Showing posts with label research. Show all posts
Showing posts with label research. Show all posts

Saturday, April 19, 2008

Fibromyalgia-Chronic Pain and how it effects the brain

Even though My chronic pain does not come from fibromyalgia, there are millions of people suffering from it, and my heart goes out to them. It is hard to believe that some doctors still doubt its existence, but that is ignorance on their part of as for as I am concerned. There are to many great researchers that have come forward with evidence of the debilitating and deadly disease, to have anything but compassion for those people who suffer from it. I have a sister-in-law who suffers from it. I have watched her go from a vibrant young woman who ran several miles every day with a set of weights in each hand, to an over weight person who rarely gets out of bed anymore. We correspond by e-mail and she can relate to me and my condition better than my wife, because like me, her life is one constant nightmare of pain.


"Researchers at the University of Michigan Health System have found a key linkage between pain and a specific brain molecule, a discovery that lends new insight into fibromyalgia, an often-baffling chronic pain condition. In patients with fibromyalgia, researchers found, pain decreased when levels of the brain molecule called glutamate went down. The results of this study, which appears in the journal Arthritis and Rheumatism, could be useful to researchers looking for new drugs that treat fibromyalgia, the authors say. "If these findings are replicated, investigators performing clinical treatment trials in fibromyalgia could potentially use glutamate as a 'surrogate' marker of disease response," says lead author Richard E. Harris, Ph.D., research assistant professor in the Division of Rheumatology at the U-M Medical School's Department of Internal Medicine and a researcher at the U-M Chronic Pain and Fatigue Research Center.

The molecule glutamate is a neurotransmitter, which means it conveys information between neurons in the nervous system. When glutamate is released from one neuron, it diffuses across the space between cells, and then binds to receptors on the next neuron in line and causes the cell to become excited, or to be more active. This molecule was suspected to play a role in fibromyalgia because previous studies had shown that some brain regions in fibromyalgia patients appear to be highly excited. One such region is the insula. In functional magnetic resonance imaging (fMRI) studies, researchers at U-M had previously shown that the insula displays augmented activity in fibromyalgia, which means neurons in these patients are more active in this part of the brain.

The U-M team hypothesized, Harris notes, that more activity among these neurons might be related to the level of glutamate in this region. To gauge the linkage between pain and glutamate, the researchers used a non-invasive brain imaging techinique called proton magnetic resonance spectroscopy (H-MRS). H-MRS was performed once before and once following a four-week course of acupuncture or "sham" acupuncture. Researchers used either acupuncture or sham acupuncture to reduce pain symptoms. The sham procedure involved using a sharp device to prick the skin in order to mimic real acupuncture sensations.

Following the four weeks of treatment, both clinical and experimental pain reported were reduced significantly. More importantly the reduction in both pain outcomes was linked with reductions in glutamate levels in the insula: patients with greater reductions in pain showed greater reductions in glutamate. This suggests that glutamate may play a role in this disease and that it could potentially be used as a biomarker of disease severity. Because of the small number of participants in this study, further research should be conducted to verify the role of glutamate in fibromyalgia, Harris says. "


Everything in quotes is research information from the University of Michigan.


Tuesday, July 3, 2007

Do the research before you agree to major surgery!!


You no longer have to be in the dark about your condition or health problem. In todays doctor-patient relationship, you are lucky to get 20 minutes before a procedure. Remember, these surgeons perform many procedures sometimes even in one day. You are the person who has to live with the results of this procedure. You no longer have to rely on what your Doctor or his Nurse tells you, at least you don't if you have basic skills with a computer and an internet connection.

I admit that I have more than basic skills with a computer but you can do it. You can find all of the information that you will ever need and usually you can find a forum or news group filled with people who have the same health problems as you. Most of them are more than willing to exchange stories with you, give you tips and in many cases refer you to other websites for additional information on your topic. Research can be a gratifying and exciting way to not only educate yourself on your condition but make friends from all over the world.

After my last back surgery which was actually 1991, my life was a living Hell. It was a year before I could even stand up straight. I vowed that I would learn everything I could about the human body, especially the Spine.. I did just that and I am still learning.

I have no desire to be a surgeon and I am not one. I am one of the most informed patients that a surgeon will ever talk to and most of them don't like it. I could care less because I have already been down this road. You have surgery, you get a couple of follow up appointments and then you are on your own. Hopefully the surgery helped. If it does great, if it doesn't you are own your own and its your problem. Sadly few spine surgeons have the patients best interests at heart, especially today.

The REAL TRUTH IS THERE IS NO CURE FOR PROBLEMS IN THE HUMAN SPINE!!!

Once again, do your research. You can find it on the internet and if you can't leave me a comment and I will research it for you.