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Neuropathic pain can be relieved

There is a massive body of scientific research on the nature of pain. And it’s well established that pain is one of the most common symptom for a countless range of medical conditions. Now there’s a lot of information on how the pain is caused, the mechanism behind it as well as the implication of this unpleasant symptom. Yet, with all the knowledge doctors have these days it still isn’t easier for people to deal with pain and it still remains to be a challenging experience. Depending on the severity of the condition or injury there may be different pain relief option put in use for effective relief. Yet, when it comes to neuropathic pain there’s a whole different approach that needs to be applied for any benefits to be achieved.

Neuropathic pain is a type of pain that is still to be fully studied that’s why it’s hard to diagnose and treat it. Its most common cause is the actual damage to the nervous system that usually carries the nerve signals of pain from the affected area to the brain. The damage can be different in various cases and sometimes it can be a routine dysfunction of the system itself. As a result the nervous tissue may be triggering false pain signals all over the body that are interpreted by the brain as actual signs of injury in particular areas. And it’s really hard to find the segment of the nervous system that is actually dysfunctional and causing these sensations. That’s why it is very hard to diagnose and treat neuropathic pain conditions because it’s also hard to predict the outcome of treatment in each particular case. But it’s also dangerous to leave this type of pain untreated because it can seriously affect many aspects of a person’s life leading to such psychological complications as sleep disorders, depression and fatigue.

Another difficulty in dealing with neuropathic pain is the low effectiveness of typical painkiller medications. Some of them may be effective but it usually takes a lot of time identifying the actual effective dosage, which can take weeks and months to establish. And a lot of people tend to get discouraged by the lack of results with such treatment.

Although, surprising one of the most painkiller medications in the US, Ultram, was observed to be actually effective against this type of pain. Its mechanism of action that actually blocks pain interpreting receptors in the brain makes it really effective in case of nervous system dysfunctions that cause neuropathic pain. Yet, this medication should be used with attention because it can interact with other medication that are applied in neurological conditions such as antidepressants, muscle relaxants and anti-convulsion medications. That’s why it is very important to discuss all of your treatment options with your doctor and inform him about all the medications you’re currently taking. The effectiveness of your treatment can depend on the choices you make and the drugs you use. So if you want to use Ultram for relieving neuropathic pain conditions make sure that it’s safe for you to take the medication in the first place.

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Make driving safer

As a result of steady government pressure, the physical safety of the vehicles on our roads has been rising steadily. When crash and rollover test results name and shame manufacturers, they act to protect their brand image. They have invested in new designs to reinforce the shell to protect the driver and passengers. Now add in the crumple zones where parts of the body collapse and absorb the impact. Finally, you make the car more easily controlled with better suspension and braking systems. All these innovations have seen the number of deaths and serious injuries falling steadily over the last ten years. But there’s little to be pleased about when more than 32,000 people die in crashes every year. The number of people merely injured is frightening. In some age groups, more people die on the roads than through disease. When driving becomes a leading cause of death, something should be done.

The Insurance Institute for Highway Safety recently issued a policy document suggesting how changes in the law might improve safety. Proposals to change the law, particularly to use the criminal law, to force people to act in particular ways is always controversial. There’s a strong libertarian culture that objects when freedom of action is limited. Their knee-jerk response is to argue many of these laws make victimless crimes or where the only people injured are the ones labeled criminals. So let’s take the first proposal to force every state to make safety belt laws primary and to make enforcement high-profile. The libertarians might say they should get to chose whether to wear safety belts. It’s their bodies at risk so their decision. The statistics say that states with effective enforcement consistently have lower fatalities. It’s the same with making motorcycle helmets mandatory. The statistics show hundreds of lives a year would be saved if laws were put in place and enforced.

Now let’s talk about increasing the age at which teens can be licensed to drive. States where the age of licensing is 17 show up to a 30% drop in the number of accidents and a real drop in the number of deaths. Now how about reducing the speed limits? Again the evidence is absolutely clear. Speed kills. It also increases the amount of pollution and burns more oil at a time we should be aiming to use less. Curiously, some states have recently been removing red light cameras as infringing the privacy of drivers, yet they also significantly reduce the accident rates. In 2009, almost 700 people were killed running red lights. Research also shows accidents fall where you replace stop lights with roundabouts. Finally, we need active policing to take the drunk and incapacitated drivers off the roads.

If all the states took this action, the total number of accidents would fall, fewer people would be injured and a lot less would die. If the volume of claims falls, the next round of auto insurance quotes also falls. Fewer payouts in smaller amounts need less premium income. So get on the phone to your local lawmakers. Tell them auto insurance rates are the next big political issue and, if they don’t pass some new laws, they will be voted out at the next election.

What about the other sexual problems?

One of the fascinating things we can do as human beings is put information in little boxes and pretend that’s all there is to know. It’s like when you’re at High School and, for the next test, all you need to know is [insert information]. Once you pass on to the next level, you can often forget whatever you learnt for all those tests. The lid has closed on the box and, unless there’s a crisis, you need never try to remember it again. Well, it’s like the world decided it wanted a smaller box for all the information on sexual problems. In the bad old days, we used to talk about impotence and that included quite a lot of different stuff. Now we only seem to talk about erectile dysfunction and there’s not much to say about that. All the other stuff about an inability to have an orgasm or to ejaculate, low levels of sperm or infertility has disappeared. It’s like we’re not supposed to think about anything like that now we have the erectile dysfunction dugs.

Yet, if you ask the doctors who specialize in this area, they’ll tell you that about two-thirds of the men with severe erectile dysfunction also find it difficult to reach an orgasm, and about 60% find it difficult to ejaculate. To understand what’s happening, we have to understand how drugs are marketed. When a pharmaceutical manufacturer comes to market with something new, it’s vitally important to establish a connection between the brand name and the specific condition it treats. To make this drug stand out, the other diseases and disorders in the same part of the body have to be minimized. The important problem has been solved. The marketers prefer you not to ask about the others.

So, because of this manipulation of the general discussion about sexual problems, the only one we focus on is erectile dysfunction and we do that because we have an effective treatment. Where does that leave us with all the men who cannot ejaculate or no longer have an orgasm? Well, when we do go to the doctor, we fail to report these other problems, and the doctors fail to ask us because there’s no treatment currently available. Yes, sadly, the erectile dysfunction drugs only treat the named condition. They have no effect on the other problems.

When you go back to the original statistics, two-thirds of men with severe erectile dysfunction have no remedy for the secondary problems. They could therefore find hard erections return, but they are still not able to have full sexual intercourse. For older men, children are no longer on the agenda, so their inability to produce children will be less important. Nevertheless, the failure of the pharmaceutical industry to find treatments for these other problems is disconcerting.

The message to take away from this article is to be realistic. If your only problem is the ability to produce a hard erection, Viagra is the best and most reliable drug on the market. In the majority of cases, it will give you back what was lost. But don’t expect Viagra to solve any other problems. It does nothing for fertility, nor does it treat the missing orgasm or the ability to ejaculate.

Acne and the menopause

It would be wonderful if life could always be fair. We could plan our future, confident we would always get our just deserts. Unfortunately, the world can be uncaring, if not actually cruel. No matter how carefully we plan for the best outcomes, there’s always a chance for things to go wrong. Worse, even if everything goes right, we can end up the victims of jealousy or even hate for our success. Whether it’s at school or in the workplace, people can seize on the smallest things as justifications for treating us badly. It should not be this way, but even the way our body works can end up a trap. We can grow too tall or put on too much weight. We can be too pretty or have a physical disability.

One of the most common excuses for wanton cruelty is acne. As the hormones kick in, the majority of children and young adults find themselves the victims of abuse. Twenty or thirty years ago, this was mostly a problem for teens. Now it’s affecting younger children and lasting longer. That this is unfair could not be clearer. Everyone has the same bacteria growing on their skins and so has the same chance of suffering acne. Yet, no matter who shows the first signs, the others are always waiting to sniff the air to detect body odor and hint at the unwillingness to wash or make even more unkind suggestions for the cause of the emerging spots. At a time when most people lack self-confidence, these personal attacks are extremely hurtful and many suffer psychological damage.

It would be good if acne was a one-time event. We could put the trauma behind us and get on with our lives. But several million women are now discovering acne can return as they pass through the menopause. It should not be unexpected because the same hormonal changes that cause acne during puberty are repeating themselves. As it stands, the medical profession has been slow to respond and so the cosmetics industry has been making excessive profits with products to clean the skin and cover up the spots. For better or worse, our society has placed a burden on women to appear perfect, no matter what their age. So what action should the older woman take? It starts with the use of exfoliates. During and after menopause, skin erosion grows more uneven and so it’s always better to gently remove the epidermis or outer layer of skin to produce a more even appearance and clean out the pores. In turn, this helps control the acne. But only use the most gentle products to avoid drying out the skin. If this is not effective, you can move up to a retinoid cream. Should the menopause continue, using an oral contraceptive will usually calm down the hormone production.

Should all these simple steps fail, Accutane remains as the ultimate cure. Always remember pregnancy must be avoided at all costs so, if you are still sexually active and able to conceive, you must take comprehensive steps to prevent conception. As an older woman, you are in a high risk category for babies with birth defects. Use Accutane and birth defects become a certainty. Take advice before using this drug.

The mythology of acne

Let’s start off with a definition of a myth. Essentially, it’s a lie we tell ourselves to hide our fear. Suppose we’re frightened of lightning. No problem! We’ll invent a god who walks around the sky and, if he gets upset with anyone, he lets go a bolt or two. Why is this a good idea? As a priest in this new religion, all you have to do is keep the god happy by worshiping, giving me offerings and buying my comic books. So long as the god is happy, you will then be safe. No more fear! Thor rocks! Now let’s apply this to acne. As parents, we feel the need to prepare our children for all the bad stuff that’s likely to happen to them. So we tell them the story of acne. This is a disease so terrible that most affected end up looking like a toad with warts – obviously you want to keep the fear to Disney animation level so mention Princes turning into them and Princesse Fiona secretly being a green-skinned ogre at night. All this recognizes the new social reality. Only those with a perfect skin are acceptable. Everyone else is out of the magic circle in school and only allowed to mix with goths and nerds. To cushion the blow of having unattractive friends, we then tell them the really big lie – that they soon grow out of it and it will never affect them as adults.

The current estimate is that about 15% of the adult population suffers acne. That’s millions of people. Fortunately, the majority of sufferers are women and there’s a big market for selling concealer makeup, i.e. heavy foundation creams and a powder to put on top. Even metrosexual men are reluctant to wear obvious makeup. So why is acne affecting more adults? Here we get into yet more myths as self-appointed experts muscle their way on to television and radio stations to sell their miracle products or latest book detailing Obama’s acne and his loss of popularity. Their explanations range from too much stress in our lives to the diet we eat. This would be helpful if there was any scientific evidence to link either stress or diet to acne. Except there’s no such evidence. It’s all just more myths.

So what can or should we do as adults. For men, washing twice a day with an unmedicated soap is enough to clear the pores. If you want a cheap alternative to soap, use benzoyl peroxide in small amounts. Using too many products to clean your skin can dry it out and make acne harder to beat. For general health and the improvement of your skin, you should also drink less alcohol, quit smoking and avoid a smokey atmosphere. For women, using an oral contraceptive can reduce the hormone level. If this is not acceptable on moral grounds, then the usual self-help approaches to keeping the skin clean are the best. If all else fails and your appearance is so important, Accutane is available. As a woman, remember to take the strongest possible measures to prevent pregnancy. There’s very clear evidence Accutane does cause birth defects in the majority of cases. No one can pass this medical consequence off as a myth.

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