New Guidelines Recommend Alternative Therapies for Back Pain

by

April is Stress Awareness Month, which serves as a helpful reminder for everyone to evaluate areas of stress in their lives and understand how it affects them physically.

Back pain is one of the most common medical complaints among American adults, and it is sometimes linked to muscle tension from stress. Medication has long been considered a convenient and simple way to address back pain, but new guidelines released by the American College of Physicians (ACP) could change that. Departing from their previous recommendations, the organization now recommends that patients use alternative therapies such as yoga, massage or exercise before turning to medication.

The updated guidelines come as a result of analyzing over 150 studies to determine which treatments are successful in relieving back pain and which ones are not. Evidence showed that acetaminophen and steroid injections – two common treatments for back pain – were not effective in improving pain outcomes.

Patients with lower back pain may benefit from a variety of treatments including exercise, acupuncture, tai chi, yoga, progressive relaxation, or spinal manipulation. However, ACP President Dr. Nitin S. Damle says that most acute and subacute low back pain usually resolves on its own regardless of treatment. “Physicians should avoid prescribing unnecessary tests and costly and potentially harmful drugs, especially narcotics, for these patients,” he says.

While Damle stresses that non-pharmacological treatments should be considered first, the guidelines do recommend nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants for patients who desire medications.

The guidelines also recommend opioids only be prescribed as a last resort treatment. Due to the high risk of addiction and accidental overdose, these medications should only be given when all other therapies have failed.

The complete clinical practice guidelines are published in the Annals of Internal Medicine (Source: American College of Physicians).

The Importance of Community Support in Colon Cancer Prevention

by

According to Oncology Nurse Advisor, the community in which you live could impact colon cancer diagnosis. For patients who live in segregated communities, geographic region plays a significant factor in the timing of individuals being diagnosed with colon cancer. This is important because the degree of advancement of the disease at time of diagnosis affects patient prognosis. Detecting colon cancer in advanced stages means that the cancer is more difficult to treat.

A recent study found that patients who live in highly segregated Asian communities in coastal California are more likely to have late-stage colon cancer at diagnosis, yet patients who lived in highly segregated African American communities in large urban areas and the Sun Belt are less likely to be diagnosed with advanced stage colon cancer.

Using information from the United States Cancer Center Database, researchers looked at data from more than 500,000 cases of colon cancer newly diagnosed from 2004 to 2009. Researchers also reviewed literature that found examples of a variety of initiatives to promote urban populations to have a colon screening. These campaigns’ audiences were mostly minority, low-income and non-English speaking sections of urban people groups. Very few campaigns targeted rural populations and no campaigns targeted Asian communities. 

One of the most important findings of the study was that people who lived in segregated locations among their same race or ethnicity may be slightly protected from developing colon cancer. Furthermore, they may have a lower risk of late-stage diagnosis of colon cancer. The reason for this may be that segregated communities often provide more encouragement and support, which may boost screening rates.

This study underscores the importance of support among family, friends, communities, and racial and ethnic groups. Colon cancer is preventable through routine screening, and it is highly treatable when diagnosed in the early stages, but colonoscopies require the assistance of a caregiver. The patient needs a caregiver to provide transportation and post-procedure care because of the sedative medication. Having a strong network of support means that it is easier to ask for patients to request help from their inner circle. A closer community often means higher screening rates and lower colon cancer incidence. 

This study is pivotal as research groups seek to educate our geographic areas and communities on the importance of colon cancer education. Currently, colon cancer is the third-leading cause of cancer death in the United States among men and women, but it does not have to remain this way. Through education, communication, and community support, we can help all eligible individuals receive preventative screenings. Talk to your doctor about when you should schedule your first colonoscopy, and be confident in asking your loved ones if they are up-to-date on their screenings. Offering to be a caregiver for a parent, relative or neighbor could save a life, so take action today.

Filed Under: News Tagged With:

Red, Bloodshot Eyes Making You Feel Like the Evil Villain?

by

Are your red, bloodshot eyes making you look like an evil superhero? According to SpongeBob SquarePants, “It’s the red beady eyes that’s a dead giveaway for the evil fellas.” Unless it’s Halloween and you want to add dramatic effect, you probably don’t want to accentuate eye redness.

Although a case of red-eye is a common condition, it can be embarrassing and annoying to have to answer the same question over and over, “What happened to your eyes?” Chronic red eye can also be alarming if you are concerned that you may be developing an infection that could harm your vision.

When your eyes are red or bloodshot, it means that they have become irritated by an internal or external factor. Depending on the source of irritation, the redness may extend across the entire sclera, or it may be isolated to a few spots or lines in the whites of your eyes.
Associated symptoms of this condition can include:

  • Itchy eyes
  • Watery eyes
  • Swollen eyelids
  • Burning sensation
  • Light sensitivity
  • Thick or watery discharge
  • Crusting or scaling of the eyelid skin

There are several common causes of red, bloodshot eyes. Dry eye is an eye condition that is gaining nationwide awareness, thanks to Jennifer Aniston’s educational campaign. When tear glands don’t produce enough tears to keep eyes lubricated, your eyes feel scratchy and irritated. It may be tempting to reach for that little bottle of whitening drops. These drops promise to reduce redness by constricting the blood vessels in your eyes, but they can exacerbate the condition and actually make redness worse after the initial effect wears of

Allergies are another common culprit of red, bloodshot eyes. Millions of Americans are allergic to pollen, mold, ragweed, pet dander, and dust. Spring and fall allergies can be especially brutal, but allergies can cause red eye all year round. Eyes can feel itchy, stinging, and inflamed if allergies are not diagnosed and treated by an allergist.

Ophthalmologists are getting more and more complaints about a condition called digital eye strain, which results from staring at a computer, tablet or smart phone for too long. Electronic devices emit blue light which reduces your blink rate and can cause dry eye, eye irritation and possibly even vision damage.

If your red, bloodshot eyes are making you look like the bad guy in a graphic novel, get some help by calling your eye care professional. Some cases of red eye can clear up on their own, but untreated redness could be indicative of a more serious condition. Make an appointment for an eye exam to rule out infection or other potentially harmful causes. Preserve your vision and improve your appearance (Source: Bel Marra Health).

Running May Reduce Inflammation and Protect Healthy Knees

by

But it seems these negative opinions may be undeserved. New findings suggest that running actually changes the biochemical environment within the knee to prevent inflammation and benefit the overall joint.

Researchers from Brigham Young University conducted a study on 15 male and 15 female runners with no prior history of knee injury or arthritis. Each participant submitted a blood sample from the arm and a small amount of synovial fluid from the right knee at the beginning of the study. The participants were then transported by wheelchair to the university’s biomechanics lab where they were asked to either sit for 30 minutes or run on a treadmill for 30 minutes. Afterwards, the patients were transported back to a clinic for an additional sample of blood and synovial fluid. Each participant completed one sitting session and one running session on different days.

In examining the samples of blood and synovial fluid, researchers specifically looked for GM-CSF and IL-15, which are molecules associated with inflammation, and a substance known as cartilage oligomeric matric protein (COMP). COMP is a marker of disease activity and is about five times more prevalent in the synovial fluid of arthritis patients compared with healthy individuals.

Due to difficulties with safely extracting full samples of synovial fluid, researchers were only able to complete numbers on six participants. However, their findings were consistent among all testable samples. In nearly every case, researchers noted substantially lower levels of GM-CSF and IL-15 compared to baseline readings. Interestingly, COMP levels increased in the blood and decreased in the synovial fluid, suggesting that running may push these molecules out of the knee joint and into the blood.

Sitting appeared to have the opposite effect. Individuals who sat for 30 minutes showed increased COMP levels in the knee and had high concentrations of one of the inflammatory molecules.

While these findings are encouraging, the researchers acknowledge that the study is quite small. Further research involving more participants and larger samples of synovial fluid is needed to produce more conclusive results. In the meantime, lead study author Robert Hyldahl concludes that moderate running is “not likely to harm healthy knees” and likely offers protection against joint damage (Source: The New York Times).

Stress and Digestion: How to Break the Cycle during Stress Awareness Month

by

Stress and digestion – the two may seem virtually unrelated, but they are actually quite intricately connected. Stress is known to cause a host of digestive issues including constipation, diarrhea, bloating, nausea, and heartburn. In return, digestive symptoms can often trigger stress, creating an endless cycle of discomfort and frustration.

April is Stress Awareness Month which provides the perfect opportunity to evaluate ways that stress may be affecting your digestion. It is estimated that as many as 80 percent of individuals dealing with irritable bowel syndrome or other gastrointestinal problems never even discuss their symptoms with their doctors. The means they are missing out on valuable information and treatments that could put a stop to their discomfort.

To understand how stress contributes to digestive issues, you must first understand the brain-gut connection. This lies in the enteric nervous system, a subdivision of the autonomic nervous system that directly controls the digestive system. Often referred to as a second brain, the enteric nervous system contains more than 100 million nerve cells lining the gastrointestinal tract. When we experience stress, the nervous system activates its instinctual “fight or flight” response. This decreases blood flow to the digestive system, inhibits contractions of digestive muscles and decreases digestive secretions, essentially shutting down the digestive process (Source: Everyday Health).

If you’re dealing with stress-induced digestive symptoms, you don’t have to suffer in silence. Begin by examining stressors in your life and finding ways to limit them. You may also benefit from therapies that can help you learn to relax and better cope with stress. These include:

  • Cognitive behavioral therapy
  • Hypnosis
  • Progressive relaxation
  • Deep breathing exercises
  • Meditation

Talk to your doctor if you are not able to bring your stress to a manageable level or if your digestive issues continue. Together you can devise a treatment plan that addresses the root cause of your symptoms and provides complete relief.

Filed Under: News Tagged With:

Dry Eye and Glaucoma Care

by

Glaucoma specialists are becoming well-versed in dry eye treatment because dry eye often accompanies glaucoma. Glaucoma is a family of diseases that is characterized by increased eye pressure. When eye pressure reaches a dangerous level, it can damage the optic nerve and cause permanent vision loss. Dry eye does not always precede glaucoma diagnosis. In fact, many glaucoma patients develop dry eye as a reaction to medicated eye drops that are prescribed to lower their eye pressure.

Treating dry eye in glaucoma patients is important because dry eye can affect specific eye tests that are routine for glaucoma patients. These tests include visual field tests, optical coherence tomography (eye mapping) and topographical measurements for cataract surgery.

This new information about dry eye and glaucoma care is causing glaucoma specialists to consider other glaucoma treatment methods that may not increase risk for dry eye. Procedures like microinvasive glaucoma surgery and selective laser trabeculoplasty are two newer glaucoma treatment options that are not known to cause dry eye. There is also a new therapy that uses intracameral drug delivery systems that offers exciting options. Glaucoma specialists are optimistic about using these new treatments because this means that patients will have an array of choices without the unwanted side effects.

If you or someone you love has glaucoma, it is essential to schedule regular comprehensive eye exams to prevent vision loss. Discuss treatment options with your doctor and consider all choices before making a final decision. By staying current with your eye exams, you can preserve your vision and have clear eyesight for years to come (Source: Ophthalmology Times).

Antidepressants Increase Risk of Hip Fractures in Alzheimer’s Patients

by

Hip fractures are often associated with reduced bone mineral density and an increased risk of falls. Antidepressants appear to influence both of these factors.

Researchers analyzed study data from the register-based MEDALZ cohort. This database included all community-dwelling patients diagnosed with Alzheimer’s in Finland between 2005 and 2011. For each patient with Alzheimer’s, the study included two age and sex-matched controls without the disease. The mean age of study participants was 80 years old.

The study showed that antidepressant use was associated with two times the risk of hip fracture among controls. However, more fractures were seen among Alzheimer’s patients overall. This risk was still present even after researchers adjusted results to account for osteoporosis, socioeconomic status, history of psychiatric illness, medications that increase the risk of falls, and chronic diseases that increase the risk of falls or fractures.

This increased risk was seen among all major antidepressant groups, including serotonin reuptake inhibitors (SSRIs), mirtazapine and selective noradrenaline reuptake inhibitors (SNRIs). These medications are often used to treat the psychological and behavioral symptoms of dementia, which include anxiety, agitation, depression, and insomnia. Researchers believe that the increased risk of falls and fractures may be linked to antidepressant side effects, which include confusion, sedation, low blood sodium levels, decreased blood pressure after standing, and arrhythmia.

Researchers recommend that community-dwelling patients who use antidepressants be regularly monitored to determine medication necessity. In addition, caretakers should be increasingly aware of factors which may contribute to falls and subsequent fractures (Source: Medical News Today).

5 Sleep Problems That May Be Caused by Your Diet

by

If you are one of the 40 million Americans suffering from chronic long-term sleep problems, you’ve probably tried at least one remedy or gimmick to help you get a good night’s rest. From supplements and sleep aids to noise machines and essential oils, there’s no shortage of therapies out there to help you catch some Z’s. But there’s one area that often gets overlooked in the search for a perfect night’s sleep – dietary habits.

Many common sleep problems can be linked to the kinds of foods we eat or when we eat them. The good news is that these issues are easy to treat with simple changes to our daily diets. Here are some common sleep issues that you may be able to alleviate by modifying your eating habits:

  • Snoring – Approximately 90 million Americans snore during sleep. While this issue is often caused by enlarged tissues in the nose, mouth or throat, it can also be a result of dehydration. Be sure to drink at least eight glasses of water a day, and keep a glass of water on your nightstand so you can start hydrating first thing in the morning.
  • Nightmares – Spikes and crashes in your blood sugar can disrupt your mood and cause nightmares. Counteract this by following a well-balanced diet with proteins, fat and carbs. This will help to stabilize your blood sugar and prevent sleep disturbances.
  • Acid Reflux – Nighttime reflux often occurs when food has not had adequate time to digest before you lie down. Try to finish meals at least two to three hours before bedtime, and avoid late-night snacking. If you do indulge in a midnight snack, try to keep it low-fat and low in acid so it will digest quickly and not aggravate your digestive system.
  • Wakefulness – Foods like turkey, soybeans and milk are high in tryptophan, a vital component of serotonin. Eating these foods mixed with starchy carbs can trigger the sleep-inducing effects of tryptophan to help you fall asleep faster.
  • Poor Sleep Quality – That traditional nightcap or hot toddy might make you feel relaxed before bedtime, but it could be contributing to a poor night’s sleep overall. Alcohol acts as a muscle relaxant, which could contribute to snoring or sleep apnea. It also disrupts your deeper levels of sleep, leaving you feeling lethargic and unrested the next morning

Dietary habits can have a significant impact on sleep quality, but there are several other factors that could be contributing to your sleep issues. If your symptoms persist despite making changes to your diet, schedule an appointment with your doctor. There are several tests and treatments to get to the root of the problem and help you get a good night’s rest (The Huffington Post).

Filed Under: News Tagged With:

Glaucoma and Genetics

by

Glaucoma affects over 3 million Americans, and the numbers are increasing each year. According to the National Eye institute, this number will reach 4.2 million by 2030. Most people are unaware that undiagnosed glaucoma can result in permanent vision loss. In fact, glaucoma is one of the leading causes of blindness in the United States. Everyone is at risk for glaucoma, but a family history of the disease can put you at significantly higher risk for developing glaucoma.

Glaucoma is characterized by elevated inner eye pressure that damages the optic nerve and causes blind spots in the visual field. Not every person with increased eye pressure will develop glaucoma. Some people can tolerate higher levels of eye pressure better than others. This is where genetics plays an important role. Whether you develop glaucoma depends on the level of intraocular pressure that your optic nerve can sustain without being stressed, and your inherited genes significantly factor into the outcome (Source: NEI).
If glaucoma runs in your family, there are many decisions that you can make to preserve your vision as well as prevent vision loss in your family. Here are some easy steps you can take:

  • At holidays and family gatherings, make sure that your family understands the facts about glaucoma and how it can affect long-term eye health.
  • Schedule an annual comprehensive eye exam that includes testing for glaucoma (tonometry).
  • Encourage your family members to schedule comprehensive eye exams.
  • Check the calendar at local hospitals and wellness centers for discussions and forums on glaucoma and eye health issues. Encourage your family to attend.

Population-based studies prove time and again that family history plays a key role in glaucoma development. But glaucoma does not have to be synonymous with vision loss. A strong partnership with a qualified eye care specialist can preserve your vision, and your family’s vision, for years to come (Source: Glaucoma Research Foundation).

A Little Exercise Can Do a Lot for Arthritis Pain

by

Exercise is crucial for individuals suffering from arthritis pain, but patients may find it difficult to stay physically active when joints feel stiff or sore. The current Physical Activity Guidelines for Americans issued by the Centers for Disease Control and Prevention recommend that adults age 65 and over engage in at least 150 minutes of moderate-intensity physical activity each week. However, only 10 percent of American adults with knee osteoarthritis meet these guidelines.

A new study published in the journal Arthritis Care & Research found that arthritis patients can experience significant relief from their symptoms even if they are not able to exercise for long periods of time. Dorothy Dunlop, professor of rheumatology and preventive medicine at Northwestern University Feinberg School of Medicine in Chicago and colleagues examined data from 1,629 adults with pain, aching or stiffness in the hips, knees or feet. All subjects were age 49 and older and were part of the Osteoarthritis Initiative, a nationwide research study that aims to prevent and treat knee osteoarthritis.

The researchers assessed the physical function of each study participant at baseline and again after two years through self-reported outcomes. Approximately one third of participants managed to improve or maintain physical function at the two year follow-up.

Subjects who exercised regularly had the best outcomes, even if they did not meet the recommended 150 minutes of exercise per week. Surprisingly, researchers found that study subjects who exercised as little as 45 minutes per week were 80 percent more likely to improve their physical function than subjects who exercised less than 45 minutes per week.

While subjects who exercised more than 45 minutes per week saw greater results, Dunlop hopes these findings will encourage arthritis patients to make any amount of physical activity a priority, even if it’s only for a few minutes each day.

“We found the most effective type of activity to maintain or improve your function 2 years later was moderate activity, and it did not need to be done in sessions lasting 10 minutes or more, as recommended by federal guidelines,” Dunlop explained. “Even a little activity is better than none. For those older people suffering from arthritis who are minimally active, a 45-minute minimum might feel more realistic,” (Source: Medical News Today).