Tag: chronic pain

A comprehensive guide on chronic pain, its causes, symptoms, and effective management strategies to improve your quality of life.

  • 15 fibromyalgia clothing choices you can make to prevent pain

    The condition can make it difficult to complete basic everyday tasks. Sometimes just getting dressed and out the door is too much, taking up the limited amount of “spoons” you have available to you. If your days are increasingly painful because of the clothes you’re wearing, you may need to make changes to your wardrobe. A few simple alterations could make a big difference, though. Here’s what we recommend when it comes to fibromyalgia clothing choices.

    Understanding fibromyalgia and clothing sensitivity

    Fibromyalgia pain is typically present on both sides of the body, below and above the waistline, and along the vertebral column. In many cases, simply putting on clothes and wearing them all day is extremely painful for people with this condition. Many sufferers also suffer from touch sensitivity that makes any touch, no matter how gentle, a searing pain.

    In addition, other common symptoms of fibromyalgia include heat or cold intolerance. The weather or even the thermostat can have an effect on the pain and stiffness that you may experience every day.

    That means clothing for fibromyalgia sufferers must be easy to put on, comfortable to wear, and simple to remove. These are 15 fibromyalgia clothing choices that can help alleviate your pain. When in doubt, turn to your support groups or healthcare providers for more information.

    1. Try ultra-soft fabrics

    There are certain fabrics that are more comfortable than others. If you have fibromyalgia, you want to find clothes that won’t irritate your skin. These soft and breathable fabrics can help:

    2. Avoid denim

    Jeans aren’t just tight and restrictive, they can also be itchy and rough to the touch. Most people with fibromyalgia avoid denim altogether.

    Unless they’re marketed as soft and stretchy, jeans are usually too rigid to provide any sort of comfort. Leggings, sweatpants, and other types of loose fitting pants are a better option. With today’s jeggings or other super comfy fabrics, you do have options that still look like denim without the ouch.

    3. Use soft layers to manage temperature changes

    One symptom of fibromyalgia is increased sensitivity to temperature changes. You may find it hard to regulate these shifts and certain times of year with extreme weather can make it even more difficult.

    Layering is the best way to make it through the day in a climate that changes often, especially throughout a single day. For instance, you may live in a coastal town that is foggy and cold in the morning, but sunny and warm in the afternoon. In this case, you should start with a light T-shirt or tank top and pair it with a soft sweater that is easily removable.

    This method of dressing will allow you to be prepared for any weather changes as the day goes on.

    4. Look into fibromyalgia friendly clothes brands

    You don’t have to sacrifice style to find pain relief. There are comfortable clothes for fibromyalgia that will help you look your best, no matter where you’re headed. These are some of the best brands, according to other people with fibromyalgia.

    • Old Navy: From work clothes to casual loungewear, Old Navy offers a range of styles at affordable prices
    • Lululemon: This activewear brand is on the expensive side, but fans rave about the quality, comfort, and stretch of Lululemon leggings
    • Under Armour: If you’re looking for advanced athletic wear, Under Armour carries unique fabrics that can regulate temperature and provide breathability
    • The North Face: Because this brand is typically geared toward apparel for outdoor activities, they carry great clothes for soft warmth, such as fleece pullovers
    • Hanes: Everyday comfortable essentials, as well as undergarments, are easy to find at Hanes
    • LOFT: If you need dressy yet comfortable work clothes, LOFT carries “Signaturesoft” clothing under their Lou & Grey line
    • Target: For an expansive range of affordable clothing for any event, Target has a wide variety of comfortable clothing
    • Aerie: Whether you need undergarments, swimsuits, or loungewear, Aerie carries items that are typically around $15 to $35

    Also try to add quality clothing pieces to your closet. This can be tough when you’re on a tight budget, but it will be beneficial in the long run. Quality clothes will last longer, even after consistent washing and wearing. Focus on buying a few essential items that are made with high-quality fabric. Cheaply made clothing can scratch and rub your skin in a way that will irritate your symptoms.

    Shop sales, clearance racks, and use coupons to save money at stores that are usually on the expensive side. Look for gently-used consignment places that sell high-end clothing at a big discount.

    5. Bring in color with scarves or jewelry

    Putting comfort over style doesn’t mean you have to look like you just rolled out of bed. Find clothing in fabrics, cuts, and colors that you love. If you find a piece that is especially comfortable, buy it in a few different colors. Build your wardrobe around these items and jazz them up with accessories.

    On days when you wake up with unbearable pain, turn to the clothing items that are easiest to throw on, and simply add accessories. You can wear the same loose and flowing dress dozens of different ways. Purchase a few necklaces and scarves to add a pop of color. This will diversify your comfortable closet pieces.

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    6. Find the best bras for fibromyalgia

    Most women agree that bras are simply uncomfortable, whether you’re in good health or not. For those suffering with fibromyalgia, tight straps and underwires can actually be painful and a constant source of stress.

    Luckily, there are options that can give you the support you need without the discomfort. Try these options if you’re dealing with ongoing fibro pain.

    Bralettes

    A bralette is a good choice for smaller-chested women because it only offers minimal support. They don’t have underwires or clasps, which means there isn’t anything that will dig into your skin.

    They typically come in different types of fabrics, some with lightweight cups.

    Sports bras

    Sports bras provide better support than bralettes, but most of them still forego underwires and clasps.

    They’re easy to slip on and off, and are usually made with comfortable, breathable fabric.

    Soft cup bras

    A soft cup bra can provide the necessary support larger women need, but without underwires that will dig into your skin.

    These bras often feature wider side panels and straps, as well as seamless styles.

    Front closing bras

    Depending on the type of pain you’re experiencing, front closing bras are easier to put on and remove without excessive movement.

    These are popular for women who deal with arthritis and other common causes of chronic pain. They’re another great option for bad pain days when you need to minimize excessive movement.

    7. Try out compression clothing for fibromyalgia

    While it isn’t the right option for every case, many patients experience pain relief while wearing compression clothing.

    Compression garments can decrease chronic pain by increasing oxygenation and blood circulation. They may also reduce swelling and edema. By keeping muscles and joints stable, this type of clothing could even help prevent injuries.

    Talk to your doctor to find out if this is the right method of pain relief for you.

    8. Look for easy clothing for bad pain days

    Some days are worse than others for the five million people with fibromyalgia. There will be times when you need to limit even the most basic of daily tasks. For those days, turn to easy fibromyalgia clothing that won’t further irritate your symptoms.

    For many people, this means loose fitting clothes. Flowing maxi dresses, oversized sweaters, and drawstring pants are all great options.

    Don’t be afraid to wear certain items repeatedly. If you need to diversify them for work or social outings, add a layer or an accessory.

    9. In summer, look for breathable comfort

    The warmer months of summer can be difficult. Whether it’s dry or humid, excessive heat can take a toll when you’re already struggling with symptoms.

    Choose loose and thin fabrics for maximum breathability. Try to avoid dark colors that will absorb sunlight and heat. If you’re going to be outside, wear moisture-wicking fabrics that will keep you cool and dry from any excessive sweat.

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    Still hot? Carry a small battery-operated fan everywhere you go. This can cool you down instantly, even when you’re outdoors.

    10. Avoid buttons and zippers

    Depending on the location and level of your pain, buttons can be difficult to maneuver on a bad day. Try to avoid button-down tops that can increase pain and stiffness in your hands and fingers.

    Zippers may also be difficult to wear because of the rough seam that is typically found underneath. Look for clothes that are free of clasps and connectors. Find things that you can easily slip in and out of.

    11. Choose the right socks

    One symptom of fibromyalgia is cold feet, but elastic and itchy fabrics can make socks uncomfortable to wear.

    If you’re struggling to find the right socks, experiment with different types. Perhaps shorter ankle socks are better than high socks that squeeze your calves. Socks that are labeled as light and breathable are often beneficial to avoid unnecessary pressure.

    Still struggling to find comfort for your feet? Give diabetic socks a try. Fibromyalgia pain and diabetic neuropathy are very similar. These socks are designed to provide compression and increase circulation, which may reduce pain.

    12. Protect your waist

    Tight waistbands can cause fibromyalgia pain to flare up, which means pantyhose and tights are a no-no.

    If you need to wear them for work or a formal event, try thigh-high stockings. They offer the same clean and polished look without the tightness around your waist.

    13. Go tag-free

    Tags can be itchy and uncomfortable for everyone, regardless of whether or not they suffer from a chronic pain condition. However, for those with fibromyalgia, it can be even more irritating.

    Some brands like Hanes and Champion are going tag-free. The brand and size are printed directly onto the fabric instead of a tag. This eliminates the need for a bothersome piece of fabric that can irritate your skin and cause you more discomfort. If your clothes do have tags, gently unpick the stitching of them and remove entirely.

    14. Consider maternity clothes

    Maternity clothes, particularly maternity pants, are designed with a woman’s growing belly in mind. As a result, maternity pants are made with stretchy and elastic fabric that is meant to go underneath the belly.

    This provides a better option for women dealing with chronic pain. These pants usually sit along the hips and offer much more flexibility, especially while sitting.

    When paired with a long and loose top, no one will even know you’re wearing maternity pants.

    15. Wear the right shoes

    Support and stability are important if you’re suffering with chronic pain due to fibromyalgia. A comfortable pair of shoes will cushion your feet and help you get around with ease. Some of the most popular shoe brands recommended by fibromyalgia patients include the following.

    • Sketchers: The memory foam used in some Sketchers designs can help provide comfort and support for walking
    • Scholl’s: Fans of this brand say that Dr. Scholl’s shoes offer good arch support and cushioned heels
    • Converse: A classic choice for those who love sneakers, the Converse pull-on styles offer flat and light shoes without laces that need tying
    • Birkenstocks: Unlike most sandals, Birkenstocks offer a thick cushion to ease pain associated with walking or standing
    • Uggs: Perfect for winter and colder weather, Uggs are much like soft and warm slippers
    • Nike: These walking and running shoes are designed for athletes of all types, which means they offer a range of specialty styles that can give you durable support

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    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • Is Fibromyalgia A Disability, Social Security, Long-Term Disability & More?

    Is Fibromyalgia A Disability, Social Security, Long-Term Disability & More?

    Living with fibromyalgia can make every day a challenge. Chronic pain and severe exhaustion are the two most common symptoms. However, people who suffer from the condition often experience other symptoms, like depression, headaches, memory loss, sleep disturbances, irritable bowel syndrome, and more. These can make it very difficult to go to work every day, which leaves many people wondering, “Is fibromyalgia a disability?” Depending on the situation, it can be, but it comes with some caveats. Read on for details about fibromyalgia disability benefits you may qualify for and how to apply for them.

    Is fibromyalgia a disability?

    When people ask if fibromyalgia is considered a disability, they’re typically referring to workplace accommodations under the Americans with Disabilities Act (ADA) or Social Security disability claims. Not that this post should not be taken as legal advice, as it only scratches the surface of what you should know when it comes to benefits, work status, and qualifications. You can read more about chronic pain and disability benefits here.

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    The ADA doesn’t maintain a list of medical conditions that constitute a disability. Instead, there is a general definition of disability that you must meet. According to the ADA, you must have a physical or mental impairment that substantially limits one or more major life activities. This includes people who have a record of impairment, even if they do not currently have a disability. It also includes individuals who do not have a disability, but are regarded as having a disability.

    The Social Security Administration (SSA), on the other hand, defines a disability as “a severe “medically determinable impairment,” also known as an MDI. We’ll discuss what qualifies as an MDI in further detail below.

    Based on this information, the short answer is yes, fibromyalgia can be a disability in the way it affects your everyday life. But as for applying for and receiving Social Security benefits or ADA modifications, the answer will be based on factors related to your personal symptoms and overall health condition. While one person with fibromyalgia may be suffering with debilitating symptoms, another may find work and other daily activities more manageable. Fibromyalgia is a condition that can vary greatly from person to person, so the answer to the original question is also unique to that person.

    Can you work if you have fibromyalgia?

    Depending on the severity of your condition and the work you do, it may or may not be possible to work. Many people with fibromyalgia experience extreme tenderness when pressure is applied to the knees, thighs, hips, elbows, and neck.

    For this reason, it is best to do a job that doesn’t require you to stay in one position for too long. Both standing and sitting for extended amounts of time can lead to more pain. Further, any job that requires heavy lifting or intense physical movement may also be too demanding in most cases.

    If you wish to continue working, work with the Human Resources contact at your for the best methods on how to accommodate your fibromyalgia symptoms. Through ADA guidelines and recommendations, HR can work with you to offer several ways to make you more comfortable while you’re at work.

    These are just a few possible fibromyalgia accommodation:

    • Alternative lighting, flexible scheduling, or a modified break schedule for attentiveness/concentration issues
    • Appropriate time off for treatments
    • Chairs with head support, standing desks, or stand-lean stools for daily movement
    • Reducing any physical requirements of the job
    • Counseling, therapy, or even a support animal for stress management
    • Walkers, scooters, or wheelchairs, as needed

    This is just a sample of the many options that could allow you to continue working. Your HR team will determine the best solution on a case-by-case basis.

    In order to make your condition best understood, you’ll need to provide a full explanation of your current diagnosis, symptoms, treatments, and limitations from your doctor. This documentation should be similar to what you’d provide in an application for disability.

    Do fibromyalgia patients get disability benefits through Social Security?

    The Social Security Administration maintains a list of adult impairments that may qualify for disability benefits. Unfortunately, fibromyalgia isn’t included. While it is one of the harder disability claims to win, it isn’t impossible. In order to qualify, you must prove to medical examiners that you’re suffering from a severe “medically determinable impairment,” also known as an MDI.

    Social Security may consider fibromyalgia an MDI if both of these are true:

    • You have evidence of widespread chronic pain that has lasted at least three months
    • Laboratory testing, mris, and X-rays have ruled out other possible conditions

    In addition, one of these must be present in your case:

    • Ongoing occurrence of at least six fibromyalgia symptoms, such as fatigue, cognitive/memory issues (also known as fibro fog), waking up exhausted, irritable bowel syndrome, depression, and anxiety
    • Positive tender point sites in at least 11 of 18 tested areas, above and below the waist and on both sides of the body

    It’s important to note that even if you meet these requirements, you will still have to prove that you’re disabled. That means documenting reasons why you’re incapable of maintaining employment in any capacity, whether at your previous job or any other job.

    How to apply for fibromyalgia disability benefits

    The process of applying for fibromyalgia disability benefits is complex. Even if you are formally diagnosed, there are a number of factors you must be able to prove in order to qualify. This usually takes multiple visits with your doctor over a long period of time.

    The following gives a brief overview of what you can expect, but it’s best to work with an attorney who is experienced with disability claims. They can give you exact guidance about how to apply for and receive benefits appropriate to your case.

    Here’s what you can expect to do during the process.

    Document your case

    The more documentation you can gather about your medical history, the better your application will be. First, a confirmed diagnosis will be necessary. Due to the nature of fibromyalgia, which typically has no confirmed cause, doctors often diagnose it when they can’t find any other cause of your ongoing pain. This is why it’s important to have a specialist diagnose you based on lab tests and the current fibromyalgia diagnostic criteria.

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    Furthermore, a Residual Functional Capacity (RFC) about your impairments is necessary for a thorough application. This is an overall evaluation of your capacity to complete certain job-related activities, including your ability to:

    • Lift or carry weight, and how often you’re able to do so
    • Stand, walk, or sit during a normal eight-hour work day, and how long you’re able to do so
    • Climb stairs, kneel, crouch, or crawl
    • Use fine motor skills (such as typing or using a computer mouse)
    • Reach for objects, especially those overhead
    • See, hear, and speak clearly
    • Withstand environmental conditions, such as extreme cold or heat, smells, and noise

    Gather supporting information 

    In addition to a formal application, your diagnosis, and an RFC, there may be a few other things that will be critical to your success. You may need to include:

    • Contact information for all of your doctors, as well as the dates of your appointments, treatments, or hospitalizations
    • Health records of lab tests, psychological evaluations, and prescribed medications
    • A summary of your job history

    The Social Security Administration will take everything you provide into consideration, so provide a very clear picture of your day-to-day challenges. A journal (paper or mobile-app based) is a great way to do this. Spend time each day jotting down how you felt and how symptoms limited your activities. This can help you paint a picture of what you’re coping with on a daily basis.

    File your application

    After you’ve gathered all of your materials, there are a few ways to file your application:

    • In person at your local social security office
    • Online
    • By phone at 1-800-772-1213 -or- TTY 1-800-325-0778 if you are deaf or hard of hearing

    On average, it can take three to five months to hear back regarding disability benefit claims. In some cases, you may have to supply additional evidence or documentation.

    During the application process, a team of doctors for the Social Security Administration will do a thorough review of your application. A psychologist on this team may also evaluate whether your case of fibromyalgia has resulted in any mental impairments. These are based on:

    Once they’ve reviewed your application, they’ll determine if you receive disability benefits or not. You can typically appeal this decision, if they’ve denied your claim. An appeal is an additionally complex process, on top of an already complicated task. Work with your local health advocates or an attorney when undergoing an appeal.

    Is fibromyalgia considered a long-term disability?

    Much like the other disability benefits we’ve discussed, fibromyalgia long-term disability benefits can be difficult to obtain. Most long-term disability insurance companies deny or limit these requests since the condition is usually based on self-reported symptoms. Many insurance companies specifically exclude fibromyalgia from coverage. Others consider it a mental disorder in order to limit payments to one or two years. Examine your policy carefully to understand if it is possible to receive benefits for fibromyalgia, and for how long. Work with your Human Resources team if you’re unsure about any of the language or policy coverage.

    As previously discussed, if you plan to apply for these types of benefits, you will need to be prepared with as much documentation as possible. You should be seeking medical treatment from a specialist and keeping a detailed record of your symptoms. It will also help to have written opinions from your doctors regarding your limitations and current condition.

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    What else do I need to know?

    Only you and your medical team can determine if seeking disability benefits is the right course of action for you. These are a few questions you should ask yourself before seeking fibromyalgia disability benefits.

    Will I be able to maintain my lifestyle?

    Before applying for disability, it’s important to take a look at your finances. Allsup provides a free online calculator to estimate how much you may receive on disability.

    Ask yourself if you’re comfortable with this amount of monthly income. Will it be enough for you to continue living in the same home? Will you have enough for groceries, a car payment, and any other monthly costs? Evaluate whether it’s financially possible for you to leave your job.

    Am I emotionally and mentally prepared to be on disability?

    A job provides much more than just a paycheck. It often gives us a sense of purpose and fulfillment. It’s even a form of socialization. Coworkers become friends that you confide in and enjoy spending your days with.

    Some people are surprised by the fact that they feel lonely and bored when they stop working. Others need the time and space to focus on healing.

    What are my job options?

    Perhaps you would like to continue working, but can’t continue doing your current job because of physical or mental limitations. What are your other job options?

    Take a look at your skillset and capabilities and research what else is out there. Ask your employer about other opportunities within the company, workplace accommodations they can make, or search for new jobs that allow you to work from home.

    Are there treatment options I haven’t explored?

    If you’re eager to continue working, there are treatment options that could give you the relief you need to do so. From chiropractic care to physical therapy, there are non-invasive options that can improve your comfort level.

    If these remedies don’t work, there are currently three medications approved by the Food and Drug Administration. Lyrica, Cymbalta, and Savella may reduce pain and improve function in some people with fibromyalgia. Talk to your doctor about all of your treatment options.

    Who can help me?

    Social Security benefits can be complicated. For this reason, it’s often beneficial to hire a disability attorney who can help you file the right forms and gather the information for your case. A skilled attorney who specializes in disability and other insurance benefits will be able to guide you through the process of completing applications. If your initial case is denied, your lawyer will be able to prepare you for an appeal that may require you to go before a judge.

    For ADA accommodations, you’ll likely have to work closely with your company’s Human Resources team to create the best plan moving forward. While companies look to the guidance provided through federal resources, they will still have their own unique set of rules and regulations to work from.

    https://fibromyalgia-6.creator-spring.com/
    https://www.teepublic.com/stores/fibromyalgia-store

    Click Here to Visit the Store and find Much More….

    For More Information Related to Fibromyalgia Visit below sites:

    References:

    Fibromyalgia Contact Us Directly

    Click here to Contact us Directly on Inbox

    Official Fibromyalgia Blogs

    Click here to Get the latest Chronic illness Updates

    Fibromyalgia Stores

    Click here to Visit Fibromyalgia Store

  • 5 of the most common musculoskeletal leg pain causes

    Musculoskeletal leg pain involves pain that develops in any of the tendons, ligaments, and muscles in the lower extremities. Conditions ranging from tendinitis to arthritis may be the source of your discomfort. Although this type of pain most frequently develops in the lower back, pain in the leg, hip, knee, or ankle is also common. Musculoskeletal leg pain causes vary from patient to patient. They can range from serious physical disorders to more benign stresses from daily life. Here’s the most common causes, as well as ways to prevent musculoskeletal leg pain.

    What do we mean by musculoskeletal leg pain?

    Leg pain is a broad category of pain that can occur anywhere in the upper or lower leg. It can range in intensity from a dull ache to a sharp, stabbing pain. There are multiple causes of leg pain and some can be very serious. Others can be controlled or cured with rest and at-home care, especially proactive treatments that then help prevent leg pain in the future. Acute leg pain will go away after treatment but if pain does not stop after three months, it is considered chronic and may require different treatments to alleviate.

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    Leg pain usually originates in one of three systems in the human body: the musculoskeletal system, the nervous system, or the circulatory system.

    Musculoskeletal leg pain occurs in the muscles, ligaments, tendons, and bones in the leg. Pain originating in the nervous system will usually cause sharp, radiating pain down the sciatic nerve resulting in a condition referred to as sciatica. Circulatory system pain in the leg can feel similar to a condition that affects the musculoskeletal system but is often more typically felt in only one side of the body.

    1. Muscle overuse

    Musculoskeletal leg pain typically doesn’t arise from a disorder or medical condition. About 33% of adults experience pain from overusing their muscles, according to the Cleveland Clinic.

    In the case of overuse, acute musculoskeletal leg pain could develop from a particularly intense workout. Even carrying a golf bag has been shown to cause musculoskeletal distress in the ankle, according to a study published in the American Journal of Sports Medicine.

    Frequently, musculoskeletal leg pain arises from muscle sprains or strains. A sprain occurs when a ligament stretches beyond its capacity or tears. Ligaments are the tissues that connect bones to one another. A strain, meanwhile, involves injury to the muscle or tendon. A tendon is tissue that connects muscle to bone.

    While sprains more commonly occur during falls or sports injuries, strains are usually the result from overuse, according to the American Academy of Orthopaedic Surgeons (AAOS). However, strains can also result from overstretching. In the leg, the hamstring muscle is easily susceptible to strains, particularly for athletes. The hamstring is actually made up of three separate muscles that run from the bottom of the pelvis to below the knee. Hamstring tendons connect the muscle to the bone.

    Potential hamstring injuries include strains in the muscle itself. Tendonitis—inflammation or irritation—can also develop in the connective tissues. Runners sometimes report high hamstring tendonitis in the portion closest to the pelvis.

    2. Muscle underuse

    Although leg musculoskeletal pain causes are often discussed in terms of overuse, some researchers advocate reframing the issue as underuse. In the British Journal of Sports Medicine, researchers argued that muscle use was not the problem. The problem was that the muscles had not been used prior to running, jumping, or participating in some other type of activity normally avoided in a person’s mostly sedentary lifestyle. They wrote:

    “Articles are often written assessing “injuries” with the implication that they were the result of movement. This explanation, although sequentially accurate, neglects to focus on the fact that a lack of previous movement is more likely the true source.”

    To drive the point home, researchers reviewed several studies and found adults who maintain robust exercises regimens typically experience less musculoskeletal pain—not more.

    The researchers concluded that while pushing the body too hard may result in injury, not exercising at all increases the risk of injury when a person finally does exercise. Researchers wrote that:

    “A review of the current science implicates that too little activity over time may in fact be the primary cause of a large percentage of musculoskeletal injuries…  People are more likely to exercise too little than too much.”

    Sedentary people who begin vigorously exercising likely put themselves at risk for musculoskeletal injuries. To avoid injury, consider easing into exercise gradually and stay mindful of the body’s physical limits.

    3. Shin splints

    Shin splints are characterized by pain on the shin—the bone in the front part of the lower leg. Common in athletes and dancers, shin splints often develop from overuse or changes in exercise routines. This is an acute condition that can be eased through rest and icing the affected area.

    Shin splints can re-occur, but wearing supportive shoes and easing up on the exercise can help stave off this type of musculoskeletal leg pain.

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    4. Arthritis

    Arthritis is one of the most common musculoskeletal disorders affecting nearly 70% of people over age 65 and thousands of younger people in the U.S., according to the Arthritis Foundation.

    The most common form of arthritis is osteoarthritis, a degenerative joint disease in which the cartilage in joints breaks down, causing inflammation and pain. Rheumatoid arthritis is a systemic, autoimmune disease, which means the body’s immune system fights the body as if it were a foreign virus. Either type of arthritis may result in musculoskeletal leg pain. Common areas this discomfort affects are the hip, knee, ankle, and foot.

    Arthritis in the hip can lead to trouble walking and pain in nearby areas, such as the thigh or knee. Pain in the foot or ankle is especially common in people with rheumatoid arthritis, with more than 90% of patients reporting musculoskeletal pain in those areas, according to the AAOS.

    5. Fibromyalgia

    Widespread, musculoskeletal pain is fibromyalgia’s defining characteristic. Researchers aren’t sure how or why the condition develops, but it affects about 2% of the total population, according to the Centers for Disease Control and Prevention (CDC).

    Women are at much higher risk of developing the disorder, with the CDC reporting a 7:1 ratio of women to men.

    The disorder sometimes develops after a physical trauma, infection, surgery, or significant episode of stress. Other times, the onset seems random and cannot be attributed to any sort of physical or mental trigger. The condition is believed to run in families, and may have a genetic component.

    Whatever the cause, fibromyalgia is believed to induce widespread musculoskeletal leg pain by interfering with the way the brain processes pain. Neurotransmitters that signal pain elevate to abnormally high levels. Meanwhile, receptors in the brain become more sensitive to pain signals, overreacting to the brain’s efforts to communicate distress.

    Fibromyalgia’s musculoskeletal pain often manifests as a dull ache as opposed to a shooting or stabbing sensation. Fibromyalgia patients also experience pain above the waist. Other symptoms include:

    Preventing the most common musculoskeletal leg pain causes 

    There are several things you can do to prevent musculoskeletal leg pain in your life. They include the following.

    Eat right

    Balanced nutrition is essential to maintain healthy body systems throughout our lives. Particularly, doctors recommend foods that maintain a good balance of potassium for healthy legs. Both high and low levels of potassium can be dangerous.

    Also, the correct amount of calcium and magnesium can help prevent leg pain and degenerative conditions that affect the hips and knees, such as osteoarthritis or osteoporosis. However, always talk to your doctor or a nutritionist before changing your diet too drastically.

    Stretch

    Many sports injuries such as strains and sprains can be prevented with the correct pre-game or workout stretching routine. Add some easy leg stretching routines before you exercise every day to prevent leg pain.

    Stretching can not only help prevent injury but it can also help rehabilitate your legs after you’ve suffered from a sports injury. Standing quadriceps flexes, hips flexor stretches, and calf stretches can help before any exercise routine.

    Walk more

    Another key to prevent leg pain is to keep your activity low impact. In fact, the aerobics craze of the 1980s actually led to permanent, lifelong injuries for some of the individuals who embraced the culture.

    The good news is that low-impact exercise is easy to do and most of the time doesn’t require any additional accessories, except for the proper footwear. Walking is the easiest way to start a low-impact exercise routine. If you’ve not exercised much before, start slowly with an easy walk around your block and add time and distance as you begin to build more stamina and get more comfortable with the activity.

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    Stay hydrated

    Most people don’t realize how dehydration can affect our systems. By the time you feel thirsty your body is already experiencing dehydration. Lack of hydration can lead to muscle cramps.

    Individuals can forget to stay hydrated while engaging in physical activity. It may be easy to remember your water bottle when you’re hiking, but do you think about it when you’re working in your yard?

    Get a massage

    While frequent massages may seem self-indulgent they can really help keep your body balanced and restored. A massage greatly helps sore muscles, increases circulation, and makes you feel more relaxed.

    A trained massage therapist can work with you to pay certain attention to parts of your legs where you may be experiencing minor discomfort. It can also be a great way to treat yourself once in a while.

    Practice yoga

    This Eastern meditative practice has become very popular in the United States. Yoga can help you maintain mind and body balance. It’s also a great low-impact stretching workout for the muscles in your legs.

    Poses such as chair, warrior pose, warrior II pose, and the standing forward bend are all great for leg strength. As a bonus, you can also use yoga poses for your pre-exercise stretching routine.

    Take a hike

    Does a daily walk around your neighborhood sound boring and repetitive to you? Hiking can be a great way to add more scenic walking to your routine.

    Depending on where you live, you can hike in river valleys, mountains, or the woods. You could even join a hiking group to make it a more social activity. Always remember to stay safe on the trail, bring plenty of water, and wear appropriate hiking boots that fit well.

    Enjoy golf

    Another low-impact activity that can help prevent leg pain and provide a little more excitement than a regular walk is golf.

    By skipping the motorized golf cart you get your walking exercise in as you go from hole to hole and the correct swing technique also stretches the muscles in your legs. Like hiking, golf is also a great group activity.

    Talk to your doctor

    Your doctor can help you with any questions you have about your body. While we often turn to them only after there is a concern or a problem, doctors really do have a desire to proactively help prevent injuries and illnesses in their patients. If you want to know more about ways to prevent leg pain in your life, your doctor is a great resource.

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  • What’s the impact of stress on pain levels?

    Stress is a complex, natural response to a perceived dangerous threat. When we feel stress, our bodies release extra adrenaline and cortisol, giving us the temporary ability to move faster, to think more quickly, and to react instinctively. When the threat goes away, our bodies return to a neutral state. This response is healthy and helpful. Chronic stress, on the other hand, can lead to huge changes in the body, including higher levels of pain. Here’s what you should know about the impact of stress.

    What is stress?

    Cortisol is an important hormone in our bodies; it helps control immune function, is an important part of our body’s inflammatory response, and helps control blood sugar. Cortisol levels are normally highest during the day, with a regular drop at night. When we are under chronic stress, however, that drop does not occur. Our bodies continue to pump out cortisol.

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    The effects of this sustained level of cortisol are astonishing:

    • Increased body fat in the stomach, which is associated with higher cholesterol and heart problems
    • Lowered bone density
    • Increase in blood pressure
    • Decreased immune function and poor response to inflammation
    • Imbalanced blood sugar
    • Poor cognitive function

    Increased cortisol production has also been linked to difficulty sleeping, anxiety, and depression. It has also been linked to increased pain levels.

    Impact of stress on pain levels 

    At the end of a long, stressful day, we feel it in our bodies. Our necks ache, maybe our lower back hurts. This could be a direct result of holding our muscles tense for a long period of time and usually goes away once we are able to relax or once the stressful event has ended. But did you know that that stress can impact pain levels for chronic pain sufferers?

    Stress makes chronic pain more intense for longer periods of time, continuing long after the stressful event has ended.

    Chronic pain is long-term pain that requires management and monitoring. Acute pain is pain (often from an injury or muscle strain) that lasts for three months or more. Chronic pain, on the other hand, lasts for more than three months and is difficult to treat. Stress can exacerbate the symptoms of chronic pain throughout the body.

    Some studies have shown that a continued release of cortisol can result in higher vulnerability to chronic pain, even if the pain was acute to begin with. This means that a person who has an acute pain episode, as from an injury, is more susceptible to longer healing times and/or chronic pain from that injury.

    Other symptoms of stress that affect pain patients 

    People with chronic stress may also have:

    • A depressed immune system
    • Higher incidence of headaches
    • Fewer coping skills as far as pain management goes
    • Emotional distress such as anxiety and depression

    All of these symptoms of stress impact the body’s ability to deal with the symptoms of chronic pain. For example, anxious people tend to hold their breath. This limits the amount of oxygen available to the muscles of the body, causing them to contract. If the contraction is anywhere that the pain is centered, the sensation intensifies, causing more anxiety, more pain, and so on.

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    The combination of stress and chronic pain generates a cycle where both sensations increase.

    Mental health challenges with chronic stress 

    What happens when stress becomes a way of life? What impact does chronic stress have on the mind? Chronic stress can manifest itself in different ways and can be caused by many different things. A stressful job, worries about finances, chronic illness, death of a loved one, or trouble at home: these are just a few of the factors that can lead to chronic stress.

    Those who are suffering from chronic stress may respond differently than normal. They may be agitated and angry, with a quick temper: the “fight” aspect of a reaction to stress. Normally small problems, such as slow traffic or a loud child, may cause them to overreact.

    This hair-trigger angry response can cause serious health issues. There is a connection between anger and stress and increased risk of heart attack and stroke, even hours after the angry outburst. After an angry outburst, people may be five times more likely to have a heart attack and three times more likely to have a stroke as long as three hours afterwards. This result held true even if the anger was not expressed, and the more angry episodes, the higher the risk.

    Instead of being agitated and angry, some people respond to chronic stress by shutting down, becoming nervous or anxious, or overindulging in food, drink, or drugs. These responses are more of the “flight” aspect of stress. The chronically stressed person pulls away from whatever the stress is and becomes withdrawn.  In the face of chronic stress, others might freeze up, unable to make a decision or move in any direction. The person responding in this manner might seem calm, but underneath remains very anxious and agitated.

    Dealing with chronic stress

    The effects of long-term stress on the healthy body are well-documented, so it stands to reason that one of the effects of stress on a person suffering from chronic pain is more pain.

    Beyond this, chronic stress can cause serious, long-term health issues that can only be dealt with successfully once the underlying cause of the stress is examined and addressed.

    The best way to counteract this is to reduce stress levels as much as possible. Eliminating stress or developing effective coping strategies result in positive changes to a person’s health and well-being.

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  • The basics of osteoporosis prevention you should know

    Bones are living tissue and, because of this, the body is constantly absorbing and replacing minerals from bones. When the body begins to absorb minerals faster than it can replace them, bone density decreases. This decrease in bone density can lead to osteoporosis, which literally means “porous bone.” Here’s what you should know about osteoporosis prevention and early detection.

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    What is osteoporosis? 

    Osteoporosis causes bones to become brittle, which means that there is a greatly increased risk of broken bones, especially hips. 40 million people in the United States either have osteoporosis already or are at high risk of developing it. According to an article published in the mcgill Journal of Medicine, as many as 250,000 hip fractures are attributed to osteoporosis each year in the United States.

    Bones are living structures in our bodies, and up until around age 35 they are actively growing and getting stronger. Although bones continue to grow for nearly our entire lives, after age 35, bones begin to deteriorate. Once deterioration occurs at a faster rate than bone growth, osteoporosis can develop. Bones develop pockets that cause weakness and can eventually lead to fracture from just a little pressure. The key to managing osteoporosis is focusing on early prevention, correct diagnosis, and proper treatment.

    There are often no symptoms associated with early osteoporosis, and later symptoms can be subtle enough to ignore. Because of this, many people don’t realize they have osteoporosis until a bump, strain, or fall causes a broken bone. Therefore, it’s important to be aware of the risk factors for osteoporosis.

    Osteoporosis risk factors

    The major osteoporosis risk factors include:

    • Gender: Women are much more likely to develop osteoporosis
    • Age: Women over 50 and men over 70 are at higher risk
    • Ethnicity: Osteoporosis is more common among Caucasian and Asian women
    • Family history: Osteoporosis often runs in families
    • Frame size: People with smaller frame sizes are at a higher risk, because they have less bone mass to begin with

    If you have multiple risk factors, your doctor might suggest a bone density test. This is also called a bone scan. Even if the patient is not diagnosed with osteoporosis as a result of the bone scan, it’s possible the test might show a lowered bone density. This means a higher risk for osteoporosis later on. Knowing that a patient is at risk for osteoporosis can allow his or her physician to suggest therapies or medications to slow or stop the onset of osteoporosis.

    What are the basics of osteoporosis prevention? 

    The most effective way to prevent osteoporosis is to maintain a healthy lifestyle during the first two decades of life by eating a nutrient-rich diet and exercising regularly. However, it’s never too late to make lifestyle changes to reduce the risk of osteoporosis.

    For example, avoiding tobacco use and excessive alcohol is highly recommended, since both can both weaken bones and lead to osteoporosis. Here’s some ways to practice osteoporosis prevention, both before you’re diagnosed and how to manage symptoms if you are.

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    Eat a healthy diet that’s rich in calcium

    A healthy diet is key to osteoporosis prevention. It’s recommended that the average adult get around 1,000 mg of calcium every day, although women over 50 and men over 70 should get about 1,200 mg. When the body doesn’t have enough calcium to function, it takes calcium from the bones, leading to decreased bone density and osteoporosis. The National Institutes of Health provide a table of recommended calcium intake for different populations.

    The body also needs vitamin D because it aids in the absorption of calcium. Vitamin D from the sun can be absorbed through the skin, or it can be obtained through diet. Foods like egg yolks, liver, saltwater fish, and fortified dairy products are rich in vitamin D. If needed, there are also supplements available that provide both calcium and vitamin D.

    Practice strengthening exercises 

    Exercises that strengthen the muscles will also strengthen the bones, which can prevent or slow the onset of osteoporosis.

    Activities like running, jogging, dancing, or jumping rope can strengthen bones, but these are all quite high-impact and more appropriate for those who do not have any loss of bone density.

    If a patient has already been diagnosed with lowered bone density or osteoporosis, high-impact exercises could cause bone fractures. Therefore, low-impact exercises such as using an elliptical or stair-step machine, practicing gentle aerobics, or walking can be beneficial for patients with osteoporosis.

    Avoid falls 

    Another simple but very important way of preventing broken bones is to avoid falling. The people most at risk for osteoporosis are seniors and the elderly. This population is also, unfortunately, more likely to have impaired balance, sight, and strength. And, this can lead to falls.

    Simple preventative measures include:

    • Moving electrical cords
    • Having proper lighting
    • Putting salt on ice in the winter

    A broken hip can be extremely detrimental to a patient’s quality of life and, in some cases, can even lead to death. Because the hip is so necessary to movement, a broken hip can interfere with the ability to take part in everyday activities.

    Many seniors who break a hip are unable to care for themselves afterwards and must turn to long-term nursing care. Additionally, as many as 20% of seniors who break a hip will die within a year. This may be because of conditions related to the broken bone or the surgery to repair the broken bone.

    Get tested if you’re at risk 

    Key to managing osteoporosis is proper diagnosis. This may seem straightforward (go to the doctor, get screened, get a diagnosis), but research from the University of California Davis Health System has found that osteoporosis screenings aren’t targeting the highest risk populations.

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    The screening records of 51,000 women who were between the ages of 40 and 85 and received health care in the Sacramento region were examined over a seven-year period. Physician and study lead Anna Lee Amarnath found that 42% of eligible women between the ages of 65 and 74 and 57% of women over 75 were not screened. This was true even when these women were at risk and screening was warranted.

    Conversely, 46% of low-risk women between 50 and 59 and 59% of those between 60 and 64 were screened for osteoporosis without cause. Amarnath and her team believe this lopsided screening was caused by one primary factor: the timing of menopause.

    Most doctors begin to think of osteoporosis risk for their patients when they enter menopause, typically around 50 years of age. Thus, screenings tend to occur at that time. The U.S. Preventive Services Task Force recommends that osteoporosis screenings occur after age 65 unless risk factors are present, but the behavior of doctors in this large study suggests that recommendation is not being followed.

    Osteoporosis prevention for men

    Another population that is typically ignored in osteoporosis screening is men. Although two million men in the U.S. have osteoporosis, with an estimated eight to 13 million more with low bone density, the majority of men avoid osteoporosis screenings.

    What is most troubling about these findings is that although men are typically less affected by osteoporosis, when they do have it and suffer a hip fracture because of it, they are twice as likely to die as women. Men are also more likely to lose their independence after a fracture than women and require more post-fracture care.

    Managing osteoporosis pain 

    If you do suffer a fall or break from osteoporosis, it can lead to ongoing chronic pain. For a successful recovery, it’s important to regain mobility and resume normal day to day activities as soon as possible. To assist in this, there are various painmanagement techniques that can alleviate discomfort or pain.

    Because stronger muscles provide better protection from broken bones, it’s important for patients with osteoporosis to talk to their physicians about pain management techniques, as well as strengthening exercises that are appropriate for them.

    Non-steroidal anti-inflammatory medications (nsaids) are effective for reducing inflammation, thereby lessening discomfort.

    Alternatively, the patient’s physician may recommend a spinal nerve block injection. This injection is a pain medication, like lidocaine or mepivacaine, that is delivered directly to the affected spinal nerve. A similar procedure called a hip joint injection is the insertion of anesthetics directly into the hip joint. Both a spinal nerve block and a hip joint injection might also contain corticosteroids to reduce inflammation.

    Another type of pain management therapy involves electric currents. Transcutaneous electric nerve stimulation (TENS) is the placement of small pads or a cap on the affected area. Electrical impulses are delivered that block pain signals along the nerves. TENS has received support as an effective pain management treatment, that is also very low-risk.

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  • When to take supplements for depression, fatigue, and more

    When to take supplements for depression, fatigue, and more

    Supplements should be used in addition to, rather than instead of, a healthy and balanced lifestyle. Often, we can avoid taking supplements by making some lifestyle modifications. For some people, though, with their doctor’s approval, supplements can help. If you’re wondering when to take supplements, some conditions could potentially benefit from their use, including depression, fatigue, and bone health. We’ll discuss these aspects as well as what types of supplements to look for.

    When to take supplements: A primer

    Supplements have a curious history within the medical industry. Some opponents believe that they are pseudoscience and not worth using to treat chronic conditions. However, medical researchers have been studying the effects of various supplements for a number of conditions, including depression, and have found some compelling evidence for their use, as we’ll discuss further on in this post.

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    As with all treatments, though, always take great care when adding these or any other supplements to your diets and routines. Be sure to understand the correct amounts, the interactions they may have with other supplements or medications, and any potential side effects or risks. Always talk to your doctor before taking supplements. Some could interact with your current medications or be contraindicated due to other factors.

    Further, simply adding these supplements while ignoring exercise and healthy eating strategies won’t solve any underlying issues, like depression or fatigue. Supplements aren’t intended to be a cure for certain conditions, but they can augment treatments and lifestyle changes that work to heal the entire body. Don’t allow yourself to give into the hype over supplements. Instead, seek the advice of a professional to better understand your specific needs and how to integrate them into your current lifestyle.

    The benefits of supplements for depression

    Most people will feel depressed at some point in their lives. It is a natural reaction to difficult life situations and results in sadness and despair. Most of the time depression is temporary and will subside eventually. However, some individuals suffer from chronic depression that makes it difficult to function, leave the house, or interact with others including family.

    Feeling sad isn’t, in and of itself, a definitive symptom of depression. Symptoms of chronic depression can vary between patients but often include:

    • Sadness
    • Anxiousness
    • Emptiness
    • Tendency toward hopelessness
    • Pessimism
    • Lack self-worth
    • Feel helpless in their daily lives
    • Decreased energy
    • Insomnia or excessive sleeping
    • Loss of interest in favorite activities
    • Difficulty concentrating and making decisions
    • Appetite effects, either causing them to overeat or not eat at all
    • Aching pain that doesn’t respond to medication
    • Thoughts of suicide

    Chronic depression isn’t something to take lightly. Nearly 7% of adults in the U.S. experience depression at this level. Women are 70% more likely to become chronically depressed than men. While it is more common in adults over thirty, over 3% of teenagers between the ages of 13 and 18 also struggle with depression.

    The most important thing for someone with chronic depression is to find the right treatment. All too often traditional medicine focuses solely on the symptoms. Medications are fine if they are supplemented with a holistic approach to treat the entire patient. Good nutrition, exercise, mental health care, and more all add up to a better-rounded treatment plan for someone dealing with the effects of depression. And, as some recent research shows, some supplements for depression could also help.

    Omega-3 fatty acids for depression 

    Frequently, depression is triggered by another chronic pain condition. A study published by Elsevier demonstrated that individuals with inflammatory pain conditions leading to depression could benefit from adding omega-3 fatty acids to their treatments. Omega-3s, most commonly taken as a supplement in fish oil, are beneficial for a number of health reasons including lowering the risk of heart disease.

    To determine the effects that fish oil had on patients with the inflammatory condition hepatitis C, researchers recruited patients undergoing treatment and divided them into three groups. Using two of the components of fish oil and a placebo, each for a third of the group, they were able to evaluate which of the three was most effective in battling depression.

    Patients treated with the acid EPA, one of the components of fish oil, showed a decrease of hepatitis-C treatment induced depression. However, patients taking the other acid, DHA, or the placebo did not. The study is just one of many that seem to indicate that a supplement of fish oil can help augment traditional treatments for depression.

    From Dr. Carmine Pariante from the Institute of Psychiatry, Psychology & Neuroscience at King’s College London:

    “The study shows that even a short course (two weeks) of a nutritional supplement containing one such omega-3 polyunsaturated fatty acid (EPA) reduced the rates of new-onset depression to 10%.”

    A holistic approach to treating depression does advocate an entire person approach. This may include better nutrition practices, which may incorporate omega-3 fatty acids.

    Ketamine for depression

    Researchers at Mt. Sinai Medical Center released a study that showed the anesthetic ketamine could have a positive, rapid effect on individuals suffering from depression. However, this treatment is not without its drawbacks. Ketamine has also been linked with drug abuse over the years so using it to treat depression is a careful science that requires low-doses and professional care.

    The controlled study showed that intranasal ketamine provided rapid effects within 24 hours for depressed patients who were unable to find relief from any other treatment. In the double blind study, twenty random patients seeking treatment for major depression were given either ketamine or saline. Patients receiving the intranasal ketamine met the study’s response criteria with minimal dissociative effects. Additional outcomes included a reduction of anxiety and a change in the reporting of depression symptoms.

    Dr. James W. Murrough from the Icahn School of Medicine at Mount Sinai indicated:

    “There is an urgent clinical need for new treatments for depression with novel mechanisms of action. With further research and development, this could lay the groundwork for using NMDA targeted treatments for major depressive disorder.”

    The study hopes to initiate more research into the use of intranasal ketamine to see how it can affect patients dealing with major, chronic depression who are unable to find relief through other means of treatment. The team of researchers wants to examine the mechanism and doses, and use functional brain imaging to determine more about the use of ketamine as a treatment for depression.

    Other supplements for depression

    Of course, omega-3 fatty acids and ketamine are not the only things that can work to augment treatments for depression. Other supplements may include:

    • B-complex vitamins: These vitamins help the body produce more serotonin that can help fight depression and anxiety.
    • 5-HTP: Short for 5-hydroxytryptophan, this supplement is a serotonin pre-cursor and can sometimes help when depression medications can’t.
    • Theanine: This amino acid is commonly found in green tea and can be used as a supplement as well. It helps relax the body and calm anxiety.

    If you or someone you know battles chronic depression, it is important to seek out professional help to guide your treatment in the right direction. Supplements or exercises alone can’t cure depression. You can find affordable or cheap therapy resources here to get started on your journey.

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    Supplements for bone and joint health 

    Bone and joint health may be the keystone to overall health. With a strong skeletal system and flexible joints, a human body can stand up to other issues that it may face throughout a lifespan. The loss of bone mass may be common as we grow older but that doesn’t mean we can’t do anything about it. While these conditions are often considered normal “wear and tear” and are associated with the natural aging process they don’t have to mean an automatic end to the lifestyle you already have.

    While there are many conditions that affect bones and joints through the human lifespan the most common are those that affect older adults. These are degenerative conditions more likely caused by aging than injury or illness; however these factors can also play a role in the evolution of the condition. The two most common are osteoporosis and osteoarthritis.

    A holistic approach to bone and joint health means paying attention to all of your body’s signals and treating every aspect that makes up our lives. Supplements can be an excellent addition to your daily routine.

    Osteoporosis

    This condition is considered, in general, to be part of the body’s aging process. As we grow older our bones begin to become more brittle which can result in painful fractures that are difficult to heal. Osteoporosis is not an absolute, however, and there are many things people can do to slow or stop the occurrence and help heal already weak bones.

    Osteoporosis is more common in women than men, but men are susceptible. It frequently occurs in women after menopause due to hormonal changes. Other risk factors include smoking and some medications.

    This condition can cause complications for individuals if they should fall and break already weakened bones. Breaking a hip or an arm could result in long-term healing issues and a decreased quality of life. Osteoporosis can also cause the bones in the spine to compress, which can lead to additional problems and painful conditions.

    Osteoarthritis

    Another common joint condition is osteoarthritis, a form of arthritis. Also associated with aging, osteoarthritis occurs when the protective cartilage between bone joints begins to wear down over time. This causes the bones to rub together uncomfortably and causes pain and inflammation.

    Women are also more likely to be affected by the condition. Obesity, joint injuries, genetics, and even certain jobs that create pressure on the joints can lead to osteoarthritis. When someone is overweight, for instance, the added stress on the joints in the hips or knees can cause the cartilage to become damaged or degenerate.

    The primary concern with osteoarthritis is long-term pain. Joints may hurt during movement or have lingering pain after. They may become stiff and tender when pressure is applied. It is even common to hear and feel a grating sensation when the joint is moved as the unprotected bones rub together. Someone with osteoarthritis may lose some normal function in the joints that are affected.

    There are several supplements that are effective and easy to add to a daily routine. They could help with osteoporosis or osteoarthritis. These include the following.

    Calcium for osteoporosis

    Everyone knows that calcium is important for building and maintaining strong bones. Milk and other dairy sources, along with leafy green vegetables, can be a great way to get some calcium into the diet but most people aren’t getting nearly enough. And not getting enough may be one of the leading contributors to the degeneration of bones and cartilage in the body.

    The good news is that calcium is easy to get as a supplement which makes it extremely simple to use every day. With so many options on the table many experts suggest taking the one that works best and doesn’t cost much. Always talk to your doctor before adding to your routing.

    Vitamin D

    This vitamin helps the body properly absorb calcium. Of course, the best way to get vitamin D is through sun exposure but for a variety of reasons this may not be possible every day. Also, as we age our skin has fewer receptors for vitamin D so it is even more essential to supplement to help with bone loss and prevention.

    Experts recommend taking supplements that use vitamin D3 for the best results. While everyone should make sure to get the right amount of this vitamin, women should pay special attention to supplements since they are more susceptible to osteoarthritis and osteoporosis.

    Vitamin K

    While calcium and vitamin D are the superstars of the bone world, vitamin K plays an underappreciated supporting role. It assists in the activation of proteins involved in the structuring of bone mass.

    Low bone density is often linked to low amounts of vitamin K within the body. Of course, like calcium and vitamin D, the best way to get enough of this vitamin is through a healthy lifestyle. Leafy green vegetables like spinach and Brussels sprouts are a great source but they also might not be enough. A supplement can help with this essential building block as well.

    Supplements for fatigue 

    Everyone has experienced days where they are tired. Maybe you stayed up too late burning the midnight oil or a friend’s birthday party kept you out past your bedtime on a week night. Going to work the next day can be challenging when all you really want to do is curl up and sleep for a few more hours. Tiredness is one thing but fatigue is something entirely different.

    Fatigue, on the other hand, is the body’s way of saying it simply can’t keep up. No amount of sleep will replenish the energy banks for someone suffering from fatigue. In fact, people who are experiencing fatigue may feel absolutely exhausted and drained of energy but sleeplessness haunts them so there appears to be no relief in sight. It is often caused by another condition such as cancer or fibromyalgia and can lead to long-term problems, additional pain, and depression or anxiety.

    The conflation of the two conditions can lead to inaccurate diagnoses and a failure to treat the fatigue as a serious problem.

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    How does fatigue really affect the body?

    There are so many ways to describe fatigue and even reputable medical sites will interchange it with words such as tiredness and weakness. But fatigue is more than that. If you are experiencing physical fatigue your muscles may be incapable of moving in the ways that had been normal. Activities such as climbing stairs or carrying heavy items may be difficult or impossible. When a doctor is determining if someone has physical fatigue they will conduct a strength test. Mental fatigue, on the other hand, affects our ability to think and function. Concentrating becomes difficult and it may be impossible to get out of bed even if sleep is elusive. Performing daily tasks becomes a mental obstacle course. Mental and physical fatigue often go together, but they don’t have to.

    Fatigue and chronic pain conditions often go hand in hand, but which comes first is generally a chicken or the egg question. Fibromyalgia, for instance, is a difficult to explain and diagnose condition that causes intense nerve pain. Many patients diagnosed with fibromyalgia also report extreme fatigue and a type of fibro fog. This can lead to depression if the underlying problems remain untreated.

    Many types of fatigue require more in-depth intervention. Speaking with your medical specialist may be the best way to determine why you’re feeling fatigue and what you can do about it. However, there are some supplements that can help you stay healthy and happy and fatigue free.

    Iron and magnesium

    While both of these nutrients can be found in healthy, whole foods you may not be getting enough of them. Iron and magnesium also help:

    • Regulate our blood pressure
    • Ensure proper muscle function
    • Boost energy

    Melatonin

    Are you one of those people who can’t sleep when there is any light in your bedroom? This is because of the sleep hormone melatonin that is extremely light sensitive.

    Simply avoiding light before bedtime can help regulate this hormone, but you can also add a melatonin supplement to your daily routine to get your sleep cycle back on track.

    Glycine

    An amino acid that helps you fall asleep sounds like a great magic bullet. As with any supplement it shouldn’t be considered an instant fix, but it can help.

    Glycine also helps with cognitive function so you feel more refreshed and mentally active when you wake in the morning.

    Theanine

    There is another amino acid that works similarly to glycine. Rather than acting as a sedative, this one improves overall sleep quality.

    Theanine can be found in tea so it is pretty easy to ingest it. If you go this route, watch out for teas with high caffeine content. White tea may be a better choice than black tea.

    L-Tyrosine

    Stress absolutely contributes to feelings of fatigue so why not head it off at the pass? This amino acid can actually stop stress from occurring before it starts.

    When facing a stressful situation take this supplement to prevent your body from reacting negatively.

    How to find the best supplements

    All supplements carry risks as well as benefits. Some may have interactions with other medications that could cause long-term problems. Others shouldn’t be taken by individuals with certain medical conditions, such as diabetes. The single most important thing to keep in mind with all of these supplements is to use them only as directed by a professional. Taking these things into your own hands can result in more problems.

    Further, not all supplements are created equal so make sure that they are purchased from a reputable source. If you can, try to add more of these nutrients in your diet by consuming foods that contain them naturally. Your doctor can help you determine where you can make changes in your eating habits.

    Always consult a specialist before adding any of these to your routine to find out how much is appropriate for you. With the right supervision and using these supplements properly, you may find that you have more physical and mental energy to face your daily activities, reduced risk of bone and joint issues, and can beat the challenges of depression.

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  • What is gua sha and could it help me manage my pain?

    The surface of the body, usually on the back and neck. Here’s what you should know about this technique and what others have said about its use in pain management.

    What is gua sha?

    Gua sha (pronounced gwah sah) is a traditional east Asian healing technique – also known as cao gio, coining, scraping, and spooning. It uses friction and scraping on the back to treat numerous conditions. It may help with everything from pain and inflammation to stiffness and soreness.

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    Gua sha is believed to promote a healthier flow of energy. Ancient Chinese medical techniques are experiencing wide-spread popularity in the U.S. today. The wisdom and apparent effectiveness that is found in these Eastern healing arts are appealing as an alternative to an often over-medicated culture. Gua sha and other treatments may help alleviate pain in less invasive ways than other solutions. They may also be reasonable alternatives before considering surgical correction.

    The procedure is done with light strokes from a smooth implement. Objects such as a smooth coin, ceramic soup spoon, and jade have been used in the past but the most common tool today is a rounded metal cap. Prior to rubbing the body with the implement, your therapist will lubricate your skin with oil.

    While a gua sha treatment can feel uncomfortable, many people have experienced much pain relief from it.

    How does gua sha work?

    All of the muscles of the body are encased in fascia, a thin membrane. This membrane may become tight or constricted due to various conditions, not the least of which is injury or chronic pain.

    Gua sha is one way to help restore circulation to the fascia and break up tension and tightness. “Gua” means “to scrape,” and “sha” refers to the red rash that is a result of this scraping. According to Chinese practitioners, this friction breaks up adhesions in the tissues and releases stagnant “winds” or qi, releasing blockages in meridians that can be causing pain or soreness in the body.

    Physiologically, gua sha increase blood circulation within the tissues. For this reason, it can be used for any conditions that may be caused by poor circulation of blood (e.g. Inflammation). The Graston technique or augmented soft tissue mobilization (ASTYM) is a similar technique. It’s used by athletic trainers to release scar tissue and ease fascial constriction. Other therapists, such as massage therapists and chiropractors, may use ASTYM to treat acute or chronic soft tissue pathology.

    Who does gua sha help? 

    It is believed that this procedure allows the unhealthy energy from the affected area to leave the body and stimulates blood flow and healing. Gua sha may help with the following conditions:

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    Gua sha works by increasing the blood flow to different areas of the body. It is believed that this releases the body’s natural pain fighting systems and blocks the pain pathways creating relief. This increased blood flow, known as microcirculation, has been scientifically proven to occur in the areas treated with the gua sha technique.

    Risks

    Neither the literature nor the current national standards sufficiently address safety standards for gua sha. However, it is thought that gua sha should also be avoided in areas with bruising, or superficial skin lesions such as burns and open sores, and in areas overlying bony prominences such as the spine. This treatment is also contraindicated in the genitalia.

    There are a few additional patients who should avoid gua sha, including:

    • Pregnant women
    • Those taking blood thinners
    • Anyone with a bleeding disorder

    Because of the discomfort of the procedure, children should not receive it.

    What can I expect during a gua sha session?

    In the United States, a licensed acupuncturist generally performs this treatment. Before undergoing the gua sha treatment, your acupuncture therapist will discuss your specific pain and symptoms.

    Most gua sha sessions begin with a deep tissue massage or palpations along the back to find adhesions or scar tissues. When an area of the skin is pressed, it will turn pale. After the pressure is released, that area should quickly refill with blood. A slow capillary response where blood does not quickly rush back to the area when pressure is released means that circulation to that area may be compromised. This tells the therapist which areas need more pressure. Massage, palpations, and testing capillary response help the therapist identify potential areas that need more pressure. The practitioner also looks for areas that display blanching or delayed capillary refill.

    The color and duration of the rash helps the gua sha practitioner diagnose and tailor a treatment plan to suit the patient. For example, light-colored sha can indicate a “deficiency of blood,” whereas dark-colored sha suggest the blood has been stagnant for an extended period.

    The therapist will use a circular tool – spoons are common- and either oil or an abrasive substance to sweep down the back. This can increase microcirculation in the tissues of the back. The result is a rash underneath the skin caused by petechiae or ecchymoses (small leakages of blood). The color of the rash (dark or light) helps the gua sha therapist to plan future treatments.

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    Areas that are most-often treated include the:

    This treatment can be extremely uncomfortable (bordering unbearable for some).

    What does the research say?

    Research on gua sha is in its infancy. Scientifically valid studies of its efficacy are small, few, and far between, but there does seem to be a push for a deeper look based on a few solid positive outcomes. That being said, there is increasing evidence that reflex therapies such as massage, gua sha, cupping and acupuncture help to reduce symptoms of pain by affecting the function of nociceptors, or pain-sensing neurons, and the spinal cord. Moreover, these social, comforting therapies may benefit patients experiencing pain by promoting relaxation.

    One study of 48 patients with neck pain in Kliniken Essen-Mitte, Academic Teaching Hospital of the University Duisburg-Essen, Germany found that those in the gua sha group found that their neck pain decreased significantly when compared to the control group (which utilized a heating pad for pain relief).

    Another study wanted to examine the claim that gua sha increased microcirculation. Increasing circulation in the body can help on a number of levels, including in reduction of inflammation and pain. Researchers at the Beth Israel Medical Center’s Continuum Center for Health and Healing found a fourfold increase in microcirculation shortly after gua sha treatment was administered, a result that was significantly more pronounced in female study participants. This same study also found that there was a pain-relieving mechanism to the treatment, but researchers were unable to identify it.

    ASTYM research

    There is also research that supports ASTYM, the therapy that is very similar to gua sha. This research is sponsored by the company that makes ASTYM therapy tools, but the results span the U.S. and include data from 10,000 study participants. The full report includes promising results, such as:

    • Decreased pain and increased range of motion where scar tissue is present
    • Increased fibroblast activation and number (fibroblasts are the most common cells in human connective tissue and help with wound repair and construction of cartilage)
    • Improved tendon repair

    Yet another meta-analysis of studies looking at gua sha found five randomized controlled trials and two controlled clinical trials that presented scientifically valid conclusions. The analysis focused on musculoskeletal pain and identified three possible pain-relieving mechanisms:

    1. Increase in microcirculation
    2. Stimulation of serotonergic, noradrenergic, and opioid systems to relieve pain
    3. Interference with the nociceptors, pain sensors, that then minimizes pain

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  • Here’s how sleep and pain are connected (and 10 ways to improve your sleep!) 

    Sleep is as fundamental as eating. Without the right amount of sleep you can actually increase your risk of a variety of medical conditions, including increased pain. It might be surprising to hear that sleep can be responsible for various levels of chronic pain but it is essential to understand that without sleep your body can’t regenerate and renew the way nature intended. Here’s how sleep and pain are connected, as well as ten ways to improve your sleep.

    Why are we so focused on sleep and pain? 

    We believe in a holistic approach to treating chronic pain. This means it is critical to keep all aspects of a healthy body in mind when treating a condition. Sleep is part of this process and without a proper night’s sleep you may exacerbate existing pain or even experience increased or new pain.

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    For example, in March of 2014 researchers at the University of Warwick in England determined that better sleep could help chronic pain patients stay more active and, in return, lessen their overall pain.

    There is a vicious circle when it comes to sleep and pain. Is the pain causing the insomnia or is the lack of sleep causing the pain? Physical activity is a common recommendation for someone with chronic pain but if the patient is too exhausted to exercise and unable to sleep at night they may unwittingly be causing more pain overall. Of course, it isn’t as easy as telling someone with pain-related insomnia to get more sleep. There needs to be better treatments to help patients get quality rest.

    Lead researcher, Dr. Nicole Tang, says:

    “The current study identified sleep quality, rather than pain and low mood, as a key driver of physical activity the next day. The finding challenges the conventional target of treatment being primarily focused on changing what patients do during the day. Sleep has a naturally recuperative power that is often overlooked in pain management. A greater treatment emphasis on sleep may help patients improve their daytime functioning and hence their quality of life.”

    Sleep and osteoarthritis patients

    Later in the year, a study published in the journal Arthritis Pain & Care explored the way sleep affects chronic pain in osteoarthritis patients. They cited the cycle the medical community previously understood as lack of sleep, increased pain, depression, and disability and noted that it may not play out in a neat circle.

    Their findings demonstrated that sleep was associated with both pain and depression at the beginning of the study but disability was not linked to baseline sleep disturbances. High pain levels that were paired with poor sleep also increased rates of depression. However, after a one-year follow-up sleep disturbances successfully predicted increased depression and disability but did not correlate to increased pain.

    Osteoporosis and sleep 

    In February of this year, another study in the Journal of Bone and Mineral Research demonstrated sleep problems may actually impact bone health which could have wider implications for individuals dealing with bone-related chronic pain issues, such as osteoporosis.

    Our bones are not made of the hard, rock-like substance that we know from museums. They regenerate daily and need healthy sleep to do so properly. The researchers suggest that sleep apnea may contribute to some cases of osteoporosis as it affects sleep duration, quality, and inflammation. This sleep disruption may impact natural bone metabolism.

    Of course, these pain conditions are just the tip of the iceberg and there are more ways that lack of sleep can impact a patient’s quality of life.

    Sleep and fibromyalgia

    The pain condition fibromyalgia is still very much a medical mystery. While many studies have been conducted to determine the underlying cause to help find a cure, the medical community still doesn’t entirely understand what causes fibromyalgia. At this time, most of the treatments are for the symptoms, which can help patients have a better quality of life, but there is a lot of research that still needs to happen to effectively understand this pain condition better.

    However, it is pretty clear that there is a correlation between fibromyalgia pain and quality of sleep. Fibromyalgia affects between 2 to 6% of people all over the world. The condition that was once assumed to be purely psychological has been getting more attention lately as researchers get a better, but still incomplete, understanding of the condition. One of the primary concerns is the sleep and pain cycle. The pain caused by fibromyalgia leads to lack of sleep or poor quality sleep which leads to increased fibromyalgia pain. But researchers have also found that improving quality of sleep, though a variety of methods, also improves the instances of pain.

    For this reason, it is important that the community continue to study the way sleep affects this condition and make recommendations and improvements for fibromyalgia patients. In the meantime we can continue working with individuals to help improve their own sleep patterns one night at a time.

    The cause of insomnia

    Of course, there is also no clear consensus on why some people experience insomnia while others don’t. It is frequently caused by a disruption to the sleep pattern, such as travel, or stressful events. As people age they may also experience more sleep interruptions. The amount of sleep our bodies need doesn’t change at all, but we are far more likely to wake multiple times throughout the night and have a hard time falling back to sleep.

    Sometimes insomnia is brought about by our own psychology. When you lay awake at night trying desperately to fall asleep, you could be talking your brain out of it all together. But there are other, more physical reasons as well. Pain of any level can cause sleep disruptions. Acute pain, however, eventually goes away. Chronic pain can make sleep much more complicated. When you wake multiple times in the night due to pain and discomfort your body isn’t getting the regenerative sleep it needs. This could lead to issues with your overall metabolism and digestion issues as well as possibly causing or exacerbating diabetes and, of course, increased pain.

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    How to improve your sleep to reduce your pain

    Because of the connection between sleep and chronic pain it is important for pain patients to get a better understanding of the effects of sleep and how to improve the quality of it in their lives. The vicious cycle can seem never-ending: pain makes it difficult to sleep, but the lack of sleep makes pain much worse during waking hours.

    Worrying about the lack of sleep increases the likelihood that sleep won’t happen or, when it does, that it will be fitful. How can you stop this cycle? There are a number of ways, from medical to behavioral, that you can change your own sleep patterns to get better quality sleep each and every night.

    1. Make sleep a priority

    You’ve probably heard plenty of advice to make lots of things in your life a priority. Experts say you should carve out time for exercise and make sure you’re eating right. In the workplace the “work life balance” is a big topic to encourage employees to make their personal lives as much of a priority as their professional lives.

    In all of these conversations, no one ever seems to mention sleep. The first thing everyone should do to ensure that their quality of sleep begins to improve is to give it the priority it deserves. Learn not to make excuses to avoid sleep and over time it will become easier.

    2. Establish bedtime routines

    This tip might be cheating because it is actually several tips in one. A bedtime routine has proven successful across the board. People who have good bedtime habits see significant better sleep quality than those who do not.

    No two bedtime routines are the same but some common ones include:

    • Turning off the television at the same time every night
    • Avoiding any blue light from cell phones, computers, or tablets
    • Putting on pajamas
    • Brushing your teeth
    • Crawling into bed and reading in silence for about a half an hour before turning off the light

    If this sounds simplistic, that’s because it is. These techniques are tried and true.

    3. Create a regular sleep schedule

    In conjunction with a good bedtime routine is the need for a regular sleep schedule. While there may be exceptions for special events, these really do need to be the exceptions not the rule when it comes to sleep.

    Instead, start your bedtime routine at approximately the same time every night. Wake up at the same time every morning with the help of an alarm. Do this even on the weekends if you can so you avoid negatively affecting your internal sleep clock.

    4. Nap when necessary

    People do not embrace napping nearly enough in our hectic Monday through Friday schedules. It sounds like a luxury only afforded to a small, elite minority of people or kindergarteners. However, napping has a number of restorative benefits.

    Napping has been shown to help people relieve stress and boost the immune system of individuals who do not get very much sleep at night. If it can do all that for people who get as little as two hours sleep at night, imagine what it can do to improve even a minor sleep debt without infringing on quality of sleep at night.

    5. Improve your mattress

    Of course, it is no secret that your mattress has as much to do with your sleep quality as your night time routines and your body’s physiology. You don’t even have to break the bank to buy a brand new mattress to improve the problem.

    A comfortable mattress topper, such as a pillow-top or memory foam topper, can do almost as much to help you get a better night’s sleep as investing in an entirely new bed. While you’re at it, consider replacing your pillow more often than you do to make sure it is still comfortable. And use the right pillow for your sleep style.

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    6. Make it dark

    There is quite a bit of research that shows that backlit electronic devices are disturbing our sleep cycles. Well, that isn’t the only culprit.

    Many people don’t sleep well at all even if there is a sliver of light in their bedroom. This means obscuring all clocks and other small lights and using black-out shades to block out ambient light from your neighborhood.

    7. Turn down the heat

    Temperature has as much to do with sleep quality as darkness. You’ve probably experienced restless nights where you find yourself in an endless loop of throwing the covers off of you throughout the night because you’re simply too hot.

    A lower temperature in the house actually helps your brain understand that it is time for bed. Plus, you’ll save a little extra in energy costs when you’re not actively heating the rest of your home.

    8. Don’t eat before bed

    Midnight snacks and late dinners are also a big problem when it comes to finding sleep. In fact, that is literally what late night meals do. Because your body is focusing energy on digestion it causes you to have less restful sleep.

    Don’t eat anything after a normal dinner time if you can. If not, make sure to have your last snack before 8 p.m. This applies to alcohol as well. While you might feel sleepy after a glass or two of wine, your sleep will actually be disrupted.

    9. Drink non-caffeinated tea

    If you do want to add comforting refreshment to your bedtime routine there is nothing better than non-caffeinated tea. Whether it is some blend of herbal teal that promotes sleep or the soothing flavors of South African rooibos, tea can be a very relaxing ritual.

    10. Don’t hit snooze

    Finally, there is one more thing that can help you improve your overall sleep quality. When your alarm goes off in the morning, don’t give into the temptation to hit snooze. In fact, that extra nine minutes of sleep does nothing to make you feel more refreshed and awake at all and will leave you tired and sluggish as you struggle through your morning routine.

    Alarm clocks aren’t all that healthy to begin with but they are necessary for many working professionals, so don’t make the experience worse by giving into the snooze button temptation. If you think you might, put your clock on the other side of your bedroom so you have to get out of bed to turn it off.

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  • 16 stretches for lower back pain you can do at work or at home

    When experiencing lower back pain, exercise is often the number one prescription for both treatment and prevention. While some lower back pain exercises focus on stretching and lengthening, others look at strengthening the muscles of the spine and abdomen for better support. Here are our favorite stretches for lower back pain, for both stretching and strengthening key muscles of the back. If you have a small quiet space at work, you can do many of these in just a few minutes. We’ve also included suggestions when you can modify for your chair. As always, talk with your doctor before attempting any of these stretches for lower back pain as some could aggravate your condition. If you’re not sure how to go through these stretches, it may be best to have a session with a physical therapist or highly-qualified personal trainer to show you how to do the motions correctly.

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    10 stretches for lower back pain for strength

    One of the best ways to encourage a healthier, pain-free back long term is by strengthening the muscles that support your core. Here’s where to get started.

    1. Un-crunches

    Many people perform a million crunches to increase strength in their abdomen to support a healthy lower back, but crunches are ineffective for strengthening deep core muscles at best and can increase lower back pain at worst. Try un-crunches instead.

    Lie on your back with knees bent. On an exhale, press your navel to your spine as you reach your arms towards the ceiling, raising only your head and shoulders off the floor. Hold for one or two breaths and lower down. Keep your head in line with your shoulders (don’t strain forward). Repeat until feeling fatigued, at least once a day.

    2. Belly-down leg lifts

    Lie on your stomach with legs stretched out long and arms resting comfortably at your sides, palms facing down. Lengthen your tailbone down towards your heels. Inhale deeply, and on the exhale, tighten the muscles of your left buttock to raise your left leg.

    Hold for two or three breaths, then lower down. Make your movements slow, and repeat until fatigued, once a day.

    3. Starfire pose

    Start on hands and knees, with wrists directly below shoulders and knees directly below hips. On an inhale, extend your right hand in front of you as you lift and extend your left leg out behind you. Keep toes of both feet flexed, tailbone extending down to engage the lower belly. Crown of the head should extend forward with a long neck.

    Stay here, or add some abdominal work. Inhale and extend fully, then on an exhale, bring your right elbow and left knee to touch. As you exhale, press your navel all the way back to your spine. Complete five touches and then repeat on the opposite side.

    Do this series once a day.

    4. Plank pose

    Plank pose is a simple pose that can completely change the front of your body. While it may seem strange to focus on abdominals for a strong back, weak abdominal muscles force the back muscles to do all of the heavy lifting. Stronger abs will help keep the spine aligned and ease the strain on the muscles of the lower back.

    Come to a high push-up position with hands directly below shoulders. Take some time to press down into the knuckles of the hands to minimize strain on the wrists. Legs extend back, about hip’s width distance apart. Press back through the heels (which should be perpendicular to the floor). Keep hips raised so they are in line with the shoulders.

    Bring shoulder blades onto the back and lengthen your tailbone down to engage the lower belly. Hold, starting with as many seconds as you can properly hold this form and gradually adding on time in the pose.

    If wrists become painful, this pose can be performed with forearms on the ground. Practice this pose daily, working up to three minutes of plank every day.

    5. Side plank lifts

    Just as plank pose revolutionizes the front of your body, side planks can help reactivate and strengthen dormant muscles along the sides of the body. These muscles are great stabilizers for balance and strength.

    Start by lying on your left side with your forearm resting on the floor, elbow directly beneath your shoulder. Right leg should be stacked directly on top of the left leg. If balance is tricky to begin with, you can rest your right foot on the floor slightly in front of the left foot. Lengthen your tailbone down towards the feet to engage the lower abs.

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    On an inhale, press into your forearm and engage the muscles of your abdomen to slowly lift your hips off the floor as high as possible. Lower on an exhale. Repeat as many times as you can maintain proper form. Repeat on the opposite side.

    6. Bridge pose

    Bridge pose is a great way to strengthen the entire length of the back while giving the abs and hip flexors a good stretch. Lie on your back with knees bent and feet on the floor. Feet should be hip’s width distance apart with toes facing straight forward and close enough to the body that you can graze your heels with your fingertips. Hands can be resting at your sides.

    Lengthen your tailbone down towards your heels. On an inhale, raise your hips. Try to distribute the effort across the entire lower back, not just in the buttocks. Press the back of your head into the mat or the floor, maintaining a curve in the neck (so it is not flat on the floor). Hold for five breaths, then lower slowly. Repeat as many times as you can maintain proper form.

    7. Bridge pose with leg lifts

    Come into bridge pose as above. On an inhale, lift one leg and raise it to the ceiling. Continue to lengthen your tailbone down to engage the abs and keep the back body firm. Replace that foot on an exhale and raise the other leg.

    8. Sphinx pose

    Lie on your stomach with forearms on the ground, elbows in line with shoulders and hands pointing forward. Lengthen tailbone down towards heels. Lift the left leg slightly and spin the inseam up and toward the sky. Lengthen out through the toes of that foot and place it down. Repeat with the other foot.

    Inhale and feel the crown of your head reaching towards to sky, lengthening out through the crown and extending through the feet evenly. Exhale and let your heart press forward. If you feel any pain in your lower back, engage the tailbone, lengthening down so much that you feel your hips lift slightly.

    9. Sphinx lift

    Come into sphinx as above. On an exhale, press into the tops of the feet and lengthen the tailbone down to raise your hips, thighs, and knees off the ground. Hold for an inhale, then exhale and lower. Repeat as often as you can maintain proper form.

    10. Complete corrective exercises with props

    In this video, personal trainer Lindsey takes a weightlifter through a back-strengthening workout to help him correct training errors and strengthen lower back muscles.

    6 stretches for lower back pain 

    While strength is absolutely necessary to maintain a healthy lower back, lower back pain exercises that include stretching are also a must. Muscles of the lower back need to be lengthened while they are strengthened to build a strong, long, and healthy spine. Here are six stretches for lower back pain.

    1. Child’s pose

    Child’s pose is one of the very first lower back pain exercises to try that gently stretches tight or contracted muscles. Gravity and breath does most of the work in this pose. Come to all fours. Bring your big toes to touch and open your knees a little wider. Sink back onto your heels and let your abdomen rest on or between your thighs. Arms can stretch out on the floor in front of you or come down along your sides. If your forehead does not quite reach the ground, use a book or a yoga block to rest it on.

    If you find that this hurts your knees, you can support your knees with a rolled up blanket or a pillow behind them before sitting back. You can also place a yoga block between your feet to sit on. Breathe deeply and evenly, imagining the breath traveling into your back and releasing tight muscles. Stay here for as long as it feels good.

    2. Figure 4 stretch

    For people who finding standing to be too painful, a figure 4 stretch can be a great way to find relief from pain in the lower back and hip. Lie on your back with knees bent and feet flat on the ground. Feet should be hip’s width distance apart and close enough to the body so that you can graze your heels with your fingertips.

    Pick up your right foot and place your right ankle on your left knee. Thread your right hand between your thighs to clasp behind the hamstring. Inhale here, then on an exhale, press your navel to your spine and lift the bottom foot, bringing the shape to you. Keep both feet flexed to keep the legs active and engaged, and lengthen your tailbone down towards where your feet were on the floor. Breathe into the stretch, holding for five to ten long, steady breaths. Repeat on the other side.

    To get in some stretches for lower back pain at work, you can also do this one while sitting in your office chair.

    3. Knees to chest

    Another lower back pain exercise that you can complete while lying down is one of the simplest. Lie on your back. Inhale deeply, and on an exhale bring both knees into your chest, holding them with your arms. You can stay here if this feels good, or you can give yourself a spinal massage by making circles with your knees or rocking from side to side.

    4. Piriformis stretch

    The piriformis is a muscle that runs deep within the buttocks. If this muscle is injured or contracted, sciatica pain can result. Stretches for lower back pain should include this stretch even if the pain is not in this muscle, as a healthy piriformis makes for a happy and supported back.

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    Lie on the back with both legs extended and arms out in a “T.” Inhale, and on the exhale, move your navel towards your spine and draw your right leg into your chest. Inhale here, then on the exhale extend the leg up to the sky and release it across the body (to the left).

    There are two ways to complete this:

    • Keep both hips on the ground and use a strap looped around the ball of the right foot. Let the leg cross the body only as far as you can keep both hips on the ground. If you have a tight piriformis, this may not be a big movement, but doing this daily will yield big results.
    • Treat this stretch more like a twist and let the hips stack as the right leg reaches towards the ground. Use pillows or yoga blocks to prop the leg up if it doesn’t quite reach the ground.

    Whichever method you choose, breathe deeply into what is opening. Hold for five to ten deep, even breaths, then repeat on the other side.

    5. Runner’s lunge

    A lunge may seem counterintuitive when working on stretches for lower back pain, but a lunge releases the hip flexors at the front of the leg. Some lower back pain is caused by poor posture with the pelvis tucked under. This shortens the hip flexors in the front and does not allow a person to restore their natural, healthy lumbar curve.

    Stand with feet hip’s width distance apart. Take a big step forward with the right leg, bending into the front knee and coming onto the balls of the foot of the left leg. To protect your knees, make sure that the front knee is directly over the front ankle (and not bending in front of it).

    Drop the back knee to the floor, and bring your hands to your front knee. Push evenly out through the front shin and the heel of the back foot. To protect your lower back, lengthen your tailbone down towards the ground as you reach with the front shin and back heel. Inhale, coming out of the lunge a little, then exhale and settle back in. Repeat this action for five to ten breaths, then switch legs.

    6. Legs up the wall

    This is another easy supine lower back pain exercise that stretches and relaxes all of the muscles of the body. Scoot yourself as close as you can to the wall, with one hip touching and knees bent. Lean back onto your forearms to swing your legs up and onto the wall. Your buttocks should be as close to touching the wall as possible, so pull yourself closer if possible and you are flexible in your hamstrings. If it’s not comfortable, feel free to move back and bend your knees.

    Another variation of this pose is supported legs up the wall, a restorative and deeply relaxing variation that feels great after a long day. This also promotes restful sleep and can help you deal with stress. Check out this video from Yoga International to learn how to do this pose correctly.

    Whichever version you choose, breathe deeply and relax here for five to ten minutes.

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  • 12 simple and easy yoga for hip pain poses to find relief 

    If you are suffering from hip pain and want to try exercise for relief, yoga for hip pain may be the answer. Here are 12 simple poses to get you started!

    Can yoga help hip pain?

    The short answer to whether or not yoga can help relieve hip pain is yes, but knowing some hip anatomy can help you better understand why.

    The hip joint is a ball-and-socket type joint that consists of the thighbone (the top of your femur bone, the trochanter, is the “ball” of the joint) nestled into the three bones that combine to make the “socket” portion (the ilium, the ischium, and the pubis).

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    Inside the joint itself, smooth white cartilage covers the head of the femur and lines the acetabulum (the cup that receives the femur). Synovial fluid created in the joint lining cushions and lubricates movement in the joint. This helps bones move without pain or irritation. Outside of the bones, ligaments, tendons, and muscles work together to further stabilize the joint and prevent dislocation.

    Yoga for hip pain helps to strengthen and stabilize your entire hip joint while gently stretching and lengthening tendons and ligaments to increase the hip’s range of motion. It is low impact and easy to adjust for beginners and more experienced practitioners. Yoga also relieves the stress that comes with a pain condition, balancing the body and mind.

    Keep reading for some good poses to help you get started!

    12 yoga for hip pain poses

    These yoga poses for hip pain can be done at any level of fitness, from chair yoga to more complicated and intense stretches. It is important to talk to your doctor before beginning any new fitness program. A qualified yoga teacher can also help you modify poses to your level of experience. As always, if something does not feel right in your body, back out of the pose and try something else.

    Here are 12 of our favorite yoga poses for hip pain.

    1. Legs up the wall

    Legs up the wall is a restorative pose that can release the lower back. Lower back tension often leads to hip pain, and this simple posture is a great way to relax and unwind at the end of the day.

    Sit so that your right hip is touching the wall. Lean back onto your forearms, and as you do so, swing your legs up the wall. Your sitting bones may make contact with the wall, but if that is too intense on your hamstrings, move them away as far as you need to. Allow your arms to relax at your sides and your eyes to close. Stay here for several minutes.

    Variations include:

    • Bending your knees and bringing the soles of the feet to touch, allowing knees to open
    • Opening legs in a straddle up the wall

    2. Chair figure 4

    This posture is great for people who have difficulty getting up and down from the floor (and those who need yoga for hip arthritis).

    Sit on a chair with both of your feet on the floor, directly beneath your knees. Pick up your right foot and place the right ankle on the left knee. Using your breath, place gentle pressure on the right knee to keep moving it towards the floor (but don’t press hard and back out if it hurts your knee).

    Stay here for at least ten breaths, then switch sides.

    3. Reclined figure 4

    If you can get up and down from the floor with ease, reclined figure 4 is a great hip opening practice for you.

    Lie on your back with knees bent and feet on the floor. Place your right ankle on your left knee, allowing your right knee to press away from your face. You can stay here, or, on an inhale, lift your left foot off the floor, moving your left thigh towards you. Interlace your hands around your left thigh and pull the thigh towards you as you press the thigh into your hands.

    This can get intense, so go slowly. Stay here for at least ten breaths, then switch sides.

    4. Baby cradle

    Baby cradle is a good warm up stretch as you increase your hip flexibility. Sitting on the floor, bend your right knee and lift your right leg up so that you can wrap your right arm around your knee and your left arm around your right foot (cradling your lower leg like you would a baby).

    You can move gently from side to side or in circles, exploring motion in the hip joint. Hold for several breaths, then switch sides.

    5. Happy baby

    Lie on your back and draw your knees to your chest. Open your knees wider than your body, and reach between them to grab the outside of your feet (or your ankles or calves). Open your feet to “stand” on the ceiling, flexing the toes toward you.

    Keep your lower back on the earth and your head and shoulders relaxed. With each exhale, allow your knees to soften towards the ground. You can also apply traction by pressing your feet into your hands as your hands pull gently down on your feet. Rocking side to side can help relieve tension in the lower back, too. Stay here for at least ten breaths.

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    6. Seated twist

    A seated twist releases lower back tension that may cause hip pain.

    Start with both legs extended out in front of you. Sit tall with a long spine. Bend your right knee and stack it on top of your left knee. You can keep your left leg extended forward with the toes flexed, but if your hips are feeling open and you can keep both sitting bones on the ground, bend the left knee and bring the left foot towards your right hip. Hug your body towards your right knee with both arms.

    Inhale and lift your right arm up and overhead, placing the palm on the ground behind you. You can keep hugging your right knee with your left arm if this twist is enough, or you can hook your left elbow on the outside of your right knee for a deeper twist. As you inhale, lengthen your spine until you feel the crown of your head lifting towards the sky.

    As you exhale, pull your navel to your spine to deepen the twist. Stay here for five to ten breaths, then unwind on an inhale and shake out your legs before moving to the other side.

    7. Twisted root

    Lie on your back with knees folded into your chest. Open arms into the shape of a “T.” Cross your right leg over your left, twining them around each other (like a twisted root). Inhale deeply, and on an exhale, drop your legs over to the right. You can look left if your neck feels good.

    With each breath, relax your left shoulder closer to the earth, and allow your legs to get heavy. Stay here for at least ten deep, even breaths, then switch sides.

    8. Easy pose with a forward fold

    Sit on the floor with legs crossed. If your knees are very high off the ground, you can support them with yoga blocks. Inhale and lengthen the spine, then exhale and fold forward, arms outstretched in front of you.

    Stay here for at least ten breaths, then inhale to rise up, switch the cross of your legs, and fold forward again.

    9. Bound angle

    Sit on the floor. Bring the soles of your feet to touch and allow your knees to open to the sides. Hands can be wrapped around the feet or ankles. If your knees are very high off the ground, you can sit on a blanket or a bolster and place yoga blocks under your knees to support them.

    Lengthen your spine, and on an inhale begin to hinge at the hips to fold forward. Do not round the spine, especially if you have lower back pain. This fold may be very slight, but that’s okay. Tuck your chin to your chest, close your eyes, and take ten deep, even breaths.

    10. Firelog

    From a seated position, bend your right leg and bring your shin parallel to the top of your yoga mat. Bend your left knee and place the left shin on top of the right so that knee stacks on ankle and ankle stacks on knee (like logs for a fire). If there is a gap between your left knee and your right ankle, use a yoga block or a blanket for support.

    This can be quite intense, just like this, but if you would like a deeper stretch, inhale deeply and begin to fold forward. Hold either variation (upright or folded) for at least 90 seconds (but up to five minutes) before switching to the other side.

    11. Pigeon pose

    Start on all fours. Bring your right knee to the outside of your right wrist and extend your left leg long behind you. Try to keep your hips level. Adjust the intensity of the stretch by moving your right foot closer to your left hip (less intense) or more towards parallel with the top of your wat (more intense). You can also place a yoga block or a blanket underneath your right hip if it need support.

    Stay lifted for a few breaths, then, on an exhale, slowly begin to fold forward over your right leg. You can come to forearms on the mat, onto blocks, or all the way to your forehead. Take your time and go slowly, following your deep, even breath. Stay here for at least 90 seconds (and up to five minutes).

    Press into your hands to lift your torso slowly, then take any stretches or movements you need before moving to the other side.

    12. Wall figure 4

    Wall figure 4 can be extremely intense, even more so than pigeon. This is a directed opening of the hip that some practitioners find too intense.

    To come into the pose, sit with your back against a wall and bend your knees, placing both feet on the ground. Pick your right foot up and place your right ankle on your left knee. Move your left foot out as far as you need to get your ankle placed, then gradually move your left foot toward your sitting bones.

    You will feel an intense stretch of the muscles of the hip, including the piriformis. Hold for at least five breaths but up to five minutes, then release and move to the other side.

    Yoga for hip pain programs

    For those of us who prefer some guidance as you start yoga hip stretches, here are some video practices to try.

    Chair yoga for hips (less active)

    This gentle, short, hip opening practice is great for people with limited mobility who want to ease into yoga for hip pain.

    Chair yoga for hips (more active)

    This hour-long practice is more energetic but still offers excellent support for the hips, lower back, and hamstrings. Poses to build upper body strength are included, but the focus really is on hip opening, stretching, and strengthening.

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    Yoga for hips and lower back release

    A full (but short) practice that works the whole body with breath and stretching through the lower back and hips. Good pace for beginners.

    Hip emergency for tight hips

    Good for advancing beginners, this 20-minute class explores hip opening in pigeon but also in more active poses, such as three-legged dog.

    Three stretches for tight hips and mobility

    Another short video for intermediate practitioners that explores pigeon, shoelace, and a variation on half lotus.

    Yoga poses to avoid with hip pain

    While yoga is a wonderful, non-invasive way to gently relieve hip pain, there are a few things to look out for. People with hypermobility in their joints may need to increase stability or risk further injury. Hypermobility in the joints means that the tendons and ligaments are exceptionally flexible. Without building strength and stability, this flexibility can result in dislocations or other injury.

    Additionally, people with hip pain from arthritis may experience painful inflammation if they place all of their body weight on the joint and hold it there for an extended period of time (as in pigeon, for example). Using props to support the body’s weight can help, as can moving in and out of the posture, slowly and following the breath, to gently increase your range of motion and strength.

    The best way to avoid injury and protect yourself as you do yoga for hip pain is to listen to your body. If you feel a sharp, stabbing pain in any pose, back out of it and either use props to make it more approachable or try another less intense pose or variation.

    Another indication that a pose is too deep is your breath. If your breath becomes short and shallow, and you feel like you cannot draw a deep, slow breath, the pose is too intense at this point in your practice.

    Ultimately, you should feel good in your practice, even as you stretch and work your hips. This doesn’t mean there won’t be effort and some “therapeutic irritation,” but you should be able to breath and work gently through the minor discomfort that arises. If not, take a break, talk to your doctor, or head to a nearby yoga class for in-person guidance.

    Other minimally-invasive hip pain treatments

    If yoga for hip pain doesn’t fully relieve your hip pain, there are other minimally-invasive treatments that can help. These include:

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