Minggu, 30 April 2017

Neuropathy And Your Quality Of Life


Today's post from neuropathydr.com (see link below) talks about the quality of a person's life when they have neuropathic problems to deal with. Most doctors will only look at the physical aspects of neuropathy and only evaluate what can be proved scientifically (they may only have a limited time to do that) but the psychological effects and the effects on your quality of life are just as important. It's a no-brainer; a happier person will react better to treatment.
The article forms part of a large website promoting medical clinics but the information is well-sourced ,accurate and very helpful. Following the link to the original page will allow you to contact them if you wish.

Peripheral Neuropathy and Your Quality of Life

If you’re suffering from peripheral neuropathy, you know how much it affects your life.

Every single day…

Even the simplest tasks can be difficult if not impossible…

To anyone unfamiliar with peripheral neuropathy and its symptoms, they might just think “your nerves hurt a little…”

But at a peripheral neuropathy sufferer, you know better…

Peripheral neuropathy not only affects your health, it can wreck your quality of life.

How Do You Define Quality of Life?
Generally speaking, Quality of Life is a term used to measure a person’s overall well-being. In medical terms, it usually means how well a patient has adapted to a medical condition. It measures[1]:
  • Your physical and material well being
  • Your social relationships – how you interact with others
  • Your social activities
  • Your personal fulfillment – your career, any creative outlets you may have, how involved you are with other interests)
  • Your recreational activities – your hobbies, sports, etc.
  • Your actual health – what your health is really like and how healthy you believe you are
How do you feel about these aspects of your life? Your attitude and approach to your illness, both your neuropathy and the underlying cause of your neuropathy (i.e., diabetes, HIV/AIDS, lupus, etc.) can make a huge difference in how well you adapt to your neuropathy symptoms.
Neuropathy Symptoms Aren’t Just Physical
The pain of peripheral neuropathy falls into the category of what is considered chronic pain. It usually doesn’t just come and go. You can’t just pop a couple of aspirin and forget about it. It’s pain with its root cause in nerve damage.
The nerves that actually register pain are the actual cause of the pain. When you’re in that kind of pain on a consistent basis, it affects you in many different ways[2]:
  • You become depressed and/or anxious
  • Your productivity and interest at work is disrupted
  • You can’t sleep
  • It’s difficult for you to get out and interact with other people so you feel isolated
  • You sometimes don’t understand why you’re not getting better
What You Can Do To Improve Your Quality of Life
You may feel like your situation is hopeless, especially if you’ve become mired in depression.
But it isn’t.
There are things you can do to lessen the physical (and emotional) effects of peripheral neuropathy and help you function as normally as possible:
  • Pay special attention to caring for your feet. Inspect them daily for cuts, pressure spots, blisters or calluses (use a mirror to look at the bottom of your feet). The minute you notice anything out of the ordinary, call your doctor or your local NeuropathyDR® clinician for help. Never go barefoot – anywhere.
  • Treat yourself to a good foot massage to improve your circulation and reduce pain. Check with your insurance company – if massage is actually prescribed by your doctor, they may cover some of the cost.
  • Only wear shoes that are padded, supportive and comfortable and never wear tight socks.
  • If you smoke, quit. Nicotine decreases circulation and if you’re a peripheral neuropathy patient, you can’t risk that.
  • Cut back on your caffeine intake. Several studies have found that caffeine may actually make neuropathy pain worse.
  • If you sit at a desk, never cross your knees or lean on your elbows. The pressure will only make your nerve damage worse.
  • Be really careful when using hot water. Your peripheral neuropathy may affect the way you register changes in temperature and it’s really easy for you to burn yourself and not even realize it.
  • Use a “bed cradle” to keep your sheets away from your feet if you experience pain when trying to sleep. That will help you rest.
  • Try to be as active as possible. Moderate exercise is great for circulation and it can work wonders for your emotional and mental health.
  • Make your home as injury proof as possible – install bath assists and/or hand rails and never leave anything on the floor that you can trip over.
  • Eat a healthy, balanced diet. If you don’t know what you should and shouldn’t eat, talk to your NeuropathyDR® clinician about a personalized diet plan to maintain proper weight and give your body what it needs to heal.
  • Try to get out as often as possible to socialize with others.
We hope this information helps you to better manage your peripheral neuropathy symptoms. Take a look at the list above and see how many of these things you’re already doing to help yourself. Then talk to your local NeuropathyDR® clinician about help with adding the others to your daily life.

http://neuropathydr.com/blog/general-information-on-nd-protocols/peripheral-neuropathy-and-your-quality-of-life-2/

A Doctors View On Neuropathy Treatment


Today's post from neuropathytreatments.com (see link below) gives some sound advice from the point of view of a doctor with neuropathy patients. Not everything is covered here but there is some useful information for everybody living with the many forms of neuropathy. Worth a read.

The Advice Of A Medical Professional

Posted on February 24, 2014



Neuropathy is a complex condition that can have an effect on the body’s nervous system.  Peripheral nervous system occurs. The peripheral nervous system refers to the part of the nervous system outside of the brain and spinal cord; when damage occurs to the nerve cells or nerve axons, it is called peripheral neuropathy. Neuropathy is a painful condition that can have an effect on an individual’s life and their ability to maintain a normal active life.
Peripheral Neuropathy is a condition that will have an effect on an individual’s life and if not treated could have a severely negative effect. The pain and symptoms that are common place with neuropathy limit one’s mobility and ability to function in normal life situations. For instance, numbness is a symptom of neuropathy and can limit the patient’s ability to sense or feel terrain changes – risking further injury. Neuropathy symptoms have an implication on one’s social, vocational and functional life possibly causing the neuropathy patient to suffer with feelings of anxiety and depression.
Most doctors have to admit that when it comes to neuropathy treatment they have few options to offer their patients other than a prescription medication to help numb the pain. Numbing the pain does not fix the problem it only creates more problems; the medication used to numb neuropathy pain can leave the neuropathic patient juggling now both neuropathy pain and side effects from the medication.

What To Expect For Your Doctor
There are several different classes of medications for treating neuropathy. Since there is no cure for neuropathy, the only form of treatment is to discover a way to ease the painful neuropathy symptoms that create a stumbling block in one’s daily existence and most medical professionals believe that prescription medications are an excellent way to ease the pain of neuropathy. Below you will find more information on the most popular medications prescribed to those who suffer from neuropathy.

Antidepressants
Endorphins are the way the body naturally relieves pain and antidepressants are said to help treat neuropathy pain by blocking pain signals on their way to the brain and release endorphins. Antidepressants are further categorized that are available to help treat neuropathy.

Tricyclic anti-depressants calm levels of neurotransmitters in the brain. Tricyclic can reduce pain and improve mood and even help one sleep better. For help with reliving nerve pain, doctors will often prescribe the following tricyclic anti-depressants:

  • Amitriptyline
  • Desipramine
  • Imipramine
Side Effects: dizziness, drowsiness, dries mouth and eyes as well as constipation.

Serotonin-norepinephrine reuptake inhibitors (SNRIs) increase serotonin and norepinephrine one has in their system. SNRIs block serotonin and norepinephrine from being reabsorbed by brain cells.

Side Effects: dizziness, drowsiness and insomnia

Selective Serotonin Reuptake Inhibitors (SSRIs) are like SNRIs in that they help increase serotonin levels in the body, yet they differ in that they focus on serotonin levels to help decrease one’s pain perception.

Side Effects: insomnia, headaches and nausea

Anti-Seizures
Anti-seizures are medications that were originally designed to treat seizures. Anti-seizure medication is often prescribed to treat diabetic neuropathy due to its ability to slow down nerve signals so that the pain levels are not communicated to the brain. Examples of anti-seizures anti-convulsants would be:

  • Pregabalin
  • Gabapentin
  • Gabarone
  • Neurontin
Side Effects: drowsiness, weight gain, dizziness and nausea

Opioids
Also called narcotics, opioids are painkillers and serious stuff that should not be tampered with unless prescribed. Opioids are prescribed to relieve severe pain quickly but can become addictive.

Side Effects: drowsiness, nausea and constipation

Heed The Warning
Though the use of prescription medication can be effective in treating neuropathy pain and symptoms, there are several downsides to selecting medications as the primary form of neuropathy treatment. Medication can become addictive and have severe adverse side effects that could affect ones emotional, physical and mental stability. Never use narcotics out from under the care of a doctor.
Neuropathy can be emotionally, physically and mentally taxing without adding further complications such as depression, suicidal thoughts, anxiety and irritability. To prevent side effects that could cause severe damage to one’s health treating neuropathy naturally is a great alternative to prescription medication.

http://neuropathytreatments.com/2014/02/

Sabtu, 29 April 2017

Post operative Complications



Post-operative Complications
Post-operative complications either can be general or specific towards the type of surgery undertaken, and really should be managed using the patient's history in your mind. Common general post-operative complications include post-operative fever, atelectasis, wound infection, embolism and deep vein thrombosis. The greatest incidence of post-operative complications is between One and three days after the operation. However, specific complications exist in the following distinct temporal patterns: early post-operative, a few days after the operation, through the post-operative period, and in the late post-operative period.1
General post-operative complications
Immediate:
Primary haemorrhage: either starting during surgical procedures or following post-operative increase in blood pressure level - replace hemorrhaging and may require go back to theatre to re-explore wound.
Basal atelectasis: minor lung collapse.
Shock: hemorrhaging, acute myocardial infarction, pulmonary embolism or septicaemia.
Low urine output: inadequate fluid replacement intra- and post-operatively.
Early:
Acute confusion: exclude dehydration and sepsis
Nausea and vomiting: analgesia or anaesthetic-related; paralytic ileus
Fever
Secondary haemorrhage: frequently as a result of infection
Pneumonia
Wound or anastomosis dehiscence
Deep vein thrombosis (DVT)
Acute urinary retention
Urinary tract infection (UTI)
Post-operative wound infection
Bowel obstruction because of fibrinous adhesions
Paralytic Ileus
Late:
Bowel obstruction due to fibrous adhesions
Incisional hernia
Persistent sinus
Recurrence of reason behind surgery, e.g. malignancy
post-urological surgery
o Blood transfusion or drug reaction
Days 3-5:
o Bronchopneumonia
o Sepsis
o Wound infection
o Drip site infection or phlebitis
o Abscess formation, e.g. subphrenic or pelvic, with respect to the surgery involved
o DVT
After Five days:
o Specific complications related to surgery, e.g. bowel anastomosis breakdown, fistula formation
o After the very first week
o Wound infection
o Distant sites of infection, e.g. UTI
o DVT, pulmonary embolus (PE)
Haemorrhage
If large volumes of blood happen to be transfused, then haemorrhage may be exacerbated byconsumption coagulopathy. Can also be due to pre-operative anticoagulants or unrecognisedbleeding diathesis.
Perform clotting screen and platelet count, ensure good intravenous access and insert central venous pressure (CVP) catheter. Give protamine if heparin has been utilized. Order cross-matched blood. If clotting screen abnormal, give fresh frozen plasma (FFP) or platelet concentrates. Consider surgical re-exploration all the time. 
Late post-operative haemorrhage occurs several days after surgery and it is usually due to infection damaging vessels in the operation site. Treat infection and consider exploratory surgery.
Infection
Infectious complications would be the main causes of post-operative morbidity in abdominal surgery.
Wound infection: most typical form is superficial wound infection occurring inside the first week presenting as localised pain, redness and slight discharge usually brought on by skin staphylococci.
Cellulitis and abscesses:
o Usually occur after bowel-related surgery
o Most present within first week but could be seen as late as third post-operative week, despite leaving hospital
o Present with pyrexia and spreading cellulitis or abscess
o Cellulitis is given antibiotics
o Abscess requires suture removal and probing of wound but deeper abscess may need surgical re-exploration. The wound remains open in both cases to heal by secondary intention
Gas gangrene is uncommon and life-threatening.
Wound sinus is really a late infectious complication from the deep chronic abscess that may occur after apparently normal healing. Usually needs re-exploration to get rid of non-absorbable suture or mesh, that is the underlying cause.
Disordered wound healing
Most wounds heal without complications and healing isn't impaired in the elderly unless there are particular adverse factors or complications. Factors which might affect healing rate are:
Poor circulation.
Excess suture tension.
Long term steroids.
Immunosuppressive therapy.
Radiotherapy.
Severe rheumatoid disease.
Malnutrition and vitamin deficiency.
Wound dehiscence
Affects about 2% of mid-line laparotomy wounds.
Serious complication having a mortality of up to 30%.
Due to failure of wound closure technique.
Usually occurs between 7 and Ten days post-operatively.
Often heralded by serosanguinous discharge from wound.
Should be assumed the defect involves the whole from the wound.
Initial management includes opiate analgesia, sterile dressing to wound, fluid resuscitation and early go back to theatre for resuture under general anaesthesia.
Incisional hernia
Occurs in 10-15% of abdominal wounds usually appearing within newbie but can be delayed by as much as 15 years after surgery.
Risk factors include obesity, distension and poor tone of muscle, wound infection and multiple utilization of same incision site.
Presents as bulge in abdominal wall near to previous wound. Usually asymptomatic but there might be pain, especially if strangulation occurs. Has a tendency to enlarge over time and be a nuisance.
Management: surgical repair high is pain, strangulation or nuisance.
Surgical injury
Unavoidable injury to nerves may occur during various kinds of surgery, e.g. facial nervedamage during total parotidectomy, impotence following prostate surgical procedures or recurrent laryngeal nerve damage during thyroidectomy.
There is another risk of injury while being transported and handled within the theatre under general anaesthetic. Included in this are injuries due to falls from trolley, harm to diseased bones and joints during positioning, nerve palsies, and diathermy burns.
Respiratory complications
Occur in as much as 15% of general anaesthetic and major surgery and can include:
Atelectasis (alveolar collapse):
o Caused when airways become obstructed, usually by bronchial secretions. Many instances are mild and could go unnoticed
o Symptoms are slow recovery from operations, poor colour, mild tachypnoea, tachycardia and low-grade fever
o Prevention is as simple as pre-and post-operative physiotherapy
o In severe cases, positive pressure ventilation are usually necesary
Pneumonia: requires antibiotics, physiotherapy.
Aspiration pneumonitis:
o Sterile inflammation from the lungs from inhaling gastric contents
o Presents with good reputation for vomiting or regurgitation with rapid start of breathlessness and wheezing. Non-starved patient undergoing emergency surgical treatment is particularly at risk
o May assist in avoiding this by crash induction technique and employ of oral antacids or metoclopramide
o Mortality is almost 50% and requires urgent treatment with bronchial suction, positive pressure ventilation, prophylactic antibiotics and IV steroids
Acute respiratory distress syndrome:
o Rapid, shallow breathing, severe hypoxaemia with scattered crepitations but no cough, chest pains or haemoptysis, appearing 24-48 hours after surgery
o Occurs in lots of conditions where there is direct or systemic insult towards the lung, e.g. multiple trauma with shock
o Requires intensive care with mechanical ventilation with positive-end pressure
Thrombo-embolism
Major reason for complications and death after surgery. DVT is extremely commonly related to grade of surgery.
Many cases are silent but present as swelling of leg, tenderness of calf muscle and increased warmth with calf pain on passive dorsiflexion of foot.
Diagnosis is as simple as venography or Doppler ultrasound.
Pulmonary embolism:
o Classically presents with sudden dyspnoea and cardiovascular collapse with pleuritic heart problems, pleural rub and haemoptysis. However, smaller PEs tend to be more common and present with confusion, breathlessness and heart problems
o Diagnosis is by ventilation/perfusion scanning and/or pulmonary angiography or dynamic CT
Management: intravenous heparin or subcutaneous low molecular weight heparin for five days plus oral warfarin.
Common urinary problems
Urinary retention: common immediate post-operative complication that may often be dealt with conservatively with adequate analgesia. If the fails may need catheterisation.
UTI: common, especially in women, and could not present with typical symptoms. Treat with antibiotics and adequate fluid intake.
Acute renal failure:
o May be brought on by antibiotics, obstructive jaundice and surgery towards the aorta
o Often due to episode of severe or prolonged hypotension
o Presents as low urine output with adequate hydration
o Mild cases might be treated with fluid restriction until tubular function recovers. Yet it's essential to differentiate from pre-renal failure because of hypovolaemia which requires rehydration
o In severe cases may require haemofiltration or dialysis while function gradually recovers over weeks or months
Complications of bowel surgery
Delayed return of function:
o Temporary disruption of peristalsis: may complain of nausea, anorexia and vomiting in most cases appears with the re-introduction of fluids. Often referred to as ileus
o More prolonged extensive form with vomiting and your inability to tolerate oral intake called adynamic obstruction and requires to be distinguished from mechanical obstruction. If involves large bowel usually referred to as pseudo-obstruction. Diagnosed by instant barium enema
Early mechanical obstruction: might be caused by twisted or trapped loop of bowel or adhesions occurring approximately 7 days after surgery. May settle with nasogastric aspiration plus IV fluids or progress and require surgery.
Late mechanical obstruction: adhesions can organise and persist, commonly causing isolated instances of small bowel obstruction entire time after surgery. Treat for early form.

Verging On Obese Get Ready For Neuropathy!


Today's post from mdedge.com (see link below) is so short, you might wonder why it appears here at all. It may be short but at the end of a festive season for many (if only it were festive for all!) where vast quantities of food have been eaten and waistlines have been irreversibly expanded, you may want to spare a thought for the potential consequences. Have you seen the latest statistics about obesity in the population!!! Of course, over eating and regularly eating the 'wrong' sort of food can lead to diabetes and the commonest cause of neuropathy is diabetes but the message here is much wider than that. This study shows that obese people are prone to nerve damage, irrespective of their glucose and blood sugar levels, so the message is clear - obesity is to be avoided at all costs, for all sorts of health reasons. Unfortunately, neuropathy doesn't frighten people until they have it and then it's too late! We've not even reached New Year's Eve yet, after a crazy year in human history, so before you go on that last food binge before 2017 (it's never the 'last' one), try to make and stick to a New Year's resolution before it sticks to your waistline and brings you nerve damage which you'll regret for ever!
 

Causes of Polyneuropathy in an Obese Population
JAMA Neurol; ePub 2016 Oct 31; Callaghan, et al November 15, 2016

The prevalence of polyneuropathy is high in obese individuals, even those with normal glucose levels, with diabetes, prediabetes, and obesity being the likely metabolic drivers, a recent study found. This cross-sectional study included 102 obese participants (mean age 52.9 years; 45 [44.1%] with normoglycemia, 31 [30.4%] with prediabetes, and 26 [25.5%] with type 2 diabetes), and 53 lean controls. 


Researchers found:
The prevalence of polyneuropathy was 3.8% in lean controls (n=2), 11.1% in the obese participants with normoglycemia (n=5), 29% in the obese participants with prediabetes (n=9), and 34.6% in obese participants with diabetes (n=9). 


Age (OR, 1.09), diabetes (OR, 4.90), and waist circumferences (OR, 1.24) were significantly associated with neuropathy in multivariable models. 


Prediabetes (OR, 3.82) was not significantly associated with neuropathy.

Citation
: Callaghan BC, Xia R, Reynolds E, et al. Association between metabolic syndrome components and polyneuropathy in an obese population. [Published online ahead of print October 31, 2016]. JAMA Neurol. doi:10.1001/jamaneurol.2016.3745.


Commentary: Polyneuropathy can range in severity from bothersome, with intermittent tingling and numbness, to severe and disabling. We are familiar with it as a long-term complication of diabetes as well as occurring sporadically in patients without diabetes. We are beginning to recognize that many of the sporadic cases in patients without diabetes may be due to prediabetes and obesity. A previous paper in Diabetes Care demonstrated that evidence of polyneuropathy was found in 49% of a large cohort of patients with prediabetes and that progression of glucose intolerance over 3 years predicted a higher risk of peripheral neuropathy and nerve dysfunction.1 The lack of relationship to prediabetes reported in the current paper is likely due to the relatively small numbers of patients with prediabetes in the study, since the hazard ratio for polyneuropathy with prediabetes was 3.8. The current paper expands these non-diabetes related risk factors for peripheral neuropathy to include obesity as well as diabetes. —Neil Skolnik, MD
Lee CC, et al. Peripheral neuropathy and nerve dysfunction in individuals at high risk for type 2 diabetes: The PROMISE cohort. Diabetes Care. 2015;38:1-8. doi:10.2337/dc14-2585.

http://www.mdedge.com/jfponline/clinical-edge/summary/diabetes/causes-polyneuropathy-obese-population

Jumat, 28 April 2017

Early Pregnancy Cramps


Implantation Bleeding Period

Implantation Bleeding Period


Content provided on this site is for entertainment or informational purposes only and should not be construed as medical or health, safety, legal or financial advice..Medical news and health news headlines posted throughout the day, every day.CDC.gov feature articles are written by subject matter experts and health communicators, then edited to emphasize strong call-to-action messages and friendly .Learn about new USPSTF latent TB infection recommendation . Like CDC TB's new Facebook page. See newly released TB Treatment Guidelines. See the Take on Latent .Diabetic Mononeuropathy Diabetic Mononeuropathy :: how to treat diabetic dermopathy - The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.. Diabetes Polyuria ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ DIABETES POLYURIA ] The REAL cause of Diabetes and the .


Implantation Bleeding Period

Implantation Bleeding Period

Stomach Early Pregnancy Symptoms

Stomach Early Pregnancy Symptoms


Content provided on this site is for entertainment or informational purposes only and should not be construed as medical or health, safety, legal or financial advice.. Diabetes Polyuria ::The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 Days.[ DIABETES POLYURIA ] The REAL cause of Diabetes and the .Medical news and health news headlines posted throughout the day, every day.Diabetic Mononeuropathy Diabetic Mononeuropathy :: how to treat diabetic dermopathy - The 3 Step Trick that Reverses Diabetes Permanently in As Little as 11 .CDC.gov feature articles are written by subject matter experts and health communicators, then edited to emphasize strong call-to-action messages and friendly .Learn about new USPSTF latent TB infection recommendation . Like CDC TB's new Facebook page. See newly released TB Treatment Guidelines. See the Take on .



Dont Worry If Your Pain Is Also Emotionally Based Its A Chicken And Egg Situation


Today's post from thelightmedia.com (see link below) doesn't seem to be directly related to neuropathy as such but if any group of pain patients understands the correlation between emotional states and their physical pain, it's nerve damage patients. They are also frequent victims of pain stigma; where outsiders accuse them of having a psychosomatic problem and in effect...faking it. You don't need telling that this makes the problem so much worse. However, if psychosomatic pain is pain that is 'created' and not 'real', then nerve pain is exactly that because nerve pain stems from faulty nerve cell signals moving to and from the brain cells. People living with neuropathy can also have other forms of pain that are nociceptive (stemming from injury and physical damage) and not neuropathic and this can cause all sorts of confusion, both for the patient and the concerned onlooker. This article takes a look at forms of pain that are influenced by and influence, emotions. If nothing else, it may help you sort out what you're feeling en help you better deal with it.


10 Types Of Pain That Are Directly Linked To Your Emotions
2017

“Psychosomatic means mind (psyche) and body (soma). A psychosomatic disorder is a disease which involves both mind and body. Some physical diseases are thought to be particularly prone to be made worse by mental factors such as stress and anxiety.”

(A quick note before we begin: it is extremely important that any severe physical symptoms must be attended to by a licensed medical professional, such as a physician.)

If there is a mental aspect to virtually every type of disease, isn’t it then rational to assume there is a mental aspect to virtually every type of physical pain? The simple truth is that mental states affect physical states and vice-versa.

Traditional medicine has labeled this the psychosomatic effect. Interestingly, the specialty of psychosomatic medicine is the latest sub-specialty in psychiatry to become board-certified. Board-certified physicians comprise the “best of the best” in 24 different medical specializations (e.g. neurology, dermatology, psychiatry, etc.) As important, these medical specialties are universally recognized by the medical and scientific communities as vital to public health.

Indeed, pain can be caused by emotional and mental states. In science, it has been demonstrated that both mental/emotional and physical pain activates the same areas of the brain: the anterior insula and the anterior cingulate cortex. So – a physiological connection between brain and body exists as well.


Here we are going to discuss 10 different types of pain that are directly linked to feelings, emotions and thoughts. Equipped with this knowledge, one can begin to make whatever adjustments necessary to feel better (we’ll also provide some recommendations).


Here are 10 types of pain caused by feelings/emotions/thoughts:


1. Back pain

Areas of the back and shoulders are arguably where we feel muscle tension the most. Chiropractors, osteopaths and other medical professionals have been explaining the stress/anxiety connection between back pain and mental/emotional health for years.

Making matters worse, this type of pain is cyclical. We begin to stress and worry about back pain, which tenses back the muscles; the muscles tense, and then we begin to feel things like frustration and anger.


2. Headaches and migraines

Dr. Christina Peterson, a board-certified physician, writes: “Stress comes in many varieties, including time stress, emotional stress, and the stress of physical fatigue…and (these) emotions pack a wallop for the migraine sufferer.” Furthermore, emotions like anger, anxiety, crying/sadness and depression trigger headache pains.

The good doctors recommend practicing relaxation techniques, meditation, and to seek the help of a counselor in the event that this pain doesn’t subside.


3. Neck pain

The buildup of emotions; more specifically, negative emotions, can affect virtually every area of the body. Neck pain, according to Calm Clinic, is one of the most common complaints of people suffering from anxiety-related disorders.

It’s nearly impossible to explain every one of the multitude of ways that anxiety can manifest. Financial problems/worries, relationship problems, sadness, fatigue, etc.


4. Shoulder pain

Many kinesiologists believe that our shoulders are the area of the body most prone to feeling the adverse effects from pressure. Ever wonder where the axiom “Carrying the weight of the world on your shoulders” comes from?


Us too. But it turns out there is a whole lot of truth to it.


5. Stomach aches and/or cramps

Our poor stomach is where we house most of our worries, fears, and anxieties. Experiencing these emotions repeatedly, without surprise, can cause stomach aches and pains. In fact, as it turns out, chronic stress can develop into stomach ulcers.


6. Elbow pain and/or stiffness

Dr. Alan Fogel, in a piece published by Psychology Today, writes, “All emotions have a motor component.” The elbow is no different. While medical conditions such as arthritis and others may be the reason for pain or stiffness; mental states such as anxiety and depression can also manifest in strange areas…including the elbows.


7. Pain in hands

Similar to the elbows, pain in the hands can arise from legitimate medical conditions. Some even say that hand pain may result from feelings of isolation or confinement. As Dr. Fogel said, every one of our emotions manifests into a physical symptom…so, anything is possible, right?


8. Hip pain

Aside from a documental medical condition, some type of emotional trigger is almost assuredly the cause of hip pain. The human body has more nerve connections in the hip than we would think; so distress can manifest into physical pain in this area as well.


9. Knee pain

The rationale given for knee pain experienced from emotions is pretty much the same as that given for hip pain. Of course, there are many nerve endings in the knee; hence, more of a brain/body connection. As such, it is perhaps more likely that emotional triggers such as anxiety, fear, depression, etc. will manifest into knee pain than other, less sensitive areas, such as the hip.


10. Foot pain

Here’s what one podiatrist says about the relationship between mental/emotional states and foot pain: “Stressed people present with a wide range of biomechanical issues. I am not trying to be a guru…but I am convinced there is an anecdotal connection between lower limb and foot presentation and their emotional status.”

Experts at Columbia University admit that “there’s some evidence that there are psychological conditions that may be associated with physical symptoms,” and that treating the real cause of the pain may be the answer.

Related article: This Simple Mind-Body Exercise Reduces Negative Thoughts and Improves Health

After investigating the physical pain or stress, it’s worthwhile to do the same with any emotional state(s). What are you feeling?

Relaxation techniques (e.g. progressive muscle relaxation), controlled breathing, meditation, guided imagery, and many other techniques and practices exist to help people who are experiencing both physical and/or emotional pain.

http://thelightmedia.com/posts/55199-10-types-of-pain-that-are-directly-linked-to-your-emotions

Kamis, 27 April 2017

HOMOEOPATHIC REMEDIES FOR ORCHITIS


Orchitis  is an inflammation of one or both testicles. It is usually caused by a bacterial infection or by the mumps virus.
Bacterial orchitis can be caused by sexually transmitted infections (STIs), particularly gonorrhea or chlamydia. Bacterial orchitis often results from epididymitis, an inflammation of the coiled tube (epididymis) at the back of the testicle that stores and carries sperm. In that case, it's called epididymo-orchitis.
Orchitis causes pain and can affect fertility. Medication can treat the causes of bacterial orchitis and can ease some signs and symptoms of viral orchitis. But it may take several weeks for scrotal tenderness to disappear.
Causes--Orchitis can be caused by a bacterial or viral infection. Sometimes a cause of orchitis can't be determined (idiopathic orchitis).
Bacterial orchitis
Most often, bacterial orchitis is the result of epididymitis. Epididymitis usually is caused by an infection of the urethra or bladder that spreads to the epididymis.
Often, the cause of the infection is an STI. Other causes of infection may be related to having been born with abnormalities in your urinary tract or having had a catheter or medical instruments inserted into your penis.
Viral orchitis
Viral orchitis is usually caused by the mumps virus. About one-third of males who contract the mumps after puberty develop orchitis, usually four to seven days after onset of the mumps.
Symptoms---Orchitis signs and symptoms usually develop suddenly and may include:--Swelling in one or both testicles, Pain ranging from mild to severe, Tenderness in one or both testicles, which may last for weeks, Fever, Nausea and vomiting
The terms "testicle pain" and "groin pain" are sometimes used interchangeably. But groin pain occurs in the fold of skin between the thigh and abdomen — not in the testicle. The causes of groin pain are different from the causes of testicle pain
HOMOEOPATHIC REMEDIES
ACONITUM NAPELLUS 30- Acute inflammation. Due to exposure to dry cold winds
APIS MEL.30- Painful swelling of testis and prostate
ARNICA MON. 30- Due to injury and is accompanied by soreness
ARGENTUM NITRICUM 200- With swelling and pain of lower part of the right testicle
AURUM MET. 30 –Chronic enlargement with pain in cord and testicles
BAPTISIA 30-With squeezed pain in the testicles. Testis hard and inflamed
BELLADONNA 30- Pain comes and goes suddenly. Face flushed
CLEMATIS ER. 30- Bruised pain in testicles. Swelling of the right half of the scrotum and testicle . Testicles very hard
CONIUM MACULATUM 200- Orchitis due to contusion. Testicles hard and enlarged
MERC SOL 30- Swelling and hardness testicles and scrotum with shining redness. Dragging pain in testicles and spinal cord
NITRIC ACID 30- Pain and inflammation of testicles with painful drawing of the spermatic cord
PULSATILLA NIG 30-. Head remedy for this condition. Burning and aching of testicles with or without swelling. After as a complication of measles
OLEU ANIMALE 30- Neuralgia of resticles and spermatic cord
OXALIC ACID 30- Neuralgia of spermatic cord
RHODODENDRON 200- Chronic orchitis . Testicles feel crushed, worse during thunderstorm
SPONGIA 30- Complaints after suppression of gonorrhoea with pain in spermatic cord

THUJA OCC. 200-Recuurent attacks of orchitis due to gonorrhoea and fig warts or condylomata

Why Do I Have Neuropathy A Personal Story


Today's relatable post from americannewsreport.com (see link below) is a very recognisable account of the way that neuropathy can take us by surprise when it arrives. You will undoubtedly recognise many of the experiences the author has gone through and sympathise with the frustrations that the disease can bring. Worth a read, if only because you may be reassured that you're not alone feeling the way you do, although at times it may feel like it.

My Story: Why Do I Have Peripheral Neuropathy?
October 13th, 2014 by Ed Coghlan

 
When we started the National Pain Report a couple of years ago, we had a pretty good idea that it was going to be successful. From prior work that I had in the field of chronic pain, I knew that pain patients were often frustrated about the lack of information that is available to them and how they are treated by the medical community.

So we figured we’d find an audience.

What I didn’t know at the time was that I was about to begin my own personal journey into chronic pain.

A couple of years ago, I was playing golf in Oxnard, California when I noticed that my feet were tingling — like I was walking with sand in my golf shoes — is how I would later describe to my doctor.

It didn’t hurt either my feet or the quality of my golf (such as it is) and I didn’t pay much attention to it. So I ignored it.

For much of the next year, I would get an episode or two, but it always receded and I never thought much about it. I never ever talked to my doctor about it.

Probably should have.

About a year ago, on a night before an important meeting I had in San Francisco, my body just went off. The tingling and numbness seemed to be everywhere in my body.

It didn’t hurt, but it was very unsettling.

So when I returned to Los Angeles, I began a journey I’m still on. To find out what the hell is the matter with me.

The first thing I did was what anyone born after World War II always does. I went to Google. It didn’t make me long to self diagnose.

I have peripheral neuropathy. It’s a tingling, burning and numbness that the Mayo Clinic compares to the loss of sensation that comes from wearing a thin stocking or glove.

There are a number of reasons for it — traumatic injuries, infections, metabolic problems and exposure to toxins. One of the most common causes is diabetes.

My father had diabetes and my grandfather had multiple sclerosis, so off to the doctor I went.

My family physician, who I’ve known for 30 years, ran a bunch of blood tests and said he didn’t see anything problematic. In fact he congratulated me on my blood chemistry. He referred to me a neurologist, who thought my blood sugar was a little high (101) — not diabetic high — but enough that he suggested I eat like a diabetic and try to lose some weight. .

I’m a physical fitness nut, so losing weight never seemed like something I needed to do, but in fairness and out of respect for the neurologist, I ate like a diabetic and lost 15 pounds in about two months.

So I looked better.

But the tingling remained, and sometime the burning is so intense that when I get home from work, I’ll put ice packs on my feet. When it’s especially severe, I feel it in my hands and my face.

He also gave me a nerve conduction test and told me to start taking Vitamin B-12, which I do. I’m also taking Gabapentin (the generic for Neurontin) and I honestly can’t say that it’s working all that well. I stopped taking it for a while. I’m taking it again, because, well, I have to do something.

I’ve gone back to my family physician and the neurologist in the past couple of months, and their diagnosis is the same — which is they’re not sure.

I had back surgery thirty years ago, have banged myself around pretty good on racquetball and basketball courts and hiking trails, and thought maybe something happened during that active life that might have pinched a never or something. They pretty much rejected that.

I’ve never been this unsettled about anything physically.

I have learned that often the cause of the peripheral neuropathy goes undiagnosed.

I don’t like living under the cloud of doubt.

It was Francis Bacon who said, “If a man will begin with certainties, he shall end in doubts; but if he will be content to begin with doubts, he shall end in certainties.”

I don’t think Bacon had peripheral neuropathy.

Ed Coghlan is the CEO of National Pain Report. He lives in southern California.

National Pain Report invites other readers to share their stories with us.

Send them to editor@nationalpainreport.com

The information in this column is not intended to be considered as professional medical advice, diagnosis or treatment. It is for informational purposes only and represents the author’s personal experiences and opinions alone. It does not inherently or expressly reflect the views, opinions and/or positions of National Pain Report or Microcast Media.

http://americannewsreport.com/nationalpainreport/my-story-why-do-i-have-peripheral-neuropathy-8824993.html

Coping Strategies For Pain


Today's article from about.com (see link below) is another one offering advice about techniques you may want to try to help control your pain. Much of it is useful but it does require a certain amount of self-discipline and an open mind. You never know, when all else fails and the pills are still not working, these strategies may come in very useful.


How to Cope With Chronic Pain

Stopping Pain Anxiety in its Tracks

From Erica Jacques, former About.com Guide


If you have chronic pain, it may be hard to imagine life without anxiety. Constantly being in pain is stressful, and can lead to feelings of fear, helplessness and despair. Feeling bleak about the future of your chronic pain condition? Then keep reading, because there is hope. There are ways to learn to cope with chronic pain.

Learning to Cope

Effective coping strategies can impact your pain. Coping strategies give you a sense of control over your pain, even when it is intense. Anxiety can intensify feelings of pain and disability, so it important to come to terms with your condition. Regaining control of your situation can help lower your stress. Learning to cope with your chronic pain can reduce your anxiety, putting you back in the driver’s seat.

While coping strategies won’t necessarily take your pain away, they can help you get it to a level that you can deal with. At the very least, they help keep your pain from getting worse due to pain anxiety. Some potentially effective coping strategies include acceptance, mindfulness and value-based actions.


Accepting Pain - Accepting Your Diagnosis

You have a chronic pain condition. You may be in pain for a long time. It could last for the rest of your life. How could this not cause anxiety? The bigger question is, can you find a way to live with your chronic pain?
Accepting pain is not easy. It may even feel like giving in. Learning to accept your chronic pain condition may take a long time, especially if you are still in the grieving stage. However, acceptance is the first step in letting your anxieties go. Here are a few ways to get started.


  • Keep a pain journal
  • If you have chronic pain, it may be hard to imagine life without anxiety. Constantly being in pain is stressful, and can lead to feelings of fear, helplessness and despair. Feeling bleak about the future of your chronic pain condition? Then keep reading, because there is hope. There are ways to learn to cope with chronic pain.

    Learning to Cope

    Effective coping strategies can impact your pain. Coping strategies give you a sense of control over your pain, even when it is intense. Anxiety can intensify feelings of pain and disability, so it important to come to terms with your condition. Regaining control of your situation can help lower your stress. Learning to cope with your chronic pain can reduce your anxiety, putting you back in the driver’s seat.
    While coping strategies won’t necessarily take your pain away, they can help you get it to a level that you can deal with. At the very least, they help keep your pain from getting worse due to pain anxiety. Some potentially effective coping strategies include acceptance, mindfulness and value-based actions.

    Accepting Pain - Accepting Your Diagnosis

    You have a chronic pain condition. You may be in pain for a long time. It could last for the rest of your life. How could this not cause anxiety? The bigger question is, can you find a way to live with your chronic pain?
    Accepting pain is not easy. It may even feel like giving in. Learning to accept your chronic pain condition may take a long time, especially if you are still in the grieving stage. However, acceptance is the first step in letting your anxieties go. Here are a few ways to get started.

    • Keep a pain journal. The written word is powerful. Sometimes writing about how you feel, including your anxieties, gives you a greater sense of control over your pain condition. No matter what goes through your head, write it down and get it out of your system.
    • Talk about your pain. When you have chronic pain, one of the worst things you can do is pretend you aren’t in pain. Don’t worry about what other people will think: Be honest about your chronic pain. This includes not only being honest with others, but being honest with yourself.
    • Get your grief out. Grieving is a natural part of
    • being diagnosed with chronic pain. Do what you need to do to get it out. Cry. Get angry. Hit a pillow. Feel sad. Once you are done, however, you need to move on. Yes, you have chronic pain. Yes, it stinks. No, it isn’t fair. But getting stuck in the grief stage will not help your pain, and can cause even more anxiety.

    Being Mindful of Pain - What Helps and What Hurts?

    What times of day do you hurt the most? What activities cause you more pain? How do you feel when you eat certain foods, or sit in certain positions? Does your pain change when you feel sad or stressed?
    You can answer most of these questions by reading your pain journal. Now that you have it documented, start looking for patterns. Being mindful of what causes your pain, and what doesn’t, helps put you back in charge.

    Taking Value-Based Actions - Make an Action Plan

  • Being aware of your pain triggers and relievers helps you make better, more informed decisions about your behaviors. These are called value-based actions: You determine what, when and how you do something based on how you think it will affect you.
    You know what worsens your pain. You know what makes it better. Use this as a guideline to structure your days, weeks and months. Planning efficiently helps you gain control of your pain condition. Of course, you will still have pain. But hopefully after all of this, your pain anxieties will be under better control.
    When you are coping with your pain, everything seems to run more smoothly. However, you may have setbacks along the way. Try not to get discouraged. Remember, it's not like you will be starting at square one: You may just need to remind yourself to get back on track. Repeat the steps as often as needed. rnal. The written word is powerful. Sometimes writing about how you feel, including your anxieties, gives you a greater sense of control over your pain condition. No matter what goes through your head, write it down and get it out of your system.
  •  
  • Talk about your pain. When you have chronic pain, one of the worst things you can do is pretend you aren’t in pain. Don’t worry about what other people will think: Be honest about your chronic pain. This includes not only being honest with others, but being honest with yourself.
  •  
  • Get your grief out. Grieving is a natural part of being diagnosed with chronic pain. Do what you need to do to get it out. Cry. Get angry. Hit a pillow. Feel sad. Once you are done, however, you need to move on. Yes, you have chronic pain. Yes, it stinks. No, it isn’t fair. But getting stuck in the grief stage will not help your pain, and can cause even more anxiety.


Being Mindful of Pain - What Helps and What Hurts?

What times of day do you hurt the most? What activities cause you more pain? How do you feel when you eat certain foods, or sit in certain positions? Does your pain change when you feel sad or stressed?
You can answer most of these questions by reading your pain journal. Now that you have it documented, start looking for patterns. Being mindful of what causes your pain, and what doesn’t, helps put you back in charge.


Taking Value-Based Actions - Make an Action Plan

Being aware of your pain triggers and relievers helps you make better, more informed decisions about your behaviors. These are called value-based actions: You determine what, when and how you do something based on how you think it will affect you.
You know what worsens your pain. You know what makes it better. Use this as a guideline to structure your days, weeks and months. Planning efficiently helps you gain control of your pain condition. Of course, you will still have pain. But hopefully after all of this, your pain anxieties will be under better control.
When you are coping with your pain, everything seems to run more smoothly. However, you may have setbacks along the way. Try not to get discouraged. Remember, it's not like you will be starting at square one: You may just need to remind yourself to get back on track. Repeat the steps as often as needed.


http://pain.about.com/od/painandmentalhealth/a/anxiety_pain.htm


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Levaquin A Notorious Cause Of Neuropathy


Today's post from lawyersandsettlements.com (see link below) is yet another article about one of the fluoroquinolone antibiotics and it's relation to neuropathy. In this case, it's Levaquin and it cannot be stressed enough that if your doctor prescribes this for you, you need to question him or her as to the dangers of nerve damage as a result. If you already have neuropathy, then it's strongly advised that you seek an alternative to levaquin - there are other antibiotics available. The amount of lawsuits pertaining to fluoroquinolones is growing each month and it would be wise to bear that in mind before accepting them as treatment options.
 

Levaquin Peripheral Sensorimotor Neuropathy Strikes a Nerve
November 14, 2014, 08:00:00AM. By Gordon Gibb

San Francisco, CA: It’s bad enough when a manufacturer is alleged to have known about a potentially serious side effect and didn’t tell anyone about it. When you finally face the music and include Levaquin side effects on product labeling, it helps to be thorough and upfront with just how bad things can get.

In August 2013, the US Food and Drug Administration (FDA) decided that a Levaquin label warning - and similar warning labels for all drugs in the fluoroquinolone antibiotic class - didn’t go far enough against the potential for Levaquin Peripheral Sensorimotor Neuropathy.

There is little doubt that fluoroquinolone drugs such as Levaquin are extremely effective in knocking a serious or persistent bacterial infection out of a patient’s system. No fewer than 23.1 million prescriptions for fluoroquinolone tablets (ingested orally) were written in 2011.

Many a Levaquin Antibiotics Lawsuit have accused manufacturer Johnson & Johnson (J&J) of withholding important safety information, and doing so for some time. One plaintiff, Karyn Joy Grossman, alleges that J&J had known about the potential for Levaquin Peripheral Sensorimotor Neuropathy as early as 1992. For its part, the FDA finally got with the program and mandated a warning for all fluoroquinolone antibiotics with regard to the potential for Peripheral Sensorimotor Neuropathy. That was in 2004.

Nine years later, the FDA was back with a more thorough warning alluding to the possibility of severe nerve damage that could be permanent.

There is plenty of reason for concern. The rate of Levaquin Peripheral Sensorimotor Neuropathy could not be identified or calculated, according to the FDA. There are also no identifiable risk factors that patients, were they aware of their particular individual risk, could weigh when considering the use of a fluoroquinolone such as Levaquin. There is no age range that is a greater or lesser risk than any other.

Levaquin Peripheral Sensorimotor Neuropathy can emerge as quickly as a few days following treatment with a fluoroquinolone or delayed by more than a year. A patient could literally wake up one morning, without warning, with the grievous Levaquin side effects.

READ MORE LEVAQUIN LEGAL NEWS

A New Outlaw in the Levaquin Side Effects Corral
The Fluoroquinolones Community—and Their Leader Mark Girard
Investment Firm Wants Johnson & Johnson to Be Accountable for Levaquin Side Effects

Grossman, in her Levaquin lawsuit, asserts that “the warning label for Levaquin during the period from September 2004 through August 2013 misled Plaintiff and her treating physician by incorrectly advising patients and physicians that peripheral neuropathy associated with Levaquin was ‘rare’ and in any case could be avoided by discontinuing the drug upon the onset of certain symptoms.

“The truth, however, is that the onset of irreversible peripheral neuropathy is often rapid and discontinuation of the drug will not ensure that the peripheral neuropathy is reversible.”

Karyn Joy Grossman’s lawsuit was filed August 6 in US District Court for the Northern District of California. Defendants include Ortho-McNeil-Janssen Pharmaceuticals, Inc.; Johnson & Johnson Pharmaceutical Research & Development, LLC; and Johnson & Johnson and McKesson Corporation.

The Levaquin lawsuit is Grossman v. Johnson & Johnson et al, Case No. 3:2014cv03557.

http://www.lawyersandsettlements.com/articles/levaquin/levaquin-antibiotics-lawsuit-side-effects-2-20244.html#.VIMl43vGC-5

Rabu, 26 April 2017

A huge amount of work and information has gone into this book and its full of useful tips definitely worth the effort but tailored more towards the US and diabetic market


Via Google reader: I could read it all in PDF format

You Can Cope with Peripheral Neuropathy
By: Mims Cushing, Norman Latov, M.D.Publisher: Demos Medical Publishing
Published on: 03/14/2005
Print ISBN: 9781932603767
Imprint: Demos Health
PreviewAvailable Formats: PDF

Peripheral neuropathy is one of the most common diseases most people never heard of…and yet, upwards of 20 million Americans have it! It is estimated that 60 to 70 percent of people with diabetes have mild to severe neuropathy. That fact alone is staggering. Other causes include vitamin deficiencies, autoimmune diseases, kidney, liver or thyroid disorders, cancer and a variety of other medical conditions.According to the Neuropathy Association the "extent and importance" of peripheral neuropathy has not yet been adequately recognized. The disease is apt to be misdiagnosed, or thought to be merely a side effect of another disease. However, people from all walks of life live with this neurological illness that has been described by those who have it as a tingling or burning sensation in their limbs, pins and needles and numbness.You Can Cope with Peripheral Neuropathy:365 Tips for Living a Full Life was written by both a patient-expert and doctor and is a welcome addition to the information on this subject. It covers such diverse topics as What to ask at doctor appointments Making the house easier to navigate with neuropathy Where to find a support group Using vitamins and herbs for treatment Tips for traveling And much, much more!You Can Cope With Peripheral Neuropathy is a compendium of tips, techniques, and life-task shortcuts that will help everyone who lives with this painful condition. It will also serve as a useful resource for their families, caregivers, and health care providers.

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Time To Bring Style To Neuropathy Accessories


Today's post from mashable.com (see link below) talks about something that should have been thought about long before now and really reinforces the fact that people who need walking aids are supplied the bog-standard canes etc without any thought as to how they look. Hopefully, this lady's campaign is a huge success and leads to 'style' being brought into all aspects of medical accessories. It's bad enough having to use a walking stick to help neuropathy patients get through their day without them being so ugly and basic that they just reinforce someone's disability. Great idea - now bring on the finance and the backers!!
 

Disabled woman petitions J.Crew to design stylish canes
By Hayley Wilbur5 days ago

Liz Jackson, a 33-year-old woman diagnosed with idiopathic neuropathy in 2012, has been petitioning J.Crew to sell walking canes.

Jackson originally started a blog, The Girl With the Purple Cane, about her life in order to keep in touch with friends and family. She quickly became an advocate for disabled people.

See also: Paralyzed designer creates jeans for women in wheelchairs

“Idiopathic means without known cause, and Neuropathy describes the weakness I experience in my extremities, my eyes and throughout my body,” Jackson explains to Mashable. “My body acts in many ways like a body that has Multiple Sclerosis, the only difference is that my immune system attacks my peripheral nerves instead of my brain and spine.”

Image: Liz Jackson

Jackson didn’t want to let her disease stifle her fashion. She noticed that the her cane was the only part of her outfit that didn’t fit.

“I am drawn to thoughtful, creative and approachable products,” she says. “The cane I got in the hospital was none of these things. When you wake up to a new body, you go through a process where you adapt, you try to pick up the pieces. And it was so odd, I looked like myself in every way, but when I would walk, it looked funny. And my cane did not match my insides or the outsides I had so carefully constructed.”

Image: Liz Jackson

One particular shopping experience led Jackson to specifically begin asking J.Crew to make canes. She didn't understand why the brand made fashionable eyeglasses but not other assistive devices.

“I then was looking at a display of their women’s t-shirts and I realized how perfectly my purple cane fit among this colorful display. And it struck me, wouldn’t it be amazing if J. Crew made a seasonal cane?,” she says.

 

The petition currently has over 2,000 supporters and Jackson has received varied responses from the clothing brand. In February, the company told the New Yorker that they respected what she was doing. She then a phone conversation with the company where she received the response “not right now.”

“Lack of choice only disables us further.

Why should the person with the impairment have to look harder? Search farther? Adapt? Why should the person with the impairment have to look harder? Search farther? Adapt? Shouldn’t it be the other way around?,” she asks.

Jackson has found alternatives to the typical medical cane that she got at the hospital — enter the name of her blog “The Girl With The Purple Cane.” When Jackson first saw a Sabi purple cane, she had to have it.

“Nobody could have guessed how that simple cane impacted the trajectory of my life,” she says. “Instead of getting asked 'what’s wrong' I started to get complimented ‘nice cane’. Children wanted to play with it. Adults remembered me by it. It became a source of pride. It helped me craft a new and empowered identity.”

Her other cane was created by Top & Derby, a company that strives to makes customizable versions.

Image: Liz Jackson

Because of a lack of communication, Jackson has started to move on from J. Crew and onto other companies that have previous experience with disability outreach. She recently wrote a public letter to her old boss Ellen DeGeneres (she was one of her production assistants) to ask for help creating inclusive fashion, starting with her ED by Ellen brand.

Jackson isn't the only advocate for disability-friendly fashion. Clothing brand Alter Ur Ego, which makes jeans for people who use wheelchairs, recently reached its goal of $20,000 on Kickstarter.

Jackson hopes to see other brands making canes but also inclusive pieces such as adaptable garments, assistive tech and mobility devices.

“Society has long been taught to look away. Don’t stare, it’s rude. But times have changed. People with disabilities are now asking to be seen. And it’s only a matter of time before we become marketable consumers.”

http://mashable.com/2015/08/26/jcrew-petition-inclusive-fashion/