I Sleep, but I’m always TIRED… Maybe its my Thyroid

I Sleep, but I’m always TIRED… Maybe its my Thyroid

I Sleep, but I’m always TIRED… Maybe its my Thyroid

Depending on which source you look at, Thyroid conditions affect women somewhere between 4 and 10 times more than men. The Thyroid Foundation of Canada states that about 5% of the world population is affected and the Australian Thyroid Foundation adds that 1 million Australians currently have an undiagnosed Thyroid issue (that’s 1 in 25 people!). As rates of thyroid conditions (especially hypothyroidism) tend to increase as we age and we have an aging population, we may expect to see numbers increase further. The Thyroid Foundation of Canada goes on to state that Thyroid disorders are very treatable. Given that a large percentage of the affected population is unaware of their situation, this would lead to a substantial number of people, unnecessarily feeling fatigue, irritability, discomfort and with an inability to be fully productive.

What is the Thyroid?

The Thyroid gland is an important part of the endocrine system. Its job is to control many bodily functions via secreting hormones – T3 (triiodothyronine) and T4 (thyroxine). They regulate the body’s temperature, metabolism and heart rate and in doing so affect many areas. The Pituitary (and Hypothalamus) glands monitor and control the amount of T3 & T4 that the Thyroid releases. Thyroid conditions create either a state of Hyperthyroidism or Hypothyroidism, that is, too much or too little thyroid hormone production, respectively.

Causes:

Thyroid disorders may be caused by iodine deficiency; autoimmune diseases (namely Hashimoto’s Thyroiditis and Graves’ Disease); viral and bacterial induced inflammation (thyroiditis); congenital; malignant (cancerous) and benign tumours/nodules on the thyroid gland, disfunction of the pituitary or Hypothalamus glands; or as a result of some treatments (surgical removal of the thyroid gland [or part there of] & toxic changes from radioactive iodine therapy).

Symptoms

Symptom combinations tend to vary as there are many factors involved, further, as symptoms tend to start slowly and gradually progress, it may take a while for sufferers to realise that they are not just tired or stresses etc.

Hypothyroidism

  • weak slow heart beat
  • muscular weakness and constant fatigue
  • sensitivity to cold
  • thick puffy skin and/or dry skin
  • pale and cold (maybe clammy) skin
  • poor appetite
  • brittle hair
  • voice may be croaky and hoarse
  • slowed mental processes and poor memory
  • weight gain/difficulty losing weight
  • constipation
  • goitre (increased size of the thyroid)

Hyperthyroidism

  • rapid, forceful heartbeat
  • tremor/shaking/palpitations
  • muscular weakness (due to muscle loss)
  • weight loss (due to muscle and fat loss) in spite of increased appetite
  • restlessness/irritability, nervousness/anxiety and sleeplessness
  • profuse sweating
  • heat intolerance
  • hot, moist skin
  • diarrhea
  • eye changes (generally bulging)
  • goitre (increased size of the thyroid)

Treatment:

Hypothyroidism

Generally is treated by medicating with T4 thyroid hormones (and sometime T3 also). This is a life-long treatment and requires frequent blood test monitoring.

Hashimoto’s is an autoimmune condition creating a low level of Thyroid hormones and is the most common cause of Hypothyroidism. As with all autoimmune diseases, the immune system is over-active and is associated with inflammation. A diet and lifestyle that reduces inflammation and supports the immune system to balance, may be of benefit in combination with medication and monitoring. It is also worth noting that generally only T4 hormone medication is given, but some people respond better with a combination of T3 & T4 hormone medications. Further, some people find that animal derived Thyroid hormones are more effective for them than the synthetic medications. So be aware that there are a few options out there and if your symptoms are not responding as expected, some experimentation with the support and guidance of your GP is possible.

Lifestyle changes that may assist in the management of hypothyroidism include:

  • Reducing gluten intake
  • Checking MTHFR gene function and your body’s ability to absorb and use Folic acid/folate/folinic acid effectively – and supporting maximal function
  • Reducing stress
    • meditation
    • exercise
  • Supporting Adrenal overload and the body’s stress response
    • taking adaptagenic herbs (such as Siberian Ginseng, Rhodiola and Ashwaganda)
    • B vitamin supplements
  • Supporting Kidney and Liver functions and the body’s detoxification processes
    • Milk Thistle
    • Dandelion
  • Eating an anti-inflammatory diet
    • Avoid gluten, dairy, red meat, processed sugar, packaged foods
    • Adding turmeric, omega 3, green leafy vegetables
  • Supporting optimal Thyroid function
    • Vit B3 & 6
    • Selenium
    • Vit C
    • Vit D
    • Magnesium
    • Iodine
    • Salt balance (electrolytes) – using water, sea salt and honey

Hyperthyroidism

Graves’ Disease (a genetic autoimmune disease) is the most common cause of Hyperthyroidism. Nodules on the Thyroid (cancerous or benign) and Thyroiditis caused by viral or bacterial infection can also be causes.

Treatment is based around reducing the levels of thyroid hormone in the body. This can be done via

  • Thyroid blocking drugs
  • Destroying thyroid cells with radioactive iodine
  • Surgically removing the thyroid gland (partial or complete)

While medical treatment is required, a healthy lifestyle may generally support optimal response to treatment, your general health and your resilience.  

It is also important to note that the treatment of Hyperthyroidism may result in a subsequent hypothyroid state, meaning that Thyroid hormone medication may be required.


Pelvic pain and dysfunction part 1: Shhh we can’t talk about that!

Pelvic pain and dysfunction part 1: Shhh we can’t talk about that!

Pelvic pain and dysfunction part 1: Shhh we can’t talk about that!

Do you suffer from:

  • incontinence (urinary or bowel)
  • urinary frequency; urgency
  • bowel or bladder irritation (with or without pain; can feel like a full sensation)
  • pain (electric shock like, shooting, aching, itching or a raw feeling) of your clitoris, vagina, labia (or penis, scrotum), urethra or perineum (space between your vagina [or scrotum] and your anus)
  • Pain around your sit bone(s) when you sit (especially for long periods)
  • Pain during sex (or afterwards)
  • Pain in your buttocks that may often or sometimes travel down your leg and foot (can be one sided or affect both legs).

Did you know that help is available?

In this three-part series, you’ll learn about the key symptoms and causes of pelvic dysfunction, pain and incontinence. We’ll touch on chronic pain and discuss the basis of an effective management and treatment program. We’ll also reveal 7 simple actions to help you take control of your health and improve your individual symptoms of pelvic pain and dysfunction.

This is a difficult and sensitive subject and often not discussed due to its private nature.

It’s important to realise that in many cases there is a lot that can be done to help – there is no need to suffer in silence!

Symptoms can be wide-ranging, and diagnosis can’t be confirmed with just one test. Instead it requires a look into your personal symptoms and a physical assessment of your pelvic structures to identify imbalances of the joints, ligaments and muscles (tightness, weakness etc) and locations where nerves can become irritated and “trapped”.

Symptoms:

Can include (but are not limited to)

  • pain in the buttocks around where you sit (sometimes in the legs and feet too)
  • sharp, electric type shooting pain around or even within the vagina in women and scrotum (or even shaft of the penis) in men
  • pain during (or after) sex
  • bladder or bowel irritation/discomfort/incontinence/frequency/urgency
  • Pain that can refer or radiate to include part of, or even the length of the leg (generally down the outside) and even go down into the bottom of the foot.

Causes:

There is no one cause, and generally multiple factors are involved

  • Pudendal nerve entrapment – including from
    • long periods of cycling
    • excessive physical exercise
    • straining (from heavy lifting or straining on the toilet)
    • stress
    • posture
    • previous pelvic or perineal trauma/injury
  • Musculoskeletal imbalances – including from
    • long periods of cycling
    • excessive physical exercise
    • straining (from heavy lifting or straining on the toilet)
    • stress
    • posture
    • previous pelvic or perineal trauma/injury
  • Neuropathic (nerve related) pain
  • Trauma – including from
    • difficult childbirth
  • gynaecological and/or colorectal surgery or issues (eg internal abdominal adhesions or uterine fibroids and the like)
  • Infection (including skin conditions).

If you’re suffering from any of the above issues, or some sort of dysfunction of the pelvic/lower abdominal area or genital region, it’s likely that an in-depth history and physical assessment plus a multi-pronged treatment approach can be of great assistance. So, talk to a primary health practitioner (pelvic physiotherapist, GP or Osteopath for example) and find out more. If the advice you receive does not seem logical or if you don’t receive the options that help you gain back control, we suggest you try another practitioner, until you get the support you need.

And remember, working with a combination of such practitioners to get an integrated and diverse treatment and home care plan is your best chance of success.

If you would like to chat about your situation, drop us an email, call, or book an appointment with Alexis.

Stay tuned for part 2, where we discuss chronic pain and its complicated nature as well as the basic idea behind effective treatment and management of pelvic pain and dysfunction.

Author: Dr Alexis Weidland(Osteopath)