Holiday Self Care

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15 Dec

Holiday Self Care

Don’t Take a Vacation from Holiday Self Care!
The holiday season can be a stressful time for anyone, whether it’s the positive stress of gathering with loved ones or a more negative experience due to personal hardships. Of course, most of us have a mixed experience of both positive and negative stressors during the holidays.
When you are suffering from the discomfort or pain, holiday stress can take an even bigger toll—not just emotional but physical. You’re likely to be feeling more fatigue or a chronic pain flare-up during this time.
It may seem that self care is just another stressor during the holidays. Sticking to your at-home treatment protocol of a healthy diet, nutritional supplements, light exercise, and mindfulness practice may seem like an imposition or even just another thing on your rapidly growing to-do list!
But the truth is, the most positive step you can take to reduce neuropathy symptoms during the holidays is to prioritize your neuropathy self care above all else.
If you’ve already fallen off the wagon in terms of your neuropathy self care plan, then it’s important to realize that you don’t have to wait for a New Year’s resolution to get back on. You can start right now.
And if that feels too overwhelming, then remember that you can add in healthy habits just one at a time. Every small improvement will have a cumulative effect on your well-being and help reduce neuropathy symptoms.
Here are a few key elements of your at-home care to reduce pain, discomfort and often neuropathy symptoms and holiday stress:
A diet focused on plants & vegetables, with fewer simple carbs, sugars and unhealthy fats
Good hydration with plenty of water
Exercise as prescribed by your medical team, possibly including stretching, yoga, or other low-impact activities
Relaxation exercises or meditation
Above all, try to maintain focus on the joys and pleasures of the holiday season and let go of any preconceptions about how things should go.

Article Provided By: neuropathydr
Carolina Pain Scrambler Logo, Chronic Pain, Greenville, SC If you would like to discuss what Carolina Pain Scrambler do to help relieve your chronic pain symptoms or receive more information on our treatment process, please do not hesitate to call us at 864-520-5011 or you can email us at info@carolinapainscrambler.com

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9 Dec

Chronic Pain During the Holidays

Chronic Pain During the Holidays
No matter what holiday you celebrate, this time of year can be a lot. There are elaborate dinners to prepare, parties to host and attend, presents to find, decorations to hang, families to visit, traditions to respect, and very little time for self-care. But your body doesn’t know that, and chronic pain is, if anything, exacerbated by stress and busy schedules.
Here are some tips to help you survive the holidays, pain or no pain:
1. BE REALISTIC
Tempering the holiday madness may not sound like much fun, but if you start off with unrealistic expectations, then no matter how hard you try, you’ll never quite manage. If your physical ability is less than it was last year, adjust your schedule and chores accordingly. Don’t take on more than you know you can manage – that’s just setting yourself up for failure. Consider what’s practical, and use that as your starting point for all your holiday plans.
2. SHARE THE LOAD
A lot of people try to do it all themselves, but the holidays are meant to be a family affair! So don’t be afraid to share the workload. For parties, consider going potluck. For the main event, share cooking responsibilities by assigning someone to each dish. This ensures that even if you have a bad day, there will still be a good meal for everyone. Ask others to help you decorate, ask the kids to pitch in, or pay the neighbor’s kid to shovel your porch. You do not have to do everything yourself.
3. SHOP ONLINE
Online shopping is a godsend, especially for those who struggle to fight their way around malls at this busy time of year. And it’s not just for gifts. You can order groceries, alcohol, decorations, and even cards online. This helps streamline your chores and minimizes energy spent.
4. PLAN FOR DOWNTIME
When everything feels like a rush, it can be hard to shoehorn in time for yourself. So don’t rely on doing this in the moment – plan for it. Deliberately set aside some time each day to rest and recuperate. Avoid scheduling multiple energy-intensive activities on back-to-back days, and arrange to have a day off after big events. You have to be proactive here, as otherwise your time will fill up without you even realizing!
5. KEEP TO NORMAL ROUTINES
Keeping a routine is tough during the holidays, as many of the touchstones are gone. You may be off work, the kids are home, there could be family staying with you – everything is all over the place! But sticking to your usual, tried-and-tested routines will never matter more. Keep your medication schedule, your sleep schedule, and your exercise routine. This helps you feel as well as you can, each and every day, no matter what else is going on.
6. BE ORGANIZED
No matter how much you scale back, there is still a laundry list of things to do over the holidays. You can get a lot done, even with chronic pain, if you remain organized. Make a list of all of your tasks, and prioritize them. Know in advance what you can let slide and what has to be done. Set a schedule and stick to it. It’s incredibly tempting to get caught up in holiday cheer and ignore warning signals, so set a hard “out” time for events in advance. This ensures you take care of your body, no matter what your heart may be telling you!
“YOU ARE IN CONTROL OF WHAT YOU CHOOSE TO CARE ABOUT AND WHERE YOU SPEND YOUR ENERGY; DON’T LET OTHER PEOPLE’S ABILITIES, SUCCESSES, OR EFFORTS IMPACT HOW YOU FEEL ABOUT WHAT YOU CAN DO.”7. DRIVE TWO CARS TO EVENTS
Guilt for dampening loved ones’ merriment can be a big issue, so plan ahead to avoid it. Driving two cars to an event means that you can leave when you need to, without hindering anyone else’s fun. It gives you and your loved ones maximum flexibility. Difficulty driving? Plan in advance to take a taxi or Uber home early.
8. COMMUNICATE
You are not the only person who will be stressed over the holidays. It’s pretty much guaranteed that everyone else is feeling rushed and a little overwhelmed. This may mean that usually sensitive or helpful friends and family suddenly seem less caring, or too busy for what you need. It’s important to understand that this isn’t about you. Remember to cut them some slack for any thoughtlessness, and be clear when stating what you need and what you can and can’t do.
9. ENJOY YOURSELF
With all this talk about “coping” and “managing” and “chores,” it can be easy to forget the holidays are supposed to be a time of fun. So don’t forget to have some! Make time for yourself and what you enjoy, even if it means saying no to someone else. You don’t have unlimited energy or strength, and you can’t do everything. Be kind to yourself, and choose one or two special activities that are just for you.
10. REMEMBER: IT’S NOT A COMPETITION
This time of year can sometimes feel like a never-ending exercise in living up to (or failing) other people’s expectations. But it doesn’t have to be. It doesn’t matter how amazing your neighbor’s decorations are, or the face your mother-in-law makes when she sees your store-bought holiday spread. You are in control of what you choose to care about and where you spend your energy; don’t let other people’s abilities, successes, or efforts impact how you feel about what you can do. Being in chronic pain is hard enough without all of the judgement, so let it go. It doesn’t matter what anyone else has done.
Shared from the US Pain Foundation.

Article Provided By: chicagoneuropain
Carolina Pain Scrambler Logo, Chronic Pain, Greenville, SC If you would like to discuss what Carolina Pain Scrambler do to help relieve your chronic pain symptoms or receive more information on our treatment process, please do not hesitate to call us at 864-520-5011 or you can email us at info@carolinapainscrambler.com

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4 Dec

Top Twenty Symptoms of Peripheral Neuropathy

Top Twenty Symptoms of Peripheral Neuropathy
By LtCol Eugene B Richardson, USA (Retired) BA, MDiv, EdM, MS14 Comments

Each person’s experience varies depending on their type of Neuropathy, but in general following are the most common Symptoms of Peripheral Neuropathy:
1) Severe strange pains in your feet, legs, hands and other parts of the body; including “crawling insects” under your skin;
2) Balance is difficult when walking, getting dressed, getting out of bed or whenever you close your eyes;
3) Numbness / heavy / cardboard / heavy cement feeling/ Novocain feeling in your feet and legs;
4) Tingling or “vibration” like feelings in your feet and hands;
5) Electric shocks starting at the bottom of your feet/foot that shoot up your leg(s) and on almost any part of the body;
6) Bone pain especially in the feet on walking or standing;
7) Painful muscle spasms/cramps;
8) Skin may become painful to touch or loss of the feeling of touch; with Agent Orange skin rash;
9) Burning sensations in your feet and hands;
10) Loss, or lessening, of sensation for hot and cold;
11) Feeling like you are wearing socks when you are not;
12) The feeling you are walking on crumpled socks or stones;
13) Feet feel swollen or large;
14) Difficulty moving your hands or feet;
15) A feeling of clumsiness, tripping (foot drop) or dropping things;
16) Attacks of daily severe exhaustion with strange fatigue;
In more severe case of Peripheral Neuropathy you may also experience the following:
17) Problems with not sweating in lower body with excessive sweating in upper body;
18) Digestive (fullness; alternating diarrhea / constipation) and/or urinary problems (overflow incontinence);
19) Sexual problems (loss of sensation/feeling/moisture);
20) A tightening of your chest with an increased difficulty in breathing and/or swallowing; uncorrectable vision problems.

Article Provided By: neuropathyjournal
Carolina Pain Scrambler Logo, Chronic Pain, Greenville, SC If you would like to discuss what Carolina Pain Scrambler do to help relieve your chronic pain symptoms or receive more information on our treatment process, please do not hesitate to call us at 864-520-5011 or you can email us at info@carolinapainscrambler.com

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30 Nov

What You Should Know About Neuropathic Pain

Neuropathic pain is a pain condition that’s usually chronic. It’s usually caused by chronic, progressive nerve disease, and it can also occur as the result of injury or infection.
If you have chronic neuropathic pain, it can flare up at any time without an obvious pain-inducing event or factor. Acute neuropathic pain, while uncommon, can occur as well.
Typically, non-neuropathic pain (nociceptive pain) is due to an injury or illness. For example, if you drop a heavy book on your foot, your nervous system sends signals of pain immediately after the book hits.
With neuropathic pain, the pain isn’t typically triggered by an event or injury. Instead, the body just sends pain signals to your brain unprompted.
People with this pain condition may experience shooting, burning pain. The pain may be constant, or may occur intermittently. A feeling of numbness or a loss of sensation is common, too.
Neuropathic pain tends to get worse over time.
About 1 in 3 Americans experience chronic pain. Of those, 1 in 5 experience neuropathic pain.
A 2014 study estimated that as many as 10 percent of Americans experience some form of neuropathic pain.
Understanding the possible causes can help you find better treatments and ways to prevent the pain from getting worse over time.
What causes neuropathic pain?
The most common causes for neuropathic pain can be divided into four main categories: disease, injury, infection, and loss of limb.
Disease
Neuropathic pain can be a symptom or complication of several diseases and conditions. These include multiple sclerosis, multiple myeloma, and other types of cancer.
Not everyone with these conditions will experience neuropathic pain, but it can be an issue for some.
Diabetes is responsible for 30 percent of neuropathic cases, according to the Cleveland Clinic. Chronic diabetes can impact how your nerves work.
People with diabetes commonly experience loss of feeling and numbness, following by pain, burning, and stinging, in their limbs and digits.
Long-term excessive alcohol intake can cause many complications, including chronic neuropathic pain. Damage to nerves from chronic alcohol use can have long-lasting and painful effects.
Trigeminal neuralgia is a painful condition with severe neuropathic pain of one side of the face. It’s one of the more common types of neuropathic pain and it can occur without a known reason.
Lastly, cancer treatment may cause neuropathic pain. Chemotherapy and radiation can both impact the nervous system and cause unusual pain signals.
Injuries
Injuries to tissue, muscles, or joints are an uncommon cause of neuropathic pain. Likewise, back, leg, and hip problems or injuries can cause lasting damage to nerves.
While the injury may heal, the damage to the nervous system may not. As a result, you may experience persistent pain for many years after the accident.
Accidents or injuries that affect the spine can cause neuropathic pain, too. Herniated discs and spinal cord compression can damage the nerve fibers around your spine.
Infection
Infections rarely cause neuropathic pain.
Shingles, which is caused by reactivation of the chicken pox virus, can trigger several weeks of neuropathic pain along a nerve. Postherpetic neuralgia is a rare complication of shingles, involving persistent neuropathic pain.
A syphilis infection can also lead to the burning, stinging unexplained pain. People with HIV may experience this unexplained pain.
Limb loss
An uncommon form of neuropathic pain called phantom limb syndrome can occur when an arm or leg has been amputated. Despite the loss of that limb, your brain still thinks it’s receiving pain signals from the removed body part.
What’s actually happening, however, is that the nerves near the amputation are misfiring and sending faulty signals to your brain.
In addition to arms or legs, phantom pain may be felt in the fingers, toes, penis, ears, and other body parts.
Other causes
Other causes of neuropathic pain include:
vitamin B deficiency
carpal tunnel syndrome
thyroid problems
facial nerve problems
arthritis in the spine

What are the symptoms?
Each person’s symptoms of neuropathic pain may vary slightly, but these symptoms are common:
shooting, burning, or stabbing pain
tingling and numbness, or a “pins and needles” feeling
spontaneous pain, or pain that occurs without a trigger
evoked pain, or pain that’s caused by events that are typically not painful — such as rubbing against something, being in cold temperatures, or brushing your hair
a chronic sensation of feeling unpleasant or abnormal
difficulty sleeping or resting
emotional problems as a result of chronic pain, loss of sleep, and difficulty expressing how you’re feeling

How’s it treated?
A goal of neuropathic pain treatment is to identify the underlying disease or condition that’s responsible for the pain, and treat it, if possible.
An important goal is that your doctor will aim to provide pain relief, help you maintain typical capabilities despite the pain, and improve your quality of life.
The most common treatments for neuropathic pain include:
Over-the-counter pain medication
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as Aleve and Motrin, are sometimes used to treat neuropathic pain.
However, many people find these medicines aren’t effective for neuropathic pain because they don’t target the source of the pain.
Prescription medication
Opioid pain medications don’t usually reduce neuropathic pain as well as they reduce other types of pain. Plus, doctors may hesitate to prescribe them for fear that a person may become dependent.
Topical pain relievers can be used, too. These include lidocaine patches, capsaicin patches, and prescription-strength ointments and creams.
Antidepressant drugs
Antidepressant medications have shown great promise in treating symptoms of neuropathic pain.
Two common types of antidepressant drugs are prescribed to people with this condition:
tricyclic antidepressants
serotonin-norepinephrine reuptake inhibitors
These may treat both the pain and symptoms of depression or anxiety caused by chronic pain.
Anticonvulsants
Anti-seizure medications and anticonvulsants are often used to treat neuropathic pain. Gabapentinoids are most commonly prescribed for neuropathic pain.
It’s not clear why anti-seizure drugs work for this condition, but researchers believe the medications interfere with pain signals and stop faulty transmissions.
Nerve blocks
Your doctor may inject steroids, local anesthetics, or other pain medications into the nerves that are thought to be responsible for the wayward pain signals. These blocks are temporary, so they must be repeated in order to keep working.
Implantable device
This invasive procedure requires a surgeon to implant a device in your body. Some devices are used in the brain and some are used in the spine.
Once a device is in place, it can send electrical impulses into the brain, spinal cord, or nerves. The impulses may stop the irregular nerve signals and control symptoms.
These devices are typically used only in individuals who haven’t responded well to other treatment options.
Lifestyle treatments
Physical, relaxation, and massage therapies are all used to relieve symptoms of neuropathic pain. These forms of treatment can help ease muscles.
Your healthcare provider can also teach you ways to cope with your pain.
For example, some people with neuropathic pain may experience increased symptoms after sitting for several hours. This might make desk jobs difficult to perform.
A physical therapist or occupational therapist can teach you techniques for sitting, stretching, standing, and moving to prevent pain.

How can this pain be managed?
If your doctor is able to identify an underlying cause for the neuropathic pain, treating it may reduce and even eliminate the pain.
For example, diabetes is a common cause of neuropathic pain. Proper diabetes care — which includes a healthy diet and regular exercise — may eliminate or reduce neuropathic pain.
Taking care of blood sugar levels can also prevent worsening pain and numbness.
Multimodal therapy
A multipronged approach can be an effective way to manage the condition.
A combination of medications, physical therapy, psychological treatment, and even surgery or implants may be used to bring about the best results.

Outlook
Neuropathic pain can negatively impact your life if you don’t take steps to treat it and prevent worsening symptoms.
Over time, this can lead to serious disability and complications, including depression, problems sleeping, anxiety, and more.
Fortunately, researchers are learning more about why this condition develops and what can be done to effectively treat it. That’s leading to better treatment options.
Finding the correct treatment options for you can take time, but you and your doctor can work together to find relief from the symptoms of this painful condition.

Article Provided By: healthline
Carolina Pain Scrambler Logo, Chronic Pain, Greenville, SC If you would like to discuss what Carolina Pain Scrambler do to help relieve your chronic pain symptoms or receive more information on our treatment process, please do not hesitate to call us at 864-520-5011 or you can email us at info@carolinapainscrambler.com

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20 Nov

The Ideal Diet For Reducing Neuropathy Symptoms

Written by Marriane Sokolowska
Last updated: September 11th, 2019 06:27 pm

If you suffer from neuropathy, then you will probably have considered many different remedies and medicine.
However, it is also likely that you haven’t yet considered the importance of a good diet to help you manage your symptoms and perhaps even reverse some of the damage.
There is, however, more and more research to demonstrate that there is a direct link between the foods we eat and our nervous system, both positive and negative.

Importance of Good Nutrition for Preventing Neuropathy
In fact, the first line of defense when it comes to preventative medicine is good nutrition, and the same is true for peripheral neuropathy.
Once you have developed it, diet continues to be important in terms of managing and reducing your symptoms, and even healing your nerves.
Neuropathy is often caused by other conditions, most notably diabetes, so it is very important that you control your blood sugar level in order to avoid neuropathy. Similarly, excessive alcohol consumption can lead to certain vitamin B deficiencies, again leading to neuropathy.
Regardless of whether you have neuropathy, cancer, diabetes, an addiction disorder, or any other problem, it is important that you should eat a diet rich in lean protein, whole grains, vegetables, and fruits.

Keep A Food Diary
You may also want to consider keeping a food diary, particularly if you have neuropathy, as this will help you to identify which foods make you feel better, or worse.
Neuropathy can be improved or worsened depending on what you eat. There are foods that can cause further damage to the nerves, weakening them even more. It is important, therefore, to know not just what to eat, but also what to avoid in order to stop your tingling, numbness, and/or nerve pain from getting worse.
At the same time, you can consume foods that make your nerves stronger, thereby improving your existing condition and avoiding it from getting any worse.
In fact, there are even foods that can help to repair any nerves that have been damaged, which means you could get full relief of your symptoms. So what are the foods you really should include, and what should you avoid?
Foods to Include for Reducing Symptoms of Neuropathy
Ginger

This is surprising to many people but ginger is a strong, natural, pain reliever. This means that it can help you feel a lot better. Added to that, it contains gingerols, which have anti-inflammatory properties, thereby increasing mobility in people with serious and chronic pain and helping them to become more mobile.
Water

Water has to be a standard component of any healthy diet. It isn’t a miraculous healer in terms of neuropathy, but what it can do is provide relief from inflammation. This means that the pain you experience as part of neuropathy does not get any worse.
When you start to get dehydrated, your blood starts to thicken and your muscles go into spasm. As a result, inflammation occurs and affects areas where pain receptors and nerves are located. If you ensure that you are always hydrated, your overall bodily functions are better able to function as well, thereby increasing your overall well being.
Fruits and vegetables

Fruits and vegetables are filled with various minerals, vitamins, antioxidants, and dietary fibers. Put together, these help to create a strong immune system while at the same time preventing and fighting disease and illness.
People who have neuropathy should increase their intake of fruits and vegetables immediately. Many people who have neuropathy also have diabetes, and eating plenty of fruits and vegetables means that you will also be better able to control the symptoms of diabetes.
You should try to eat at least five portions of different fruits and vegetables every day in order to see some real results. Try to choose those that have very high levels of antioxidants, including berries, cherries, grapefruit, oranges, Brussels sprouts, onions, and bell peppers.
Another great benefit of fruits and vegetables is that you can purchase them ready to eat. As a result, you don’t have to do a lot of work in the kitchen, which means you will feel much less stressed as well.
Lean protein

Lean protein is necessary for your body to be able to build and repair new tissue. It is important to stick to lean protein, however, so that you don’t eat too many animal fats. Good sources include low fat dairy and poultry, and people with peripheral or diabetic neuropathy should consider increasing their level of consumption.
Avoid eating processed foods, as well as foods with high trans and saturated fats, including deep fried foods, cheese, butter, whole milk, and fatty meat. Not only can these make your neuropathy worse, they can also lead to heart disease, high cholesterol, and diabetes.
You should try to add things like fish, tofu, yogurt, low fat milk, legumes, and skinless poultry to your diet, for balanced nutrition, for the best results. Lean protein is not just important to combat neuropathy, it is also has a positive influence on your blood sugar level.
Foods to Avoid
Peripheral and diabetic neuropathy can be caused or worsened by vitamin deficiencies, diabetes, traumatic injuries, alcoholism, and more. To treat it, you will often have to find a way to manage that underlying cause, which includes medication and therapy, but you should also take a close look to your diet as there are foods that can make it worse. These include:
Gluten

Avoid gluten, particularly, if you have celiac disease. If you are allergic to gluten, consuming it can trigger neuropathy or make symptoms much worse. Gluten can be found in any product made with baking, cake, wheat, or white flower. Hence, switch to gluten free if necessary.
Refined grains

These have a high glycemic level. This means that they significantly impact your blood sugar. You must be able to control your insulin and glucose levels if you are to control diabetic neuropathy in particular. In order to have a better glycemic impact on your diet, you should consume whole grains instead of refined grains
Sugar

This adds a lot of flavor to foods, but little to no nutrients. When you have a nutritional deficiency, it is much easier to experience neuropathy. You should eat lots of whole grains and vegetables and for that occasional sweet treat, fresh fruits.
Saturated fats

These are found mainly in whole fat dairy products and fatty meats. They can lead to inflammation, as well as increasing your chance of having type 2 diabetes.
Final Thoughts
Due to a number of factors, including the amount of toxins in our environment and the poor mineral quality of our soil, the foods we eat are becoming less nutrient dense than in previous generations.
Therefore, it is vital to not only eat organic fruits and vegetables like those listed above, but to also take supplements with your diet to get the proper vitamins, minerals, and nutrients that support optimal nerve health.
You may, for even better effects, also want to consider supplementing your diet with a product like Nerve Renew which is designed for supporting healthy nerves and reducing pain.

Article Provided By: nervepaintreatment

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Carolina Pain Scrambler Logo, Chronic Pain, Greenville, SC If you would like to discuss what Carolina Pain Scrambler do to help relieve your chronic pain symptoms or receive more information on our treatment process, please do not hesitate to call us at 864-520-5011 or you can email us at info@carolinapainscrambler.com

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12 Nov

Causalgia

Complex Regional Pain Syndrome Type II (Causalgia)

What is causalgia?
Causalgia is technically known as complex regional pain syndrome type II (CRPS II). It’s a neurological disorder that can produce long-lasting, intense pain.
CRPS II arises after an injury or trauma to a peripheral nerve. Peripheral nerves run from your spine and brain to your extremities. The most common site of CRPS II pain is in what’s called the “brachial plexus.” This is the bunch of nerves that run from your neck to your arm. CRPS II is rare, affecting slightly fewer than 1 person out of 100,000
.
Symptoms of causalgia
Unlike CRPS I (formerly known as reflexive sympathetic dystrophy), CRPS II pain is generally localized to the area around the injured nerve. If the injury occurred to a nerve in your leg, for example, then pain settles in your leg. Conversely, with CRPS I, which doesn’t involve an apparent nerve injury, pain from a hurt finger can radiate throughout your body.
CRPS II can occur wherever there’s a peripheral nerve injury. Peripheral nerves run from your spine to your extremities, which means CRPS II is usually found in your:
arms
legs
hands
feet
Regardless of what peripheral nerve is injured, symptoms of CRPS II tend to remain the same and include:
burning, aching, excruciating pain that lasts six months or longer and seems disproportionate to the injury that brought it on
pins and needles sensation
hypersensitivity around the area of injury, in which being touched or even wearing clothes can trigger sensitivity
swelling or stiffness of the affected limb
abnormal sweating around the injured site
skin color or temperature changes around the injured area, such as skin that looks pale and feels cold and then red and warm and back again

Causes of causalgia
At the root of CRPS II is peripheral nerve injury. That injury can result from a fracture, sprain, or surgery. In fact, according to one investigation, 1.8 percent
of nearly 400 elective foot and ankle surgery patients developed CRPS II after surgery. Other causes of CRPS II include:
soft-tissue trauma, such as a burn
crushing injury, such as slamming your finger in a car door
amputation
However, it’s still unknown why some people respond so dramatically to these events and others don’t.
It’s possible that people with CRPS (either I or II) have abnormalities in the linings of their nerve fibers, making them hypersensitive to pain signals. These abnormalities can also initiate an inflammatory response and induce changes to blood vessels. This is why so many people with CRPS II can have swelling and skin discoloration at the site of the injury.

How causalgia is diagnosed
There is no one test that can definitively diagnose CRPS II. Your doctor will perform a physical exam, record your medical history, and then order tests that may include:
an X-ray to check for broken bones and loss of bone minerals
an MRI to look at soft tissues
thermography to test skin temperature and blood flow between injured and noninjured limbs
Once other more common conditions such as fibromyalgia are eliminated, your doctor can make a CRPS II diagnosis more confidently.

Treatment options for causalgia
CRPS II treatment generally consists of medications and certain types of physical and nerve-stimulating therapies.
If over-the-counter pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil) aren’t providing relief, your doctor may prescribe stronger drugs. These can include:
steroids to reduce inflammation
certain antidepressants and anticonvulsants, such as Neurontin, that have pain-relieving effects
nerve blocks, which involve injecting an anesthetic directly into the affected nerve
opioids and pumps that inject drugs directly into your spine to block pain signals from nerves
Physical therapy, used to sustain or improve range of motion in painful limbs, is also often used. Your physical therapist may also try what’s called transcutaneous electrical nerve stimulation (TENS), which sends electrical impulses through fibers in your body to block pain signals. In research studying people with CRPS I, those receiving TENS therapy reported more pain relief than those not receiving it. Battery-operated TENS machines are available for at-home use.
Some people have found that heat therapy — using a heating pad periodically throughout the day — can also help. Here’s how you can make your own heating pad.

The outlook
Whenever you experience prolonged pain that interferes with your life and isn’t relieved by over-the-counter medications, you should see your doctor.
CRPS II is a complex syndrome that may need a variety of specialists to treat it. These specialists may include experts in orthopedics, pain management, and even psychiatry, as chronic pain can take a toll on your mental health.
While CRPS II is a serious condition, there are effective treatments. The sooner it’s diagnosed and treated, the better your chances are for a positive outcome.

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4 Nov

CRPS

Complex Regional Pain Syndrome
Complex regional pain syndrome (CRPS), also called reflex sympathetic dystrophy syndrome, is a chronic pain condition in which high levels of nerve impulses are sent to an affected site. Experts believe that CRPS occurs as a result of dysfunction in the central or peripheral nervous systems.
CRPS is most common in people ages 20-35. The syndrome also can occur in children; it affects women more often than men.
There is no cure for CRPS.

What Causes Complex Regional Pain Syndrome?
CRPS most likely does not have a single cause; rather, it results from multiple causes that produce similar symptoms. Some theories suggest that pain receptors in the affected part of the body become responsive to catecholamines, a group of nervous system messengers. In cases of injury-related CRPS, the syndrome may be caused by a triggering of the immune response, which may lead to the inflammatory symptoms of redness, warmth, and swelling in the affected area. For this reason, it is believed that CRPS may represent a disruption of the healing process.
What Are the Symptoms of Complex Regional Pain Syndrome?
The symptoms of CRPS vary in their severity and length. One symptom of CRPS is continuous, intense pain that gets worse rather than better over time. If CRPS occurs after an injury, it may seem out of proportion to the severity of the injury. Even in cases involving an injury only to a finger or toe, pain can spread to include the entire arm or leg. In some cases, pain can even travel to the opposite extremity. Other symptoms of CRPS include:
“Burning” pain
Swelling and stiffness in affected joints
Motor disability, with decreased ability to move the affected body part
Changes in nail and hair growth pattern; there may be rapid hair growth or no hair growth.
Skin changes; CRPS can involve changes in skin temperature — skin on one extremity can feel warmer or cooler compared to the opposite extremity. Skin color may become blotchy, pale, purple or red. The texture of skin also can change, becoming shiny and thin. People with CRPS may have skin that sometimes is excessively sweaty.
CRPS may be heightened by emotional stress.
How Is Complex Regional Pain Syndrome Diagnosed?
There is no specific diagnostic test for CRPS, but some testing can rule out other conditions. Triple-phase bone scans can be used to identify changes in the bone and in blood circulation. Some health care providers may apply a stimulus (for example, heat, touch, cold) to determine whether there is pain in a specific area.
Making a firm diagnosis of CRPS may be difficult early in the course of the disorder when symptoms are few or mild. CRPS is diagnosed primarily through observation of the following symptoms:
The presence of an initial injury
A higher-than-expected amount of pain from an injury
A change in appearance of an affected area
No other cause of pain or altered appearance

How Is Complex Regional Pain Syndrome Treated?
Because there is no cure for CRPS, the goal of treatment is to relieve painful symptoms associated with the disorder. Therapies used include psychotherapy, physical therapy, and drug treatment, such as topical analgesics, narcotics, corticosteroids, osteoporosis medication, antidepressants, osteoporosis medicines, and antiseizure drugs.
Other treatments include:
Sympathetic nerve blocks: These blocks, which are done in a variety of ways, can provide significant pain relief for some people. One kind of block involves placing an anesthetic next to the spine to directly block the sympathetic nerves.
Surgical sympathectomy: This controversial technique destroys the nerves involved in CRPS. Some experts believe it has a favorable outcome, while others feel it makes CRPS worse. The technique should be considered only for people whose pain is dramatically but temporarily relieved by selective sympathetic blocks.
Intrathecal drug pumps: Pumps and implanted catheters are used to send pain-relieving medication into the spinal fluid.
Spinal cord stimulation: This technique, in which electrodes are placed next to the spinal cord, offers relief for many people with the condition.

WebMD Medical Reference Reviewed by Carol DerSarkissian on April 27, 2019
Sources
SOURCES:
National Institute of Neurological Disorders and Stroke: ”Complex Regional Pain Syndrome Fact Sheet.”
UpToDate.
© 2019 WebMD, LLC. All rights reserved.

Article Provided By: webmd
Carolina Pain Scrambler Logo, Chronic Pain, Greenville, SC If you would like to discuss what Carolina Pain Scrambler do to help relieve your chronic pain symptoms or receive more information on our treatment process, please do not hesitate to call us at 864-520-5011 or you can email us at info@carolinapainscrambler.com

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29 Oct

Paresthesia

What Is Paresthesia?

If you’ve ever felt as though your skin was crawling, or had numbness or itching for no apparent reason, you may have experienced paresthesia.
Almost everyone has experienced paresthesia on occasion. One of the most common times people get that familiar feeling of pins and needles is when their arms or legs “fall asleep.” This sensation usually occurs because you’ve inadvertently put pressure on a nerve. It resolves once you change your position to remove the pressure from the affected nerve. This type of paresthesia is temporary and usually resolves without treatment. If the paresthesia persists, you may have an underlying medical disorder that requires treatment.
What are the symptoms of paresthesia?
Paresthesia can affect any part of the body, but it commonly affects the:
hands
arms
legs
feet
It can be temporary or chronic. The symptoms can include feelings of:
numbness
weakness
tingling
burning
cold
Chronic paresthesia may cause a stabbing pain. That may lead to clumsiness of the affected limb. When paresthesia occurs in your legs and feet, it can make it difficult to walk.
See your doctor if you have symptoms of paresthesia that persist or affect with your quality of life. It could be a sign that you have an underlying medical condition that needs treatment.

What causes paresthesia?
It’s not always possible to determine the cause of paresthesia. Temporary paresthesia is often due to pressure on a nerve or brief periods of poor circulation. This can happen when you fall asleep on your hand or sit with your legs crossed for too long. Chronic paresthesia may be a sign of nerve damage. Two types of nerve damage are radiculopathy and neuropathy.
Radiculopathy
Radiculopathy is a condition in which nerve roots become compressed, irritated, or inflamed. This can occur when you have:
a herniated disk that presses on a nerve
a narrowing of the canal that transmits the nerve from your spinal cord to your extremity
any mass that compresses the nerve as it exits the spinal column
Radiculopathy that affects your lower back is called lumbar radiculopathy. Lumbar radiculopathy can cause paresthesia in your leg or foot. In more severe cases, compression of the sciatic nerve can occur and may lead to weakness in your legs. The sciatic nerve is a large nerve that starts in your lower spinal cord.
Cervical radiculopathy involves the nerves that provide sensation and strength to your arms. If you have cervical radiculopathy, you may experience:
chronic neck pain
paresthesia of the upper extremities
arm weakness
hand weakness
Neuropathy
Neuropathy occurs due to chronic nerve damage. The most common cause of neuropathy is hyperglycemia, or high blood sugar.
Other possible causes of neuropathy include:
trauma
repetitive movement injuries
autoimmune diseases, such as rheumatoid arthritis
neurological diseases, such as MS
kidney diseases
liver diseases
stroke
tumors in the brain or near nerves
bone marrow or connective tissue disorders
hypothyroidism
deficiencies in vitamin B-1, B-6, B-12, E, or niacin
getting too much vitamin D
infections, such as Lyme disease, shingles, or HIV
certain medications, such as chemotherapy drugs
exposure to toxic substances, such as chemicals or heavy metals
Nerve damage can eventually lead to permanent numbness or paralysis.

Who is at risk for paresthesia?
Anyone can experience temporary paresthesia. Your risk of radiculopathy increases with age. You also may be more prone to it if you:
perform repetitive movements that repeatedly compress your nerves, such as typing, playing an instrument, or playing a sport such as tennis
drink heavily and eat a poor diet that leads to vitamin deficiencies, specifically vitamin B-12 and folate
have type 1 or 2 diabetes
have an autoimmune condition
have a neurological condition, such as MS

How is paresthesia diagnosed?
See your doctor if you have persistent paresthesia with no obvious cause.
Be prepared to give your medical history. Mention any activities you participate in that involve repetitive movement. You should also list any over-the-counter or prescription medications that you take.
Your doctor will consider your known health conditions to help them make a diagnosis. If you have diabetes, for example, your doctor will want to determine if you have nerve damage, or neuropathy.
Your doctor will probably perform a full physical exam. This will likely include a neurological exam as well. Blood work and other laboratory tests, such as a spinal tap, may help them rule out certain diseases.
If your doctor suspects there’s a problem with your neck or spine, they may recommend imaging tests, such as X-rays, CT scans, or MRI scans.
Depending on the results, they may refer you to a specialist, such as a neurologist, orthopedist, or endocrinologist.

What is the treatment for paresthesia?
Treatment depends on the cause of your paresthesia. It may be possible to treat your condition by eliminating the cause in some cases. For example, if you have a repetitive movement injury, a few lifestyle adjustments or physical therapy may solve the problem.
If your paresthesia is due to an underlying disease, getting treatment for that disease can potentially ease the symptoms of paresthesia.
Your individual circumstances will determine whether your symptoms will improve. Some types of nerve damage are irreversible.

What is the outlook for people with paresthesia?
Temporary paresthesia usually resolves within a few minutes.
You may have a case of chronic paresthesia if those strange sensations don’t go away or they come back far too often. It can complicate your daily life if the symptoms are severe. That’s why it’s so important to try to find the cause. Don’t hesitate to seek a second opinion or see a specialist if necessary.
The severity of chronic paresthesia and how long it will last largely depends on the cause. In some cases, treating the underlying condition solves the problem.
Be sure to tell your doctor if your treatment isn’t working so they can adjust your treatment plan.
How can you prevent paresthesia?
Paresthesia isn’t always preventable. For instance, you probably can’t help it if you tend to fall asleep on your arms. You can take steps to reduce the occurrence or severity of paresthesia, though. For example, using wrist splints at night may alleviate the compression of the nerves of your hand and help resolve the symptoms of paresthesia you experience at night.
Follow these tips for preventing chronic paresthesia:
Avoid repetitive movement if possible.
Rest often if you need to perform repetitive movements.
Get up and move around as often as possible if you have to sit for long periods.
If you have diabetes or any other chronic disease, careful monitoring and disease management will help lower your chances of having paresthesia.

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22 Oct

Why Is Neuropathy Worse at Night?

January 3, 2020 / Brain & Spine
Why Is Neuropathy Worse at Night?
Reasons why nerve pain is more painful at night
Peripheral neuropathy is when a nerve or group of nerves outside of the brain and spinal cord is injured or dysfunctions. It could be because of an injury to a single nerve, like carpal tunnel syndrome, or because a group of nerves have become defective, like with peripheral neuropathy of the feet.
“Across the board we know that neuropathy can cause pain depending on what type of nerves are involved,” says neurologist Benjamin Claytor, MD. “When people describe worsening symptoms at night they’re describing discomfort – pins and needles, tingling and burning pain.”
Here Dr. Claytor discusses what might be causing this nightly pain and how to find relief.
Distraction
Our attention level can influence how we perceive pain. So during the day when we’re at work or taking care of the kids – we’re distracted and busy. Although there hasn’t been much research around it, the idea is that we aren’t focusing on the pain during the day because we’re busy, we pay less attention to it and perceive less pain.
“Many patients will tell me that after they get home from work, have dinner and sit down to watch TV for the night that their pain flares up,” says Dr. Claytor. “This could be because the daytime distractions are now gone and you’re starting to unwind for the night.”
Temperature and sleep
Another thought behind nightly neuropathy has to do with temperature. At night our body temperature fluctuates and goes down a bit. Most people tend to sleep in a cooler room as well. The thought is that damaged nerves might interpret the temperature change as pain or tingling, which can heighten the sense of neuropathy.
Also consider poor sleep quality. If you’re not sleeping very well to begin with, either due to poor sleep habits or sleep related disorders, this could lead to increased pain perception.
Emotions and stress
Our emotional state can also influence how we perceive pain. Stress and anxiety can feed in to and amplify pain signaling. Living in a chronic state of stress wreaks havoc on your physical and mental health.
Medication
Sometimes medication dosing and timing might need to be adjusted, which could be particularly true for some short acting medications used for neuropathy pain.
How to stop neuropathy pain at night
“There are options we can explore if your neuropathy pain seems to be worsening at night,” explains Dr. Claytor. “There might be oral or topical medications we can prescribe, or maybe it’s getting your stress under control and being more mindful.”
Cognitive behavioral therapy, physical therapy and meditation may be complementary tools to reduce pain as well.
Dr. Claytor stresses the importance of talking to your doctor sooner rather than later. Often time’s people will wait so long to see their physician that there’s permanent nerve damage that might have been avoided.
“I think one of the most important things I can discuss with a patient who comes in with neuropathy pain at night is getting to the root cause of what is actually driving it,” says Dr. Claytor. “Depending on what the underlying cause is, treating that first and foremost can usually help reduce the pain overall – especially at night.”

Article Provided By: health.clevelandclinic
Carolina Pain Scrambler Logo, Chronic Pain, Greenville, SC If you would like to discuss what Carolina Pain Scrambler do to help relieve your chronic pain symptoms or receive more information on our treatment process, please do not hesitate to call us at 864-520-5011 or you can email us at info@carolinapainscrambler.com

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19 Oct

Finger Nerve Pain

Finger Nerve Pain Causes, Symptoms, and Treatments For Relief

The nerves of the body are like telephone wires that transmit messages between the brain, spinal cord, and other parts of the body. Some of these nerves carry signals of pressure, pain, or temperature from the body and transports them to the brain.

Quite a number of these nerve fibers are located in the fingers, where they are protected and insulated by tissues. Like with the wrist, damage to the nerves in the finger area can be excruciating. Nerve pain in the finger is a form of peripheral neuropathy which usually occurs periodically or constantly but typically felt in both hands.
Our hands are tactile organs which we use to carry out a multitude of tasks which include brushing our teeth, typing, washing, buttoning our clothes and tying our shoelaces. Our hands are hardly ever at rest, so it is not uncommon to experience uncomfortable sensations like throbbing, stabbing pains, or numbness.
Often, these feelings are mild and temporary. However, some people might experience symptoms that are extreme and episodic, which may be a marker for nerve damage from the wrist to the fingers.
The main nerves that control the fingers are the median nerves, the ulnar nerves, and the radial nerves. The median nerve which travels through the carpal tunnel controls impulses in the middle finger, one side of the ring finger, the index finger, and the thumb. The largest unprotected nerve in the body popularly called the ulnar nerve, branches off the adjoining side of the ring finger and the little finger.
This nerve facilitates grasping of objects while creating sensations on the palm. The radial nerve takes an active part in controlling the position of the hands. It provides signals from the bordering half of the ring finger and the posterior of the little finger.
According to WebMD, it is believed that 40 million Americans are saddled with nerve pain. Nerve pain in the fingers may be acute or progress slowly over the years.

Symptoms
The symptoms of nerve pain in the fingers usually begin with a pricking, burning, or tingling sensation in the fingers. Following are the frequent forms of nerve pains in the fingers:
Chronic, intense pain
A pinched nerve
Hypersensitivity to touch and temperature
Burning sensation
The feeling of wearing an invisible sock
Loss of coordination
Irregularities in heart rate and blood pressure
Cramping of muscles
Inability to sleep
Loss of balance
Causes
Quite a number of factors can cause nerve damage in the fingers. They include:
Infections
Exposure to toxins
Diabetic neuropathy
Repetitive stress
Trauma
Types of Nerve Damage
Motor Nerve Damage
Damage to the motor nerves can cause stabbing pains in the fingers. Motor nerves help to transmit impulses from the central nervous system to the muscles of the hands and other parts of the body. Motor nerves partake in activities like catching a ball or writing. Destruction to the motor nerves leads to spasms, cramps, and difficulty in moving the arms.
Sensory Nerve Damage
Sensory nerves in the hands help to direct signals from the muscles to the central nervous system. These nerves help individuals to decipher if a particular object is sharp or blunt, cold, or hot and if it’s stagnant or dynamic. Extreme damage to these sensory nerves of the fingers, causes pain, numbness, burning sensation, tingling, and heightened sensitivity to external stimuli.
Autonomic Nerve Damage
The autonomic nerves oversee semi-voluntary and involuntary functions in the body like sweating, digestion, heart rate, and blood pressure. Injury to the autonomic nerves can result in uncontrolled sweating, vomiting, constipation, irregular heart rate, abnormal blood pressure, nausea, constipation, and sexual dysfunction.
Conditions Which Causes Nerve Pain in the Finger
Any injury to the hand will greatly affect your quality of life and there are quite a number of health conditions which predispose the fingers to nerve pain. They include:
Hand nerve entrapment – hand nerve entrapment occurs in two forms: Carpal Tunnel syndrome and Cubital tunnel syndrome
Ulnar nerve compression
Numbness and tingling
Trigger finger
Goalkeeper’s thumb
Mallet finger
Nail bed injuries
Hand cysts and tumors
Arthritis
Fractures

How to Relieve Nerve Pain in a Finger
Some nerve pain in the finger can heal without any form of intervention while a host of others require early detection and special care to speed up recovery.
Prior to the commencement of treatment, it is crucial to look out for any underlying reason that is causing nerve pain in the hand. The severity of nerve pain has a direct link to how severe an underlying disease condition is. The following ways have been proven to alleviate nerve pains in the finger.
Painkillers
Over-the-counter pain relievers like Ibuprofen usually reduce pain after a short while. If the pain persists after taking painkillers, contact your physician.

Topical treatment
Prescription topical treatment like lotions, ointments, balms, gels, and creams can reduce nerve pains in the fingers. Go for a formula that has the active ingredient, capsaicin. Capsaicin is a biological substance extracted from chili pepper that serves as an anesthetic, which helps significantly reduce the pain.

Dietary Supplementation
Depletion in the nutrient stores may not cause nerve pain directly, but they can interfere with processes that aid the smooth function of the nerves. This is why it is important to use dietary supplements for neuropathy to boost the health of your nerves. One of the best brands of dietary supplements that have proven to help is Nerve Renew. The product is rich in vitamins and minerals like vitamin B2, B6, copper, and manganese. This pain-free approach uses natural sources to help reduce discomfort associated with neuropathy. It also helps to reduce symptoms.
Alternative approaches
Acupuncture and massages help in relieving pain.
Lifestyle modification habits
Lifestyle changes are typically preventive measures, but they can also help to improve cure. Exercise and good dietary habit help maintain the integrity of nerves in your fingers. Smoking, too much alcohol, and a poor diet generally aggravate nerve pain, so avoid them at all costs.
In certain cases, a surgical procedure might be required to correct the damage which causes the pain. Only a professional can handle this.

Article Provided By: nervepainguide

Carolina Pain Scrambler Logo, Chronic Pain, Greenville, SC If you would like to discuss what Carolina Pain Scrambler do to help relieve your chronic pain symptoms or receive more information on our treatment process, please do not hesitate to call us at 864-520-5011 or you can email us at info@carolinapainscrambler.com

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Finger Nerve Pain

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