天博体育

A new study found that caffeine may reduce sensitivity to pain, perhaps more effectively than standard pain relievers. But because the findings are based on mouse experiments we can’t say whether or not the results might apply to humans.

This ancient practice can be used alone or with conventional therapy to help ease your pain.

听Image: 漏 zilli/Thinkstock

Men looking for an easy and effective means to manage pain should consider acupuncture.

"There are many different types of pain 鈥� neuropathic, muscular, degenerative joint 鈥� all of which can make management complex," says Hugo Lopez, a licensed acupuncturist with Harvard-affiliated Massachusetts General Hospital Cancer Center. "Sometimes you need to treat not just the physical components, but also the psychological ones, and that is where acupuncture can help, as it addresses both problems."

A sleep study is required to correctly diagnose sleep apnea, but laboratory sleep studies can be awkward and uncomfortable. Efforts to lower costs and make study subjects more at ease have led to the advent of in-home sleep studies.

Insomnia

Questions to Discuss with Your Doctor:

• Are you particularly stressed at work or at home?
• Are you depressed or anxious?
• Do you have any underlying medical problems such as hyperthyroidism or sleep apnea?
• Do you snore?
• Do you have chronic pain or difficulty breathing at night?
• Do you have restlessness or twitching of your legs at night?
• Do you drink caffeine-containing beverages after noon (such as coffee or sodas)?
• Do you use stimulants? Drink alcohol? Take sedatives? Smoke cigarettes?
• Do you take any medications?
• What time do you usually go to bed?
• What time do you get up in the morning?
• Do you eat or work before going to bed?
• Have you noticed changes in your sleep patterns?
• Do you wake frequently at night?
• Do you feel tired during the day?
• How long do you stay in bed before you fall asleep?
• Do you have worries about not sleeping?

Your Doctor Might Examine the Following Body Structures or Functions:

• Blood pressure, heart rate, weight
• General physical exam

Your Doctor Might Order the Following Lab Tests or Studies:

• Complete blood cell count
• Thyroid function
• Sleep study with monitoring of heart rate, respiratory rate, oxygen level, eye movements, and brain waves

Chronic pain and insomnia are an unhealthy combination. According to the National Sleep Foundation, chronic pain disturbs the slumber of one in five Americans at least a few nights a week. Whether it's from a bad back, arthritis, or headaches, chronic pain puts you in double jeopardy: the pain robs you of restful sleep and makes you more fatigued, and thus more sensitive to pain.

But you can start to break this vicious cycle.

A few simple measures can help minimize the sleep disturbances and malaise that can occur when you cross several time zones.

Image: faithiecannoise/iStock

This month we perform the annual ritual of turning back our clocks as Daylight Savings Time ends. Most of us can handle the one-hour time change easily. However, when we travel long distances across several time zones, few of us can survive the trip without feeling a little out of whack. For holiday travelers flying from coast to coast or overseas, recovering from the symptoms of jet lag鈥攆atigue, insomnia, digestive upsets, and headaches鈥攃an consume a day or two of precious vacation time. According to Dr. Charles A. Czeisler, director of the Division of Sleep Medicine at Harvard Medical School, jet lag is due to a misalignment between the external environment and the internal clock in the brain that drives our daily performance, alertness, and the ability to sleep.

What happens during jet lag

听

A range of choices may help you get a better night's sleep.

Image: Courtsey of Carpenter Co.

When the doctor says you have obstructive sleep apnea (OSA), you'll likely hear about the gold standard in treatment: continuous positive airway pressure (CPAP), which uses forced air, pushed through a tube connected to a face mask, to keep your airway unblocked. Yet many people have trouble adjusting to a bulky CPAP mask. "We often see people who say they tried CPAP and didn't like it, and now it's been years since they've had treatment," says Dr. Stuart Quan, the Gerald E. McGinnis professor of sleep medicine at Harvard Medical School.

You may be able to adjust to CPAP by trying relaxation exercises, practicing wearing the mask during the day, and gradually increasing CPAP pressure. But if it doesn't work out, you do have alternatives.

Driving while very sleepy or drowsy impairs a driver’s reaction time, attention, and judgment. 

A study questions whether CPAP helps to slow the progression of coronary artery disease in those who already have it, but use of the device has still been shown to have quality of life and other health benefits in those with sleep apnea.