Recommended Workouts During Pregnancy
Worried about potential risks? Don’t be. There just aren’t any if you’ve been green-lighted by your practitioner, you choose the right pregnancy workouts, and you exercise smart. So lace up those sneakers, grab your water bottle (it’s important to stay hydrated when you’re working out for two!), and get moving, Mama! Here are some safe-during-pregnancy exercises you can try (assuming your practitioner has given the okay): Swimming: It’s fun, safe, low-impact, and you’ll feel lighter and more limber when you’re in the water! Like any cardiovascular exercise, swimming helps you breathe easier and increases ...
Source: Cord Blood News - August 9, 2022 Category: Perinatology & Neonatology Authors: Maze Cord Blood Tags: Cord Blood Health pregnancy sex and pregnancy sexual health cordblood cordtissue pregnancy health womenshealth workouts Source Type: blogs

Are antidepressants also pain relievers?
Did you know that antidepressant medications are often prescribed for people without depression? It’s true. Antidepressants are frequently prescribed for chronic pain, especially pain related to nerve disease (called neuropathic pain), chronic low back or neck pain, and certain types of arthritis. In fact, some guidelines for the treatment of chronic low back pain and osteoarthritis (the most common type of arthritis) include antidepressants. One antidepressant in particular, duloxetine (Cymbalta), is FDA-approved for these conditions. Just how antidepressants reduce pain is not well understood. One possibility is they a...
Source: Harvard Health Blog - April 16, 2021 Category: Consumer Health News Authors: Robert H. Shmerling, MD Tags: Back Pain Bones and joints Health Osteoarthritis Pain Management Source Type: blogs

Does pain change your brain?
I consult on many patients because they are suffering from pain. In fact, their pain is so severe that they are considering spinal surgery. More than 100,000 Americans decide to undergo surgery, and millions more have invasive procedures for low back pain or sciatica every year. You almost certainly know someone who has struggled with […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 21, 2021 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/marc-arginteanu" rel="tag" > Marc Arginteanu, MD < /a > < /span > Tags: Conditions Neurology Source Type: blogs

Did you miss me?
It’s been a while since I last posted on my blog, as I’ve had other projects on the go this summer. Over this time I’ve been pondering, as I usually do, why pain management/rehabilitation has so many problems. Conceptually, I can understand that pain is a complex experience that we’re a long way from understanding. I get that it’s a philosophically challenging subject. That because it’s subjective (like love, disgust, fatigue or hunger) it’s difficult to examine dispassionately. I also get that it’s big business. Pain is one aspect of being human that captures the entrepr...
Source: HealthSkills Weblog - February 23, 2020 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Low back pain Pain conditions Professional topics Science in practice Source Type: blogs

Barriers to good pain rehabilitation
This is a long…… readooops, sorry, not. Low back pain is, we know, the greatest contributor to days lived with disability (Rice, Smith & Blyth, 2016). And no-one anywhere in the world has found a good mix of services to reduce the number of days lived with disability as a result of this problem. And yet billions of dollars are used to fund research into the many contributors to a shift from acute low back pain to ongoing disability associated with low back pain. At the same time, treatments that directly target disability, rather than pain (a target considered the most important outcome by Sullivan an...
Source: HealthSkills Weblog - June 9, 2019 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Low back pain Pain conditions Research Science in practice health funding health systems models of care Source Type: blogs

The Folly of Self Referral
By HANS DUVEFELT, MD A lot of Americans think they should be able to make an appointment with a specialist on their own, and view the referral from a primary care provider as an unnecessary roadblock. This “system” often doesn’t work, because of the way medical specialties are divided up. If belly pain is due to gallbladder problems you need a general surgeon. If it’s due to pancreas cancer, you need an oncologic surgeon. If the cause is Crohn’s disease, any gastroenterologist will do, but with Sphincter of Oddi problems, you’ll need a gastroenterologist who does ERCPs, and not all of them do. Now, of ...
Source: The Health Care Blog - May 17, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Physicians Hans Duvefelt primary care Source Type: blogs

The Enigmatic Ganglion Cyst
​Ganglion cysts are soft tissue, fluid-filled swellings most frequently found in the hand and wrist; their origin is not exactly clear. They are common, however, and can occasionally be associated with surprising morbidity despite their benign nature. The morbidity seems to be related to their tendency to localize in highly mobile and anatomically tight quarters such as the hand and wrist. Nevertheless, they can show up almost anywhere.Cysts can also have sequelae, such as sciatica from a piriformis ganglionic cyst, compression radiculopathy from a lumbar intraspinal ganglion cyst, foot drop from peroneal nerve cyst, met...
Source: M2E Too! Mellick's Multimedia EduBlog - April 1, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs

Piriformis muscle syndrome remains controversial and diagnosis is difficult
Piriformis syndrome is a controversial entrapment neuropathyWhat is  piriformis muscle?The piriformis muscle is a small but important external rotator of the hip that crosses the sciatic nerve and is believed by some to cause sciatica-type pain when it compresses the nerve. However, the existence of this so-called "piriformis syndrome" remains controversial and diagnosis is difficult.Controversy is due to the limited research about the condition and the difficulty of making the diagnosis, particularly as symptoms mimic many other more common diagnoses.How common is it?Piriformis syndrome may account for 0.3-6% of scia...
Source: Clinical Cases and Images - Blog - December 17, 2018 Category: Universities & Medical Training Tags: Orthopedics Sports Source Type: blogs

The dynasty of the disc! More history in pain management
Low back pain, despite the multitude of explanations and increasing disability associated with it, has been with humans since forever. Who knows why and I’m not about to conjecture. What’s interesting is that despite ergonomic solutions (fail), increased fitness amongst many people (also a fail), surgical solutions (fail), hands on solutions (fail, fail), and a whole bunch of “special” exercises (fail, fail, fail) we still don’t have a handle on how to reduce disability from it. I don’t think there will be many people who haven’t seen this: I’ve never quite worked out why, w...
Source: HealthSkills Weblog - July 29, 2018 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Back pain Low back pain Pain conditions Research biopsychosocial Chronic pain Clinical reasoning disability pain management Therapeutic approaches Source Type: blogs

When You Feel Like Your Body Has Betrayed You
You couldn’t get pregnant easily, and needed fertility treatments. You had a miscarriage. Or several. You developed complications during your pregnancy. You delivered your baby preterm. Every single one of Parijat Deshpande’s clients feels like their bodies have betrayed them because of the above reasons. Deshpande, MS, is a perinatal mind-body wellness counselor and high-risk pregnancy expert, who helps women navigate stress so they can manage pregnancy complications and give their baby a strong start to life. Psychologist Julie Bindeman, PsyD, works with women struggling with reproductive challenges, depression, anxi...
Source: World of Psychology - July 6, 2018 Category: Psychiatry & Psychology Authors: Margarita Tartakovsky, M.S. Tags: Addiction General Grief and Loss Health-related Mental Health and Wellness Self-Help Stress Women's Issues Betrayal Fertility miscarriage Parenthood Pregnancy Source Type: blogs

Digital Health Supports The Fight Against Opioids
The widespread U.S. opioid & overdose crisis is an ever-increasing tragic concern for everyone: writhing victims, family members being fain to see their relatives suffer or die, doctors prescribing opioid pain-killers what they thought before as safe, and regulators imposed to handle a tough situation. Addiction. It’s painful to even read about the skyrocketing numbers of people suffering, thus we decided to map how digital health could help tackle the opioid crisis. Why is it so difficult to deal with the opioid crisis? Once you become addicted, it sticks with you for a long time, if not for life, just as a chronic...
Source: The Medical Futurist - November 14, 2017 Category: Information Technology Authors: nora Tags: Bioethics Mobile Health Virtual Reality in Medicine AI artificial intelligence data data analytics drugs future gc3 Innovation opioid opioid crisis pharma technology wearables Source Type: blogs

How EMRs are making informed consent meaningless
Recently, getting dressed after working out in the gym, the guy in the next locker decided to complain to me about his recent surgery. Having lockers next to each other had led over time to “What do you do for a living?” After discovering that I was a physician he has occasionally asked some medical questions, and done what a lot of people do when they know you’re a health care provider, which is complain about the health care system in general. He had had a repeat surgery on his lower back for a herniated disc and chronic sciatica, and come out of the procedure with an area of pain and neuropathy in his ...
Source: Kevin, M.D. - Medical Weblog - August 2, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > Tags: Physician Primary care Source Type: blogs

Taming the pain of sciatica: For most people, time heals and less is more
Despite being a less common cause of low back pain, sciatica is still something I regularly see as a general internist. Primary care doctors can and should manage sciatica, because for most individuals the body can fix the problem. My job is to help manage the pain while the body does its job. When a person’s symptoms don’t improve, I discuss the role of surgery or an injection to speed things up. What is sciatica? Sciatica refers to pain caused by the sciatic nerve that carries messages from the brain down the spinal cord to the legs. The pain of sciatica typically radiates down one side from the lower back into the l...
Source: Harvard Health Blog - July 12, 2017 Category: Consumer Health News Authors: Steven J. Atlas, MD, MPH Tags: Back Pain Health Pain Management Source Type: blogs

Tips to Beat the Summer Heat for Pregnant Women
Pregnancy has it up and downs to begin with but handling a heat wave in the mist of that can be overwhelming. In honor of the first day of summer, June 21st, we have compiled a list of ways for mother’s to survive a summer pregnancy! Drink Plenty of Fluids This probably seems obvious. You should drink plenty of fluids in general but when you’re pregnant and in the summer heat you perspire easily and need to make up for any excess fluids you’re sweating out! According to NYC nutritionist Lara Englebardt Metz, “you need to add eight ounces for every hour you spend in the heat”. Additionally, try drinking more sport...
Source: Cord Blood News - July 3, 2017 Category: Perinatology & Neonatology Authors: Maze Cord Blood Tags: pregnancy Source Type: blogs