Low Dose Naltrexone (LDN) has been gaining attention for its potential benefits in treating a variety of condition. Here you will find the most effective benefits, side effects and things to avoid when taking low dose naltrexone.

What is Low Dose Naltrexone?

Low Dose Naltrexone (LDN) is a medication that was originally developed to manage addiction. However, at lower doses, it has shown potential beneficial effects for autoimmune conditions such as multiple sclerosis (MS), fibromyalgia, Crohn’s disease, and chronic pain.

Naltrexone is an opioid antagonist that was approved for medical use by the FDA in the 1980s. It is commonly used clinically to treat opioid and alcohol addictions. LDN refers to doses of naltrexone that are a 10th or less of the standard dose used for addiction treatment. A low dose of naltrexone is typically around 4.5mg per day, compared to the usual dosage of 50mg to 100mg per day for opioid addiction.

LDN works by blocking opioid receptors in the body, which can have analgesic and anti-inflammatory effects. It is believed to reduce the severity of symptoms associated with autoimmune conditions and chronic pain by modulating the immune system and reducing inflammation.

What to Avoid When Taking Low Dose Naltrexone?

When taking LDN, there are certain things to be aware of and avoid to ensure a safe and effective experience. These include:

Avoid Missing Doses:

It is important to take LDN as prescribed and not miss any doses. If you do miss a dose, take it as soon as you remember, unless it is almost time for your next scheduled dose. In that case, skip the missed dose and continue with your regular dosing schedule.

Avoid Self-Administration of Opioids:

LDN works by blocking the effects of opioids. If you attempt to self-administer opioids while on LDN, you will not perceive any effect. It is important to avoid using opioids while taking LDN to prevent any potential complications.

Avoid Certain Medications:

There are certain medications that may interact negatively with LDN. For example, opioids such as codeine, morphine, hydrocodone, and oxycodone should not be taken while on LDN, as naltrexone blocks these drugs from binding to receptors in the brain and can precipitate or worsen opioid withdrawal symptoms.

Lifestyle Changes:

Depending on individual circumstances and guidance from your healthcare provider, you may need to make certain lifestyle changes to ensure the effectiveness of LDN. This could include avoiding alcohol or quitting smoking.

Low Dose Naltrexone Benefits:

LDN has been found to have several benefits for various medical conditions. These include:

#1. Modulation of the immune system:

LDN has been shown to modulate the human immune system by increasing the production of endorphins, which can coordinate the activity of immune cells such as macrophages, T cells and B cells.

#2. Treatment for autoimmune disorders:

LDN has been used as a therapy for autoimmune disorders. It does not treat the symptoms of the diseases like many other prescription medications, but rather modulates the basic mechanisms that result in these diseases.

#3. Relief of chronic pain:

LDN has been found to provide relief for chronic pain associated with conditions such as fibromyalgia, chronic fatigue syndrome, and painful diabetic neuropathy.

#4. Reduction of inflammation:

LDN may act as an anti-inflammatory agent in the central nervous system, particularly through its action on microglial cells.

#5. Well-tolerated with minimal side effects:

LDN is generally well-tolerated, and the side effects reported are usually mild, including dizziness, headache, difficulty sleeping, vivid dreams, nausea, vomiting, decreased appetite, joint pain, muscle cramps, tooth pain, and anxiety.

Low Dose Naltrexone Side Effects:

LDN is generally well tolerated with few side effects. Some of the reported side effects of LDN include difficulty sleeping initially, nausea, and wild dreams. These side effects are usually temporary and resolve within a few weeks. Other rare side effects that have been reported include fatigue, anxiety, dizziness, headaches, stomachaches and mild diarrhea.

Why Take Low Dose Naltrexone at Night?

LDN can be taken at any time of day, but the optimal time may vary depending on the individual. Some individuals choose to take LDN at night to align with the body’s natural endorphin production cycle, for consistency and to reduce side effects.

How Long Does It Take Low Dose Naltrexone to Work?

The time it takes for LDN to work can vary depending on the individual and the specific condition being treated. Some patients report feeling better after just a few days of taking LDN for conditions like Crohn’s Disease. However, for autoimmune diseases such as multiple sclerosis or conditions that involve severe inflammation, it may take a month or longer before experiencing any changes.

Do Low Dose Naltrexone Helps in Weight Loss?

LDN has been studied for its potential effects on weight loss. Several studies have shown promising results in terms of weight reduction and achieving a 5% weight loss. LDN may help with weight loss through various mechanisms, including appetite control and inflammation reduction.

Dry needling, also known as intramuscular stimulation (IMS), is a technique used by some healthcare practitioners to relieve pain and improve function by inserting fine needles into muscles, trigger points, or other tissues. Despite its popularity and reported benefits, dry needling is illegal or restricted in certain jurisdictions. This article explores the reasons behind these legal prohibitions and restrictions.

What Really Dry Needling Is?

Dry needling involves the insertion of thin, solid needles into specific areas of the body to treat muscle pain and dysfunction. The needles are typically placed into myofascial trigger points, which are hyperirritable spots in skeletal muscle that can cause pain and tenderness. The technique aims to release tension, improve blood flow, and reduce pain. Unlike acupuncture, which is rooted in traditional Chinese medicine, dry needling is based on Western anatomical and neurophysiological principles.

States Where Dry Needling is Prohibited:

Dry needling is prohibited or heavily restricted in several states and regions:

• California
• Hawaii
• New York
• Oregon
• Washington

The specific states where dry needling is illegal may vary over time as new legislation and regulations are introduced. For instance, some states in the U.S., such as California and New York, have imposed restrictions or bans on the practice of dry needling by certain healthcare professionals. These prohibitions are often due to concerns about safety, training, and the scope of practice.

Risks of Nerve Damage in Dry Needling:

Most significant concerns with dry needling is the risk of nerve damage. When needles are inserted into the body, there is a potential for hitting a nerve, which can cause severe pain, numbness, tingling or even more severe complications. Although such adverse effects are relatively rare, they can be serious and may lead to long-term consequences for the patient.

The risk of nerve damage underscores the importance of proper training and expertise when performing dry needling, which is one reason why some regulatory bodies choose to prohibit the practice.

Why is Dry Needling Illegal? 5 Major Reasons

Dry needling is illegal in some jurisdictions due to concerns about safety, the lack of standardized training and certification, and scope of practice issues. Several factors contribute to the prohibition of dry needling in certain jurisdictions:

#1. Lack of Standardized Training and Certification: 

Unlike acupuncture, dry needling does not have a universally accepted training curriculum. This inconsistency can lead to practitioners with varying levels of competence, potentially resulting in harm to patients. Some regions require only minimal training before practitioners are allowed to perform dry needling, raising concerns about safety and effectiveness.

#2. Concerns Over Safety and Efficacy:

The scientific evidence supporting dry needling is limited and sometimes conflicting. While many practitioners and patients report positive outcomes, more rigorous studies are needed to establish the safety and efficacy of the technique conclusively. Adverse effects such as infections, pneumothorax (collapsed lung), and nerve damage have been reported, prompting regulatory bodies to restrict or ban the practice.

#3. Scope of Practice Issues:

Dry needling often falls into a gray area regarding the scope of practice for various healthcare professionals. In many jurisdictions, acupuncture is a regulated profession with specific licensing requirements. Dry needling, which involves similar techniques, can be seen as encroaching on the scope of practice of licensed acupuncturists, leading to legal battles and restrictions on who can perform dry needling.

#4. Professional Turf Wars:

The overlap between dry needling and acupuncture has led to conflicts between professionals. Licensed acupuncturists argue that dry needling is a form of acupuncture and should only be performed by those with extensive training in traditional Chinese medicine.

Physical therapists and other practitioners argue that dry needling is a distinct technique based on Western medical principles and should be within their scope of practice. These conflicting viewpoints contribute to regulatory uncertainty and legal restrictions.

#5. Regulatory and Legal Precedents:

Legal and regulatory precedents also play a role in the illegality of dry needling in some areas. High-profile cases of patient harm or litigation related to dry needling can prompt regulatory bodies to impose strict regulations or bans to prevent further issues.

Additionally, some regions may have a more conservative legal environment, making it challenging to approve new or controversial medical practices.

Current Legal Status of Dry Needling:

The legal status of dry needling varies widely across different jurisdictions. In some places, it is fully legal and widely practiced by trained professionals, while in others, it is subject to strict regulations or outright bans. The ongoing debate over dry needling’s safety, efficacy, and scope of practice continues to shape its legal landscape. As more research is conducted and standardized training programs are developed, the legal status of dry needling may evolve, potentially leading to broader acceptance and integration into mainstream medical practice.

Conclusion:

The prohibition of dry needling in certain jurisdictions is a complex issue involving concerns about training, safety, efficacy, scope of practice, professional turf wars, and legal precedents. While dry needling has shown promise as a treatment modality for various musculoskeletal conditions, its future will depend on addressing these concerns through rigorous research, standardized training programs, and clear regulatory guidelines. Until then, patients and practitioners must navigate the complex legal landscape surrounding this controversial technique.

It is not recommended! Smoking can significantly obstruct the healing process and increase the risk of complications, making it a detrimental choice during the recovery period. By abstaining from smoking and following your dentist’s care instructions, you can ensure a smoother, faster recovery and maintain the health of your treated tooth

Impact of Smoking on Root Canal Healing:

Smoking has been widely documented to have adverse effects on healing processes in the body. This is particularly true for oral surgeries and dental procedures.

Here are some key reasons why smoking can be detrimental after a root canal:

Reduced Blood Flow:

Nicotine in cigarettes constricts blood vessels, which reduces blood flow to the gums and oral tissues. This diminished blood circulation can impair the delivery of essential nutrients and oxygen needed for healing.

Increased Risk of Infection:

Smoking can compromise the immune system, making it harder for the body to fight off infections. After a root canal, the treated area is vulnerable to bacterial infection, and smoking can exacerbate this risk.

Delayed Healing:

The chemicals in cigarettes can slow down the healing process. This delay can prolong discomfort and increase the chances of complications such as secondary infections or inflammation.

Dry Socket:

Although more commonly associated with tooth extractions, the phenomenon of dry socket—where the blood clot at the surgical site is dislodged or dissolves prematurely—can also be a concern. Smoking can increase the risk of dry socket, leading to severe pain and delayed healing.

Recommendations for Smokers Post-Root Canal:

Given the negative impact of smoking on the healing process, it is strongly advised that patients refrain from smoking after a root canal. Here are some specific recommendations:

Immediate Post-Operative Period:

Avoid smoking for at least 48 to 72 hours after the root canal procedure. This period is critical for the initial healing and formation of a protective clot or seal at the treatment site.

Extended Abstinence:

Ideally, patients should aim to quit smoking entirely or at least significantly reduce their smoking for several weeks post-procedure. The longer you can avoid smoking, the better your chances of a smooth and complication-free recovery.

Nicotine Alternatives:

If quitting smoking is particularly challenging, consider using nicotine replacement therapies (NRT) such as patches, gum or lozenges. These can help manage nicotine cravings without the harmful effects of smoking on oral healing.

Oral Hygiene:

Maintain impeccable oral hygiene practices to aid healing. Brush and floss gently but thoroughly, and consider using an antiseptic mouthwash to keep the area clean.

Consult Your Dentist:

Always follow your dentist’s specific instructions regarding post-operative care. If you have concerns about smoking or any other aspect of your recovery, don’t hesitate to reach out to your dental professional for personalized advice.

Conclusion:

While the urge to smoke after a root canal may be strong, especially for habitual smokers, it is crucial to prioritize your oral health and the success of the procedure.

Driving after a root canal procedure can raise concerns about safety and comfort. Explore the safety of driving post-root canal, along with tips for preventing the need for such a procedure.

Driving After a Root Canal: Is It Safe?

The answer to this is not that simple, it depends in some things which you need to understand first before driving after a root canal.

Type of Anesthesia Used:

Most root canals are performed under local anesthesia which numbs only the area around the tooth. If you receive only local anesthesia, you should be able to drive yourself home after the procedure. But if you were given sedation (such as nitrous oxide, oral sedatives, or intravenous sedation) which can impair your reflexes, judgment and coordination and making it unsafe to operate a vehicle. So, it’s better to arrange someone else to drive for you.

Personal Comfort and Reaction:

Individual reactions to dental procedures vary. If you feel dizzy, lightheaded or particularly uncomfortable after your root canal so it’s best not to drive until you feel better. Listen to your body and give yourself time to recover if needed.

Medications Taken:

If you’ve been prescribed stronger pain medications such as opioids, you should avoid driving. These medications can impair your ability to drive safely.

How Complex a Root Canal Procedure is?

A root canal is performed when the pulp inside a tooth becomes infected or inflamed due to deep decay, repeated dental procedures, faulty crowns, or a crack or chip in the tooth. During the procedure the infected pulp is removed and the inside of the tooth is cleaned, disinfected and then filled and sealed. Often, a crown is placed on the tooth to restore its function and appearance.

Post-Procedure Considerations:

After a root canal, it’s normal to experience some discomfort or mild pain once the anesthesia wears off. This is usually manageable with over-the-counter pain relievers like ibuprofen or acetaminophen. The treated tooth and surrounding area may feel tender for a few days as the tissue heals.

Prevention Need for a Root Canal:

Prevention is always better than cure. Here are some tips to help prevent the need for a root canal:

Maintain Good Oral Hygiene: Brush your teeth twice a day with fluoride toothpaste, floss daily, and use an antiseptic mouthwash to reduce harmful bacteria.

Regular Dental Check-ups: Visit your dentist regularly for check-ups and cleanings. Early detection of problems can prevent the need for more extensive procedures.

Avoid Sugary Foods and Drinks: Limit your intake of sugary foods and beverages, which can contribute to tooth decay.

Wear a Mouthguard: If you play sports, use a mouthguard to protect your teeth from injury.

Address Dental Problems Promptly: If you experience tooth pain, sensitivity, or notice a cracked or chipped tooth, see your dentist as soon as possible to address the issue before it worsens.

Consider Dental Sealants: Dental sealants are a protective coating applied to the chewing surfaces of the back teeth. They can prevent decay and the need for future dental procedures.

Conclusion:

Driving after a root canal is generally safe if only local anesthesia was used and you feel comfortable. However, if sedation or strong pain medications are involved, it’s best to arrange alternative transportation. Always prioritize your safety and recovery after any dental procedure. By maintaining good oral hygiene and taking preventive measures, you can reduce your risk of needing a root canal in the first place.

There are numerous causes of lower back pain but the one potential and often overlooked factor is surely dehydration. Proper understanding of the relationship between hydration and back pain can provide valuable insights into preventing and managing this discomfort. 

Lets explore the connection between dehydration and lower back pain, highlighting key mechanisms, risk factors, and prevention strategies.

The Role of Water in the Human Body:

Water is an essential component of the human body, accounting for about 60% of an adult’s body weight. It plays a crucial role in physiological functions, including maintaining cell structure, regulating temperature and lubricating joints. 

Adequate hydration is vital for the proper functioning of organs and tissues, including those in the musculoskeletal system.

How Dehydration Affects Your Back?

The spine is a complex structure composed of bones (vertebrae), intervertebral discs, muscles, ligaments, and nerves. Intervertebral discs are particularly susceptible to changes in hydration levels. These discs are gel-like cushions that act as shock absorbers between the vertebrae, providing flexibility and support to the spine. They are composed primarily of water, which is essential for their proper function.

When the body is dehydrated, the intervertebral discs lose water content, leading to a decrease in disc height and elasticity. This reduction in disc volume can result in increased pressure on the spinal column and surrounding tissues which causes lower back pain. 

Mechanisms Linking Dehydration and Lower Back Pain:

Reduced Disc Hydration:

As mentioned earlier, dehydration reduces the water content in intervertebral discs, compromising their ability to cushion the vertebrae and absorb shocks. This can lead to increased mechanical stress on the spine and contribute to pain.

Muscle Cramps and Spasms:

Dehydration can cause an electrolyte imbalance, leading to muscle cramps and spasms. The muscles in the lower back are particularly vulnerable to these effects, resulting in stiffness and pain.

Decreased Blood Flow:

Adequate hydration is essential for maintaining proper blood circulation. Dehydration can reduce blood flow to muscles and tissues, depriving them of essential nutrients and oxygen. This can cause muscle fatigue and pain, including in the lower back region.

Inflammation:

Chronic dehydration can lead to increased inflammation in the body. Inflammatory responses can affect the muscles, ligaments, and nerves in the lower back, contributing to pain and discomfort.

Risk Factors for Dehydration-Related Lower Back Pain

Several factors can increase the risk of experiencing lower back pain due to dehydration:

Inadequate Fluid Intake:

Not consuming enough fluids throughout the day is the most direct cause of dehydration. Individuals who do not drink sufficient water are at higher risk.

High-Temperature Environments:

Working or exercising in hot environments can lead to excessive sweating and fluid loss, increasing the risk of dehydration and subsequent back pain.

Strenuous Physical Activity:

Intense physical activity can cause significant fluid loss through sweat. Without adequate hydration, the risk of developing muscle cramps and back pain rises.

Age:

Older adults are more prone to dehydration due to a diminished sense of thirst and changes in kidney function. This age group is also more susceptible to back pain.

Medical Conditions:

Certain medical conditions, such as diabetes and kidney disease, can affect fluid balance and increase the risk of dehydration-related complications.

Prevention From Lower Back Pain:

Preventing and managing lower back pain associated with dehydration involves maintaining adequate hydration and adopting a healthy lifestyle. Here are some effective strategies:

1. Stay Hydrated: Drink plenty of water throughout the day. The recommended daily water intake varies depending on age, sex, weight, and activity level, but a general guideline is to drink at least eight 8-ounce glasses of water per day.
2. Monitor Fluid Loss: Pay attention to signs of dehydration, such as dark urine, dry mouth, and fatigue. Increase fluid intake during hot weather, physical activity, and illness.
3. Balanced Diet: Consume a balanced diet rich in fruits and vegetables, which have high water content and can contribute to overall hydration.
4. Electrolyte Balance: Ensure an adequate intake of electrolytes, especially during intense physical activity. Sports drinks can help replenish electrolytes lost through sweat.
5. Regular Exercise: Engage in regular physical activity to strengthen the muscles supporting the spine. Exercises that enhance flexibility and core strength can help prevent lower back pain.
6. Proper Posture: Maintain good posture while sitting, standing, and lifting objects. Proper ergonomics can reduce strain on the lower back and prevent pain.
7. Medical Consultation: If you experience persistent lower back pain, consult a healthcare professional. They can assess your condition, provide appropriate treatment, and offer guidance on hydration and back pain management.

Conclusion:

Dehydration is a potential contributor to lower back pain that is often overlooked. By understanding the mechanisms linking dehydration to spinal health, individuals can take proactive steps to maintain proper hydration and reduce the risk of back pain. Incorporating adequate fluid intake, a balanced diet, regular exercise, and good posture into daily routines can significantly improve overall well-being and spinal health.

Cortisone shots, also known as corticosteroid injections, are commonly used to treat inflammation and pain associated with various medical conditions, including arthritis, tendinitis, and bursitis. Many patients wonder if they can receive cortisone shots at an urgent care center rather than waiting for an appointment with their primary care physician or a specialist.

What are Cortisone Shots?

Cortisone shots are injections that contain corticosteroids, powerful anti-inflammatory medications. They are used to provide relief from inflammation and pain in specific areas of the body, such as joints, muscles and tendons. The corticosteroid is usually combined with a local anesthetic to provide immediate pain relief in addition to reducing inflammation over the following days or weeks.

Do Urgent Care Give Cortisone Shots?

Yes, Many urgent care centers can administer cortisone shots but the availability and scope of this service can vary depending on the facility. Here are some key points to consider:

Scope of Services:

Not all urgent care centers offer cortisone shots, as their primary focus is on providing immediate care for acute illnesses and injuries. It’s advisable to call ahead and confirm whether a specific urgent care center offers this service.

Qualified Providers:

If an urgent care center does provide cortisone shots, they will have qualified healthcare providers, such as physicians, nurse practitioners, or physician assistants, who are trained in administering these injections safely and effectively.

Medical Assessment:

Before administering a cortisone shot, the healthcare provider will perform a thorough medical assessment to determine if the injection is appropriate for your condition. This may include a physical examination and a review of your medical history.

Conditions Treated with Cortisone Shots

Cortisone shots are used to treat a variety of conditions characterized by inflammation and pain, including:

Arthritis:

Osteoarthritis and rheumatoid arthritis can cause joint pain and inflammation, which cortisone shots can help alleviate.

Tendinitis:

Inflammation of the tendons, such as tennis elbow or Achilles tendinitis, can be treated with cortisone injections.

Bursitis:

Inflammation of the bursae, the small sacs of fluid that cushion the joints, can be relieved with cortisone shots.

Joint Pain:

Pain in joints such as the knee, shoulder, hip, or wrist due to various causes can benefit from cortisone injections.

Back Pain:

Certain types of back pain, particularly those involving inflammation, can be treated with cortisone shots.

Allergic Reactions:

Severe allergic reactions that cause significant inflammation may also be treated with corticosteroid injections.

Benefits of Cortisone Shots:

Cortisone shots offer several benefits, including:

1. Rapid Relief: They can provide quick relief from pain and inflammation, often within a few days.
2. Localized Treatment: The medication is delivered directly to the affected area, providing targeted relief.
3. Non-Surgical Option: Cortisone shots are a minimally invasive alternative to surgery for managing pain and inflammation.
4. Reduction in Symptoms: They can significantly reduce symptoms and improve quality of life for patients with chronic inflammatory conditions.

Risks and Side Effects of Cortisone Shots:

While cortisone shots are generally safe, there are potential risks and side effects to consider:

1. Infection: There is a small risk of infection at the injection site.
2. Pain and Swelling: Some patients may experience increased pain and swelling immediately after the injection, known as a cortisone flare.
3. Skin Changes: Cortisone shots can cause thinning of the skin or changes in skin color at the injection site.
4. Tendon Weakening: Repeated injections can weaken tendons, increasing the risk of rupture.
5. Systemic Effects: In rare cases, the corticosteroid can enter the bloodstream and cause systemic side effects such as elevated blood sugar levels.

What to Expect During an Urgent Care Visit for a Cortisone Shot:

If you visit an urgent care center for a cortisone shot, here’s what you can typically expect:

1. Medical History and Examination: The healthcare provider will review your medical history and perform a physical examination to ensure that a cortisone shot is appropriate for your condition.
2. Informed Consent: You will be informed about the benefits, risks, and potential side effects of the cortisone shot. You may be asked to sign a consent form.
3. Preparation: The injection site will be cleaned and sterilized. A local anesthetic may be used to numb the area.
4. Injection: The provider will carefully administer the cortisone shot into the affected area. You may feel some pressure or discomfort during the injection.
5. Post-Injection Care: You will receive instructions on how to care for the injection site and manage any potential side effects. You may be advised to rest the affected area for a short period.

Conclusion:

Urgent care centers can be a convenient option for receiving cortisone shots, providing quick relief from pain and inflammation. However, it’s important to verify that the specific urgent care facility you plan to visit offers this service. Cortisone shots are effective for treating a variety of conditions, but they come with potential risks and side effects.