surgery | Health And Wellness Tips

Shoulder Hemiarthroplasty In Patients With Juvenile Idiopathic Arthritis

Shoulder Hemiarthroplasty In Patients With Juvenile Idiopathic Arthritis
Mike Cliff

Replacement of the berm in juvenile person idiopathic arthritis is not often performed and at that place rich person been no published series to date. We present nine glenohumeral hemiarthroplasties in eight patients with systemic or polyarticular adolescent idiopathic arthritis. The mean keep up-up was six days (59 to 89 months). The mean age at the time of operation was 32 old age. Surgery took place at a mean of 27 age subsequently diagnosis.

The results indicated excellent easing from painful sensation. At that place was restoration of useful office which deteriorated with time, in part because of progression of the systemic disease in this severely affected group. No patient has required revision to date and in that location has been no radiological evidence of laxation or osteolysis around the implants. We discuss the pathoanatomical challenges unique to this group. In that location was very little space for a prosthetic marijuana cigarette and, in some cases, bony deformity and the belittled size necessitated the wont of custom-made implants.

Arthritis of the shoulder joint is rarely an early feature of jejune idiopathic arthritis. Involvement of the hip joint and stifle is more common and can be treated by arthroplasty.’~8 That of the articulatio humeri is seen later in the course of ongoing systemic or polyarticular puerile idiopathic arthritis with an incidence of 15% at 15 eld from the onset of the disease.9 Persistent arthritis of the immature produces a maldeveloped proximal humerus and glenoid cavity (Fig. Later in the course of the disease, erosion of ivory and cartilage whitethorn cause medial migration and superior subluxation of the humeral head. Consequent dysfunction of the impairs basic daily activities such as toileting and the utilization of crutches or a stick, which English hawthorn be required during rehabilitation later surgical operation on the coxa or knee joint.

If the elbows become involved, the role of the upper limb deteriorates further. Another (case 6) complained of persistent paraesthesiae and annoyance affecting the lateral aspect of her forearm afterwards surgical procedure which did not respond to simple analgesia and physiotherapy. She remains unable to self-toilet effectively because of a poor range of movement and her purpose has deteriorated with time. Peripheral nerve-conduction studies were comparable with those of the contralateral arm and within normal limits. MRI of her cervical spine showed degenerative changes consistent with a C6 radiculopathy, merely she has declined further intervention.

Thither wealthy person been no other significant complications to date. This is a diminished series of patients with no unoperated control group other than the contralateral of four patients with significant arthritic involvement. Our methodology is otherwise reasonable.

About The Author:
Mike Cliff http://www.qualitymanual.net

Is Hair Transplant Painful?

Many people who think about having hair transplant surgery wonder if the procedure is painful. Often people have sensitive scalps and the thought of someone making cuts there seems hard to think about for these people. There is disagreement as to whether hair transplant surgery is painful, though.

Some say that hair transplant surgery is similar to a visit to the dentist. This does not seem like a description of something that is pain-free. It certainly does not seem like a relaxing experience. Yet some feel that there is that degree of pain involved.

The injections of the local anesthetic into the scalp before hair transplant procedures are definitely painful to some degree. Anyone who has had a tooth pulled knows that, if the tooth is deadened properly, it is not the tooth-pulling that hurts. It is the needle going in with medication to numb the tooth that is the real agony.

Of course, to follow the dental analogy, after the numbing wears off there is plenty of pain where the tooth was before. With hair transplant surgery, there is pain after the surgery as well. Swelling is normal after hair transplant surgery and can even keep you away from work. Your skull may feel very unusual for weeks.

However, the pain of hair transplant cannot actually be compared to a tooth extraction. Hair transplant pain is decidedly less sharp and some do not even feel it as pain at all. Many people simply feel it as an uncomfortable feeling. If they do feel any pain, it is of a degree that can be taken care of with a few doses of Tylenol.

On the other hand, some people who have had hair transplant procedures done do not feel that there is any pain involved at all. They tolerate the injections of the local anesthetic well. They are not bothered at all by the procedure. In fact they often watch television or read magazines, being awake and alert the whole time.

Hair transplant surgery is surely less painful than it was in earlier times when larger sections of scalp were excised. This involved more cutting to take out the donor hair and more cutting to insert the donor hair into the recipient site.

Hair transplant surgery was a very painful procedure in the past. Not all doctors today have given up on older methods. This is one reason why you should ask a lot of questions when you look for a hair transplant surgeon.

Up-to-date techniques for hair transplant use only the follicular unit and not a large amount of surrounding tissue for the donor grafts. This cuts down considerably on the amount of pain experienced. The procedure is minimally invasive now, so that no more of the scalp is disturbed than is necessary.

Finally, having a hair transplant with an experienced and skilled surgeon is an important key to having a less painful surgery. A doctor who knows the best way to do the procedure will cause you less pain an produce a better result for you into the bargain.

Searching for Osteoarthritis Pain Relief?

Searching for Osteoarthritis Pain Relief?
Kristy Haugen

Osteoarthritis or degenerative joint disease is a wear and tear disease of the joints typically seen in the older adult (usually over 60 years of age). Cartilage within the joints breaks down causing pain as the bones rub against each other. Osteoarthritis is commonly found in the knees, hips, hands, spine, and feet.
Obesity is a risk factor for developing osteoarthritis in the knees and hips. These weight bearing joints carry much of the weight causing increased wear and tear. Weight loss can significantly reduce the chance of developing osteoarthritis and can alleviate pain in people who currently have osteoarthritis.
Currently osteoarthritis treatment is limited because no medications are capable of preventing or retarding the disease process. Osteoarthritis treatment involves focusing on pain relief, the maintenance of quality of life, and functional independence. Let us take a look at some of the treatments that currently exist for osteoarthritis.
Many doctors recommend acetaminophen (Tylenol) as the initial analgesic (pain medication) of choice for the treatment of osteoarthritis. Acetaminophen has very few side effects. When using acetaminophen as a pain reliever, remember to follow the directions correctly. Acetaminophen is commonly overused by patients. You are recommended to not exceed 4,000 mg of acetaminophen in a twenty-four hour period. Acetaminophen is metabolized or processed by the liver. Excess acetaminophen can cause damage to the liver. Acetaminophen is also found in other pain medications such as Darvocet, Percocet, and Tylenol Cold. In fact, acetaminophen is found in quite a few prescription pain medications.
Traditionally NSAIDs (nonsteroidal anti-inflammatory drugs) have been useful in the treatment of osteoarthritis associated pain. One major concern with the use of NSAIDs is irritation to the stomach lining. In more severe cases, gastrointestinal bleeds or ulcers may form. NSAIDs can affect the bodys blood clotting ability and interfere with kidney function. NSAIDs should always be taken with food to decrease stomach irritation or upset. Do not drink alcohol while taking NSAIDs. However, these drugs should not be taken for extended periods of time unless directed otherwise by a qualified medical provider. Some common types of NSAIDs are ibuprofen (Advil), naproxen (Aleve), and aspirin.
Cyclooxygenase-2 inhibitors (COX-2 inhibitors) are a class of NSAIDs. COX-2 inhibitors suppress arthritis pain much the same way but with less stomach irritation. Many of us know of COX-2 inhibitors but not by this name. Vioxx (refecoxib), Celebrex (celecoxib), and Bextra (valdecoxib) are COX-2 inhibitors. Vioxx and Bextra have been removed from the market. These drugs can significantly increase the risk for stroke and heart attack. Celebrex remains on the market but does have a black box warning stipulating this drug also can increase the risk for cardiovascular events and gastrointestinal bleeding.
Capsaicin (Capsagel, Zostrix) which is derived from chili peppers can be applied topically for the treatment of osteoarthritis pain. Capsaicin will cause vasodilation, itching, and burning to the skin but after repeated applications desensitization will occur, decreasing ones pain. Methyl salicylate creams such as Ben-gay can also be used for osteoarthritis pain. Studies have shown that oral glucosamine and chondroitin supplements have a mild to moderate analgesic effect with arthritis.
For osteoarthritis patients who cannot tolerate their pain, glucocorticoid injections may be done. Glucocorticoids are similar to the hormone cortisol in the body. Glucocorticoids help alleviate pain by decreasing inflammation and swelling within the joint. Side effects are typically seen if you receive these injections too frequently.
Hyaluronan (viscosupplementation) injections can be injected directly into the joint for treatment of osteoarthritis. This medication helps supplement the synovial fluid. The synovial fluid is a lubricating fluid allowing the bones to move smoothly within the joint. This injection should relieve pain and improve your mobility of the joint. This treatment involves 3-5 shots within 5 weeks. You may experience pain and swelling after the injections but this should dissipate. Reduced osteoarthritis pain may last up to 6 months.
For patients that have decreased function and mobility of the joint, surgical intervention may be necessary. Surgical involvement should also be considered in patients whose pain has progressed to unacceptable levels. However, good surgical candidates are usually considered ideal for surgery. Certain health conditions can affect post-operative rehabilitation and healing. Surgery can hold just as much of a health risk as medications have side effects.
Osteoarthritis is not curable but there is hope for the future with advancements in medicine. Along with the above treatments for pain management, it is also important to remain active and healthy. Exercising regularly can help maintain mobility of the joint. Exercise also creates natural pain relievers such as endorphins. Pain may be a part of osteoarthritis, but pain doesnt have to be a part of your life!
Copyright 2006 Kristy Haugen

About The Author

Kristy Haugen is a mother working to finish her second bachelor degree in Chemical Engineering. She is also a Licensed Practical Nurse with a current bachelor degree in Biology and Chemistry. She writes to inform consumers about nutrition and health topics. Learn more about weight loss supplements at http://weightlosssupplements.vitaminmaniac.com. Learn more about vitamins and your health at http://blog.vitaminmaniac.com.

How You Can Avoid Dishonest Hair Transplant Doctors

It is easy to assume that any doctor will do everything in his power to do right by you. However, it would be nave to think that there are no hair transplant doctors that are dishonestly trying to use you to make money and nothing more. There are a few things to take into consideration.

1. Watch out for high pressure tactics. One example is when a promotion is run guaranteeing a special price if you schedule your procedure by a certain date. Most reputable doctors charge a fair price for the hair transplant surgery and so do not need to discount it. Another example is when you go in and the doctor or other people in his office will not take no for an answer. Any good doctor knows the decision is yours to make.

2. Try not to use a doctor who starts you off with a salesman or other person who has nothing to do with the health occupations. You need a person with good training to show you all you need to make your mind up about the surgery. You do not need a person whose only agenda is to sell you on getting hair transplant procedures done.

3. You should start to get concerned if your doctor has no specific good stories to tell about hair transplant surgery they have done. You need to see before and after photos. You need a way to contact former patients. If at all possible, you need to be able to visit with patients the doctor has treated so they can show you the results in person. You are not asking too much – it is a major commitment you are making.

4. If your doctor says to try a few hair transplant grafts and then decide, run. This is never a good idea. Once you start having the grafts done, you are committing to a full set of procedures. Otherwise, your hair will end up looking out of balance.

5. Do not get involved with a doctor who does not listen. A good doctor knows how important the hair transplant is to you. He will listen to your questions about hair transplant and provide intelligent answers. He will also try to find out what your goals are to see if they are realistic.

6. Keep it realistic. If the doctor says the hair transplant will cost an exorbitant amount of time or money, be wary. You should have a basic idea of the going rates before you make this decision. On the other hand, if the doctor talks about how little it will cost and how quick and easy it will be, be suspicious of that too. The answer should lie somewhere in the middle.

7. Not all hair transplant stories are good ones. If the doctor you consult with claims that his are, you cannot trust what he says. Virtually every doctor has some procedure that has gone wrong to some degree. A good doctor will admit this and provide a plan to avoid it.

There are hair transplant stories that would make most people think twice about having the surgery. However, it is not a good representation of the fine work that most hair restoration surgeons are doing. Just make sure you find one of those good surgeons.