Monday, December 21, 2009

The Beginning of The End?

One can only hope.  I’m referring to Chiropractic and other pseudoscientific “medical” practices: Homeopathy, naturopathy, etc.  A journal article was recently published by three chiropractors and one Ph.D. in Physical Education , in which they essentially invalidated the practice of chiropractic.  The question is will anyone hear about it, notice, or even care?  I surely hope someone publicizes this.

The article has the effect of relegating chiropractic to doing the same as physical therapy, when used for lower back pain, and of being completely useless when it comes to any other medical condition.  Thus, with osteopaths and physical therapists, chiropractors have no place in modern medical practice.  Here is the key quote, taken from the blog Science-Based Medicine:

“There is a significant lack of evidence in the literature to fulfill Hill’s criteria of causation as regards chiropractic subluxation. No supportive evidence is found for the chiropractic subluxation being associated with any disease process or of creating suboptimal health conditions requiring intervention. Regardless of popular appeal this leaves the subluxation construct in the realm of unsupported speculation. This lack of supportive evidence suggests the subluxation construct has no valid clinical applicability. [emphasis added]“

The blog Science-Based Medicine goes into more detail about the theory of subluxations and how they are used in modern chiropractic practice.  I won’t go into that here, as it’s rather unnecessary, I feel.  To put it simply and generally, subluxations, which exist only in chiropractic medicine, are thought to be the cause of all medical problems, from acne to asthma and from headaches to liver failure.  These subluxations are thought to be caused by misalignments of the spine which impede the nerves, causing these problems.  The chiropractor believes that by adjusting the spine, these subluxations, and thus the medical condition, goes away.  Anyone with a basic understanding of physiology or even medicine knows that this isn’t the case.  There are causes that go beyond the neurological , and in most cases there are few correlations or causations with the neurological.  Beyond that, neck and spine manipulation can be dangerous.  But that’s not the point of this blog entry.

The point of this blog entry is that hopefully this is the beginning of the end for pseudoscientific medicine.  If this article gets the proper recognition and attention, the preying on people’s ignorance of medicine can hopefully stop.  Am I saying that all chiropractors are bad? No.  I’m not even saying that chiropractors should stop practicing.  Chiropractors have their place, and that place should be recognized.  But it should also be recognized that subluxations are not scientifically founded, and are not recognized by medicine in any form.  It should be recognized that a chiropractor is not able to fix or cure anything beyond back pain.  And hopefully once this is recognized, Naturopathy, homeopathy, Chinese medicine, and other pseudoscientific claims will hopefully be recognized as being the same as chiropractic, and will go away as well.

[Via http://wikithis.wordpress.com]

Friday, December 18, 2009

Red tape?

Tuesday my Lady and I took off to Nashville to go see her endocrinologist and thankfully she doesn’t have cancer. I’m relieved and yet we still need to get down to the root of why she’s sick. My Lady is the herbalist from hell and have literally saved lives in the past with her knowledge. She cured wet gangreen in a diabetic, need I say more? Yes, Wendel still has his leg thanks to this woman.
What this means to me is that what is going on with her immune system and endocrin system is only a mater of time from being cured. I’ve watched this woman, she makes good medicine, she dilligently examines her emotions and the ideas that go through her mind. She is a reiki master and I have to say her energy healing is for lack of a better word, phenominal. She’s doing what she can to help herself and I’m doing what I can to help her. Doing what I can usually means releasing my BS and giving her the warmth and steadiness that lets her heal herself. I feel she’s just got too much on her emotional plate.
Salem really cares for and about people. Her kids, their kids, relatives, parents, friends and the occasional person come into contact that needs her, all come under her concern and she does for them what she can. This may sound like saintly philanthropie but it takes a toll. The stress is unbelievable because she cares so much! She gets so little in return too.
I do care, I have the job, and when I can overcome my emotional difficulties I offer her some relief. Gods, the job I have is stressful, the home life is stressful, when not taken care of the relationship is stressful, and what I get out of it is a woman that loves and adores me! She says I smell good! I don’t wear any kind of deoderant and rarely patchulli. I remember my sister throwing fits because I smelled bad to her. Maybe it was the right-guard? Maybe it’s pharamones and she was my sister. Perhaps the pharamones of a sibling repell?

I have an idea about starting a new political party here in America. The Responcible Party, makes freedom the responcibility of the free. History has shown that freedom is worth fighting for because if you don’t fight for it you loose it. People want to know how the government can take away our rights, because nobody will fight to keep them!
Our country was bought at the point of a sword and the end of a musket! Slowly we hand our country over to the politicians in the hopes that political correctness and the dumbing down of America will purchase world peace. What’s wrong with getting angry? What’s wrong with fighting injustice? Why do we feel we as a country must follow the status quo? If our fore-fathers followed the status quo we would all be waiting for tea time and paying exorbitant taxes to a tyranical empire who would have only gotten stronger for the past two hundred thirty-three years.
So I say this, we don’t need to be looking at a bill of rights any more. No, what we must be looking at is a bill of responcibilities! That’s right, Thomas Jefferson wasn’t handing us freedoms he was handing us guidelines for a free nation. You have the responcibility to practice your religeon! You say you are of paticular faith, then don’t be a hipocrit, practice it! And to ensure that you get to practice your faith you protect the right of everyone else to believe what they will and live! You have the responcibility of free speach! If you won’t speak your mind someone will put words in your mouth. Not to say you should be insensitive, just honest and forthcomming. You have the responcibility to bear arms! How much crime would there be in a country if everyone competently carried a handgun? Would a criminal walk into a shopping mall with a rifle if he knew that looking like he was going to shoot someone would result in a hundred guns pointing back? You would have to have a deathwish, and some do, but chances are the deathtoll would be one not twenty.
I could go on and may yet open a site for my new political party, I have a lot of ideas for how this nation could better serve the people it is made of. I really feel you have the gyst.

I want a free country, where the medical community focuses on cures not treatments. Where the buck takes the backseat to the heart. Where greed is a deadly sin and not a virtue. Is that too much to ask? We’re not British after all, and they changed their monitary backed tune. Or so it would seem.

[Via http://averageviking.wordpress.com]

Wednesday, December 16, 2009

MECHANISMS IN KIDNEY-TUTORIAL HUMAN PHYSIOLOGY

Section of cortex of human kidney. Image via Wikipedia

Basic Kidney Anatomy

  • Kidneys paired, about 150 gm each
  • Urine forming units:
    • Cortex
    • Medulla (lobed: renal pyramids)
    • Cortex and medulla composed chiefly of nephrons and blood vessels
    • Supplied by renal arteries (branches of descending aorta) and renal veins (branches of inferior vena cava)
  • Urine collecting and expelling units:
    • Calyces
    • Renal pelvises
    • Ureters
    • Bladder
    • Urethra

Although the Kidneys are Tiny Organs They Receive 25% of the Cardiac Output

  • The 2 kidneys are only 0.4% of the body weight but receive about 25% of the blood flow
    • Blood flow rate per kilogram of tissue is almost 8 times higher in the kidneys than through muscles doing heavy exercise!
      • Kidney: 4 liters/kg-min
      • Exercising muscle: 0.55 liters/kg-min
  • Extremely important function: to regulate the composition and volume of body fluids
  • Blood flows in and out of kidney leaving behind the 1% which becomes urine
  • Urine flows through ureters to bladder and then through urethra to outside world
  • The bladder is under both voluntary and autonomic control

Kidneys Filter About 180 Liters of Plasma Every Day, But Make Only 2 Liters of Urine

  • The kidneys filter approximately 180 liters of plasma/day (each of the 3 liters of plasma gets filtered about 60 times)
  • To replace this much water you would have to drink a 12 ounce soft drink every 3 minutes of the day
  • Fortunately 99% of the filtrate gets reabsorbed, leaving 1.5-2 liters of urine per day
  • It is remarkable that the kidney filter can be used continuously for 70 years or more without becoming clogged

The Nephron is the Fundamental Urine-Producing Unit of the Kidney

  • We have a total of 2 million nephrons in the 2 kidneys when we are young
  • Components of the nephron (see diagram below):
    • Glomerulus- tuft of capillaries where filtration occurs
    • Bowman’s capsule- surrounds glomerulus, collects filtrate
    • Proximal convoluted tubule
    • Loop of Henle
    • Distal convoluted tubule
    • Collecting duct- adjusts volume & concentration of urine
  • Distinctive feature: the tubule makes a sharp bend at the loop of Henle
    • Because of the bend, tubule fluid moves downward into regions of increasing osmotic pressure (see diagram below)
    • After the bend the tubule fluid moves upward through regions of decreasing osmotic pressure
  • Glomerulus has large pores, allowing filtration of large volumes of fluid
  • Number of nephrons declines with age, to about 50% at age 60; this causes the GFR to drop to 50% of value in a young person
    • Loss of nephrons can cause drug overdose in older persons

The Basic Processes of the Kidney are Filtration, Reabsorption and Secretion

  • Filtration:
    • About 20% of the plasma that passes through the kidney gets filtered into the nephron
    • Filtration is takes place in the glomerulus
    • Driven by the hydrostatic pressure of the blood (osmosis opposes filtration, but the hydrostatic pressure is larger)
    • Water and small molecules are filtered; blood cells and large molecules (most proteins) do not pass through the filter
  • Reabsorption & secretion:
    • As the filtrate passes down the nephron most of it is reabsorbed into the blood
Substance % Reabsorbed Water 99.4% Na 99.4% K 93.3% HCO3 100% Glucose 100% Urea 53% Inulin 0%

Data from: William Ganong. Review of Medical Physiology. 1999.

    • A few substances are secreted from the blood to the nephron
    • Reabsorption and secretion are energy intensive- the kidney is one of the most metabolically active organs in the body
    • Filtering substances into the tubules and then reabsorbing nearly 100% of them, using energy, may seem to be a very wastefull process, but it allows the body to quickly remove many toxic substances from the blood (they are usually not reabsorbed)
  • Net Process:
    • Amt in Urine = Amt Filtered – Amt Reabsorbed + Amt Secreted

Glomerular Filtration is Easy to Measure From Inulin or Creatinine Clearance

  • The rate at which the kidney filters blood plasma is called the glomerular filtration rate (GFR)
  • It is relatively easy to measure the GFR and it is a good way of assessing kidney function
  • Consider a substance, A, which is only filtered by the kidney; it is neither reabsorbed nor secreteted
    • Since no A is reabsorbed from or secreted into the tubule, the amount filtered into the tubule at the glomerulus must equal the amount appearing in the urine
      • P X GFR = U X V
      • P = plasma concentration of A, in mg/mL
      • GFR = glomerular filtration rate of plasma, in mL/min
      • U = urine concentration of A, in mg/mL
      • V = rate of urine production in, in mL/min
    • Solving the equation for GFR will give:
      • GFR = (U X V)/P
  • Two substances are used to measure GFR:
    • Inulin: a polysaccharide which is not metabolized by the body. Inulin is not found in the body and must be injected. This substance gives the most accurate results and is used for research purposes.
    • Creatinine: a breakdown product from creatine phosphate, which is naturally found in the blood. Not quite as accurate as inulin (about 10% is reabsorbed), but often used in medicine, since no injection is required.
    • GFR measurements are very easy to do and give an assessment of kidney function. It is important to do these measurements in older patients and in others who may have kidney impairment
  • For substances which are reabsorbed and/or secreted the formula is slightly different:
    • P X C = U X V
    • C = clearance rate of the substance (takes into account secretion and reabsorption)
    • C = (U X V)/P
  • Clearance measurements tell you how the kidney handles the substance:
    • Filtered + reabsorbed: C will be less than the GFR
    • Filtered only: C = GFR (about 120 mL/min)
    • Filtered + secreted: C will be higher than the GFR

Tubular Reabsorption Has a Maximum Rate

  • Most of the solutes filtered into the tubule are reabsorbed because they are too valuable to throw away
  • In many cases reabsorption is by active transport, requiring ATP
    • Because of the active transport the kidney is an energy intensive organ
  • Example of active transport: Na, K pump:
    • Most of the filtered Na is reabsorbed by the Na pump in the proximal tubule (~65%)
    • Na pumping in the ascending loop of Henle sets of osmotic gradients that are used to regulate water (~25%)
    • Fine tuning of Na is done by Na pumps in the distal tubule and collecting duct, which are controlled by the hormone, aldosterone
  • Some reabsorption is by secondary active transport- the flows are indirectly coupled to the active transport of another substance (such as Na)
  • Example of secondary active transport: Glucose reabsorption
    • The proximal tubule has a mechanism for cotransport of Na & glucose
    • The kidney can reabsorb glucose at a tubular maximum rate of 320 mg/min
    • If plasma glucose is normal (about 100 mg/deciliter) 125 mg/min of glucose is filtered into the tubules
    • At this filtration rate the kidney can reabsorb 100% of the glucose in the proximal tubule
    • If the plasma concentration gets high enough (about 300 mg/deciliter) the filtered glucose rate will exceed the tubular maximum for glucose
      • When that occurs, some glucose will be excreted into the urine (glucosuria)
      • This is the cause of urinary glucose in diabetes mellitus
      • Note: small amounts of glucose may spill into the urine when plasma concentrations are as low as 180 mg/deciliter. This occurs because some of the nephrons have lower tubular maximum rates than others
  • Second example 2: Water reabsorption
    • Due to osmosis, but the osmotic gradients are set up by Na active transport
  • There are maximum rates (tubular maximums) for reabsorption by active transport or secondary active transport
  • Maximum transport rate is limited by the number of pump or carrier molecules in the cell membrane

The Kidney is an Osmotic Machine

  • Kidney uses active transport (especially of Na) to set up osmotic gradients
    • Osmotic gradients are shown in the figure below: osmotic pressure in the cortex is isotonic (~300 milliosmoles/liter)
    • As you move toward the medulla the osmotic pressure rises, to about 1200 milliosmoles/liter (hypertonic)
  • A distinctive feature of the tubule is the sharp bend at the loop of Henle
    • Because of the bend, tubule fluid moves downward into regions of increasing osmotic pressure (see diagram below)
    • After the bend the tubule fluid moves upward through regions of decreasing osmotic pressure
  • The kidney takes advantage of the osmotic pressure difference between tubule fluid and interstitial fluid to move water out of the tubule
  • By changing the permeability of the collecting duct the kidney is able to make concentrated or dilute urine by osmosis

More Information

Johann Koeslag of the University of Stellenbosch, Tygersberg, South Africa, has a nicely illustrated internet essay, Kidney Physiology in a Nutshell.

If you develop a passion for the kidney (many physiologists do!) someday you will want to read this book on kidney evolution by Homer Smith:

  • Homer Smith. From Fish to Philosopher. Boston: Little, Brown & Co., 1953.
Related articles by Zemanta
  • Women with chronic kidney disease more likely than men to go undiagnosed (scienceblog.com)
  • Heart Test Deemed OK Before Kidney Transplant (nlm.nih.gov)
  • Failing heart, failing kidney: Double trouble? (scienceblog.com)
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Cautiously Optimistic Even Though No One's Read the Healthcare Bill

Time for your shot

President Obama met with Democratic Senators today to wag his finger at them and tell them to pass the Sen. Harry Reid’s (D-NV) healthcare reform bill, which has been gerrymandered by a few weeks’ back room deals. I still don’t get the sense of urgency politicians have put behind this at this time. Healthcare delivery and costs has been an issue as long as I’ve been politically aware, but now it has to be fixed before the end of the year? Sen. Sherrod Brown (D-OH) sees it this way: “We won’t get another chance for a long time to do something this significant.” What makes December 2009 the critical point in the future of healthcare?

It seems the bill’s fate is up to the whims and fancies of Sen. Joe Lieberman (I-CN). You know, the guy who ran for Vice President as a Democrat, but is now an Independent, but went to the White House with the Democratic Senators this morning. Did I mention, while running for Vice President, he kept his Senate seat, just in case? Believe it or not, he did the same in 2004 in an unsuccessful bid for a Presidential nomination. Besides his annoying, whining talking style, why would anyone want to puff up this guy’s head?

Obama after meeting with Senators

After meeting with the Senators, Pres. Obama said he was “cautiously optimistic” the bill would pass. Besides Lieberman and independent Bernie Sanders (VT), Sen. Ben Nelson (D-NE) is a potential holdout. That means Michigan’s Senators, Carl Levin and Debbie Stabenow, both Democrats, are expected to vote for the bill, no matter it’s final wording or costs.

Here’s the rub. I emailed both Levin and stabinow, asking if they had personally read the bill. I said if they had not, they must vote no. Levin hasn’t yet responded. His functionaries usually send out their form emails after the vote is done. Stabinow’s office sent me a form email that did not answer my key question: has she personally read the bill? The email went on to acknowledge my opposition, which was only ancillary to whether or not she read the bill, and spouted her rhetoric of healthcare is a right. I might also point out that neither has addressed my question of constitutionality. While I don’t necessarily disagree with Debbie, healthcare is not included in the Bill of Rights. And I don’t think there’s anything in the US Constitution permitting the Feds to require me to buy health insurance.

So, I think it’s time to email, phone, and/or fax your Senators and let them know how you feel on this issue. It’s obvious to me that Michigan’s Senators can’t even be bothered to answer my questions. That tells me they’ve not read the bill. And, as I told them before and will tell them again, if you’ve not personally read it, you have to vote no.


[Via http://cynicalsynapse.wordpress.com]

Monday, December 14, 2009

Update on the "Sense About Science" Campaign

As some of the regular readers of this blog may recall, there is currently a case pending in the United Kingdom which could have potentially far-reaching consequences regarding issues of free speech & skepticism.  Of course, I’m referring to the now-famous case of Simon Singh vs. the British Chiropractic Association and the associated grass-roots effort by our friends over at Sense About Science to reform the libel laws in the UK.  Since I last blogged about it, there have been some interesting developments.  I wanted to pass along the latest update I’ve received on this issue, so here goes…

Dear Friends

A message from Simon Singh:

“It has been 18 months since I was sued for libel after publishing my article on chiropractic. I am continuing to fight my case and am prepared to defend my article for another 18 months or more if necessary. The ongoing libel case has been distracting, draining and frustrating, but it has always been heartening to receive so much support, particularly from people who realise that English libel laws need to be reformed in order to allow robust discussion of matters of public interest. Over twenty thousand people signed the statement to Keep Libel Laws out of Science, but now we need you to sign up again and add your name to the new statement.

The new statement is necessary because the campaign for libel reform is stepping up a gear and will be working on much broader base. Sense About Science has joined forces with Index on Censorship and English PEN and their goal is to reach 100,000 or more signatories in order to help politicians appreciate the level of public support for libel reform. We have already met several leading figures from all three main parties and they have all showed signs of interest. Now, however, we need a final push in order to persuade them to commit to libel reform.

Finally, I would like to make three points. First, I will stress again – please take the time to reinforce your support for libel reform by signing up at www.libelreform.org. Second, please spread the word by blogging, twittering, Facebooking and emailing in order to encourage friends, family and colleagues to sign up. Third, for those supporters who live overseas, please also add your name to the petition and encourage others to do the same; unfortunately and embarrassingly, English libel laws impact writers in the rest of the world, but now you can help change those laws by showing your support for libel reform. While I fight in my own libel battle, I hope that you will fight the bigger battle of libel reform.”

And from me, Síle:

The campaign for libel reform was launched by Sense About Science, Index on Censorship and English PEN on Wednesday 9th December. You can read about it in the following articles:

BBC NEWS Comic Dara O Briain says libel laws ‘quash dissent’

The Times Scientists urge reform of ‘lethal’ libel law

The Independent Comic Dara O Briain lambasts ‘bully’ libel law

The Mirror Dara O Briain wants libel reform

THE UCL provost: libel law is stifling academic freedoms

New Scientist blog Campaign to reform English libel law launched

Press Gazette‘Libel can kill – reform it now’

The Press AssociationDara O Briain wants libel reform

To read the background of this campaign see www.senseaboutscience.org/freedebate. We still need your support. Add your voice at www.libelreform.org and help us reach our fundraising target at www.justgiving.com/bookfund.

Best

Síle

Síle Lane
Public Liaison
Sense About Science
25 Shaftesbury Avenue
London W1D 7EG
Reg. Charity No. 1101114
Tel: +44 (0)20 7478 4380
www.senseaboutscience.org

Sense About Science is a small charity that equips people to make sense of science and evidence. We depend on donations, large and small, from people who support our work. You can donate, or find out more, at www.senseaboutscience.org/donate

[Via http://skepticalteacher.wordpress.com]

Friday, December 11, 2009

Many Dialysis Patients Undergoing PCI Receive Improper Medication, With Higher Risk of Bleeding

ScienceDaily (Dec. 11, 2009) — Approximately 20 percent of dialysis patients undergoing a percutaneous coronary intervention (PCI; procedure such as angioplasty) are given an antithrombotic medication they should not receive, which may increase their risk for in-hospital bleeding, according to a study in the December 9 issue of JAMA.
See Also:

“In the United States, medication errors are implicated in more than 100,000 deaths annually. Medication errors include adverse drug reactions related to inappropriately prescribed or administered drugs. To minimize inappropriate medication use, the U.S. Food and Drug Administration (FDA) guides pharmaceutical manufacturers and clinicians through drug labeling of which medications are contraindicated or not recommended for use in specific patient groups,” the authors write. “Little is known about the use of such medications and their effects on outcomes in clinical practice.”
Thomas T. Tsai, M.D., M.Sc., of the Denver VA Medical Center and University of Colorado Denver, and colleagues examined the use of the contraindicated/not-recommended antithrombotic agents enoxaparin and eptifibatide among dialysis patients undergoing percutaneous coronary intervention (PCI) and their association with outcomes. The researchers used data from the National Cardiovascular Data Registry (NCDR) from 829 U.S. hospitals on 22,778 dialysis patients who underwent PCI between Jan. 2004 and August 2008. The study focused on the outcomes of in-hospital bleeding and death.
The researchers found that overall, 5,084 patients (22.3 percent) received a contraindicated antithrombotic medication; 2,375 (46.7 percent) received enoxaparin, 3,261 (64.1 percent) received eptifibatide, and 552 (10.9 percent) received both. In unadjusted analysis, patients who received contraindicated antithrombotics experienced higher rates of in-hospital major bleeding (5.6 percent vs. 2.9 percent) and death (6.5 percent vs. 3.9 percent). Further analysis indicated that receipt of contraindicated antithrombotics was significantly associated with increased in-hospital major bleeding, but no significant association was found with in-hospital death.
“This study therefore demonstrates that these medications are used in clinical practice despite FDA-directed labeling, and their use is associated with adverse patient outcomes,” the authors write.
“Educational efforts targeting clinicians who prescribe these medications and quality improvement interventions, such as amending clinical pathway order sets to include consideration of renal function, are urgently needed.”

[Via http://ramanan50.wordpress.com]

What is Back Pain and Backers

Thai Massage Image via Wikipedia

If you’re seriously interested in knowing about back pain and backers, you need to think beyond the basics. This informative article takes a closer look at things you need to know about back pain and backers.

Did you know when pain acts out that your backers will kick in? The backers are your emotions. The devilish radicals of our human makeup can lead us to consequences we ordinarily would not accept.
Sometimes the radicals are angels that work as guiders to back our every step.

Back pain and emotions go hand in hand, since when one experiences pain it causes threat to the emotions. When the emotions are threatened, “Look out Henry,” John Doe is in the house. Back pain has symptoms, which include depression, irritation and hopelessness, which starts with back pain and ends with emotions.

The person will often accept the proposal that the emotions deliver, leaving them to believe that no help is present. In most back pain instances however, help is sitting in front of you.

The rule of thumb is to listen, learn, and take action. When you learn all you can about your condition, you can move to accept its symptoms and take action to resolve your problem. In fact, the information you gain can work in your favor, since you may learn strategies that relieve your pain without costing you a fortune.

Most back conditions are treated with Rest, Ice Packs, Compression, and Elevation. (R.I.C.E.) Remember this rule and apply it as needed. Unless your back is broken, most back conditions are treated with basic common sense and non-costly remedies. Take action!

Tell John Doe to move it on over, since Henry is taking control. The emotions are lethal injections if you allow them to take over your life.

Fact: About 33% of the patients who visit common medical practitioners do not receive relief from back pain.

Fact: Chiropractors specialize in back pain. Chiropractors overall has lowered back pain up to a percentage higher than ordinary physicians have.

Acupuncture and massage therapy has helped more patients than standard medical treatment.

Fact: Back surgeries can lead to further complications.

Physical therapy is a great way to minimize back pain. In the worst case scenarios people have trained in weights and aerobics, thus reducing pain.

The best time to learn about back pain and backers is before you’re in the thick of things. Wise readers will keep reading to earn some valuable back pain and backers experience while it’s still free.

Back pain is relieved when one uses practical reason. Aspirin for instance can relieve most states of back pain with the exceptions of severe aching. Practical reasoning should tell you that the muscles are stressed, which basic stretch workouts can resolve the problem. Stretch those muscles!

Understanding your condition is the first step to taking action. In addition, when you know your condition you can relax. Pushing the muscles is overexertion that leads to back pain. If you are weight training and notice pain in the back, change your actions and perform other types of workouts.

Discomfiture (Oh no, not John Doe again) can cause a person to feel pity, instead of taking action. Don’t let John Doe out of the bag, rather get into the grove and stretch, relax, and rest.

Fact: Ecotrin is a painkiller that is sold over the counter. If you have back pain and take this medicine four times daily with a meal, you can reduce back pain. Take Ecotrin if you have overexerted the muscles to relieve pain.

Fact: Over the counter medications, such as Ecotrin will reduce pain caused from sprains and osteoarthritis.

Over the counter meds, such as Ecotrin has proven to reduce inflammation and swelling, which is the leading cause of pain.

Fact: If you take, Ecotrin prior to working out, you can reduce the odds of back pain.

Do not take over the counter medications if you have acute back conditions. The remedies are designed for short-term relief. Overusing the remedies can damage the kidneys and cause ulcers to develop.

Fact: Tylenol is linked to liver damage, yet if you use Tylenol in short-term regimens to relieve pain, the painkiller works alongside the central nerves to reduce pain.

As your knowledge about back pain and backers continues to grow, you will begin to see how back pain and backers fits into the overall scheme of things. Knowing how something relates to the rest of the world is important too.

Read more

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