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WHERE IT HURTS AND WHY HOW TO GAIN CONTROL OF YOUR PAIN Angela Sehgal, Ed.D., A.T.C./L. and Kim Ortloff, L.M.T. The information contained in this book is based upon the research and personal and professional experiences of the authors. It is not intended as a substitute for consulting with your physician or other healthcare provider. Any attempt to diagnose and treat an illness should be done under the direction of a healthcare professional. The publisher does not advocate the use of any particular healthcare protocol but believes the information in this book should be available to the public. The publisher and authors are not responsible for any adverse effects or consequences resulting from the use of the suggestions, preparations, or procedures discussed in this book. Should the reader have any questions concerning the appropriateness of any procedures or preparation mentioned, the authors and the publisher strongly suggest consulting a professional healthcare advisor. Basic Health Publications, Inc. 8200 Boulevard East North Bergen, NJ 07047 1-201-868-8336 Library of Congress Cataloging-in-Publication Data Sehgal, Angela Where it hurts and why : how to gain control of your pain / Angela Sehgal and Kim Ortloff. p. cm. Includes bibliographical references and index. ISBN 1-59120-065-2 1. Pain—Popular works. 2. Pain—Treatment—Popular works. I. Ortloff, Kim. II. Title. RB127.S396 2004 616’.0472—dc22 2004008582 Copyright © 2004 by Angela Sehgal, Ed.D, A.T.C./L., and Kim Ortloff, L.M.T. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or other- wise, without the prior written consent of the copyright owner. Editor: John Anderson Illustrators: Jim Higdon and Chuck McCann Typesetting/Book design: Gary A. Rosenberg Cover design: Mike Stromberg Printed in the United States of America 10 9 8 7 6 5 4 3 2 1 Contents Acknowledgments, vii Foreword by Aaron L. Mattes, M.S., R.K.T., L.M.T., ix Introduction, 1 1. Why the Body Hurts, 5 2. How to Manage Your Pain: The Components of Complete Health, 15 3. Take Action Now: The Recipe for Relief, 39 4. Neck and Shoulder Pain, 47 5. Torso Pain, 65 6. Pain in the Arm, Wrist, and Hand, 75 7. Hip and Low-Back Pain, 101 8. Pain in the Upper Leg and Knee, 125 9. Pain in the Lower Leg, Ankle, and Foot, 149 10. If Your Pain Doesn’t Go Away, 175 Appendix: Pain-Related Websites, 181 Glossary, 183 References, 187 Index, 189 About the Authors, 197 I would like to dedicate this book to the Lord who blesses me every day and to my family and friends, who support me as I strive to become complete. This book is also dedicated to those people who are seeking a better quality of life and health. Persist, believe, understand, and act. —Angela Sehgal For my loving husband, John, my biggest fan and supporter, and best friend. —Kim Ortloff Acknowledgments I would like to acknowledge the following individuals who made the production of this book possible: my parents, brother, family, friends, colleagues, and students. I would especially like to recognize my coauthor, Kim Ortloff, for her vision, energy, and will. Thank you for sharing this journey with me. You give great hugs! I look forward to another trip to New York! To Jim Higdon, thank you for the endless hours of drawing. We can help you with your carpal tunnel syndrome! You have illustrated the human body beautifully. To Chuck McCann, thank you for your willingness to rescue us in the eleventh hour. You, too, are a very talented artist. To Dr. Barbara Mann, my professor, mentor, and friend, thank you for your words of wisdom and support. Finally, a sincere thank you goes to our publisher, Norman Goldfind, who believed in this project and has supported our effort to share the word about feel- ing better fast and improving the quality of people’s lives. —Angela Sehgal First and foremost, I would like to thank God for blessing me with the opportunity to express my passion in life with everyone. For it is through Him that I shine. A very special thanks to my parents, Victor and Judi. Thank you for showing me the world and always letting my light shine. Your encouragement, guidance, disci- pline, and love taught me that we can have anything we want in life if we express our vision and create the reality. Accomplishing a goal is all about taking that first step and breaking through the seams of fear. It was your examples of leadership, love, and charisma that guided me. I love you both. There are special people who are no longer with me but who have greatly influ- enced my philosophy of life. To my Nana and Popaw Vandenberg: their unselfish- vii viii Where It Hurts and Why ness and love provided a great example for me. They were always willing to help anyone, no matter the circumstances. I would also like to thank Nana and Popaw Finnegan, Frank and Ken, and all my other family members, close friends, and clients (you know who you are) for their support, encouragement, and belief in me. You have provided endless efforts to support my goals and always took the extra step when something needed to get done. For all my clients, thank you for “doing your homework” and making improve- ments to your own health. It is not I who have helped you, but you who have stepped forward to help yourselves with knowledge and enthusiasm. Take your newly found knowledge and spread it to others. May we continue to laugh, smile, and hug! Keep stretching! A special thanks to my mentor and great friend, Aaron Mattes. You have opened your heart to me and willingly shared your knowledge to further my education in physical rehabilitation and as a person. A great leader is one who helps to create leaders, who sees tremendous potential in a person and provides support and encouragement to help them achieve their goals. Aaron, you have always believed in me and shown me that quality of leadership. For that, I am very grateful and hon- ored to promote your years of hard work, love, and knowledge—and to help spread it throughout the world. God bless you and your family. To Angela, my coauthor, who looked at me in amazement and shock when I suggested that we needed to take a trip to New York to get this book published. (Angela was right in the middle of defending her dissertation.) You have incredible belief in me and took a leap of faith at my suggestion. All I can say is you better buckle up and get ready! A special thanks to our illustrator, Jim Higdon, for your patience, incredible tal- ent, and all the hours spent away from your family. I am grateful you agreed to join our team. And a special thanks to Jim’s family for allowing us to take him away from them. And finally, Chuck, thank you for saving us at the end of our journey! —Kim Ortloff Foreword Pain can be an all-consuming problem: it may limit your ability to work, exercise, travel, and enjoy your leisure moments. Computers, couches, and reclining chairs contribute to poor posture and pain. Sitting places eight times more pressure on the lower back than standing. The leading cause of pain is ischemia, which is a lack of oxygen supply to the muscles, fasciae, and nerves. A buildup of toxins in the cells and failure of the lymphatic system contribute greatly to sickness, pain, and eventu- ally death. Where It Hurts and Why is a long overdue inspirational and motivational guide to self-evaluation and better living. It provides a rich supply of information to help restore optimum physiologic functioning of neural, lymphatic, and vascular systems, as well as our body’s biochemical, biomechanical, and piezoelectric (biocurrent) homeostasis. Most important of all, we should understand that this book mirrors the very lives of these authors. Physicians, chiropractors, osteopaths, physical therapists, exercise physiologists, massage therapists, trainers, coaches, and athletes, as well as anyone concerned about wellness and health, will find this book informative and effective for postural restoration, performance enhancement, injury prevention, and rehabilitation. —Aaron L. Mattes, M.S., R.K.T., L.M.T. ix Introduction hen I was growing up, my mother always said life begins at forty,” recalls “WEvelyn. “I always found it a strange saying because at age forty, I had already had six surgeries for endometriosis and then a total hysterectomy.” In the days fol- lowing her surgery, Evelyn began to have a burning feeling all over her body. She says it felt “as though I’d been exposed to freezing weather, where your face burns and feels cold and hurts all at the same time.” Her body would at times be stiff from the pain. This was the beginning of Evelyn’s long journey to find the answer to what was going on in her body, a search that took her from Tallahassee, Florida, to the Mayo Clinic in Jacksonville, and on to Atlanta and Philadelphia. She was willing to try any- thing or go anywhere to find relief from her pain; however, none of the medicines that were prescribed helped. “I told one doctor that the medicine wasn’t working and he told me to just take more,” she recalls. “One day shortly after that, I woke up and couldn’t move.
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