#blog award, Back Pain, CHRONIC PAIN, Failed Back Surgery Syndrome, FIBROMYALGIA, HEALTH, pain

BACK PAIN RELIEF FOR MANY WITH NEW TECHNIQUE…

According to Good Health in today’s Daily Mail there is a new technique now available for back pain.  A new spinal cord stimulator implant which is implanted beside the vertebrae in the spine in the epidural space and the vertebral wall is connected to a battery pack that produces a small electrical field, which blocks pain signals to the brain.

Initially, two wires, each with eight electrodes attached, are implanted, guided by x-ray and aligned with a nerve ending. They are then connected to an external battery to stimulate the wires to check it works for the patient. The programmes are personalised for specific pain areas.

The patient uses the device for one to two weeks and is reviewed twice in that time to see if the machine works for them. If they report at least a 50 percent improvement in pain then a small battery pack the size of a pacemaker is inserted through an incision in your buttocks, and connected to the wires. Around 80 percent of patients who have the device inserted on a trial basis go ahead with the full implant, a Dr Serge Nikolic ( based at NHS Pain Clinic at Barts Health Trust in London) said.

Patients are then given an external zapper to control the device and the stimulation’s intensity.The machine operates continuously and batteries can last ten years or longer and can be replaced with a simple procedure. Dr Nikolic said that it is for people who have severe chronic pain that limits their daily activity and has already tried all conservative therapies, (that’s me for sure).

A review of randomised controlled trials, published by the University of Saskatchewan, Canada in 2014, concluded the safety, efficiency and cost-effectiveness of spinal cord stimulation were well established in treating chronic pain associated with failed back surgery.

However, not all patients with back pain are suitable for this device including those with uncorrected bulging discs or deformities. The cost is also a big factor as it costs around £35,000 for the surgery and the device if done privately, but a much cheaper price on the NHS. It concluded that it is purely a funding issue as to whether your local NHS will fund the surgery with a waiting list of two years or more and with some NHS hospitals not even offering the procedure.

#blog award, #Spoonie, Back Pain, CHRONIC PAIN, complementary therapies, Failed Back Surgery Syndrome, FIBROMYALGIA, HEALTH

WHAT IS THE RIGHT AND WRONG PAIN AFTER EXERCISE…

They say that if you have mild muscle soreness after working out then that is quite normal. They even say that most people with arthritis can exercise through mild discomfort.

However, if you have moderate to severe pain in a particular joint before exercising then its best to avoid that joint in your workout.

If you have moderate to severe pain during the exercise then you should stop exercising and consult your GP as this could actually be a sign that your joints may be damaged or inflamed.

Joint pain after exercise isn’t right so if you do get that then change to an exercise that puts less stress on your joints.

Finally, if you have moderate to severe joint pain the day after exercise then rest for the day and do a shorter or less vigorous workout next time.

According to LIVE WELL NHS UK muscle pain that shows up a day or two after exercising can affect anyone, regardless of your fitness level. But don’t be put off. This type of muscle stiffness or achiness is normal, doesn’t last long, and is actually a sign of your improving fitness.

Dr. Jonathan Folland, an expert in neuromuscular physiology from Loughborough University, explains how to avoid sore muscles after exercise. Sore muscles after physical activity, known as delayed onset muscle soreness (DOMS), can occur when you start a new exercise programme, change your exercise routine, or increase the duration or intensity of your regular workout.

When muscles are required to work harder than they’re used to, or in a different way, it’s believed to cause microscopic damage to the muscle fibres, resulting in muscle soreness or stiffness. DOMS is often mistakenly believed to be caused by a lactic acid build up, but lactic acid isn’t involved in this process.

Anyone can develop DOMS, even those who have been exercising for years, including elite athletes.It can be alarming for people who are new to exercise, and it may dent their initial enthusiasm to get fit. The good news is that the pain will decrease as your muscles get used to the new physical demands being placed upon them.The soreness is part of an adaptation process that leads to greater stamina and strength as the muscles recover and build. Unless you push yourself hard, you’re unlikely to develop DOMS after your next exercise session.

Any movement you’re not used to can cause DOMS – in particular, movements that cause the muscle to contract while it lengthens, called eccentric muscle contractions.DOMS typically lasts between three and five days.There’s no one simple way to treat DOMS. Nothing is proven to be 100% effective. Treatments such as ice packs, massage, tender-point acupressure, anti-inflammatory drugs (such as aspirin or ibuprofen), and rest may help ease some of the symptoms.

One of the best ways to prevent DOMS is to start any new activity programme gently and gradually. Allowing the muscle time to adapt to new movements should help minimise soreness. If the pain makes it hard to exercise, it’s advisable to refrain from the activity for a few days until the pain eases. Alternatively, you could focus on exercises targeting less affected muscles to allow the most affected muscle groups time to recover.

 

#Spoonie, Back Pain, CHRONIC PAIN, Failed Back Surgery Syndrome, FIBROMYALGIA, HEALTH, low back pain, pain, pain relief

STRUGGLING…

 

 

Struggling – if you look up this word in the dictionary it has a number of explanations as to what it means from fight, grapple, wrestle, to strive, endeavor, battle and much more.

To describe what I am going through at the moment I would need to incorporate all of those words and more.

All fibromyalgia patients know the sort of pain we are going through on a daily basis and how we all try to manage/cope with it, but I also have failed back surgery syndrome to manage as well. However I do manage it all most of the time. But this year has been a bit of an uphill struggle for me.

Earlier in the year I started with awful pain in my elbow and down my fingers which after months of different treatments I ended up having Cubital Tunnel Release Surgery. The pain relief was virtually instant and I thought I was managing it all well. But recently I seemed to have slipped down the ladder again.

About six weeks ago I started to experience pain on the outer side of my foot which I initially put down as arthritis but as time and the pain progressed I wondered if maybe I had a small stress fracture. I popped to A&E to get it checked out but they could see no fracture but some arthritis and thought maybe I had sprained my ankle.

I carried on wearing the support elastic but as days went into weeks I was getting no pain relief and had been walking with a limp for some time so I decided to go and visit my GP. After a bit of pressing and prodding around my GP said that she thought it was a Neuroma on my foot and that I needed to see a Podiatrist. She said he/she would probably give me a steroid injection and that should be the end of the problem.

So I came home and duly made an appointment to see a podiatrist but with over six weeks of walking incorrectly my back was really starting to suffer. Then bang two days ago it went into spasm. One of the worst I have had to deal with in a long time as I even needed to wake my husband up in the night to help me get out of bed to use the toilet.

 

I am a true advocate of mind over matter and have written endless articles on how writing my blog takes me away from my pain. But I have to admit that at the moment I really am struggling. I am obviously run down as I am also recovering from a nasty bout of laryngitis which then developed into a chest, throat and ear infection, so I know I am at rock bottom. But I can honestly feel as I get to the end of my post about my struggle that I already feel a bit lighter having written about it.

I guess there is nothing as strong as the power of your mind when you most need it, especially when you are in pain.