This document is a pain diary detailing the effects of a rear end car accident over a period of several months. It describes ongoing pain in the diarist's neck, shoulder, back, arm, and hand, as well as difficulty performing daily tasks without assistance such as showering, dressing, and housework. The diarist tracks the severity of pain daily and notes when assistance is received. Pain management includes exercises, painkillers, voltrol gel, and seeing a doctor, with gradual improvement over time but some lingering restricted neck movement.
"The Stress Diary Journal is an effective Stress Management tool. It will tell you exactly: How you stress, When you stress, Who you stress with, What you are stressing about, How intensely you stress, and Why you stress. It will identify the patterns of your stress, it's causes and solutions to why you stress."
This invaluable tool will help you gain insight and self-understanding, improve your health, instil a healthier work/life balance, help you learn lifelong stress management skills and help you to effectively manage your stress. This Diary Journal is divided into 4 weekly sections for you to record, analyse and monitor your stress.
You will learn to know and review your initial appraisal, to stress or not, to be aware of the stress symptoms you are experiencing, to increase your understanding of how you react and respond to stress, be able to identify your stress triggers, to be alert to particular stressful situations and to understand your stress patterns. This will help you to easily identify negative behaviour patterns, to know the effect of stress on your life and health, to learn new coping skills, increase your self-management skills, develop inner control, effective goal setting, to overcome barriers and persevere to achieve the targets you are setting. Making coping with stress, easier. This purchase also entitle you to sign up for free stress management support and guidance at www.stressdiaries.com.
How a 53-yr-old woman eliminated back pain in 3 weeks w/ this unusual bedtime stretch.
Top experts from Harvard, Yale, and Stanford couldn’t believe their eyes…
When this mind-blowingly easy “bedtime stretch” helped hopeless back pain sufferers experience comfort and pain relief – in as little as 32 seconds.
If you do this simple, painless stretch in bed right before you sleep…
It helps DRAIN pain and discomfort from your back…
By targeting a little-known muscle in your hips – what scientists believe could be a true “hidden cause” of debilitating back pain.
Back Pain Breakthrough is a back pain protocol sold online through Back Pain-Breakthrough
The protocol consists of videos, PDF guides, and other digital materials. The goal is to teach you actionable strategies for eliminating your back pain.
80% of Americans will suffer from back pain at some point in their lives. Some back pain goes away quickly. Other back pain lasts for years. People manage back pain in different ways. Some take medication. Others undergo surgery. Some listen to their doctor, while others follow alternative treatment programs.
"The Stress Diary Journal is an effective Stress Management tool. It will tell you exactly: How you stress, When you stress, Who you stress with, What you are stressing about, How intensely you stress, and Why you stress. It will identify the patterns of your stress, it's causes and solutions to why you stress."
This invaluable tool will help you gain insight and self-understanding, improve your health, instil a healthier work/life balance, help you learn lifelong stress management skills and help you to effectively manage your stress. This Diary Journal is divided into 4 weekly sections for you to record, analyse and monitor your stress.
You will learn to know and review your initial appraisal, to stress or not, to be aware of the stress symptoms you are experiencing, to increase your understanding of how you react and respond to stress, be able to identify your stress triggers, to be alert to particular stressful situations and to understand your stress patterns. This will help you to easily identify negative behaviour patterns, to know the effect of stress on your life and health, to learn new coping skills, increase your self-management skills, develop inner control, effective goal setting, to overcome barriers and persevere to achieve the targets you are setting. Making coping with stress, easier. This purchase also entitle you to sign up for free stress management support and guidance at www.stressdiaries.com.
How a 53-yr-old woman eliminated back pain in 3 weeks w/ this unusual bedtime stretch.
Top experts from Harvard, Yale, and Stanford couldn’t believe their eyes…
When this mind-blowingly easy “bedtime stretch” helped hopeless back pain sufferers experience comfort and pain relief – in as little as 32 seconds.
If you do this simple, painless stretch in bed right before you sleep…
It helps DRAIN pain and discomfort from your back…
By targeting a little-known muscle in your hips – what scientists believe could be a true “hidden cause” of debilitating back pain.
Back Pain Breakthrough is a back pain protocol sold online through Back Pain-Breakthrough
The protocol consists of videos, PDF guides, and other digital materials. The goal is to teach you actionable strategies for eliminating your back pain.
80% of Americans will suffer from back pain at some point in their lives. Some back pain goes away quickly. Other back pain lasts for years. People manage back pain in different ways. Some take medication. Others undergo surgery. Some listen to their doctor, while others follow alternative treatment programs.
Hi, my name is Amy Palmer.
And in the next few minutes…
I’m going to tell you about the scariest, most chilling day
of my life.
The day I cursed at my doctor…
Telling him to “Go *beep* himself”
Before running out of the room, crying my eyes out…
Wishing I’d never stepped foot in his office.
You see, since 1995, I’ve suffered from unbearable, agonizing back pain
Back pain is no fun at all. Sadly it is something that we all will have at some point in our lives. A lot of things can cause back pain. A lot of times the pain in our backs will be generated by things that we do
I discovered a simple movement that
gave me INSTANT relief!
And completely eliminated my low back
pain and sciatica…
In just 3 weeks!
Being pain-free has transformed every area of my life:
https://tinyurl.com/yctvl4da
Breakthrough in back pain treatment | Back pain Breakthrough Reviewskiranuikey1
If you have ever felt trapped in your body by pain, stiffness or low energy, it’s not your fault. And you do not deserve to live like this. But it can happen to absolutely anyone. And if you suffer occasional ashes or stiffness, you must know your body is at serious risk. So, pay close attention because here you will know the one surprising thing you are unknowingly doing every single day that is sabotaging your body and penetrating out with hidden fault lines. Are you seriously concerned about your health issues and want your normal, pain-free life back? If your answer is yes, Here Amy Palmer & Steve Young created an exact program for you that is called Back Pain Breakthrough.
This unique program is so much easier than you would ever expect. You will learn the most effective core strengthening moves that you can do anytime, without even breaking a sweat. You will get the precise techniques that release tense, tight muscles and relieve pain immediately. And you are going to love the surprising stretch that can relieve sciatica without surgery. You can clearly see what makes the Back Pain Breakthrough system so unique and different.
Hi, my name is Amy Palmer.
And in the next few minutes…
I’m going to tell you about the scariest, most chilling day
of my life.
The day I cursed at my doctor…
Telling him to “Go *beep* himself”
Before running out of the room, crying my eyes out…
Wishing I’d never stepped foot in his office.
You see, since 1995, I’ve suffered from unbearable, agonizing back pain
Back pain is no fun at all. Sadly it is something that we all will have at some point in our lives. A lot of things can cause back pain. A lot of times the pain in our backs will be generated by things that we do
I discovered a simple movement that
gave me INSTANT relief!
And completely eliminated my low back
pain and sciatica…
In just 3 weeks!
Being pain-free has transformed every area of my life:
https://tinyurl.com/yctvl4da
Breakthrough in back pain treatment | Back pain Breakthrough Reviewskiranuikey1
If you have ever felt trapped in your body by pain, stiffness or low energy, it’s not your fault. And you do not deserve to live like this. But it can happen to absolutely anyone. And if you suffer occasional ashes or stiffness, you must know your body is at serious risk. So, pay close attention because here you will know the one surprising thing you are unknowingly doing every single day that is sabotaging your body and penetrating out with hidden fault lines. Are you seriously concerned about your health issues and want your normal, pain-free life back? If your answer is yes, Here Amy Palmer & Steve Young created an exact program for you that is called Back Pain Breakthrough.
This unique program is so much easier than you would ever expect. You will learn the most effective core strengthening moves that you can do anytime, without even breaking a sweat. You will get the precise techniques that release tense, tight muscles and relieve pain immediately. And you are going to love the surprising stretch that can relieve sciatica without surgery. You can clearly see what makes the Back Pain Breakthrough system so unique and different.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
The effects of a rear end shunt
1. The effects of the rear end shunt-Pain Diary
Thursday 14th
February
*Extreme pain to front left hand tooth and to above gum leading to left
hand side of nose.Severe pain to right collar and shoulder continuing
down arm to fingers. Painful left back and lumber regions. Help to get
dry after shower. Did exercises.
Friday 15th
February
*No change to pain in all areas listed above. Difficulty sleeping on right
side. Unable to bite due to pain in mouth i.e. tongue, tooth. Received
help with getting dry after shower and washing of hair, and general
housework i.e. vacuuming, hanging out washing.Did exercises.
Saturday 16th
February
*No change as above. Received help to get dry after showering. Did
exercises.
Sunday 17th
February
*Right shoulder very painful. Having difficulty lifting arm to put
makeup on or to eat etc. Painful to drive car as my back aches. Wake
up in pain during night. Drying after shower, washing and combing of
hair.Did exercises.
Monday 18th
February
*No change to pain. Received help with getting dry after shower,
housework i.e. vacuuming, mopping, clean bathroom etc.Did exercises.
Tuesday 19th
February
*No change to pain. Help to get dry after shower, washing and combing
hair. Washing done and hung out to dry. Did exercises.
Wednesday 20th
February
*Right side of neck, lower back and back of shoulder throbbing. Still
having difficulty cleaning my teeth or drying myself after a shower,
applying makeup, received help. Didexercises.
2. Thursday 21st
February
*Advised to do some gentle swimming at the gym. After a couple of
lengths found it too painful to continue.Had great difficulty getting dry
when changing in changing rooms. Had help to wash hair in showers
and with combing afterwards. Washing done and hung out to dry.
Struggled to do ecercises.
Friday 22nd
February
*Poor night’s sleep due to pain in back neck and shoulder. Took pain
killers and rubbed shoulder. Washing and showering very painful. Help
with washing and ironing. Did exercises
Saturday 23rd
February
*Helped with getting dry after shower. Went to the Cinema with
previously bought tickets. Was extremely uncomfortable throughout the
whole film. Help to finish ironing and housework. Did exercises
Sunday 24th
February
*Bought some more voltrol gel to be rubbed on my back and shoulder.
Will make an appointment to visit doctor tomorrow after or during
work tomorrow.Helped to get dry after shower.Did exercises
Monday 25th
February
*First day back at work after half term and unable to drive, so I had to
travel on public transport and walk to school/work, to and from bus
station. Called to doctors after leaving early from work. Doctor recorded
injuries. Needed help with house work, to strip and change bed, to get
dry after shower and to wash and comb hair. Did exercises
Tuesday 26th
February
*Had to cancel previous arrangements for evening due to constant
throbbing pain in right shoulder, shoulder blade, arm, hand and lower
back. Persevered with hair washing and showering. Asked for help with,
getting dry after shower, combing and drying of my hair. Did exercises
3. Wednesday 27th
February
*Woke in pain from right shoulder and had it rubbed with voltrol gel.
After work took pain killers, had a bath with help and plenty of rest.
Thursday 28th
February
*Still on public transport as unable to drive, due to a painful-shoulder,
rear shoulder blade, upper arm, fore arm and hand, I am suffering from
sleep deprivation. Help with getting dry after shower, washing and
ironing, vacuuming and dusting. Did exercises
Friday 1st
March
*Stayed Doctor Puree regarding pain, to see what could be done.
Heprescribed kapake and predicted the pain would last at least eight
weeks or more also suggesting physio at a later date. I was advised
against the gym or swimming. Pain today is much the same. Help to get
dry, wash and comb hair.Did exercises
Saturday 2nd
March
*Pain slightly easier, but am reluctant to take kapake too often as
results in constipation. Needed help with showering, shopping.
Sunday 3rd
March
*Bought more voltrol gel to rub into painful areas. Extremely painful
arm and hand. Help to get dry after shower, washing and ironing.
Struggled to slice meat for lunch or lift pans. Settled to sleep, but woke a
couple of times to apply more gel and take painkillers.
Monday 4th March
*Help to strip and change beds and to do house work i.e. vacuum/mop,
polish etc. Help to get dry after shower. Able to drive to and from work
as it is a short distance. However still unable to visit/drive anywhere
further than 3 miles or more. Have restricted movement in my neck.Pain
much the same. Did exercises
4. Tuesday 5th
March
*Pain a little easier. Rubbed it with voltrol Gel and took pain killer
during the night. Managed to dry and shower myself, although was
painful. Did exercises
Wednesday 6th
March
*Experienced pain in front tooth and gum. The rest of pain more
manageable. Had help with gardening washing etc. Did exercises
Thursday 7th
March
*No change to pain. Help with washing and hanging out washing to dry.
Did exercises.
Friday 8th
March
*Better night last night. Still pain on top of shoulder, towards collar bone
and back of arm. Help with ironing and vacuuming. Did exercises.
Saturday 9th
March
*Woke feeling sore and a degree of pain, but much more manageable
with regular pain killers and voltrol rub morning and before bed. Help
with shopping. Did exercises.
Sunday 10th
March
*Felt sore first thing. Drove to Macclesfield and was very achy later. Still
not got full movement in neck when looking over left shoulder.Help with
gardening both front and back. Did exercises.
Monday 11th
March
*Pain much more manageable with painkillers voltrol gel applied
regularly. Help with vacuuming etc. Did exercises.
Tuesday 12th
March
*Trialling taking painkillers morning and night and applying votrol gel
only before bed.
Wednesday 13th
March
*Still restricted movement in neck and coping with fewer painkillers.
5. Did exercises.
Thursday 14th
March
*Things much the same.
Friday 15th
March
*No change
Saturday 16th
March
*Went to Liverpool by train with friends. Applied voltrol gel before
bed.Did exercises.
Sunday 17th
March
Managed to cook Sunday lunch, but needed help lifting pans etc.
Applied voltrol gel before bed.
Monday 18th
March
Bit sore this morning. Did exercises.
Tuesday 19th
March
Things the same.
Wednesday 20th
March
*No change
Thursday 21th March
*No change
Friday 22nd
March
*No change
Saturday 23rd
March
*Drove to Macclesfield. Neck sore especially looking over either shoulder,
whilst reversing. Applied voltrol gel.
Sunday 24th
March
*Bit achy and stiff around neck and shoulder. Rubbed it with gel.
6. Monday 25th
March
*Feeling much better. Aiming to do a little ironing each evening along
with housework.
Tuesday 26th
March
*Stopped taking painkillers, only using voltrol gel. Still have restricted
movement in neck.
Wednesday 27th
March
*No change
Thursday 28th
March
*No change
Friday 29th
March
*Helped do a little painting at my mother in-laws house. Applied a
generous amount of voltrol gel before bed.
Saturday 30th
March
*Shopping at the Trafford Centre and Cinema.
Sunday 31st
March
*Helped to finish off painting. Felt sore during evening, so applied gel
after shower.
Monday 1st
April
*Woke feeling sore. Took painkillers before going out for dinner.Applied
voltrol gel before bed.
Tuesday 2nd
to Thursday 4th
April
*Papered walls. Took painkillers after shower and rubbed shoulder,
lower back and collar bone before bed.
Friday 5th
April
*Tried to make an appointment at G.P.s due to pain. Managed to make
an appointment for Tuesday.Took painkillers.
7. Saturday 6th
April
*Poor night’s sleep due to throbbing neck and shoulder. Took regular
pain relief.
Sunday 7th
April
*Disappointed to be back on regular pain relief.
Monday 8th
April
*No change to pain. Still taking regular pain relief. Been out to dinner
for my daughter’s birthday, but unable to have an alcoholic drink due
to tablets.
Tuesday 9th
April
*Visited Doctor, who told me I had done too much too soon and advised
me to continue with the pain relief until thing got easier.
Wednesday 10th
April
*Went back to work after Easter Break. Got a lift to work and bussed it
back as neck was still little sore.
Thursday 11th
April
*Pain a little better, still on regular pain relief. Travelled to and from
work in the same way as yesterday.
Friday 12th
April
*Things much the same as yesterday.
Saturday 13th
April
*No change
Sunday 14th
April
*Feeling much better and have cut out pain killer and only using voltrol
gel.
Monday 15th
April
*Drove myself to and from work in the car. Still using volrol gel morning
and evening.
8. Tuesday 16th
April
*No change
Wednesday 17th
April
*No change
Thursday 18th
April
*Pain much better. Still noticeable when driving, i.e. reversing.
Friday 19th
April
*Feeling much more comfortable, although haven’t got full movement
in neck.
Saturday 20th
April
*Returned to the gym. Walked on tread mill 15mins, 15mins on a bicycle.
Sunday 21st
April
*My shoulder feel a little achy, rubbed with some voltrol gel.
Monday 22nd
April-Saturday 1st
June
*Generally well. A little sore from time to time. Still not got complete
movement in neck.
9.
10.
11. Took pain killers and rubbed the areas well. Had help with housework
etc. Did exercises.
Monday 11th
March