Ultram is the trade name for Tramadol which is an atypical opioid. It is a synthetic agent, as a 4-phenyl-piperidine analogue of codeine, and appears to have actions on the GABAergic, noradrenergic and serotonergic systems & is thus used as a centrally acting analgesic for treating moderate to severe pain.

Tramadol is usually marketed as the hydrochloride salt (tramadol hydrochloride) and is available in both injectable (intravenous and/or intramuscular) and oral preparations. It is also available in conjunction with paracetamol.

Ultram Prescription:

Ultram is used to relieve moderate to moderately severe pain. Ultram extended-release tablets are only used by people who are expected to need medication to relieve pain around-the-clock for a long time. Ultram belongs to the class of drugs called opiate agonists. It works by changing the way the body senses pain.

Tramadol comes as a tablet and an extended-release (long-acting) tablet to take by mouth. The regular tablet is usually taken with or without food every 4-6 hours as needed. The extended-release tablet should be taken once a day. Oral doses range from 50–400 mg daily, with up to 600 mg daily when given IV/IM. The formulation containing APAP contains 37.5 mg of Tramadol and 325 mg of paracetamol, intended for oral administration with a common dosing recommendation of one or two tabs every four to six hours although final dosage is decided by physician and is highly case specific.

Ultram Abuse:

MedWatch is a FDA database of adverse events of case reports voluntarily submitted to the FDA. From 1999 through September 2004, the FDA received 766 case reports of Tramadol abuse. It is most commonly abused by narcotic addicts, chronic pain patients, and health professionals.

Tramadol is approximately 10% as potent as morphine, when given by the IV/IM route. It is a potent habit-forming substance. Tramadol is not currently scheduled by the U.S. DEA, unlike other opioid analgesics. Nevertheless, the prescribing information for Ultram warns that Tramadol may induce psychological and physical dependence of the morphine-type. In addition, there are widespread reports by consumers of extremely difficult withdrawal experiences. A controlled study that compared different medications found that the percent of subjects who scored positive for abuse at least once during the 12-month follow-up were 2.5% for NSAIDs, 2.7% for Tramadol, and 4.9% for hydrocodone. Taking more Tramadol / Ultram than what is prescribed by your doctor may cause serious side effects or death.

Effects of Ultram Abuse:

The most commonly reported adverse drug reactions are nausea, vomiting and sweating. Drowsiness is reported, although it is less of an issue than with other opioids. Respiratory depression, a common side effect of opioids, is not clinically significant in normal doses. Serious potential consequences of over dosage are respiratory depression, lethargy, coma, seizure, cardiac arrest and death. Fatalities have been reported in post marketing in association with both intentional and unintentional overdose with Ultram.

Ultram may induce psychic and physical dependence of the morphine-type opioids. Dependence and abuse, including drug-seeking behavior and taking illicit actions to obtain the drug are not limited to those patients with prior history of opioid dependence. The risk in patients with substance abuse has been observed to be higher. Ultram is associated with craving and tolerance development. Withdrawal symptoms may occur if Ultram is discontinued abruptly. These symptoms may be relieved by reinstitution of opioid therapy followed by a gradual, tapered dose reduction of the medication combined with symptomatic support.



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d not take tramadol if you have ever been addicted to drugs or alcohol.

Seizures (convulsions) have occurred in some people taking tramadol. May you be more likely to have a crisis while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medications such as antidepressants, muscle relaxers, or medicines for nausea and vomiting.

Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 mg of tramadol in one day.

emt seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Overdose symptoms of a tramadol overdose in May include drowsiness, breathing, slow heartbeat, extreme weakness, cold or clammy skin, dizziness, fainting, or coma.

Tramadol May be used for training and should be used only by the person it was prescribed for. Tramadol should never be given to another person, especially someone who has a history of drug abuse or dependence. Keep medicines in a secure place where others can not get it.

Dizziness tramadol can cause side effects that affect your thinking May or reactions. Be careful if you drive or do anything that requires you to stay awake and alert.

Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, sleep or respiratory problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.

nocrush Do not crush the tramadol tablet. This medicine is for oral (by mouth) only. Powder from a crushed tablet should not be inhaled or diluted with liquid injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death.

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“Dear woman,” the voice of Grandmother Growth seems to float in the deepening twilight, echoing, reverberating, ringing in the ears. “Bring me your pain. Bring me your pain. Bring your pain to me. Bring your burdens. Bring all that you can no longer bear, can no longer bear, can no longer carry, can no longer bear, can no longer be responsible for. Give it to me. Put it on. Let us pass in council together and listen to the stories your pain tells. Menopause is a journey that requires you to travel light. Heavy things – bitterness, regret, vengeance, clinging to pain – will make your tiring journey you down. Take only the stories. Leave the rest behind. Burning pain in your hot flashes. Let it leave you. This is change. Let it change you, dear wife, let it change you. “

Step 0: Do nothing

Dealing with fibromyalgia, women have less pain if they sleep in a dark room. If not possible, wear a sleep mask.

Step 1: Collect Information

Disorder in chronic pain I have called “all the ills on” when I wrote this article ten years ago, is now big news. Ninety percent of the 4 million Americans with this debilitating, frustrating condition – known as fibromyalgia – are white women, and many of them are postmenopausal.

Neither the cause nor cure for fibromyalgia is known. This is not a disease but a set of symptoms characterized by chronic widespread pain on both sides of the body, above and below the waist. (As one of my apprentices, said: “But I am not wrong in all these places at once. The pain moves. I never know where it will be next.”) Some women have a low fever in addition to pain. More than half of those who suffer from fibromyalgia also headaches, endometriosis, and / or irritable bowel syndrome.

The symptoms of fibromyalgia are quite variable, making diagnosis difficult. (Orthodox diagnosis is based on research of pain in trigger points). Fibromyalgia mimics aspects of multiple sclerosis, Parkinson’s disease, arthritis, hepatitis C, hypothyroidism, lupus, polymyalgia rheumatica, and early dementia. Many women with fibromyalgia, it is said, their distress is “all in your mind.”

It is not in your mind (alone). Menopause can leave the impression that you were beaten. Muscles respond to hormonal changes and feeling painful mood. Loss of sleep can make you pain. (Non-restorative sleep is a hallmark of fibromyalgia.) Lack of calcium (and other minerals) can make your bones pain. Whether you are facing these challenges, or the greater problem of fibromyalgia, why not give Wise Woman Ways a try? The remedies mentioned here have been remarkably successful in helping many women.

“People with fibromyalgia are not only sensitive to pain, but also find noises, strong smells, and aversion to light.” – Daniel Clauw, MD, director: chronic pain and fatigue Research Center, Georgetown University

Step 2: Engage the Energy

* Having a support group is one of the most important factors keeping fibromyalgia under control.

* Homeopathic Arnica is an amazing remedy for sore throat and muscle aches. Daily use of homeopathic Rhus Toxicodendron reduced pain by 25 percent in those with fibromyalgia.

* Make a list of things you have angina (anger, angry) about. Where do these things live in your body? With the help of an expert bodywork, loosen the scene. Women with fibromyalgia are very likely to be survivors of trauma (sexual assault or domestic violence, alcoholism).

* Return to your Mother. Floating in the ocean. Lie belly down on the earth. Naked. Let yourself ease. Let it heal you.

* Listen to a relaxation tape. Ask someone to show you how to do the yoga position called the “Corpse Pose”. Learn to put yourself in a deep state of mind calm and peaceful.

* Hypnotherapy can help you acquire a certain degree of mental control over their symptoms. Behavior of cognitive therapy is also useful.

Step 3: Nourish and Tonify

* The use of feed infusions, especially comfrey leaf and stinging nettle, instead of coffee, tea, soft drinks and is the only thing I know to effectively mitigate and overcome fibromyalgia.

* Gentle exercise – walking, yoga or tai chi practices – keeps muscles from weakening and increasingly painful. Experts suggest starting with as little as three minutes a day, and the gradual establishment of at least four sessions of five minutes each per day. Still, the reward is worth it.

* Regular consumption of yogurt also proves very useful for those who have fibromyalgia. Perhaps it is because yogurt to enhance the ability to feed and immunity, some suspect fibromyalgia is the result of a malfunction of the immune system.

* Magnesium is an essential nutrient for preventing pain in muscles and connective tissues. Legumes, whole grains, vegetables and feed the infusions – like nettle and Oatstraw – are the best sources.

* Moxibustion is also known as acupuncture without needles. Safe and easy to do at home by yourself, moxibustion gives fast relief from sore joints and aching muscles. It not only relieves pain but strengthens, the decrease in the future pain and gradually make a “cure”. You can buy a moxa “cigar” at a pharmacy or health food Oriental. Bring the glowing end of the moxa (after lighting it) near the painful area and move in small slow spirals until the heat becomes too intense. (This May take several minutes or more). Pain relief is usually immediate and often lasts for twelve hours or more.

Step 4: Stimulate / sedation

* Tinctures of willow bark or spirea (1-2 dropperfuls/1-2 ml is a dose) is strongly recommended that the green allies by women dealing with fibromyalgia.

* St. Joan’s wort tincture – not capsules, not the tea – is a powerful ally for women with fibromyalgia. He is one of the best muscle relaxants I have ever used. A 25-30 drop dose not only stops but also prevents muscle aches. I have used it as often as every twenty minutes (ten doses) when the occasion necessitated. St. Joan’s wort prevents pain when taken after exercise, and even better if taken before. I take a dose every hour while on an airplane to prevent muscle aches and jetlag.

* Regular massage from an experienced therapist stimulates the circulation of blood and energy, relieves pain, reduces fatigue and promotes rigidity. Avoid deep tissue massage, it increases the pain. The light and mild strokes Myofascial Release are most useful. Chiropractic manipulations are of little benefit.

* Massage with heated stones and other heat treatments work wonders for some women. For others, the treatments work better in cold (but not too cold, and not for too long, either, please).

* Ginger compresses, hot or cold, movement and encourage the mobilization of the body healing agents to act and to relieve your pain. I grate several ounces of fresh ginger into simmering water and cook gently for ten minutes, then soak a cloth in the liquid and use it as an application to the painful area.

* The National Institute of Health lists fibromyalgia as one of the few conditions that acupuncture can relieve.

* If an act of lying down to sleep the pain, slip into something relaxing: valerian, skullcap, or St. Joan’s wort tinctures, drops to a 1 ml of one, twice if necessary .

Step 5: Use Supplements

* A study has shown little interest from those who have fibromyalgia is taken SAM-e or 5-HTP (5-hydroxytryptophan – a precursor of serotonin). Do not use 5-HTP if you are taking St. Joan’s / John’s wort.

* Lack of sleep can rapidly aggravate the symptoms of fibromyalgia. (See Step 0.) Confused If you sleep, melatonin at bedtime, the lowest dose you can get help in May.

Step 5b: drug use

* Oil of lavender was recommended by several women who have dealt with fibromyalgia for many years. Dilute with olive oil or jojoba and use as a rub.

* Orthodox treatment of fibromyalgia relies heavily on drugs, primarily antispasmodics, antidepressants and muscle relaxants. But Celebrex, Vioxx, Valteran, amitriptyline (Elavil), fluoxetine (Prozac), vanlafaxine (Effecor), trazadone (Desyrel), alprazolam (Xanax) and cyclobenzaprine (Flexeril) can affect the liver and disrupt the system immune.

* Non-steroidal anti-inflammatory drugs such as ibuprofen do not reduce fibromyalgia pain for most women.

* Tramadol (Ultram) is a drug that addresses both the modification of brain chemicals and the signals from the pain of those who have fibromyalgia.

Step 6: Break and Enter

* Beware of invasive diagnostic tests. Many women say sustainable endless series of tests to put a name to their pain, without success and at the cost of physical, mental and moral.

* The injection of lidocaine, a drug that temporarily numbs nerves, are effective in relieving fibromyalgia pain for some women. Injections of capsaicin (cayenne) relieve pain by destroying nerve endings.

________________________________________

If you liked this article by Susun S. Weed, you want

New Menopausal years Wise Woman Way

available from http://www.ashtreepublishing.com.

Legal Disclaimer: This content is not intended to replace medical treatments. Any suggestions made and all herbs listed are not intended to diagnose, treat, cure or prevent any disease, condition or symptom. Guidance and personal use must be provided by an herbalist or other clinical health care practitioner qualified with a formula for you. All materials contained in this document are provided for information only and should not be considered medical advice or consultation. Contact a doctor if you are deemed to need medical care. Exercise self-empowerment of seeking a second opinion.

Susun Weed

PO Box 64

Woodstock, NY 12498

Fax: 1-845-246-8081

Dynamic, passionate and involved, Susun Weed has won an international reputation for his lectures, teachings, and writings on health and nutrition. She challenges conventional medical approaches with humor, insight, and vast encyclopedic knowledge of medicine plants. Unabashedly pro-woman, her animated and conferences are committed with enthusiasm and often profoundly provocative.



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Would you have back pain if every part of your body were perfect? The answer has to be… No, it’s pretty safe to say you wouldn’t have any pain if your body were perfectly aligned, perfectly balanced and in a perfect state of being.

But here’s the thing—you don’t have to be perfect to be pain-free. In fact, you can have serious conditions like Spinal Stenosis and even a Herniated disc and still have no pain—regardless of the type of job you have or how you think the condition developed or even the unique situation that you find yourself in today.

Don’t believe it? The prestigious New England Journal of Medicine just reported it.

They published a study in which researchers performed an MRI on 98 people who had no back pain. And the researchers found that nearly two thirds of them had some kind of abnormal disk condition.

The researchers conclude:

“Many people without back pain have disk bulges or protrusions… Given the high prevalence of these findings and of back pain, the discovery by MRI of bulges or protrusions in people with low back pain may frequently be coincidental.”

That’s right. They called having a bulging or protruded disc and having back pain a coincidence. Proof positive that you can have a condition and not have pain. Indeed, there are millions of people with existing back problems right now who do not even know that they have the condition and surly don’t have any pain at all.

How do you become one of those people?

Living with the condition and living pain free.

Let me say something that may be uncomfortable for you to hear. There is a good chance your condition will never go away. That may sound scary, but it is possible. Herniated disks don’t typically un-bulge themselves and then heal them self to the way they were when you were 15. Spinal Stenosis doesn’t come and go.

And yet, you can still live without pain. In fact, you probably already have.

If you have gone just one minute of one day since your last flare-up without pain, you’ve proved you can have your condition without pain.

How can this be? If the condition didn’t go away, what changes? It all has to do with the alignment of your body, the position of your pelvis, the curvature of your spine and the stability of your body as a whole as you go through your day.

Now, there are a couple of ways to try to relieve that irritation permanently. Sure, you could have surgery. That’s one option to treat your pain. But most surgeries fail within 3 to 5 years. Why? Because they don’t address the reason why the condition became symptomatic in the first place. In other words they don’t fix what’s really causing your condition to develop–they just remove the irritant that is causing the pain.

So what does? I understand you think you’ve tried everything—chiropractors, physical therapy, cortisone shots, acupuncture, massage, anti-Inflammatories and probably 20 others. But ask yourself one question. Answer it truthfully.

Has anyone ever looked at your body as a whole and told you specifically what your postural dysfunctions are and what specifically is causing your body to look like it does?

Furthermore has anyone spelled out for you why your pelvis is the way it is? Did they tell you specifically which muscles are tight, which muscles are weak and then give you a very specific and very targeted corrective program to achieve postural balance and stability, which is the single more important thing you can do to alleviate your pain and gain control of your life?

Stability is Everything when looking for pain relief

The only way to stop the irritation is to bring your body back to a more neutral, more balanced and more stable state. When you do that, everything works better—your back, your hips, your shoulders, your SI joint, everything. Once your body is balanced and stable you can do all the things you love to do and do them with the confidence that you are safe, strong and protected against further injury.

As the NEJM proved, you don’t have to be perfect to eliminate pain. You just need to work toward creating a more balanced and neutral state for your body. When you work toward pelvic stability, you help your spine maintain a neutral position. Then you can use your body as it was intended to be used.

That’s how you can have the condition and not have pain. You most likely won’t need surgery. You won’t wake up every morning stiff. You can return to your life and do all you want to do.

Why is Muscle Balance Therapy so different?

First, you should understand that there is no single set of exercises that can specifically help a Herniated disk or Spinal Stenosis or any condition for that matter. So I urge you not to search the Internet for back pain exercises and just do any old stretch or exercise without knowing the underlying reason you are doing it for.

You must also understand that the Corrective Exercise Program you will get form Muscle Balance Therapy is not based on your diagnosis but rather on corroborating evidence from both physical and visual assessments that are used to ensure you are doing the correct and safest program possible for you and your current condition.

Muscle Balance Therapy is based on the biomechanical principle—the more balanced and stable your body is the better your body will work and the less pain you will be in. So before we start we must first know which muscles are out of balance, meaning we need to know specifically which muscles are tight and which are weak. Once we know those, then we can create a very specific and targeted stretch and exercise program to restore balance. And again that only comes from doing the specific assessments…

Let me just review this point one more time, there is no such thing as a single exercise for and medical diagnosed form of back pain like a herniated disc or Spinal Stenosis. So when you ask me will, I just had and MRI and was just diagnosed with 4 Herniated Discs, Degenerative Disc Disease all levels, Spinal Stenosis and oh I was born with Scoliosis and 17 years ago I was in a major auto accident, will your system work for me the answer is will always be yes…

In fact, I tell everyone it great to know your specific diagnosis but now forget about it, you can not change the facts and you can not change the past. Rather, focus your energy on the things you know you can change and as you restore balance you will restore function.

That brings us to the third unique aspect of Muscle Balances Therapy and that is that we have to perform what we call the Unbalanced Workout. This means that you will not benefit from just blindly strengthening or stretching all your core muscles. That is not the way to do it.

The reason is that you could be stretching or strengthening muscle groups that do not need to be stretched or strengthened and you can make your condition worse. Here is the secret: The difference between having pain and not having pain is in millimeters of movement and the more specific the physical approach the faster and safer the results will be.

The fourth difference is not in our exercises, because there are no new exercises in the world. Rather, it’s the confidence you get knowing that the exercises that you are doing are working the muscles in the best way possible for you and your situation.

The Secret

Everyone understands that one approach can not be the answer to every possible circumstance, and we know that, so here is the secret, as you work with Muscle Balance Therapy and address root cause issues like physical balance and postural stability, please understand that we encourage you to seek out those same modalities that failed you before, they all have value in the process of healing but not until you address the important stuff first.

You know the list of things that you have tried; I contend that this time Massage, Inversion, Supplements, Trigger Point Therapy, Heating Pads to name a few will all work to speed your healing and help you achieve optimal health for the rest of your life.

Is Muscle Balance Therapy perfect? It’s close. Does everyone get 100% pain relief? Most do.

I can say with all honesty that there is 100% chance you will improve from your current state. We have a list of 50 ways that your body and life will benefit and 100% pain relief is by all measures a bonus. So it boils down to this: Would you be happy with 80%, 60%, even 50% reduction in pain yet able to do all the things you love to do? Would that improve your quality of life?

I have dedicated the last 15 years of my life and endured both personal and professional sacrifice to create a safe, systematic approach to addressing all forms of back pain that can be used by young and old alike. And I have never been closer then I am right now with the concept of Muscle Balance Therapy to be able to say that you have just learned one of the best lessons anyone with back pain can hear.

I’m not promising miracles, but I do promise a complete and thorough as well as safe approach to managing, treating and even eliminating your pain.

I have seen amazing results again and again for those people that put in the effort and believe in them self knowing that they are doing the right thing.

Let me leave you with this last thought and one that I believe holds the most power. The human body is intrinsically designed to heal its self, we as individuals just need to give our bodies what is needed and remove what is not needed, Muscle Balance Therapy puts that power to heal yourself back in your control.

If I could barrow a line from my good friend Bob Proctor, the cure to ignorance is knowledge and the answer to fear, worry and doubt is study, understanding and faith. Faith builds enthusiasm and enthusiasm accelerates healing. How good it that!

So if you don’t believe me that you can have your condition and not have pain let me teach you what is possible. If you worry and are filled with doubt I urge you to study what is already available to you and the more you know the better off you will become.

That is true for all things and will be true till the end of time.

Source

1. Jensen, M.C., et. al. Magnetic Resonance Imaging of the Lumbar Spine in People without Back Pain. N Engl J Med 1994; 331:69-73

2. Bob Proctor, The Winners Image, ©1995 -2008



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