New Reason To Treat Chronic Pain - HealingWell.com = Forum

From: Subject: New Reason To Treat Chronic Pain - HealingWell.com Forum Date: Mon, 11 Feb 2008 16:15:26 -0600 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0024_01C86CC9.501E04B0" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198 This is a multi-part message in MIME format. ------=_NextPart_000_0024_01C86CC9.501E04B0 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.healingwell.com/community/default.aspx?f=16&m=1041576 =EF=BB=BF New Reason To Treat Chronic Pain - HealingWell.com = Forum

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HealingWell.co= m=20 Forum > Diseases= =20 & Conditions > Chronic= =20 Pain > New Reason To Treat Chronic Pain =

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Gramps
Regular=20 Member

Date Joined=20 Jul 2007
Total Posts : 371

Posted=20 2/9/2008 8:50 AM (GMT -7)

Chronic Pain Can Damage=20 Brain - redOrbit Staff; 2008-02-06. Source.
See also:A Modern Understanding of the = Etiology of=20 Chronic Pain - DeLuca;=20 2007-07-15

People=20 who suffer chronic pain have constant brain = activity in=20 areas of the brain that would normally be at = rest,=20 according to a new study at Northwestern = University's=20 Feinberg School of Medicine.
The study suggests chronic = pain=20 changes the way information is processed in the = brain,=20 and the findings could explain why those who = experience=20 long-term pain frequently suffer other symptoms = such as=20 anxiety, depression, sleep disorders, and = difficulty=20 making decisions.
During the study, = researchers used=20 functional magnetic resonance imaging (fMRI) to = scan the=20 brains of 15 people with chronic low back pain = and 15=20 pain-free volunteers while both groups were = tracking a=20 moving bar on a computer screen. Although = the pain=20 sufferers performed the task well, when = researchers=20 measured areas of the brain activated, = differences=20 emerged.
In the healthy brains all = regions=20 existed in a state of equilibrium -- when one = region was=20 active, the others quieted down. But in = those with=20 chronic pain, a front region of the cortex = mostly=20 associated with emotion "never shuts up," said = Dante=20 Chialvo, the study=E2=80=99s lead author and = associate research=20 professor of physiology at the Feinberg School. = The=20 region was stuck on full throttle, wearing out = neurons=20 and altering their connections to each other. = [See: Video of brain disturbance in = chronic pain=20 patient vs healthy = volunteer]
"The areas=20 that are affected fail to deactivate when they = should,"=20 Chialvo said.
"Where we were surprised = is the=20 difference in how much brain they used to do the = task=20 compared with the healthy group. It was 50 times = larger," Chialvo told Reuters.
This is the=20 first demonstration of brain disturbances in = chronic=20 pain patients not directly related to the = sensation of=20 pain.
When certain parts of the = cortex=20 were activated in the pain-free group, some = others were=20 deactivated, maintaining a cooperative = equilibrium=20 between the regions. This equilibrium is known = as the=20 resting state network of the brain. In the = chronic pain=20 group, however, one of the nodes of this network = did not=20 quiet down as it did in the pain-free = subjects. =20 Instead, a front region of the cortex mostly = associated=20 with emotion is constantly active, disrupting = the normal=20 equilibrium.
The researchers said = disruptions in=20 this default network could explain why pain = patients=20 have problems with attention, sleep disturbances = and=20 even depression.
This constant firing of = neurons in=20 these regions of the brain could cause permanent = damage,=20 Chialvo said. "We know when neurons fire too = much they=20 may change their connections with other neurons = or even=20 die because they can't sustain high activity for = so=20 long," he explained.
'If you are a chronic pain = patient,=20 you have pain 24 hours a day, seven days a week, = every=20 minute of your life," Chialvo said. "That = permanent=20 perception of pain in your brain makes these = areas in=20 your brain continuously active. This continuous=20 dysfunction in the equilibrium of the brain can = change=20 the wiring forever and could hurt the brain."

Chialvo=20 hypothesized the subsequent changes in = wiring "may=20 make it harder for you to make a decision or be = in a=20 good mood to get up in the morning. It could be = that=20 pain produces depression and the other reported=20 abnormalities because it disturbs the balance of = the=20 brain as a whole."
"These findings suggest = that the=20 brain of a chronic pain patient is not simply a = healthy=20 brain processing pain information but rather it = is=20 altered by the persistent pain in a manner = reminiscent=20 of other neurological conditions associated with = cognitive impairments," the researchers wrote in = their=20 report.
Chialvo said the = study=E2=80=99s findings=20 show it is essential to research new approaches = to treat=20 patients not just to control their pain but also = to=20 evaluate and prevent the dysfunction that may be = generated in the brain by the chronic pain.
The study=20 was supported by the National Institute of = Neurological=20 Disorders and Stroke, and is published in the = Feb. 6,=20 2008, issue of The Journal of Neuroscience.

Gramps =

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PAlady
Regular=20 Member

Date Joined=20 Nov 2007
Total Posts : 49

Posted=20 2/9/2008 12:39 PM (GMT -7)

Gramps -=20 Thank you for posting this and starting this = thread. I=20 don't have time to respond in depth now, but = you're onto=20 something very important. BUT there also may be = avenues=20 that we cp patients can utilize to help at least = slow or=20 mitigate brain changes. I'm just starting to = learn more=20 about brain neuroplasticity - ever heard = of it?=20 While our brains can change in negative ways, = the=20 reverse is also seems true. I'll try to post = more info.=20 as I'm gathering it but let's keep this thread=20 going!

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hazelB
Regular=20 Member

Date Joined=20 Jan 2008
Total Posts : 102

Posted=20 2/9/2008 1:03 PM (GMT -7)

This is=20 very interesting. Makes alot of sense not only = in the=20 way of science but in our own experiences with = emotion=20 and stress. I know I never used to be a cryer = outside of=20 large arguments, but in the past year or so I = have been=20 unable at times to hold emotions in and have = found=20 certain tasks very over-whelming. I thought I = was=20 becoming one of those dramatic histrionic people = But=20 perhaps there are so many parts of my brain = functioning=20 non-stop that I'm at times unable to process = things a=20 healthy person could with no problem. I'm = defenitly=20 going to try and link this info to my web blog. = I wonder=20 how well known this study is at this point? Do = you know=20 gramps if this is seen as a huge breakthrough = for the=20 medical community at large or if it's just not = well=20 enough proven or studied yet?

Interstitial Cystitis = and=20 Endometriosis

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Gramps
Regular=20 Member

Date Joined=20 Jul 2007
Total Posts : 371

Posted=20 2/9/2008 2:28 PM (GMT -7)

Since the=20 study was supported by the National Institute of = Neurological Disorders & Strokes & = published in=20 the Journal of Neurosciences, I think that it is = significant. The study was small but it showed = 100% of=20 CPP's had this activity while none of the = healthy people=20 did. It certainly will catch scientists &=20 neurologists eyes. It proves that relieving the = pain can=20 relieve other symptoms associated w/ CP & = prevent=20 brain damage.=20

Gramps

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Dictionary
New=20 Member

Date Joined=20 Dec 2007
Total Posts : 13

Posted=20 2/9/2008 2:50 PM (GMT -7)

The first=20 time I went to a pain specialist I had been in = pain a=20 number of years and was not yet on an adequate = amount of=20 opiates. He wrote in his report and explained to = me that=20 my brain had re-wired itself and I finally = started=20 getting my pain adequately treated. He is a very = well=20 respected doctor in this area and his report = made me=20 feel allot better about taking the amount = of=20 drugs that I do. He believed in treating chronic = pain as=20 a disease and it is clear that most doctors do = not. I=20 wish doctors were better educated when it comes = to=20 chronic pain.

L2 Burst fracture in 98.

damaged disks in thorasic spine.

Depression

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Gramps
Regular=20 Member

Date Joined=20 Jul 2007
Total Posts : 371

Posted=20 2/9/2008 3:14 PM (GMT -7)

You &=20 I both!=20

Gramps

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gagabonnie
Regular=20 Member

Date Joined=20 Sep 2006
Total Posts : 173

Posted=20 2/9/2008 3:41 PM (GMT -7)

I recently=20 had my insurance rep "berate" me regarding pain=20 meds.

I have adverse reactions to opioids = and=20 only recently have tried minute amounts of a syr = morphine. The doctor and I decided that for this = month I=20 would only use it As Needed. So that is what I = do. Only=20 if I have been out and am in great pain do I use = it. The=20 rest of the time I suffer like always. After my = next=20 doctor visit I am sure I will tell him I need to = take it=20 all the time. What a difference it = makes!!

She=20 blew up!! "I don't know about you = people!!" "who=20 don't take your pain meds" regularly.

She = went on=20 to explain how chroninc pain becomes pain = forever. ( her=20 job is to get me back to work)

I = explained to her=20 I was following DR orders. She still did not = like=20 it.

This womyn has recently been = researching pain=20 as when I saw her in Oct she didn't have a clue=20 about any spinal or pain = issues.

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gagabonnie
Regular=20 Member

Date Joined=20 Sep 2006
Total Posts : 173

Posted=20 2/9/2008 3:43 PM (GMT -7)

Thanks=20 Gramps for the article. It is really = interesting. Actual=20 proof that we need adequate pain control and=20 relief.

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Gramps
Regular=20 Member

Date Joined=20 Jul 2007
Total Posts : 371

Posted=20 2/9/2008 4:23 PM (GMT -7)

Unfortunately, many other parts = of our=20 body are affected by chronic pain. It takes a = toll when=20 we don't get adequate treatment. However, dr's = always=20 try to tell us how the meds affect us in an = adverse way.=20 Maybe they will get back to relieving CP instead = of=20 trying to manage it. Now when they say it might = be in=20 your head, we can say, yeah, it's affecting my = brain=20 also!=20

Gramps

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PAlady
Regular=20 Member

Date Joined=20 Nov 2007
Total Posts : 49

Posted=20 2/9/2008 4:27 PM (GMT -7)

Gramps the=20 fallacy is the old model of mind and body being = separate=20 is untrue, and science is continuing to prove = this. One=20 researcher even calls it the "bodymind" = indicating just=20 how much we are connected. That's why treating = the=20 emotional component of cp is so critical - and = it=20 doesn't mean it "all in your head". It's both. = And our=20 thoughts and beliefs also affect our brain, and = our=20 emotions. The good thing is we can learn to = change our=20 thought patterns and beliefs, which helps to = modify=20 brain changes.

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Gramps
Regular=20 Member

Date Joined=20 Jul 2007
Total Posts : 371

Posted=20 2/9/2008 4:35 PM (GMT -7)

PALady:

I believe in cognitive therapy. = However, this=20 will not alleviate any damage by the continuous = firing=20 of the neurons mentioned in this article. This, = and the=20 subsequent damage can only be avoided by = stopping the=20 constant pain. However, cognitive therapy can = help the=20 symptoms like depression.

Gramps

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PAlady
Regular=20 Member

Date Joined=20 Nov 2007
Total Posts : 49

Posted=20 2/9/2008 5:16 PM (GMT -7)

Well, I'm=20 not simply talking about cognitive = therapy. I=20 actually think that only treats one component of = cp.=20 There are many layers and I agree pain meds are = a=20 significant part. But from what I'm learning=20 about neuroplasciticty of the brain we = may be=20 able to mitigate some of the damage even by=20 non-pharmaceutical approaches (not just = cognitive=20 therapy). Separating out depression is also = misleading,=20 as the physiology of cp actually creates = depression=20 because of what's going on at the = neurotransmitters. So=20 depression also needs to be treated = physiologically as=20 well as with other therapies. I'm just saying I = think=20 there's a lot more we can do that actually does = work on=20 the brain - and some of these approaches we can = do and=20 learn on our own or through methods oher than = western=20 medicine. But I ALSO believe cp needs to be = treated much=20 sooner and aggressively by MD's and that would = also help=20 slow or even avoid some of the long term damage. = It's=20 going to take a long time for MD's to really = "get" this,=20 though, except for pm specialists. I know I'm = rambling a=20 bit but I'll try to get better at articulating = what I=20 mean.

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Chutz
Forum=20 Moderator

Date Joined=20 Jan 2005
Total Posts : 4123

Posted=20 2/9/2008 7:32 PM (GMT -7)

You are=20 awesome Gramps! This article is significant. = Think I'll=20 copy it and share with my PCP who treats my cp. = He's=20 always interested in new = findings.

Hugs,
Chutz

Co-Mod Fibromyalgia & Chronic Pain=20 Forums
~~~
Fibromyalgia, Ulcerative = Colitis,=20 Insulin dependent diabetic, collapsed disk, = dermatitis=20 herpetiformus, osteo arthritis in spine and = other=20 locations.
*************** =

The only=20 difference between genius and stupidity is that = genius=20 has it's limits. Albert Einstein: (1879-1955)

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Gramps
Regular=20 Member

Date Joined=20 Jul 2007
Total Posts : 371

Posted=20 Yesterday 8:41 AM (GMT -7)

Chutzie:

You have a great idea. Everyone should = copy it=20 & take it to their dr's. Maybe if we brought = this to=20 the attention of our PCP's, they would start to = take CP=20 more seriously. Sometimes, things like this stay = around=20 neurology too long & don't get around to the = dr's=20 who are most entrusted w/ our care.

PALady:

I mentioned cognitive therapy because = that got=20 to the root of what you said, changing our = thoughts=20 & beliefs. Yes, there are several other mind = exercises but I don't think any of them are = going to=20 shut down the constant activity shown by this = study.=20 However, doing anything to help your mind can be = beneficial to your health. And yes, there are = several=20 mind exercises, other than cognitive therapy, = that will=20 help one. Be it psychological, spiritual or any = other=20 way, if it brings one peace & harmony, it = has to be=20 a good thing!

Gramps

Back=20 to Top

Gramps
Regular=20 Member

Date Joined=20 Jul 2007
Total Posts : 371

Posted=20 Yesterday 1:42 PM (GMT -7)

Chronic pain is one of the biggest medical = health=20 issues in the Western world; it costs the United = States=20 about $150 billion a year. Unlike with = acute=20 pain, the causes of chronic pain are often = unclear--for=20 example, doctors can identify a physical source = in only=20 about 10 percent of those with chronic = back pain.=20 A growing number of studies suggest that chronic = pain=20 should be viewed as a progressive disease, = likely=20 triggered by aberrant but potentially permanent = changes=20 in the brain.

The painkillers that help headaches and = broken bones=20 do little for chronic pain, leaving a huge need = for new=20 treatments. But developing them has been = difficult.=20 Perception of pain depends strongly on our level = of=20 attention and our emotional state--two factors = that are=20 difficult to study in animal models. "We don't = have one=20 drug developed from preclinical models of pain = that=20 works for chronic pain," says Irene=20 Tracey, a scientist at the = University of=20 Oxford, in England, who studies pain.

Now scientists are aiming to develop and test = new=20 drugs using human brain imaging. A. = Vania=20 Apkarian and his colleagues at=20 Northwestern University have found a series of=20 abnormalities in the brains of chronic pain = sufferers:=20 the part of the prefrontal cortex linked to = decision=20 making appears to have shrunk in chronic pain = patients.=20 And another part of the prefrontal cortex linked = to=20 emotion is hyperactive. In fact, a unique study=20 assessing background pain in chronic back-pain = patients=20 suggests that the constant pain these people = experience=20 is linked to activity almost entirely in=20 emotion-regulating parts of the brain.

Researchers used functional magnetic = resonance=20 imaging (fMRI), which measures brain activity, = to study=20 background pain. They asked back-pain patients = to=20 continually rate their pain while lying in the = scanner,=20 and then the researchers compared brain activity = patterns during periods of constant pain with = those=20 during periods of worsening pain.

While activity patterns during flare-ups = resembled=20 those previously linked to acute pain, the = pattern=20 associated with constant background pain was = distinct:=20 it centered on the medial prefrontal cortex, a = brain=20 area involved in emotion and sense of self. "It = almost=20 seems like they've turned off the sensory part = and are=20 suffering entirely from the emotional aspect," = Apkarian=20 says.

Given these findings, the scientists are = beginning=20 human tests of a compound called d-cycloserine, = an=20 FDA-approved antibiotic that also blocks certain = receptors in the brain. (It is currently being = tested=20 for treating post-traumatic stress disorder and = other=20 conditions.) "We think it increases transmission = within=20 the prefrontal cortex to better control the = emotional=20 component of pain," says Apkarian. "This will be = the=20 first hypothesis-driven test for a pain drug = driven by=20 human-imaging studies."

Gramps

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arial, verdana, = tahoma, helvetica, sans-serif } .subtitle { FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: arial, = verdana, tahoma, helvetica, sans-serif; TEXT-DECORATION: none } A.subtitle { FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: arial, = verdana, tahoma, helvetica, sans-serif; TEXT-DECORATION: none } A.subtitle:visited { FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: arial, = verdana, tahoma, helvetica, sans-serif; TEXT-DECORATION: none } A.subtitle:hover { FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: navy; FONT-FAMILY: arial, = verdana, tahoma, helvetica, sans-serif; TEXT-DECORATION: underline } .newsletterheader { FONT-WEIGHT: bold; FONT-SIZE: 10pt; FONT-FAMILY: verdana, tahoma, = arial, helvetica, sans-serif } .topheader1 { PADDING-RIGHT: 8px; BORDER-TOP: #000000 1px solid; PADDING-LEFT: 8px; = FONT-WEIGHT: bold; FONT-SIZE: 7.5pt; BACKGROUND: #336699; = PADDING-BOTTOM: 3px; COLOR: #ffffff; PADDING-TOP: 3px; BORDER-BOTTOM: = #000000 1px solid; FONT-FAMILY: Verdana, Tahoma, Arial, Helvetica, = sans-serif } .topheader2 { PADDING-RIGHT: 8px; PADDING-LEFT: 8px; FONT-WEIGHT: bold; FONT-SIZE: = 7.5pt; BACKGROUND: #ffffcc; PADDING-BOTTOM: 3px; COLOR: #666666; = PADDING-TOP: 3px; BORDER-BOTTOM: #cccccc 1px solid; FONT-FAMILY: = Verdana, Tahoma, Arial, Helvetica, sans-serif } .topheader3 { PADDING-RIGHT: 8px; PADDING-LEFT: 8px; FONT-WEIGHT: bold; FONT-SIZE: = 9pt; BACKGROUND: #f0f0df; PADDING-BOTTOM: 3px; COLOR: #000000; = PADDING-TOP: 3px; BORDER-BOTTOM: #cccccc 1px solid; FONT-FAMILY: Arial, = Verdana, Tahoma, Helvetica, sans-serif } A.menu_link1 { FONT-WEIGHT: bold; FONT-SIZE: 7.5pt; COLOR: #ffffff; FONT-FAMILY: = Verdana, Tahoma, Arial, Helevetica, Sans-Serif; TEXT-DECORATION: none } A.menu_link1:hover { FONT-SIZE: 7.5pt; COLOR: #ffffff; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; TEXT-DECORATION: underline } A.menu_link1:visited { FONT-SIZE: 7.5pt; COLOR: #ffffff; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif } A.menu_link2 { FONT-WEIGHT: bold; FONT-SIZE: 7.5pt; COLOR: #666666; FONT-FAMILY: = Verdana, Tahoma, Arial, Helevetica, Sans-Serif; TEXT-DECORATION: none } A.menu_link2:hover { FONT-SIZE: 7.5pt; COLOR: #666666; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; TEXT-DECORATION: underline } A.menu_link2:visited { FONT-SIZE: 7.5pt; COLOR: #666666; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif } .footer1 { PADDING-RIGHT: 8px; BORDER-TOP: #cccccc 1px solid; PADDING-LEFT: 8px; = FONT-WEIGHT: normal; FONT-SIZE: 8pt; BACKGROUND: #ffffcc; = PADDING-BOTTOM: 3px; COLOR: #666666; PADDING-TOP: 3px; BORDER-BOTTOM: = #cccccc 1px solid; FONT-FAMILY: Verdana, Tahoma, Arial, Helvetica, = sans-serif } .footer2 { PADDING-RIGHT: 8px; PADDING-LEFT: 8px; FONT-WEIGHT: normal; FONT-SIZE: = 8pt; BACKGROUND: #f0f0df; PADDING-BOTTOM: 3px; COLOR: #000000; = PADDING-TOP: 3px; BORDER-BOTTOM: #cccccc 1px solid; FONT-FAMILY: = Verdana, Tahoma, Arial, Helvetica, sans-serif } .whiteandbluesubheads { BORDER-RIGHT: #003366 1px solid; PADDING-RIGHT: 1px; BORDER-TOP: = #6699cc 1px solid; PADDING-LEFT: 1px; FONT-WEIGHT: bold; FONT-SIZE: = 10pt; PADDING-BOTTOM: 1px; BORDER-LEFT: #6699cc 1px solid; COLOR: = #ffffff; PADDING-TOP: 1px; BORDER-BOTTOM: #003366 1px solid; = FONT-FAMILY: verdana, tahoma, arial, helvetica, sans-serif; = BACKGROUND-COLOR: #336699 } .whiteandgreensubheads { BORDER-RIGHT: #006666 1px solid; PADDING-RIGHT: 1px; BORDER-TOP: = #33cccc 1px solid; PADDING-LEFT: 1px; FONT-WEIGHT: bold; FONT-SIZE: = 10pt; PADDING-BOTTOM: 1px; BORDER-LEFT: #33cccc 1px solid; COLOR: = #ffffff; PADDING-TOP: 1px; BORDER-BOTTOM: #006666 1px solid; = FONT-FAMILY: verdana, tahoma, arial, helvetica, sans-serif; = BACKGROUND-COLOR: #008080 } .hrcolorblue { COLOR: #000080 } .forminput { BORDER-RIGHT: 1px solid; BORDER-TOP: 1px solid; FONT-WEIGHT: normal; = FONT-SIZE: 8pt; BORDER-LEFT: 1px solid; CURSOR: default; COLOR: navy; = BORDER-BOTTOM: 1px solid; FONT-FAMILY: Arial, Verdana, Tahoma, = Helevetica, Sans-Serif; BACKGROUND-COLOR: #ffffff } .formbutton { BORDER-RIGHT: 1px solid; BORDER-TOP: 1px solid; FONT-SIZE: 8pt; FILTER: = progid:DXImageTransform.Microsoft.Gradient(GradientType=3D0, = StartColorStr=3D'#D4D0C8', EndColorStr=3D'#CCCCCC'); BORDER-LEFT: 1px = solid; CURSOR: hand; COLOR: navy; BORDER-BOTTOM: 1px solid; FONT-FAMILY: = Verdana, Tahoma, Arial, Helevetica, Sans-Serif } .leftmenusublinks { FONT-SIZE: 10pt; FONT-FAMILY: arial, verdana, tahoma, helvetica, = sans-serif } .yellowbox { BACKGROUND-COLOR: #ffffcc } .greyboxborder { BORDER-RIGHT: #cccccc 1px solid; BORDER-TOP: #eeeeee 1px solid; = BORDER-LEFT: #eeeeee 1px solid; BORDER-BOTTOM: #cccccc 1px solid; = BACKGROUND-COLOR: #f0f0df } .greyboxborder_white { BORDER-RIGHT: #cccccc 1px solid; BORDER-TOP: #eeeeee 1px solid; = BORDER-LEFT: #eeeeee 1px solid; BORDER-BOTTOM: #cccccc 1px solid; = BACKGROUND-COLOR: #ffffff } .greyboxborder_yellow { BORDER-RIGHT: #cccccc 1px solid; BORDER-TOP: #eeeeee 1px solid; = BORDER-LEFT: #eeeeee 1px solid; BORDER-BOTTOM: #cccccc 1px solid; = BACKGROUND-COLOR: #ffffcc } .tiny { FONT-SIZE: 9pt; FONT-FAMILY: verdana, tahoma, arial, helvetica, = sans-serif } .small { FONT-SIZE: 9pt; FONT-FAMILY: verdana, tahoma, arial, helvetica, = sans-serif } .price { FONT-SIZE: 9pt; COLOR: #990000; FONT-FAMILY: verdana, tahoma, arial, = helvetica, sans-serif } .byline { FONT-WEIGHT: normal; FONT-SIZE: 10pt; FONT-FAMILY: verdana, tahoma, = arial, helvetica, sans-serif } ------=_NextPart_000_0024_01C86CC9.501E04B0 Content-Type: text/css; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.healingwell.com/community/styles/HealingWell/css/style.css BODY { FONT-SIZE: 7.5pt; COLOR: #000000; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; BACKGROUND-COLOR: #ffffff } A { FONT-WEIGHT: normal; COLOR: #0033cc; FONT-FAMILY: Verdana, Tahoma, = Arial, Helevetica, Sans-Serif; TEXT-DECORATION: none } A:hover { COLOR: #990000; TEXT-DECORATION: underline } A:visited { COLOR: #800080 } A.forum_menu { FONT-WEIGHT: bold; FONT-SIZE: 8pt; COLOR: #ffffff; FONT-FAMILY: = Verdana, Tahoma, Arial, Helevetica, Sans-Serif; TEXT-DECORATION: none } A.forum_menu:hover { FONT-SIZE: 8pt; COLOR: #ffffff; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; TEXT-DECORATION: underline } A.forum_menu:visited { FONT-SIZE: 8pt; COLOR: #ffffff; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif } .main { FONT-WEIGHT: normal; FONT-SIZE: 9.5pt; CURSOR: default; COLOR: #000000; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #ffffff; TEXT-ALIGN: justify } .mainpad { PADDING-RIGHT: 5px; PADDING-LEFT: 5px; FONT-WEIGHT: normal; FONT-SIZE: = 8.5pt; PADDING-BOTTOM: 10px; CURSOR: default; COLOR: #000000; = PADDING-TOP: 10px; FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, = Sans-Serif; BACKGROUND-COLOR: #ffffff } .btnBar { BORDER-TOP: buttonshadow 1px inset; FONT-WEIGHT: bold; FONT-SIZE: 9pt; = CURSOR: default; COLOR: #000000; BORDER-BOTTOM: buttonshadow 1px inset; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #879ba5 } .editButton { BORDER-RIGHT: #eeeeee 1px solid; PADDING-RIGHT: 0px; BORDER-TOP: = #eeeeee 1px solid; PADDING-LEFT: 2px; FONT-SIZE: 9pt; PADDING-BOTTOM: = 2px; BORDER-LEFT: #eeeeee 1px solid; PADDING-TOP: 1px; BORDER-BOTTOM: = #eeeeee 1px solid; FONT-FAMILY: Verdana, Tahoma, Sans-Serif; = BACKGROUND-COLOR: #eeeeee } .editButtonHover { BORDER-RIGHT: #0a246a 1px solid; PADDING-RIGHT: 0px; BORDER-TOP: = #0a246a 1px solid; PADDING-LEFT: 2px; FONT-SIZE: 9pt; PADDING-BOTTOM: = 2px; BORDER-LEFT: #0a246a 1px solid; CURSOR: hand; PADDING-TOP: 1px; = BORDER-BOTTOM: #0a246a 1px solid; FONT-FAMILY: Verdana, Tahoma, = Sans-Serif; BACKGROUND-COLOR: #b6bdd2 } .htmlInputBox { BORDER-RIGHT: buttonshadow 1px inset; BORDER-TOP: buttonshadow 1px = inset; FONT-SIZE: 10pt; OVERFLOW: auto; BORDER-LEFT: buttonshadow 1px = inset; WIDTH: 100%; COLOR: #000000; BORDER-BOTTOM: buttonshadow 1px = inset; FONT-FAMILY: Verdana, Tahoma, Sans-Serif; HEIGHT: 300px; = BACKGROUND-COLOR: #ffffff } .htmlSmInputBox { BORDER-RIGHT: buttonshadow 1px inset; BORDER-TOP: buttonshadow 1px = inset; FONT-SIZE: 10pt; OVERFLOW: auto; BORDER-LEFT: buttonshadow 1px = inset; WIDTH: 300px; COLOR: #000000; BORDER-BOTTOM: buttonshadow 1px = inset; FONT-FAMILY: Verdana, Tahoma, Sans-Serif; HEIGHT: 200px; = BACKGROUND-COLOR: #ffffff } .printHead { FONT-SIZE: 10pt; COLOR: #000000; BORDER-BOTTOM: #000000 1px solid; = FONT-FAMILY: Verdana, Tahoma, Arial, Helvetica, Sans-Serif; = BACKGROUND-COLOR: #eeeeee } .printBody { FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Verdana, Tahoma, Arial, = Helvetica, Sans-Serif; BACKGROUND-COLOR: #ffffff } .coppaInput { BORDER-RIGHT: #000000 1px solid; BORDER-TOP: #000000 1px solid; = FONT-SIZE: 10pt; BORDER-LEFT: #000000 1px solid; WIDTH: 100%; COLOR: = #000000; BORDER-BOTTOM: #000000 1px solid; FONT-FAMILY: Verdana, Tahoma, = Arial, Helvetica, Sans-Serif; BACKGROUND-COLOR: #ffffff } .copyRight { FONT-WEIGHT: normal; FONT-SIZE: 7.5pt; CURSOR: default; COLOR: #000000; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #ffffff } .calendarHead { FONT-WEIGHT: bold; FONT-SIZE: 9pt; CURSOR: default; COLOR: #000000; = BORDER-BOTTOM: #000000 1px solid; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; BACKGROUND-COLOR: #b5c7d2 } .calendarDayHead { FONT-WEIGHT: normal; FONT-SIZE: 8pt; CURSOR: default; COLOR: #ffffff; = BORDER-BOTTOM: #000000 1px solid; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; BACKGROUND-COLOR: #336699 } .calendarOffDate { FONT-WEIGHT: normal; FONT-SIZE: 7.5pt; CURSOR: default; COLOR: #000000; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #eeeeee } .calendarOnDate { FONT-WEIGHT: normal; FONT-SIZE: 7.5pt; CURSOR: default; COLOR: #000000; = BORDER-BOTTOM: #000000 1px solid; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; BACKGROUND-COLOR: #ffffff } .calendarThisDate { BORDER-RIGHT: buttonshadow 1px outset; BORDER-TOP: buttonshadow 1px = outset; FONT-WEIGHT: normal; FONT-SIZE: 7.5pt; BORDER-LEFT: buttonshadow = 1px outset; CURSOR: default; COLOR: #000000; BORDER-BOTTOM: buttonshadow = 1px outset; FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #b5c7d2 } .msgButton { BORDER-RIGHT: #000000 1px solid; BORDER-TOP: #000000 1px solid; = FONT-WEIGHT: normal; FONT-SIZE: 8pt; FILTER: = progid:DXImageTransform.Microsoft.Gradient(GradientType=3D0, = StartColorStr=3D'#D4D0C8', EndColorStr=3D'#CCCCCC'); BORDER-LEFT: = #000000 1px solid; WIDTH: 80px; CURSOR: hand; COLOR: #000000; = BORDER-BOTTOM: #000000 1px solid; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif } .msgButtonRoll { BORDER-RIGHT: #000000 1px solid; BORDER-TOP: #000000 1px solid; = FONT-WEIGHT: normal; FONT-SIZE: 8pt; FILTER: = progid:DXImageTransform.Microsoft.Gradient(GradientType=3D0, = EndColorStr=3D'#D4D0C8', StartColorStr=3D'#EEEEEE'); BORDER-LEFT: = #000000 1px solid; WIDTH: 80px; CURSOR: hand; COLOR: #000000; = BORDER-BOTTOM: #000000 1px solid; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif } .msgCode { BORDER-RIGHT: buttonshadow 1px inset; PADDING-RIGHT: 10px; BORDER-TOP: = buttonshadow 1px inset; PADDING-LEFT: 10px; FONT-WEIGHT: normal; = FONT-SIZE: 8pt; PADDING-BOTTOM: 5px; BORDER-LEFT: buttonshadow 1px = inset; CURSOR: default; COLOR: #000099; PADDING-TOP: 5px; BORDER-BOTTOM: = buttonshadow 1px inset; FONT-FAMILY: Lucida Console, Verdana, Tahoma, = Arial, Helevetica, Sans-Serif; BACKGROUND-COLOR: #eeeeee } .msgControlHead { BORDER-RIGHT: buttonshadow 1px outset; BORDER-TOP: buttonshadow 1px = outset; FONT-WEIGHT: bold; FONT-SIZE: 8pt; CURSOR: default; COLOR: = #000000; BORDER-BOTTOM: buttonshadow 1px outset; FONT-FAMILY: Verdana, = Tahoma, Arial, Helevetica, Sans-Serif; BACKGROUND-COLOR: #cdd7e0 } .msgFormBody { FONT-WEIGHT: normal; FONT-SIZE: 8pt; CURSOR: default; COLOR: #000000; = BORDER-BOTTOM: buttonshadow 1px inset; FONT-FAMILY: Verdana, Tahoma, = Arial, Helevetica, Sans-Serif; BACKGROUND-COLOR: #eeeeee } .msgFormDesc { FONT-WEIGHT: bold; FONT-SIZE: 8pt; CURSOR: default; COLOR: #000000; = BORDER-BOTTOM: buttonshadow 1px inset; FONT-FAMILY: Verdana, Tahoma, = Arial, Helevetica, Sans-Serif; BACKGROUND-COLOR: #eeeeee } .msgFormDescSm { PADDING-RIGHT: 15px; FONT-WEIGHT: normal; FONT-SIZE: 7.5pt; CURSOR: = default; COLOR: #000000; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; BACKGROUND-COLOR: #eeeeee } .msgFormDrop { FONT-WEIGHT: normal; FONT-SIZE: 8pt; FONT-FAMILY: Tahoma, Verdana, = Arial, Helevetica, Sans-Serif; BACKGROUND-COLOR: #ffffff; TEXT-ALIGN: = center } .msgFormSearchError { FONT-WEIGHT: normal; FONT-SIZE: 8pt; CURSOR: default; COLOR: #990000; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #ffffff } .msgFormError { FONT-WEIGHT: normal; FONT-SIZE: 10pt; CURSOR: default; COLOR: #990000; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #ffffff } .msgFormHead { FONT-WEIGHT: bold; FONT-SIZE: 8.5pt; CURSOR: default; COLOR: #000000; = BORDER-BOTTOM: #000000 1px solid; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; BACKGROUND-COLOR: #b5c7d2 } .msgFormHelp { BORDER-RIGHT: #4e4e4e 1px solid; BORDER-TOP: #4e4e4e 1px solid; = FONT-WEIGHT: normal; FONT-SIZE: 8pt; BORDER-LEFT: #4e4e4e 1px solid; = CURSOR: default; COLOR: #000000; BORDER-BOTTOM: #4e4e4e 1px solid; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #ffffff } .msgFormInput { BORDER-RIGHT: buttonshadow 1px outset; BORDER-TOP: buttonshadow 1px = outset; FONT-WEIGHT: normal; FONT-SIZE: 8pt; BORDER-LEFT: buttonshadow = 1px outset; WIDTH: 100%; CURSOR: default; COLOR: #000000; BORDER-BOTTOM: = buttonshadow 1px outset; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; HEIGHT: 20px; BACKGROUND-COLOR: #ffffff } .msgFormStdInput { BORDER-RIGHT: buttonshadow 1px outset; BORDER-TOP: buttonshadow 1px = outset; FONT-WEIGHT: normal; FONT-SIZE: 8pt; BORDER-LEFT: buttonshadow = 1px outset; CURSOR: default; COLOR: #000000; BORDER-BOTTOM: buttonshadow = 1px outset; FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = HEIGHT: 20px; BACKGROUND-COLOR: #ffffff } .msgFormTextBox { BORDER-RIGHT: buttonshadow 1px outset; BORDER-TOP: buttonshadow 1px = outset; FONT-WEIGHT: normal; FONT-SIZE: 8pt; BORDER-LEFT: buttonshadow = 1px outset; WIDTH: 100%; CURSOR: default; COLOR: #000000; BORDER-BOTTOM: = buttonshadow 1px outset; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; HEIGHT: 250px; BACKGROUND-COLOR: #ffffff } .msgFormSmTextBox { BORDER-RIGHT: buttonshadow 1px outset; BORDER-TOP: buttonshadow 1px = outset; FONT-WEIGHT: normal; FONT-SIZE: 8pt; BORDER-LEFT: buttonshadow = 1px outset; WIDTH: 100%; CURSOR: default; COLOR: #000000; BORDER-BOTTOM: = buttonshadow 1px outset; FONT-FAMILY: Verdana, Tahoma, Arial, = Helevetica, Sans-Serif; HEIGHT: 150px; BACKGROUND-COLOR: #ffffff } .msgFormTitle { FONT-WEIGHT: bold; FONT-SIZE: 10pt; CURSOR: default; COLOR: #ffffff; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #336699 } .msgForumHead { FONT-WEIGHT: bold; FONT-SIZE: 9pt; CURSOR: default; COLOR: #000000; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #b5c7d2 } .msgHead { BORDER-TOP: buttonshadow 1px outset; FONT-WEIGHT: bold; FONT-SIZE: 8pt; = CURSOR: default; COLOR: #000000; BORDER-BOTTOM: buttonshadow 1px outset; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif; = BACKGROUND-COLOR: #eeeeee } .msgHelpBody { PADDING-RIGHT: 15px; BORDER-TOP: buttonshadow 1px outset; PADDING-LEFT: = 15px; FONT-WEIGHT: normal; FONT-SIZE: 8pt; CURSOR: default; COLOR: = #000000; FONT-FAMILY: Verdana, 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normal; FONT-SIZE: = 8pt; CURSOR: default; COLOR: #000000; FONT-FAMILY: Verdana, Tahoma, = Arial, Helevetica, Sans-Serif; BACKGROUND-COLOR: #ffffff } .msgXsm { FONT-WEIGHT: normal; FONT-SIZE: 7.5pt; CURSOR: default; COLOR: #000000; = FONT-FAMILY: Verdana, Tahoma, Arial, Helevetica, Sans-Serif } .msgWelcome { FONT-SIZE: 8.5pt; CURSOR: default; COLOR: #000000; FONT-FAMILY: = Verdana, Tahoma, Arial, Helvetica, Sans-Serif; BACKGROUND-COLOR: #ffffff } .outerTable { BORDER-RIGHT: medium none; BORDER-TOP: medium none; BORDER-LEFT: medium = none; BORDER-BOTTOM: medium none } .tblStd { BORDER-RIGHT: buttonshadow 1px outset; BORDER-TOP: buttonshadow 1px = outset; BORDER-LEFT: buttonshadow 1px outset; BORDER-BOTTOM: = buttonshadow 1px outset } ------=_NextPart_000_0024_01C86CC9.501E04B0 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.healingwell.com/community/js/TBMain.js function bRoll2(itemName,itemState) { if(itemState=3D=3D1){ itemName.className=3D'msgButtonRoll'; } else { itemName.className=3D'msgButton'; } } function ResendMailNofify(popURL, cid) {=09 popURL +=3D '?w=3D6&p=3D'+cid;=09 window.open(popURL, 'tbPop3', = 'toolbar=3D0,location=3D0,directories=3D0,status=3D0,menubar=3D0,scrollba= rs=3D1,resizable=3D1,width=3D400,height=3D200'); } // opens the avatar gallery function galPop(popURL) { popURL +=3D'?w=3D8'; = window.open(popURL,'tbPop4','toolbar=3D0,location=3D0,directories=3D0,sta= tus=3D0,menubar=3D0,scrollbars=3D1,resizable=3D1,width=3D500,height=3D440= '); } // opens the avatar gallery function galPop2(popURL,u) { popURL +=3D'?u=3D'+u; = window.open(popURL,'tbPop4','toolbar=3D0,location=3D0,directories=3D0,sta= tus=3D0,menubar=3D0,scrollbars=3D1,resizable=3D1,width=3D500,height=3D440= '); } // openes the avatar upload form function avPop(popURL) { = window.open(popURL,'tbPop5','toolbar=3D0,location=3D0,directories=3D0,sta= tus=3D0,menubar=3D0,scrollbars=3D1,resizable=3D1,width=3D450,height=3D200= 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