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What Are Your Feet Telling You?

5/27/2019

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​They say “the eyes are windows to the soul.” And while that may be true, way down at the opposite end of the body, our feet our offer a surprising number of clues about what’s going on inside us. And during these summer months, where insulated winter boots have made way for sandals, as a general rule, feet are exposed more than during any other season. Whether we’re lounging at the beach or walking barefoot through the grass, our feet tend to see the light of day more when the weather is warm. While we take deliberate action each day to care for our teeth, our hair, our skin, and more, we tend to take our feet for granted. As with many other parts of the body, we all but ignore our feet, expecting that they’ll always magically operate just as nature intended. Until, that is, something makes us take notice.

Many things about our feet can reveal issues going on at a deeper level inside us. The good news is, we don’t have to be podiatrists to recognize when something doesn’t look right. Also, when combined with other, seemingly “mild” or innocuous symptoms, out-of-the-ordinary issues with our feet can lend evidence as to what might be going on elsewhere in the body.

Cold feet aren’t just for weddings. When feet are uncomfortably cold on a regular basis, this may be indicative of hypothyroidism (particularly if experienced along with cold hands and other symptoms of low thyroid function). When toes become painfully cold, or possibly even numb, it may indicate Raynaud’s phenomenon. Another clue to Raynaud’s would be a color change: in Raynaud’s, blood vessels in the fingers and toes constrict and narrow, resulting in reduced blood flow to these extremities, giving them a white or even blueish appearance. (It tends to happen during cold weather and/or when affected individuals are under a lot of emotional stress.) Little is known about what causes Raynaud’s, but it is separated into two categories: Primary Raynaud’s, called Raynaud’s disease, “happens on its own” and is not associated with an underlying associated medical condition, while secondary Raynaud’s, or Raynaud’s phenomenon, is a condition that results when more serious diseases reduce blood flow to fingers and toes.

Other uncomfortable sensations in the feet and toes may be indicative of more dire health issues. Feelings of numbness, or feeling like one is wearing socks or stockings when they aren’t, may be symptoms of peripheral neuropathy or diabetic neuropathy. Coldness, tingling, and “pins and needles” sensations in the feet (and hands) could be symptoms of pernicious anemia, which stems primarily from a vitamin B12 deficiency.

Ridges and lines in the toenails not due to trauma/injury might be signs of nutrient deficiencies. Iron insufficiency may result in fingernail ridges, abnormally shaped nails, or even nails that are concave in spots (called koilonychias), and this may be mirrored in the toenails. Unsightly yellowish toenails may be a sign of fungal infection (the most common cause), but they could also be a sign of compromised liver function, with jaundice causing a yellowing of skin, nails, and whites of the eyes.

Another indication of an underlying issue our feet clue us in to is enlargement of the big toe, particularly when accompanied by redness, pain, and a sensation of heat. Taken together, these may be a sign of gout. Originally thought to be due mainly to a high intake of dietary purines (high purine foods include animal proteins and beer), more recent evidence suggests that excess fructose consumption contributes to gout. Some studies suggest that overconsuming even natural fruits and fruit juices that are relatively higher in fructose compared to other fruits may also contribute to gout, so it’s not just sodas sweetened with sugar or HFCS, as are often “blamed” in such situations.

While our feet do send us these clear messages, most of these issues would occur along with other signs and symptoms. For example, numbness and tingling in the feet and toes are unlikely to be the only signs of peripheral neuropathy or pernicious anemia. And cold feet would certainly not be the only symptom of hypothyroidism a patient would experience. But for those people—and there are plenty—who tend to ignore all “the little nagging things,” until they become very serious problems, paying more attention to their feet might help hammer home the possibility that something more sinister is going on elsewhere in the body.

Feet aren’t glamorous. Unlike the adrenal glands or the gut microbiome, there isn’t a lot of buzz about them in popular health and nutrition news. But we ignore the signals they send us at our peril. by Dr. David Brady

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Good Reads: Spark Joy

5/27/2019

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​Spark Joy is an in-depth, line illustrated, room-by-room guide to decluttering and organising your home, from bedrooms and kitchens to bathrooms and living rooms as well as a wide range of items in different categories, including clothes, photographs, paperwork, books, cutlery, cosmetics, shoes, bags, wallets and valuables. Charming line drawings explain how to properly organise drawers, wardrobes, cupboards and cabinets. The illustrations also show Ms Kondo’s unique folding method, clearly showing how to fold anything from shirts, trousers and jackets to skirts, socks and bras.

The secret to Marie Kondo’s unique and simple KonMari tidying method is to focus on what you want to keep, not what you want to get rid of. Ask yourself if something ‘sparks joy’ and suddenly it becomes so much easier to understand if you really need it in your home and your life. When you surround yourself with things you love you will find that your whole life begins to change.
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Marie Kondo’s first book, The Life-Changing Magic of Tidying, presents her unique tidying philosophy and introduces readers to the basics of her KonMari method. It has already transformed the homes and lives of millions of people around the world. Spark Joy is Marie Kondo’s in-depth tidying masterclass, focusing on the detail of how to declutter and organise your home.

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Great Flicks: Best Streaming on Netflix in May

5/19/2019

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Harlem drug dealer Frank Lucas rises to power in corrupt 1970s New York, equalling and surpassing the notorious Mafia families with the reach of his empire. On the other side of the law, honest cop Richie Roberts dedicates himself to taking down `the most dangerous man walking the streets'. Lucas acts with impunity, smuggling heroin into the US in the coffins of American soldiers killed in Vietnam.

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​"Only Mine". After dating a cop who turns into an obsessive stalker, a small-town girl must find a way to save herself from his violent retaliation.

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​A young man living a sheltered life develops a crush on a stripper, and joins her Alcoholics Anonymous group just so he can be in the same room with her.

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​When much-feared hermit Felix Bush (Robert Duvall) comes to town with a wad of cash and announces his intention to preside over his own funeral, fast-talking mortician Frank Quinn (Bill Murray) smells a big payday in the air. Frank sends his young apprentice, Buddy, to charm Felix and win Felix's business. As the day of the unusual event approaches, Buddy uncovers a long-held secret involving the hermit, a local widow (Sissy Spacek) and an Illinois preacher.

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​The lives of three women have a commonality: adoption. Karen (Annette Bening) is a physical therapist who regrets that, as a teenager, she gave up her daughter for adoption. Elizabeth (Naomi Watts) was an adopted child and is now a successful lawyer, but her personal life lacks warmth. Lucy (Kerry Washington) and her husband have failed to conceive and now hope to adopt a baby to make their family complete.

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​Hassan Kadam (Manish Dayal) is an extraordinarily talented and largely self-taught culinary novice. When he and his family are displaced from their native India and settle in a quaint French village, they decide to open an Indian eatery. However, Madame Mallory (Helen Mirren), the proprietress of an acclaimed restaurant just 100 feet away, strongly objects. War erupts between the two establishments, until Mallory recognizes Kadam's impressive epicurean gifts and takes him under her wing.

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Chinese food is popular in America, and this series brings viewers information about a certain type of the ethnic food, Chaoshan cuisine. Each episode focuses on an ingredient that is often used in Chaoshan cooking, exploring where the ingredients come from and what they are used for, as well as bringing to light the stories of the people behind the cuisine's creation. The featured ingredients range from common foods like olives to more exotic fare like yusheng, a freshly sliced raw fish that is eaten with vegetables and dipping sauce.

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​An Icelandic single mother struggling with poverty and a Guinea-Bissauan asylum seeker facing deportation find their lives intertwined in unexpected ways.

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​Amber's ideal life is shattered when she loses her husband to the war in Afghanistan. Two years later, she finds herself in a struggle to save her home while providing for her 9-year-old daughter, Bree. When up-and-coming race car driver Cody Jackson rolls into town, Amber and Bree become wrapped up in his pedal to the metal way of life. With her faith hanging in the balance, Amber is forced to decide between the broken road she knows so well or trusting in a new path that God has provided

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​A police detective investigates the truth behind his partner's death. The mysterious case reveals disturbing police corruption and a dangerous secret involving an unlikely young woman.

Vivaterra
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When Debilitating Lower Back Pain Leaves You Immobile

5/11/2019

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I am no stranger to back pain.  In fact, with my diagnosis of fibromyalgia, my lower back pain has steadily intensified periodically.  But, no where to the state I found myself recently, immobilized and bedridden for four days.  

We've all been there.  Those of us who share this elusive diagnosis.  Lying with our backs on the bed, staring at the ceiling fan wondering when this agonizing pain will subside.  Taking 'as needed' pain medication, breathing slowly deeply, trying to meditate on a far away planet until we regain sanity again.  But, usually we can attribute it to something.  We over did it, kept going the other day with no rest or reprieve.  Started lifting heavy objects while helping someone move.  Or, there was an all-day family affair, and we were feeling on top of the world and just stayed too late, feeling those effects slowly creeping on us as we're saying our goodbyes.  

But what if you're down flat on your back and can't move?  Your mind wanders aimlessly trying to latch onto a possibility so that it doesn't happen again?  And nothing comes up?  Pure panic I can attest.  To make things worse you can't get up to go to the bathroom?  To get a drink?  To make something to eat?  

Well, that's a whole 'nother animal I can tell  you.   It descends like a plague of fear that you can't get a grip on.

Recently, I walked out to my garage.  I was going to take my bike out and go for a leisurely spin.  There was a candy cane on a table and part of it was touching my handlebars.  It was light plastic and weighed all of 5 ounces.  I moved it to the left on a table about six inches to free my bike.  I didn't bend down, I didn't twist.  I just moved it.  All of a sudden I felt a "tinge". I've had these before.  I stretch, but usually I can do a little work and then just migrate to a heating pad for a few hours.  It wasn't too bad, really.  I went shopping that day, and even made it to the beach on Sunday.  I went to work on Monday with  a heating pad and just babied that lower area being careful not to move too much.  By Tuesday it felt better so I took the heating pad home.  On Wednesday morning I woke up nearly pain free and went into work again without the heating pad.  

For some reason by noon the right side of my back began spasming.  My co-worker had one of those lay over the chair seat pad massagers that provides heat.  I quickly slipped that on and laid back for a bi,t taking in deep breaths.  I had to go outside to retrieve the mail.  "Maybe this will loosen things up," I thought.  I barely made it 200 yards before there was definitely a feel of a hot knife jabbing into my lower vertebrates along with all those back spasms.  I stayed.  Not a bright idea, but I just had taken off four days for a virus-type sickness.  "Let me get through a couple of more hours," I prayed.  I held myself up in the chair, trying to straighten my back and pasted a smile on my face.

I got home around 5 pm.  I asked my youngest son to plug in the heating pad.  Something was wrong I explained as this pain was from another dimension.  I eased myself down, and that was it.  Thirty minutes later I could not move.  Not anywhere.  Not rolling from left to right, not even reaching for my drink on my nightstand.  My legs, though, I could prop up on a 90 degree angle to relieve some of the back spasms.  Then I waited.  I took medication to ease the agony, but it barely took the edge off.  

Three hours later into this intense pain I had to go to the bathroom.  My dear son looked up the best way to get out of bed with debilitating back pain on the Internet.  "Ok, Mom, let me get an ice block.  If we press on the nerve we can freeze it.  You just need to roll onto your stomach, slide/crab crawl down to the edge of the bed.  Then put one foot on the floor, and I will lift you up quickly but steadily," he said.

So the nightmare began.  Move a few inches, place the ice block firmly in the area, wait a minute and move again.  On and on we proceed for 10 minutes until my on foot is on the floor.  "Ok, you ok?" he asks.

"No," I answer, but I have to go.

"Ok, take a deep breath, I'm going to put my arms under you to help support your torso and I'm ready," he responds.  

Up I go, and I scream.  Scream so loud because the pain is excrutiating.  I can't seem to put any pressure on that disk in my back.  "What can I do?" he asks.

Put your two hands out, let me place my palms in them from behind I state.  And on I walk at a 120 degree angle like an old Popeye cartoon.  Gasping for breath and yelling.  Yes, yelling it was worse than childbirth.  

He lowers me, and I can't pee.  Well, pee a little I do, but how can you when you are in that much pain?  I've never experienced such intensity.  I quickly finish and make my way back to the bed.  This only intensifies the spasms, and I must endure more pain for another 30 minutes.

Another two hours I call him with my cell phone. He is sleeping in the next room.  "It's time for another round," I say.  This time the pain flares for over an hour when I get back into bed.

By 4 am I grab a towel to do my business.  I'm done.  I'm beaten. I can't do this any longer.  I feel like a broken doll.  I can't move, I'm alone, and I'm scared. Worst of all, the pain is still there immobilizing me.  

By the am I call my doctor and my son scours the local stores to find a bedpan with no luck.  He comes back with puppy pads.  "That will have to do," I say.   My doctor informs me of what medications to take.  No one seems concerned, they see this all the time apparently.  My friends are yelling to go to the ER.  "How?" I ask them.  "I can't even move!"

By the third day the spasms have subsided.  I try to sit up, still unable to put any pressure on my back.  It is still excruciating.  My primary instructs me to call my neurologist.  Five hours later his assistant calls back with instructions.  "Double your muscle relaxers," she says.

"It has been three days!" I yell.  "I can't go to the bathroom.  Should I go the the ER?" I ask.

"Do you have feeling in your legs?  Are you able to go to the bathroom?"

"Yes and yes," I reply.

"Most likely no," she says.  "I got an appointment for you in four days. Hang in there," and hangs up.

I take the muscle relaxers as instructed. Six hours later I can get up with the help of a cane.  By the following day I can move around a bit more and more.  It takes five days of bed rest before I can attempt work.  I call the assistant again, "Is this normal?" I ask.  "Should I go back to work?" 

"No, wait until your appointment.  He'll give you a work release to go back when he sees you tomorrow," she says.

I hang up and order a bed pain on Amazon just in case this happens again.  No more trying to make things worse the next time by moving I think.  

During my appointment he checks me.  Makes me stand.  Makes me bend over, tests my reflexes and orders an MRI and an EMG.  "We will have to wait and see," he says.

"Is this normal?  I mean pain to migrate like that? For over a week?" I demand.

"Yes," he says.

"Just peachy," I think.  "Just peachy."  

But apparently this does happen.  I probably could have saved myself some agony by just lying still.  I wanted to share this for all the other Avenger/Ninjas who will attempt and struggle to get out of bed. Don't, just lie there till it passes.  Get someone to wait on you.  You won't be able to move anyway.  

Here is some more points from the Illinois Back Institute:

​Often, the most debilitating lower back pain, for both men and women, is the type that comes on suddenly, leaving you in significant pain with limited mobility. The severity of the pain and the suddenness can be alarming—but it’s very common. In the vast majority of cases, this back pain is not related to a serious disease or severe back problem, but could be due to something simple like muscle spasm or another musculoskeletal cause. When the exact origin of back pain isn’t clear, it’s referred to as nonspecific low back pain. This “mechanical” back pain is generally eased by lying down flat and made worse when you move your back, sneeze or cough.

The next most likely cause of sudden onset back pain is irritation to the nerve root emanating from the spinal cord, called sciatica. What makes sciatica pain distinct is that you generally also feel pain down one or both buttocks and thighs, even into the calf or foot. You may also feel pins and needles and/or numbness/weakness through the buttock, leg and on down along the entire path of the sciatic nerve. Nearly 90 percent of the time, this pain is caused by a slipped disc, also called a bulging or prolapsed disc pressing on the nearby nerve.

Disc injuries can come to light suddenly with minimal trauma--and as much as one-third of the population at any given time are walking around with disc bulges. These previously painless, silent back problems can suddenly begin to put pressure on the spinal cord nerves--when you do something as minor as bending to pick up a pen from the floor. Then the pain begins.

​Less common conditions causing low back pain

Cauda equina syndrome is rare, but considered an emergency. Permanent nerve damage may result. Get medical attention immediately if you suspect cauda equina. This disorder causes pressure on nerves at the very bottom of the spinal cord with symptoms which may include:
  • Lower back pain
  • Bowel and bladder problems like inability to pass urine
  • Numb sensation in the saddle region, below the tailbone
  • Leg weakness

Osteoarthritis is a common form of arthritis causing spinal pain and joint inflammation in older people. Ankylosing spondylitis is a form of arthritis that may strike young adults, bringing on pain and lower back stiffness. Rheumatoid arthritis may affect the spine along with other joints throughout the body. Telltale signs of these arthritic conditions include:
  • Pain that gets worse hours after going to bed or upon waking
  • Stiffness, in addition to back pain, in the morning after rising, lasting over 30 minutes
  • Pain eased (and not made worse) by activity

Rare bone disorders, tumors and infection cause less than 1 percent of sudden onset low back pain. Symptoms and signs may include:
  • Onset of non-injury-related back pain in someone over 50 or under 20 years old
  • History of cancer of any part of the body
  • Depressed immune system
  • Fever
  • Unexplained weight loss

Abdominal aortic aneurysm (enlargement of the abdominal artery) occurs mostly in males over 60 who smoke, have high blood pressure or high cholesterol. Symptoms include:
  • Pulsating feeling near the navel
  • Constant pain in the abdomen/side of abdomen
  • Back pain
The best way to distinguish between back pain’s many causes is to see your back specialist or health care professional. Seek natural, non-invasive treatment whenever possible, such as proven-effective Functional Disc Rehydration. This innovative treatment was developed at the Illinois Back Institute. It is offered along with other personalized treatments to help patients achieve a pain-free life. Contact us for a free consultation with a back specialist.  

So, if you don't fall into one of those above categories.  Don't freak out.  Call your doctor.  If I had to do it all over again, I would have went right to the the specialist, my neurologist.  I feel I would have hit the ground walking faster.  I was just so emotionally immobilized, too, with fear.  Which of course, doesn't help.  My hopes in you reading this, you will be aware and act rationally realizing that it will pass.  No, you will not be stuck in that bed forever.  God Bless, and hang in there.  

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Good Reads: The Sleep Revolution

5/4/2019

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We are in the midst of a sleep deprivation crisis, writes Arianna Huffington, the co-founder and editor in chief of "The Huffington Post." And this has profound consequences on our health, our job performance, our relationships and our happiness. ​

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Fibromyalgia and Peripheral Neuropathy

5/4/2019

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It was of no surprise to me along with the degenerative disc diagnosis so came Peripheral Neuropathy.  After all, at least there is a connections here due to the fact both affect the central nervous system.  

What does concern me is an original statement from my neurologist when I was first diagnosed with fibromyalgia.  I had asked him, "So, feeling as I'm going down hill fast here, is this going to to get worse?" 

"It shouldn't," he replied.

Well, I can tell you there have been a whole host of symptoms that came upon me over the period of seven years that I would deem as "getting worse".  I've come to the conclusion that getting worse may be on the fibromyalgia side only.  After all, they don't know how it operates completely, and if you're a medical major you're not going to focus on other doctors specialties- just your own.  So maybe it wasn't going to get worse in the neurological sense.  

​Fibromyalgia and peripheral neuropathy are two conditions that affect the central nervous system, resulting in pain. Aside from muscle pain, fibromyalgia also involves sleep disturbance, mood changes, and memory issues. It is believed to be caused by a physical trauma or psychological stress, but the exact cause is still unknown. Fibromyalgia is often accompanied by other conditions, such as anxiety, irritable bowel syndrome, and depression.

Peripheral neuropathy refers to damage caused to the peripheral nerves, resulting in weakness and numbness. Peripheral neuropathy commonly occurs in the feet or hands.

The link between fibromyalgia and peripheral neuropathy

Fibromyalgia and peripheral neuropathy may share common symptoms, but stem from very different causes. The cause of fibromyalgia is not understood really, while neuropathy, on the other hand, can be caused by a host of different underlying issues.

Both fibromyalgia and neuropathy affect the central nervous system and cause extreme nerve pain. Both conditions are chronic and could also share similar treatment options. In fact, both can be managed through treatment, so working with your doctor on an appropriate treatment strategy for your fibromyalgia or peripheral neuropathy can help.

Unlike fibromyalgia, peripheral neuropathy can be prevented with proper management of the underlying causes (e.g., diabetes).

Fibromyalgia vs. peripheral neuropathy: U.S. prevalence

Roughly two to four percent of the U.S. population are affected by fibromyalgia. Estimates of U.S. prevalence were done based on the 1990 American College of Rheumatology (ACR) guidelines for the fibromyalgia diagnosis, accounting for roughly 10 million cases. It has since been argued that these estimates are too low, and the guidelines fail to capture many patients who could be living with the condition unknowingly.

Peripheral neuropathy affects 2.4 percent of the population, but the prevalence can get as high as eight percent in certain population groups. The most common type of neuropathy – diabetic sensorimotor polyneuropathy – may be present in 66 percent of type 1 diabetics and 59 percent in type 2 diabetics.

Fibromyalgia vs. peripheral neuropathy: Signs and symptoms

The key distinguishing symptom of fibromyalgia is tender points on the body. Other signs and symptoms of fibromyalgia include chronic muscle pain, muscle spasms or tightness, moderate or severe fatigue, decreased energy, insomnia, waking up feeling unrefreshed, stiffness upon waking or after staying in one position for too long, concentration problems, difficulty remembering and performing simple mental tasks (“fibro fog“), abdominal pain, bloating, nausea, constipation alternating with diarrhea (irritable bowel syndrome), tension or migraine headaches, as well as jaw and facial tenderness. With fibromyalgia comes sensitivity to odors, noises, bright lights, medications, certain foods, and cold. Fibromyalgia patients report feeling anxious or depressed, numbness or tingling in the face, arms, hands, legs, or feet, increase in urinary urgency or frequency (irritable bladder), reduced tolerance for exercise and muscle pain after exercise, and a feeling of swelling (without actual swelling) in the hands and feet.

Signs and symptoms of peripheral neuropathy depend on the affected nerve. Nerves are classified into sensory, motor, or autonomic. Sensory nerves receive sensations, motor nerves control muscle movement, and autonomic nerves control functions such as blood pressure, heart rate, bladder, and digestion.
Some symptoms that may arise in peripheral neuropathy include:
  • Gradual onset of numbness, tingling, or prickling from the hands and toes moving throughout the limbs
  • Sharp, jabbing, throbbing, freezing, or burning pain
  • Extreme sensitivity to touch
  • Lack of coordination, falls
  • Muscle weakness or paralysis

If the autonomic nerves are affected, a patient may experience heat intolerance and sweating, bowel, bladder, or digestive issues, as well as changes in blood pressure causing dizziness or lightheadedness.

Comparing fibromyalgia and peripheral neuropathy:

The cause of fibromyalgia is largely theorized, as it is not well understood. Researchers and doctors believe that a fibromyalgia patient experiences amplified pain as a result of abnormal sensory processing in the central nervous system. Much research has detected physiological abnormalities in fibromyalgia, including increased levels of substance P in the spinal cord, low levels of blood flow to the thalamus region of the brain, HPA axis hypofunction, low levels of serotonin and tryptophan, and abnormalities in cytokine function. Other fibromyalgia triggers include genetic factors and traumatic events or injuries.

Neuropathy can be due to many other conditions and ailments, and so there is no single cause. Peripheral neuropathy is associated with nerve damage, which may be caused  by alcoholism, autoimmune diseases, diabetes, exposure to poisons, medications, infections, inherited disorders, trauma or pressure on the nerves, tumors, vitamin deficiencies, bone marrow disorders, and other conditions, including diseases that affect the liver, kidneys, and thyroid.

Differentiating fibromyalgia and peripheral neuropathy: Risk factors and complications

Risk factors for fibromyalgia include sex – women are at a higher risk of fibromyalgia than men, a family history of fibromyalgia – a genetic component to the disease, and a rheumatic disease diagnosis.

One of fibromyalgia complications is poor ability to function due to lack of sleep, which worsens symptoms. Anxiety and depression, too, may be a result of fibromyalgia as it is not a well-understood condition. Living in pain can be frustrating when others simply don’t understand what you are going through, especially because there is no specific cure or treatment.

Risk factors for peripheral neuropathy include poorly controlled diabetes, alcohol abuse, vitamin deficiencies, infections like Lyme disease, autoimmune diseases, exposure to toxins, repetitive motions, a family history of neuropathy, as well as kidney, liver, or thyroid disease.

Complications resulting from peripheral neuropathy include burns and skin trauma, infection and falls due to loss of sensation – potentially leading to disability.

Fibromyalgia vs. peripheral neuropathy: Diagnosis and treatment

There isn’t a specific test for fibromyalgia, but doctors may use a form of testing that checks 18 specific trigger points that have been found to be present in majority of fibromyalgia patients. Not all doctors use trigger point exams anymore, but rather they narrow down on a fibromyalgia diagnosis if a person has experienced widespread pain for at least three months. Your doctor may also refer you for some blood work to rule out other conditions.

Treating fibromyalgia can be difficult as its exact cause is unknown. Therefore, the goal of fibromyalgia treatment is symptom management. A doctor may prescribe analgesics, or painkillers, to address fibromyalgia. However, there is a risk of developing addiction to these drugs, so doctors may recommend this option with caution. Nonsteroidal anti-inflammatory drugs (NSAIDs) can also be taken for pain management, but once again long-term use of these drugs can yield unwanted side effects. In some cases, antidepressants may be prescribed as well.

Some alternative and complementary therapies and treatments for fibromyalgia include massages, acupuncture, cognitive behavioral therapy, movement therapies, and chiropractic.

Peripheral neuropathy is diagnosed based on a review of the patient’s full medical history and a neurological examination. Tests that could help diagnose peripheral neuropathy include blood tests, imaging tests like MRI, nerve function tests, nerve biopsy, and skin biopsy. Not only do these tests help diagnose peripheral neuropathy, but they also rule out other potential causes for your symptoms, too.

Treatment for peripheral neuropathy implies addressing its underlying cause. This could involve managing diabetes, treating infections, or treating other diseases. Some medications that may be prescribed for neuropathy include pain relievers, anti-seizure medications, topical treatments, and antidepressants.

Other therapies that can aid in the peripheral neuropathy treatment include transcutaneous electrical nerve stimulation (TENS), plasma exchange and intravenous immune globulin, physical therapy, and surgery.

Patients may also be inclined to try acupuncture, alpha-lipoic acid, herbs, and amino acids as an alternative mode of peripheral neuropathy treatment.

It’s of utmost important to manage and control any underlying issues that might have contributed to the disorder. For example, cutting on your alcohol consumption or managing your diabetes. I know many of you many not be diagnosed with diabetes, but I'll bet if you have some form of neuropathy, your sugar tests are higher than normal.  


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