Are You Tired Of Being Tired?

Are you tired of being tired? Could you have Chronic Fatigue?
Are you tired of being tired? Could you have Chronic Fatigue?

Chronic fatigue syndrome (CFS) is overwhelming fatigue that is not explained by a known medical condition.

CFS gets worse with too much activity and is not relieved by rest. The cause of CFS in unknown, however there are many theories. In some cases it may be caused by viral illnesses including Epstein Barr, HHV-6, and parvo.

There is also evidence to suggest it can develop after a bacterial infection like Lyme or prolonged respiratory infections.. There may be impairment of the immune system or hormonal imbalances of the hypothalamus, pituitary gland, or adrenal glands. Other theories include excessive stress, from any source including, physical, emotional, chronic diseases, or infections. Most likely it is a combination of genetic and environmental factors, and that multiple triggers alone or in a combination can cause the onset of chronic fatigue.

How is Chronic Fatigued Syndrome Diagnosed?
There is no single test to confirm CFS. To make the diagnosis of CFS underlying medical conditions need to be ruled out. A comprehensive work up should be done and include a comprehensive history, physical and appropriate laboratory tests. Some of the more common causes of fatigue including anemia, diabetes or an underactive thyroid can be easily ruled out with simple blood tests. Additional diagnostic tests should be done based on an individuals symptoms and physical findings.

The diagnosis of CFS is based on the following criteria. Severe persistent or relapsing fatigue lasting six months or more, in which the fatigue is not caused by a known disease, and is not relieved by rest. The fatigue also causes a significant (50%) reduction in a person’s activity level. In addition, to diagnose CFS four out of the following eight symptoms needs to be present.

Not feeling refreshed after sleep
Impaired memory/concentration
Muscle pain
Joint pain, involves one joint to another without swelling or redness
Sore throat
Tender cervical/ axillary lymph nodes
Extreme exhaustion lasting more than 24 hours after physical exercise
What are the risk factors for developing CFS?
Risk factors for developing CFS include age, female gender, genetics, high stress occupations and or lifestyle.

CFS occurs more commonly in people in there 40s and 50s. Anyone can develop CFS, but it is more common in women, this may be that women are more likely to seek treatment for fatigue. There appears to be a genetic link as well. People with a first degree relative with CFS have an increased risk of developing CFS. Those with high stress lifestyles are also more susceptible to developing CFS.

Associated Conditions
Some people with CFS also fit the criteria for FMS (a chronic pain syndrome). People with CFS who do not get help are at risk of developing anxiety, depression, social isolation, lifestyle changes (reduce activity level), and increased work absences.

Treatment for Chronic Fatigue
The treatment for Chronic Fatigue Syndrome must be individualized; a comprehensive holistic approach can help the body return to a healthy state. There is no magic pill that will make your symptoms disappear. It will take time for your body to recover. It is best to find a Practioner who has experience in treating CFS. The first step your doctor should do is to confirm the diagnosis, making sure there is not another cause for your fatigue. After your diagnosis is confirmed they need to help you develop an individualized treatment and wellness plan. Your wellness plan is not limited to but should include the following:

Stress management plan- tools and ways to reduce and manage stress. Excessive production of stress hormones can cause fatigue and make it difficult to recover.
Nutritional plan- you are what you eat you need to follow a whole food diet, avoid processed foods and artificial sweeteners, and chemical additives. It is best to work with a practitioner who can help you develop a healthy eating plan. A diet rich in nutrients can help heal your body.
Vitamins/ Supplements- Appropriate vitamins and supplements if indicated.
Medications- Appropriate medications when indicated.
Sleep Hygiene Program- a program to help you get enough restorative sleep, so your body can heal.
Exercise program- individual exercise program tailored to your energy level.
Psychological support: Appropriate support in dealing with emotional issues, making sure to address automatic negative thoughts. Negative thinking can further fatigue your body. A referral to a good mental health professionals can help you when indicated.
Additional Treatments: Additional treatments to consider in your wellness plan include, Cognitive Behavioral Therapy, Acupuncture, Massage, Physical therapy, and Chiropractic therapy.
Support: on going support, working with a doctor who is there to support your recovery. It will take time to recover but with the right treatment and wellness plan you will get better.

10 More Tips For Weight Loss

Some simple weight loss tips make eating less stressful every day. Our first list of 10 weight loss tips offered several ideas that you can make work for you. Here are 10 more to help you reach your weight control goals:

  1. Plan meals and snack for the week. Make a shopping list and stick to it.
  2. Never go to the grocery store hungry. Shop only after you have had a healthy meal or snack.
  3. Keep healthy snacks with you for emergencies. (Bottle of water, piece of fruit, small 100 calorie pack of almonds) This way you are less tempted to stop and grab a less healthy alternative.
  4. Practice daily relaxation to help reduce stress hormones like cortisol, which tells your body to hold onto fat.
  5. Increase your daily activity. Take the stairs. When shopping, don’t choose the closet parking spot; take a walk at lunch or after dinner.
  6. Try switching to a smaller dinner plate. Using a smaller plate will help keep your portions size down.
  7. Eat less but more often. Try 3 small meals a day and 2-3 small snacks a day. This keeps your blood sugar stable and avoids it from dropping too low and causing a rebound increased appetite.
  8. Eat more fiber. Aim for 25-35 grams. Fiber helps you feel full, with fewer calories. Foods rich in fiber include oat, bran, beans, fruits, and vegetables.
  9. After your evening snack, close the kitchen and brush your teeth. Don’t go back into the kitchen. If you feel like another snack after you closed the kitchen try sipping on decaffeinated tea or chewing sugarless gum.
  10. Don’t drink your calories. Soft drinks, fruits juices, specialty coffees, and smoothies are full of sugar. This sugar content makes your insulin rise quickly and your appetite increase shortly after drinking it.

Want other ideas to help you lose weight? Dr. Betty Keller specializes in guiding patients through lifestyle changes to improve diet and nutrition to lose weight – with lower stress. Therapies may include traditional Western medicine, dietary supplements, appropriate physical activities and an individual treatment plan created uniquely for you. She treats patients in her Franklin Lakes, New Jersey office – serving Bergen County NJ and surrounding areas. To learn about treatment options with Dr. Keller contact 201-485-7930.

Medical Acupuncture

Acupuncture: What is it?

Acupuncture is a method of encouraging the body to promote natural healing and to improve functioning. This is done by inserting very thin needles, or a cool laser, at very precise acupuncture points. It is used to relieve pain, treat a wide range of illnesses, and promote health.

What is Medical Acupuncture? Is it Different from Ordinary Acupuncture?

Acupuncture is a very old medical art, and there are many approaches to learning and practicing it. Medical acupuncture is the term used to describe acupuncture performed by a doctor trained and licensed in Western medicine that has also had through training in acupuncture as a specialty practice. Such a doctor can use one or the other approach, or a combination of both as the need arises, to treat an illness.

What is the Scope of Medical Acupuncture?

Medical acupuncture is a system, which can influence three areas of health care:

Promotion of health and well-being
Prevention of illness
Treatment of various medical conditions
While acupuncture is often associated with pain control, in the hands of a well-trained practitioner it has much broader applications. Acupuncture can be effective as the only treatment used, or as the support or adjunct to other medical treatment forms in many medical and surgical disorders.

The World Health Organization recognizes the use of acupuncture in the treatment of a wide range of medical problems, including:

Digestive disorders: gastritis and hyperacidity, spastic colon, constipation, diarrhea.
Respiratory disorders: sinusitis, sore throat, bronchitis, asthma, and recurrent chest infections.
Neurological and muscular disorders: headaches, facial tics, neck pain, rib neuritis, frozen shoulder, tennis elbow, various forms of tendonitis, low back pain, sciatica, osteoarthritis.
Urinary, menstrual, and reproductive problems.
Acupuncture is particular useful in resolving physical problems related to tension and stress and emotional conditions.

How does Acupuncture work?

The classical Chinese explanation is that channels of energy run in regular patterns through the body and over its surface. These energy channels, called meridians, are like rivers flowing through the body to irrigate and nourish the tissues. An obstruction in the movement of these energy rivers is like a dam that backs up the flow in one part of the body and restricts it in others.
The meridians can be influenced by needling the acupuncture points; the acupuncture needs unblock the obstructions at the dams, and reestablish the regular flow through the meridians. Acupuncture treatments can therefore help the body’s internal organs to correct imbalances in their digestion, absorptions and energy production activities, and in the circulation of their energy through the meridians.

The modern scientific explanation is that needling the acupuncture points stimulates the nervous system to release chemicals in the muscles, spinal cord, and brain. These chemicals will either change the experience of pain, or they will trigger the release of other chemicals and hormones, which influence the bodies own internal regulating system.

The improved energy and biochemical balance produced by acupuncture results in stimulating the body?s natural healing abilities, and in promoting physical and emotional well-being.

How Many Treatments Will I Need?

The number of treatments needed differs from person to person. For complex or long-standing conditions, one or two treatments per week for several months may be recommended. For acute problems, usually fewer visits are required, and for health maintenance, four sessions a year may be all that is necessary.

Are There Any Side Effects to the Treatment?

Usually not. As energy is redirected in the body, internal chemicals and hormones are stimulated and healing begins to take place. Occasionally, the original symptoms worsen for a few days, or other general changes in appetite, sleep, bowel or urination patterns, or emotional state may be triggered. These should not cause concern, as they are simply indications that the acupuncture is starting to work.

It is quite common with the first one or two treatments to have a sensation of deep relaxation or even mild disorientation immediately following the treatment. These pass within a short time, and never require anything more than a bit of rest of rest to overcome.

What Are the Needles Like? Do they Hurt?

Acupuncture needles are very thin and solid and are made from stainless steel. The point is smooth (not how with cutting edges like a hypodermic needle) and insertion through the skin is not as painful as injections or blood sampling. The risk of bruising and skin irritation is less than when using a hollow needle.

Because your doctor uses disposable needles, there is no risk of infection from the treatments.

Does Acupuncture Really Work?

Yes. In the past 2,000 years, more people have been successfully treated with acupuncture than with all other health modalities combined. Today, acupuncture is practiced in Asia, the new disbanded Soviet Union, and in Europe. It is now being used more and more in America by patients and physicians.

Acupuncture treatments can be given at the same time as other techniques are being used, such as conventional Western medicine, osteopathic or chiropractic adjustments, and homeopathic or naturopathic prescriptions. It is important that your physician-acupuncturists know everything that you are doing, so he or she can help you get the most benefits from all your treatments

Acupuncture- Dr. Keller is trained in palpatory acupuncture, which combines classical Chinese medical principles with modern pathophysiology in a way that facilitates the understanding and brings out the best in both.