Advice Column for Pain | Natural solutions & self-help for pain, illness & injuries
such as back pain, migraines, fibromyalgia, knee, neck & shoulder problems.

Self Help Advice Column for Healing Pain Illness Injury



KRS EDSTROM
Advice Columnist, Radio Host,
Speaker & Author

Self Help Advice Columnist on Pain

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IN ASSOCIATION WITH

Dear KRS,
I recently started
running again and my outer knee is hurting quite badly. I stretch out before and after workouts so I just can't figure it out. Any ideas?
Knee Hurt Running

Dear Knee Hurt,
Eliminate running until your knee heals. Try swimming and other activities that don't aggravate your knee. Then EASE back into it, walking slowly, then faster over time. Each day be sure to start your exercise gradually, giving your muscles plenty of time to warm up. Follow that advice for whatever exercise you do at every level.

You may have caused some damage by stretching before your workout. Never stretch a cold muscle! Save your gentle, slow stretches for after your workout. You might also want to strengthen the muscles around your knee. Here's one of the best exercises (no equipment needed!):

Sit on the floor legs together and in front of you, arms slightly behind your hips, bracing you up. Lift your right leg off the floor so your heel is 6-12 inches off the floor. Keep your knees straight as you "pulse" the leg up and down about 2 inches while counting. Focus on contracting the muscles directly above your knee. More is not better - don't try to raise the leg high or swing wildly. Maintain control of the small movement and you will feel the muscle working. Build up the number of counts gradually. Repeat with the uninjured leg to maintain structural balance and maximum healing.
KRS

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Dear KRS,
I have been catching
every illness that has been going around lately. In the past six months I have had the flu, strep throat (twice), and sinus infection. I am a twenty-five years old and exercise at least three times a week. I stopped eating beef a year ago and my mother insists that the reason that I keep getting sick is because I am not getting the protein and vitamins that I need. What do you think?
Always Sick

Dear Always Sick,
You are not alone. There are more and stronger viruses then ever before and autoimmune experts are desperately looking for answers. However, the problem also lies in our increasingly vulnerable immune systems. Autoimmune system diseases such as chronic fatigue syndrome are growing in epidemic proportions and are demanding our attention. Part of the solution may be resolved in a laboratory, but it is also our RED FLAG to start looking for internal solutions - how we live on emotional, physical and spiritual levels. We must watch how we use our energy as well as what we eat and how much rest and exercise we get.

Check your stress level. There may be a lot of stress you are carrying around that you don't even realize. We tend to accept unnecessary negatives in our lives and drag them around with us. This drains our energy and leaves our immune systems vulnerable. Start being aware of when you get sick and what happened in the preceding days or weeks. Keep a diary for a while and you will be surprised how self-educated you will become. Soon, you learn to alter the activity and your reactions that contributed to your getting sick.

Don't worry about not eating beef - in fact, the less the better as long as your diet is balanced. Go easy on the refined carbohydrates like sugar and sodas. A good multi-vitamin is a worthwhile investment for you and the whole family. "Should you decide to accept this mission" - this could be a noble and fascinating personal journey.
KRS

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Dear KRS,
I am a 46
years old, very obese and have arthritis in both hips. I move very slowly and have problems standing for more than 5 or 10 minutes at a time. I want to know what kind of exercise I can do to help me to get around much better without so much pain.
Truly need your help
Help for Arthritis

Dear Arthritis Sufferer,
I know you’ve probably heard this before but it would be helpful for you to lose weight. Excess weight increases the stress on your joints. The exercise I would suggest is swimming. It puts no extra stress on your joints and will let you get some cardiovascular exercise. If you can’t actually do swimming strokes at first, you can stay in the shallow end and move your arms under water back and forth and also “walk” from one side of the pool to the other – and you’ll get a workout! You might also try some of the aerobic machines, such as the bike, if you have access to them. If not, you can get used ones quite inexpensively. Just check your want ads. Be patient and keep a diary. You’ll see slow but steady progress over the weeks. Things can change for you – hang in there and don’t give up!
KRS

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Dear KRS,
When I wake
up in the morning I am always tired no matter how much sleep I get at night. How can I wake up refreshed? Also, I get headaches every day. Help!
Sick & Tired



Dear Sick & Tired,
Too many people live for years with uncomfortable symptoms such as yours that significantly and needlessly impair their quality of life. 

The first thing I would check into is the possibility of allergies. Spend some effort finding a good allergy specialist (don't overlook alternative healers) and see what you find out. Many people have mild to moderate sensitivities to everyday environmental substances or foods (wheat or milk, for example). The good news is that after the substances are removed for a period of time, they can often be gradually reintroduced and tolerated quite well. 
KRS

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Dear KRS,
I'm in a high pressure
job that requires I sit at my computer most of the day. I think I handle the stress pretty well but because of all the sitting my neck and shoulders ache, especially in the afternoons. Aspirin helps but I don't want to take it every day. Any suggestions?
Computer Pains 


Dear Computer Pains, 
You may not be handling the pressure quite as well as you think. Unfortunately, your body is paying the price by absorbing the overload. 

When the body is stationary for a long period of time muscles tend to tighten and when you add stress they tighten even more. Prolonged muscle contraction can limit circulation and even "pull" vertebrae out of alignment, exacerbating the headache, backache and exhaustion cycle. 

The solution? Movement (for circulation) and stretching (to lengthen muscles before trouble has time to "set"). Don't sit for more than 20-30 minutes without moving, if only to stand up, do a few shoulder rolls and sit down again. 

Establish built-in breaks, so it's part of your routine: get a glass of water, go to the rest room or how about walking or jogging the stairs to the next floor and down again (it only takes a minute or two). The point is to keep circulation moving and keep the muscles somewhat warm and flexible. Also change the height of your chair and alternate using the mouse with right and left hands. This will offset the repetitive cycle that causes pain.

A wonderful de-stressing, posture-enhancing stretch for you: (standing or sitting) clasp your hands palm to palm behind your back at hip level, keeping your elbows straight. Then raise them up as your chest and shoulders open. Hold for as long as it feels good. You might hear a little "crack" or two as the vertebrae realign themselves. 

Another desk stretch: Sitting straight, simply drop your head down, chin to chest. Breathe and let the muscles in your neck and shoulders release. Stay in the stretch 10-30 seconds and don't try to force it. 
KRS

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Dear KRS,
Could you
shed any light on TMJ? Is there anything that relieves the pain? This is a very painful jaw disease and any relief is welcomed.
TMJ Pain

Dear TMJ Pain,
TMJ (temporo-mandibular joint) disorder involves the jaw joint and surrounding muscles and often causes pain in the jaw, head or neck area. The muscles tighten and sometimes spasm and can cause pain when chewing and difficulty opening the mouth normally (some people experience a "click" in the jaw joint when opening).

TMJ caused by certain dental work, arthritis or a trauma to your head but, perhaps most commonly, by clenching your teeth while sleeping (or even during waking hours). Stress is the usual culprit for this bad little habit.

When you are stressed, negative energy "backs up" without an outlet (unless you have some skills). To cope with the bad feelings associated with this negative energy, people with no skills unconsciously create their own ways of coping such as smoking, biting their fingernails, eating or clenching/grinding their teeth. It's really quite sad, because it is such self-abusive behavior. The good news is that there are techniques to replace these negative coping methods.

This is a relatively simple technique that I find works very well: As you are going to sleep, gently but firmly tell yourself that you are not going to clench your teeth tonight. Tell yourself that you deserve better and that you are not going to hold your problems in your jaw or anywhere else in your body. Visualize the jaw getting more and more relaxed. Feel the healing rays of the sun warming your jaw and "baking" out the toxins of stress.

Come up with more images of your own if you like. Your body is craving to "unlearn" the bad habit it has, so practiced with consistency your clenching habit will stop. Put a note on your bedside table to remind you.
KRS

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Dear KRS,
I am 48 years old and have been in a regular exercise program for 6 months. Gradually, I have been experiencing lots of aches and pains relating to the sciatic nerve.  It is almost constant and affects sleeping.  

My doctor has prescribed exercises to relieve pain, but this does not seem to help. Would a chiropractor be more inclined to relieve this pain? 
My Aching Back  

Dear Aching Back,  
It doesn't seem fair does it?  The thanks you get for exercising regularly is back pain.  This is an unfortunate but common scenario that can put a halt to the best intentions.  Fortunately, the solution is easy -

STRETCH!  Exercise tends to "shorten" muscles so it is necessary to stretch them back out AFTER you exercise while your muscles are still warm.  You need to tune in and find (or invent) the stretch that pinpoints the pain and gently releases it.  

Stay in the stretch at least 30 seconds and allow yourself to sink into the stretch as you allow the tension to melt.  Don't over stretch and don't "bounce" in the stretch.  

Do your stretch(es) twice a day with warm muscles (after a hot bath or shower in the evening before bed is a good time).  In two weeks or less you should find relief.  Then don't forget to continue your stretches at least once a day.  
KRS  

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Dear KRS,
I was told I have fibromyalgia. It involves the nerves and chronic pain almost every day for the rest of your life. There is no known cure for this, so I have tried to live with it and accept it. Is there any new information out there that I haven't tried?
Living With Fibromyalgia Pain

Dear Living with Pain,
You're not alone. It's estimated that 3-6 million Americans suffer from fibromyalgia. First, let me try to give you a little hope. While a certain attitude of gentle acceptance helps the healing process, I also believe in the "never give up" mentality. There may be no conventional medical cure for fibromyalgia, but please start resourcing the ever-evolving alternative healing modalities such as acupuncture, healing visualization, herbs, homeopathy and others. For example, natural anti-inflammatory alternatives include evening primrose oil or quercetin. 

Find out what has worked for others (contact others through the Web or the National Chronic Fatigue Syndrome and Fibromyalgia Association, P.O. Box 18426, Kansas City, MO 64133. Tip: Spend less time swapping symptoms with your contacts and more time seeking wellness, as health is a state of mind, as is the case with illness).

Be sure you have a good conventional M.D. who has experience with fibromyalgia (again, ask others who they like), as there are doctors don't really understand it and believe it's "all in your head." Eliminate caffeine and gently introduce exercise into your life to help regulate your sleep. One of the lessons fibromyalgia has to offer is in understanding your own very fascinating energy system. By learning where and how energy is blocked in your body, you can better unblock it, eliminate pain and illness and return your system to it's natural energetic flow.

(To help you with the pain you may find benefit in my audios "Defeat Pain." If insomnia is one of your symptoms, you may like my "Sleep Through Insomnia" audio).
KRS

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Dear KRS,
I have chronic depression, chronic back pain, migraines and a few other chronic conditions. How do I get motivated enough to become involved in any exercise? My stress level has peaked years ago and I am only 39 years old. Please help with some solutions!
Chronic Conditions

Dear Chronic,
Stress is very likely the cause of all your chronic conditions. When one is stressed over a long period the immune system is weakened. A weakened immune system is like having the foundation of a house made out of Jell-O. The whole house becomes unstable. You need to focus on strengthening your immune system and the first step is to reduce the stress in your life.

Spend quiet, thoughtful time planning how you can eliminate/modify some or all of your stressors. This is a tough assignment, but it is ultimately very rewarding. You may need to change jobs, relationships or even cities. (One person I know was in a state of chronic stress after the earthquake in Los Angeles. After two years, he finally got the courage to sell his house and move out of state. His stress level dropped dramatically and he feels much better. His only regret is that he didn't make the move sooner.)

People often get stuck living "lives of quiet desperation" when it's completely unnecessary. Break free of old thinking and make some changes. Exercise will help reduce your levels of stress but it sounds like thinking about it causes you even more stress. Think of a moderate form of exercise that you will enjoy such as scenic walks or bike rides in nature. Check some of the letters in our "ASK KRS" library for more solutions to some of your specific chronic problems, such as how to meditate for migraine relief. Then get started with one little positive change at a time so you don't feel overwhelmed.
KRS

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Dear KRS,
I suffer from severe headaches. I have them almost everyday. They start as sinus headaches and later turn into migraine headaches. I'm miserably sick and my doctors can't figure out how to help me other than prescribing pills. I'm tired of having this pain all the time. HELP! What can I do? Thank you.
Migraine Sufferer

Dear Migraine Sufferer,
I always suggest people get at least two or three different opinions (from doctors in different offices) on chronic ailments such as this. Also consider seeking out alternative practitioners in acupuncture or homeopathy. Be sure to pre-interview them and check them out thoroughly, just as you would/should any M.D.

There are many possible variables that can cause patterns of pain such as migraines. Allergies and chronic stress are two such variables and are not exactly "black and white" issues. They involve both the mind and body, which we now know dance an inseparable dance. Also, the "habit" of pain sometimes gets established, leaving the original cause of the pain in the dust. The point is, this is going to take some introspection and effort on your part. Whichever professional you choose, consider yourself as an equal partner in your "healing team" and be committed to doing your own work with it on a daily basis.

One goal is to break the pain cycle, another is to develop skills to "be with" the pain with less suffering. On my audio "Defeat Pain" I describe many techniques. One is to be aware of the very inception of pain, in your case, just when you are starting to feel the sinus discomfort. The usual reaction (especially the longer you've had the pain) is to fight it, which only keeps the cycle alive. Instead of resisting the pain, practice letting it be there. Quit fighting it. Surrender into it. Let all the muscles and thoughts relax. Be willing to be with the sensations of pain in a peaceful way--and they will eventually break up and, with it, the fear-induced "habit" of pain.
KRS

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Dear KRS,
I'm a 36
year old woman with a very busy schedule! Occasionally (usually during my time of the month), I get migraine headaches, which I've been able to keep under control with Imitrex injections. They work, but they are expensive, even with an insurance plan. I've recently tried estrogen patches, and they didn't make much of a difference either. I find that I also am more likely to get them when I have a sinus infection or don't get enough sleep, (which is most of the time). I guess there is probably no one "cure" to prevent the headaches, but can you make any other suggestions as to what I could be doing to keep them at bay? By the way, I don't smoke or drink alcohol; and have cut way back on my caffeine intake. Also, I have no known allergies. Any thoughts you might have would be warmly appreciated!
Thanks,
Seeking Migraine Relief

Dear Seeking Relief,
There are SO many alternatives to drugs that one should consider for most any health problem, including migraines. You actually self-diagnosed yourself in your letter. Stress (i.e. lack of sleep and infection) brings on - in your case - migraines. For another it might be asthma, arrhythmia, ulcers or back pain. The answer is the same for all: tune in to your body and ask what it needs. Then, love yourself enough to take the time and care to help yourself. In most cases, it is easier, less expensive, less damaging and ultimately more enlightening than artificial alternatives, such as drugs (which only mask the underlying problem).

For example, can you see the irony in your choosing to take a potentially damaging drug (most all drugs have some negative side effects) rather than simply getting the sleep you need? Please examine why you would make such a self-sabotaging choice. If you are making that kind of choice for this relatively big issue, imagine how many other similar harmful choices you are making for yourself in a number of other less obvious areas. Once you bring this behavior pattern to consciousness, it will help you make more positive choices in all areas of your life. The migraine is just a bright red flag of awareness waving in the breeze to catch your attention. You may laugh, but it could actually be a good thing in the long run if you listen to it's lessons.

With the guidance of an alternative practitioner, you might try acupuncture or supplements such as magnesium - both of which have worked wonderfully for many sufferers. Learn meditation techniques to relax the muscles in your head and neck area, surrendering to the pain instead of tightening against it [you may like my "Defeat Pain" audio]. Also, visualize your hands getting warmer and warmer when you start having pain. This technique has helped many reduce the pain of migraines. Know that you have a vital role in conquering the pain. It can actually be quite exciting and empowering to realize.
KRS

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Dear KRS,
I have been
working out for quite some time now. My husband has decided that it might be in his best interest to start walking and doing some exercise. He has, however had an injury to his legs from years ago. The doctor he has to see twice yearly has always told him, and still stresses that, in order to not hurt himself again, exercise will be fine but he must wear pantyhose to keep his leg muscles under control and to not damage them. He is quite leery to do so. His doctor says lots of guys are wearing hose to promote good leg muscle health. We haven't heard of this before although the doctor insists that in a large number of places, men are out jogging in them as well as biking and attending exercise classes in them. What is your opinion, is this a good thing used by the doctor and we are a bit closed minded or what? We are just curious.
Pantyhose for Husband

Dear Pantyhose,
While I'm not sure what injury your husband has, I must admit I have not heard of the "pantyhose prescription." If support is needed, there are many "hipper" options, such as sports leggings for men and women made by leading sports manufacturers. All kinds of exercisers wear them, including bicyclers and runners

I would suggest going to a specialist in this area who has a more pro-active approach. For example, how about thinking in terms of building up the leg muscles so support isn't necessary. Also, if any advice you are given, including medical, doesn't ring true, trust your intuition and keep looking until you find someone with whom you are better in sync.
KRS

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