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Posts for: September, 2016

By Healthgrades.com
September 15, 2016
Category: Foot Care
Tags: Nerve Pain  

Up to 70% of people with diabetes have some form of nerve damage, known as diabetic neuropathy. The longer you are diabetic, the more likely you will develop diabetic neuropathy. Diabetic neuropathy can bring on pain and other troubling symptoms that can affect your quality of life. 

Diabetic nerve pain can impair your ability to sleep, exercise, walk, work, and engage in other everyday activities. There’s no cure for diabetic nerve pain. But keeping your blood sugar under good control can help manage the condition. There are also many FDA-approved medications that work to relieve diabetic nerve pain including:

  • Duloxetine (Cymbalta)Lidocaine (Lidopain)
  • Pregabalin (Lyrica)
  • Desipramine (Norpramin)

Acupuncture, biofeedback, and physical therapy may also help relieve pain in some people, as can a bed cradle, a device that can keep sheets and blankets from touching sensitive feet and legs.  The first step to getting help and developing a management plan that’s right for you is talking about your nerve pain with your doctor. When you make your appointment, let the doctor’s office know that’s the reason for your visit. Here’s what you can do to make the most of that conversation.

Do Your Homework 

Before your doctor’s visit, think about your symptoms. When do they affect you the most and how often? Which are the most troublesome? 

The American Chronic Pain Association recommends the mnemonic device “FIST” to help you structure your thoughts and guide the conversation you’ll have with your doctor:  

F: Frequency of the pain you experience. How often do you experience pain? Do you experience it daily? At night? All the time? Sometimes? When you do certain activities? In the morning? Try to be as specific as possible about the frequency of your pain symptoms.

I: Impact on your daily life. Does your pain affect your sleep? Your ability to walk, exercise, work, drive or take care of your family?

S: Symptoms. What does your pain feel like? Is it a burning sensation? Or is the pain more stabbing, stinging or jabbing? Do you experience numbness or tingling? Pins-and-needles prickling? Shooting pain? Extreme sensitivity to touch? Again, try to be as specific as possible about what your pain feels like. You might say, for example, “It feels like wasps are stinging my hands and feet,” or, “I hate wearing shoes.”

T: Type of pain. This also means where you have pain. Do you have pain only in your feet, in your hands, or both?

Then, put it all together, such as: “Every night, I toss and turn because I can’t stand the feeling of the sheets on my feet,” or “Every morning, it feels like I’m walking on crushed rock and my shoes feel too small.”  
Write down your answers so that you don’t forget to mention them at your doctor’s visit.

Read More - Healthgrades.com


By Sciencedaily.com
September 15, 2016
Category: Sports Injuries
Tags: Foot Care   soccer   players injuries  

Soccer is an increasingly popular sport in the United States, both professionally and recreationally, with over 3 million registered soccer players under 19 years of age playing in leagues every year. A new study conducted by the Center for Injury Research and Policy of the Research Institute at Nationwide Children's Hospital found that with the increase in the number of players there has been a rise in the number and rate of injuries.

The study, published online today in Pediatrics, found that from 1990 through 2014, the number of soccer-related injuries treated in hospital emergency departments in the U.S. each year increased by 78 percent and the yearly rate of injuries increased by 111 percent among youth 7-17 years of age. By calculating the rate using participation data, researchers were able to show that the rising number of injuries comes not just from the increase in the number of young players participating in the sport but also because players are now being treated more frequently for injuries.

"The sport of soccer has changed dramatically in the last 25 years," said Huiyun Xiang MD, MPH, PhD, senior author and Director of Research Core at the Center for Injury Research and Policy at Nationwide Children's Hospital. "We're seeing athletes play year-round now thanks to club, travel and rec leagues, and the intensity of play is higher than it ever has been. These factors combine to lead to more risk of injury."

The majority of the injuries were sprains or strains (35 percent), fractures (23 percent) or soft tissue injuries (22 percent). While concussions and other closed-head injuries (CHIs) only accounted for just over 7 percent of the injuries overall, the rate of concussions/CHIs increased 1596 percent over the 25-year study period. Athletes with concussions/CHI were twice as likely to be admitted to the hospital as patients with other diagnoses.

"While we can't tell from our data why the rate of concussions among soccer players is increasing, it is important for athletes and families to be aware of this issue and what they can do to reduce the risks," said Tracy Mehan, MA, manager of translational research at the Center for Injury Research and Policy. "Young athletes take longer to recover from concussions than older athletes and they can put themselves at risk for second-impact syndrome and repeat concussions if they return to play too soon -- both of which can lead to serious, life-altering injuries."

The study also found that most of the injuries occurred when a player was struck by either another player or the ball (39 percent) or when they fell (29 percent). Older children and adolescents ages 12-17 years accounted for the majority of the injuries (73 percent) and girls were more likely than boys to sustain a knee or an ankle injury.

Read More - Sciencedaily.com




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