Pain Archive

A simple x-ray may be a better and cheaper way to diagnose knee arthritis than an MRI, according to researchers. X-rays are also cheaper than MRIs and quicker to perform. 

Shoulder pain appears to be associated with risk factors for heart disease. Researchers found that people with the most heart disease risk factors, like high cholesterol, high blood pressure, and diabetes, were almost five times more likely to also have shoulder trouble. 

When the risks of medication outweigh the benefits.

 Image: © iStock

Taking over-the-counter or prescription painkillers may seem like a simple solution for chronic pain. It's actually a bit more complicated, yet many older adults aren't aware of potential problems. "They think that if it doesn't require a prescription, it's safe. But there are some long-term health risks," says Dr. Edgar Ross, director of the Pain Management Center at Harvard-affiliated Brigham and Women's Hospital.

Here's what you should know about some commonly used pain relievers.

How to Make a Sling

How to Splint a Fracture

Unless the person is able to tell you to the contrary, assume that anyone with a back injury also has a neck injury.

Place a board, such as a door or table leaf, next to the person. The board should extend below the buttocks (ideally to the feet) and above the head. Keeping the head aligned with the rest of the body, gently logroll the person toward you. Move the board under the person and ease him or her onto it. If the person is vomiting, lay him or her on one side and continue to support the head.

Bell's Palsy

Questions to Discuss with Your Doctor:

• Do you have weakness or paralysis of the muscles in your face?
• Can you still raise your eyebrows?
• Can you close your eyelids?
• Have you had ear pain? If so, on which side?
• Are your eyes watery?
• Have you noticed any change in your sense of taste?
• Have you had problems hearing?
• Have you had problems chewing?
• Over what period of time did your symptoms develop?
• Have you had a recent upper respiratory tract infection (for example, a cold)?
• Could you have had a tick bite in the recent past?
• Do you have diabetes?

Your Doctor Might Examine the Following Body Structures or Functions:

• Neurological exam focusing on the strength of the facial muscles
• Examination of the ears, nose, and throat

Your Doctor Might Order the Following Lab Tests or Studies:

• Blood tests for blood sugar and possibly Lyme disease
• Hearing test (if you report difficulty hearing)
• MRI computed tomography (CT) of the head (if your history and exam are concerning for a stroke or tumor)

While going to and from school many kids these days look like they have the weight of the world on their shoulders. Although it might not be quite so heavy, some kids actually do carry around a lot of weight in their backpacks. These heavy loads place stress on the spine and shoulders of children, causing muscle strain and fatigue. For some kids the aches and pains are bad enough to seek medical attention. Too much weight can also lead to bad habits such as poor posture and excessive slouching.

Unfortunately, doing homework and being prepared in class means carrying books back and forth between school and home. You can help your child lighten the load by teaching him or her organizational skills. By using folders for individual subjects your child can bring home just the work he needs for the day as opposed to lugging everything home. At school, encourage your child to take frequent trips in between classes to his or her locker to replace books.

Bed rest, once a key part of treating back pain, has a limited role in healing sore backs. In very small doses, bed rest can give you a break when standing or sitting causes severe pain. Too much may make back pain worse. Here is how to do bed rest "right."

To get the most from staying in bed, limit the time you are lying down to a few hours at a stretch, and for no longer than a day or two. You can rest on a bed or sofa, in any comfortable position. To ease the strain on your back, try putting pillows under your head and between your knees when lying on your side, under your knees when lying on your back, or under your hips when lying on your stomach. These positions reduce forces that sitting or standing impose on the back — especially on the discs, ligaments, and muscles.

When you think of risk factors for hearing loss, over-the-counter pain relievers probably aren't among them. But a Harvard study published in the American Journal of Epidemiology suggests that frequent use of ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) may be an important contributor. In the study, women who took the pain relievers at least twice a week were more likely to experience hearing loss, and more frequent usage increased the risk by up to 24%. The findings are similar to a study of men and hearing loss, although aspirin was also found to contribute to risk in that study.

Researchers speculate that the pain relievers may be damaging the cochlea, the snail-shaped hearing mechanism in your inner ear. "Ibuprofen can reduce blood flow to the cochlea, which could result in cellular damage and cell death. Acetaminophen may deplete the antioxidant glutathione, which protects the cochlea from damage," says study author Dr. Sharon Curhan, instructor in medicine at Harvard Medical School.

Does this mean you should think twice before popping a pill for headache or back pain? These medicines do provide good pain relief for many people. "However, frequent use of these medications and use over long periods of time may increase the risk of hearing loss and may cause other adverse health effects. Therefore, it is important to take these medications mindfully and to limit their use as much as possible," says Dr. Curhan. As always, talk to your doctor before making any changes in your medication use.

To learn more about the things that can threaten your hearing, and what you can to do keep this sense sharp and clear, buy Hearing Loss: A guide to prevention and treatment, a Special Health Report from Harvard Medical School.