Burnout looming?

Burnout is an advanced state of physical and mental exhaustion commonly triggered by the long-term involvement in emotionally-demanding situations. It occurs when committed, enthusiastic or devoted individuals become disillusioned or disheartened with a career, a cause or a relationship from which they used to derive a significant portion of their identity. Burnout leads to a complex set of emotions which include resentment, a sense of futility, feeling trapped and seeing no future. Although stress plays a role in its development, burnout differs in the sense that it lowers levels of hope, optimism and confidence. Burnout can take you past the point of caring what happens, not a good place to be for many reasons.

Identify the causes

Burnout is not caused solely by too much work or too many responsibilities. An assortment of complex dynamics plays a role. These include personality traits, lifestyle, poor communication channels, working within a dysfunctional team / system and being in conflict with the ethics / values / integrity of an organisation / team / partner. Being in the regular presence of demanding and ungrateful, self-centred individuals, especially when they themselves are under pressure, can easily become a potential boiling pot for disaster.

Revaluate your goals and priorities

Burnout is a sure sign that some key aspects of your life have become dysfunctional. These obviously require some correctional action. Start by re-establishing your original goals, desires and objectives in life. Are these still as important to you and how do they fit into your hierarchy of needs? Which have you been neglecting and does it really matter? Try to avoid sentimentality when considering these issues. Be practical and realistic in your judgement. Compare your input (contribution and sacrifice) with the output (financial and personal rewards) that you receive. Is it still a worthwhile investment, especially if you take a long-term view? Can your situation be improved, or is it perhaps time to quit and move on to a new beginning?

Think strategically

With any advanced state of despair, a condition called ‘emotional flooding’ sets in where desperation takes over and logic flies out the window. In a frantic attempt to alleviate your immediate anguish, you may tend to act somewhat irrationally or impulsively. Be aware of this and proceed with caution – you need to keep your eye on the baby as well as the bath water. Make sure that you give yourself sufficient time to formulate your thoughts in a logical manner before you act. It is crucial that you manage your stress levels during this period.

Use a supplement that assists with neurological function

People are quick to resort to a multivitamin during times of mental or physical exhaustion. The benefits of these, however, are not supported by medical science with many large trials not being able to demonstrate a measurable benefit. There are, however, some botanical and biological agents that can be used as a supplement with the significant potential to make a real difference. Roseroot (Rhodiola rosea), also known as “arctic root” or “golden root”, is a perennial plant that grows at high altitudes in the arctic regions of Europe and Asia. Extracts of the roots have been used in traditional Western medicine in Scandinavian and European countries to combat fatigue, reduce the effects of stress and to aid convalescence during illness. Preparations containing roseroot extract are typically used to increase concentration and enhance mental performance during times of emotional and physical hardship. NeuroVance, containing roseroot extract, has been designed to help you stay cool, calm and collected. Its multi-modal pharmaceutical action is achieved through its ability to enhance separate but interconnected components of brain function, thereby giving your brain a physiological advantage during demanding and stressful periods.

Take ownership

We are quick to want others to change. We also often want situations to alter so that we can be accommodated as individuals. Unfortunately, this is often unrealistic. A more practical approach may be to see if one can change one’s own attitude in order to bring about positive change. This will take effort and planning. Reactive individuals wait for opportunities or solutions to come to them. Proactive individuals, on the other hand, strive to create their own opportunities or solutions. The difference between taking the initiative and responsibility for bringing about change, rather than waiting for change to happen, is like chalk and cheese, especially when measured over a lifespan. Heading towards a state of burnout will virtually always prove a catalyst for change. It is also an opportunity to rediscover what works for you and what does now, ideally before your reach meltdown. This process will require courage and effort. Believe in yourself.

NeuroVance contains a blend of plant-derived phytochemical ingredients that optimise and support healthy brain function by giving your brain a physiological advantage during times of stress without acting as a sedative or stimulant.
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How Conflict Causes Stress

 

Why proper techniques can save the day.

Key points:

  • Conflict is a leading contributor to elevated stress levels
  • Everyone can improve the manner in which they deal with conflict and be better off

Some people go to great lengths to avoid conflict. They suppress their own opinions, hide information from others or avoid contact. Whilst this strategy may work at the workplace where you can manage to fly under the radar, it’s very difficult to achieve in a close relationship. By constantly evading conflict, one slowly starts to develop feelings of resentment and bitterness, which slowly starts escalating. Over time, unresolved conflict, especially in a close relationship, inevitably leads to a significantly increased level of stress.

On the other side of the scale, there are individuals who easily engage in conflict at the drop of a hat. This is because they are not intimidated by others and are used to function in a volatile or hostile environment. In the process they benefit by blowing off steam. This helps them to vent their anger and get rid of frustration. However, in the process they often damage interpersonal relationships, especially with individuals more inclined to avoid conflict. Whilst initially being totally unaware of this happening, the long term consequences eventually become obvious when partnerships and relations turn pear shaped, causing stress.

Unless you are a recluse who lives in isolation, accept that conflict is a part of everyday life. In principle, conflict is simply a process of negotiation by means of communication. For a moment, let’s compare it to a game.

The players

Killman uses the following metaphors to illustrate how different personalities approach conflict:

Turtles

These individuals believe it is easier to hide. They therefore deliberately steer clear of issues or situations that may cause potential tension. They also often avoid individuals that they are in conflict with. In essences, turtles are poorly equipped to deal with hostile emotions. Turtles tend to believe that it’s hopeless to try to resolve an issue, even if this means abandoning a close relationship, a career or a personal ambition. This approach is self-limiting and stumps career, income and personal development.

Sharks

Sharks believe it is easier to attack. Their style is therefore to threaten or bully their opponents. They consider their own goals significantly more important than the task of preserving relationships. Their ambition is to achieve their own objective at any cost, without any real concern for someone else’s opinion or situation. Sharks often don’t mind if other people dislike or even despise them. In their worlds this is a minor inconvenience.

Teddy Bears

They value interpersonal relationships as significantly more important than achieving their own personal goals. To be liked and accepted by others is of great importance. They believe that conflict cannot really be discussed in a productive manner without harming a relationship and will therefore rather avoid it just so that they can live in harmony with others. To preserve a relationship, Teddy Bears will easily abandon their own personal goals, often at their own disadvantage.

Foxes

They are concerned about their own goals as well as their relationship with other people. They are therefore more strategic and diplomatic in their approach and will naturally seek a compromise with others. With a bigger picture in mind, foxes are quite willing to sacrifice some of their goals and will try and persuade the other party to do the same.

Owls

Like foxes, they place a high value on their goals as well as their relationships, but are more philosophical in their approach. They differ from foxes in the sense that they often regard conflict as an opportunity to strengthen relationships. This trait makes owls more empathetic and nurturing.

The game

Besides the players, the game is also important. This is where strategy becomes important. Steven Covey describes the following strategic outcomes:

Win-lose

This authoritarian type approach is unfortunately the most common conflict-resolution style. It originates from the way we have been conditioned by society, our parents and our peers. It is based on the binary belief of ‘right’ and ‘wrong’, as defined by ‘either’ ‘or’ idea. If I am ‘right’, it therefore means that you must be ‘wrong’. The legal system takes this one step further. According to “fairness” principles, the party that is “right” must be rewarded, whilst the party that is “wrong” must be punished. This leads to the rather simplistic view that one can only achieve your goal at the expense of another.

To prove that you are “right”, especially when in reality, many versions, possibilities and interpretations of the real facts exist, can be rather tricky. Any technique to prove a point is therefore used. This includes aggression, intimidation, criticism, pulling rank and sarcasm, all highly ineffective forms of communication. Since the “losing” party’s needs are not addressed, win-lose conflict resolution within a relationship is frequently superficial and short term. For the “winner”, it may prove a hollow victory over the long term in the sense that it almost always has a negative effect on a relationship. In fact, win-lose usually paves the way for far worse conflict at a later stage.

Lose-win

This is the subservient, opposite of win–lose. Based on their conditioning, lose-win individuals naturally believe they will not get their way and that it is easier to give up and accept defeat in order to avoid more tension or hostility. These individuals are easily intimidated by more forceful or aggressive personalities, and often lack the courage to express themselves in company. In many ways, lose–win outcomes are worse than win–lose, as individuals tend to bury multiple emotions of disappointment, resentment and disillusionment. As a consequence, this may lead to cynicism and fragility, making lose–win individuals quick to resort to the “victim” role whilst accusing their opponents of being “bullies”. These suppressed feelings rarely disappear, usually bubbling up at some later stage in life to either ruin a new relationship, or present as a psychosomatic illness.

Lose-lose

When two win-lose players become gridlocked and cannot achieve their personal goals at the other’s cost, wounded egos unleash a highly destructive consequence which results in dissatisfaction, anger or resentment. This is because both parties see the outcome as a personal loss, triggering the desire to get even by taking revenge, even if it requires costing more money, time and effort. Lose-lose is the philosophy of destruction. It often comes at significant personal cost as well as the potential to lose even more in future.

Win-win

When both parties have a sincere and firm commitment to find a mutually-satisfying agreement, they are able to focus on a solution that will satisfy both parties. In the process emotions calm down and cognitive processes become more active. The ideal solution is usually shaped by three sets of needs, namely ‘yours’, ‘mine’ and ‘ours’. As a result, the future relationship is strengthened and respect is maintained. Win-win seeks mutual benefit in a cooperative, rather than a competitive arena. ‘Our’ solution is better than ‘mine’ or ‘yours’. Win-win is based on the abundance mentality, namely that there is enough for everyone to share.

No deal

If win-win fails, no-deal becomes the next best option. This is where both parties agree to disagree without judgement, resentment or anger. Disappointment may be present, but as a singular emotion, is not dominant enough to damage a relationship.

Applying the game to real life

We live in a world filled with hatred, suspicion and anger. Yet, all around us, various admirable and inspirational deeds are done by individuals who improve the world and the lives of others with kindness, compassion and understanding. This requires emotional control. Through the many daily hardships, we face at the coalface of life, we become stressed, overwhelmed and over-reactionary. Feeling cornered and pressurised, we get ready to take up arms and fight for our rights. Eventually the process blows out of proportion, facts become distorted and emotion escalates out of control. This all leads to significant stress.

With advanced conflict situations, especially with a romantic partner or spouse, a condition called ‘emotional flooding’ occurs as a result of the severe emotional turmoil suffered by both parties. When this happens, reason and hope fly out the window and conflict reaches a point of no return. Research has indicated that the majority of relationships at this stage of decay will inevitably dissolve. In such cases, the best possible solution is a ‘no-deal’. Unfortunately, this often results in ‘lose-lose’.

On the other hand, if there is still some hope, it is will always prove worth your while to try and resolve conflict by taking some proactive steps toward a ‘win-win’ solution. If this cannot be achieved, opt for the second best option, namely ‘no-deal’. Avoid ‘win-lose’ and ‘lose-win’, if you can, and ‘lose-lose’ like the plague.

Conflict is predominantly an emotional process. This means that if you think, rather that act, you will have a significant competitive advantage. To do so, you need to plan and speak properly. Like with any emotional skill, this will require some practice.

Strategic guidelines

Take charge

Always remember that you are the master of your own destiny, not the hapless victim of circumstances.

Consider your objective as well as the degree to which you want to preserve a relationship. What are the consequences of harming or perhaps totally ruining the relationship in question? Stay rational and objective. Consider the ideal outcome. Once this has been decided, proceed to the next step. All this will require is to have a conversation. This will require appropriate timing. Poor timing, or a conversation that may lead to confrontation in an inappropriate setting or in presence of others, can make the process unpredictable and may therefore be a recipe for a disaster.

Control your emotions

During any form of communication, it is important to prevent emotional escalation and avoid aggression. A conversation is no different. Accept the responsibility for managing your own emotions. If you remain calm, the other person will most likely also remain calm. If your intention is to be productive, this simple strategy will make it significantly easier for you to achieve your objective.

Control the other party’s emotions

Most people totally underestimate the role they play in influencing other people’s emotions. Just as one can easily provoke the other party, one can also help control their emotions. A good place to start is to mind your manners. Minimise the other party’s defensiveness by not saying anything personal or derogatory. Do not blame or accuse the other party, and do not to plead innocence, even if you believe that you are blameless (a rare occurrence). These highly ineffective communication techniques usually prove to be rather destructive.

Control the conversation

Listen to the other person point of view without interrupting or criticising them, no matter how exasperated or frustrated you may feel. If at any stage of the conversation the other party gets the notion that you are not listening or not getting their point, pattern interrupt will ensue. This means that the conversation may rewind back to start at the beginning. A good technique to reassure the other party that you are getting their point of view is to ask questions, rather than make premature assumptions or insinuations. Afterwards, verbally summarise all the main issues as accurately as possible by repeating what they have told you. Although this process may seem irritating and repetitive, it is crucial to a positive outcome, so pay attention to it. Communicate your thoughts and feelings about issues, rather than people. Remain calm at all times by keeping the ‘bigger picture’ in mind. Focus on achieving a positive outcome.

“Nothing in life is to be feared. It is only to be understood.” Marie Curie


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Pressurised By Other people?

Seven steps to establish better boundaries.

Key points:

  • Your stress levels are directly linked to the quality of your inter-personal relationships
  • By establishing more effective boundaries you can significantly reduce your stress levels

Other people cause significant amounts of stress in our lives. This is often because we allow them to do so. Like a protective shield, boundaries safeguard us from others who deplete our emotional reserves and increase our stress levels with their constant demands or irritating and inconsiderate personalities.

If people consume too much of your time, invade your space, speak to you in a rude or sarcastic manner and you allow them to get away with it, they will for obvious reasons continue. If, on the other hand, you draw the line by clearly defining what you are prepared to put up with and what not, and then enforce these rules, you will stop them. Actually, the whole process boils down to the ability to say “NO”, something that you may not necessarily be good with. A few basic techniques can make a significant difference.

Drawing the line – the most difficult part!

Although the actual process of establishing a boundary is quite simple, most people find it hard to implement. The following philosophical debate illustrates why. Your friend, for example, asks you: “Shall I wear red or blue?” Unless you are going to a specific event like a sports day, your answer will most likely be based on personal preference. But what if your friend tells you he is going to cross a field belonging to a foul tempered bull know to hate red? Your answer now becomes a matter of moral choice. Should you, perhaps for the sake of mischief, tell him to wear red? It may perhaps be funny to watch him run, if you like that sort of humour, but what if he becomes injured? If so, are you to blame, or is it the bull’s fault?

If the bull cannot help but charge at anything red, can it be blamed for doing something that comes out of instinct? But if you have an instinctive compulsion to cause mischief, why can’t you use the same reason to claim innocence?

If you feel pushed around or manipulated, is it your fault for allowing it to happen, or is it the other person’s fault for being so inconsiderate, demanding and selfish? After all, if you see it in a philosophical sense, the other person may merely be acting out of instinct. The bottom line is that this sort of complexity always exists with any boundary issue, making the process of drawing the line somewhat difficult.

Seven steps to establish better boundaries.

Step 1- Keep it simple
Instead of getting yourself embroiled in philosophical complexity, take a proactive step towards making a decision. Base this decision on facts or specifics. If you are unhappy about an ‘issue’, then define the ‘issue’ as the problem. Once this has been done, stop analysing and start planning your solution. If more than one issue is proving a bugbear, start with the most annoying or frustrating ones.

Step 2- Communicate properly
Setting boundaries simply requires the ability to say “NO”. Saying NO in the correct manner will not get you into trouble, neither will it make you a nasty or difficult person. However, saying NO in the incorrect manner will, especially once you have allowed yourself to become emotionally overwhelmed or angry. Within seconds, hostile emotions are transferred between people and interpreted through subtle cues such as body language, tone of voice or facial expression. Prevent this from happening by focussing on the process of communication. Control your emotion and keep your eye on the ball.

Step 3 – Mind your manners
Being firm, fair and consistent earns you respect from other people. Being emotional, melodramatic or theatrical does not. It will be difficult to establish and enforce effective boundaries if you yourself are guilty of double standards. Raising the levels of respectable interpersonal behaviour and defining good manners means that you must stick to the same standards. Snide remarks, sarcasm, criticism, nagging, whining and hinting are all forms of irritating behaviour that should best be avoided.

Step 4 – Consider your timing
Timing is crucial if you want to get off to a good start. If, for example, your boss is personally so overwhelmed by work pressure that he/she is battling to get through the day, it may not be the best idea to insist on a discussion about your problems. Bad timing often proves a real deal-breaker. Be patient.

Step 5 – Prepare for a negative response
Do not be surprised if the other party becomes angry, aggressive, insulting, condescending or threatening. Part of your strategy should be to expect this. Avoid escalation by remaining calm and polite. Remember that the very people that you have a boundary problem with will, by their nature, be the ones who will try and domineer, emotionally manipulate or lay some sort of guilt complex on you. Look through this ploy and stand your ground.

Step 6 – Use a conflict management strategy
Whenever boundaries are defined, some degree of conflict will automatically ensure. Do not allow yourself to become intimidated by the prospect of conflict. It is a normal part of life and can be a healthy process. There are many effective techniques that you can use in order to control the process so that you can achieve a positive outcome. During a conversation, both parties continuously ‘transmit’ and ‘receive’ information. Whilst you cannot control what you ‘receive’, you can control what you ‘transmit’.

Step 7 – Avoid justification
The best way to say no is to politely say NO and then to SHUT UP. Keep your reason short and concise. Do not embroil yourself in a process of justification. Whilst the other party will most likely try and convince you otherwise, stand your ground and avoid a debate. Don’t be drawn back into an old pattern of self-defensive rhetoric that will get you nowhere in the end. Fewer words in these cases will virtually always prove more effective.

NeuroVance has been developed to optimise brain function and combat stress.
Find out how serious your stress levels are with our FREE stress test here:

Down in the dumps?

Practical ways to boost your mood

Key points:

  • Just like a computer, our brains contain biological equivalents of ‘hard’ and ‘software’
  • These can be ‘upgraded’ to achieve a more fulfilling life

Dr Fredric Loomis, a busy gynaecologist has an inspiring story that begins on a day that he receives a letter from an anonymous patient. Although she was admitted to one of his wards, she had been under the care of another doctor. She starts by telling him that he would not remember her. She had lost her baby at birth and he, having heard of her loss, sat beside her for few moments holding her hand. He had not spoken much but his voice and eyes were kind and his mere presence comforted her. She never saw him again in spite of the fact that the nurses had told her that he practically lived at the hospital. This is an extract from her letter:

“This afternoon I was a guest in a beautiful Chinese home here in Peking. The garden was enclosed by a high wall, and on one side, surrounded by twining red and white flowers, was a brass plate about two feet long. I asked someone to translate the Chinese characters for me. They said: ENJOY YOURSELF. IT IS LATER THAN YOU THINK.

I began thinking about it for myself. I had not wanted another baby because I was grieving for the one, I lost, but decided at that moment that I could not wait any longer. Perhaps it may also be later for me than I thought. Then, because I was thinking of my baby, I thought of you and the tired lines in your face, and the moment of sympathy you had given me when I so needed it. I don’t know how old you are but I am quite sure that you are old enough to be my father. I know that those few moments we spent meant little or nothing to you of course, but they meant a great deal to a woman who was desperately unhappy.

I may be presumptuous to think that in turn I can do something for you too, but perhaps for you it is later than you think. Please forgive me, but when your work is over on the day you get my letter, please sit down quietly, all by yourself, and think about it. Marguerite.”

The story continues with Dr Loomis immediately taking a three-month sabbatical and going to South America with an old friend. For him it was the stimulus that he needed to prompt him into rearranging the priorities of his life. For many, however, the interest lies with the wonderful mind of Marguerite. Not only did she use the few words from an inscription to change her mood from grief to hope, it also presented her with the opportunity to show compassion to another being that merely looked tired.

Marguerite’s ability to view a crisis in the light of an opportunity is a talent and strength that few naturally possess. It is easy to become so self-absorbed and obsessed with your own misery that all other opportunities and duties, including the well-being of others, become irrelevant. The truth is that it is never easy to maintain the level of self-control to always keep a positive attitude. It is even more difficult to focus on your personal goals when hope starts fading and the playing field is always changing.

The benefits of mental wellness

Mood plays a dominant role in our lives; a good mood makes us think and feel better. It makes us more optimistic and enthusiastic. This also improves the quality of our interpersonal relationships and strengthens our level of commitment, resolve and focus on life. The numerous negative emotions that are caused by stress, frustration, rejection and disappointment have the opposite effect, tending to derail us and make us become withdrawn and introspective. In the process we give up and abandon our goals.

Re-active people wait for opportunities to come along so that they can respond. Pro-active people, on the other hand, actively strive to create their own opportunities. The difference between taking the initiative and responsibility for making events happen, rather than wait for someone else to take the initiative, is like chalk and cheese, especially when measured over a lifespan.

The body’s central processing unit

Not unlike a computer, the brain is made up of billions of neurons or nerve cells that are interlinked with each other via an intricate web of microscopic fibres called dendrites. These fibres stretch great distances to reach other neurons in distant parts of the brain, thereby creating a three dimensional network that spans across the entire brain. All neurons communicate with each other via chemical reactions which generate minuscule electrical currents that run along these fibres. At the tips of all dendrites where they intersect or meet other dendrites, a specialised end-organ called a synapse is found. This is where the brain keeps its store of neurotransmitters, those famous messenger chemicals that drugs like Prozac target.

The better known neurotransmitters are serotonin, dopamine and noradrenalin, to name a few, and they all share the same function, namely fulfilling the role of chemical messengers. Just like a computer, every thought, memory and emotion have an underlying chemical as well as electronic pathway. Whilst neurons and neurotransmitters form the hardware of your brain, emotion is the software.

Neural operating systems

The word “emotion” comes from the Latin word, “motere”, plus the prefix “e”, implying “to move away”. Emotions are nothing more than primordial impulses to act. Emotions are automatic, engrained into our subconscious minds like the basic operating system which runs your PC. This ability allows us to act without needing to waste time bothering about thinking. The benefit of this built-in software program is that it enables us to jump out of the way of a speeding car without a second thought, for example, or dive into a pool to save a drowning child.

Emotions are crucial survival instincts that we have inherited from our forefathers. With anger, for example, we release adrenalin into our systems. This increases our heart rate, thereby bringing more oxygen and energy to our bodies. We focus more clearly, our hands clench tightly, ready to grasp a weapon and defend ourselves. With fear, our minds stop thinking and blood rushes to our leg muscles in preparation for running away. Happiness has an opposite effect. With happiness the brain inhibits most negative feelings such as worrying, fear and pessimism. We become more positively energised in the form of increased enthusiasm, thereby creating the drive and ambition to strive for greater goals and engage in interpersonal relationship.

The sensory or neocortex of the brain is like the processor of a computer with a high-speed, analytical function. When we are calm and controlled, it will suggest an appropriate response to an event that requires emotional interpretation, for example: “If I smile at him, he will smile back at me”, or “If I say something nasty to him, he’ll become angry with me.” The amygdala is our primitive emotional brain and its function is to give the “fight” or “flight” command when we are in danger. For us, the same happens when we are stressed, especially when we are threatened. Because our mental software, however, has been programmed to fight for survival, the sensory cortex’s analytic function is immediately bypassed by the amygdala when we feel confronted. This is when things sometimes can go very wrong.

Positive versus negative emotions

The amygdala continuously scans its archives for stored information before it responds. The information that it contains have been gathered over many years from our own past experiences, as well as automatically inherited from the experiences that our forefathers had stored in their minds, in other words, the memories that are genetically-imprinted in our minds. Of these, the most powerful memories always come from two main sources, namely either pleasant or unpleasant childhood experiences. The earlier in life an unpleasant memory becomes imprinted, the greater the chance that it will become part of our permanent memory.

Unfortunately, the amygdala or emotional brain, is limited to either fight or flight responses that are often totally inappropriate to the actual situation. Because the logic of the neocortex can be overruled by the amygdala, we regularly lose intellectual control over our emotions. After an over reactionary amygdala response, like some temper tantrum, for example, the neocortex’s logical function returns and then usually tends to rationalise or defend the emotional response or behaviour. Instead of apologising, we often start blaming others. “If you had not provoked me like that, I would not have lost my temper and caused such a scene. It is therefore your fault that I behaved so badly.” For the other person, of course, this excuse will most likely not hold water.

Mental software

IQ refers to intelligence. IQ has been taught and tested at schools for many centuries. EQ, on the other hand, refers to ‘emotional intelligence’, a term that two researchers, Salovey and Mayer, coined only as recently as 1990. The world became aware of the significance of EQ in the early 1990s when research by clinicians and authorities on human development revealed the fundamental link between success and EQ. Continual studies, supported by conclusive evidence from business, sporting and individual sources, confirm that success in life has more to do with emotional intelligence (EQ) than intellect (IQ).

Research continuously reinforces the connection between wellbeing and EQ. People who are emotionally more intelligent are more effective at their jobs, achieve more promotions, take better care of their health and have more fulfilling family and personal lives. More often, they get what they want from life. If we become less distracted by our negative emotions and more able to rely on or make use of our positive emotions, we have a better chance to strive for and achieve our goals in life. The first step towards this goal is to become more emotionally aware.

Installing neurological upgrades

Scientists have been battling for years with the concept of what makes and keeps your mind working optimally. Psychologists are historically focused on ways to elevate a patient’s negative frame of mind or mental state from minus five, for example, to zero, with zero considered the benchmark of ‘normal’. A modern scientific ambition, however, is to elevate one’s state of mind from zero to plus five. This approach includes the concept of Emotional Intelligence (EQ) rather than IQ, as well as the use of pharmaceutical agents that improves mental functioning and mood.

Seeing that a chain is only as strong as its weakest link, the best way to achieve this is with a combination of different strategies. The first step towards optimising your brain function is to follow a proper, nutritional diet. Fresh fruit and vegetables must be consumed on a daily basis to get the right micronutrients, minerals and vitamins, and the intake of toxic substances like alcohol and tobacco smoke must be minimised. Exercise is a wonderful and natural way of relieving the symptoms of stress. The next step is to use a neurological supplement.

Supplements that assist with neurological function

NeuroVance contains a unique blend of plant derived (phytochemical) ingredients, recognised for their ability to help regulate mood and assist with concentration. Its multi-modal pharmaceutical action is achieved through its ability to enhance separate but interconnected components of brain function, thereby giving your brain a physiological advantage during busy and stressful periods. NeuroVance will benefit anyone suffering from mental exhaustion, stress or emotional hardship, and is the ideal supplement to take during times of greater work pressure, exams, conflict, bereavement or loss.

Seeking support

Getting help is a good place to start lifting the fog of despair. It is often difficult to maintain an accurate perspective of your situation on your own, or sustain the effort required to lift your mood. Isolation and loneliness often make it worse. On the other hand, the nature of the condition also makes it more difficult for you to seek help. This is where you will need to rely on self-discipline. There are so many people who are trained in this field; you just need to find them. Therapy helps people explore the roots of depression or anxiety. These may, for example, stem from unresolved conflict with family members or relations because of long-standing defensive patterns developed from the common tendency to avoid, rather than face conflict situations. Cumulatively, these unresolved issues may lead to unsatisfied needs and an emotion of despair and hopelessness. Psychotherapy tends to work best with those who are curious to learn more about themselves and want to develop insight into the unconscious factors that contribute towards their problems. Please consult your doctor to discuss your options.

NeuroVance has been developed to optimise brain function and combat stress.
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Stressed?

Practical steps to gain control

Key points:

  • South Africa ranked 7th highest in the world for the prevalence of mood disorders
  • The World Health Organisation (WHO) grimly predicts that mental ill-health will be the leading cause of death by 2020

Stress is a common risk factor for a wide variety of chronic disorders, more than what is often realised. According to findings from the first South African Stress and Health Study, South Africa is ranked 7th highest in the world for the prevalence of mood disorders and it is estimated that 10% of us will suffer from a mood disorder at some point in our lives1.

These findings are in line with global trends which suggest incidents of stress and mood-related disorders are increasing dramatically. For example, a recent survey by the American Psychological Association (APA) suggests that 32% of Americans are living with extremely high stress levels 2. Similarly, a report adopted by the European Parliament suggests that over 27 percent of European adults are affected by mental ill health and stress related conditions every year 3. The World Health Organisation (WHO) has reported that 450 million people are affected by mental or neurological disorders globally and grimly predicted that mental ill-health will be the leading cause of death worldwide by 2020.

Stress – more pro’s than cons. A certain amount of stress plays an important role in leading a productive and fulfilling life. While a small dose of stress can actually help motivate us to perform at our best, there are also many times when stress leaves us feeling overwhelmed, unable to cope and in need of additional support.

Overwhelmingly stressful circumstances include moving house, divorce, death, retrenchment or illness. These are all recognised events and it makes perfect sense to feel somewhat stressed under these conditions. However, on a daily basis, numerous minor events are encountered by life in general. Largely unrecognised, these also play a cumulative role in emotional depletion and the progressive escalation of stress levels.
To preserve your mental health and prevent this from escalating out of control, it is important to proactively manage your stress levels on a daily basis. The best way to do this is to use a combination of techniques.

Seven practical steps to help manage stress

Step 1: Back to the basics Follow a nutritious, balanced diet to optimise your mental and physical health. Avoid poisoning your brain and body with excessive amounts of alcohol, junk food or recreational drugs. Start exercising – numerous studies have demonstrated that regular exercise can be as effective as some of the world’s best-known anti-anxiety drugs. This is because the body naturally releases chemicals called ‘endorphins’ during exercise. These opiate-related chemicals give you a natural ‘high’ and can play a significant role in mood enhancement and relaxation.

Step 2: Take a brain supplement
NeuroVance contains a blend of plant derived (phytochemical) ingredients recognised for their ability to help regulate mood and assist with concentration. Its multi-modal pharmaceutical action is achieved through its ability to enhance separate but interconnected components of brain function, thereby giving your brain a physiological advantage during busy and stressful periods. NeuroVance will benefit anyone suffering from mental exhaustion, stress or emotional hardship, and is the ideal supplement to take during times of greater work pressure, exams, conflict, bereavement or loss.

Step 3: Manage your mind
Bouts of acute stress tend to overload our minds to such a degree that we simply can’t think straight – as a result, logic and reason fly out the back door. Stress also activates a cycle of negative and repetitive thoughts to mill around in our heads like a stuck record. This process just consumes our mental reserves without any real benefit, especially when we can’t sleep at night. When this happens, distract your mind by giving it something totally different to think about in order to break the destructive and monotonous cycle. Remember the saying: “Troubles are a lot like children – they grow bigger if you nurse them.”

Once you have calmed down, focus on dealing with your problems positively and logically. Control all strong emotions and try to remain constructive. Be cautious of exaggeration and consider all your options in an objective manner. Fear and worry tend to turn us into pessimists and cynics, which can make us lose hope and later justify our failure. Do not allow yourself to get sucked into this self-destructive cycle.

Step 4: Manage your mouth
Stress tends to make us short tempered, irritable and bad-tempered. Nobody deserves this from anyone. Be aware and considerate to others, especially those close to you. Being temperamental and moody may increase your stress levels by straining your relationships.

Step 5: Implement better boundaries
Effective boundaries will significantly reduce your stress levels by protecting you from the constant demands and irritating behaviour of others. While the actual process of defining healthy boundaries is fairly simple, most people find this concept quite daunting. Actually, all you need to do is say ‘no’ sometimes, something you may not be naturally good at doing. Saying ‘no’ is easier to do if you are calm, polite and respectful. Saying ‘no’ when you are emotionally charged and short tempered can cause hostility and anger, which may lead to an argument. Being firm and consistent earns you respect from other people – over-reacting, being melodramatic and inconsistent does not.

Step 6: Manage conflict more effectively
Many people find it easy to engage in conflict. This is because they are naturally confrontational and not intimidated by others. Although they are often able to achieve their personal objectives, unfortunately this may come at a cost since they may also leave a path of destruction behind them regarding interpersonal relationships, especially with individuals who tend to avoid conflict. At the other extreme, many people go to great lengths to avoid conflict. They achieve this by suppressing their opinions, swallowing their pride and towing the line. Whilst this strategy may work over the short term, it’s very difficult to maintain within in a close working or personal relationship. This approach not only leads to more stress, but also growing feelings of bitterness, anger and resentment. There are many well-established techniques that will help you confront and manage conflict in order to achieve a positive outcome.

Step 7: Ask for help
We live in a web of relationships with family, co-workers, friends and healthcare providers. People who draw strength from these relationships are able to tackle challenges that they would not be able to master on their own. Problems never seem so overwhelming when you share them with others. Enlisting support is quite simple – all you have to do is to ask. Some people act as advisors and provide you with information, either in your personal or professional life. Others support or nurture you when times are tough. Contacts provide you with leads and are able to connect you with other people who will be able to assist you with your problem. It is unrealistic to expect this kind of support system from a single person. Think about what you need before you ask for advice, and when ready, ask the right person.

Find out how serious your stress levels are with our FREE stress test here:

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Obesity… a Growing Epidemic

5 Causes of Weight Gain

Obesity is on the rise and experts predict that by 2030 a third of the world’s population will be considered to be overweight or obese, bringing with it some serious health risks. It is estimated that at least 2.8 million people die every year from weight related diseases such as heart disease, strokes and diabetes and the number is growing year on year. But what has caused this epidemic?

What is Obesity?

Obesity is a medical condition in which a person is carrying at least 20% more weight than what is considered to be normal for optimal health. It is when a person has a body mass index of 30 or more and the excess fat usually gathers around the waist.

 Causes of Obesity

The most common cause of obesity is an energy imbalance in the body which occurs when more calories are taken in than needed. The body needs calories for activities such as simply breathing, digesting, exercising and regulating body temperature. However, if a person eats more calories than they burn up, the extra calories are stored in the body and the person gains weight. Therefore, the most common causes of obesity are poor diet and lack of physical activity but other factors such as genetics, hormonal imbalances and certain medications can also play a key role.

  1. Diet and overeating

It is clear that overeating leads to weight gain but it is not simply eating too much but the type of foods consumed that tip the balance. Interestingly, when a country adopts the Western diet of cheap fast foods and processed products, people quickly become obese. Our modern diets are largely processed foods containing highly palatable ingredients, making people just keep coming back for more. These junk foods can sometimes lead to obessive overeating because of the powerful feel-good response they give. Processed foods are often high in calories with the main ingredients being unhealthy fats, refined carbohydrates, sugar and artificial substances and are often very low in nutrients.

  1. Lack of exercise

Physical inactivity is one of the biggest downsides of our modern lifestyles as machines now do the work people used to do and technology is keeping most people sitting all day. The truth is even if people eat healthy foods, if they lead sedentary lifestyles fewer calories will be burned and a weight gain may result.

  1. How does Genetics play a role?

Science has shown that genetics can play a role and several genetic syndromes are associated with obesity including Bardet-Biedl syndrome and Prader-Willi syndrome. However, genes don’t always predict a person’s health and often it is combination of genes and behaviour that result in obesity.

  1. How do Endocrine Disorders play a role?

The body’s endocrine system produces hormones that regulate important bodily functions. Common endocrine disorders associated with weight gain include Hypothyroidism in which thyroid hormone levels are too low and Cushing’s Syndrome where excessive levels of the stress hormone cortisol are produced.

  1. Why you need to be aware of some Medications:

It is important to be aware of the side effects of some pharmaceutical drugs as weight gain is possible when taking antipsychotics, antidepressants, antiepileptics and antihyperglycemics.

What are the Health Risks?

Carrying excessive weight brings with it many potential health problems including higher risk of heart disease, cancer, stroke and type 2 diabetes. This kind of diabetes often starts as a condition called insulin resistance which occurs when the cells no longer respond properly to insulin and the body tries to cope by producing more insulin. If allowed to continue, insulin resistance can lead to type 2 diabetes. The good news is that this condition can often be reversed through an insulin friendly diet, supplements and lifestyle changes to shed excess kilos.

References:

http://www.medicinenet.com/obesity_weight_loss/page3.htm

Insulin Resistance


http://www.eatright.org/resource/health/weight-loss/overweight-and-obesity/obesity
https://www.nhlbi.nih.gov/health/health-topics/topics/obe/causes
http://www.nhs.uk/Conditions/Obesity/Pages/Causes.aspWhat are the Health

The Scary Truth – Are You Insulin Resistant?

The Scary Truth – Are You Insulin Resistant?

This condition is so pervasive it is estimated that 25% of people in the USA suffer from insulin resistance and South Africans are not far behind. Sadly, many people are completely unaware that they have insulin resistance until it develops into type 2 diabetes bringing with it severe health problems and increased risk of heart disease, cancer, kidney damage and even Alzheimer’s.

What is Insulin Resistance?

Insulin, produced by the pancreas, is a hormone that is responsible for enabling glucose from food to be burned for energy. Its function is crucial for the health and function of the body’s cells and how energy is used.

When the body is functioning normally the metabolic system works in perfect harmony, producing the right amount of insulin when needed. Unfortunately, the balance can be tipped by our modern lifestyles of stress, lack of exercise and high carbohydrate foods, bringing with it an overproduction of insulin in order to cope. Chronic surges of insulin over an extended period exhaust the body’s cells and they longer respond properly, making them resist insulin entry. As a result, even higher levels of insulin are needed to have the proper effect and the pancreas continues to produce more and more insulin. This condition raises blood sugar levels and eventually leads to type 2 diabetes.

Signs of Insulin Resistance

Insulin resistance often goes unnoticed for years, especially in the early phases so what are some of the warning signs of elevated insulin levels?

  1.  Weight Gain

Obesity and, especially excess fat around the waist, is a common sign of insulin resistance. Indulging in consistently high-carbohydrate, low nutrient foods as well as sugary treats means the body has to secrete more insulin to lower blood sugar levels.

  1. Hunger and Cravings

It may seem strange but insulin resistance means that even though there is too much glucose in the blood, the body is unable to convert it into energy. The body then wants more and nothing satisfies like sugar or carbohydrate rich foods to give that kick.

  1. Elevated Blood Sugar

When the glucose in your blood is no longer being properly processed, the body’s blood sugar level rises bringing with it excessive thirst, fatigue and a frequent need to urinate.

  1. Acne and Large Pores

There is increasing evidence that shows that insulin, together with other growth hormones can increase skin sensitivity, potentially leading to problem skin.

  1. Polycystic Ovarian Syndrome

Research has also revealed that many women who suffer from Polycystic Ovarian Syndrome have high levels of insulin which can cause the ovaries to produce more androgen hormones such as testosterone resulting in fertility problems.

  1. Hair Loss

Because insulin helps to regulate hair growth, insulin resistance can cause female pattern baldness or patches, especially in the front and sides of the head.

  1. Swollen Ankles

High levels of insulin result in the kidneys holding onto sodium and water making the ankles and other areas such as the abdomen swell or bloat.

  1. High Blood Pressure

Another side effect of high insulin levels is an imbalance in sodium, potassium, calcium and magnesium which causes arterial constriction, raising blood pressure and increasing the risk of heart disease.

The Good News

  • Fortunately, there is a lot you can do to begin to reverse the effects of insulin resistance.
  • Physical exercise plays a vital role because the body burns glycogen (a form of glucose in your muscles) during exercise, improving insulin sensitivity.
  • Simply changing your diet to one with only healthy carbohydrates, cutting out sugar and consuming the right proteins and vegetables will help you lose that tummy fat and can begin to restore insulin balance. Download our eating program here. (https://www.mnilifestyle.co.za/download-your-free-meal-plan/).
  • Breakthrough supplements such as AntaGolin contain natural ingredients that have been shown to combat insulin resistance.

References:

http://www.rd.com/health/conditions/insulin-resistance-symptoms/
https://www.liverdoctor.com/signs-of-insulin-resistance/
http://www.healthline.com/health/diabetes/insulin-resistance-symptoms#Overview1
https://flihealth.com/the-scary-truth-about-insulin-resistance/
https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance

Gout Attack Are You at Risk?

Being awoken in the middle of the night by a sudden, searing pain in a big toe describes a typical gout attack, but for sufferers it is no laughing matter and for some it may be so severe that they seek emergency help for pain relief. Once referred to as the disease of kings, gout was primarily associated with wealthy overindulgence but today it is becoming increasingly common. Gout primarily strikes men but during the past 2 decades the incidence of gout in women has roughly doubled, particularly among older ladies.[1] Gout attacks vary in regularity and after the first attack, months or even years may go by before there is a recurrence. However, some sufferers experience frequent, severe flare ups that can result in joint damage if left untreated.

Gout vs Pseudogout

These two painful conditions are often confused as they have similarities but their root causes differ. Gout is a form of arthritis caused by an accumulation of uric acid crystals in and around joints while pseudogout results from excessive calcium pyrophosphate crystals and is termed calcium pyrophosphate disease (CPPD). In both cases, these crystals have the ability to activate severe and sudden bouts of localized swelling, inflammation and pain. The majority of gout cases involve the first joint of the big toe, otherwise known as podagra but other areas can also be affected including the instep, ankle, wrist, finger joints and knee. Pseudogout tends to affect more of the larger joints for example the wrist, knee, elbow or ankle. Gout attacks usually begin abruptly and reach heights of agony within 8 or 12 hours and then abate, whilst pseudogout attacks tend to occur over a length of days.[2]

Gout Complications

Gout pain should not be taken lightly as without treatment, gout can extend to other areas and, in some cases, lead to the development of severe degenerative arthritis. Suffers can also experience secondary infections, kidney stones and even kidney disease related to uric acid. In severe cases, nerve and spinal cord impingement can occur and a chronic form of gout called tophaceous gout causes uric acid crystals to be deposited in soft tissue areas, forming hard nodules that can lead to joint destruction.

Who is at Risk?

Though gout is far more common in men, advanced age is the single highest risk factor for both men and women and there seems to be a link between menopause, lowering estrogen levels and the possible onset of gout in women.[1] Unhealthy diet is another factor because foods and beverages that are high in purine levels can aid uric acid production. Obesity and hypertension are commonly associated with gout occurrences and the use of diuretics and other medications can also spike uric acid levels. An interesting study was conducted recently that showed that those with sleep apnea (uneven breathing during sleep) are more likely to experience gout. This suggests that there may be a link between cardiopulmonary function and increased uric acid levels.[3-4] Other conditions associated with a higher incidence of gout are high triglyceride levels, uncontrolled diabetes, high cholesterol, anemia and renal insufficiency.[5]

Prevention Tips

There are steps that can be taken to minimise or even prevent repeated gout flare-ups:

1 – Diet Changes and Weight Loss

It is well-known that alcohol, and beer in particular, is often a serious culprit but it is also important to cut back on sweet beverages, especially those containing sugar or high-fructose corn syrup. Even fruit juices, such as orange juice can raise uric acid levels and should therefore be minimised. A high level of hydration should be maintained by drinking plenty of water. Food triggers should be considered such as shellfish, red meat, organ meat, processed foods and refined carbohydrates, especially those containing fructose. Instead, a gout diet should focus on eating low GI foods and complex carbohydrates.[6] The benefits of dietary changes can have a ripple effect, assisting with weightloss, lowering cholesterol and improving general health.

2 – Regular Exercise

The human body needs movement to assist with various processes and consistent regular exercise helps to control weight, improve joint mobility, lower blood pressure and reduce the incidence of type 2 diabetes. All of these also minimise the chance of gout attacks.

Treatment Options

In acute gout cases anti-inflammatory medication can be prescribed for pain relief but in chronic cases, the focus is on lowering uric acid levels through the above lifestyle changes and specific medication. In addition to this, certain supplements can be used to reduce chronic inflammation that is associated with joint degradation.

RheumaLin is your natural anti-inflammatory solution as it contains several plant-derived molecules that are highly effective in suppressing chronic inflammation and reducing joint pain.

Find out about RheumaLin and FlamLeve
Download the MNI exercise programme here
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Overweight? The Risk of Developing Osteoarthritis

Obesity leads to many health problems and it has long been established as the number one preventable risk factor for the development of osteoarthritis. Many recent studies on knee osteoarthritis illustrate this and research has shown that the need for knee replacement steadily increases with weight gain.[1] The reason for this has generally been assumed to be due to the additional load on the joints that carry weight but is this the complete picture or is there more to the link between obesity and osteoarthritis?

Wear and Tear

It is true that a high body mass index causes increased strain on the knee and other load-bearing joints.[2] In addition, overweight people tend to have an abnormal posture and gait which puts additional stress on joints leading to wearing of articular cartilage (the tissue that covers and protects the joints).[3] The subchondral bone is also affected by the additional mechanical stress of weight gain and thickening of the bone results.

Unhealthy Lipid Balance

Since obese people often also have osteoarthritis in non-load-bearing joints such as the hands, medical researchers began to wonder whether there were more mechanisms at play than simply excessive joint load. Lipid metabolism then came under the spotlight as a possible cause. Obese individuals often have abnormal lipid levels in the blood, these being high plasma levels of triglycerides, high levels of free fatty acids and low levels of HDL cholesterol which scavenges unhealthy cholesterol and other lipids from the body. These imbalances can lead to heart disease but various studies have shown that lipid balance can play a role in the development of osteoarthritis as well.[4] High serum total cholesterol has been associated with painful bone marrow lesions which can lead to cartilage loss in knee osteoarthritis, in particular.[5] Another finding is that arthritic cartilage tends to accumulate lipids and the more severe the case of osteoarthritis the higher the incidence of these lipids, throwing out lipid balance.[6]

Tissue Inflammation

Another common characteristic of those with obesity is high levels of inflammation of adipose tissue which is the connective tissue used to produce and store fat in the body. Adipose tissue in obese individuals tends to secrete high levels pro-inflammatory adipokines and cytokines (immune proteins) that can induce low grade chronic inflammation throughout the body. This environment can have a detrimental effect on joint tissue, aiding the development of osteoarthritis.[7]

 Treatment of Osteoarthritis

With these new findings in mind, it is more clear than ever that losing weight can have a direct and positive impact on the progression of osteoarthritis. Among people with osteoarthritis, weight reduction strategies can potentially reduce the need for operations such as knee replacements and slow down the worsening of painful symptoms.[8]
Therefore, an osteoarthritis management plan for overweight individuals should always include weight loss through lifestyle changes.  An improved diet is needed that cuts back on dietary fat and total calories as well as a commitment to moderate, regular exercise that will not only assist with weight loss but help with joint mobility as well. Other treatment options to aid pain relief are physical therapy, application of heat or cold in affected areas, pain killers and supplements that are proven to reduce joint inflammation.

RheumaLin is a unique natural blend that targets the enzymes that cause inflammation and can be used in conjunction with most pain relieving medications. Find out more

Need to lose weight? Get started today with the highly effective C.A.P.E Meal Plan. Download it here

References:

  1. Anderson JJ, Felson DT. Factors associated with osteoarthritis of the knee in the first national Health and Nutrition Examination Survey (HANES I). Evidence for an association with overweight, race, and physical demands of work. Am J Epidemiol 1988;179_89.
  2. Widmyer MR, Utturkar GM, Leddy HA et al. High body mass index is associated with increased diurnal strains in the articular cartilage of the knee. Arthritis Rheum 2013;65:2615_22.
  3. Radin EL, Paul IL, Rose RM. Role of mechanical factors in pathogenesis of primary osteoarthritis. Lancet 1972;1:519_22.
  4. Sturmer T, Sun Y, Sauerland S et al. Serum cholesterol and osteoarthritis. The baseline examination of the Ulm
  5. Osteoarthritis Study. J Rheumatol 1998;25:1827_32. Davies-Tuck ML, Hanna F, Davis SR et al. Total cholesterol and triglycerides are associated with the development of new bone marrow lesions in asymptomatic middle-aged women _ a prospective cohort study. Arthritis Res Ther 2009;11:R181.
  6. Lippiello L, Walsh T, Fienhold M. The association of lipid abnormalities with tissue pathology in human osteoarthritic articular cartilage. Metabolism 1991;40:571_6.
  7. Lumeng CN, Bodzin JL, Saltiel AR. Obesity induces a phenotypic switch in adipose tissue macrophage polarization. J Clin Invest 2007;117:175_84.
  8. http://www.medscape.com/viewarticle/863805

 

Do you suspect You Have Arthritis? Osteoarthritis vs Rheumatoid Arthritis

Arthritis is, without a doubt, a leading cause of pain and disability across the world and it is surprisingly common. A recent report estimated that approximately 24 million people in America alone suffer from severe immobility due to some form of arthritis.[1] The term ‘arthritis’ refers to joint inflammation and encompasses over 100 joint conditions however, the most common types are osteoarthritis and rheumatoid arthritis. Although these two conditions have some symptomatic similarities, their underlying causes are quite different which is why it is important to gain the correct diagnosis and associated treatment.

What is Osteoarthritis?

This form of arthritis falls into the category of degenerative or mechanical arthritis and the primary cause is damage to the cartilage on the articulating surfaces due to inflammation and wear and tear of weight-bearing joints or from a previous trauma in that area. It is more prevalent in women than men and onset is usually age-related with those over 65 most affected.

What is Rheumatoid Arthritis?

The root cause of this type of arthritis is abnormal inflammation, usually in the feet and hands, due to an autoimmune disorder. This immune response causes the joint surfaces and tissues around the joints to become damaged causing pain, stiffness and swelling. This condition is not related to age and is also more common in women but, when found in men, it is often more severe.

What is Osteoarthritis = Cartilage Loss?

Normally joint cartilage gets constantly remodelled after joint movement but in those with osteoarthritis this function is altered resulting in abnormal joint cartilage. Over time osteoarthritis causes progressive cartilage loss and a thickening on the subchondral plate.[2] Bony spurs can occur along the joints as well as bone cysts which are fluid-filled holes within the bone. Knees, hips, lower back and hands are common areas affected. Pain often occurs during joint usage and sometimes there is a grating or cracking sensation due to friction between bone and cartilage. Inflammation does occur around the joint tissues and also aids the cartilage degradation process but it is less severe than in those with Rheumatoid Arthritis.

What is Rheumatoid Arthritis = Joint Damage?

The symptoms of this condition can develop gradually or suddenly and it is characterized by severe inflammation of synovium – the soft tissue that lines joints. This leads to joint damage, pain, stiffness and loss of physical function. [3] It is triggered by an excessive immune response in which antibodies normally deployed to fight foreign substances begin to be directed against tissues within the body. This can affect not only the joints but other organs of the body as well and associated fatigue and fever can result. The immune response causes swelling around the joint that begins to erode the bone and marrow and destroy the surrounding structures. Left untreated, the joint loses its shape and eventually becomes completely immobile and low bone density and osteoporosis can result. [2] 

Comparing the Symptoms

Though there is an overlap in some symptoms, these signs that can assist with differentiating between osteoarthritis (OA) and rheumatoid arthritis (RA).

  • Swelling and inflammation around the joints is usually associated with RA.
  • Pain, restricted joint mobility and joint grating is common in advanced OA.
  • OA tends to be unilateral (on one side) while RA is usually bilateral (affecting the same joint on both sides of the body).
  • Generally, RA affects multiple joints while OA is experienced in only a few sites.
  • Morning stiffness can be an indicator as it is much more prolonged in those with RA – sometimes over an hour in duration.
  • Joint movement may bring on OA pain while moving the painful joint may relieve RA stiffness.
  • RA patients tend to have other symptoms including tiredness, depression, loss of appetite, weight loss, anaemia, dry eyes and occasional low-grade fever. However, it is important note that these may be caused by other simultaneous conditions. [4]

Arthritis Treatment

Diagnosis of a specific type of arthritis is not a simple task and if the above symptoms are experienced it is important to get a thorough assessment from a medical professional. Pinpointing and treating arthritis early are critical to minimizing the impact of the disease in order to prolong ease of movement and decrease the need for surgery. Unfortunately, arthritis is currently considered incurable but these conditions can be controlled through a treatment plan that focuses on relieving pain, reducing inflammation and slowing joint damage for improved quality of life.[4]

RheumaLin is your natural anti-inflammatory solution to combat joint pain and it is gentle on the stomach, making it ideal for the treatment of many types of arthritis. Find out more

How severe is your joint pain? Find out with our FREE Pain Scale

References:

  1. http://www.medscape.com/viewarticle/880472
  2. Kori A. Dewing, DNP, FNP, ARNP; Stephen M. Setter, PharmD, DVM, CDE,CGP, FASCP; Barbara A. Slusher, MSW, PA-C. October 31, 2012. Osteoarthritis and Rheumatoid ¬Arthritis 2012: Pathophysiology, Diagnosis, and Treatment
  3. Centre for Disease Control and Prevention. Arthritis Basics http://www.cdc.gov/arthritis/basics.htm Accessed 24 April 2014.
  4. South African Rheumatism and Arthritis Association. “Rheumatoid Arthritis”. http://www.saraa.co.za/C_TeauOverview.asp accessed 22 April 2014

Be Kind To Your Spine Long Term Relief for Back Pain

The amazing spine, coupled with its array of tendons and muscles, enables humanity to defy gravity and walk tall. It is fundamental to give the body structure, support and flexibility and the lumbar spine is responsible for weight distribution, balance and shock absorption. The spinal column is essential for everyday life so when back pain strike it can become very debilitating. It is estimated that between 70 and 80% of adults experience back pain, especially in the lumbar region, at some stage in their lives. In fact, lower back pain is the top cause of disability in people under 50 and the challenge is finding the right treatment approach.[1]

What is Acute vs Chronic Back Pain?

Back pain is broadly considered as either acute or chronic. Acute back pain can be caused by accidents, injuries or strains of pain sensitive structures such as the disk, facet joints, spinal musculature and ligaments.[2] Fortunately, most cases of acute back pain are relatively short-lived as normal connective tissue generally heals within 6-12 weeks but if the pain persists for over 3 months it is considered chronic.

What are Common Types of Chronic Pain?

There are many kinds of back pain and the vast majority are mechanical in nature, including conditions such as osteoarthritis, spondylosis, spinal stenosis and herniated discs. Cumulative chronic pain is often caused by bad posture, long periods of sitting hunched over a keyboard or repeated movements that produce strain, particularly in the workplace. Back pain may also be related to irritation or compression of nerves such as that found in sciatica pain which is experienced as a nagging ache down the leg. It is also important to consider that back pain may in fact be pain referred from internal organs such as the kidneys and prostate. For this reason, it is vital to have a thorough examination to gain an accurate diagnosis.

How to deal with Inflammation:

Pain, on a molecular level, is a biochemical consequence of an inflammation response in the body.[3] This inflammation can be beneficial in the short term as it assists with repairing injured tissue but chronic inflammation activates protein-dissolving enzyme systems which can eventually lead to degradation of spinal components such as the cartilage, bone, intervertebral discs and ligaments.[4] If repeated or consistent inflammation is left untreated, over time degenerative spinal disease, constant pain and loss of function may result. It is evident that chronic back pain needs to carefully managed and the correct approach is needed.

What are the Treatment Options?

Common approaches for treating back pain include the use of medication, physical therapy, exercise, chiropractic intervention and sometimes even surgery in severe cases. Current pharmaceutical treatments rely largely on the use of analgesics and anti-inflammatory medication. The problem is that these drugs are known to cause side effects and health risks, especially if taken on an ongoing basis. [5] Chronic pain and inflammation needs to be addressed with an effective strategy, with minimal side-effects, that enables sufferers to become less reliant on anti-inflammatory drugs and analgesics.

What Makes Natural Supplements Unique?

It is estimated that more than 35,000 plant species are being used for medicinal purposes around the world. An increasing number of conventional medications are actually based on natural substances and 10-25% of prescribed drugs contain at least one plant-derived active ingredient. Studies of the biochemistry of the plant kingdom have revealed that plant-extracts contain unique phytochemical molecules called phytoalexins which have been shown to boost the immune system and activate biological repair processes to heal damaged tissue at the site of pain.[6]

Boswellic Acid

Boswellia bark extract from Indian Frankincense has been used medicinally for centuries but it has gained scientific attention recently because evidence shows that these phytoalexins have significant anti-inflammatory, analgesic and anti-arthritic properties for documented pain reduction and improved joint mobility. [7] Unlike many anti-inflammatory drugs, boswellic acid usually doesn’t cause gastro-intestinal problems, instead it can have an anti-ulcer effect.

Resveratrol

This phytoalexin is produced by several plant species as a defence mechanism against microbial and fungal infection. Low concentrations occur in several edible plants such as cranberries, mulberries, peanuts and grape skins. [8] Research has indicated that resveratrol has significant anti-inflammatory benefits for neurological tissue such as the brain, brainstem and spinal column and few side effects have been reported. [9]

RheumaLin – Your Natural Anti-inflammatory Solution

RheumaLin combines these plant-extract benefits into one solution that combats inflammatory back, neck and joint pain. With its low side-effect profile, this supplement is safe to use on a regular basis and can be combined with most pain and anti-inflammatory medication when needed.

Be kind to your spine with RheumaLin.

References:

  1. http://reference.medscape.com/features/slideshow/backpain#page=1
  2. Frymoyer JW. Back pain and sciatica. N Engl J Med. 1988 Feb 4. 318(5):291-300
  3. Medzhitov, R. (2008) Origin and physiological roles of inflammation. Nature 454, 428–435 2
  4. Vaday GG, Lider O. Extracellular matrix moieties, cytokines, and enzymes: dynamic effects on immune cell behavior and inflammation. J Leukoc Biol. 2000 Feb;67(2):149-59.
  5. Cheng, H.F. and Harris, R.C. (2005) Renal effects of non-steroidal anti-inflammatory drugs and selective cyclooxygenase-2 inhibitors. Curr. Pharm. Des. 11, 1795–1804 12
  6. Coutaux A, Adam F, Willer JC, Le Bars D. Hyperalgesia and allodynia: peripheral mechanisms. Joint Bone Spine. 2005 Oct;72(5):359-71.
  7. Ammon HP. Modulation of the immune system by Boswellia serrata extracts and boswellic acids. Phytomedicine. 2010 Sep;17(11):862-7.

 

Chronic Inflammation – Is This the Root of Modern Disease?

In our last article, we delved into the science behind pain and the difference between acute and chronic pain. All of us experience physical pain. It forms part of the human existence and whether it is due to injury or infection it is often accompanied by inflammation. Why is this and when does inflammation become unhealthy?

How Does Inflammation Aid Healing?

It is interesting to note that inflammation does serve a purpose – it is the body’s natural self-protection mechanism. The Oxford Concise Medical Dictionary defines acute inflammation as the immediate defensive reaction of tissue to any injury, which may be caused by infection, chemicals or physical agents. The aim of inflammation is to remove the harmful stimuli, damaged cells, irritants or pathogens in order to begin the healing process.

The 5 Cardinal Signs of Inflammation (PRISH)

  • Pain: The central nervous system is triggered and the area is likely to be painful and sensitive to the touch.
  • Redness: The blood vessels at the site become dilated to increase local blood flow.
  • Immobility: There is a loss of function due to swelling or stiffness in order to limit the use of the injured area to give it time to heal.
  • Swelling: There is increased capillary permeability and fluid leakage in tissue spaces. In some cases, production of pus or mucus occurs to push foreigners out of the body.
  • Heat: Increased blood flow and dilation heats up the area. White blood cells, which form an integral part of the immune system, enter the scene to fight bacteria, remove and consume dead cells and unwanted particles in order to enable healing.

Chronic Inflammation and Modern Disease

Inflammation as part of the body’s immune response is initially beneficial but if it becomes continuous it can cause tissue damage, persistent pain and even disease as it no longer only affects the immediate area but can impact the entire body. In fact, ongoing research has shown that chronic inflammation is becoming increasingly common and it is strongly associated with most of our modern health problems.

Risk factors for chronic inflammation include:

  1. Obesity

The incidence of obesity continues to grow worldwide and researchers are studying the link between excess weight and inflammation. Research indicates that lean connective tissue assists with maintaining equilibrium within the body but obese connective tissue results in a decrease in anti-inflammatory proteins and an increase in inflammatory hormones within the cells. [1, 2] This can lead to chronic systemic inflammation and many associated health problems such as hypertension and high cholesterol.

  1. Inactivity

Not only can lack of exercise increase the likelihood of obesity, it is also a risk factor for chronic inflammation. Both obese people and those who have low fitness levels have raised inflammatory markers. [3]

  1. Poor Quality Sleep

A study by the Emory University School of Medicine found that poor quality sleep, whether it is too short or disrupted, increases the production of inflammatory hormones and causes changes in blood vessel function. [4] Researchers have found that people who have fewer than six hours of sleep generally have higher levels of three inflammatory markers and tend to have a higher incidence of heart disease and strokes. 

  1. Stress and Mood Disorders

Our modern high stress lifestyles have a ripple effect, not only on our psychology, but our bodies as well. Studies have shown that individuals under constant stress have increased levels of inflammatory hormone production. [5] At the same time, chronic pain and inflammation constantly trigger the nervous system which can eventually alter the transmission pathways, effecting the functioning of the brain. This may cause higher pain sensitivity, mood instability, lack of energy and focus and sleeping difficulties. [6] If left to fester this can become a vicious circle of anxiety and depression, sleep deprivation, increased pain and susceptibility to further health problems.

Common Health Problems Associated with Inflammation

Sadly, chronic inflammation left unchecked can lead to many serious and unpleasant health conditions including heart disease, rheumatoid and osteo-arthritis, osteoporosis, inflammatory bowel disease, asthmas, auto-immune diseases, diabetes, Alzheimer’s disease, macular degeneration, some cancers and allergies.

Inflammation Management

If you are suffering from chronic pain and inflammation, it is important to consult with the relevant medical professional. Early intervention is key to prevent irreversible tissue damage. Treatment options are varied and will depend on the nature of the condition but often include lifestyle changes such as weight loss and exercise, physiotherapy, surgery, counselling, pharmaceutical drugs and supplements.

RheumaLin is your natural anti-inflammatory solution containing plant-derived ingredients that have been recognised for their ability to help alleviate inflammation, reduce pain and improve joint mobility. For more information Go to: Click here for more info on Rheumalin

Click here Get the FREE MNI Exercise Programme to combat inflammation and improve overall fitness levels.

References:

  1. Ping Jiao and Haiyan Xu. Adipose inflammation: cause or consequence of obesity-related insulin resistance. Diabetes, Metabolic Syndrome and Obesity 2008:1 25-31
  2. Kassi E, Pervanidou P, Kaltsas G, et al. Metabolic syndrome: definitions and controversies. BMC Medicine 2011,9:48
  3. Clarke J. Halfman, Ph.D., D.A.B.C.C. Laboratory Medicine and PathoPhysiology: Chemical Mediators of Acute Inflammation. August 1997
  4. Melissa R Meyers and Noyan Gokce. Endothelial dysfunction in obesity: etiological role in atherosclerosis. Curr Opin Endocrinol Diabetes Obes 2007 14:365-369
  5. Steven Simon. Opioids and Chronic Pain Management Paradigm: Time for a Change? http://www.medscape.org/viewarticle/478885
  6. Julio C. Fernandes, Johanne Martel-Pelletier and Jean-Pierre Pelletier. The role of cytokines in osteoarthritis pathophysiology. Biorheology 39 (2002) 237-246

 

Is Chronic Pain a Disease? What Causes the Pain Response?

Words can do little to really describe the misery of constant or severe bodily pain and it effects on quality of life. The International Association for the Study of Pain (IASP) defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage”. [1] But why do we experience this terrible sensation and what causes chronic pain in the body?

What is Pain perception?

Interestingly, the science of pain is complex and not everyone experiences pain in the same way. Studies have shown that physiological and psychological factors can influence pain perception[2]:

  • How does Age affect pain?
    The brain’s circuitry tends to degenerate with age and therefore older people tend to have lower pain thresholds.
  • How does Gender affect pain?
    Research shows that women tend to be more pain sensitive than men, perhaps due to hormonal changes and genetic factors. Men, though, are often more stoic and do not report their pain unless it is severe.
  • How does Fatigue affect pain?
    Exhaustion also appears to play a role as pain is amplified due to the stress on the body from lack of sleep.
  • How does Memory affect pain?
    Pain is often linked to our associations and fears and how we have experienced pain in the past can influence our body’s response.

Why we Experience Pain:

When our bodies are damaged in some way, pain signals are sent to the brain as a mechanism to warn us to stop what we are doing or to remove ourselves from the dangerous cause in order to prevent further injury. This pain serves a continual reminder thereafter to assist with the healing process by ensuring we take special care of the injured area until healing is complete. Acute pain therefore is there to protect us but if this condition becomes chronic, the pain can become destructive both physically and emotionally.

Acute vs Chronic Pain

These two categories of pain are acute and chronic. Acute or nociceptive pain is normally sudden and follows a typical pattern. Nociceptors are the free nerve endings found just below the skin, in tendons, joints, and organs and they serve to detect pain and alert the central nervous system to immobilise the area and begin the repair process. [5] This type of pain is generally short-lived and responds well to pain-relieving treatments when needed.

Types of Chronic Pain

Chronic pain, on the other hand, is prolonged and can be described as either inflammatory nociceptor pain or neuropathic pain or it may involve a mix of both types.

  • Inflammatory nociceptor pain is triggered by tissue damage and there is the resulting inflammatory process and physiologic responses that promote healing.
  • Neuropathic pain is produced by damage to the neurons in the peripheral and central nervous systems. This results in an overstimulation of the nociceptors which amplifies the experience of pain. When there is inflammatory nociceptor pain, the chronic inflammation may actually cause damage to neurons and produce neuropathic pain. This type of pain often persists for an extended period of time, long after the original trauma has been dealt with. [3, 4]

Consequences of Pain

When this type of chronic pain occurs there is no longer any protective value to it. Instead, the nervous system becomes oversensitive to stimuli, bringing with it repetitive or constant pain. Now the pain is no longer a symptom of a disease process but becomes like a disease process itself! [5] Prolonged pain can lead to a downward health spiral due to the stress placed on the body. Many of the body’s systems including cardiac, respiratory, gastrointestinal and immune systems are often weakened and this can result in illness. In the case of joint pain, muscles surrounding the area tend to stiffen and even atrophy due to prolonged misuse, bringing with it a loss of endurance and flexibility. [6]

 Pain Management

Constant pain is very draining emotionally and there is a often an inability to enjoy the things you used to. The good news is that if you are struggling with chronic pain there are many treatment options available which can often be used in combination. These include weight management, exercise, physical therapy, medication, surgery as well as complimentary treatments such as well-researched supplements. RheumaLin is your natural solution to combat inflammatory back, neck and joint pain and because it is gentle on your stomach it can be used for extended periods of time.

How severe is your pain? Find out with the FREE pain scale test here.

Get the FREE MNI Pain Relieving Exercise Programme to target particular areas of pain: Download Free Exercise Plan

References:

  1. Theoi Greek Mythology: Exploring classic mythology in classical literature and art. http://www.theoi.com/Daimon/Algea.html. Accessed 23 June 2014.
  2. International Association for the Study of Pain. http://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698 Accessed 2 June 2014
  3. Craig Freudenrich, Ph. D. How Pain Works. http://science.howstuffworks.com/life/inside-the-mind/human-brain/pain.htm Accessed 1 June 2014
  4. Evan F. Ekman, MD. Surgical Approach 1: A Strategy for Minimizing Perioperative Pain – Arthroscopic Rotator Cuff Repair and Pre-surgical Analgesia. http://www.medscape.org/viewarticle/474379_2 Accessed 3 June 2014
  5. Danielle Reddi, Natasha Curran, Robert Stephens. An introduction to pain pathways and mechanisms. http://ucl.ac.uk/anaesthesia/StudentsandTrainees/PainPathwaysIntroduction Accessed 4 June 2014
  6. Steven Simon. Opioids and Chronic Pain Management Paradigm: Time for a Change? http://www.medscape.org/viewarticle/478885: