Chronic pain and Ultram

May 31st, 2011

Chronic pain can seriously decrease a person’s quality of life, as this condition affects many activities. Even the simplest everyday tasks can become a challenge that is really hard to deal with when a constant feeling of pain interfere. As pain is the most common symptom for countless health conditions, chronic pain is a clear sign that something is really wrong and needs to be addressed by a professional healthcare provider. There can be various causes for chronic pain ranging from inflammatory conditions to nerve damage and depending on the condition causing the symptom it can be very hard to manage chronic pain. The difficulty with chronic pain management is that it’s not easy to find an appropriate way to relieve it. Of course, many effective medications for pain relief exist on the market but theproblem is that their effectiveness is somewhat limited when it comes to chronic pain. The permanent nature of this pain requires medications to be taken quite frequently. And while drugs like aspirin can be rather helpful for calming the inflammation causing some chronic pain symptoms, the effects of the drug wear off to fast in order to be helpful, and you’ll need to take the drug several times a day in order to get any results. And that’s certainly not good for your health since such drugs are intended to be taken in lesser daily doses. A range of potent painkillers like Ultram can be effective but also for a limited time period. The drug can start workibg rapid and relieму pain quite effectively but only to wear off after several hours when chronic pain gets back. So it’s clear that the main reason for most drugs to be inoperative for chronic pain is their short half-life not providing pain relief for longer terms. Fortunately for chronic pain sufferers different forms of pain relievers has been developed that can actually help such patients manage chronic pain symptoms. These are extended release drug forms. That’s a really great way to deal with the unpleasant symptoms, and most luckily even such powerful painkillers as Ultram are available in extended release pills. But what’s exactly the difference between the standard and extended release pills? It is the way they deliver the drug to the body that is special. Both forms deliver the active ingredients of the drug into the bloodstream through the stomach. Yet with ordinary release pills the protective coating is destroyed rapidly and a large concentration of active ingredients enters the bloodstream assuring rapid onset of the effects. But because all the active ingredients are absorbed at the same time the effect wears off quickly. The protective coating of theextended release pills is stronger and doesn’t allow all the active elements to enter the blood flow at the same time. This enables smaller doses of the drug to be dispensed over a long period of time, which assures prolonged delivery of the drug and extends the half-life to times the period of the ordinary pill. So if you or your family member needs an ultimate pain relief cure for chronic pain consider the extended release forms of the potent and reliable medications like Ultram.

Exercise Therapy and the Cancer Patient

May 31st, 2011



Depending upon the type and stage of cancer, as well as the treatment protocol, an appropriate exercise prescription should be seen as an important part of the treatment strategy.* This article will address several of the physical and psychological benefits of exercise and will assist cancer patients resume their daily living activities and a sense of normalcy. In addition, an increased level of fitness will allow those going through the cancer experience to tolerate treatments more effectively with a greater adherence to the treatment schedule and possibly better results.

Physical Benefits

Aerobic Capacity

Aerobic activities utilize major muscle groups, are rhythmic in nature and are slow enough to allow the heart and lungs to supply oxygen to the exercising muscles. They may be done as part of a warmup or lead in to other activities or more as a “stand alone” activity. As part of a warm-up, some form of aerobic activity should be done prior to flexibility and resistance exercises. Examples include walking, cycling and swimming. The use of aerobic exercises approximately 20-30 minutes a day, several times a week have been shown to minimize the effects of fatigue, nausea and depression for many cancer patients. The increased circulation will also assist in the removal of waste products due to the effects of chemotherapy or radiation.

Balance

Balance exercises may improve balance that may be due to a loss of muscle mass or neurological damage such as neuropathy.

Bone Density

Moderate weight bearing exercise such as walking or lifting weights will minimize the loss of bone density that may result from metastasis to the bones or from the use of hormone therapy such as estrogen therapy for prostate cancer or tamoxifen for breast cancer.

Fatigue

Fatigue or what is known as cancer related fatigue (CRF) is very common occurence during the treatment and post treatment phase. A spiralling effect often occurs whereby an individual becomes less physically active and deconditioned. The individual therefore loses strength and does less. Aerobic and resistance exercises have been shown to intervene in this cycle with less fatigue on the part of the patient.

Flexibility

Flexibility is often lost as a result of scarring of the connective tissue or skin related to surgery or radiation, as well as the shortening of muscles due to inactivity. Stretching prior to exercise such as after a warm shower or a daily walk is suggested. Stretching at the end of an exercise session is also an ideal time as muscles have been warmed up and are more pliable. Stretch slowly not using too much momentum or bouncing types of movement when stretching. Lifting weights slowly through a complete range of motion will often increase flexibility.

Strength

Many cancer patients lose strength simply due to a lack of use. This is common in breast cancer where patients are afraid to lift objects with an affected arm. Moderate strength or resistance training will assist in maintaining strength which is essential in performing daily activities such as carrying groceries or raking the leaves.

Weight Management

Some cancer patients gain weight due to inactivity and hormone treatment. Those with advanced cancer often experience severe weight loss or cachexia due to the loss of fat and muscle. Aerobic activities will assist in the management of weight gain while light resistance exercise will maintain some degree of muscle mass for those experiencing cachexia. Exercise may also stimulate one’s appetite which is often lost during chemotherapy.

Increased Tolerance of Treatment

While exercise will, unfortunately, not cure cancer its therapeutic effects will often allow for a greater tolerance of treatment. Greater adherence to one’s treatment regimen may, in turn, increase the likelihood of recovery. A common mistake for those undergoing treatment is waiting to feel better before beginning to exercise or stated differently, “waiting to get better, to get better” thereby delaying the recovery process and a return to their former self

Psychological Benefits

Anxiety

Whether due to a “time-out” effect, biochemical changes or the increased body temperature of exercise exerting a calming effect, many symptoms of anxiety such as muscle tension or sleeplessness can be reduced or managed by moderate aerobic activity or by the slow meditative movements of the Eastern traditions such as Tai Chi.

Control

Loss of control and identity is commonly associated with cancer diagnosis. Many of the physical benefits of exercise enable one to perform activities of daily living (ADL) and gain a greater sense of control and identity.

Depression

Whether biochemical in nature or by gaining a measure of control, exercise has been shown to reduce depression that is commonly associated with cancer.

Support

For many, exercise classes may become an informal support group. Indeed, it may be said that exercise classes are often support groups for those who dislike traditional support groups. They may also provide needed structure and interaction for those who are not working and feel a sense of isolation.

Appropriate exercise should not be seen as something that is done only when you feel better or “waiting to get better to get better.” Rather, you will feel better once you become active once more.

* Please contact your physician before any beginning an exercise program.

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Are you getting enough?

May 30th, 2011

It’s quite strange that something we all do every day of our lives should be so poorly understood. Yet, without so much as a word of explanation, we all fall unconscious for several hours and, when we recover, we usually feel better for this experience. This is called sleep and, despite all their best efforts, scientists have not managed to convert theories into reliable proofs. All they can say is that, without sleep, our bodies begin to fail physically, becoming more prone to diseases as our auto immune system shuts down, and there can be severe psychological disruption – torturers around the world have been using sleep deprivation for centuries. We all know the feeling of getting out of bed after a disturbed night. It has all the features of a hangover without the benefits of the night before. We walk around like the living dead, finding concentration a problem with a headache threatening. . . and some men report erectile dysfunction.

Well, the trouble with these reports is that, in scientific terms, they are anecdotal, i.e. it’s just like the stuff men say when stopped in the street for a quick questionnaire. There’s very little scientific evidence to link sleep deprivation to erectile dysfunction. Until now, that is. Early this May, there was a conference in Washington where a team reported new evidence that men with sleep apnea are twice as likely to suffer erectile dysfunction. This is a serious form of sleep disturbance where people literally stop breathing and have to partially wake to take the next breath. This research has moderate status, being a paper presented at an impressive conference. But it has yet to be published in a peer-reviewed journal. It has enough participants to be credible and, if the research can be validated, it would have real importance for those suffering erectile dysfunction.

Long-term sleep disturbance and excessive sleep patterns are both considered harmful to health – apparently sleeping too long can age your brain. It seems scientists are moving to a view there’s a sweet spot for every individual where you live longer and have a better quality of life if you sleep just enough and no more. So if you have erectile dysfunction and your sleep is disturbed, you should take action (which may include doing something to reduce your partner’s heaving snoring). Start by cutting down alcohol, coffee or any other drink with a stimulant in it. The evidence shows caffeine can be active in your system for up to eight hours. If you have to wake to empty your bladder, this is adding to the problem. Learn some relaxation techniques to reduce the stress in your life – physical exercise may help you relax, and also tire you out. Finally change your bedroom around to keep it dark, quiet and at a comfortable temperature.

Levitra can restore your sexual activity even when you are tired so long as your libido remains strong. Remember, no drug can give you an erection unless you are in the mood for sex. So try not to rely on Levitra. The best answer is establishing a better sleep routine and using a drug only if natural sleep does not solve the problem.

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