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Those who work in the field of healthcare have known for some time that a connection exists between our underlying beliefs and thoughts and the functioning of our bodies. Dr. Herbert Benson, in his 1970′s landmark book, The Relaxation Response, articulated the concept that stressors can trigger a “fight or flight response”, an inner startle response that indicates we are about to experience an unpleasant event. Although there is a healthy fear that protects us from harms way, many times how one interprets stressful events and one’s ability to manage it, can affect the immune systems functional capacity. There is now sufficient research to validate Benson’s work, that relaxation techniques such a meditation, can have a direct link to minimizing the effect of a wide range of disorders such as high blood pressure, irritable bowel syndrome, back problems, neurological pain, and headache problems. Relaxation strategies calm the sympathetic nervous system, making it easier for the body to heal.

In Barbara Levine’s book, Your Body Believes Every Word You Say, she explores how our thoughts and underlying beliefs about our physical maladies affect our auto-immune system which regulates our ability to ward off illness, manage pain, and promote healing. In other words, legitimate pain from various illnesses and somatic complaints can be intensified by the kind of messages we tell ourselves. Spontaneous self-defeating thoughts such as, “What’s the use, my body will always betray me and never get better.” can reinforce the pain cycle of making things worse. People with such chronic self-defeating reactions have been shown to create inner chemical changes and constricted blood flow which further erodes the individual’s ability to manage pain. How we respond to our bodily disorders, in terms of core beliefs and inner dialogue, may affect the outcome of our health.

Some time ago, I attended a presentation by psychiatrist M. Scott Peck. He talked with mental health providers about his struggles with neck pain, a problem that had plagued him for years. An operation resolved some of his pain, but he felt that there might be some negative underlying belief that was also contributing to the problem. He ultimately concluded that he was a conflict-avoider, lacking the ability to appropriately assert himself, refusing to “stick his neck out.”

Physical illnesses can be intensified by self-defeating underlying thinking that is a metaphor for the chronic condition experienced. For example, people with back pain may at times lack the “backbone” to express their thoughts and feelings courageously. Individuals with gastrointestinal problems may not be unable to “stomach” certain intolerable thoughts and feelings. People with headache syndromes may experience beliefs and thoughts about events that make them want to say, “Life is making my head hurt.” Eating disordered people may experience core assumptions such as, “I’m so angry that I could just vomit, or if I monitor my weight and eating habits, at least it’s one area in my life that I can control!” People with neurological pain such as inner ear disorders may exacerbate their pain by experiencing thoughts of panic such as, “Oh my God, here it comes again, that nasty, annoying pain. I’ll never get over this because the volume in my life is turned up too high.”

Anxiety, panic, and depression are typical characteristics associated with physical pain. The more effectively one manages these symptoms, the less troublesome the pain may be. Learning to cope with anticipatory anxiety by rationally responding (“Ok, I know that this pain can be troublesome, but when it comes I will do my deep breathing and manage just fine!”), or dealing with panic ( “When a wave of pain comes, I’ll just go with it. It’s not a big deal, my scary feeling are time-limited, they’ll be over soon”), and managing depression (“Just because I feel awful doesn’t mean I can’t do things to stay active and make me feel involved”) are important ways of adaptively responding to pain.

The following ideas are some guidelines for managing pain more effectively:

 Try to get you pain in perspective. Make a realistic appraisal. “In the scheme of things, how bad is my condition?”

 Don’t fight with your symptoms, it only makes them worse. The more you accept your symptoms, the more they are likely to diminish.

 Use various activities to refocus away from your pain. Dwelling on pain makes it more painful. Stretching, music, swimming, meditation, and other activities are important.

 Seek a multidisciplinary approach to your problem, if necessary. Get a team of healthcare specialists, including a quality physician, psychotherapist, physical therapist, message therapist or other providers of pain management.

 Develop a solid support system of family and friends. Also, there are many support groups in our community for people suffering from a variety of physical ailments.

 Remember, that the things we tell ourselves have an impact on our physical and emotional well-being.

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The aging population, the trend towards increased physical exercise, along with the stress many young athletes place on their body have combined to increase the demand for physical therapists in the U.S. and Canada. In fact as early as 1990, the market for equipment, supplies and services reached 2.2 billion per year. The industry has been growing ever since as people become more interested in overcoming health problems.

According to information provided by the Bureau of Labour Statistics in the United States over 160,000 Americans are Physical Therapists. Physical Therapists also earn a median annual wage of $69,760 with some of the highest wage earners earning above $120,000 annually.

With that in mind all of you who are interested in getting yourself started in this fulfilling and lucrative career there are 10 things you will need to get started.

The Winco 850CD Steel Frame Therapy Table, is a great solution for offices without much storage. With 2 shelves and 2 drawers all of your supplies will be on hand and organized when you need them. This treatment table is strong and can hold up to 400 pounds. Its stable design allows for its use for any type of treatment.

If it is an adjustable treatment table you are searching for, look no further than the Proluxe PT 300. This treatment table with a flexible top and leg adjustments allows you to offer treatments for a variety of different people while assuring the utmost comfort.

This mega capacity cooling unit is ideal for your busy practice, athletic training department or emergency room. The C-6 ColPac Chilling Unit comes decked out with 12 standard size ColPacs and its specially designed interior chills your packs faster with the use of a heavy duty compressor.

The 2793k Intelect Legend lives up to its name. The Legend offers users 7 different waveforms and 2 standard channels. It also comes complete with an on-board data management system which stores comprehensive patient pain profiles, generate electrode placement diagrams as well as help to ensure consistent patient care.

This 105 gallon Lo-Boy whirlpool is ideal for your patient’s rehabilitation. Constructed with a heavy gage stainless steel it provides both strength and durability. The turbine motor provides a soothing, cleansing and relaxing treatment and has a built in thermal overload protector.

The M4 Hydrocollator is Source 1 medicals largest mobile Hydrocollator. Its extra large insulated tank comes complete with 24 standard Hotpacs. Made from high quality stainless steel it has an almost indefinite lifespan. The design of this Hyrdocollator makes maintenance hassle free.

The Twin Stim Plus digital offers 4 channels of portable digital electrotherapy. It features 3 modes of TENS and 3 modes of EMS and offers the use of 8 electrodes simultaneously. This unit would be ideal for use at home or in your clinic.

The standard size ColPac is an absolute necessity for anyone starting out in a Physical Therapy clinic. The standard 11″x 14″ size offers effective cold therapy regardless of the area or shape of the injury.

The 2795K Intelect Legend XT’s 4 channel combination system with cart offers unparalleled value to any owner. With the use of 7 different wave forms as well as a 5″ high contrast LCD screen and on board patient data management system each day is sure to be a breeze.

The 1006 Standard Size HotPac allows you to warm away all that ales you by applying this hydrocollator moist heat hot pack. This 10″x 12″ size has been used since 1947 by thousands of doctors and physical therapists to treat patients. Once heated up the hydrocollator provides up to 30 minutes of deep, soothing moist heat.

*wage statistics for Physical Therapists found at: http://www.bls.gov/oes/current/oes291123.htm

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When you hear the word, “laser,” what do you think of? Maybe the first thing that comes to mind is laser eye surgery, or perhaps you think about laser printers. It could be that laser-guided missiles pop into mind, or maybe you picture a laser pointer or a barcode scanner. What you might not know is that cold laser technology has produced a powerful yet benign instrument that can promote healing and wellness.

How a Cold Laser Works

A low level laser, sometimes known as a soft laser, is often used in cell regeneration. Essentially, the approach in this type of laser therapy comes from an understanding that every cell in the body has a “memory” of sorts. This memory comes from the cells’ polarity. Oftentimes, this polarity prevents the body from being able to regenerate or heal itself. When a healing laser is utilized, however, the cells release their charge and, thus, their memory. Once the cells have neutral energy, the cold laser donates energy to help them rejuvenate.

Systems and Conditions that Benefit

Soft laser therapy can help with a variety of conditions. For example, many people find it useful for pain relief – either acute or chronic – as well as for injuries, weight loss, and smoking cessation. Many others use a healing laser for detoxification, and for reversing the effects of adrenaline, which is known to contribute to pain, stress, diabetes, and aging. A cold laser can also be used for nerve regeneration, organ balancing, and lymph activation. Massage therapists and other healing arts practitioners use a cold laser to align the chakras or meridians, helping their clients to reconnect their bodies, minds, and spirits.

Handheld Devices

Soft lasers are available as portable, handheld devices, and some are designed to be used by both laypeople and health professionals. However, not all cold lasers are created equally. The best have 16 laser diodes in the 650nm and 780nm spectra, as well as a digital interface that is programmable. If you’re shopping for a healing laser, make sure to buy one through a company that will also provide you with a carrying case, a rechargeable AC adapter, and plug-ins for the pulsar probes. Most important of all, make sure that the company will supply you with a training DVD and manual. They should also offer support and assistance, as well as a full, money-back guarantee. Generally speaking, lasers have a multitude of applications. Everyone from dentists to defense contractors to engravers use them. Thanks to cold laser technology, though, more people than ever before can benefit from the healing light and cellular rejuvenation that laser therapy provides.

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The proven health and therapeutic benefits of Far Infrared Heat Therapy, while familiar to health professionals, are still a mystery to most consumers. A recent “explosion” of Far Infrared Heat Therapy products on the market has prompted most people to show interest in the benefits of using those products, but like most new technological applications, most are still skeptical as to whether or not these products actually work. The first question most consumers ask is, “What is Infrared Heat?”

What is Infrared Heat?

Infrared is a band of light that we perceive as heat. While we cannot see infrared heat, we can feel its effects. Infrared radiation, or radiant heat, represents over half of the energy emitted by the Sun and is divided into three segments: near, middle, and far.

Infrared rays heat our body by a process called conversion. Through conversion, far infrared heat can penetrate organic substances such as the human body without heating the air in between. You may notice a similar effect on partly cloudy days: when a cloud obscures the sun, you suddenly feel cooler, but the air temperature around you has not had time to be affected. The cloud blocked the sun’s infrared rays from penetrating your body.

By using far infrared heat as opposed to traditional heating methods, you enable the heat to penetrate deeper into your body without the skin discomfort of heating pads, hot towels, and some pain relief gels/creams. However, less discomfort is just one of many benefits of far infrared heat therapy.

What are the benefits of Far Infrared Heat Therapy?

The human body is composed of 90% water. Far infrared rays cause resonance in water molecules, activating them and ionizing them. Because of this effect, Far Infrared Heat Therapy offers a variety of proven health and beauty benefits.

Far Infrared Heat Therapy effectively helps to increase blood circulation without putting strain on your heart and increases the levels of oxygen and white blood cells in your blood. It also stimulates the production of collagen (a building block for human tissue) in your body and helps to rid your body of toxins by causing you to perspire. You get the benefit of a stronger immune system, better cardiovascular health, and a faster ability to heal from soft tissue injuries such as tears, pulls, and sprains. Believe it or not, Far Infrared Heat Therapy also serves as an effective way to help cure hangovers.

The penetrating heat of Far Infrared Heat Therapy can be used as a beauty treatment as well. It reduces the appearance of crow’s feet, fine lines, and wrinkles. In addition to helping heal scars, wounds, and cuts, it also smoothes your skin’s texture, lessens coarseness, and reduces pore size.

Far Infrared Heat Therapy penetrates deep into soft tissue, making it an ideal source of arthritis pain relief. Athletes and the elderly will benefit from an effective means of loosening sore muscles and stiff joints without the use of ointments or creams that can burn and have an unpleasant odor. Those who suffer from rheumatoid arthritis, ALS, Lou Gehrig’s Disease, and Parkinson’s Disease can enjoy an easy to use form of pain relief. In addition to making you perspire and removing toxins from your body, Far Infrared Heat Therapy serves as a means of weight loss and cellulite reduction for those who cannot exercise due to health concerns or mobility issues.

How is Far Infrared Heat Therapy administered?

Thanks to the demand for pain relief applications as well as the growing knowledge and popularity of Infrared Heat Therapy, a wide variety of products are available to help you enjoy the benefits of this technology. Ranging in price from as low as $80 to as high as $2,600, Far Infrared Heat Therapy technology is used in handheld devices, stationary systems, products with built in massagers, and even highly effective home saunas.

The Light Relief® is an example of a handheld infrared therapy device. It uses either an AC adapter or batteries and can be held against your body with your hand or attached to your body using the long strap included with the product. It is a great solution for targeting pain in specific areas such as your joints, hands, and neck.

The DPL – Deep Penetrating Light Therapy System is a device that consists of two large panels, mounted on a stand, that contain dozens of infrared LED lights. The DPL can sit on a table to apply the skin-related benefits of infrared therapy to your face, or the two panels can be removed and either held or strapped to the body. When removed from the stand, the two infrared panels are ideal for relieving pain, healing, and increasing circulation in larger parts of the body such as the lower back, the upper back, thighs, shoulders, and abs.

Perhaps the most effective form of Far Infrared Heat Therapy, the Far Infrared Home Sauna offers many more benefits than any other device. Unlike traditional saunas that heat up to over 200 degrees Fahrenheit, the Far Infrared Home Sauna only reaches a maximum of 150 degrees. The infrared technology allows the heat to penetrate even deeper into your body while eliminating the discomfort of extremely high temperatures. The air is fresh and steam-free as opposed to being humid and stale, and this sauna uses a fraction of the energy a traditional one uses. Because the temperatures are low enough to not affect electronics, the Far Infrared Home Sauna includes a sound system with CD player and a reading light.

Will Far Infrared Heat Therapy Work For Me?

Far Infrared Heat Therapy has been shown to work on people of all backgrounds. The range of benefits from this effective form of heat therapy can be felt regardless of skin type, physical disabilities or limitations, and athletic condition. Simply use the available types of Far Infrared Heat Therapy for 15 – 30 minutes per day and enjoy the benefits of a healthier lifestyle.

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The most popular way to stop smoking, is known as “cold turkey.”

It’s the most popular method but is it the right method for you lets look at stop smoking cold turkey and see.

Smoking “cold turkey” means to stop smoking instantly with no reduction i.e. just stop and cope with the cravings with no help.

How effective is it?

Quitting smoking “cold turkey” means to stop smoking without using any nicotine replacement therapy aids as nicotine provides the addictive nature of smoking it causes withdrawal symptoms.

Withdrawal of nicotine causes the following:

Irritability, fatigue, feelings of stress and nausea.

They are intense and will always be there in the first few weeks after giving up, although the first 3 – 4 days are the worst.

The symptoms and severity gradually reduce and eventually cease altogether and after about a month your body no longer needs nicotine fix.

If you are quitting smoking by “cold turkey” there are several ways to increase your chances of success

1. Drink lots of water to flush out your system at least liters a day and more if possible.

2. When cravings start – THINK of all the reasons why you are quitting cigarettes.

Concentrate on why you don’t want to smoke and all the health and financial benefits it will bring.

Focus on these benefits for a few minutes and block everything else out your mind to motivate you not to smoke.

3. Get support if you need it.

If you can do “cold turkey” do it with someone else or get support and help from groups, either on the Internet or a meeting group.

4. Keep yourself busy and occupy your day and make sure you don’t have time to think about smoking especially in the first 3 days.

Your chances of success depend very much on two major factors:

How much you want to quit and whether or not you believe you can do it.

If you think you can then of course you will.

If you think you cant you will not achieve your goal.

You may want to consider something else though.

People quit smoking “cold turkey” as they think nicotine is bad for you but it isn’t, as we shall now see.

Fact:

You will double your chances of success if you give yourself a fix of nicotine outside of cigarettes.

Let’s look at how to double your chances of success.

Nicotine Replacement Therapy

Nicotine does not cause death or disease, on the contrary its good for you.

It improves concentration, mood and attention and is actually part of the natural food chain and we consume trace elements everyday in foods such as tomatoes and potatoes to name just two.

If you take it in organic form you can beat cravings and get some potential health benefits.

NRT Products include:

Puffers, inhalers, gum and patches.

As the health benefits of nicotine are now well known companies are looking at producing nicotine supplements not just to help smokers, but help with a variety of conditions which need improvements in mood, attention and concentration.

They are looking at these to treat conditions such as: Depression, Altzeimer’s and Parkinson’s disease to name just 3.

A new smoking alternative

The first is already on the market. Originally aimed at smokers when they didn’t want to smoke, or couldn’t smoke It’s simply organic nicotine in water.

It’s very popular due to its convenience.

Simply take a few sips whenever you feel the need.

This product is now being taken not just by smokers but those who want to gain potential health benefits as well.

Finally

Try smoking “cold turkey” if you wish, but using NRT will double your chances of success and if you know the facts, you will see nicotine in pure organic form does no harm, so this is a great way for smokers with low willpower.

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Many people with fibromyalgia also have chronic myofascial pain or CMP (formally known as Myofascial Pain Syndrome, MPS) and don’t even know it. It is often missed because it is easy to confuse the pain and it’s origins with that of FM. As a result, it is missed in the diagnosis. Both are connected to the musculoskeletal system, which makes up almost 50% of our body weight, but should not be confused as being the same. Understanding FM and CMP and what makes them tick, will empower you to help yourself. You will be able to figure out some of the contributing factors to your pain, where it originates and what makes it feel better. It will help you understand treatments and find the one(s) that work for you.

It was recently discovered that MPS is not actually a syndrome at all, but a neuromuscular disease. This is important news! The difference? Diseases have known causes and a well-understood process for producing symptoms. Myofascial pain due to trigger points is now considered a true disease, rather than a syndrome. Fibromyalgia is a syndrome like rheumatoid arthritis and lupus and has tender points (not to be confused with trigger points). Even with these differences, it is believed by many researchers that one can influence the other.

I have mentioned before that I have a few experts that I follow closely and call my “fibro heroes” because they helped me through their studies and publications to understand and validate my pain. Devin Starlanyl is one of those heroes. Actually, she was my first. I read a book she co-authored, Fibromyalgia and Chronic Myofascial Pain: A Survival Manual, and quickly followed that by her book, The Fibromyalgia Advocate: Getting the Support You Need to Cope with Fibromyalgia and Myofascial Pain – she is amazing! She is a sufferer herself as well as a doctor/researcher. She set about trying to give doctors perspective from the patient’s point of view and has created diagnostic guidelines, patient resources with an empathy you can’t get anywhere else. She is at the forefront of all the research, news and information & shares it with FM & CMP sufferers in a way we can understand. Finding out about her work, was the beginning of my understanding.

What are trigger points? Trigger points are subtle, but taut bands that constrict the muscle and cause tremendous pain. Trigger points can be in the fascia that surrounds the muscle or in the muscle itself. They are extremely sensitive to pressure at the site and also cause “referred” pain – meaning pain at another location of the body. The part of the muscle fiber that actually does the contracting is a miniscule component called a sarcomere which cannot be seen by the naked eye. Contraction occurs in a sarcomere when its two parts come together and interlock like fingers. Myofascial trigger points are confined in one area and are dying for oxygen, which causes a demand for energy. There is a chemical reaction in central nervous system which sensitizes nearby nerves. This triggers the motor, sensitivity and autonomic (not under voluntary control) reactions of the trigger points. Muscles with trigger points are in a perpetual state of energy crisis.

Trigger points cause headaches, neck and jaw pain (TMJ), low back pain, tennis elbow, and carpal tunnel syndrome. They can cause pain in the shoulder, wrist, hip, knee, and ankle and are often mistaken for arthritis, tendonitis, bursitis, or ligament injury.

Trigger points can also cause dizziness, earaches, sinusitis, nausea, heartburn, false heart pain, heart arrhythmia, genital pain, and numbness in the hands and feet. Some experts believe that fibromyalgia may sometimes start as a result of myofascial trigger points. In CMP trigger points, the pain is more intense with a radiating pattern along the same muscle or muscle group. There is usually some loss of the range of motion, as well as a substantial weakness in the muscles that have active trigger points. The pain decreases when the muscle is at rest, and the intensity of the pain increases as soon as the that muscle starts to contract.

Proof of myofascial trigger points has been produced by the use of electromyographic imaging (a device that converts the electrical activity associated with functioning skeletal muscle into a visual record or into sound and has been used to diagnose neuromuscular disorders and in biofeedback training). Researchers have also used ultrasounds of localized twitch responses of trigger points. They can even do biopsies of myofascial trigger points that show the contraction knots and rounded muscle fibers. In one of Devin Starlanyl’s articles, I read that, as a result of this, The Journal of Musculoskeletal Pain has stated that the trigger points involve the “nerve terminal and the postjunctional muscle fiber” which “identifies myofascial trigger points as a neuromuscular disease”. Simons DG. 1999. Diagnostic criteria of myofascial pain caused by trigger points. J Musculoskeletal Pain 7(1-2):111-120.

What causes trigger points? There are many factors that can be attributed to trigger points: poor posture, scoliosis, thyroid deficiency, estrogen deficiency, loss of flexibility, nerve root compression (pinched nerve), emotional stress/anxiety that leads to lack of sleep which can increase muscle tension, fatigue and pain threshold. Other factors that MAY cause or worsen CMP trigger points are: nutritional deficiencies, chronic infections, muscle imbalance, inactivity (static posture).

When I injured my left knee, which resulted in surgery, I developed a limp and without even thinking about it, continued to favor (protect) that knee long after surgery. As a result, my entire left side became weak and I experienced pain that radiated from my lower back all the way to my ankle. My lower back and hip would tighten up so much to compensate for the muscles in my leg, that I sometimes couldn’t even move. The pain felt like all my muscles from the waist down on that side had “seized”. It was so intense, I would have to freeze in that position until it eased. It still happens today, but the difference is, I know what to do about it.

After a car accident, my FM and CMP were inflamed to a point that I was sent to a therapist for continual treatment. I had been reading about Myofascial Release Therapy and was really wanting to try it. I was pleasantly surprised to find a myofacial release therapist that had practiced under John F. Barnes, President and Director of the Myofascial Release Treatment Centers and National Myofascial Release Seminars. Barnes developed the most incredible, pain-easing therapy that makes your fascia and muscles feel like they are melting like butter and gently releasing and unfolding your muscles! Of course, that is MY non-clinical way of describing it, BUT that is what it felt like to me.

Being a military family, we eventually had to move to another base and I immediately started searching for a therapist that knew and understood the John Barnes method. I saw several therapists (covered by my insurance) that claimed to know it, but I was incredibly disappointed and ended up hurting more after a session than when I went in. So, my recommendation is to make sure these people have actually studied under Barnes or were trained at one of his seminars. Ask for proof. You can also find a link to his site on my website where you kind find a list of therapists.

With all of the research and progress being made in understanding and treating chronic myofascial pain, who knows what tomorrow will bring! I will continue to bring you more information on CMP – from diagnosis to traditional and alternative treatments. There is a great deal of hope for people like you and me!

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Today there is a great deal of “Medical Buzz” about the onset of carryover pain relief, also known as residual pain relief, after using portable interferential equipment for treatment of chronic pain. This is not a new phenomenon but has been going on for more than half a century and quite successfully. The “newness” is the same clinical results are occurring but without having to go to a clinic or hospital.

Why?

Interferential therapy has been used by physical therapists, chiropractors, pain clinics, physicians since 1953 with the same carryover pain relief results. It has been the mainstay of those medical professionals in treating patients suffering from chronic pain diseases. Some of the best results have been obtained for those who have been unable to find adequate treatments and they are successfully treated by “alternate”, non drug methods and interferential treatments are the mainstay for those treatments. These are the typical diagnoses that have been treated by interferential therapy:

Osteoarthritis
Trigeminal Neuralgia
Shingles
RSD – Reflex Sympathetic Dystrophy
Fibromyalgia
Sciatica
Chronic Low Back Pain
Post Herpetic Neuralgia
Neuralgia pain
Phantom Limb Pain
Headache pain
Muscle pain
Neck and Shoulder pain
Inflammatory pain
Multiple Sclerosis Pain

Many other pain conditions where the patient has been doped out on drugs or told “there is nothing else we can do”. Often the processes of rehabilitation, such as you see where one has suffered a “frozen shoulder”, are enhanced and healing increased by using interferential therapy in conjunction with doing the painful exercises. The interferential helps to overcome the pain created by the exercises and shortens the pain that follows after the exercises are over. None of this is new though.

Let me describe the process that has been going on and on for decades and is totally dependent upon interferential providing carryover pain relief.

1. The patient enters the Chiropractic, Physical Therapy, Pain Clinic or Physician office. Generally at the time of entry the patient has been very uncomfortable due to pain. It has reached the point the patient needs help or it has reached the point the patient is tired of using drugs and not being able to live life due to the masking in the brain. The patient is not going to keep using the drugs but is now hurting and it’s to the point of being unbearable.

The health care practitioner will normally greet the patient and begin to either, if chiropractic, do a manipulation if indicated, or if Physical Therapy, apply warm moist heat and soft tissue massage or stretching. Most chronic pain patients have already tried surgery, injections, pills, and conventional treatments to no avail. They are looking for something that just might work.

After the practitioner has completed the initial treatment the chances are excellent the patient will then lay on a treatment table and begin a 12 to 20 minute interferential treatment. There is a large clinical machine beside the table and the practitioner will apply 2 to 4 self adhering electrodes to the patient. The machine is turned on with the instructions to the patient to tell the practitioner when the patient “feels the sensation”. The interferential machine is turned up till the patient declares it is feeling good to the patient and the pain has diminished. At this point the practitioner sets the timer on the interferential unit and will leave the room. The patient quietly lies on the table until the interferential machine stops treating. Once the machine stops then the patient in almost all cases actually feels better and the pain is either gone or severely diminished.

2. Now the “guessing game” begins. The patient, especially in the Chiropractic field, goes to the payment window and is asked to pay the bill. This is a crucial step in determining the efficacy of the interferential treatment. For many Chiropractic Physicians the service may not have been covered by insurance and the patient is paying out of pocket for the treatment.

If the treatment did not help the patient the patient will be:

1. Reluctant to pay the bill or,

2. Not come back for any future treatments

This is a critical moment for the patient and practitioner. In most cases due to the chronicity of the pain there will be follow up visits for care. The next appointment is also a guessing game. The guess is “when will the pain return” and a guess is made to have a return visit prior to the onset of pain, prevention is always the best course of action, or when will the patient be in so much pain an interferential treatment is needed. This isn’t something to ignore.

It will help to understand the patient now feels much better but the key is how long will the treatment last and the pain stay away. That is the carryover or residual pain relief period that interferential is famous for. That is also the guessing part of when to reschedule the return. This protocol is based on carryover pain relief and has been such for the last 60+ years clinically. It is also the proof of interferential therapy efficacy. The pain free period has to last at least till the patient pays the bill, and hopefully much longer so the patient will return!!!

It’s not only science but also patient success that matters. Did the interferential treatment work? If so the patient returns, if not,then good by or the next appointment is missed or not scheduled at all. That is the strength of interferential therapy over the decades. It has worked and worked well on the most difficult pain patients. The newness now is not that there is carryover pain relief, but with a patient being able to treat when needed with a portable interferential pain machine, then the carryover pain relief is getting extended over time. The newness of extended pain relief is what is and has emerged in the past 18 months.

It’s the advent of self treatment with interferential, without drugs, that is now challenging the understanding of the medical community.

Is there a physiological answer as to why longer periods of no, or reduced pain, is occurring?

It’s my contention there is.

As stated there is no surprise that interferential provides immediate and long lasting pain relief. What is surprising is how, with self treatments, the pain is prevented or treated and the treatments become less frequent.

There is an answer to the physiological side of electrical charges being used to heal. Nothing new as it’s well known anytime positive and negative charges of electricity are applied to the body there are very distinct chemical changes occurring. These charges have been used beneficially therapeutically for decades.

For years positive and negative charges have been used to promote bone healing, non union fractures, so the chemical and physiological changes are known. For many patients suffering with crush injuries amputation was the normal course until it was learned to electrically stimulate for unionization. The use of electricity would restart the process of the bones merging together and effecting a functionally stable reunion.

Equally impressive is the continuing use of electricity for healing bed sores, decubitus ulcers, which started with the use of the form of electricity known as pulsed galvanic stimulation. In the physical therapy profession small, portable electrical devices have been used to make bed sores fill in with tissue and eventually to close and heal completely.

Of course with bones and soft tissue repair the body must have the necessary nutrients to effect the changes electricity can do. Electrical charges alone will not suffice since the electricity initiates the body’s response to heal and the body requires the necessary nutrients and hydration to accomplish the task.

There is no doubt with the pain patient that there exists a chemical process that is causing the pain sensation to be created and transmitted to the brain. That process is indicative of sickness, since chronic pain of unsubstantiated cause, is unnatural and requires therapeutic healing to stop the injurious processes. Possibly the use of interferential with the positive and negative charges is chemically altering the pain stimulus area and the repeated usage of the interferential unit to stop and prevent pain, is altering the chemistry of the area. That alteration may become permanent and it is that permanency which is stopping the unnatural pain impulses. With preventive treatment the body is stopping the chemical changes before they can cause pain.

The electrical intervention is supporting the permanent change that we call carryover pain relief.

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Why do some patients respond to surgery with fantastic results while others recover very slowly and possibly with minimal results? The difference may be in the care which the patient receives after surgery, both in the hospital and at home. The benefits of preoperative management as well as surgical technique may be obvious, but what may often be overlooked are the incredible benefits of postoperative rehabilitation. Orthopedists acknowledge that patients benefit from postoperative physical rehabilitation, regardless of their age or physical condition. For some pets, the surgery may only be as successful as the rehabilitation.

The primary goal of physical rehabilitation is to promote healing, and return the affected part of the animal to full function. It is also important to prevent complications that may result from the disuse of the affected area. This can be accomplished through the use of thermal agents (hot and cold packs), therapeutic exercise, aquatic therapy, and/or muscle stimulation.

Something as simple as applying ice packs wrapped in a light towel or thick pillowcase can go a long way in starting the postoperative physical rehabilitation process. One benefit of applying cold packs is to decrease pain and swelling. The local hypothermia decreases the messages sent through the nerves, thereby creating mild pain relief. It also produces blood vessel constriction in localized tissues to decrease swelling and relax skeletal muscles. As a general rule, cold therapy is indicated during acute inflammation (up to 72 hours after injury or surgery) when the area shows signs of redness, swelling, pain, and or heat. The treatments should last 15 to 20 minutes and should be performed three to four times a day for the first 72 hours following the injury or surgery. Be sure to check the skin several times during the treatment to prevent the skin from getting too cold.

After the inflammation has subsided, the application of heat is beneficial. Heat applied to the affected area causes mild muscular pain relief, sedation, and increased local circulation. An easy way to apply heat to the affected area is through a warm hot water bottle or moist washcloth heated in the microwave. (the temperature of the heat source should ideally be between 104 and 113 degrees. The warm pack treatment should last 15-20 minutes and should be applied three to four times a day. It is important to check the skin every few minutes during the treatment. If the pet’s skin is hot to the touch, use more towels to insulate the heat source.

Veterinarians are able to surgically correct numerous orthopedic problems pet can develop. A physical therapy program to rehabilitate the involved muscles, ligaments, and joint capsules can be a great benefit to your pet. The use of cold and heat therapy is only the beginning of the therapeutic possibilities immediately following trauma and/or surgery.

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If you have ever suffered with shoulder pain you will know that the intense pain can be a nightmare to live with. Shoulder pain can effect 2-5% of the population with 60% of these sufferers being women. Frozen shoulder is one of many shoulder problems that people suffer from and tends to be more painful at night due to added pressure and infrequent movement.

However, there are chiropractors that can offer solutions for people to be able to free them of the agonising pain of frozen shoulder. The time scale that people can be suffering from a frozen shoulder can vary from 48 hours to 4 weeks making it essential that treatment is sought.

Due to the effects of Frozen Shoulder, many people find the need to give up work and often become depressed because of the anxiety that comes with being out of work. Available treatments ensure that the successful treatment of frozen shoulder can help people begin to live a pain free life and get back into the work place that their condition has kept them away from.

There are many chiropractors that have alternative therapy one of which being Cold Laser Therapy. This treatment can make a vast difference to the recovery and healing of frozen shoulder pain. Some chiropractors specialise in this therapy because it is an effective, pain free treatment for a variety of injuries including frozen shoulder, ligament pain, bulging and herniated discs.

The success rate of cold laser therapy is 95%. The proven method of cold laser therapy makes it a popular choice with athletics for strains and sprains as the recovery rate is minimal. There are also no known side effects making it a safe treatment to partake in. Testing for this therapy has been ongoing for three decades and so far there have been no side effects making it a desirable treatment for many people that have suffered with shoulder pain for years.

Depending on the severity of an injury, cold laser therapy needn’t be an ongoing treatment. Some cases are cured within one treatment, however for more severe cases 6 – 10 treatments may be required to see an effect. It is important to choose specialists in this area that understand the process and method of cold laser therapy for maximum efforts.

There are chiropractic West Midlands area who specialize in this therapy with great accessibility, so you can rest assured that help isn’t a million miles away.

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Quitting smoking cold turkey means giving up cigarettes without any preparation whatsoever. On explanation of the phrase “cold turkey” claims it comes from the way drug addicts look when they go through drug withdrawal. Their skin looks pale white and has goose bumps on it due to the blood being directed to the internal organs, making them look like a turkey. Another explanation is that it refers to cold turkey being a food that requires very little preparation.

Giving up smoking cold turkey is possible and can be effective but it requires a lot of willpower and determination. Smoking is an addiction that is both psychological and physical. Still lots of people manage to do it and lots of them never touch cigarettes again.

When stopping cold turkey the first few days will be the hardest. A good way to get past this tough period is to keep yourself busy and distracted. Go out for a walk, visit a friend, go to the movies. Anything to take your mind of cigarettes. You should also break your routine and avoid the places where you always used to smoke.When you feel the need for a cigarette try to eat something or chew some gum. Try to avoid high calorie foods though as these increase the weight gain that a lot of smokers experience when they quit.

If you find going cold turkey too challenging there are lots of other options available. Nicotine replacement therapy has been proven to be effective, as have stop smoking injections. Other popular methods include hypnosis, group therapy and laser treatments.

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