Wednesday, September 15, 2010

Computers: do they make your pain worse?


The lack of a definitive diagnosis can be almost as frustrating as pain itself. How can one move forward with treatment if he or she doesn't know the root of the problem? Individuals who have facial pain often have neck pain, shoulder pain, jaw pain, or back pain.

Medical intervention is appropriate to determine a diagnosis.

People often ask me about the pain I've experienced. I have learned about pain from your experiences, my experience, and academic information. I'm no physician, but I can tell you some things that have reduced discomfort through my neck and sternocleidomastoid (scm) area. Here is one of many diagrams of the a diagrams of the scm available on the Internet: The SCM.  If you are looking for a case study, plenty are available. You may want to read this: A case study of sternocleidomastoid syndrome.

Several years ago when I returned to the workforce, I spent most of my day working on a computer and talking on the phone. I loved what I was doing, but pain hit me full force. It was debilitating. When my doctor sent me for physical therapy, I was blessed to have a therapist who used Kinesio tape. She had advanced training with Kinesio, and I was amazed that she could place a piece of tape in my scm area and give me relief from computer strain. If you're interested in Kinesio tape, you can find more information here: Kinesio tape . Be sure to find a qualified medical professional who has expertise with this tool if you think you would like to pursue this avenue of medical care.

Another thing that helped me and still helps me with muscle pain is medication. I take a muscle relaxer as prescribed by my neurologist. It helps me with pain caused by my jaw and pain that radiates from my cervical area.

A change in ergonomics has also helped me. I stopped sitting a computer desk. This isn't an option for everyone, but it has benefited me. I use my notebook computer, and I type from my recliner.  Years ago, my husband voiced his desire for one of these chairs, but they did not appeal to my design aesthetic.  My upper cervical chiropractor told me he thought I would benefit from the neck support. He was right! I bought an inexpensive recliner, and what wonderful support it provides. My office, which once was an entire room, is now a chair. I have a wireless printer, so I am not tied to a desk. I don't use a mouse any more, and that seems to help also.

One more thing that benefits me is having a bed that "feels good." That means different things for different people. For me, it means A Stearns and Foster mattress, an "upgraded" model.  Pain is expensive, but relief is worth it. That's my opinion. I hope you find relief. God bless you.

Have you visited my website? http://www.withgreatmercy.com/

Thursday, August 26, 2010

Eye: the first division of the trigeminal nerve

Years ago, when I was new to the world of trigeminal neuralgia, I was visiting my neurologist at the Mayo Clinic in Jacksonville. He asked me if I had eye pain, and I was shocked, thinking he could read my mind. I didn't realize that he asked because eye pain is so problematic for people who have trigeminal neuralgia. And until then, I thought the "discomfort" was my imagination or just referred pain from my jaw and cheek.

 Sure, I had seen diagrams of the trigeminal nerve and noticed that one of it's divisions is located in the eye area. But I didn't want to face the reality that my eye might be affected. As time progressed and the pain became worse, my eye bothered me more.

Sometimes I felt as though my eye would pop out. The pressure and the pain were terrible and it made reading difficult, stealing one more ability from me. And isolation spread itself through my life like a cancer that refused to be arrested.

This is where my story of hope begins, hope that someway somehow God would intervene and take trigeminal neuralgia from me. I prayed that I'd have the courage to move forward with a surgery or that the pain would stop. I knew all about TN going into remission, and I asked please Lord. Let it go into remission forever.  In October 2004, the pain left.

I still have jaw joint pain, but I am thankful it's not trigeminal neuralgia. And it was great to begin life again. Socially, it's been difficult. I live in a small town. People had never heard of trigeminal neuralgia, and they thought I was being a drama queen. After all I had been a drama teacher. They never understood the validity of my disability.

Yesterday, I was prescribed contact lenses. Today, unlike yesterday, I've been successful at putting them in and taking them out. This process is easy for some, but I've always been a little nervous about putting eye drops in or getting close to my eye.

After several attempts yesterday to put in my new contacts, I thought I wouldn't be able to stop my strong reflex to blink. But today I got them in just fine. I put one inside out and had to take it out and put it back in again. I know I can do this.

The entire time I struggled with the simple procedure, I kept thinking if I can get through trigeminal neuralgia I can learn to do something simple like put in contact lenses. It gave me the incentive to persist.


The disability known as trigeminal neuralgia causes us all to learn that we are stronger than we imagined. How has the pain helped you recognize your strength? I'd love to hear your thoughts. Comments are welcome.


Have you visited my website? www.withgreatmercy.com





Wednesday, August 18, 2010

No chew recipe: reduced fat macaroni and cheese (Gluten-free)


3 cups brown rice pasta, overcooked
1 1/4 cup reduced fat (2% or less) shredded cheddar cheese
2/3 cup nonfat plain Greek yogurt
1 egg white
1 tablespoon grated parmesan cheese
1 tablespoon ground flax seed
1/2 teaspoon sea salt
Nonstick cooking spray

Overcook the pasta until it's very soft and drain well. Let it cool. You can put it in a food processor or blender to chop it into fine pieces or you can use your hands to break the pasta into small pieces. I used my hands because I wanted one less item to clean-important if one is not feeling well.


After the pasta is finely chopped or shredded, add 3/4 cup of cheese and all the other ingredients. Mix well (You can add more cheese if you like, but I used this portion in an effort to control the fat content of the recipe.) 

Spray casserole dish with nonstick cooking spray. I didn't want to heat the oven too long (it's so hot!) so I divided my mixture into two smaller baking dishes (holding two cups each), requiring less cooking time.

If you've divided your items as I did, cook them at 350 degrees for 20 minutes, pull them out of the oven and top with the remaining cheddar cheese.

If you've put your mac and cheese mixture into one casserole dish, you'll need to let it cook 25 to 28 minutes before you top with the cheese.

In less than five minutes (when the cheese melts), your mac and cheese is ready to be taken from the oven. Let it cool for five minutes before serving. Four portions.

I'm eating mine today with tomato wedges because it's a "good chew" day. Although I no longer have pain from trigeminal neuralgia, I still have a temperamental jaw that sometimes does not allow me to chew.


You may notice that I often use ingredients like ground flax seed and nonfat plain Greek yogurt. They're easy to keep on hand and simplify shopping. I like to use brown rice pasta because it is gluten-free, and it has more fiber and texture than white enriched pasta. It's a little more expensive, too. You can also substitute your favorite pasta.

To learn why I prefer Greek yogurt, see a comparison here http://kathytaylortrigeminalneuralgia.blogspot.com/2010/07/yogurt-whats-difference.html  . According to the Mayo clinic, ground flax seed is also an excellent way to get fiber and mega-3 fatty acids. Flax seed improves digestion. Flax seed is sometimes used to help reduce total blood cholesterol and low-density lipoprotein (LDL, or "bad") cholesterol levels and, as a result, it may help reduce the risk of heart disease.

You can find other no-chew recipes on my blog by using the Google search tool at the top of this page. I am hoping you will feel better soon. Take good care and may God bless you.

Have you visited my website? www.withgreatmercy.com

Wednesday, August 11, 2010

Trigeminal neuralgia, face pain, and emotions


As someone who has counseled people with facial pain, I understand that it is not uncommon for someone's emotions to reach a nadir. It doesn't matter if it's my pain or the pain that belongs to someone else. So I am always concerned when I hear that someone with facial pain has emotional issues. Of course we do. What others take for granted in every day life has been taken from us, and no one seems to understand the intensity of the pain. Except the people who have it...

I wish that I could explain to the world what it is like to be unable to communicate orally with others and to not know sign language. E-mails and text messages have been some of my best friends, but not everyone has email or text-messaging. Fax machines are temperamental. Just like fax machines, sometimes we humans with facial pain can communicate orally but other times we cannot. We aren't dependable, regardless of how much we would like to be.

Pain of any type can bear on our emotions. Face pain can cause a person to have bad breath and poor dental hygiene (no brushing for days on end sometimes), robs a person of the ability to share a kiss, and going out to eat is just unthinkable. When people experience this much isolation, pain, and disability... well he or she just may get emotional.

Why some people think that the emotional issues cause the pain, I'll never know. Perhaps it's because they have never experienced disability. I've always thought that the world would be a more compassionate place if people could experience trigeminal neuralgia or other types of face pain - just for a day.

Several types of medical issues cause face pain. It could be trigeminal neuralgia, myofascial pain, neuropathic pain, or a jaw problem. These things travel along the trigeminal pathway, and they have a life of their own. We don't know when the pain will come or go. We just know that we are out of commission until it settles down.


If you get emotional because of facial pain, let me reassure you that it's normal. Take good care of yourself. If you are able to talk, you may want to see a counselor. But you may not be able to talk...

God bless you.

Tuesday, August 3, 2010

Trigeminal neuralgia: the Valley of the Shadow





Many of us have heard, read, or prayed the 23rd Psalm. The passage is often comforting to people who are struggling with pain or illness. Here's the part I like best, from verse four:  
  
Though I walk through the valley of the shadow of death, I will fear no evil: for thou art with me.


When I experienced the electrifying pain of trigeminal neuralgia, I prayed to die. And this portion of the verse had new meaning for me. I was in the shadow of death, I reasoned, because I wanted to die. Yet the pain held no sting of death, and I felt trapped. I was alive but could not live with the pain. It was the darkest valley I've known.

The "shadow of death" lurked while I wanted to die and could not.


It's not unusual for people who have trigeminal neuralgia to think about dying. They want relief from the pain, a pain so overwhelming it doesn't seem that another second of it can be tolerated. I lived in fear, fear of the pain.

People who have not experienced trigeminal neuralgia often notice that someone who has TN is depressed. Sometimes onlookers think the depression has caused the pain, but people who have TN know differently. It's the pain and the hopelessness that causes the sorrow.


Let's examine the second part of the quotation. I will fear no evil. It takes guts to have such tremendous pain, to stare it in the face and refuse to fear it. But we can do it. For thou art with me. We don't walk through our valleys alone, and in this we have our hope.

We cannot get better without hope, and if we are afraid, hope eludes us. Let's believe. Together and with the hope of our Lord, we can face fear and cling to hope.

Have you experienced fear or depression along with your pain? I'd love to hear from you.

For more, please visit my website



Saturday, July 31, 2010

No chew recipe: black beans, diced tomatoes, and whole grain brown rice

This recipe is full of fiber and can be prepared with ingredients that can be stocked in your shelves and ready to be used when the pain spikes. It's quick, easy, and nutritious. See information below about the spices this recipe uses.



10 ounce can RoTel diced tomatoes with lime juice and cilantro
15 ounce can Progresso black beans

a pinch (less than 1/8 teaspoon) xanthum gum (optional)
2 tablespoon diced fresh onion or 1 teaspoon dried green onion
1 tablespoon ground flax seed

1 teaspoon brown cane sugar
1/2 teaspoon minced garlic

1/4 teaspoon cumin
1/4 teaspoon sea salt

Success whole grain brown rice boil-in-bag
Optional dried cilantro, finely chopped very ripe fresh tomato or salsa, and non-fat plain Greek yogurt for garnish

If you like your black beans to be extra thick, you may want to use the optional xanthum gum. Use it first, putting the can of tomatoes into a pot, adding the xanthum gum, stirring until lumps are gone. Because black beans are tough and chewy, putting them in a food processor or breaking them down with a hand blender is necessary if you want to take the "chewy" out.

If you are using fresh onion, you'll want to break them down with the black beans. After they have been softened in this manner, add them to the pot. If you are using dried green onions, add then to the mixture along with ground flax seed, sugar, garlic, cumin, and sea salt. I added a little (1/2 teaspoon) dried cilantro because I like this dish to be really spicy. Bring to a low boil and then cover and reduce to low  heat. Stir often. After the mixture has simmered for 15 minutes, turn off the heat and and keep it covered.

While the black beans are cooking, put whole grain brown rice boil-in-bag in another pot and cook according to the directions on the package. If you want your rice to be softer, cook 2-5 minutes longer. Any whole grain brown rice will work, but the boil-in-bags make cooking simpler. When it's cooked and drained, place some brown rice into a bowl and top with the black bean and tomato mixture.

Makes four servings. I've garnished mine with lowfat plain Greek yogurt (a healthier alternative to the  traditional sour cream), a pinch of dried cilantro, and some fresh diced tomatoes. It's a little spicy. Enjoy!

According to www.nutrition-and-you.com, cilantro contains anti-oxidants, vitamins, and it may help with digestive and cholesterol issues.  Additionally,  www.organicfacts.net states that cumin's health benefits include aiding in digestion, piles, insomnia, respiratory disorders, asthma, bronchitis, common cold, lactation, anemia, skin disorders, boils, immunity, and cancer. Ground flax seed, according to www.healthcastle.com is beneficial in lowering cholesterol, triglycerides, and blood pressure.

You can find other no-chew recipes on my blog by using the Google search tool at the top of this page. I am hoping you will feel better soon. Take good care and may God bless you.

Have you visited my website? With Great Mercy ?

Thursday, July 29, 2010

Hospital Zone, respite, and answered prayers


In the past week, my Mom has needed emergency care twice. Yesterday my daughter had major surgery, and she had a procedure that lasted several hours. I hugged her at 10:30 a.m. and did not get to see her again until about 5:00 pm.. Last night, I slept in a chair in her hospital room.

Today I came back home ( a 1.5 hour drive) only to learn that my Mother needed to go back to the same area I just left so she could get treatment for her own emergent medical situation. Because I had very little sleep last night, I called my uncle, and took my mom back part of the way, not far from his home. He took my mom to the opthamologist, and I came back home to rest. Although I offered to pick my mother back up at his house, my uncle gladly brought her back home after her treatment was accomplished.

The good news is that both my Mom and daughter will both be fine, and I appreciate everyone's prayers. I'll be blogging about trigeminal neuralgia and facial pain soon but I'm going to take a couple of days to get some rest. A caretaker's stress can be high, and I remember the days when people took care of me. I'm glad I have a chance to give back a little caregiving in return.

We all have limits, and it's important to recognize them. Today I knew I was not the best candidate to take my Mom for treatment. It's not easy to let go, but one person cannot carry all the weight. If you are caring for someone who has trigeminal neuralgia or an extended illness, get support for yourself. You will need a respite, a chance to rest or take care of yourself. Emergent situations shouldn't overlap, but sometimes they do.

Thanks again for your thoughts and prayers. A big shout of thanks I give to my friend who put me up for then night preceding my daughter's surgery. As Claire Patterson, the founder of the Trigeminal Neuraglia Association has been known to say: only the nicest people have facial pain. It's not a direct quote, but she's right.