Physiotherapy for Shoulder Pain

Physiotherapy for Shoulder Pain

Charles Brown No Comments
shoulder pain

Physiotherapy for Shoulder Pain

Our shoulders are essential to our mobility. Rather we are scratching our back or reaching for something behind us in the car or bowling a perfect over your shoulder we need our shoulders to allow for wide range of motions.

Your shoulder is made up of three bones: humerus (upper arm), scapula (shoulder blade) and clavicle (collarbone). The shoulder has a small joint contact zone and therefore the muscles around the shoulder are vital to the health and functioning of your shoulder. These muscles include:

  • Deltoids
  • Rhomboid
  • Trapezius
  • Biceps
  • Triceps
  • Infraspinatus
  • Supraspinatus
  • Teres

The most common reasons these muscles become weakened or shoulder pain persist are:

Research has shown that physiotherapy is generally an effective shoulder pain management. There are two types of treatment options: non-operative or surgical approaches. A physiotherapist will determine which treatment is best for you based on your diagnosis. Here are some of the most common shoulder injury treatments:

  • Early Injury: Do not take shoulder pain lightly. Injuries that are left untreated frequently result in muscle weakness and joint stiffness. If you have injured your shoulder or there is discomfort then immediately practice RICE: Rest, Ice (or heat), Compression and Elevation. If the symptoms do not improve within a few days then seek medical attention from your GP, physio or osteopath.
  • Shoulder strength and stretching exercises: Your shoulder is naturally unstable so that it can have a wider range of motion, therefore strength and coordination are essential to a healthy recovery. Your physiotherapist will design you a program based on your specific injury or discomfort to strengthen weaker areas.
  • Biomechanical analysis: Physiotherapist will analyse your shoulders bio mechanics to find flaws that result in jury or a slow recovery. This includes analyzing your gait, running, sprinting, etc., and analyzing your workplace environment.
  • Soft tissue massage: Your chiropractor will target your muscles, ligaments, tendons and connective tissue and use a variety of massaging depths, pressures and time to alleviate pain and discomfort.
  • Brace or support: Your physio might recommend that you wear a brace or a sling to relieve pain, rest injured tissues, protect the shoulder from injury and allow for tissue healing around the shoulder.
  • Kinesiology taping: Similar to a brace or sling support, your physiotherapist might recommend kinseio taping. The tape is thin, stretchy and therapeutic and is commonly used for injuries and inflammation. The tape does not restrict movement but still provides support, protection.
  • Physiotherapy instrument mobilization: Physiotherapist could use this instrument for joint manipulation around the shoulder. The instrument more effectively replicates manipulative techniques that manual methods.

Whether you are suffering from a sports-related injury, arthritis, decreasing mobility and stability, a fracture or tendon tears, a physiotherapist can aid your shoulders recovery with either a surgical option or a through strategic treatment techniques that encourage a steady recovery. Do not brush shoulder pain off. Treating it as soon as possible will mean faster healing.

How to Maintain Sobriety

Charles Brown No Comments
rehab facilities

How to Maintain Your Sobriety  

As a recovering drug addict with over twenty years of sobriety, I understand this can be a difficult and complex situation to write about.  Everyone is different, and people use drugs for vastly different reasons.  There’s millions of ways to be an addict, so just to start my article off on the right foot, let’s agree that this is a difficult subject to write about.  

My Experience with Addiction

So instead of discussing the varying commonalities among drug addicts and those who maintain long term sobriety, or other irrelevant statistics, I’m just going to share some experience and practical advice with you.  

For every one person who wants to learn how to stay sober or clean, there are equally as many answers.  Drug addiction is a highly personal thing.  It’s something that many people share, but then again, they don’t.  Some addictive behaviors may be similar, but the inner workings of an addict’s mind is a mystery for each and every one that exists.  In order for anyone, and I mean anyone to first obtain and second maintain sobriety through whatever hard times exist, no matter what happens in life… that takes very serious dedication.

The “dedication” part of it is where so many addicts have trouble.  And, conversely, this makes the argument for me that ongoing support and participation in some kind of regular meeting or group is supremely important in maintaining that dedication.  Dedication can change like an opinion, but if you have someone else helping to hold you accountable, the odds improve significantly that your dedication will not shift off course, which frequently leads to a relapse.

Now, most addicts who want to quit using their drug often enter some sort of substance abuse treatment center while they are highly motivated and even excited.  The first part of that process is going through a detoxification program. Although invariably a challenging part of the process, many feel as they complete their detox, the journey is over.

But as time passes, so can the determination to stay away from their drug.  Some addicts enter the treatment system as a result of external crisis.  Some come in with high levels of motivation for drug treatment, but others have less.

 Regardless of their level of motivation, however, entering a drug treatment facility can be a frightening experience and one that requires a high level of interest in resolving ones’ addiction.  I should also note that regardless of their motivation, the fact that they reached out for help should be commended and supported.    

One time in an Alcoholics Anonymous (AA) meeting, someone asked how the old timer’s had stayed sober.  Many of them admitted to slipping and relapsing occasionally, but the simple way to stay sober is just to not pick up the drink in the first place.  Sounds simple enough, right?  Just don’t have that drink.  Just don’t smoke that drug.  Just don’t take those pills.  Words of wisdom, for sure, but hardly easy.

So how does a person not pick up that drink, or stop using that drug? The answer is SUPPORT.  There is no doubt that the first thirty days of any detoxification process may be the most difficult and a lot of close observation and support is necessary during this time.  This is often hard to do in a home environment, especially in today’s world of working parents.  It’s hard to have 24/7 observation over anyone, much less a drug addict who may come up with extremely creative ways to get his or her next fix as soon as a blind eye is turned.  This is where in-patient care can be of the most help.  

In Patient Assistance

keep calm and stay soberWhen someone is getting in-patient care, it basically means they’ve been admitted as a patient into a drug rehab or treatment facility.  It also basically means they can’t leave until the in-patient treatment part is complete.  

Afterwards, they may recommend a half-way house, or possibly ongoing personal and/or group therapy for the initial and long-term maintenance.  Reason being, is that anyone serious addict who has been through treatment more than once can tell you, getting sober is easy.  Staying sober is hard.  

Staying sober has as many challenges as there are stars in the sky.  Addictions have a nasty habit of coming back at just the right time, like a thief in the night.  And the problem is, it usually only takes one use to trigger a full-blown relapse.  Just one.  

So how can anyone avoid this?  Well, for starters, inpatient drug treatment is very helpful in getting you clean.  A half-way house can provide monitoring and counseling, while still giving you exposure (and freedom) to the outside world.  Ongoing group counseling and/or personal therapy is where you’ll find the strength to turn down that opportunity to use your drug “just once more”.  It won’t hurt anything, right?  No, wrong.  

This is because of the nature of addiction.  You can’t be an addict and also have the ability to control your drug.  If you’re a real addict, your drug controls you.  This is important to know in order to fight it off.  Once you realize your drug can easily overpower you if you let it, it’s up to you to let it or not.

 It’s just as easy to pass on a drug as it is to pick it up and use again.  The difference comes from strength.  And we all know, there is strength in numbers.  So there’s your argument for long term AA or NA (Narcotics Anonymous), or a host of other ongoing treatment groups.  

Other things you can do to help maintain your sobriety include:

  • Keep Busy – A drug addict’s worst enemy is boredom, so by keeping yourself busy, you’re also keeping your mind off your addiction, passing time productively, and replacing bad habits with better ones.  
  • Talk – Don’t keep your addiction a secret.  The more people around you who know about your struggle, the more support you’re going to find.  It’s embarrassing the first time you tell someone you’re an addict, but becomes easier over time.  No matter how easy or hard it is to say it, if you do, you’ll likely find that most people will rally around and support you.  
  • Go to Meetings – This is also part of “Talk” above, but just with people who share similar experiences with addiction.  It’s one thing to sympathize with a person, but to have experienced something yourself and to have a better sense of exactly how that addict is feeling is a whole level of power altogether.
  • Seek professional help.  Sometimes, depending on the drug and its’ withdrawal symptoms, professional help is the only way to get clean.  But even if it’s not, you still need a doctor monitoring you, helping to make sure your body is strong and not suffering any serious effects from long term drug or alcohol abuse.  It’s no secret, it’s not uncommon for a serious alcoholic to die shortly after stopping drinking, so having proper medical attention relative to the person and the substance they’re abusing is very important to recovery.
  • Take Care of Yourself – Eat better, go to the Gym, start exercising, whatever.  Do those things you know you need to do simply to make your body feel better.  When we exercise, we feel better.  When we eat healthy, we feel better.  When we get proper rest, we feel better.  Pay attention to your body and start working in time for yourself to “make you feel better” without using drugs or alcohol.  
  • Reassess friendships – This one needs little explanation.  If you have a drug problem and continue hanging around other people who also have drug problems, you’re just making it easier to relapse.  To rid your life of serious drug addiction, sometimes you need to rid you life of people who might cause you to relapse.  
  • Find new ways to enjoy life – Therapy can help you learn to love yourself and enjoy life in ways you weren’t able to before.  Listening to old-timers in your groups can give you insight into the mental changes that take place, over time, in a recovering addict’s mind.  Learn to love yourself.  If you truly love yourself, you’ll take care of yourself better than you ever did before.  

Best of Luck!

Life gives no guarantees, except that it’s never easy.  We all have good days and bad days.  Don’t let the bad ones push you back into your addiction.  If alcohol is the challenge, find a good rehab for alcohol.

Controlling an addiction is a full time job, and one that you really can not do by yourself. Assess your situation now.  If you have an addiction of any kind, admit it to yourself, and get the proper help.  

I want you to succeed.  But start by realizing you are in control, not the drug, and get as much support as you can.  Remember the old saying, “one day at a time”.  You don’t have to strive for a lifetime of sobriety, you only have to strive for a day’s worth… one day at a time.  

Help Staying Sober

The Flu Season is Knocking

Charles Brown No Comments
flu season

Flu Season Is Right Around the Corner

Because a cold and the flu share many of the same symptoms, including runny, stuffy nose, sore throat and coughing it is sometimes hard to know if you really have the flu. However, health experts across the country agree that having a fever and the severity of symptoms you are experiencing are key to differentiating between influenza (flu) and the common cold.

Difference Between The Cold and the Flu

Things that differentiate between a cold and the flu include a fever, body aches and chills, fatigue and sudden onset of symptoms are the key signs that you have the flu. Both colds and the flu are caused by viruses which are common this time of the year when close contact with others and the stress of busy work and holiday schedules make us even more susceptible. But differentiating between a cold and influenza, at least initially, is not always easy because the two can share a number of the same symptoms such as a stuffy nose, a sore throat and a cough.

Colds are typically mild and will usually last only a few days and, in most cases, your body can still function with a cold. When you have the flu within a short time of contracting the virus you will start experiencing a high fever (102 degrees or more), and your whole body aches, and you can’t even get off the couch. At that point you can probably guess correctly that you probably have the flu.

Unlike colds, which tend to have a more gradual onset, the flu usually comes on more suddenly and that one characteristic is the feature in the mnemonic device for identifying the flu — FACTS

  • Fever
  • Aches
  • Chills
  • Sudden onset of tiredness


According to the Centers for Disease Control and Prevention, seasonal flu activity can begin as early as October and last as late as May, but it usually peaks in January or February.  The best defense against the flu is to get your flu shot early.

The common colds, caused by many different viruses are most often rhinoviruses. The CDC estimates that there are approximately 1 billion cases of the common cold annually in the United States alone. The flu accounts for fewer cases the agency reported that during last year’s flu season there were about 31.8 million influenza-associated illnesses and 14.4 million-related doctor visits during last year’s flu season. Even though there are fewer cases of the flu, it’s still considered a far more severe viral infection.

Complications that can arise from the influenza virus include bacterial pneumonia, a weakened heart muscle, and even the death of people who could be otherwise healthy. The virus is responsible for the hospitalization of over 200,000 people each year.

Last year there were 169 flu-related deaths among children that were reported by the CDC last month. The agency does not keep the same type of statistics on adults, but estimates that there are somewhere around 24,000 deaths are related to the influenza each year.

The common misconception for the treatment of both the common cold and the flu is that antibiotics can fight these viruses, however viruses do not respond to antibiotics. Antibiotics only work on bacterial infections but, many people still think otherwise. In a national survey of consumers that the foundation released this month, 44% of respondents incorrectly said antibiotics fight the flu and 48% mistakenly believed that flu vaccines “treat” influenza.

There are antiviral medications that can be prescribed by a physician to treat the flu but, they work best if given within 48 hours of when people began to feel ill. The CDC recommends taking “everyday preventative actions” to stop the spread of germs, such as covering your nose and mouth with a tissue when you cough or sneeze; staying home when you are sick and washing your hands with soap and water several times a day and especially after being out in public places like the mall or grocery store where you are exposed to a large number of people.

Even after taking all the everyday precautions many people still get the flu. The CDC reports that the most effective way of preventing the flu in your family is by getting a flu vaccine (either injection or nasal spray) and says the vaccine is key to reducing the risk of flu for everyone.  It has also been said that Vitamin D can assist with not getting the flu.

There are people who are at higher risk of contracting the flu no matter how many precautions that take including:

People who are at high risk of developing more serious complications such as pneumonia if they get the flu

People who have other medical conditions including asthma, diabetes and chronic lung disease

Pregnant women

Children 5 and younger and especially those younger than 2

Elderly people 65 years and older

Caregivers and others who live with or care for people who are at high risk of developing serious complications

Receiving the vaccine has been shown to reduce the risk of contracting the flu virus by as much as 60%, and although it does not affect every known flu virus out there, it does prevent many of the flu viruses that might be circulating in a given season. In cases where vaccinated people still get the flu, the symptoms may be lesser than they would have been otherwise because the vaccine generates an immune response.

Is it the cold or the flu?

Here are the differences according to health experts:

• Fever. One of the first signs and rare for a cold but, common with the flu virus. Fevers can go up to 102 degrees, especially in children, and can persist three or four days.

• Headache. Colds will rarely cause you to have a headache where they are quite common with the flu.

• Aches and pains. Although you can experience aches and pains with a cold they are usually mild. Aches and pains with the flu are most usually much more severe.

• Fatigue. Again, fatigue and tiredness can occurs with a cold, but the flu will usually start with a period of exhaustion and can last two or three weeks.

• Sneezing, stuffy nose, sore throat. These are the most frequent symptoms of a cold but can and most usually will occur with the flu.

• Chest discomfort, cough. Again these symptoms can be present with a cold and the flu but are most often mild to moderate with colds and more severe with flu.

• Get plenty of rest.

• Drink lots of fluids, which can thin mucus and prevent dehydration.

• Over-the-counter medication, such as antihistamines, decongestants and pain and fever reducers, can provide temporary relief from symptoms.

• If you’re feeling very weak, running a high fever (102 degrees or higher), have trouble breathing or symptoms worsen, contact a medical care provider.

The same is true if you suffer from a chronic illness, such as asthma, diabetes or congestive heart failure, which makes you more vulnerable to complications.

flu season is here

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Peanut Allergies

Charles Brown No Comments
peanut allergy

Peanut Allergies

There have been many stories in the media the past several years of children becoming ill or even dying at schools and summer camps from peanut related allergies. I understand the cost-effectiveness of peanut butter: it is inexpensive and goes a long way. I have heard parents who do not have children with food allergies complain that the food-sensitive children should bring their own food, and carry on that their child shouldn’t suffer the loss of peanut butter just because another child might get sick and die. I blame ignorance for those comments. If something as casual as peanut butter can remotely cause a fatal injury, it should be eliminated from the menu.

Everyone Has Some Allergies

Almost every one I know suffers from allergies to something. People suffer symptoms ranging from hives to sinus problems.

Having moved to Louisiana in my mid-30’s, I enjoyed all the wonderful food this State has to offer: shrimp, crawfish, oysters, all cooked in every way imaginable. As I grew older, I became less tolerant to certain foods, some of which were causing food allergy-related symptoms, which can be life-threatening.

peanut allergiesOne night my face swelled to twice its size, accompanied by what felt like the burning of my skin, and my eyes swelled to the point of almost being closed. Of course, I initially sought answers online as to what would cause such a horrible onset… was it the bubonic plague come back to modern times? Perhaps ricin poisoning? WebMD can, and does, offer a detailed explanation for every symptom you can imagine. Having a powerful imagination, I was convinced I was to die a slow, lingering, painful and a quite unattractive death. Ultimately, I decided to go to an actual doctor. His diagnosis: no more shellfish for me.

Allergies Can Arise At Any Time

Apparently, allergies can be assumed at any age. In Louisiana, you may as well stop eating if you have a shellfish allergy To add insult to injury, I also soon developed an allergy to nuts. The same symptoms, the same diagnosis, the same changing of the menu of foods I could safely eat.

There is, of course, no cure , but there are preventable measures I take. For one thing, I keep Benadryl on hand at all times. I am also extremely careful when I go out to eat. Cross contamination can be deadly for people suffering food allergies. Fried chicken is great, but was it cooked in the same oil as the shrimp? Is the oil used for frying vegetable oil or peanut oil? On the rare occasions that eat out, I go to restaurants that I trust. I order items not only without shellfish, or that may have touched shellfish, but I avoid any foods that may contain nuts, such as salads, vegetables, desserts.

I do not want anyone to get the impression that it is just a matter of convenience for me to go through the rest of my life being a picky eater. It is a matter of my own safety. WedMD told me so.