Tag: surgery

Learn about arthritis and how it can affect you

Learn about arthritis and how it can affect you
Dr Leong Y.H

‘Rheumatism’ is a traditional and non-specific term used in the East and West to refer to a variety of conditions affecting the bones, joints, skin, heart, kidneys, lungs. This term is rapidly falling out of favour in the West today because modern medical science has discovered that most of these conditions have different aetiologies (causes) requiring very different treatments.
You can say that it’s a word mainly used in Chinese (& traditional) societies; it’s also used by a minority of Westerners into homeopathic and alternative medicine. The only common characteristics among these conditions are: 1) they cause long-term chronic pain, and 2) they are very difficult to treat.
‘Arthritis’ is a broad term refers to inflammation of the joints, but doesn’t say anything about the cause. Includes conditions like osteoarthritis, rheumatoid arthritis, psoriatic arthritis, infective arthritis, gouty arthritis, etc.
Generally, I’d divide arthritis into 2 big groups:
1) Osteoarthritis (OA)
This is primarily a ‘wear and tear’ condition affecting older people. Arises from overuse (e.g. marathon runners), previous injuries (football players), overweight, heredity.
A lot of older Asian women get OA of the knees while the Americans and Europeans get it in the hips. The pain is more mechanical than inflammatory. So you get pain in the later part of the day after a lot of walking and climbing stairs.
Because it’s mainly a mechanical problem, treatment with painkillers is only a temporary solution. Long-term lifestyle changes are more important – reduce weight, mobility and muscle-strengthening exercises, reduce all kinds of weight-bearing activities (walking, jumping, running, carrying heavy objects). In severe cases, surgery may be warranted.

2) Inflammatory (‘Rheumatic’) Arthritis
This group comprises the various types of arthritis which are mainly inflammatory , not mechanical, in nature. They usually result from an auto-immune condition, which causes the body’s immune system to go haywire and attack the joints and other parts of the body. E.g. rheumatoid arthritis (RA), SLE (skin, kidneys, joints, brain), psoriasis (skin, joints), ankylosing spondylitis (back, heart), gout (joints, skin, kidneys), rheumatic heart disease/fever (joints, heart, skin). All these conditions require different forms of treatment.
I’ll talk a bit about RA, the commonest condition in this group. Unlike OA, RA can occur at any age and is usually hereditary (we now have a test for the RA factor in the blood). Pain is usually in the early morning, worse when it’s cold, and gets better with activity and use. That means an RA sufferer suffers from morning stiffness and pain, but gets better in the afternoon when it’s warmer and when he has moved around a bit.
Treatment, unlike OA, is mainly through drugs – painkillers, anti-inflammatory drugs like steroids, cytotoxic drugs like sulfasalazine and MTX.
In Asia, treatment is mainly through accupuncture, medicated plasters and ointments. With the vast arsenals of drugs and non-drugs alternative treatments available today, RA can be controlled very well and the sufferer can actually lead a very active life. Many OA sufferers on the other hand may eventually require surgery since we don’t have very effective drugs for OA. About the Author
Dr Leong is a Western trained doctor with a keen interest in Chinese medical treatment. He contributes articles to http://www.quick-pain-relief.com. This article may be republished provided acknowledgement is made of the author and the original website.

New Advanced Treatment For Fibroids

Uterine artery emobilization (UAE) is a minimal invasive procedure aimed at shrinking fibroids in women diagnosed with having fibroids. Rather than removing them surgically, the procedure shrinks the fibroids avoiding hysterectomy or myomectomy (removal of the fibroids alone) to eliminate symptoms such as pelvic pain and/or heavy bleeding.

Although an attractive alternative to a hysterectomy to treat fibroids, AEU prevents the need to go through the pains following a hysterectomy. because a hysterectomy is the cure to fibroids. The fibroids will definitely not come back as there will no longer be a place for the fibroids to grow. Specially trained doctors use imaging techniques to see inside the uterus while guiding a narrow tube through blood vessels. The UAE procedure then shrinks the fibroid eliminating all of its blood supply. Plastic particles are then injected into the arteries to plug them perfectly blocking the blood supply. However, this procedure is not full proof as the possibility of the fibroids growing back or in other places is not diminished making more surgery necessary if they return. AEU effectively spares the uterus and cuts down on hospital time, and recovery is fairly fast.

Other options to remove fibroids include Hysteroscopy resection, which use electric currents shaving the fibroid from the uterus breaking them into pieces which can then be removed through the vagina. There is some concern in this procedure that particles from the pieces may enter other organs and affect them in a negative manner. But for women the procedure that does not require surgery is most sought after for fibroid removal and avoidance of hysterectomy. AEU is very effective and rarely is there any complications and usually results in a lighter menstrual bleeding and pelvic pressure that causes pain. The only reportable side effects following surgery is nausea, committing, and some mild cramping for a limited amount of time making this the most cost and time effective procedure available today.

If you think that this procedure might be an attractive choice for you, then you should consult your doctor and ask about options with local surgeons. Most hospitals now offer this treatment because of its effectiveness, but some seem to be stuck in the past. You also need to find out whether or not your particular fibroids are operable using this method, since some cases make it too complicated or difficult to do.

Many women have for several years debated the idea that hysterectomy is the only option for women with fibroid problems prompting doctors to look to alternative measures. It is important to know that there are other options available and each one should be examined carefully before a decision is made to have a hysterectomy. The location, size, number of fibroids and activity of the fibroids should me one of the determining factors in the decision to treat fibroids. Estrogen feeds the fibroids and it is well known that fatty tissue produces large amounts of estrogen, so if you are overweight additional factors may need attention in order to make an educated decision. Whatever the decision is that you make concerning the treatment of fibroids take into consideration all of your options before you take the word of someone, doctor, or others who try to tell you that Hysterectomy is the only option.

Are Women Good Candidates for Hair Transplant Surgery?

Balding is not just a men’s problem; women often lose hair as they get older as well. You might wonder, if that is the case, why more women do not have hair transplant surgery. You may be surprised to know that many women are not good candidates.

Women usually have a different type of hair loss than men. Male pattern baldness uncovers parts of the top of the head. However, the sides and back of the head are usually covered with healthy balding-resistant hair follicles.

Men with this pattern of balding will have donor hair that survives the hair transplant process and flourishes long afterward. That is because a naturally-occurring enzyme in the body combines with testosterone to create a chemical called DHT. This chemical is responsible for the hair loss on the tops of men’s heads when they have male pattern baldness.

However, it does not affect the back and sides of their hair in most cases. These areas have healthy hair follicles and make excellent donor sites for hair transplant surgery. These are called stable sites because they remain unchanged over time rather than shrinking like the hair follicles affected by DHT do.

Female pattern baldness is different. In most cases, they do not have large areas of stable balding-resistant hair follicles. The sides and back of their hair tends to thin just as the front and top of the head do. The DHT affects all the areas of their hair.

Any hair follicles that are affected by DHT will simply fall out if they are moved by hair transplant procedures. Moving them from one place to another does not affect the basic nature of the hair follicle.

Also, women do not have the problem of receding hairlines in most cases. Their hair is lost in a more diffuse manner, thinning uniformly all over the head. It is not so much where their hair is that is the problem, but how much they have. Hair transplant surgery will not correct this problem. It is best used to move hair from one place to another.

There is a very small percentage – about 5% of all women with baldness problems – who are good candidates for hair transplant surgery. The thing that all these women have in common is that they all have healthy areas of hair follicles that can be used as donor sites.

For example, women with mechanical or traction Alopecia have lost their hair because they have scratched their head for a long period of time, they have used tight rollers or their hair has been pulled or stretched in any manner. These women almost always have an area of their hair that is unaffected. If they do, they can have hair transplant procedures.

Some women have cosmetic surgery and suffer hair loss around the incision sites. In these cases, hair transplant surgery can help. Other women actually have a pattern of hair loss that is similar to male pattern baldness. These women are able to have the surgery, too.

Finally, women who have suffered trauma from accidents or burns are good candidates for hair transplant procedures. If you are a woman with balding problems, is worth the time to consult with a doctor to find out if you are one of the women who can benefit from hair transplant surgery.

The Dry Socket

Even though they arent life threatening like bleeding or abscesses, dry sockets can be extremely painful. They are very common following surgery, and happen to be one of the most painful post extraction problems. Dry sockets are more common with removal of the lower teeth than they are with removal of upper teeth. No matter what type of extraction you have performed, a dry socket can occur with any type.

Although there is really no way to prevent a dry socket, you can help to reduce the risk by following your after surgery directions. Even though you may be following the directly precisely, you could still end up with a dry socket. They are known as a quirk of nature, and will make you feel like you are on your death bed – although you really arent. Those who are more at risk to dry sockets include those who smoke following extractions, and those who like to grind their teeth frequently.

A dry socket is a condition where the blood clot that forms after an extraction detaches itself from the socket walls. Sometimes, the clot will dissolve, leaving the bone exposed to food, the weather, and even saliva. Once the bone is exposed, it can become inflamed. The inflammation that occurs is very painful, often times being a deep pain that makes you feel as if you are dying.

If you leave it alone, the dry socket will heal. It will normally take around a month or so, although the pain wont let up during the healing period. If you have a dry socket, youll find that antibiotics and even the strongest of prescription drug wont cure it. An antibiotic will normally cure infections, although a dry socket isnt considered to be an infection.

The best way to fight a dry socket is to go back to your dentist and have him pack the socket. Packing the socket is done without any anesthesia and can be quite painful. It doesnt take long to complete, and it can provide relief from the pain. Once you have a dry socket, you wont care about anything but stopping the pain. The pain can be so intense at times that you will be willing to do anything to stop the pain – even for a few minutes.

Once the socket has been packed, you will be relived from pain for a day or so. If you go back to your dentist, he will remove the old packing, wash the socket out, and place a new packing in. This way, you can get relief from the pain and help the socket heal. Keep in mind that it will take time to heal – and the best way to stop the pain is to do your best to avoid a dry socket at all costs.