Diarrhea related to pathogenic germs

Diarrhea related to pathogenic germs
This type of diarrhea (dysentery) represents about half of diarrhea found in humans: are triggered by bacteria such as Shigella or Salmonella and viruses Rotavirus, Adenovirus and hepatitis . Salmonella infections are very common especially in small as a result of ingestion of eggs, unpasteurized milk or contaminated meat. Diarrhea occurs in the first 48 hours of infection with stool with mucus and blood discharge and frequent (every 3 hours).

In addition to influenza and parainfluenza virus, another virus that can cause diarrhea capable of, is that of hepatitis A, the reservoir of this pathogen are molluscs and shellfish. The main clinical manifestation is jaundice.

Food-borne diseases
For food-borne diseases are those diseases due to the action of toxins produced by bacteria in contaminated food or water. Diarrhea occurs rapidly, after 30 minutes of ingestion of contaminated food. One of the bacterial agents is frequently responsible for the Staphylococcus .

Another possible cause of diarrhea is a power supply with high intake of protein or carbohydrates such as pasta, vegetables, breads and pastries that make it difficult defecation, favor the 'gases and resulting in diarrhea, and finally also intolerances and allergies food special foods such as milk and gluten are important causes of diarrhea, especially in children el 'teenager.
»»  read more

What is diarrhea? and Types of diarrhea

What is diarrhea?
The diarrhea consists in the emission of abundant fecal material (amount beyond the 300-400 grams) of very liquid or semi-liquid so frequently during the day (more than three evaquazioni per day).
Through the diarrheal discharges , the body eliminates toxic substances harmful undigested food contaminated with pathogens or bacteria that reside in our intestines.

Diarrhea is not a classical disease like gastritis or gastro esophageal reflux is but a symptom, that is, the event associated with gastrointestinal diseases due to bacteria, viruses, food allergies or cancer . It 'important to keep an' eye diarrhea because it causes the loss of several fluids and minerals and undigested material from the small intestine to lead to dehydration. Diarrhea is often associated with other symptoms: abdominal cramps, bloating, nausea and tenesmus (a feeling of having to evacuate without being able to do so).

Types of diarrhea
There are various types of diarrhea that can be grouped in terms of frequency of diarrheal waves:

Acute diarrhea: spessp intestinal infections caused by bacterial or viral infections, toxins or after taking antibiotics which alter the balance of the normal intestinal flora;
Chronic diarrhea: persists over time and is caused by chronic inflammation and food allergies.
Recurrent diarrhea: appears to alternate periods, sometimes in relation to the intake of foods that you are intolerant (eg lactose).

You can further classify the condition according to the various causes unleashed in:

Diarrhea due to impaired absorption: caused by a malfunction of the mechanisms involved in intestinal absorption of nutrients in food: the failure to absorption may be due to alterations of the mucosa ntestinale to inflammation or malignancy, the reduction or disappearance of the intestinal villi (celiac disease), the non-food digestion by enzymes (pancreatic diseases), surgical interventions (eg the intestinal bypass) that reduce the surface of contact and absorption.

Osmotic diarrhea: caused by drugs osmotic laxatives such as magnesium salts that alter the 'attract water and electrolyte balance in the gut.

Secretory diarrhea: that causes a high level intestinal secretion of water and electrolytes, in the case of tumors (colon adenoma), of endocrine diseases, or bacterial infections that produce toxins (cholera) or that damage the 'intestinal epithelium also causing inflammation , ulceration and bleeding, which can be found in the faeces (shigella).

Diarrhea motor: increase the speed of transit of the material and reducing the time available to the 'intestine to absorb nutrients for neurological reasons.

»»  read more

What motivates self?

Self-development is an issue that more and more people becoming interested. Many of us feel a need for change in your life, and the reason for this may be many. The goal is well anyway to get as good a life as possible.

Self is the collection of thoughts, experiences and feelings that make you who you are. Self gives you character, personality, and behavior patterns that characterize exactly you. When we talk about self-development, it is about changing the self. A change in the self will usually result in a change in the character, personality and behavior.

As a human, we have a unique characteristic in relation to the animals. We have the ability to reflect. It means that we can sit down and think about who we are and ask ourselves: Have I right? Am I satisfied? Can I get it even better than I have today? Should I change? I MUST change? Is there something more than what we can perceive through our senses?

The questions are endless when we first sit down.

The development of the self
This is a big topic in itself that I just briefly go into here.

There are numerous theories about the development of the self. What is left is that development consists of various phases. We go through several stages during the years of life.

When we are born, we have with us a biological code as a result of inheritance. When we grow up we become exposed to influences from the environment around us as we come in contact with.

A total of heredity and environment in determining how our self develops.

The interaction between us and the environment will always affect our thoughts, experiences and feelings. Boys are treated in a pan than girls. Lange people are met in a different way than low people. Blonde gets different treatment than brunettes.

How can we say that the piece is an interaction between ourselves and the environment. We affect the environment and the environment affects us.

After we have gone through the basic stages that infants, children, adolescents, etc., it is often said that we are fully developed when we are adults. As is our way to think and feel in complete matured, and we are ready to take responsibility for our own lives.

In fact many stops development after they have become adults. One might ask why this is so. Some are happy with themselves the way they are. Whether they have achieved what they wanted to accomplish as an adult, with a job, his own family and own interests. Or that they simply are not interested in further evolves. They feel they are doing well, and the urge to sit down and reflect on his life is nonexistent. Sadly enough, there are also people who simply do not have the ability to develop further in life.

Why is there a need to develop self?
I think there are three groups of people who feel a need for self-development.

The first group are those who were not covered their needs in childhood.
The basic need for care from their parents may have been missed. There may be people who have been unsure of themselves. Maybe they had few or no friends or had family members who gave much criticism and little support.

There may be people who have not learned how to behave in different social contexts. This group also includes people who have experienced traumatic events such as war, abuse, violence or other extreme situations.

The second group are those who despite a good upbringing, yet feel that something is missing.
This may be a better job, more money, more friends, other friends. Simply a need for higher social stauts.

The third group are those who are looking for something more than life on earth has to offer.
They have a need to find answers to existential questions. They are searching for something more in the spiritual sense. There are people who believe in a greater creativity, and I mean not pronounced religious people. Although many find their answers in different religions. It is man who is more spiritual in their approach to self development. They are interested in the New Age.

A fourth group may be a combination of all three. There are people who want development on several levels simultaneously. This can be difficult, and you can end up spending too much time and resources on something that is not successful.

It is difficult not to mention Abraham Maslow's hierarchy of needs when it comes to self-development. The American psychologist summed up the human development in five stages. On top of the pyramid he placed self-actualization, which is a state where we feel that we utilize our capacities and capabilities fully. However, man is constructed so that it will always aspire for something more, and therefore it will always search for further growth.

Whatever your goals with self development is, you've already gone a step further by allowing you sat down and reflected on yourself.
»»  read more

Can you handle criticism?

Constructive criticism on what we are doing is an important measure to control each other's behavior when we belong to a group. If someone does something stupid, negative feedback is a means to prevent the person from making the same mistake again. The same applies if he does something good. Then positive criticism may have a reinforcing effect. Constructive criticism may therefore be both positive and negative feedback.

Criticism is often perceived as negative. Why this is so may be because the society we live in has a generally negative outlook on life. The media provides an indication of this. It is flooded with negative events when we look at Newsnight. But we must distinguish between negative criticism and constructive negative criticism. It is important to find out what kind of criticism we face before we take it under advisement.

To determine if the criticism is constructive or only negative, we must look at who the sender is. Is there a person with a healthy attitude towards life in general, or is that a person who is looking to manipulate others in order to feel better too? Has the person a generally positive outlook on life, or is it a person who is negative to the most? Is there a person who actually want our best, or is there one that does not like us for who we are?

If it turns out that there are people who are manipulative, generally negative or do not like you, you should reject the criticism. It is actually always just negative and not constructive. When you are given the criticism was flawed, and why on earth do you deal with it? You will then have better things to spend your energy on, than to listen to the negative feedback from idiots!

If it is negative criticism from people who otherwise are positive and have a healthy relationship with life, constructive criticism even if it is negative. They want to give you feedback solution and change something you're doing wrong for the better. This is for your own good.

When I get the (negative) criticism of anything I've done, I know that my psychological defenses are activated. I hit the spikes out and wondering who in the world is wanting to hurt or harm me with such statements. Tunnel vision is turned up, and I fail to see the constructive in it right away. It's a shame, because usually it is a truth of constructive criticism, even if it immediately just seems like a negative feedback.

However, I am conscious of the way I react. Therefore, I try to give criticism a little time to settle. I give myself an opportunity to digest the criticism before I give any response. I need some time before I stick the right note on your feedback. Is it constructive negative, or is it only negative? I try to watch an content of the criticism and the one who gives me criticism.

I can hardly see myself from the outside as others see me. In regards to myself, others a unique opportunity to observe me and what I do. I have previously discussed self-observation as a tool to become aware of our thoughts and our behavior, so as to be able to change us. Why not listen to others who actually observing us from the outside all the time?

To help you cope with criticism, and to use it constructively, you can use the following list:

  • Allow yourself to get a response when you receive negative criticism. It is normal psychological defenses will get started when you are critically evaluated by others.
  • Once the immediate reaction has subsided, use a few seconds to decide whether the sender is an idiot who only comes with flippant and unfair feedback. Or if it's a person that's worth listening to, and who have reasonable and constructive criticism. Do you get written feedback you have even more time to make a decision. Take time well.
  • Try to have a general positive attitude to what is happening around you. Consider the criticism, but focus on the positive in what is said. Have the attitude that other people see yourself from the outside better than you do. Constructive criticism is not criticism of you as a person, but it is a response to your actions. In constructive criticism is also much truth. Remember that.
  • When you get constructive criticism, saying "thank you" and be friendly. You should be happy that someone bothered to care. If the criticism is coming from a person you knew before, it can actually be a good place to get yourself a new friend. You do know that the person is honest.
  • Take the constructive negative criticism into account and change behavior. Rise above your own stubbornness, and see the criticism as a unique opportunity for yourself to get better. You earn it, and you shall cooperate with the win.
  • When you get positive criticism, take it as a signal that you've done something right. Give yourself a pat on the back and reward yourself with a soda!

»»  read more

Be a positive person!

When you are with other people, have you noticed that some smile more, laugh more and talk more positive terms than others? It is pleasant to be around these people, right? They send out good and positive vibes that we picks up, and often rubs it over on us. The reason is that we are influenced by others' vibrations, whether we want to or not.

Over the years I have worked to become a more positive person. I've managed. I've learned to focus on the positive aspects, although I do not put blinders on. At the same time I have become more aware of myself, and not least, more aware of the people around me. I have become more aware of how other people talk, their body language and what kind of vibe they send out.

Something I particularly note is that there are so many negative people. When they speak, it is often in a negative tone. They talk about how hard it is to get up in the morning, they talk about how much they hate the winter, they talk about how much money they earn, they are talking about (and the neck) others in a negative way, they say all the time that the job they have a crap job. I can still recite, almost indefinitely. Negative people focus on the negative, and they send out negative vibes. They are simply NEGATIVE!

Being near negative people is very tiring. In the long run it will drain one of energy, and finally have a simply wanted to give the negative person is a real slap in the face, or find rope and go out into the forest itself. Negative people affect the environment in a negative way, and it is impossible not to be affected to some degree.

Do not overdo
On the other hand, I have also seen people who are excessively positive. These are people who outwardly shows a painted up positivity. They are so positive that one can question their reality experience. Many people who are excessively positive can remind people who are in a kind of abnormal state of mind. Ruset, manic, or that they have taken on a false mask to hide the fact that they really are depressive. Or happy-Christians, who are high on Jesus.

Such people are also exhausting to be around for a long time. It is not hard in the same manner as for negative people, but it is laborious because it is stressful. And because an unconsciously notice that something is not as it should be.

It is best to be positive but normal, if such a thing exists.

Pc crash is no reason for negative thoughts!
A while ago my PC crashed. Hard drive went to hell, and all I had saved was gone. This was also draft some posts on this blog. But I was in a bad mood for it? No! Annoying, yes, but it was a minor and I took it as a new start. The posts that I had written could be rewritten again. And it could be that those who were lost, was bad. Also it was a good experience (backup is a good thing!). Moreover, the PC has become very much better after I got the new hard drive. It seems more "smooth" and I've gotten rid of some problems that were present from when I bought it.

I have begun to use " Google Docs "when I write. When I post on the web, and can also write on them from any computer. (Tips!!!)

After that I consciously began to focus on positivity, life has actually become very much easier. I've started reading a lot about positivity and positive thinking. And positive thinking has a link to both the law of attraction and quantum mechanics that I'm going to write about in the near future. Positive thinking is perhaps the most important thing you need to concentrate on to achieve success, happiness and success. I am also sure that the positive focus has a positive effect on health.

So, start to focus positive, too. It will make your life much easier!
»»  read more

What life is really all about?

Wondering what life is really all about? Well, here's the answer: Life is basically about being the best. It means that we humans strive to be at the top of the hierarchy. This applies not only to humans but also plants and animals. All life on earth yearns to be better than "neighbor". But even if life is to be the best, you can skip this rodeo and rather concentrate on what you want.

I know for me that this article could have been very long. I could have written about the theory of evolution, that we are in a constant struggle for existence. A fight only the best wins. I could have written that we humans, thanks to our highly developed brain, has come up with solutions that help us to live in peace with each other. But for most people will bother to read the whole, I will only concentrate on the essence. And that is that you must be aware that other people work to appear to be better than you. All the time!

Two of the most popular articles on your vibes. Now have courses in more confidence and manipulative people . It's really not that surprising. Confidence is perhaps the most important feature in the battle to be the best. And many who are vying to be the best, uses manipulative techniques.

The battle to be the best
Even as children we are aware of who is better than whom. Children become aware early on who is physically strong, who are academically strong, who have parents with lots of money, who are handsome, etc. These are properties that are important when it comes to that asserting themselves.

As adults, we are able to "fight" with the other, and those that are considered better than others, precisely, stronger physically, more intelligent, more money, more beautiful people and have more sexual partners than average .

When you are better than others, you have social value. Others look up to you or want to be friends with you to take part in the social value. They will be proud to say they know you. How often do we hear praise that someone knows someone who has a lot of money? Or know someone who has been to a party with a celebrity?

Speaking of celebrity. When celebrity is a signal that you are better than others. Media focuses heavily on the rich and famous. Although they often portray them in a negative light, we are aware that they are still better than us. Not only are they beautiful, rich and famous, but celebrities are also being looked up to and regarded as better because they get lots of attention. Attention is a need we humans have from when we are young, and we admire those who get it. We go to the people who unknowingly get much attention because attention is a source of relaxation. When we feel good, we are better equipped in the struggle for existence.

Humor is basically about being better than others. The movie "Dumb and Dumber" is funny because it makes us viewers to feel superior. Jokes act almost exclusively on any wins over another in some way or some shit out.

In recent times beauty operations become more and more common. Although it costs more than a month salary, providing people the new boobs, new teeth and new faces, only to emerge as better than others. It is a delusion when they operated beauty says they only did it to feel better. The truth is that they feel better because they see themselves as pretty or prettier than his neighbor.

Commercial advertising provides a picture of people who are better than others. They are often successful and attractive. Celebrities are used over and over again. The commercials that play on humor, is about people who shit out for us prospective buyers may feel better. In funny commercials are main always in some way inferior to us, eg. either ugly or stupid.

What you will learn from this
What you will learn from this, is that you have to be aware that someone is always looking to be better than you. It is part of being a part of humanity. It's hard to get away. Therefore it is important that you equip yourself in battle, and not resign.

You have to learn self defense in a psychological sense. Provide you with more confidence and teach you various defenses when someone is trying to manipulate you. For it often happens when someone actually is better than the other, even if they have a desire to be there, is that instead of getting better though, they try to make others worse. They oppress others, and it may be you who is attempted to suppress.

Jump off!
The problem with being in combat with others, is that we compare ourselves with others. When we compare ourselves to others, we will never be happy and balanced people. We will die more or less unhappy.

To not go into the same trap as most others do, you should make use of the most important assigned to you: Your brain. To assert yourself and also defend you best, you should strive to become a conscious human being. To get a quiet and comfortable life, you must be able to consciously make yourself so much that you're able to get out of and did not even participate in this match. Jump off. Run your own race!

You must be aware of your inner potential and work to manifest it. You can not get better than the potential that exists in yourself. If you are not aware of this you will always struggle to be better than others, even if your potential is not capable of it. You will constantly fight a battle that you will never win. Is not it better to spend energy on highlighting your best I instead?

If you misunderstood my message, do you think I mean you should be so much asshole you can to assert yourself. It is in that case error. My message is that you should work on yourself and get that good with yourself as possible, so that you can manage to rise above others' desire to be better than you. We can not improve than the potential that exists in us. All people have an intention in life that can accommodate what we really are.

Life is about being the best. It's about being the best fit. It's about being better than its neighbor. It's about being the person who is above all others. But it's up to you whether you want to continue that life.
»»  read more

Has your life become a bad habit?

Do you often go around thinking that you want to do something with your life? Hope you are soon to meet some people who show you the way to a better life? Do you have fantasies about that fate will send what you want right in your lap? In that case you have to wait long.

The truth is that it is up to you how your life will be. It is you who must make sure that you get it the way you want. Life is what YOU make it.

But it's so hard to motivate yourself and get going, you think. Yes that's right! It's hard to change your life.

Your life is a habit
The reason is that your life has become a habit. You have fallen into a pattern of behavior that it is almost impossible to get out of. All too often, life has become a bad habit.

A habit is a pattern of behavior or a mindset that is repeated automatically. The habit is learned, but have been implicated in both body and mind, and can almost feel like a behavior you do not have control over. A habit is actually rooted in your subconscious.

However, a habit is not as strong as an addiction or a mental illness. The difference is that you actually have control over the habit. It just requires willpower.

To maintain the habit, requires very little energy. This is what is dangerous. Physiologically, habit forming separate neural pathways in the brain, which helps to reinforce the behavior pattern. In addition, the habit of predictability and structure in their lives, something that feels as safe and well.

There are many areas in life that are controlled by the habits, good as well as bad. Morning Rituals when standing up is a habit. I am quite sure that you have certain things you do when you get up in the morning. Every single day! These habits are positive, then they save you a lot of time and effort in an otherwise stressful morning. Exercise is also a good habit, it adds something positive in your life.

The problem is the bad habits.

When the habit has negative consequences for you, it affects the quality of your life. Usually, when people talk about bad habits include nail biting, smoking, unhealthy diet, etc.

Have you been single a long time and waiting for a girlfriend to come knocking on your door? The problem is that your life as a single has become a bad habit. You have become comfortable with being single, and motivation to find a partner is in fact not present. Consciously or unconsciously.

And what do you do when you get home from school or work? You might make dinner, sit in front of television or computer, and where you are until you go to bed. Are you living your life from your couch? Comfortable, yes, but not very stimulating.

You must be out of your comfort zone!
It takes a lot to break the habit. It requires great effort to break the vicious circle, that is almost a reflexive behaviors.

Begin to be aware that you have a bad habit. Be aware of your behavior. To stop biting nails, there's a way you can put on the nails. Aid tastes terrible, and you are "disturbed" every time you try to bite nails. You become aware of the behavior or habit. As can you avoid and biting nails using willpower. The bad habit is over.

Is the life become a bad habit, is still the solution to be conscious. You must be aware of the patterns that create problems in your life. It can be difficult to "mock" them, since they are a part of you. In addition, maintaining the action patterns because you are comfortable with being the way you are. Some of you clutching habit it is to be you.

If you are single, you have incorporated you some habits that probably will never be appropriate in the company of a girlfriend. You shower as long as you want, you fart and burp loud, you eat what you want and when it suits you, and you have it as messy as you want. You are absolutely your own boss and have no need to take into consideration. These are habits that you feel is very comfortable, but you need to get you if you are with someone. This you know deep down inside. Anyway you might yearn for someone to share your life with.

The solution is referred to consciously make yourself habits, and you must be willing to let go of them. You must convince yourself that the benefits of having a girlfriend, surpassing the benefits of being your own boss in your life. You must be ready to pay attention to others. If you can not, the motivation to get stuck due to be low.

Not always just internal factors
A habit of sitting inside your own head. But you may feel there is anything remotely like holding you back, like. houses to maintain, kids, your job, your dog disease in others you have to take advantage of, lack of money, etc. Much can "prevent" you from changing behavior patterns.

You claim these conditions is an obstacle for you, so it's impossible for you to break the habit. This is completely wrong. Your external obstacles is still something that only exists in your head. But they work very well as an excuse for you to not have to take hold of your life, and continue as before. Remember that there is always room for changing life situation.

Awareness of habit is the first step to break with it. You must be aware of what you do, when to do it and why you do it. Then it is necessary to act.

It's about getting you out of your comfort zone. You must be ready to make an extra effort in your life. You must be prepared to have it a little uncomfortable period.

When Arnold Schwarzenegger built itself up to become the world's top bodybuilder, he did not do it because it was comfortable to train so much. When he trained, he is very uncomfortable. But he learned a technique, and it was that he focused on the comfort that came later. It was uncomfortable just a necessary evil that was inevitable.

The conclusion is that you must do something. You need to take action. You have the force necessary to change your inherent. Find it and get on with life.
»»  read more

Disease, it is good there!

In these times of flu we are showered with tips on how to stay healthy, and be as little ill as possible. There's even a vaccine against influenza. But the disease also causes something good with it.

This Christmas has for me been marked by illness. First I had a normal and straightforward colds that have lasted since the end of November, marked by exhausting cough. But 2 day of Christmas went over to fever and aching all over. This year's flu epidemic took my body and confiscated all the resources that exist. It was to be a cozy family dinner two days after Christmas, was a tiring meeting with family members I had not seen in a year.

Now that christmas peace has descended, and the vast majority of family companies is done, I can sit back and relax a little. I can concentrate on getting healthy.

I can not remember the last time I had the flu. It is many years since I've had to lie under the covers for several days, isolated from the outside world. My immune system has now been on my side.

Now I'm thankfully on the mend, and the forces start to come back. It feels great! In fact, it feels like I've been through some sort of purification.

In my opinion, namely disease a form of purification. Both a large and a little perspective. The big picture we get when we look at what the disease does to the Earth. In a cynical way disease affects the poorest hardest. They die.

Disease cleans away those individuals who are too weak, and allows for the healthy to live. To ensure the biology of those with the best genes survive and ensure the best offspring. To the best of life on earth in general.

The little perspective we find in ourselves.

When we get sick, it is a signal that we should take a break from everyday life. It is a signal that we need some focus on ourselves for a while, and that we need rest. Illness forces us simply to pay attention to these signals. Our life is changing in a really short period when we are sick, and purification is in this change.

We eat differently, maybe we only manage to eat fruit or soup. It's almost like a period of fasting . We sleep and rests us more than normal. We have less contact with other people, since we are away from work or school. We can not bear to have visitors, nor to go visit.

Illness can almost comparable to that of a ritual in which the person performing the ritual standing up on the other side as a new person. A ritual can mean a transition from something old to something new.

For it is often the case that when we recover from illness, so a renewed fervor in us that was not there before the illness hit us. We are happy to be healthy and we know that we have new powers. We think positive and maybe we will even see life differently.

I know people who have been cured of cancer. They have changed their lives completely. They got a real eye when they were sick. They have stopped smoking, they have begun to exercise and altered diet. They see their friends with completely different eyes. Both positive and negative. They have cut out friends who were bad, nor focused on the good. The disease has changed their lives in a positive way, after all.

Now you do not need to have cancer to change their lives. It can actually hold a little flu.

My tip here is that when you get sick, take the signals your body gives you. Rest as much as you need, and do only what you feel. Not that you would otherwise have imposed.

And an important thing in the end: Observe the thoughts that pop into your head when you are sick. Since both the physical and psychological defenses are put out of action due. disease, you may begin to think thoughts that you have not been aware that you had. The mind may have something to tell you. There may be thoughts about plans for the future, a project that you have thought of. Or thoughts about yourself, about your friends or other family members. Listen to your inner self.
»»  read more

What is a mouse arm?

Mouse arm / elbow / lateral epicondylitis

What is a mouse arm ?

A mouse arm is simply a tendon inflammation of tendons on the outside of the forearm. The reason for this disorder is called both mouse arm and elbow is because this is typical causes of that suffering develops. We are talking about thousands of small strain on the tendon attached which are individually insignificant but which together exceed the tissue tolerance capacity and develop an injury.

What causes a mouse arm ?

In today's society, our jobs so specialized that we often do the work day with only small variations in load patterns. When one employee who uses the PC the work day, only use one arm and the working day otherwise offer little variety, then you are very likely to'll develop mouse arm .

Although PC user is clearly the most frequent cause of development of mouse arm then also other stresses cause irritation and damage to the tendon attachments on the exterior of the arm. Both artisans and others who use their hands and arms much of the work is delayed.

How can we prevent the development of mouse arm ?

There are a number of measures can be initiated to prevent the development of museram. It is important to create enough variety in their tasks. This may be going out on that one cuts up the work PC to multiple sessions during the day. It is also important to take frequent short breaks during the day so the tendon structures get enough time to rest between periods of stress.

There are also many different variations of computer mouse. It is important to try to work out a solution that works for the individual. Some workplaces have access to a physiotherapist or occupational therapist who can help with getting this organized properly.

A simple but massively effective trick may be to learn to use both the right and left arm on PC mouse. This can be somewhat clumsy at first, but after a few days so mastered most use also the other arm. For those who use the computer a lot during a day, so this is something that certainly should be considered as a preventive measure.

Programs focusing on strength training can also be helpful. When the body is stimulated by exercise and build stronger tendon structures that can better withstand the strain exposed to.

What is Tendonitis?
A Tendonitis is an acute response of tendon and muscle as a result of overload or friction. Many compares a tendonitis mistaken for an infection. This can be explained by the word inflammation often used in connection with inflammation. The infection then a foreign bacteria or similar attack the body. This body must defend against, and in some cases one has to use antibiotic to help the body on the way.

The inflammation, however, is a physiological response to an overload, and completely natural. When a structure, for example. A tendon is overloaded as it is the body's natural defense mechanism to initiate the inflammatory process. The first few weeks so the area can become swollen, hot and painful. This process is a repair phase and the body is dependent on the process of repairing the damage.

Acute or chronic? 3 phases

Acute phase:

An acute tendonitis is the phase where the pain first appears. The pain provseres of stress and is often limited in localization to a smaller area. The area is often irritated and swollen. It is often painful to touch muscle and tendon and for many it is also pain at night when the arm is at rest.

On ultrasound , one can see that there is more fluid in the tissue and collagen fibers see something untidy out.

Failed healing:

In this phase it happens further changes in the tissue that suggest the extent of the damage. In some cases, one might indeed ultrasound now see the ingrowth of blood vessels in the tendon tissue, which otherwise do not exist in fresh tendon tissue. Major changes in the organization of collagenfibrene is evident, and one can often see areas of the tendon where collagen fibers are almost gone. This tendon is much weaker than a healthy tendon, and if this is not treated then you will probably experience a relapse of pain when Resuming activity.

Man when "failed healing" phase when the body in an attempt to repair an acute injury, errors and further tendon injury aggravates the situation. Immune system and the repair phase. Recent research suggests that drug use in the acute phase may be one reason why many tendon injuries are the acute phase and over in this phase. The drugs stop effective reparation of tissue, while a pain subdued ties are more susceptible to further congestion.

Chronic phase:

In this phase there is damage to the tissue most evident on ultrasound. Damaged collagenvev is often replaced by areas of calcium deposits. Small tearing of the tendon are not uncommon, when a chronic tendon injury makes the scene very vulnerable to further structural damage. In the chronic stage as is the risk of a complete tear of the tendon greatest.

Why is inflammation painful?
Just like when we break a leg, you want your body to protect the body part that is damaged. The same applies to the inflammation. The brain receives the pain stimuli from the damaged area so that we keep it quiet enough in the repair process will take its course. Pain Stimuli coming because inflammatory cells into the damaged area make tissue sensitive to strain. This is not cells that enter the tissue as a bacterial infection, but tendon tissue's own cells that release chemicals which irritate nerves to transmit impulses of pain to the central nervous system.

At a protracted pain from an injured tendon, save brain information so that less and less load, before this is perceived as painful.

Should I take medication?
We do not recommend that you take medication either in the acute or chronic phase of the infection . In the acute phase, so that works NSAID Voltaren, Brexidol, Naproxen and Ibux good at pain since this is drugs that suppress the activity of the cells that stimulates pain. But inflammation should be suppressed if the pain is so intense that it becomes difficult to sleep or move. Nyee research suggests that there is a inflammation as previously thought, but a chemical reaction and release of neurotransmitters from tissue which activates nerve fibers to transmit impulses to the brain. This process is a natural physiological response to an overload, and the body has the best advantage of this phase will burn itself out. When prevents the repair phase stops and the damage sustained.

If the pain is too bad so you might as well take common pain relievers like Tylenol or similar, to mitigate the most intense pain. But be careful that you do not overload the tendon when the pain is muted. Treatment with laser can also have a good analgesic effect, while treatment can accelerate the repair process significantly.

What about cortisone?
It is not clear how cortisone affect tendon tissue by inflammation. But research shows that some chronic tendon injuries may benefit from treatment with cortisone. What we do know is that steroids can have pain relief. In addition damper cortisone effective immune system, and part of the pain-relieving effect should probably be attributed to this particular point. Immune system activity by an injury is pain rewarding, and a slowing of the process would thus provide pain relief.

But since we now have good treatment by pressure waves, eccentric training and laser on acute and chronic tendon inflammation, so not recommended treatment with cortisone before other methods are tried first. Just as one should avoid drugs in the acute phase, so one should avoid cortisone in this phase.

Corticosteroids should be administered by a properly trained physicians with special expertise in this. Cortisone treatment is only effective when the person puts injection to hit precisely. If you miss one reason or another, so the treatment is useless and one may be led to believe that the diagnosis is wrong. Research says that 50% of cortisone injections inserted without ultrasound guidance, booms. About the doctor puts injection is not a specialist in the area so the chances are even greater for the injection misses the target, and the result is either an aggravation of the injury or no effect of treatment.

There is some research that shows that the tendons are more likely to smoke after treatment with cortisone. What reason is we do not know for sure, but it's presented several hypotheses. I'm not going to go into this in this article.
»»  read more

Supraspinatus tendinosis definition

Supraspinatus tendinosis / Inflammation in the shoulder

Do you have pain in the shoulder?
If you have pain in the shoulder, this can be due to many reasons. A common cause is an injury or overuse of the tendons that support the shoulder bullet in the shoulder joint. One of the ligaments that often gets damaged is supraspinatus. The extent of damage will determine what treatment is most effective. This can be evaluated by a clinical examination supplemented by ultrasound diagnostics . Using ultrasound then physiotherapist see how the scene moves in the joint and the large extent of the damage.

What can you see with ultrasound?
Using ultrasound as physiotherapist can look in on your bones and joints. Comparing photos of the fresh side helps the physiotherapist to determine whether the findings obtained in the pictures, is relevant for your ailments. Before a scan with ultrasound device implemented physiotherapist takes a thorough medical history and do a relevant clinical examination.

There are a number of pathological conditions an experienced clinics can view ultrasound images . The most common conditions we look for is damage to the muscle and connective tissue ingrowth of vessels and nerves in tendon tissue which may indicate inflammation, deposition of calcium in the muscle and tendon tissue and enlarged mucus bags. It is also common for fluids that may indicate damaged tissue.

When it comes to the shoulder so you can not see what's hiding under the roof which forms the acromion. (Bony edge of the shoulder blade, which is above the joint as a roof). You have to either take the radiograph with precise angle, MRI or CT.

What is calcification?
Lime is calcium deposited in the tendon tissue. This may occur where, for example, a tendon has been injured and how the injury has not healed sufficiently. In most cases it is not the lime in itself a problem, as it generally is never painful. But physiotherapist can find calcium in your shoulder as this is a proof that the tendon is damaged and not functioning optimally. As I said, not the lime problem in itself in most cases, but in the shoulder, the situation is slightly different. Where can chalk making the tendon becomes too thick to get into the acromion. In those cases it will make the tendon cup crushed bones under this roof and damaged and irritated by repetitive movements. Then one can also find that slime bag between the acromion and supraspinatus becomes inflamed. This mucus bag which is also called a bursa may then be so inflamed forming more liquid adhesives bag and it expands. Then the cycle stopped by both tendon with classification and slime bag takes up so much space that they do not manage to squeeze into the acromion. This would provide a same terminal the joint that can be very painful.

What is a bursa ?
A bursa or bursa is a structure that is found everywhere in the body. It is a thin, flexible fiber bag with a thin content of fluid that lubricates the inside of the slime bag . bursae has the property that it acts as a friction pad where bones and muscles glide over each other. In this way it prevents the muscle fibers are damaged when they are pulled over and past the bones. When this slime bag becomes inflamed by excessive friction or impact, then fill it with fluid and become painful. When we call it a bursitis or bursa inflammation .

What happens during an inflammation of the supraspinatus ?
One of the most common findings as one does in a damaged and painful supraspinatus tendon is fluid and damaged tendon fibers. The fluid then fills up the room where the damaged fibers normally would. By using a special form of ultrasound (power Doppler) you can see if there are blood vessels in this part of the tendon. In a healthy tendon that are not normally such vessels, and their presence is therefore a sure sign of damage. Research has revealed that blood vessels and small nerve fibers growing into a tendon is injured, but this happens only after the immediate inflammation has subsided. Then tendon tissue normally has little blood flow, it is necessary to increase this through bleeding to ensure reparation takes place satisfactorily.

Prolonged and excessive damage to the fibers of the tendon, one can also find a corresponding scale in parts of the tissue, which we regard as a proof that the tissue has been damaged and not properly healed on a stage. But that's not necessarily a bad lime in late, and you can also find calcium in a painless slow, so the cup itself is not evidence of any ongoing pain condition (inflammation) or progressive claims.
»»  read more

Lime Chicken - a method description

Lime Chicken - a method description

Classified tendinosis represents a clinical challenge to both patient and treat. For large Scale formation in the subacromial space so the patient will in many cases end up with a acromionresection to create more space.

A method that is constantly evolving but now sailing up as a good option, lime chicken. The method is that you under sonographic guidance and local anesthesia, enters shoulder tendon with an injection needle. It is then pumped into numbing agent (fast-acting local anesthetic). The air flow from inside the chalk formation ensures that the cup that dissolves flushed into the syringe and the level of calcium in the tendon reduced.

The treatment is concluded by conducting a dry needling of residual calcium remaining in the tendon for the body to break this down even, should it be necessary. In order to avoid a sharp inflammation of the subacromial bursa after the procedure so inserted 1 ml kenacort (cortisone). This ensures that the patient does not get severe pain after the procedure, and since it goes into slime bag so it does not prevent macrophage task of eating the chalk formation after surgery or healing, the tendon tissue after dry needlingen.

The patient comes to the control after 4-6 weeks, considering the need to repeat the treatment.

Lime Chicken:
Lime Chicken is a method that is increasingly well documents in research. There are described several methods, both with one and two injection needles. If one uses the technique with one needle so it is important to place the needle correctly in classification. It is also essential for the result that the classification are of such type that it can be dissolve. This can in some cases decide in advance in connection with the ultrasound scan. Chalice indeed appear as a by this time, structure in otherwise normal tendon tissue, and it provides some "shadow" in the picture that indicates that it has a harder consistency than the rest of the tendon tissue.

Classification that have stood for a long time can provide a powerful shadow on the ultrasound images. These classification are often impossible to resolve with rinsing, and you must change the technique to dry needling as described later in this article.

Method with 1 needle:

Pull up about 4 ml numbing agent in a 10-20 ml large syringe. Select a gross injection needle of sufficient length to reach the chalk formation under sonographic guidance. Needles of 50 mm is suitable often. The thickness of the needles should be 19-21G. Less serious injection needles tend to clog with lime enters the classification and the method will not work as intended. Make sure you start to inject some numbing agent on the way in when you pass bursae and controls the needle into the chalice. This way you avoid clog the needle and the patient will be sedated enough so that the interference is not experienced pain. There is no need for anesthesia before surgery.

Once you have placed the needle in the cup so it is important not to lead the needle too far. If one causes the needle through the cup and into the tendon tissue on the other side, so you create an output of the solution. It will make it impossible to create enough pressure in chalk formation to get this to flow into the needle and into your syringe.

Do not be impatient if it does not come any scale back the syringe immediately. Pump gently and rhythmically the sprayer. Tap and release immediately. Slowly but surely, they will loosen calcium crystals from tendon tissue and follow the solution back into the syringe. It is crucial that you now hold the rear end of the syringe below nÄletuppen so that gravity can do prevails.

Keep on with the technique until you notice that it comes out more lime. Then you can gently try to change the position of the needle and continue. When you can no longer get out more calcium you need to do an evaluation if you have removed enough to end the procedure. If you are successful then optimally remove the needle, and ends the procedure of putting 1 ml kenacort (cortisone) mixed with 2 mL Marcaine (local anesthetic) into the subacromial bursa. This is also under sonographic guidance to ensure proper placement. Due to the procedure ends with a cortisone injection in the slime bag because it will leak some lime into this during the procedure, and this creates a powerful bursitis. To prevent the patient is in pain after treatment, so you set the quick-acting cortisone. This does not appear to damage the healing, the injury or the body's ability to absorb the rest of the cup.

If you closed the lime chicken not feel that you have gotten out enough calcium, or parts of it are hard to wash out, so you can stop the procedure by performing a sonographic guided dry needling of residual calcium in the tendon. This causes the cup to fragment so that the body can break down the rest.

Method with 2 needles:

Method with two needles are relatively similar with one needle. The only difference is that one uses one injection needle for pumping the liquid to loosen the lime, and build up the required pressure inside it, and a second needle end of the cup. Method with two needles requires that you bring a colleague who can keep one syringe during surgery.

Dry needling of soner classification
There are a variety of different shapes and phases of calcified tendinosis. Some are like a lot of toothpaste inside a restricted area of ​​the tendon tissue. Other shapes may be hard as bone tissue, while a third form appears scattered lime deposits over a larger area of ​​the tendon tissue without forming a common structure. The first form is often suitable for lime chicken as mentioned earlier in the article. The second and third form of hard Scale formation or scattered deposits suited to dry needling.

The method is that you go in with a needle attached to a 5.2 ml syringe. The needle may be 40mm-50mm long and thick 21-23G. When the needle passes into the tendon tissue as you carefully inject about 2-3 ml of numbing agent around limestone formation. One lets the needle stand patient and wait about 5 min before gently leads needle into and out of lime deposits the tendon so that this fragment sufficient for the body to absorb it. The trauma caused to the tendon tissue by this method appears to create a reaction that causes the body to break down the calcium tissue and absorb this.

The procedure is concluded by injecting 1 ml kenacort (cortisone) were mixed with 2 ml of Marcaine (local anesthetic) in the subacromial bursa. Use a new needle and syringe for this so as to avoid spraying lime from the needle into the bursae.

Control or 4-6 weeks
All patients who have undergone a dry needling or lime chicken must come to the control after 4-6 weeks. They will then undergo ultrasound examination to identify the need for further treatment. Some need 2-3 treatments to get rid of all the cup, while some patients need only the first procedure to get satisfactory results.

Why must the cup away?
It is a controversial issue of the chalice in a shoulder tendon needs to be removed to obtain satisfactory results. One can see that research has shown that ESWT treatment of calcified tendinosis is an effective treatment compared with placebo treatment rarely leads to the cup is gone.

A general rule for assessing lime importance for the clinical outcome, whether it creates a thickening of the tendon tissue or not. The cup is that a deposition in the tendon, but does not create any lack of space under the acromion as it is not necessary to remove it.

But if the cup gets the tendon to bulge considerably and secondary creates a structural impingement, so it is easier to argue for taking this away.

As an alternative to the acromion resection
One justification for operation with acromion resection is failure to respond to conservative treatment. Included in the conservative treatment is considered here MTT, Redcord, ESWT and / or injection therapy. If acromion also has a type 2 or 3 form that creates a lack of space, then surgery may be the only solution for the patient. But there are many patients who have developed a lack of space due to a calcified tendinosis. These patients do not necessarily need surgery to be good. If one can use simple methods as mentioned above in this article as with the need to remove the acromion roof away.

One can also argue that it is worth a try to take away the cup before choosing surgery. The interference with lime chicken or dry needling is little invasive and provides a shorter rehabilitation. It is also considerably cheaper treatment and relief specialist health / hospitals that have already blasted capacity.

Rehabilitation is vital for performance
After successful treatment where lime is removed from skuldersenene, so expect further action from a physiotherapist. This group of patients often have had long-term pain and impaired function, and the function will not automatically back by the loss of the structural cause of impingement in the shoulder.

The patient must be referred to a physiotherapist for rehabilitation of shoulder function and treating additional concerns already that one often finds in chronic shoulder pain. Since the space under the acromion is now improved so you will now have a greater chance for successful rehabilitation of these patients.
»»  read more

What is Knee arthritis / osteoarthritis

What is Knee arthritis?
Knee osteoarthritis is a disease that is relatively common. Gradual degradation of the cushioning cartilage in the knee joint allows the bone is exposed and might cause pain upon loading of the joint.

Why does it hurt?
Pain associated with osteoarthritis of the knee can be linked to the cartilage that normally protects the bone surface is worn away. In bone retina there are a number of pain fibers that sweetens signals from the knee. When cartilage no longer covers and protects the bone, it can cause inflammation and pain.

In addition to the pain from the bone membrane then inflammatory processes occur in the synovial membrane and cause swelling in the joint. It is also common that there is muscular pain from the muscles around the joint by this disorder.

What treatments can help?
There are a lot of good research showing that treatment with a physiotherapist can help. Man has been able to prove that the cartilage to a certain extent can build up again by proper training. This is something we never thought possible, but recent studies have shown that cartilage partly to build up again. Strength training and training in the pool and bike are important forms of training.

For those who have developed moderate to extensive arthrosis and where no training has helped well enough, injection therapy may be an option. The first step will be tried by local cortisone injection. If this does not sufficiently long lasting effect then injection of hyaluronic acid is a good method to provide pain free for up to 6 months.

On Apex Clinic we have good experience with these injections is a method we recommend to patients who do not experience the effect of different treatment and who does not want to be operated with a prosthesis.

What about surgery?
Operation prosthesis is the most common form of treatment in knee osteoarthritis. Whether uniprotese (prosthesis comprising 50% of the element) or total prosthesis for the joint are removed and replaced with a prosthesis. For younger active patients so often used other methods with either cartilage transplant or stem cell therapy. The surgeons would prefer to postpone replacement surgery as long as dentures do not have eternal life.
»»  read more

Prolapse / Sciatica / slipped disc

Both in the media and among patients and healthcare professionals so often used herniation / sciatica / slipped disc as designations for the same disorder.

Basically it is a prolapse completely harmless and a natural part of the body's tissues are broken down and rebuilt. Many of the people you meet every day, and that has not hurt either back or neck, have prolapse. So why do some hurt and some do not? It all depends on how dangerous the brain perceives the injury to be. About prolapse pressing on a nerve so there is a greater chance that your nervous system perceives it as being dangerous, than when prolapse is free and not bothering anyone.

Where do we find the intervertebral discs?
As the word describes, we find the intervertebral discs in the neck and back between each vertebra. The spine consists of 24-25 vertebrae of bones. To allow movement between the vertebrae so forming each swirl multiple joints with both vertebral above and below itself. Between each vertebra we find the discs. These are constructed from strong fiber cartilage and a soft core (nucleus). The discs are attached to the vertebrae with powerful ligaments that help to stabilize the spine and protect the spinal cord.

What shall we do with the intervertebral discs?
Intervertebral discs are designed in such a way that they can allow great mobility and receive strong shocks and stresses. In this way gives us a spinal discs that are agile and flexible. To make blade best suited to withstand the loads applied to it, it has very little nerves and corresponding poor blood circulation. A high degree of vasculature would have meant that the blade is also susceptible to damage these blood vessels. Blood vessels are more vulnerable than cartilage cells, and would put the disc prone to bleeding.
To ensure that the disc cells constantly maintained, it must be moved. It so happens that the blade acts as a sponge. When the pressure increases on the dial in that we are standing or sitting, push the blade something together and fluid seeps out of the cells. This must not miss understood with the same happens when the disc ruptures and form a prolapse . When the disc is released, for example, when we move or lie, then seeping fluid into cartilage cells again. When taking this liquid with the nutrients that cartilage cells need to maintain and repair skaderpÄ cartilage cells and the weaving of the fabric.

How damaged intervertebral discs?
Damage to the intervertebral discs can be largely attributed to age and wear. In addition, genetic factors play a role. It is common for an MRI examination on a healthy person in 50 years show significant degenerative changes (wear) of the spine and neck. Even if the person has never had pain in the back and neck.
We know today that the discs have varied load to function optimally. Persistent unilateral load with eg much sitting at work can be a factor that can damage the intervertebral discs. The pressure on the disc is then largely only the front part of the blade, and that mellomvirvelskivens cartilage cells become damaged due to poor maintainability. Fiber cartilage forming the blade edge is broken then steadily reduced, which makes the wheel prone to damage.

What is a prolapse?
A prolapse is as a result of wear or damage to the intervertebral disc. Portions of the soft contents of an intervertebral disc seeps when out of the disc inside and lying on the outside. Although the disc is built up of strong fibers cartilage, as prolonged degradation or greater acute injuries gain fiber ring to rupture. With acute injuries are we talking about quite a large amount of energy, as for example in a car accident. A fresh slice can not burst only at a heavy lift or a simple fall. But a damaged disc may rupture when only simple causative strain as a host or a shift. The term "straw that made the camel over" fits well to describe this process.

Make prolapse pain?
Prolapse in itself does not hurt. In fact, it is so that a large part of the population walks around with prolapses at any time without pain. We know that the outer edge of one intervertebral disc contains some nerve fibers. This enables us to experience the pain associated with damage to the disc fiber cartilage. But when fibers cartilage eventually gives in, so it need not be painful.

Only in those cases where the prolapse is present and pressing or irritate a nerve root, then the prolapse itself cause pain. The fact is that there is no pressure on the nerve that hurts, but the chemical irritation that occurs when prolapse in contact with nerve root membrane.

Should I take painkillers or anti-inflammatory?
Generally, one should use the least amount of these medications. The body is best to clean up yourself, If the pain is very intense and they prevent you from being able to move at all then you should consult a doctor to get help to mitigate the worst pain.

I need pictures of the back? MRI, ultrasound, x-ray or CT?
About plagues of the back is very large over time, then it may be appropriate to take pictures of two reasons.

One reason is to check whether there is any reason other than a prolapse or failure / overload that is causing the pain. We think especially of a tumor or the like. This is very rare, but your doctor or physical therapist may want to deny this if they are unsure of the cause of the pain.

The other reason why you should take a picture will be about the symptoms and the survey provides evidence that one has a proplaps that clamps on a nerve. But it should only take a picture if you think that this provides a much distress that an operation is necessary.

Sometimes it may be sufficient with a single radiograph. In this image you will not see any prolapses . When is the most commonly used MRI (magnetic x-ray). Ultrasound is poorly suited to investigate this disorder. CT is not commonly used in this setting as this allows relatively large radiation doses.

What about exercise and physical activity?
It is very important to recover quickly on their feet when you've got a slipped disc and painful symptoms. It is common for this disorder and most symptoms when sitting still for long, and often eases anything when you get going and going. It is not advisable to train hard or instance run in the starting phase. As described earlier, it is wise to listen to the message body. It is hurt should be avoided, but you must not let the pain control your movement 100%. Physical activity is better than sitting still or hard training.

What is a back or neck kink?
The back and neck protects vital organs such as the spinal cord, spinal nerves and blood vessels. The nervous system is constructed in such a way that in these structures practice "better safe than sorry" principle. When the nervous system receives signals danger from back or neck then activated protection mechanisms to protect the area of ​​injury. A central part of this protection are muscle spasms in the body part, or kink as we call it.

This gives the nervous system a little time to determine the extent of the damage or the danger signal the nervous system received was only a false alarm. In the acute phase, as will the pain brain perceives to be to protect you, and it's important to listen to it. If it hurts to sit a long time, so avoid this. In this way, your body behavior so that the injury can heal as quickly as possible.

What treatment options are available?
In first place is the best treatment only to be diverse in activities and go much traveling over rough terrain. If the pain is so intense you should take either anti-inflammatory or analgesic drugs, but everything in moderation.

There is very little a therapist of different kinds can do with the prolapse. It is like trying to push toothpaste back into the tube. Impossible. But there are a lot of treatments that can be effective on the symptoms that come from such a disorder. Some work well for some, while others work well for others. This is because the pain is individual and therefore very difficult to treat with a "standard method".

Should I "break" back in place?
It is not recommended that, before knukket back in place in the first acute phase. It is very difficult for a therapist to reveal the severity of your suffering at this stage, and you risk making the injury more by such treatment. If the muscles in your back or neck a little later in the process still creates an inappropriately strong "shield", as such manipulation can be an effective treatment. Physiotherapists , naprapaths and chiropractors have the knowledge necessary to assess when such treatment can be used.

When to consider surgery?
About prolapse pressing on nerves to muscles become paralyzed or losing control of urine or stool, then you must immediately call the hospital. These patients should fast for surgery. With the exception of these rare and severe cases, so you should wait as long as possible before considering surgery. It may be some disagreement among the scholars on this point, but you know that most recover completely after the prolapse without further problems. My advice is to wait as long as possible, to see if spontaneous clearing plagues of the road. It is difficult to give any specific advice on what to do here, so good communication between therapist and patient is important.

What can physio help me?
The physiotherapist may primarily provide advice on activity and "home treatment". A prolapse can cause a variety of symptoms such as pain in the back (one or both sides), pain in one or both legs or pain in the hip and buttocks. Some may also find that they lose feeling in parts of the leg or feeling "pins and needles". Numbness in parts of the leg can be a sign that prolapse pressing on a nerve. All these symptoms are things that are being considered in the study. physiotherapist may use different methods or methods to "disturb" the signals from the spine so that you as a patient experiencing minor ailments. This may involve massage or the use of needles , pressure waves and kinesio tape .

How long will it take before I get rid of the pain?
The pain will go in time. You will experience periods in which symptoms disappear completely and the periods in which they become more intense. This is normal. We know that it can take up to one year before the symptoms are completely gone. In very few cases, the body is unable to clean up yourself, and when surgery may be necessary. You will then be referred to an orthopedic surgeon who can assess your symptoms and MRI images to determine whether you could benefit from an operation.

In most cases as "dry" Prolapse up and body "clean" cells removes the disc tissue that has come out of the target nucleus. This can be quite slow, but is the body's natural way to fix the problem. In addition, repaired the damage in fiber cartilage that forms the outer edge of the disc, so that additional tissue from seeping out.
»»  read more

What is restless legs?

What is restless legs?

Restless legs have a lot in common with leg cramps . But you may have restless legs without having leg cramps . Turbulence in the legs feel as like a tingling or that it "creeps inside the bones." Most commonly, complaints come in the evening or night. Common to all this suffering that you have a need to move the legs, and that they often have to go up and stretching.

Who gets restless legs ?

Restless legs occur in most age groups, but were the majority among the elderly. In many cases, symptoms have a hereditary factor.

What causes restless legs ?

We have no reliable data that indicates what creates restless legs . In many ways it is a mystery, but we know that many factors can make one more vulnerable.

The following reasons can be alone or create symptoms like restless legs .

- Some medications can cause seizures that bi-effect
- If your muscles have been overloaded
- If you are dehydrated
- Disorders of the salt balance in the body
- Vascular diseases affecting the circulation
- Alcohol abuse
- Pregnancy
- Damage to the central nervous system or peripheral
- Smoking

In most cases however there are no known cause. The symptoms appear to a greater or lesser extent, and in some cases can be disabling.

Eventually there has been increasing evidence that might suggest that any of restless legs patients can explain their problems on the basis of a neurologic disorder locally in the bone.

What is Intramuscular Stimulation?

IMS or intramuscular stimulation as it so nicely called, is the same as many call "trigger point" acupuncture needles. This is not Chinese acupuncture but a medical signal processing of trigger points.

One can imagine that during massage can affect the upper parts and partly central portion of a muscle. With IMS so you can reach right down to the "trigger points" that sits in the deep.

Trigger points are local tensions or small staples that sits in the muscles. The reason that they can be one of the many previously mentioned in this article. To get them to loosen so we use acupuncture needles to hit them. Often find that the muscle "jumps" a bit when you hit the tensions and, in many cases, the muscle that some wounds a few hours later. The day after this is gone.

We think this dissolves the small voltages that sits locally in the muscle which initiates disturbances in the limbs. So far we Apex clinic used this technique since 2006, and with good results. There is currently little research on this treatment technique when we talk about the treatment of restless legs, so we base our theory and treatment of thoughtful hypotheses and good clinical practice.

Treatment is by bi-effects, and it is not associated with any risk. The only response you can expect is that the muscle being treated can be a bit sore for a few hours afterwards, before this goes away by itself.

Hypothesis to explain the effect of stimulation on intramuscularly restless legs :

When muscle / vein pumps in the shins is tasked to ensure venous reflux to the heart, so this process must also go when we're sitting still or standing. It can not only pump when we go, because the blood would stowed in the legs if we sat still more than a few minutes at a time. This allows the muscles in the legs, especially the gastrocnemius, be activated automatically to pump the blood back up. This places great demands on the muscle. Could it be so that this system becomes faulty charged over time, and there is interference in impulse time between muscle and nerve causing "trigger points" (ie local disturbances in muscle).

The restless legs will give a sense of constant activity in the muscle, and you feel the need to walk or stretch your legs. People with restless legs complaints mostly over this at night when you've been sitting still for a while. Could it then be that these processes are running in the leg to aid the venous return flow, but they do not work properly due to overload? In some cases this when launching a cramp, so the whole (and not just parts so we look at the trigger points) muscle goes into a tetanstisk contraction.

This can explain why we get such good results when we release the tension in the gastrocnemius with needles. When providing reflex reaction in the muscle for a reset pulse at a time and normal communication between nerve and muscle is resumed.
»»  read more

Relief back pain treatment

Back pain

Acute or chronic pain in the back
We often distinguish between acute and sub-acute or chronic pain. In most cases due to aching and stiffness in and around the spine poor posture / attitude and lots of small fraudulent charges or that have had damage such as a fall or a tension that never fully healed. Although this rarely is severe muscle quickly adapt and tense up if you walk around with an error function and impaired joint movement. Several fraudulent charges supplied as muscle balance changes, resulting in e.g. lower back looks a often in the form of stiffness and difficulty to bend / straighten up in the morning, and the pain of standing in the same position for long periods. This is not normal and it should not be so. It also increases the risk of lasting pain and acute lock (see below). Let a chiropractor help you to break this vicious circle and regain mobility. This may also prevent and avoid future problems.

About suspicion that the pain is due to something else, such as rheumatic or organic disorders, you will always be referred for assessment / treatment.

How is the pain?
Acute low back pain is often associated with a sudden movement or heavy burden of improper lifting, etc. This research shows that the sooner one gets of examination and treatment by a chiropractor , the faster will be a good and avoid chronic pain. The pain is often intense and often worsens when a change of position or leaning forward. Some people quite quickly radiating pain in one or both legs, and it's always important to get a neurological examination to determine if the cause is isjalgi, and whether it is necessary imaging (MRI / CT). This chiropractor could help with.

Causes of acute back pain
The cause of acute low back pain can be many. Most often due to the overload of one or more facet of the lower back, which simplified resembles a sprain, and one can therefore understand that it hurts to charge lower back afterwards, in the same way as it is painful to walk on the foot after a sprain. However, it is not associated with ligament injury as one can see in the extremities, and it is fortunately now well documented that it is important to restore normal motion function in the joints as quickly as possible, which often provides immediate relief.

Pain may also come from the iliosacral joint, and / or due to slipped disc.

Although one often hears that "it's probably just muscular", it is important to remember that when it comes to muscle and skeletal system as hear the name implies, together. The musculature is tasked to move or stabilize one or more terms. Therefore it is very important to look at the joints even though it may feel like a muscle pull.
»»  read more

Information About Runners Knee Treatment

Runners knee
What is runners knee ?
Runners knee is a tendon disorder that occurs in the tissue that binds the long tendon tension laterally on the thigh with the large and the small leg bone (tibia and fibula). The irritation caused by excessive load, usually linked to a lot of running or similar stressful activities, making it often impossible to run without pain in the knee region.

There are also several biomechanical factors in the ankle or knee can be involved in creating this problem. In some cases it may be difficult to determine if there is wear on the iliotibial band and / or bursae (slim bag) under this creates the problem or if there is another cause of problems. If you can not prove injury to the lateral structures of the knee diagnosed as either more against patellofemoral pain is a syndrome that affects the knee. It may be one or several reasons behind the pain, but you often can not detect damage or wear to any structures in the knee by such a diagnosis.

For most people who get runners knee problems due to running so it seems that the pain is a result of both a tendon abrasion lateral tract iliotibilalis (tendon pull laterally on the thigh) where it passes the lateral epicondyle (beinknoken on the side of the knee) on the femur . In addition, you often get a bursitis (bursa inflammation) in the same area.

How is runners knee ?
We know that the runners knee generally occurs in athletes who run and jump a lot in training and competition. The disorder may be acute, but is most often a pest that sneaks. If the emergency occurs then this is probably as a result of prolonged overload, and the acute event was what was needed to trigger symptoms.

It is important not to exclude the possibility that a partially torn tendon fibers in conjunction with an acute injury may be involved in activating pain fibers so that the load becomes painful for a period thereafter. The lack of relief in this repair period, as this can result in overload of the tissue so that the damage worsens.

Obesity is also a contributing factor to the development of tendon problems in the knee. It's not only athletes who can get runners knee ailments. Also regular exercisers or people who do not exercise can develop damage in the same tissue of different reasons. Pain Image as is often pain when walking or stair when you sat down on his haunches.

A common problem is that repeated loads which occur during running damage tissues in two ways. Both the traction (pull the fiber direction and damage as a result of this) or by friction (damage by tendon fibers slide over underlying structures). The friction we talking mostly about a bursitis (bursa inflammation) .

Where does it hurt when runners knee ?
Most normally there with pain on the outside of the knee joint, often radiating onto the front of the knee. It can also be a pain to press straight into the tendon tension that sits laterally on the knee, but palpation alone is not enough to make the right diagnosis.

Most superficial pain condition of the knee is relatively easy to place, when these injuries often do not refer pain distally. Damage to deeper structures such as meniscus and articular cartilage, however, can refer pain a little more diffuse due to the organization of the nervous system locally in the knee area.

How diagnosed?
The diagnosis is made based on an assessment of the patient's symptoms. It is typical that it hurts when walking, climbing stairs, or that the pain comes from stress. Many feel that one can "run out of" pain in the beginning, but as the damage worsens as the continuous load make the pain more and more apparent. Then the result will be both pain at rest and stress, and treatment regimen will naturally take longer than if you seek help early in the process.

Supplementary examinations will include, among other diagnostic ultrasound . Here physiotherapist could look down on the scene and how the tissue looks toward the attachment point on the fibula. The ultrasound can then see whether parts of the tendon is injured and the condition of the tendon as a whole. The ultrasound will also be able to see the swelling on possibly slim bag located between the femur and tendon tension laterally on the thigh. This may be a sign of wear in the local area, confirming the extent of the damage.

How are runners knee ?
Firstly it is important to avoid the activity that caused the problem. If it is a question of running or jumping, then, in consultation with a physical therapist or trainer to adjust the load as the tendon tissue is exposed. In some cases this may mean complete relief, in other cases it may mean reduced training load or alternative training.

A common method to treat runners knee is with strength training exercises. At physiotherapist will eventually be asked to begin a strength training program. The physiotherapist will be able to guide you in this.

It may also be relevant to the type of exercise, shoes, training documentation and training doses to determine how the damage could get all develop in the first place.

In addition, often shock wave therapy to stimulate tissue repair process. shockwaves used usually in the acute phase, but the scene does not respond to rest and retraining so this may be a topical treatment to try.

There exists a substantial research documenting pressure waves ability to stimulate tissue so that it reorganizes, and further that the pain disappears and you can resume training as before. The said damages as may be necessary with a stronger stimulation, and then the physiotherapist use dry needling for initiating the immune system and regeneration of tissue lateral to the knee.

What about training?
In the acute phase of tendonitis so it is always quiet and rest applies. If you take the necessary precautions and protect injury sufficient as there is a high probability that it will be fully recovered after a few weeks without treatment either from a doctor or physiotherapist. When should neither exercise or avail knee damaged senseless at work or at leisure.

Some can be adapted to an alternative training program that does not overload the tendon tissue in the knee. This can be useful in the rehabilitation phase both to faster get well, but also to maintain your regular until the injury is healed.
»»  read more