Thursday, December 29, 2016

Shoulder pain may indicate heart disease risk

If you are having shoulder problems, they may be due to some heart disease risk factors – not just physical strain, warns a new study. “If someone has rotator cuff problems, it could be a sign that there is something else going on. They may need to manage risk factors for heart disease,” said the study’s lead author Kurt Hegmann, Professor at University of Utah School of Medicine in the US. For the study, the researchers examined data from 1,226 skilled labourers. The more heart disease risk factors that each of the study participants had racked up — including high blood pressure, high cholesterol, diabetes — the more likely they were to have had shoulder trouble.

The participants with the most severe collection of risk factors were 4.6 times more likely than those with none of the risk factors to have had shoulder joint pain.

They were also nearly six times more likely to have had a second shoulder condition, rotator cuff tendinopathy.

Participants with mid-level heart risk were less likely to have had either shoulder condition, showed the findings published in the Journal of Occupational and Environmental Medicine.

“What we think we are seeing is that high force can accelerate rotator cuff issues but is not the primary driver,” Hegmann said.
“Cardiovascular disease risk factors could be more important than job factors for incurring these types of problems,” he added.

It is possible that controlling blood pressure and other heart risk factors could alleviate shoulder discomfort, too, Hegmann noted.

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Friday, February 05, 2016

Bone Spurs: What They are and How to Treat Them

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Bone spurs (also known as osteophytes) arise as a result of excess pressure on your joints and develop as an "extra bone" produced by the body in response to this pressure. Apart from your spine, they can appear in other body parts, such as the knees, hips, shoulders, and fingers. Although their symptoms are not always obvious, they can sometimes cause pain and loss of motion in the joints. They can be treated if seen by a doctor, unless a specific case does not require treatment at all.

Let's take a closer look at the symptoms, causes, treatments, and prevention of this condition.

  • First of all, what is a bone spur and how does it form?
A bone spur is an extra bone that forms in areas of the body where bones meet each other, such as in your joints and in your spine. When these areas experience unusual amounts of pressure and tension, the body naturally reacts by forming bone spurs in order to reduce the excess pressure. Unfortunately this isn't always helpful, and in some cases, spurs can make the situation even worse.

joints


Weight-bearing joints, such as the knees, heels and shoulders, are the most sensitive to the formation of bone spurs, although they may also appear in the spine, hips, hands, and ankles. The risk of this sensitivity increases in people who are overweight (as this puts excess weight on the joints), in athletes (as they use a lot of force in their legs and feet when running), and in people who lift heavy objects on a regular basis (causing spurs in the shoulders).

Above all, there are major causes that depend on the presence of other bone conditions. Two of the most common ones are a degenerative joint disease (such as arthritis) and the inflexibility of a tendon. In both of these cases, the body attempts to reinforce the weak area with more bone in a place that it shouldn't be, resulting in bone spurs. These become very painful when there's no more room for the bone to grow, so it pokes into the surrounding tissue, or pulls a tendon too tightly to accommodate it.
 
  • What are the symptoms?
As a result of the contact of bone spurs with the tissue that surrounds them, the body may suffer from irritation and inflammation in the affected areas. It may appear as swelling and is felt as a sharp ache and pain. Here's how symptoms arise in specific areas:

  • Knees: Difficulty extending or bending your legs
  • Spine: Weakness or numbness in the arms and/or legs (due to the spinal cord or nerve roots being pinched)
  • Hip: Reduction in the range of motion in your hip joints - this may even be felt as pain in the knees
  • Shoulder: Swelling and tearing in the rotator cuff
  • Fingers: Appearance of hard lumps under the skin
     
If you experience one or more of the above symptoms, or have difficulty moving one or more joints around your body, make an appointment with your doctor, so he can detect the problem as soon as possible. Your doctor is likely to feel the bone spurs externally, or he may recommend getting an X-ray if he feels he needs to investigate further. Early treatment helps to prevent further joint damage.How can they be treated?
Your doctor may recommend over-the-counter pain relievers or anti-inflammatory drugs if your bone spurs are causing pain or inflammation, but there are also other widely-known remedies that treat the problem. Some individuals find applying moist heat, cold packs, or ice massages to be soothing. Others suggest the use of herbs, especially chamomile, which has anti-inflammatory and pain-relieving properties. Some drug therapies, modalities, stretches, and injections may also work, always if advised by a doctor.

If symptoms persist or worsen, a surgical procedure might be necessary to remove the extra bone, lengthen the affected tendon, or replace a joint.

Generally, the main focus of the cure should be to tackle underlying bone problems, such as degenerative disease or tendon contracture and inflexibility. If this is not done, the bone spur might re-develop even if it was surgically removed.

How can bone spurs be prevented?
To reduce the risk of their development, you should try engaging in a stretching and/or weight reduction program, as well as a low-impact maintenance exercise program to strengthen your core and stretch sensitive tendons, including your calves, hamstrings, and quads. Try walking (in supportive shoes), swimming, doing yoga, cycling, or doing any form of exercise that is a great way of keeping fit without creating pressure on the joints and tendons.
      

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Wednesday, April 29, 2015

How to differentiate a good pain from bad pain?


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Pain is a signal from the body that something is amiss. Pain is a sharp or dull feeling triggered in the nervous system.

Once you take care of the existing problem - an external wound - the pain disappears. Sometimes, the ache goes on for weeks, even years. This is called chronic pain, and can be caused due to an ongoing problem, such as arthritis. Knowing when it is something that you can live with, or one that needs urgent medical attention is crucial.

SHOULDER

Safe ache: If you experience pain in your shoulder or a sudden catch while lifting something, you may have strained or, perhaps, injured the rotator cuff muscles (responsible for balancing the shoulder). It may start out as a simple impingement syndrome, one of the common causes of shoulder ache. This occurs when the shoulder blade puts pressure on the rotator-cuff muscles. For simple strains, apply ice and avoid overhead activities. Anti-inflammatories usually resolve the problem.

Bad ache: If your shoulder feels as if it's coming out of the socket or there is extreme pain and swelling, it may be a tear or other serious injury, which must be evaluated by a doctor. Arthritis or bursitis could also be responsible.

KNEE

Safe ache: For the most part, knee injuries are rarely an emergency unless you're lifting heavy weights and tear something. Pain while walking down stairs, for example, is often due to patellofemoral problems, during which you feel discomfort behind the kneecap and a grating sound in the knee if the leg is extended straight. You can work through it by avoiding exercises that trigger the pain or skip taking the stairs.

Bad ache: Hearing a pop at the time of the injury, significant swelling within the knee can indicate a serious injury and should be checked by a sports-medicine doctor. These symptoms indicate a possible torn ligament or meniscus tear ache that hurts while climbing. Pain while walking down the stairs is often due to patellofemoral issues, during which you feel discomfort behind the kneecap and hear a creaky sound in the knee if the leg is extended straight.

MID-BACK AND UPPER-BACK

Safe ache: Picking up a heavy suitcase and feeling a twinge between your shoulder blades could be a sign of bad lifting technique. Lifting too quickly can also cause a tweak of the spine, although sometimes, neck problems create referred pain to the shoulder blades.

Bad ache: See an orthopedic if you experience sharp pain, or have difficulty breathing. It could suggest a more serious condition, such as a thoracic herniated disc. Sometimes, pain between your shoulder blades is an unusual sign of a heart attack.

LOWER-BACK

Safe ache: Discomfort in the lower back is often a muscle strain or a sign of mental and emotional stress. For mild pain, avoid strenuous workout regimes, sitting long hours on the chair or running on a steep slope, and steer clear of stressful situations. Rest, ice, stretching, and meditation are enough to resolve the problem.

Bad ache: Patients should see a doctor if they experience low back pain as a result of severe trauma, or if it is accompanied by fever and chills, and sudden incontinence. Pain accompanied by nerve symptoms such as numbness or tingling down the leg and weakness indicate that a herniated disc may be causing pressure on a nerve root.

HIP

Safe ache: Hip pain should never be ignored. Pain felt in the groin comes from the hip joint itself (the ball-and-socket part of the joint) or the femoral neck (the top of the leg bone). Repetitive activity can cause bursitis and pain on the outside of the hip, and a pain in the buttocks may be nerve-related or result from a lower-spine condition.

Bad ache: Sometimes, pain from other areas of the body, such as the back or groin (from a hernia), can radiate to the hip. Along with the pain, you might have a reduced range of motion. You might notice that your pain gets worse with activity, especially if it's caused by arthritis. Some people develop a limp from persistent hip pain.

ACHILLES TENDON

Safe ache: High-impact movement like dance that requires you to do high jumps can cause pain in the Achilles tendon. This is the largest tendon in the body, which connects the calf muscle to the heel. It mostly refers to a sore muscle. If you experience pain and swelling near your heel that worsens with activity, you may have Achilles tendonitis. Resting and stretching the calf muscle helps.

Bad ache: Swelling and symptoms that worsen with walking on uneven surfaces, may be signs of a partially torn Achilles. Other signs may spark while walking up stairs, running, jumping, hopping or when performing heel raises. Do not delay seeing a doctor.

ANKLE STRAINS

Safe ache: Your ankle often pays the price for the wrong exercise moves. It can cause mild to severe sprains of the ligaments on the ankle's exterior. For any sprain, avoid walking and treat it with rest, ice, compression and elevation.

Bad ache: If you can't keep weight on your ankle, see a doctor for an X-rays.
   

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