Mcgill pain questionnaire
Many experts speculate that claims of nutritional remedies and cures with food or dietary supplements are related to the "placebo affect". mcgill pain questionnaire Nerve-pain. The placebo effect is the patient's perception of improved symptoms and well being, resulting from new therapy, regardless of evidence for actual physical improvement. Because there is little scientific evidence confirming the benefits of modified diets for patients with arthritis, health care providers are apprehensive to recommend these types of dietary manipulations to their patients. Unfortunately, people with limited or no medical backgrounds have filled this void by advising patients about the benefits of diets and arthritis. mcgill pain questionnaire Pain in heel of foot. The advice given is often questionable, expensive and can be dangerous. Due to the lack of controlled studies and clinical trials, many investigators feel that we are still no closer to knowing whether food components cause or cure arthritis than we were seventy years ago. In reviewing the literature it becomes clear that there are few objective studies that examine the benefits of dietary manipulation and arthritis. mcgill pain questionnaire Temperal arthritis. This discussion will focus on diet and Rheumatoid Arthritis (RA) only since most of the available medical literature has focused on this type of arthritis. (top of page) A Healthy Diet Until we have access to more conclusive data regarding the benefits of dietary manipulation and RA, patients are encouraged to follow a healthy, balanced diet that fosters a healthy weight. It is important to avoid elimination diets and fad nutritional practices and to be cautious of claims of miracle cures. The fourth edition of Nutrition and Your Health: Dietary Guidelines for Americans(ref 2) outlines some basic dietary advice for all healthy Americans ages 2 years and above about food choices that promote health and prevent disease. The main messages are as follows: Eat a variety of foods Balance the food you eat with physical activity, maintain or improve your weight Choose a diet with plenty of grain products and vegetables, and fruits Choose a diet low in fat, saturated fat and cholesterol Choose a diet moderate in sugars If you drink alcoholic beverages, do so in moderation (top of page) Malnutrition Patients with RA are considered to be at nutritional risk for many reasons. One cause of poor nutritional status in this patient population is thought to be the result of the weight loss and cachexia linked to cytokine production. (ref 3) In patients experiencing chronic inflammation, the production of cytokines, such as interleukin-1 and tumor necrosis factor, increases resting metabolic rate and protein breakdown. The patient then is faced with the challenge of increasing both calorie and protein intake to meet the nutritional requirements of the increased metabolic rate.
Mcgill pain questionnaire
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