November 2011 Vol. 3 Issue 11 1. Albert CM, Cook NR, Gaziano JM, et al. Effect of folic acid and B vitamins on risk of cardiovascular events and total mortality among women at high risk for cardiovascular disease: a randomized trial. Andres E, Serraj K, Mecili M, Ciobanu E, Vogel T, Weitten T. Update of oral vitamin B12. Bjørke-Monsen AL, Torsvik I, Saetran H, et al. Common metabolic profile in infants indicating impaired cobalamin status responds to cobalamin supplementation. Erol I, Alehan F, Gümüs A. West syndrome in an infant with vitamin B12 deficiency in the absence of macrocytic anaemia. Dev Med Child Neurol. 2007 Oct;49(10):774-746.5. Eussen SJ, de Groot LC, Clarke R, et al. Oral cyanocobalamin supplementation in older people with vitamin B12 deficiency: a dose-finding trial. Arch Intern Med. 2005 May 23;165(10):1167-1172.6. Force RW, Meeker AD, Cady PS, et al. Increased vitamin B12 requirement associated with chronic acid suppression therapy. Haggarty P, McCallum H, McBain H, Effect of B vitamins and genetics on success of in-vitro fertilisation: prospective cohort study.
Lehman JS, Bruce AJ, Rogers RS. Atrophic glossitis from vitamin B12 deficiency: a case misdiagnosed as burning mouth disorder. Malouf R, Grimley Evans J. Folic acid with or without vitamin B12 for the prevention and treatment of healthy elderly and demented people. Cochrane Database Syst Rev. 2008 Oct 8;(4):CD004514.10. Molloy AM, Kirke PN, Brody LC, et al. Effects of folate and vitamin B12 deficiencies during pregnancy on fetal, infant, and child development. Ryan-Harshman M, Aldoori W. Vitamin B12 and health. Seal EC, Metz J, Flicker L, et al. A randomized, double-blind, placebo-controlled study of oral vitamin B12 supplementation in older patients with subnormal or borderline serum vitamin B12 concentrations. J Am Geriatr Soc. 2002;50:146-151.13. Suzuki DM, Alagiakrishnan K, Masaki KH, et al. Patient acceptance of intranasal cobalamin gel for vitamin B12 replacement therapy. Hawaii Med J. 2006 Nov;65(11):311-314.14. Toole JF, Malinow MR, Chambless LE, et al. Lowering homocysteine in patients with ischemic stroke to prevent recurrent stroke, myocardial infarction, and death: the Vitamin Intervention for Stroke Prevention (VISP) randomized controlled trial.
Yajnik CS, Lubree HG, Thuse NV, et al. Oral vitamin B12 supplementation reduces plasma total homocysteine concentration in women in India. Asia Pac J Clin Nutr. Vitamin C May Be a Potent Adjunct to Cancer Treatment Just inside your wrist is a narrow, bony passage called the carpal tunnel. This tunnel contains tendons and a nerve, all encased in a sheath called the synovium. When the tendons become inflamed and swollen, they squeeze the nerve, causing pain and numbness.Approximately 260,000 carpal tunnel surgeries are performed yearly, but some doctors are opting to add vitamin B6 to their treatment regimens, along with wrist splints and anti-inflammatories. Some experts suggest that around 90 percent of carpal tunnel syndrome (CTS) cases can be cured by B6. (Know what else helps? Eating these pain-fighting foods.) Let's Stay In Touch Keep this field blank Enter your email address You may unsubscribe at any time. Prescription for HealingSome doctors suggest 50-100 mg of Vitamin B6 to ease CTS symptoms.
Doctors are divided on why vitamin B6 seems to provide relief from CTS. Some contend that synovium swelling and inelasticity are caused by a B6 deficiency. Other doctors believe that vitamin B6 acts as a diuretic, helping the body to eliminate the excess fluid that may be making wrists swell. Still another theory suggests that vitamin B6 somehow short-circuits an angry nerve's ability to transmit pain signals. Medical experts do agree on one thing: No matter how vitamin B6 gets the job done, you have to be careful not to take too much. In studies using lab animals, researchers found that excess B6 can harm the central nervous system.The average diet provides only about 1.4 mg of vitamin B6 a day, in part because the nutrient is lost in food processing, so many people are just not getting enough. Raw foods are the best sources, because heat destroys this nutrient. Foods containing B6 include potatoes, bananas, chicken breast, top round of beef, fish, brown rice, and avocados.But be on alert: too much B6 has been linked to serious nervous disorders as well as to oversensitivity to sunlight, which can produce skin rashes and numbness.
Amounts above 100 mg should only be taken under the supervision of your doctor. (What other vitamins do wonders for your health? We're glad you asked.)More from Prevention: Your Carpal Tunnel Problems, Solved!Our medical staff utilizes a number of injections to assist patients with healing and pain. Our procedures are typically minimally invasive, and are performed on-site. For more invasive procedures, such as epidural spinal injections, we refer to and co-manage with local physicians. Tendon or Nerve Injections Supartz (sodium hyaluronate) is a joint fluid therapy approved for the treatment of osteoarthritis (OA) in the knee of patients who have responded poorly to non-pharmacologic therapy and simple analgesics. This drug is a clear, viscous liquid that is injected into the knee joint, similar to the body’s natural synovial fluid (natural joint lubricant and shock absorber). Supartz is designed to provide long-term pain relief by supplementing the body’s natural synovial fluid, which is degraded by OA.
Supartz is administered by intra-articular injection once a week for a total of 5 injections. Most patients are able to return to normal activities immediately and experience relief as early as 1-2 days after the first injection. In our office, after reducing symptoms, we help rebuild your knee strength, which improves your long-term function and level of symptomatic relief. Trigger point injections are used to relieve muscle pain associated with muscle tightness. Trigger point injections are used in very small doses and many patients experience an immediate, substantial decrease in symptoms, along with an increase in overall healing. What is a trigger point? A normal muscle contracts and relaxes when it is used to move your body parts. A trigger point is a knot or tight, rope-like band of muscle that forms when a muscle fails to relax after activity. This knot can often be felt underneath the skin and may involuntarily twitch when touched. Trigger points can entrap or irritate the surrounding nerves and can lead to referred pain, which is pain felt in other areas of the body.
Over time, trigger points may lead to decreased range of motion, scarred tissue and muscle weakness. Common areas to find trigger points include the area between your neck and shoulders (can cause headaches in the temples), the base of the back of your skull (can cause headaches above your eyes), and the upper buttock area (can cause pain down your leg). Trigger point injections are performed with a very small, thin needle and typically involve very little injection discomfort. Often, patients experience immediate relief. We primarily use anesthetics along with Sarapin, a plant-based medication, for best results. Sarapin is a non-toxic, natural substance that has been used for decades as a natural alternative to traditional medications. Sarapin has no known side effects and can be injected nearly anywhere in the body. This natural substance is commonly used to treat myofascial pain syndrome, sciatic pain and intercostal neuralgia. Lidocaine is an injectable anesthetic medication used to numb a joint or treat muscle pain.
Research shows that a combination of manipulative therapy and injections can inactivate trigger points and provide prompt relief of painful symptoms related to joint and muscle ailments. We are able to treat joint pain and many conditions leading to sore, injured or arthritic joints. Other common joints we treat are knees, shoulders, elbows, wrists, sacroiliac and hip joints. Our medical team injects Sarapin, anesthetics, Supartz and varying steroid preparations depending on your condition and your therapy goals. For trickier areas, we use ultrasound guidance to ensure the best accuracy with needle placement. Our goal is to reduce joint pain and minimize injection soreness by spraying the area with ethyl chloride to cool and numb the injection site. For tendonitis, tendonopathy pain, pinched nerves, entrapped nerves or general nerve pain, injections of anesthetics, Sarapin or steroids often reduce swelling and pain. Secondary to the injection, damaged tendons and nerves can heal better by reducing or eliminating inflammation.
Conditions that arise from pinched nerves include, but are not limited to: carpal tunnel syndrome, sciatica, peripheral neuropathy, peripheral nerve entrapment, tarsal tunnel syndrome, radiculitis, intercostal neuritis, and femoral nerve entrapment. More common tendons affected by overuse and inflammation are associated with: tennis elbow, golfers elbow, Achilles tendonitis, patellar tendonitis, biceps tendonitis, and rotator cuff tendonitis. Sarapin is a biological medicine derived from the pitcher plant. It works by blocking pain signals in the nerves, but does not affect any other nerve functions. More importantly, Sarapin has no known side effects. Recognized by the FDA and AMA, and requiring a prescription for treatment, Sarapin is used as possible treatment for the following ailments: sciatic pain, intercostal neuralgia, alcoholic neuritis, occipital neuralgia, brachial plexus neuralgia, lumbar neuralgia, and many more. Lipo B12 injections include B-complex vitamins and amino acids, which enhance your body’s ability to burn fat.