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Which Chronic Shoulder Pain Treatment Is Right For Me?

Next to headaches and lower back pain, shoulder pain represents one of the most common complaints people develop.

It can be surprising to ask around and find out how many of the people you know have a bad shoulder. Understanding which of the many chronic shoulder pain treatment out there is right for your particular situation can be somewhat more involved, however.

chronic shoulder pain treatment


First, let’s consider how the shoulder works, and how it becomes injured.


Basics of Shoulder Pain

The shoulder is one of the most complex joints in the body. It has 16 soft tissue structures as well as 3 bones.

All of these affect stability and movement. As a result of this complexity, some 10% of the population will experience shoulder pain at some point. (About 50% of these will not seek treatment — about 1 in 4 shoulder pain cases resolve on their own inside the first few weeks, thankfully.

Still, this leaves 75% of these cases unresolved.

In general, shoulder complaints fall into four different categories: overuse, arthritis, instability, and fractures. Tumors and infections can also cause pain, but are less common.



Day to day activities often use the shoulder, as do most sports. This constant moving and involvement may produce overuse.

The most common diagnoses, tendonitis and bursitis, are often considered to be the result of overuse. However, the diagnoses refer to inflammatory conditions, where overuse injuries are actually degenerative.

As a result, the commonly prescribed treatments — ice, rest, medication — are not necessarily the best. They cannot regenerate the tissue which has degenerated. Stretching also doesn’t help very much.

The shoulder is complex and full of different structures which all work together, and overuse produces increased friction and “tight” muscles. Over time, if not properly treated, this increased friction can form adhesion and even tendonosis, or tendon degeneration.


Tendon Tears

Tendon tears are another common type of injury to the shoulder. They may be produced by injuries directly or the result of having an overuse injury and not seeking out treatment.

A small pain slowly becomes a large pain, and eventually leads to a tear of a structure which finally weakened enough. Most commonly torn are the four rotator muscles — the supraspinatus, the subscapularis, the teres minor, and the infraspinatus.



Arthritis most commonly appears as “wear and tear” or osteoarthritis in the shoulder joint. It might be related to a previous injury like infection or tears, which can lead to more chronic pain and reduced movement later.



Another very common cause of shoulder pain is impingement. When the arm is lifted, a shoulder bone might “impinge” on the rotator cuff tendon and bursa. This can be the result of both overuse and arthritis.

Over time, impingement may lead to tearing. Adhesion is often a root cause here — once removed, the impingement is not an issue any longer.



Shoulder instability can be the result of both overuse or trauma. It happens when the upper arm head is forced out of its socket. Repeated dislocation may produce chronic instability or even arthritis.


Rapid Treatment

Both PRP and stem cell therapies can be used as chronic shoulder pain treatment. Compared with normal methods that take weeks or require surgery, these therapies may produce results in as little as a single office visit — with no hospital stay.


Alcohol Addiction: Rehab For Pregnant Women Is Not Optional

Most expectant mothers realize that drinking is not helpful for unborn children.

What many do not realize is that children who are born to mothers who have been drinking sometimes suffer from a form of brain damage known as Fetal Alcohol Syndrome, or FAS.

Children who suffer from FAS are usually taken away from their families early on in life, and are much more likely to grow up in foster care?

Sadly, that’s far from the worst of the problems experienced by children born to mothers who drink.

For women considering pregnancy or women who are currently pregnant, eliminating alcohol addiction is not optional. Considering going to a rehab for pregnant women is an excellent idea.

The Dangers of Alcohol to the Fetus

It’s been shown that alcohol is acutely toxic to a fetus, and it takes relatively little alcohol to produce these problems. Safe levels of alcohol during pregnancy don’t exist — any amount at all is a danger. This unfortunate fact is why one child in a hundred is born suffering from FAS.

rehab for pregnant women

The condition is as a result the main cause of preventable birth defects and retardation: it produces facial deformities, brain damage, and growth deficits. Liver, heart, as well as kidney defects are common as well; as are hearing and vision troubles.

People suffering from FAS often have problems learning as well as trouble with their attention, problem solving ability, and memory.

That’s not all. According to the National Organization for Fetal Alcohol Syndrome, or NOFAS, when pregnant women drink alcohol, so does their baby. Alcohol goes straight through the placenta into the baby, which may suffer “lifelong damage” thanks to the exposure. This is why is it so important, if you find yourself in this position, to get help & to start considering rehab for pregnant women.

This information is not new. Almost all women have heard at least a little about the risks of drinking during a pregnancy.

Unfortunately many still do not take the issue seriously. Alcoholic women should not even consider pregnancy until they complete alcohol rehab. If they do find themselves pregnant, they need to get help ASAP from a facility that specializes in pregnant women rehab.

Basics of FAS

FAS was first discovered in 1973, at the University of Washington’s School of Medicine. There, researchers first observed birth defects which were directly connected to alcohol consumption during a pregnancy.

Previously, doctors had thought malnutrition might produce these defects. However, the patterns of malformation were not seen to children who were born to under- or malnourished women. They only appeared in women who consumed alcohol during their pregnancy.

Since that 1973 study, the medical establishment started paying attention to the problem, and established exact criteria needed to diagnose FAS. It’s a fact that not only should anyone considering a pregnancy not drink, problem drinkers should also first go through rehab.

How We Treat Women With Children

At New Directions for Women, we are extremely involved in meeting our children’ special needs. We understand the spectrum of disorders caused by prenatal alcohol exposure, and provide assessments to identify developmental delays, learning disabilities, and any special medical or clinical needs.

Our program services include individual, family, play, and “Mommy and Me” therapy. We also help educate clients on alcoholism from the perspective of a family disease, and facilitate both better parent-child communication and parenting education. For school age children, there is the opportunity to enroll in area schools; infants and younger children can attend the daycare program we have on site.


Great Article With Plenty Of Insights About Depression

Depression can cause a drain in energy that makes it hard for a person to function correctly. Overcoming depression is difficult, but it can be done. Read this article for some helpful tips about depression. The fact that you have found this article shows you are willing to approach depression as a challenge.

Try and maintain your regular social activities. When you are depressed, it can be hard to find the motivation to go out and spend time with other people. Despite this, you must partake. Live life normally and do as you normally would. Not doing what you normally do will probably make you feel more down.

Negative Thoughts

Challenge the negative thoughts that cause you to be depressed. If you have negative thoughts about yourself, think about whether or not you would feel like that about someone else. If not, you’re likely being too hard on yourself. Revise these thoughts in a manner that is more constructive and authentic by creating statements that give you suggestions about the problem.

Try to catch a few rays of sunshine every day. Research has demonstrated that not getting a proper amount of sunlight worsens depression.

HINT: Meditation can be used to cope with the symptoms that accompany depression. There are many positive effects of medication that have been studied, the most important being mood elevation and the lowering of blood pressure.

Look for support wherever it is available and make use of it. Accept assistance and advice from others who have successfully battled bouts of depression. This is helpful because others, who have been a success in dealing with depression, can help you deal with your own.

Once you know what makes you depressed, then you can really tackle the issue. If your physique and lack of energy are stirring up your depression, try to do something about it. Develop an exercise plan that will get you moving again.

Find a friend or sibling to talk to, or even play a video games with. Just getting out and doing something can really improve your mood.

HINT: Even if someone is clinically depressed, it can be classified differently from someone who is just sad, but similar techniques can be used that will yield positive results. One of the most important things to remember is to avoid your depression triggers.

Support anyone you know who has depression. Depression sufferers need to feel safe and comfortable during their bouts. There are many resources to turn to, such as the Internet and books, that can help guide you to be there for your loved one.

A large part of dealing with depression is realizing that you are not the only one who is trying to manage it. This is important to remember because if you feel isolated, it will only worsen your depression. There are others suffering from the same condition, and there are plenty of people who are more than willing to help you out.

You may want to seek an Internet based support group. You’ll be more likely to share your feelings in an anonymous setting more easily than with people you know in real life. There are several online groups for depression.

HINT: It is true that your diet can greatly effect your depression. The wrong foods can affect your thought processes, impact serotonin levels and create other biological instabilities that can cause or exacerbate depression.

Think about the causes of your depression. Depression can affect both your mind and your body. If you’ve been overly stressed and have been having anxiety for a while, your brain has probably reduced its serotonin level. This can increase feelings of depression. A doctor may prescribe antidepressants as part of your treatment plan; many of these medications work by stimulating your brain to produce more serotonin. However, serotonin levels can be elevated through many natural ways. Do not drink any caffeine, get sufficient rest, and exercise on a regular basis.

If you are depressed, do not drink caffeine. Research has shown that your depression will get worse if you have too much caffeine. If you like to drink coffee or soda, it’s best to drink the decaffeinated versions.

Eat the right foods. Avoid unhealthy foods, such as processed foods, as they can trigger depression. If you stick to healthy food choices, such as organically grown, your body will react much better. When the body feels great, the mid follows it. Make proper dietary choices to start feeling better.

HINT: Surround yourself with the people you love, which will help your mood and reduce your stress level. This conscious act can lead to enhanced feelings of happiness.

Foodstuffs that have artificial sweeteners contained in them, such as diet soda, can be harmful to persons suffering from depression. These sweeteners can block production of serotonin, which can worsen your depression symptoms. Make sure to keep these potentially harmful items off your menu.

Always make sure you get enough shuteye each night. Both physical and mental health are affected by sleep or a lack of it. Symptoms of depression and anxiety are much more extreme when you are suffering from sleep deprivation. If insomnia is a problem, then meditation can be effective, or your doctor can prescribe a sleep aid if he feels the need for it.

Exercise is a good idea for any person with depression. Studies prove that exercise and keeping active is a great way to fight all kinds of depression. Outdoor activities like walking, running and tennis have been an effective way to reduce feelings of depression.

HINT: The causes of depression are vast, and you must, if you have any hope of getting better, work to figure out why you personally have the blues. With the help of a doctor or therapist, you can begin to understand these feelings, and find treatment to help you cope with them.

Avoiding alcohol is an important part of managing depression. Alcohol makes depression worse in those who are already afflicted, because it’s a depressant itself. If temptation exists, remove all alcohol from your surroundings, and even attend an AA meeting as needed.

Exercise has been scientifically proven to help ease depression. Exercise works well for depression because of the good feelings that endorphins release. If you are not feeling well, exercise can put you in a better mood. It does not have to be something complicated; an hour of jogging will do.

You can make a huge dent in lifting your depression by following the advice given in this article. Make sure if you make changes in your life you do so slowly so that you can see what is really helping you and what really didn’t make much of a difference.


Japanese, UK Studies May Bring More Mesothelioma Survivors

Researchers in Japan and the UK have identified two ways of improving the effectiveness and survival rate of mesothelioma treatment, which raises the hope that mesothelioma survivors will become more common in the future. The studies looked at ways of predicting the effectiveness of chemotherapy in advance of trying it as well as factors which influence the success rate of cytoreductive surgery for mesothelioma.

Using the results of these studies, doctors as well as patients have a better understanding of what to do for maximum effectiveness treating mesothelioma. In the future, they may be able to tell which form of chemotherapy is most likely to help a particular patient, and patients know what to look for in choosing a cancer center for surgery.

Japanese Study Raises Promise Of Determining Chemotherapy Effectiveness Before the Fact

Japanese cancer researchers appear to have found a way of predicting which mesothelioma patients will likely respond to the “gold standard” chemotherapy mix of cisplatin and Alimta (pemetrexed).

At the moment the treatment is widely used but only has limited success, not an uncommon result with the difficult to treat mesothelioma cancer. Unfortunately, many doctors must waste valuable time testing the therapy on a patient before they know whether it will be effective, which means that for the cases that the treatment cannot help the fast-growing mesothelioma cancer has more time to grow.

Currently there is no widely used process which would allow doctors to predict in advance which treatment is most likely to produce results, hence the trial and error. The study out of Japan aims to change all that.

Doctors at Tokyo’s Nippon Medical School tested six cell lines of malignant pleural mesothelioma in the lab, and found three of the six were sensitive to Alimta. Using gene expression profiling, they attempted to find factors which would identify a given type of cancer as sensitive to Alimta or not.

The results of this analysis showed that a structural glycoprotein known as osteopontin was a key differentiator between Alimta-sensitive forms of mesothelioma and Alimta-resistant types. Cells which expressed more osteopontin were more likely to respond to Alimta-based treatments.

Moving to clinical tests, the doctors found this correlation held with human patients as well. They identified two patients who had responded well to Alimta-based chemotherapy who also had tumors that expressed high levels of osteopontin, coming to the conclusion that osteopontin may work as a predictive biomarker for predicting Alimta treatment effectiveness in advance. It is not clear, however, how many patients responded to Alimta but did not have high levels of osteopontin expression.

Mesothelioma Surgeon Experience Predicts Surgical Success

If a lab testable quantity predicts the effectiveness of Alimta chemotherapy, an even easier-to-measure quantity appears to predict the effectiveness of surgery in treating mesothelioma — surgeon experience.

According to two researchers out of the UK, who analyzed 16 different studies looking at the two most popular types of surgery for pleural mesothelioma, the deciding factor is not the type of surgery but the experience level of the cancer center performing the surgery. Cancer centers with high level of experience produced more mesothelioma survivors regardless of the surgery type.

Disclaimer: The information in this article is for educational and informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article. This article was written by a third party and its content reflects the views of the third party and does not necessarily reflect the views or opinions or of Surviving Mesothelioma or Cancer Monthly.