broken then steadily reduced, which makes the wheel prone to damage.

What is a prolapse?
A prolapse is as a result of wear or damage to the intervertebral disc. Portions of the soft contents of an intervertebral disc seeps when out of the disc inside and lying on the outside. Although the disc is built up of strong fibers cartilage, as prolonged degradation or greater acute injuries gain fiber ring to rupture. With acute injuries are we talking about quite a large amount of energy, as for example in a car accident. A fresh slice can not burst only at a heavy lift or a simple fall. But a damaged disc may rupture when only simple causative strain as a host or a shift. The term "straw that made the camel over" fits well to describe this process.

Make prolapse pain?
Prolapse in itself does not hurt. In fact, it is so that a large part of the population walks around with prolapses at any time without pain. We know that the outer edge of one intervertebral disc contains some nerve fibers. This enables us to experience the pain associated with damage to the disc fiber cartilage. But when fibers cartilage eventually gives in, so it need not be painful.

Only in those cases where the prolapse is present and pressing or irritate a nerve root, then the prolapse itself cause pain. The fact is that there is no pressure on the nerve that hurts, but the chemical irritation that occurs when prolapse in contact with nerve root membrane.

Should I take painkillers or anti-inflammatory?
Generally, one should use the least amount of these medications. The body is best to clean up yourself, If the pain is very intense and they prevent you from being able to move at all then you should consult a doctor to get help to mitigate the worst pain.

I need pictures of the back? MRI, ultrasound, x-ray or CT?
About plagues of the back is very large over time, then it may be appropriate to take pictures of two reasons.

One reason is to check whether there is any reason other than a prolapse or failure / overload that is causing the pain. We think especially of a tumor or the like. This is very rare, but your doctor or physical therapist may want to deny this if they are unsure of the cause of the pain.

The other reason why you should take a picture will be about the symptoms and the survey provides evidence that one has a proplaps that clamps on a nerve. But it should only take a picture if you think that this provides a much distress that an operation is necessary.

Sometimes it may be sufficient with a single radiograph. In this image you will not see any prolapses . When is the most commonly used MRI (magnetic x-ray). Ultrasound is poorly suited to investigate this disorder. CT is not commonly used in this setting as this allows relatively large radiation doses.

What about exercise and physical activity?
It is very important to recover quickly on their feet when you've got a slipped disc and painful symptoms. It is common for this disorder and most symptoms when sitting still for long, and often eases anything when you get going and going. It is not advisable to train hard or instance run in the starting phase. As described earlier, it is wise to listen to the message body. It is hurt should be avoided, but you must not let the pain control your movement 100%. Physical activity is better than sitting still or hard training.

What is a back or neck kink?
The back and neck protects vital organs such as the spinal cord, spinal nerves and blood vessels. The nervous system is constructed in such a way that in these structures practice "better safe than sorry" principle. When the nervous system receives signals danger from back or neck then activated protection mechanisms to protect the area of ​​injury. A central part of this protection are muscle spasms in the body part, or kink as we call it.

This gives the nervous system a little time to determine the extent of the damage or the danger signal the nervous system received was only a false alarm. In the acute phase, as will the pain brain perceives to be to protect you, and it's important to listen to it. If it hurts to sit a long time, so avoid this. In this way, your body behavior so that the injury can heal as quickly as possible.

What treatment options are available?
In first place is the best treatment only to be diverse in activities and go much traveling over rough terrain. If the pain is so intense you should take either anti-inflammatory or analgesic drugs, but everything in moderation.

There is very little a therapist of different kinds can do with the prolapse. It is like trying to push toothpaste back into the tube. Impossible. But there are a lot of treatments that can be effective on the symptoms that come from such a disorder. Some work well for some, while others work well for others. This is because the pain is individual and therefore very difficult to treat with a "standard method".

Should I "break" back in place?
It is not recommended that, before knukket back in place in the first acute phase. It is very difficult for a therapist to reveal the severity of your suffering at this stage, and you risk making the injury more by such treatment. If the muscles in your back or neck a little later in the process still creates an inappropriately strong "shield", as such manipulation can be an effective treatment. Physiotherapists , naprapaths and chiropractors have the knowledge necessary to assess when such treatment can be used.

When to consider surgery?
About prolapse pressing on nerves to muscles become paralyzed or losing control of urine or stool, then you must immediately call the hospital. These patients should fast for surgery. With the exception of these rare and severe cases, so you should wait as long as possible before considering surgery. It may be some disagreement among the scholars on this point, but you know that most recover completely after the prolapse without further problems. My advice is to wait as long as possible, to see if spontaneous clearing plagues of the road. It is difficult to give any specific advice on what to do here, so good communication between therapist and patient is important.

What can physio help me?
The physiotherapist may primarily provide advice on activity and "home treatment". A prolapse can cause a variety of symptoms such as pain in the back (one or both sides), pain in one or both legs or pain in the hip and buttocks. Some may also find that they lose feeling in parts of the leg or feeling "pins and needles". Numbness in parts of the leg can be a sign that prolapse pressing on a nerve. All these symptoms are things that are being considered in the study. physiotherapist may use different methods or methods to "disturb" the signals from the spine so that you as a patient experiencing minor ailments. This may involve massage or the use of needles , pressure waves and kinesio tape .

How long will it take before I get rid of the pain?
The pain will go in time. You will experience periods in which symptoms disappear completely and the periods in which they become more intense. This is normal. We know that it can take up to one year before the symptoms are completely gone. In very few cases, the body is unable to clean up yourself, and when surgery may be necessary. You will then be referred to an orthopedic surgeon who can assess your symptoms and MRI images to determine whether you could benefit from an operation.

In most cases as "dry" Prolapse up and body "clean" cells removes the disc tissue that has come out of the target nucleus. This can be quite slow, but is the body's natural way to fix the problem. In addition, repaired the damage in fiber cartilage that forms the outer edge of the disc, so that additional tissue from seeping out.

What is restless legs?

What is restless legs?

Restless legs have a lot in common with leg cramps . But you may have restless legs without having leg cramps . Turbulence in the legs feel as like a tingling or that it "creeps inside the bones." Most commonly, complaints come in the evening or night. Common to all this suffering that you have a need to move the legs, and that they often have to go up and stretching.

Who gets restless legs ?

Restless legs occur in most age groups, but were the majority among the elderly. In many cases, symptoms have a hereditary factor.

What causes restless legs ?

We have no reliable data that indicates what creates restless legs . In many ways it is a mystery, but we know that many factors can make one more vulnerable.

The following reasons can be alone or create symptoms like restless legs .

- Some medications can cause seizures that bi-effect
- If your muscles have been overloaded
- If you are dehydrated
- Disorders of the salt balance in the body
- Vascular diseases affecting the circulation
- Alcohol abuse
- Pregnancy
- Damage to the central nervous system or peripheral
- Smoking

In most cases however there are no known cause. The symptoms appear to a greater or lesser extent, and in some cases can be disabling.

Eventually there has been increasing evidence that might suggest that any of restless legs patients can explain their problems on the basis of a neurologic disorder locally in the bone.

What is Intramuscular Stimulation?

IMS or intramuscular stimulation as it so nicely called, is the same as many call "trigger point" acupuncture needles. This is not Chinese acupuncture but a medical signal processing of trigger points.

One can imagine that during massage can affect the upper parts and partly central portion of a muscle. With IMS so you can reach right down to the "trigger points" that sits in the deep.

Trigger points are local tensions or small staples that sits in the muscles. The reason that they can be one of the many previously mentioned in this article. To get them to loosen so we use acupuncture needles to hit them. Often find that the muscle "jumps" a bit when you hit the tensions and, in many cases, the muscle that some wounds a few hours later. The day after this is gone.

We think this dissolves the small voltages that sits locally in the muscle which initiates disturbances in the limbs. So far we Apex clinic used this technique since 2006, and with good results. There is currently little research on this treatment technique when we talk about the treatment of restless legs, so we base our theory and treatment of thoughtful hypotheses and good clinical practice.

Treatment is by bi-effects, and it is not associated with any risk. The only response you can expect is that the muscle being treated can be a bit sore for a few hours afterwards, before this goes away by itself.

Hypothesis to explain the effect of stimulation on intramuscularly restless legs :

When muscle / vein pumps in the shins is tasked to ensure venous reflux to the heart, so this process must also go when we're sitting still or standing. It can not only pump when we go, because the blood would stowed in the legs if we sat still more than a few minutes at a time. This allows the muscles in the legs, especially the gastrocnemius, be activated automatically to pump the blood back up. This places great demands on the muscle. Could it be so that this system becomes faulty charged over time, and there is interference in impulse time between muscle and nerve causing "trigger points" (ie local disturbances in muscle).

The restless legs will give a sense of constant activity in the muscle, and you feel the need to walk or stretch your legs. People with restless legs complaints mostly over this at night when you've been sitting still for a while. Could it then be that these processes are running in the leg to aid the venous return flow, but they do not work properly due to overload? In some cases this when launching a cramp, so the whole (and not just parts so we look at the trigger points) muscle goes into a tetanstisk contraction.

This can explain why we get such good results when we release the tension in the gastrocnemius with needles. When providing reflex reaction in the muscle for a reset pulse at a time and normal communication between nerve and muscle is resumed.

Relief back pain treatment

Back pain

Acute or chronic pain in the back
We often distinguish between acute and sub-acute or chronic pain. In most cases due to aching and stiffness in and around the spine poor posture / attitude and lots of small fraudulent charges or that have had damage such as a fall or a tension that never fully healed. Although this rarely is severe muscle quickly adapt and tense up if you walk around with an error function and impaired joint movement. Several fraudulent charges supplied as muscle balance changes, resulting in e.g. lower back looks a often in the form of stiffness and difficulty to bend / straighten up in the morning, and the pain of standing in the same position for long periods. This is not normal and it should not be so. It also increases the risk of lasting pain and acute lock (see below). Let a chiropractor help you to break this vicious circle and regain mobility. This may also prevent and avoid future problems.

About suspicion that the pain is due to something else, such as rheumatic or organic disorders, you will always be referred for assessment / treatment.

How is the pain?
Acute low back pain is often associated with a sudden movement or heavy burden of improper lifting, etc. This research shows that the sooner one gets of examination and treatment by a chiropractor , the faster will be a good and avoid chronic pain. The pain is often intense and often worsens when a change of position or leaning forward. Some people quite quickly radiating pain in one or both legs, and it's always important to get a neurological examination to determine if the cause is isjalgi, and whether it is necessary imaging (MRI / CT). This chiropractor could help with.

Causes of acute back pain
The cause of acute low back pain can be many. Most often due to the overload of one or more facet of the lower back, which simplified resembles a sprain, and one can therefore understand that it hurts to charge lower back afterwards, in the same way as it is painful to walk on the foot after a sprain. However, it is not associated with ligament injury as one can see in the extremities, and it is fortunately now well documented that it is important to restore normal motion function in the joints as quickly as possible, which often provides immediate relief.

Pain may also come from the iliosacral joint, and / or due to slipped disc.

Although one often hears that "it's probably just muscular", it is important to remember that when it comes to muscle and skeletal system as hear the name implies, together. The musculature is tasked to move or stabilize one or more terms. Therefore it is very important to look at the joints even though it may feel like a muscle pull.

Information About Runners Knee Treatment

Runners knee
What is runners knee ?
Runners knee is a tendon disorder that occurs in the tissue that binds the long tendon tension laterally on the thigh with the large and the small leg bone (tibia and fibula). The irritation caused by excessive load, usually linked to a lot of running or similar stressful activities, making it often impossible to run without pain in the knee region.

There are also several biomechanical factors in the ankle or knee can be involved in creating this problem. In some cases it may be difficult to determine if there is wear on the iliotibial band and / or bursae (slim bag) under this creates the problem or if there is another cause of problems. If you can not prove injury to the lateral structures of the knee diagnosed as either more against patellofemoral pain is a syndrome that affects the knee. It may be one or several reasons behind the pain, but you often can not detect damage or wear to any structures in the knee by such a diagnosis.

For most people who get runners knee problems due to running so it seems that the pain is a result of both a tendon abrasion lateral tract iliotibilalis (tendon pull laterally on the thigh) where it passes the lateral epicondyle (beinknoken on the side of the knee) on the femur . In addition, you often get a bursitis (bursa inflammation) in the same area.

How is runners knee ?
We know that the runners knee generally occurs in athletes who run and jump a lot in training and competition. The disorder may be acute, but is most often a pest that sneaks. If the emergency occurs then this is probably as a result of prolonged overload, and the acute event was what was needed to trigger symptoms.

It is important not to exclude the possibility that a partially torn tendon fibers in conjunction with an acute injury may be involved in activating pain fibers so that the load becomes painful for a period thereafter. The lack of relief in this repair period, as this can result in overload of the tissue so that the damage worsens.

Obesity is also a contributing factor to the development of tendon problems in the knee. It's not only athletes who can get runners knee ailments. Also regular exercisers or people who do not exercise can develop damage in the same tissue of different reasons. Pain Image as is often pain when walking or stair when you sat down on his haunches.

A common problem is that repeated loads which occur during running damage tissues in two ways. Both the traction (pull the fiber direction and damage as a result of this) or by friction (damage by tendon fibers slide over underlying structures). The friction we talking mostly about a bursitis (bursa inflammation) .

Where does it hurt when runners knee ?
Most normally there with pain on the outside of the knee joint, often radiating onto the front of the knee. It can also be a pain to press straight into the tendon tension that sits laterally on the knee, but palpation alone is not enough to make the right diagnosis.

Most superficial pain condition of the knee is relatively easy to place, when these injuries often do not refer pain distally. Damage to deeper structures such as meniscus and articular cartilage, however, can refer pain a little more diffuse due to the organization of the nervous system locally in the knee area.

How diagnosed?
The diagnosis is made based on an assessment of the patient's symptoms. It is typical that it hurts when walking, climbing stairs, or that the pain comes from stress. Many feel that one can "run out of" pain in the beginning, but as the damage worsens as the continuous load make the pain more and more apparent. Then the result will be both pain at rest and stress, and treatment regimen will naturally take longer than if you seek help early in the process.

Supplementary examinations will include, among other diagnostic ultrasound . Here physiotherapist could look down on the scene and how the tissue looks toward the attachment point on the fibula. The ultrasound can then see whether parts of the tendon is injured and the condition of the tendon as a whole. The ultrasound will also be able to see the swelling on possibly slim bag located between the femur and tendon tension laterally on the thigh. This may be a sign of wear in the local area, confirming the extent of the damage.

How are runners knee ?
Firstly it is important to avoid the activity that caused the problem. If it is a question of running or jumping, then, in consultation with a physical therapist or trainer to adjust the load as the tendon tissue is exposed. In some cases this may mean complete relief, in other cases it may mean reduced training load or alternative training.

A common method to treat runners knee is with strength training exercises. At physiotherapist will eventually be asked to begin a strength training program. The physiotherapist will be able to guide you in this.

It may also be relevant to the type of exercise, shoes, training documentation and training doses to determine how the damage could get all develop in the first place.

In addition, often shock wave therapy to stimulate tissue repair process. shockwaves used usually in the acute phase, but the scene does not respond to rest and retraining so this may be a topical treatment to try.

There exists a substantial research documenting pressure waves ability to stimulate tissue so that it reorganizes, and further that the pain disappears and you can resume training as before. The said damages as may be necessary with a stronger stimulation, and then the physiotherapist use dry needling for initiating the immune system and regeneration of tissue lateral to the knee.

What about training?
In the acute phase of tendonitis so it is always quiet and rest applies. If you take the necessary precautions and protect injury sufficient as there is a high probability that it will be fully recovered after a few weeks without treatment either from a doctor or physiotherapist. When should neither exercise or avail knee damaged senseless at work or at leisure.

Some can be adapted to an alternative training program that does not overload the tendon tissue in the knee. This can be useful in the rehabilitation phase both to faster get well, but also to maintain your regular until the injury is healed.

What is Depression about?

Depression
Depression or sadness afflicts most one time or another in their lives. Depress the public may have different strength and many symptoms. Two typical symptoms particularly marked in the workplace is that they have trouble concentrating and making decisions, and that they lack energy. Other symptoms are that you feel worthless or have an unusually high sense of guilt, a sense of hopelessness, little pleasure or interest in various activities, and sleep excessively or small.

Some prefer to withdraw and be alone, others react by becoming abnormally restless and agitated. Suicidal thoughts may be present in deeper depression. Depression is often accompanied by symptoms of anxiety. Prolonged stress at work or private can trigger depression. Depression is not uncommon during pregnancy and after birth.

Treatment with therapy and possibly medication is appropriate if the depression has a certain strength and lasting more than two weeks, or if, over time, repeated short depression. The doctor can evaluate symptoms using a test form.

Fatigue and lack of energy in winter is often referred to as winter depression, but some experts believe that this is not a depression. Winter Depression can be treated with daylight lamps.

Burnout

Condition characterized by fatigue, concentration problems, fatigue and poor sleep. Some are ampre and irritable. Burnout is not a psychiatric diagnosis, but the condition increases the risk of depression and physical ailments.

What is Deficit Hyperactivity Disorder?

ADHD
(Attention problems and hyperactivity, Attention Deficit Hyperactivity Disorder).

Most people with ADHD become functioning adults although they may have slightly greater loss of concentration and be more impulsive and talkative than their counterparts. Turbulence or hyperactivity and impulsiveness are apparent in childhood and attenuated gradually. Interests, motivation and personal equipment weighing up to concentration problems. Only a minority can not schooling and job and falls completely outside of society.

A small group struggles between professional life and have difficulty making friends and developing friendships. The problem is that they are often impulsive, talking in one set, the continual thoughts and initiate projects that they fail to follow up. In order to prevent conflicts in the workplace can in troubled cases be useful to make a clear agreement between the employer and employee. For example, the contract may be fixed office hours. For others it may be best that employers ignore regular office hours as long as projects are executed on time.

Payment of wages more frequently than once a month, or permanent move from salary account, preventing impulsive spending and economic problems. Medications can be helpful also for adults. It is estimated that one out of 20 have ADHD in mild or greater extent.

Bipolar disorder medication

Bipolar Disorder
A craze involves having periods when one is "high." If there is an easy craze, called hypomania, one can live with it. Develops into a "full" manic state, you can experience the mind "races off," you can go almost without sleep and get uncritical behavior. Some may throw hurtful and reckless remarks to colleagues in this phase. Self-confidence is huge, it can develop into megalomania and behavior where one does things you would never dream of doing. It requires competent medical help.

Mania often breaks out in conjunction with intense periods of work and stress. Stress may be that you have too much to do, that there are conflicts at work, or that there are other personal stresses. Sleep deprivation can trigger both mania and be a part of it. For employers, it is important to recognize the symptoms so that they get sick leave and help to calm down when he or she notices that a craze may be on the way. It is also important that you do not get the opportunity to lead risky activities during periods of illness.

Someone with a diagnosis of bipolar disorder may be affected by only one or two manic periods in their lives, others have multiple episodes. After a manic period, you often get a depressive period in which they have little energy, the need to isolate themselves, and where they are struggling with low self-esteem and inferiority. Some have deep depression, but can only facilitate mania. An estimated 600-700 people a year diagnosed with bipolar disorder. The disease often begins before the age of 30. Medicines and knowledge of warning signs is a great help. People with a bipolar diagnosis can be an important asset to your business if the work is put in place.

What is Anxiety disorders?

Anxiety disorders are multiple:

Generalized anxiety disorder involves struggling with exaggerated concerns. One can not, for example not to worry about the economy, the health of children or burglars. The concerns can lead to being awake and getting sleep deprivation.

Panic means that one may suffer from bouts of severe palpitations, sweating, trembling, intense feeling of dread. Seizures are often dramatic, and it is quite common for people to think there is something seriously wrong.

Social phobia or social anxiety means that you are afraid to be noticed, to be in focus. Some have so many complaints that they struggle to go in the cafeteria or present a paper to colleagues at work because it is uncomfortable when other people look at one.

Obsessive-compulsive disorder: Is there a compulsive disorder, you have unpleasant thoughts that you have trouble getting rid of, and that leads to compulsive behavior. One can, for example, an intense feeling of being dirty and unclean when taking other people or objects. Anxiety when you wash them. This can develop into large washing rituals.

Specific phobia: This may be phobia or fear of insects, snakes or dentists. One can have such a phobia without being bothered by other forms of anxiety.

It is estimated that one in four gets some form of anxiety in their lives. Often accompanied anxiety and depression ad. Behavioral therapy, talk therapy and possibly medication may be helpful.</div>

What is Psychosomatic disorders

Psychosomatic disorders
Psychosomatic disorders are physical disorders that are wholly or partially caused by mental or emotional problems. One example is the stress causing muscle tension in the neck with neck pain and headaches. Others may get muscle tension in the back and back pain. Traumatic life experiences can "put themselves in the body" and cause pain of various kinds.

Psychological problems can also aggravate clear bodily diseases, for example, stomach ulcers, angina and arthritis flare up during periods of great stress.

Stress causes the production of stress hormones, which in turn affects the muscles, intestines, heart and other organs. Fibromyalgia is muscle pain and muscle soreness in the body. Many of those affected, said the problems began with prolonged stress. If one is "awake enough" to do something with the symptoms in time, can prevent disease.

After two or three years with chronic muscle tension can be hurting everywhere and have major problems. It will take longer to recover.

What is psychosis disorder?

Psychosis
The main symptoms of a psychosis is a distorted perception of reality, often with auditory hallucinations or other perceptual disturbances, confusion or altered behavior.

Common delusions is that the patient feels directly persecuted, thinks people are out to harm another, they form a conspiracy, spying through the car windows, wiretapping phone or food poisoning. Strong jealousy is another symptom, or you have ideas of their own greatness, know that you have special skills or tasks in life or feel powerful or divine. People diagnosed with schizophrenia, manic-depressive disorder or dementia often have clear symptoms of psychosis.

Psychosis can be chronic or intermittent. Transient psychosis can occur at high loads, severe sleep deprivation, physical illness or due to medications and drugs.

The paranoid psychosis is also a special form. Under this condition, one has only one type of delusion or a set delusions similar to each other. It may be that they feel persecuted, being extremely jealous, being big headed, extremely cavil or that one imagines that one is poisoned or infected with a dangerous disease.

Disease, it is good there!

In these times of flu we are showered with tips on how to stay healthy, and be as little ill as possible. There's even a vaccine against influenza. But the disease also causes something good with it.

This Christmas has for me been marked by illness. First I had a normal and straightforward colds that have lasted since the end of November, marked by exhausting cough. But 2 day of Christmas went over to fever and aching all over. This year's flu epidemic took my body and confiscated all the resources that exist. It was to be a cozy family dinner two days after Christmas, was a tiring meeting with family members I had not seen in a year.

Now that christmas peace has descended, and the vast majority of family companies is done, I can sit back and relax a little. I can concentrate on getting healthy.

I can not remember the last time I had the flu. It is many years since I've had to lie under the covers for several days, isolated from the outside world. My immune system has now been on my side.

Now I'm thankfully on the mend, and the forces start to come back. It feels great! In fact, it feels like I've been through some sort of purification.

In my opinion, namely disease a form of purification. Both a large and a little perspective. The big picture we get when we look at what the disease does to the Earth. In a cynical way disease affects the poorest hardest. They die.

Disease cleans away those individuals who are too weak, and allows for the healthy to live. To ensure the biology of those with the best genes survive and ensure the best offspring. To the best of life on earth in general.

The little perspective we find in ourselves.

When we get sick, it is a signal that we should take a break from everyday life. It is a signal that we need some focus on ourselves for a while, and that we need rest. Illness forces us simply to pay attention to these signals. Our life is changing in a really short period when we are sick, and purification is in this change.

We eat differently, maybe we only manage to eat fruit or soup. It's almost like a period of fasting . We sleep and rests us more than normal. We have less contact with other people, since we are away from work or school. We can not bear to have visitors, nor to go visit.

Illness can almost comparable to that of a ritual in which the person performing the ritual standing up on the other side as a new person. A ritual can mean a transition from something old to something new.

For it is often the case that when we recover from illness, so a renewed fervor in us that was not there before the illness hit us. We are happy to be healthy and we know that we have new powers. We think positive and maybe we will even see life differently.

I know people who have been cured of cancer. They have changed their lives completely. They got a real eye when they were sick. They have stopped smoking, they have begun to exercise and altered diet. They see their friends with completely different eyes. Both positive and negative. They have cut out friends who were bad, nor focused on the good. The disease has changed their lives in a positive way, after all.

Now you do not need to have cancer to change their lives. It can actually hold a little flu.

My tip here is that when you get sick, take the signals your body gives you. Rest as much as you need, and do only what you feel. Not that you would otherwise have imposed.

And an important thing in the end: Observe the thoughts that pop into your head when you are sick. Since both the physical and psychological defenses are put out of action due. disease, you may begin to think thoughts that you have not been aware that you had. The mind may have something to tell you. There may be thoughts about plans for the future, a project that you have thought of. Or thoughts about yourself, about your friends or other family members. Listen to your inner self.

After rain comes sun, as it looked nice name!