Pain comes in many forms and intensities. For some it is a daily annoyance, for others, it can be debilitating. One thing is for certain: pain is a part of life and we all have to deal with it sooner or later. In this webinar, we’ll look at some common causes of pain, and talk about strategies and techniques to prevent pain, and/or minimize its impact on the quality of your life.
Everything You Should Know About Physiotherapy, Massage Therapy And AcupunctureBody Restoration
1. The Fight Against Dementia – How Physiotherapy Can Help
2. How Physiotherapy Can Help You as You Get Older
3. How Massage Therapy Will Change Your Life
4. Massage Therapy: See how it can benefit your Mental Health
5. The Benefits of Acupuncture and How It Can Change Your Life
Find out more at http://stalbertphysiotherapy.com/service/acupuncture/
Living with Arthritis - Lauren Kennish - 10.15.19Summit Health
By conservative estimates, nearly 40 million people in the U.S. are affected by some form of arthritis. Slightly more than half of those cases suffer from osteoarthritis, which is degenerative, and a small percentage suffer from rheumatoid arthritis and psoriatic arthritis, autoimmune disorders that inflame the lining of the joints. Our expert will provide an overview of different types of arthritis, with a focus on symptoms, diagnosis, and new treatment and management strategies.
Awareness and assessment of the pain in
postoperative children is important
Remember the different pharmacology in
neonates, infants and children
Multi-modal approach to preventing and treating
pain to minimize adverse effects
Regional analgesia must be considered unless
contraindicated
Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-for-pain-and-suffering/
Acupuncture originates from China and has been practiced there for thousands of years. It is really beneficial to treat diseases like Anxiety , Depression, Infertility, Weight loss , Insomnia , Asthma, Nausea, Digestive problems, Pregnancy care and many other conditions. The practitioners of Northside Acupuncture in Northern Beaches treat these problems very successfully. So If you are looking for the best Acupuncture clinic then feel free to contact us.
Complementary and alternative approaches to pain relief during laborpharmaindexing
Even though delivery is a natural phenomenon, it has been demonstrated that the accompanying pain is considered severe or extreme in more than half of cases. Besides conventional approaches, such as epidural analgesia, many complementary or alternative methods have been reported to reduce pain during labor and delivery. Not every woman wants traditional pain medication. Many moms-to-be want their labor and delivery to be as natural as possible (and for women who are recovering from drug and alcohol abuse, analgesics are usually a no-no), but still as comfortable as possible.
Everything You Should Know About Physiotherapy, Massage Therapy And AcupunctureBody Restoration
1. The Fight Against Dementia – How Physiotherapy Can Help
2. How Physiotherapy Can Help You as You Get Older
3. How Massage Therapy Will Change Your Life
4. Massage Therapy: See how it can benefit your Mental Health
5. The Benefits of Acupuncture and How It Can Change Your Life
Find out more at http://stalbertphysiotherapy.com/service/acupuncture/
Living with Arthritis - Lauren Kennish - 10.15.19Summit Health
By conservative estimates, nearly 40 million people in the U.S. are affected by some form of arthritis. Slightly more than half of those cases suffer from osteoarthritis, which is degenerative, and a small percentage suffer from rheumatoid arthritis and psoriatic arthritis, autoimmune disorders that inflame the lining of the joints. Our expert will provide an overview of different types of arthritis, with a focus on symptoms, diagnosis, and new treatment and management strategies.
Awareness and assessment of the pain in
postoperative children is important
Remember the different pharmacology in
neonates, infants and children
Multi-modal approach to preventing and treating
pain to minimize adverse effects
Regional analgesia must be considered unless
contraindicated
Whole Health is part of collaborative effort by the Pacific Institute for Research and Evaluation, VA Office of Patient Care and Cultural Transformation, and University of Wisconsin Integrative Health Program to transform healthcare and help people live healthier, happier lives, and more purpose-driven lives.
Learn more: https://wholehealth.wisc.edu/courses-training/whole-health-for-pain-and-suffering/
Acupuncture originates from China and has been practiced there for thousands of years. It is really beneficial to treat diseases like Anxiety , Depression, Infertility, Weight loss , Insomnia , Asthma, Nausea, Digestive problems, Pregnancy care and many other conditions. The practitioners of Northside Acupuncture in Northern Beaches treat these problems very successfully. So If you are looking for the best Acupuncture clinic then feel free to contact us.
Complementary and alternative approaches to pain relief during laborpharmaindexing
Even though delivery is a natural phenomenon, it has been demonstrated that the accompanying pain is considered severe or extreme in more than half of cases. Besides conventional approaches, such as epidural analgesia, many complementary or alternative methods have been reported to reduce pain during labor and delivery. Not every woman wants traditional pain medication. Many moms-to-be want their labor and delivery to be as natural as possible (and for women who are recovering from drug and alcohol abuse, analgesics are usually a no-no), but still as comfortable as possible.
Pushing the Point: Integrating Acupressure & Oriental Medicine in Psychiatric...Dr. Jaclyn Engelsher, DNP
With the rising costs of care, decreased
reimbursement for services, and shortage of
mental health clinicians, patients and
providers are increasingly researching and
incorporating integrative therapies as part of a
holistic care plan. A review of the literature
revealed a growing evidence base for the
integration of Traditional Chinese Medicine
(TCM) therapies with allopathic medicine. This
has prompted nursing schools across the
country to include education on TCM in their
curriculums, encouraged hospitals and clinics
to add TCM therapies to their list of
psychiatric services, and resulted in
development of new protocols for addiction,
PTSD, and pain management. Acupressure, a
component TCM, is a non-invasive, integrative
modality that can help alleviate common
symptoms such as stress, anxiety, depression,
mental fatigue, and insomnia, while reducing
barriers of cost, time, and deleterious
medication side effects frequently found in
PMH treatment. A basic understanding of TCM
theory is necessary for nurses to teach and
use acupressure effectively in the inpatient
and outpatient settings. The session will
review the function and energetics of common
acupoints easily integrated into
Psychiatric/Mental Health nursing practice,
provide a live demonstration of acupressure
techniques, and include supervised practice
time to develop beginning skills and
experience the benefits.
A short simple presentation, which makes you acquaint of Basics of insomnia and how yoga helps you to deal with it! Factors responsible for insomnia, different classification of insomnia, best and worst countries in terms of sleep quality, How to avoid insomnia?, facts, tips and advice for insomnia; yoga therapy for insomnia. #insomnia #anxiety #sleep #susahtidur #depression #stress #migrain #dreamcatcher #health #vertigo #chronicpain #mentalhealth #cbd #insomniac #chronicillness #kalungkesehatan #diabetes #siyeon #sleepbetter #fibromyalgia #jiu #sua #insomniaproblems #handong #dami #gahyeon #love #yoohyeon #sembelit #bhfyp #yogatherapy #yoga #yogateacher #yogainspiration #yogapractice #yogalife #meditation #yogalove #yogaeverydamnday #yogaeveryday #yogajourney #yogaeverywhere #yogagirl #mindfulness #yogaforall #yogapose #yogi #yogaforlife #yogaposes #yogachallenge #yogalifestyle #wellness #yogadaily #love #yogini #namaste #yogateachertraining #yogabody #ayurveda #bhfyp
How to set realistic goals when you have chronic painJeannette Pforr
In this lesson, you will:
- Understand the trade-offs between getting good pain relief, and being able to reach your activity goals
- Learn the value of having a "pain action plan"
- Learn how to set up your own action plan
- Learn how to track your action plan
Pushing the Point: Integrating Acupressure & Oriental Medicine in Psychiatric...Dr. Jaclyn Engelsher, DNP
With the rising costs of care, decreased
reimbursement for services, and shortage of
mental health clinicians, patients and
providers are increasingly researching and
incorporating integrative therapies as part of a
holistic care plan. A review of the literature
revealed a growing evidence base for the
integration of Traditional Chinese Medicine
(TCM) therapies with allopathic medicine. This
has prompted nursing schools across the
country to include education on TCM in their
curriculums, encouraged hospitals and clinics
to add TCM therapies to their list of
psychiatric services, and resulted in
development of new protocols for addiction,
PTSD, and pain management. Acupressure, a
component TCM, is a non-invasive, integrative
modality that can help alleviate common
symptoms such as stress, anxiety, depression,
mental fatigue, and insomnia, while reducing
barriers of cost, time, and deleterious
medication side effects frequently found in
PMH treatment. A basic understanding of TCM
theory is necessary for nurses to teach and
use acupressure effectively in the inpatient
and outpatient settings. The session will
review the function and energetics of common
acupoints easily integrated into
Psychiatric/Mental Health nursing practice,
provide a live demonstration of acupressure
techniques, and include supervised practice
time to develop beginning skills and
experience the benefits.
A short simple presentation, which makes you acquaint of Basics of insomnia and how yoga helps you to deal with it! Factors responsible for insomnia, different classification of insomnia, best and worst countries in terms of sleep quality, How to avoid insomnia?, facts, tips and advice for insomnia; yoga therapy for insomnia. #insomnia #anxiety #sleep #susahtidur #depression #stress #migrain #dreamcatcher #health #vertigo #chronicpain #mentalhealth #cbd #insomniac #chronicillness #kalungkesehatan #diabetes #siyeon #sleepbetter #fibromyalgia #jiu #sua #insomniaproblems #handong #dami #gahyeon #love #yoohyeon #sembelit #bhfyp #yogatherapy #yoga #yogateacher #yogainspiration #yogapractice #yogalife #meditation #yogalove #yogaeverydamnday #yogaeveryday #yogajourney #yogaeverywhere #yogagirl #mindfulness #yogaforall #yogapose #yogi #yogaforlife #yogaposes #yogachallenge #yogalifestyle #wellness #yogadaily #love #yogini #namaste #yogateachertraining #yogabody #ayurveda #bhfyp
How to set realistic goals when you have chronic painJeannette Pforr
In this lesson, you will:
- Understand the trade-offs between getting good pain relief, and being able to reach your activity goals
- Learn the value of having a "pain action plan"
- Learn how to set up your own action plan
- Learn how to track your action plan
It's a Pain in the Neck (and Back too!)Summit Health
Thank you to the Montclair Public Library for hosting SMG's Joanne Owsiak, MD, Interventional Pain Management specialist, for a community lecture on Neck and Back Pain. Eighty-five percent of people experience low back pain during their lifetime, and back pain has become the fifth most common reason for all physician visits. Dr. Owsiak shared with the audience the many causes of neck and back pain and the pain management options available for treating all types.
More insight about alternative medicine for treatment of illness either than the orthodox way of treatment, outlines various methods of treatments including their originations and purposes, naturopathy, Ayurvedic medicine, chiropractic medicine, homeopathy medicine, bone setters and bone letting . It also seeks to explain how we use traditional and alternative medicine in health seeking behaviors. It’s outlines the differences between traditional and alternative methods of treatments .
2 Feet and a Heartbeat (Cardiovascular Exercise)MUSWellness
This workshop will focus on walking, hiking, and running. Whatever you do, whatever your pace, in this interactive workshop we’ll discuss strategies about how to take your bipedal exercise to the next level. We’ll also talk about training, progression, minimizing injuries, and have a lot of Q and A. Wanting to create a meet-up group on your campus? We can help with that as well.
Fermented Foods & Probiotics: Building a Beautiful MicrobiomeMUSWellness
Not all bacteria is bad for us! Fermented and cultured foods such as yogurt, kefir, kim-chi, sauerkraut, kombucha, and miso are teeming with live & active cultures-- bacteria that are actually beneficial to our health! Discover the process and equipment needed to make some of these foods at home, and how to incorporate more of these foods into your diet for a healthy, happy, and balanced microbiome.
80% of Americans will report lower back pain at some point in their lives. In this workshop we’ll teach strength and mobility exercises focusing on the back and hips. We’ll also talk about proper movement patterns and strategies that will take some stress off your back—literally.
Gym Bloopers: 7 Common Gym Mistakes and how to correct them. (MUS Wellness We...MUSWellness
Presented November 15, 2016. Winter is coming, and many of us will be heading inside more frequently to exercise. During this webinar, Neal Andrews, Exercise & Fitness Specialist for MUS Wellness, will talk about some common mistakes people make in the gym, and how to correct them, so that your indoor exercise is safer and more productive than ever.
MUS Wellness Workshop presented on 10/26/16 by Neal Andrews, MUS Wellness Exercise & Fitness Specialist.
We all know that skiing is fun, and it’s also fantastic for our health. Whether you prefer downhill, backcountry, or cross-country, there are many strength and conditioning exercises that can help you have your best season ever on the slopes or trails. During this workshop, participants will learn sport-specific exercises to incorporate into an exercise program in preparation for an outstanding ski season!
Cristin Stokes, RDN, LN, discusses how to navigate the multi-billion dollar nutritional supplement industry. Learn how to discern what are the best and safest supplement options for you.
For the average American, food is one of the top 3 household expenses, behind only housing & transportation. In this workshop, we'll talk about effective ways to reduce your grocery bill while keeping meals tasty & healthy.
Whether you are just starting to exercise, or you’ve been training for years, it’s important to consider nutrition to see best results. This workshop will cover pre-exercise, during exercise, and post-exercise nutrition & hydration strategies.
Ask an Exercise Question Mobility, Injury Prevention, & RecoveryMUSWellness
Part 3 of our "Ask an Exercise Question" series. Neal Andrews, Exercise & Fitness Specialist for MUS Wellness, addresses your questions about injury prevention and treatment, and mobility. April 21, 2016.
You know you should be eating vegetables, but sometimes that's easier said than done, right? If you're sick of the same salad & steamed broccoli, discover new ways of preparing & incorporating vegetables into your diet that will make you actually want to get those 5+ recommended servings per day!
One of the best things about living in Montana is our access to mile after mile of some of the best trails in the world. Don’t let your fitness limit where your hiking boots can take you this summer—join this workshop to learn how to build an exercise program to prep you for great summer adventures on the trails.
Whether you are just starting to exercise, or you’ve been training for years, it’s important to consider nutrition to see best results. This workshop will cover pre-exercise, during exercise, and post-exercise nutrition & hydration strategies.
One of the best things about living in Montana is our access to mile after mile of some of the best trails in the world. Don’t let your fitness limit where your hiking boots can take you this summer—join this workshop to learn how to build an exercise program to prep you for great summer adventures on the trails. Presented by Neal Andrews, MUS Wellness Exercise & Fitness Specialist.
One of the best things about living in Montana is our access to mile after mile of some of the best trails in the world. Don’t let your fitness limit where your hiking boots can take you this summer—join this workshop to learn how to build an exercise program to prep you for great summer adventures on the trails. Presented by Neal Andrews, MUS Wellness Exercise & Fitness Specialist.
Affecting Wellcheck Numbers with NutritionMUSWellness
Nobody's perfect, and most of us have a number or two on our annual Wellcheck report that needs to move in a positive direction. What we put into our bodies on a daily basis can have a tremendous effect on health indicators such as blood pressure, cholesterol, blood sugar, and BMI. During this webinar, MUS Wellness Nutrition & Health Education Specialist Cristin Stokes will discuss strategies to impact Wellcheck numbers in positive ways through diet and nutrition. Presented February 17, 2016.
Winter ADLs (Activities of Daily Living)MUSWellness
Montanans are tough—we have to be to survive. This workshop will focus on three ADLs that are common in the winter: Snow shoveling, Wood chopping, and lifting. Each one of these “functional movements” involve proper technique—perform them correctly, and you’re not only working more efficiently but actually getting great exercise; perform them incorrectly, and you could have a back or shoulder injury in your future. This workshop will focus on correct techniques for these activities, and some supplemental exercises for each.
Do you ever get home from work, exhausted from your day, and then struggle to find something in your kitchen for dinner? Do you often have to resort to take-out or fast food because you didn’t plan anything in advance? In this workshop, we’ll discuss strategies for simple, healthy meal planning, keeping in mind factors such as time and budget.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Telegram: bmksupplier
signal: +85264872720
threema: TUD4A6YC
You can contact me on Telegram or Threema
Communicate promptly and reply
Free of customs clearance, Double Clearance 100% pass delivery to USA, Canada, Spain, Germany, Netherland, Poland, Italy, Sweden, UK, Czech Republic, Australia, Mexico, Russia, Ukraine, Kazakhstan.Door to door service
Hot Selling Organic intermediates
3. PREDICTION: PAIN
• Around 100 million Americans affected by some sort of chronic pain.
• Arthritis affects 27 million Americans
• $128 Billion a year in health care and lost wages/productivity.
• Women over age 55 most susceptible.
• Pain is subjective, pain thresholds vary, and thus pain is hard to measure or quantify.
• Undertreatment of chronic pain creates large costs to the healthcare system and the U.S.
economy; we spend more than $560 billion in the U.S. each year on chronic pain-related
healthcare costs.
• 77% of survey respondents said they had employed a medical or health professional to help
with their pain. Good job!
• Untreated pain can change brain chemistry and regular CNS pathways, disrupting
normal psychological and social functions. Serious physical and emotional burdens can
result.
4. WHAT ARE WE TALKING ABOUT?
• There are a lot of drug options available, and new drugs are being developed all the
time.
• Talk with your doctor
• Drugs come with side effects
• We can’t heal everyone’s pain in a one hour webinar, but we’ll focus on non-drug
strategies and resources you can utilize as part of your Pain Management Plan.
• You’re not alone!
5. WHERE DOES IT HURT?
• Early results from MUS Population Well-Being Assessment.
• Headache 19%
• Arthritis 11%
• Joint Pain 16%
• Chronic Pain 6%
• Back Health* 8% High Risk, 20% Moderate Risk
• *Higher than national averages
7. UNDERSTANDING AND TRACKING
• Pain is subjective, and people’s pain tolerances vary.
• Tracking and/or journaling about pain helps you and your health care provider better
understand which modalities are effective.
8. TYPES OF PAIN
• Acute
• Keeps us safe!
• Acute pain signals the brain that there is a danger or problem
• Subsides when injury is healed
• < 3-6 months
• Chronic
• Pain that persists continuously after an injury has healed, or source of pain removed.
• Neural pain pathways do not “quiet down”
• Neurons in the spinal cord become hyperactive
• Pain messages processed differently in the brain
• Even the touch of a feather can be perceived as exceedingly painful
• Potentially permanent structural changes in brain areas involved in pain perception
• > 3-6 months
9. TYPES OF PAIN
• Nociceptive: What we typically think of when we consider pain (i.e. paper cut,
stubbed toe)
• Neuropathic: Caused by disease in the nervous system (i.e. diabetic neuropathy)
• Inflammatory: Caused by release of mediators at site of injury or by autoimmune
condition
• Often involved with nociceptive & neuropathic
• Other: cancer pain, migraines, fibromyalgia, etc.
10. PAIN AND INFLAMMATION
• Inflammation is the body’s natural response to injury and disease.
• Swelling
• Stiffness
• Redness
• Heat
• PAIN
• Protects the body and begins the healing process
• Induced by chemical messengers (enzymes such as COX-2, proinflammatory cytokines,
reactive oxygen species, etc)
• Post injury or trauma, managing inflammation is tied to managing pain.
11. PAIN AND INFLAMMATION
• -ITIS: inflammation of. Usually chronic.
• Arthritis
• Bursitis
• Tendonitis
• Bronchitis
12. EAT RIGHT
• COX-1 and COX-2 mediators
• Responsible for production of prostaglandins
• “Good”prostaglandins
• “Bad” prostaglandins = pain & inflammation
• Certain foods can decrease the activity of COX-2 & production of “bad” prostaglandins
• Example: Oleocanthal in olive oil works in the same way as NSAIDS (ibuprofen)
• Prostaglandins derived from fatty acids
• Diet can be an important tool for treatment of inflammation, particularly in inflammatory diseases
such as rheumatoid arthritis, MS, inflammatory bowel disease
13. EAT RIGHT
• Foods that demonstrate anti-inflammatory properties
• Omega-3 fatty acids
• Increase “good” prostaglandin production
• Fatty fish (salmon, tuna, sardines, mackerel), walnuts & walnut oil, ground flaxseed,
canola oil
• Tart cherries, apples, blueberries, raspberries
• Ginger
• Turmeric - curcuminoids
• Olive oil
• Onion
14. EAT RIGHT
• Foods that demonstrate pro-inflammatory properties
• Omega – 6 fatty acids
• Increase production of “bad” prostaglandins
• Vegetable oils, processed foods
• Trans fats
• High glycemic foods (i.e. refined grains)
• Whole food, plant based diet can aid in healing and help to decrease pain
• Many antioxidants & phytochemicals intimately tied to inflammatory processes
• Vegetables, fruits, whole grains, plant proteins
• More omega-3 fatty acids; fewer omega-6 fatty acids
15. MOVE IT!
• The overwhelming theme in the treatment of most persons with chronic pain is to
keep as physically active as possible. In fact, advancement of activity levels and
education is recommended, as inactivity is detrimental despite the temporary relief
of symptoms that often accompanies it.
• There is strong evidence that exercise programs are beneficial for persons with
chronic pain. After consultation with a physician and/or physical therapist, a
therapeutic exercise program should be initiated at the start of any chronic pain
treatment program. Such programs should emphasize education, independence, and
the importance of an on-going self-directed exercise regimen.
• From American Chronic Pain Association www.theacpa.org
16. MOVE IT!
• Movement naturally lubricates joints.
• Movement causes the release of synovial fluid, which lubricates and brings nutrition to
the joint.
• Every joint has a natural range of motion (ROM). Movement through a full ROM allows
for correct movement patterns, full recruitment of associated musculature, and
minimizes compensation patterns which can lead to overuse, injury, and more pain.
• These reasons are why most physical therapy programs begin with trying to increase
ROM in the affected areas.
17. MOVE IT!
• Resistance Training
• Lack of strength can lead to many causes of pain.
• Lack of core strength may lead to lower back complications.
• Lack of mobility + lack of strength = Decay.
18. MOVE IT!
• Persons with chronic pain can become discouraged when their pain temporarily
increases due to therapeutic exercise, and they will sometimes terminate treatment
too early before achieving maximal benefit. A flare-up of pain with exercise should
be expected even with safe exercise, but can also be due to poor body mechanics,
guarded or stiff movement, high levels of demand on an injured site, or
compensatory movements. It is important to have a health care professional
knowledgeable about treating chronic pain to assist not only with setting up a
graded and careful exercise program, but also to assist with distinguishing new
symptoms that may signify problems from the “good” discomfort that normally goes
along with an increasing exercise program.
• From ACPA
19. MOVE IT!
• More Exercise Benefits
• Mood boosting
• Increased Circulation (Healing)
• Stress Relief
• Can enhance sleep
• Exercise sends signal to body, “Hey, I need you. Let’s do this.”
• Growth & Renewal
• Mind/Body connection
• For more reading, check out Younger Next Year, Chris Crowley & Henry Lodge
20. COOL OUT
• Stress can exacerbate pain and decrease our ability to deal with pain
• Tense muscles can contribute to migraines/headaches, muscle knots, etc.
• Anxiety tied closely to GI function
• Positive emotions result in diminished perception of pain
• Bottom line: Stress management is a vital component to
pain management!
• Watch our archived stress management webinar: http://wellness.mus.edu/Webinars.asp
22. COMPLEMENTARY & ALTERNATIVE
MEDICINE
• Acupuncture
• Research evidence supports acupuncture for treatment of low-back pain, neck pain,
osteoarthritis pain, and reduction in frequency of tension headaches and migraines
• Chiropractic treatment/spinal manipulation
• Studies support efficacy for acute & chronic low back and neck pain
• Covered by MUS insurance
• Massage
• Transcutaneous electrotherapy
• Tai Chi
• Yoga
• Mind-Body Techniques
• Meditation, guided imagery, biofeedback, hypnosis, relaxation
23. COMPLEMENTARY & ALTERNATIVE
MEDICINE
• Hot & Cold Therapy
• ICE-R
• Ice, Compression, Elevation & Rest for acute injury and anti-inflammation
• Heat
• For therapeutic modality
• Increases circulation
• Aids in mobility
• Relieves muscle tension, stiffness, soreness
24. PSYCHOLOGICAL TREATMENT
• Mental health counseling
• Aimed at improving coping mechanisms
• Chronic pain associated with increased risk of depression
• 25-50% of people who experience chronic pain also report being depressed
• MUS insurance plan members eligible for 4 free mental health counseling sessions per
plan year
25. QUICK HELP LISTS FOR TOP 3
• Headache
• Treatment depends on type of headache. Causes of headache are numerous. Can be a
symptom of some other condition, or like much low-back pain, there is no clear cause.
• General recommendations for both tension & migraine headache prevention
• Keep a headache diary to identify triggers; then avoid the triggers
• Stay hydrated
• Limit caffeine/keep intake consistent
• Reduce stress
• Evaluate work posture and take breaks from screen time
• Don’t skip meals
• Get adequate sleep
• Don’t overuse headache medications due to risk of rebound headaches
26. QUICK HELP LISTS FOR TOP 3
• Joint Pain/Arthritis
• Move, move, move
• Appropriate exercises
• Work on ROM
• Anti-inflammatory diet
• Physical or Occupational Therapy
• Complementary & Alternative Treatments
• Massage & Self Massage
• Heat
• Meditation
27. QUICK HELP LISTS FOR TOP 3
• Spine: Low Back & Neck
• Move, move, move
• Increase Hip and Shoulder mobility
• Strengthen Core (low-back)
• Utilize correct movement patterns—especially correct lifting techniques
• Heat is a great tool for neck & back pain relief
• For intense and/or chronic pain, get it diagnosed!
28. KEEP CALM & CARRY ON!
• You are not alone!
• Have a support team, including family, friends, and medical or health professionals.
• There are many forms of treatment & strategies. Track, journal, and pick the ones that
work best for you!
• Have a plan, work the plan.
29. RESOURCES
• American Chronic Pain Association (ACPA)
• www.theacpa.org
• Mayo Clinic
• www.mayoclinic.org
• Arthritis Foundation
• www.arthritis.org
• Pain Matters, premiers on Discovery Channel November 16th.
• Watch it online now at www.painmattersfilm.com
30. UP NEXT
• Fall Wellcheck Tour!
• “I don’t have Time for this Webinar!”
• Time Management Webinar
• Thursday, November 18th
• Incentive Program, you just earned 5 points!