Depression and Insomnia RelationshipWritten by Maricon Williams
You’ve been lying for a couple of hours, your eyes closed and you wanted to fall into a deep sleep but can’t make it. You tried a little more… and again… and again… it goes. At 2 o’clock you fell asleep but at 5 o’clock in morning you wake up devastated because you found out that you only slept for 3 hours. You lied again but sleep is so elusive… so you get up and eat your breakfast but you wondered why your day is already spoiled…you are easily irritated, annoyed and you felt that everything was not in their proper order… world again started to become topsy-turvy…then you ask yourself why can’t I sleep?If sleepless nights are bothering you, this may be a sign of insomnia or depression. Insomnia is a symptom not a separate disorder. A complaint of this needs a clinician to inquire further to disclose underlying etiology of complainant. Depression, conversely, is a serious medical condition that involves body, mood, and thoughts. The main three depressive disorders are Major depressive disorder, dysthymic disorder and bipolar disorder. Sleeplessness may be due to mood disorder, either depression or mania. Treatment of mood disorder leads to normalization of sleep. Some patients suffering from insomnia require a pharmacologic treatment. The long-term use of benzodiazepine or barbiturate hypnotics though is not advisable because it might develop into tolerance, dependence, or worst delirium.
| | Intractable Back pain and Trigger point injectionsWritten by Karri Koivula
Ever enigmatic back pain has been in past largely blamed on discs and other pathological factors.But with help of new imagining technology, degenerative changes have been found from so many people living completely pain free, that it just doesn’t make much sense for them to be main villain behind pain. While doctors agree that back pain is often muscular, in sense that there are no major pathological factors involved, they haven’t without a few exceptions embraced completely trigger point paradigm. One reason for this might be use of trigger point injections for treating back pain thought to be of myofascal origin. Injections can cause treatment to fail by making it harder to achieve three key factors behind effective therapy. 1. Finding right spots, one must find most aggravated trigger points from right muscles. It’s much easier to locate spots from you own muscles, when you have luxury of actually being able to feel their tenderness, not so easy when you have to locate them from others. If it’s entirely up to doc to locate spots then that can be a problem.
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