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Back pain is sometimes treated with a therapeutic remedy called Epidural Steroid Injection. This is commonly referred to as a nerve block. Steroid injections may also be used to decrease the inflammation and irritation to that nerve.Anesthetic is injected directly into the area of the affected nerve in the back. This interrupts the transmission of the pain signal to the brain. If the pain signal does not get to the brain, then pain is not actually felt or perceived by the patient.Steroid injections may also be used instead of anesthetic to decrease the inflammation and irritation to that nerves that may be causing the back pain. Fluoroscopy (the use of a live x-ray during operations) is usually used to help the specialist guide the needle into the exact location. The frequency of the therapeutic nerve blocks depends primarily on how effective they are in reducing pain for the individual patient.Epidural steroid injections are used as a first line treatment in acute disc herniations in an effort to avoid surgery.( Velatol)

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Velatol => Back pain during pregnancy is fairly common however low back pain of long duration (several weeks or months) during pregnancy is a predictor for post partum back pain (pain after birth). For this reason, pregnant women are encouraged to seek appropriate treatment for back pain during pregnancy.Likewise, any post partum pain that lasts longer than six to eight weeks should be treated in order to avoid chronic or recurring back problemsTo help make your pregnancy as pleasant as possible and facilitate an easier delivery, back pain should be always be addressed as quickly as possible and managed throughout the pregnancy.

Data extraction and assessment of quality and validity A data extraction process was performed on the articles that met inclusion criteria. The following items were collected: publication details, duration of study, patient population, sample size, dosage of x-3 PUFA supplements, total dosage of x-3 PUFA supplements, type of placebo, and type of NSAID administered. Methodological quality was measured independently by two reviewers (RJG and JK) using the Jadad quality index scale (Jadad et al., 1996). The scale uses a six point (0?5) rating system (in which lower quality articles receive lower scores) to assess the likelihood of bias in pain research reports based on descriptions of randomization, blinding, and withdrawals. Validity was scored independently by the same two reviewers using the 0?16 point Oxford Pain Validity Scale (Smith et al., 2000). Articles with lower validity receive lower scores on the Oxford Pain Validity Scale. The two reviewers were blinded to the authors, institutions, addresses, acknowledgements, and publication details when rating the quality and validity of each article. The quality and validity scores for articles included and excluded from analysis were compared using an independent samples t-test.

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The first 2 years of chiropractic and medical school study are very similar. In fact, many chiropractic colleges rotate interns through hospital rounds with medical students. The main differences occur in the third or fourth years of study when medical schools emphasize drugs and surgery while chiropractic study emphasizes biomechanics, radiology, adjustments, and natural medicine.

Choose a mattress firm enough to prevent ?hammocking? which reverses the natural curves. At the same time, your mattress should not have an overly-firm, but soft surface (e.g., pillow-top, Visco-Elastic ) to cushion the body and reduce tossing due to restricted circulation. Do not use feather, particle foam or too many pillows that poorly positions the neck. Select a pillow that maintains its supportive shape, to keep the neck in its neutral position. Avoid sleeping on your stomach if you wake with neck stiffness or pain. Stomach sleeping turns your head to one side stressing the neck. If you can, change to sleeping on your back, or sleeping on your side. If you cannot, you can have the sensation of stomach sleeping and effectively decrease neck rotation by placing a body pillow under one side of your body.

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Esophagus: The tube that connects the pharynx (throat) with the stomach. The esophagus lies between the trachea (windpipe) and the spine. It passes down the neck, pierces the diaphragm just to the left of the midline, and joins the cardiac (upper) end of the stomach. In an adult, the esophagus is about 25 centimeters (10 inches) long. When a person swallows, the muscular walls of the esophagus contract to push food down into the stomach. Glands in the lining of the esophagus produce mucus, which keeps the passageway moist and facilitates swallowing. Also known as the gullet or swallowing tube. From the Greek oisophagos, from oisein meaning to bear or carry + phagein, to eat.

In order to maximize the therapeutic effects and improve the quality and validity of future trials, it is recommended that all studies report concomitant analgesics and doses since without these data it is difficult to assess the true magnitude of effect of x-3 PUFA supplementation. In addition, we recommend use of high-dose x-3 PUFAs (at least 2.7 g/day of EPA and DHA) for a minimum duration of 3 months using a non-olive oil placebo control condition. Are EPA/DHA supplements useful for other types of chronic inflammatory pain?Many patients with osteoarthritis or chronic back pain might benefit from alternatives to NSAIDs, yet there are no controlled clinical trials at present. Inflammation was found to be more prominent in the early stages of osteoarthritis compared to the latter stages (Benito et al., 2005), suggesting the early stages might be more susceptible to EPA/DHA. Consistent with the prostaglandin dependent mechanism underlying dysmenorrhea, pain associated with the menstrual cycle was reduced by fish oil combined with vitamin B12 (Deutch et al., 2000) and by Neptune krill oil, which is enriched in x-3 PUFAs (Sampalis et al., 2003).

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Nerve Formula "Velatol" => To help ease your pain, your chiropractor may also suggest an exercise program, nutrition guidelines, and lifestyle changes . Additionally, your chiropractor may refer you to a spine surgeon if he or she finds that your neck pain is outside the realm of conservative care. Chiropractors are conservative care doctors, meaning that they don't use drugs or surgery. So if you're diagnosed with a neck fracture, you will probably be referred to another doctor.

Abstract There is a general belief among doctors, in part grounded in experience, that patients with arthritis need nonsteroidal antiinflammatory drugs (NSAIDs).( Velatol Pils)

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There are three types of abdominal exercises that support the spine:

Subgroup analyses 3.2.2.1. High-dose versus low-dose supplementation. Subgroup analyses were conducted based on the dose of x-3 PUFAs as well as type of placebo (olive oil or non-olive oil). Studies that provided high-dose x-3 PUFAs (i.e., >2.7 g/day of EPA and DHA) showed greater improvements in morning stiffness (SMD: 0.50; 95% CI: 0.81 to 0.19, p = 0.001), and number of painful and/or tender joints (SMD: 0.46; 95% CI: 0.76 to 0.17, p = 0.002) compared to low-dose x-3 PUFAs (SMD: 0.30; 95% CI: 1.07 to 0.48, p = 0.46 for morning stiffness, SMD: 0.12; 95% CI: 0.40 to 0.16, p = 0.38 for number of painful and/or tender joints). Although patient assessed pain was significant for high-dose, but not low-dose x-3 PUFAs, the effect sizes were comparable (SMD: 0.22; 95% CI: 0.44 to 0.00, p = 0.05 for high-dose, and SMD: 0.32; 95% CI: 1.04 to 0.39, p = 0.37 for low-dose) raising the possibility of insufficient power for the low-dose effect size. 3.2.2.2. Olive oil versus non-olive oil placebo. Studies employing a non-olive oil placebo showed greater improvements for patient assessed pain (SMD: 0.43; 95% CI: 0.74 to 0.12, p = 0.007) and morning stiffness (SMD: 0.54; 95% CI:  0.87 to 0.21, p = 0.001) relative to studies employing an olive oil placebo (SMD: 0.07; 95% CI: 0.39 to 0.24, p = 0.65 for patient assessed pain, and SMD: 0.12; 95% CI:  0.63 to 0.40, p = 0.66 for morning stiffness). There was little difference in painful and/or tender joint count between olive oil-controlled studies (SMD: 0.39; 95% CI: 0.76 to  0.02, p = 0.04) and non-olive oil-controlled studies (SMD: 0.25; 95% CI: 0.52 to 0.03, p = 0.08), as both showed favourable results. One study was excluded from this analysis since the type of placebo administered

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Thyroid gland: A gland that makes and stores hormones that help regulate the heart rate, blood pressure, body temperature, and the rate at which food is converted into energy. Thyroid hormones are essential for the function of every cell in the body. They help regulate growth and the rate of chemical reactions ( metabolism ) in the body. Thyroid hormones also help children grow and develop.

Sciatica is a characteristic pain in the distribution of the sciatic nerve in the leg caused by compression or irritation of the nerve. The pain may resemble an electric shock and be associated with numbness and tingling in the skin area served by the nerve.

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Velatol Nerve Solution => The thinning of bone tissue and loss of bone density over time. Throughout youth, the body uses calcium and phosphate to produce bones. If calcium intake is not sufficient, or if the body does not absorb enough calcium from the diet, bone production and bone tissues may suffer. As people age, calcium and phosphate may be reabsorbed back into the body from the bones, which makes the bone tissue weaker. Both situations can result in brittle, fragile bones that are subject to fractures, even in the absence of trauma.

A way to study the activity of your back muscles and spinal nerves. Electrodes are placed on your skin and you are given small electrical shocks. With these shocks, the speed with which your nerves conduct the signal is measured.

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A health care provider who specializes in diseases affected by the muscles, bones, and soft-tissues like cartilage, tendons, and ligaments. Doctors of osteopathy (D.O.s) receive the same basic training as medical doctors (M.D.s). D.O.s also practice hands-on adjustments of muscles, bones, and ligaments, using these in addition to more conventional medical treatments. Most D.O.s are primary care practitioners, specializing in family medicine, internal medicine, obstetrics/gynecology, or pediatrics. A few can be found in other medical specialties as well. D.O.s have full practice rights in all 50 states.

During the adjustment, the low back has undergone quick and gentle stretching of the spinal joint. The patient may hear a cracking or popping noise as the joint is opened. Research has proved that small pockets of air or bubbles are found in the tissue fluid surrounding a joint capsule. When the joint tissues are stretched during a chiropractic adjustment, the pockets of air 'pop' creating a cracking sound.( Velatol Nerve Relief)

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A muscle strain occurs when a muscle or the tendon that attaches it to the bone is overextended. This also causes the muscle to tear or rip. Muscle strains are also sometimes called pulled muscles.Muscle strains usually occur during activities that require the muscle to tighten suddenly or forcefully. This is caused by not warming up before a strenuous activity, a weakness in the muscle or by using a previously injured muscle that has not had the time to heal properly. That is why many muscle strains occur during exercise, sports activities or lifting heavy objects.Symptoms of muscle strain are pain, a burning sensation and a swollen or bruised appearance to the injured area. A strained muscle might spasm, which means it contracts suddenly and involuntarily, causing severe pain.Muscle strains are treated with rest, ice, compression, and elevation. Ice packs are recommended at regular intervals. Ice causes the blood vessels to constrict, which reduces inflammation and pain. Anti-inflammatory medications might also be used to relieve pain. You should avoid the type of activity that caused the injury until the muscle is completely healed.

Arthritis is a common cause of back pain. Arthritis occurs when the cartilage in the joints is worn down as a result of wear and tear, aging, injury or misuse. Osteoarthritis, the most common form of arthritis, is caused loss of cartilage, overgrowth of bone and the formation of bone spurs. This causes the bones under the cartilage to rub together, causing pain, swelling and loss of motion of the joint.Osteoarthritis can occur in any joint but most often occurs in the hips, knees, hands or the spine. In the spine, osteoarthritis can cause stiffness and pain in the neck or in the lower back. Cervical arthritis (also called cervical spondylosis) affects the upper spine and neck. Lumbar or lumbosacral arthritis affects the lower back and pelvic area.

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Velatol Caps for Back => Statistical analysis Meta-analysis was conducted with Cochrane Review Manager 4.2.8. (http://www.cc-ims.net/RevMan) for the six outcome measures using standardized mean differences (SMDs) as a measure of effect size. In order to include as many trials in the meta-analysis as possible, even when not all information was reported, means and standard deviations were estimated based on the median, range, and sample size (Hozo et al., 2005). Estimation was performed for three studies (Cleland et al., 1988; Tulleken et al., 1990; Nielsen et al., 1992). Only the most conservative estimate of effect size was used when an outcome measure was reported at more than one time interval within a specified period (e.g., 9 and 12 months), or when two different measures of the same outcome measure were reported (e.g., patient assessed pain on a 10 cm VAS and a categorical scale). We calculated SMD instead of weighted mean differences (WMDs) since several pain outcomes (e.g., patient assessed pain) were assessed on different scales across the studies. Statistical heterogeneity was tested by Q test (v2) and reported with the I2 statistic. Higher values of I2 indicate higher heterogeneity. All meta-analyses were carried out with the random effects model. A primary analysis was conducted for studies administering x-3 PUFA supplementation for 3?4 months. Separate analyses were also conducted for studies administering supplementation for less than two months, and longer than 5 months. These three time intervals were based on previous reports suggesting that the therapeutic effects of x-3 PUFAs are usually manifest after approximately 3 months (Stamp et al., 2005). We hypothesized that patients taking x-3 PUFA supplementation for 2 months or less would not benefit significantly.

When the jelly-like substance (nucleus pulposus) within a vertebral disk bulges outward. This is usually because the disk has become very thin and weak. There are different degrees of herniation. Many people have slight bulging that causes no pain. Others have an extensive bulge (called an extrusion), which may cause pain.

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The objective of the present review is to conduct a meta-analysis examining the pain relieving effects of EPA/DHA in patients with RA or joint pain secondary to inflammatory bowel disease or dysmenorrhea.

Pain that runs along your leg and often accompanies low back pain. The sciatic nerve is a large nerve that branches off the spinal cord and travels down the hip all the way to your foot. If the sciatic nerve gets trapped or inflamed anywhere along this route, you may feel pain.

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People who suffer from lower back pain are often encouraged to facilitate their own recovery through the use of frequent exercise and physical therapy. One of the keys to recovering from back pain or back surgery is to undergo proper rehabilitation. This includes the stretching, strengthening and lengthening the back muscles as well as aerobic conditioning.Exercise is a way to stimulate the healing process. If a back pain problem is persistent, the body is sending a message that it needs activity. Active exercise is a natural stimulus for the healing process. Dedication to an appropriate, comprehensive exercise and rehabilitation program has cured many individuals of their chronic back pain. Continued chronic back pain after starting an exercise program may signify a serious medical condition.

Number of painful and/or tender joints was reported in 11 studies at 3?4 months, 10 of which provided sufficient data for meta-analysis. Of these 10 studies, one found a significant improvement relative to placebo, two found a significant improvement in the x-3 PUFA group relative to baseline (one of which also noted a significant, but less pronounced, improvement in the placebo group), five noted an improvement in patients receiving x-3 PUFAs that did not reach significance, and two did not find any between group differences. Overall, patients receiving x-3 PUFAs fared better than placebo for number of painful and/or tender joints (SMD: 0.29; 95% CI: 0.48 to  0.10, p = 0.003). One study reporting insufficient data for meta-analysis (Volker et al., 2000) found a significant improvement relative to placebo. NSAID consumption was reported in six studies at 3? 4 months, three of which provided sufficient data for meta-analysis. Of these three studies, two found a significant decrease in NSAID use relative to placebo and one did not find any between group differences. Overall, patients receiving x-3 PUFAs fared better than placebo for NSAID consumption (SMD: 0.40; 95% CI: 0.72 to  0.08, p = 0.01). Among the three studies reporting insufficient data for meta-analysis (Belch et al., 1988; Kremer et al., 1990; Hansen et al., 1996), two found a significant improvement relative to placebo, and one did not find any between group differences. Of the six studies reporting outcomes at 5 months or longer (Fig. 4), significant improvements were detected for two of the six pain outcomes: physician assessed pain (SMD: 0.50; 95% CI:  0.98 to 0.01, p = 0.05) and number of painful and/or tender joints (SMD: 0.51; 95% CI: 1.00 to 0.02, p = 0.04). It is important to note that effect sizes among studies of x-3 PUFA supplementation for 5 months or longer were generally larger than effect sizes at 3?4 months. However, due to the limited number of studies available and corresponding lack of statistical power, only two outcome measures( Nerve Formula "Velatol")

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Velatol Nerve Formula => During the adjustment, the low back has undergone quick and gentle stretching of the spinal joint. The patient may hear a cracking or popping noise as the joint is opened. Research has proved that small pockets of air or bubbles are found in the tissue fluid surrounding a joint capsule. When the joint tissues are stretched during a chiropractic adjustment, the pockets of air 'pop' creating a cracking sound.

Osteoporosis is a disorder where the bones become weakened by loss of mass. This leads to an increased risk of broken bones (fractures) as the result of even a gentle impact of the bone. The thinning of the bones does not, in itself, cause much in the way of symptoms. It does, however, lead to a risk of broken bones.When the bones are significantly thinned (low in bone mass) people are more likely to break their wrist, hip, or other bones. Even a cough or a sneeze can cause a fracture of a rib or the partial collapse of one of the bones of the spine (vertebra). Any bone is more at risk of fracturing with osteoporosis.Some loss of bone mass is a natural part of the aging process. Most people lose one third of their bone mass by the age of seventy. Gradual crumbling of the bones in the spine can also occur over time and cause chronic back pain or pain in the nerves running down the arms or legs.Osteoporosis is not usually diagnosed until a person suffers a mysterious fracture. Otherwise it is typically diagnosed using bone x-rays bone scan or bone density tests. In some cases, a bone biopsy may be done to confirm the diagnosis.

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A health care provider who diagnoses illnesses of the nerves, muscles, bones, and joints of the body. Spinal manipulation is the most common technique used by chiropractors. Chiropractors are licensed in all 50 states. A chiropractic degree requires approximately the same number of educational hours as a medical degree.

Tissue in the vertebral disk that helps cushion and protect the vertebrae and which allows your spinal column to move more freely. (Cartilage is also the soft, rubbery tissue that makes up your nose and ears.) See also Disk.

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Physical Therapy - The health profession that treats pain in muscles, nerves, joints, and bones with exercise, electrical stimulation, hydrotherapy, and the use of massage, heat, cold, and electrical devices.

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