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.
| | How to Change Your Conditioned Responses to Certain FoodsWritten by Caryl Ehrlich
When trying to lose weight, there are certain foods that each person is more attracted to than other foods. Some find morning cup of coffee quite addictive. To others it is bread. Many cannot have dinner in a restaurant without having an alcoholic beverage. With me it was always something sweet. Tally A good first step is to tally number of times you consume each category of food in a seven-day period. Then, after next seven-day period, do it again. Making a list of foods such as bread, salad, starch, dessert, beverage, and alcohol is a good idea. You can compare each week with previous to see if you are achieving some of your goals. Addiction Model You’re not only trying to lose weight and to feed smaller person you are becoming, you are also trying to reverse progression of addiction model here. In a progressive addiction, portion-size and frequency of usage keep escalating each time you build a tolerance for a particular food. The amount you need increases and usage becomes more frequent. As you begin to lose weight, portion-size of food and frequency-of-usage diminish in size, and number of hits. Diminish Number of Times Each Day The most frequently chosen items are bread, beverage, dessert, and alcohol. Some items may tally anywhere from zero to 15 and even 20, each week, or, anywhere from one to four times each day. If, for example, you choose any one item four times a day, cut it to three, then to two, then to once a day. One of Four Or None Strive to achieve having either Bread or Beverage or Dessert or Alcohol, picking only one of four or none per meal. If you are trying to eat a wide variety of foods, much of this will happen naturally. Mental Repatterning Talking to yourself is helpful as you choose each item less and less frequently. Think: “instead of another piece of bread, I’ll have a vegetable.” Or, “Instead of another cup of coffee, this time I’ll have a cup of hot water.” Remind yourself, hourly if necessary, “I want to weigh __________ pounds.” Remember some of action steps you can take to help you get there. The moments do pass. A helpful goal: Be pro-active rather than re-active. If you weren’t thinking of an item two minutes before seeing it, you’re responding to a visual stimulus rather than an actual physical hunger. Portion Size Get rid of that oversized mug and pour your coffee into a regular-sized cup. Perhaps you’ll feel fine with a few segments of grapefruit; a few bites of coleslaw. As you lose weight and your stomach shrinks, you should be filling up sooner and will require less of everything than you did when you were a bigger person. Pick One No-Coffee Day As item usage diminishes to once a day, next step might be to pick one no-coffee day and/or, one no-bread day and/or, one no-alcohol day and/or, one no- __________ day. (Fill in your most frequently chosen item.) Writing your intention into your agenda book (or calendar) will be a reminder of what you’re trying to accomplish. If there are many items you choose more than three, four, times each week, pick one at a time and practice not having it one day a week before moving on to next item. For example, Sunday could be a No-Coffee Day, Wednesday a No-Bread Day, and so on. No Multiples Another technique to aim for is No Multiples – no second cup of coffee, no second drink, not another piece of bread after first, and no second or third helpings, even if it is Thanksgiving. Remember, in a restaurant, you’d never say to waiter: “Maurice, is there another chicken leg in kitchen.”
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