Tag: surgery

Rheumatoid Arthritis Overview

Rheumatoid Arthritis Overview
L. Hirt & eKnowItAll.com

Rheumatoid arthritis is an inflammatory disease that affects your joints. It can cause swelling, stiffness, pain and loss of function in the joints it affects. Unlike other types of arthritis, it does not usually affect just one joint, but the matching joint on the other side of your body as well. The most commonly affected joints are the wrists and fingers. There are several forms of the disease, ranging from a short period of pain lasting for only a year to severe pain that lasts many years or an entire lifetime. SymptomsSymptoms can vary from person to person, but there are several features of the disease that often occur:Tender, swollen and warm joints often in the wrist or fingers Pain affecting the same joints on both sides of your bodyInflammation in other joints such as the knees or hipsProlonged periods of pain and stiffness, after long periods of rest or after waking upOccasional fevers, fatigue, and an overall feeling of not being wellFactors Increasing the Risk of Rheumatoid ArthritisRheumatoid arthritis can be hereditary, and can result from having specific genes that control your immune system. Several genes play a role in whether a person develops the disease, and how severely they are afflicted. Genetics, however, is not the only factor.It is believed that certain events trigger the onset of rheumatoid arthritis in people already susceptible to it because of their genes. The most likely causes are bacterial or viral infections.Women are more likely to develop the disease than men, and their hormone levels may affect the onset of the disease. For example, pregnancy often lessens the severity of the disease, while flare-ups often occur after giving birth.The Basics of Rheumatoid ArthritisJoints, where two bones connect, are normally surrounded by a protective and supportive capsule. The capsule surrounds the joint and the cartilage between the bones. Healthy joints have a lining of a tissue called synovium and produce a fluid that both nourishes and lubricates the bones and cartilage. In people with rheumatoid arthritis, the immune system produces white blood cells that attack the synovium. This causes the inflammation consistent with arthritis, and makes the joint swollen and painful. Once the disease develops, the inflamed synovium actually attacks the joint and its bone and cartilage, working to destroy it. Eventually, the muscles around the joint become too weak to support it properly, causing often severe pain and joint damage. Common TreatmentsNo matter what treatment doctors and patients choose, the goal is always to stop pain and inflammation, prevent further damage to joints and allow the person to function normally.Dealing with the Disease:Splints can be used to support an affected joint, letting it rest. This will reduce swelling and pain. Other simple tools can make daily tasks easier for people with the disease. For example, patients may use special devices to help them get in and out of bed.A healthy blend of rest and exercise is also important. Doctors suggest getting more exercise while the disease is not severe, and getting more rest when attacks flare-up. Exercise improves flexibility, muscle strength, and joint mobility, while also contributing to the patients overall well-being. When resting, it is best to rest for short periods, rather than taking long naps.To reduce the stress involved in coping with the disease, patients can utilize relaxation techniques, regular exercise, and support groups. Eating a balanced diet also contributes to overall well-being.Medication and SurgeryMost people with rheumatoid arthritis take some form of medication. Types include those to relieve pain, to reduce inflammation and to slow the onset of the disease. Common drugs include Nonsteroidal Anti-inflammatory Drugs (NSAIDs) and aspirins. The most effective treatments often include a combination of more powerful medications.Surgery can be performed to reduce pain and improve joint function and daily life. Common surgeries include joint replacement, tendon reconstruction, and synovectomy, in which doctors remove the inflamed synovial tissue. This is done only as part of other reconstructive surgery.For all patients, regular doctor visits, and routine blood and other laboratory tests are important and should be made on a regular basis. About the Author
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How to Take Care after Hair Transplant Surgery

Once you have made the decision to have hair transplant surgery, you are probably jumping ahead to thinking about your post-op plans. You most likely cannot wait to see the faces on your friends and acquaintances when they notice your new full head of hair. In the meantime, you have to go through the surgery and take care so that your hair transplant will be successful.

Your hair transplant will not heal unless you keep the newly operated-on skin out of the sunlight. The surgery will make the skin especially sensitive. If you protect the skin on your scalp after getting a scalp hair transplant, you will help the wounds heal much faster.

You can start out by getting some kind of hat. It does not matter what kind of hat it is, as long as it is fairly loose-fitting so that it does not rub on your new hair transplant grafts. You should not have to put up with this for long. After a couple of weeks, you can replace the cap with sunscreen. It should have an SPF of at least 30.

Having just the right amount of blood flow to the hair transplant sites will make a big difference in how fast they heal. For example, you need to make sure you get enough blood flow during the night. You can do this by sleeping on pillows to elevate your head. Your usual pillows can be used, or you can buy wedge-shaped pillows made for this purpose.

On the other hand, you do not want too much blood flow. You should get plenty of rest after your hair transplant surgery. For the first few weeks it is not wise to engage in any physically demanding activities. Then, the blood flow will be too much. Your transplants may start to bleed.

It is important to clean your hair just as your doctor recommends after hair transplant surgery. You will be given a special shampoo to use and specific instructions on how and when to use it. It is necessary to clean gently but thoroughly. At first, you may find yourself rinsing your hair many times a day. Just be sure that you do not bother the hair transplant site by scratching or rubbing it.

Your hair transplant doctor will want you to come in for a check of your transplants about a week after your surgery. Be sure to be at that appointment on time. If you have any questions about how to care for your hair, bring them up at that time.

Ask your doctor when you will be ready to use a comb on your new hair. You might be surprised at how soon you can use one. Then, your doctor will schedule other check-ups, which you should also attend.

At first it may seem as if you have to be very careful with your hair – and you do! It does not make sense to spend hundreds or thousands of dollars having your hair transplant surgery and then not follow through with good care. However, in no time at all, you will be treating this new hair just as you treated the hair you once had there.

How to Find a Good Hair Transplant Surgeon

There is no law in the US that requires a doctor to have any special credentials to perform hair transplant surgery, other than basic licensing as a physician. This leaves many potential candidates for the surgery in the dark. It is difficult to know the difference between a good hair transplant surgeon and an inexperienced one.

If you know someone who has had hair transplant surgery, you have at least one person to whom you can go for advice. You will know from looking at their hair whether the job was done well. You can ask the person whether you were treated professionally. That person will also know how much the total cost was, and if there were any hidden fees.

You might not know anyone who has had a hair transplant procedure. In this case, you might go to the telephone directory. This is just a starting point. Many of the doctors who advertise there are simply trying to start up a practice in the field. They may have little or no experience. This is just a way to get names that you can check out.

When you contact a hair restoration surgeon, ask to see a portfolio of patients’ photos before and after hair transplant surgery. You should be suspicious if you are shown less than a dozen or so sets of pictures. This may mean the doctor does not have much experience to brag about. The pictures should be of good quality so that you can really see what kind of job was done.

Next, ask for names and phone numbers of patients the surgeon has treated. A doctor who has done many successful hair transplant procedures will have a list of people willing to talk about their experience. You can call each one and ask about how the procedure went for them.

Be aware that not all hair transplant doctors are scrupulous businesspeople. Many will try to fool you into believing they are more experienced than they are. Sometimes, they will try to make you believe they do better work than they do. They will show you pictures that are not true examples of their own work.

They might show you photos that they have taken using lighting tricks to make the hair look thicker and healthier than it is. It is often hard to spot such tricks, but knowing that some surgeons do them will help you to watch out for them.

You will get some good advice if you go to certain associations for assistance. The International Alliance of Hair Restoration Surgeons will give you information on surgeons that are affiliated with them. The American Academy of Dermatology is another fine institution that has data on hair transplant surgeons.

The American Academy of Facial Plastic and Reconstructive Surgery is known for supporting good cosmetic surgery, which hair transplant procedures are. Finally, the International Society of Hair Restoration Surgery deals exclusively with these types of procedures.

It can be quite difficult to find the right surgeon to do your hair transplant procedure. Do not give up. There are plenty of skilled surgeons who can perform these operations well. You just need to take the time you need to find them.

Relief From Arthritis: A Who’s Who in Arthritis Treatment for

Relief From Arthritis: A Who’s Who in Arthritis Treatment for Newly Diagnosed Patients
John Robben

Newly diagnosed arthritis patients can easily become overwhelmed
with the myriad of information, treatment options, help and
professionals available to them, while still trying to find
relief from their disease. In an effort to demystify who does
what, this article will point out each of the people you’ll most
likely be interacting with during your arthritis treatment and
explain their role in helping you find relief from arthritis.

Arthritis Treatment Specialist: Acupuncturist

Considered foreign to most Americans, acupuncture has become a
beacon in the arthritis treatment sphere. By placing small,
sterile needles into very specific points on the body,
acupuncture is said to relieve stress, increase endorphins and
remove blockages that are pain-causing, thus providing relief
from arthritis. For a list of fully trained osteopaths who are
also acupuncturists, visit the American Academy of Medical
Acupuncture for more information.

Arthritis Treatment Specialist: Chiropractor

Chiropractors are the hands-on, trained manipulators that
actually realign the joints, muscles and tendons that may be out
of whack. Although they are not medical doctors, chiropractors
may refer their findings to your family doctor or rheumatologist
for further investigation. The American Chiropractic Association
can give you a better idea as to what exact these professionals
can do to help you find relief from arthritis.

Arthritis Treatment Specialist: Massage Therapist (LMT,
CMT)

Relief from arthritis isn’t only found in the bottom of a
medicine bottle or at the hands of a surgeon; many arthritis
treatment plans strongly suggest a massage therapist as an aide
to reduce muscle tension or to increase one’s range of motion.
However, not all massage therapists are trained the same: check
with the American Massage Therapy Association for certified
arthritis treatment specialists in your area.

Arthritis Treatment Specialist: Orthopaedic Surgeon (MD)

Specializing in the evaluation and treatment of the bones,
joints and tissues, orthopedic surgeons usually work on a
referral-based system from your family doctor. These types of
doctors will determine whether or not your arthritis treatment
will focus on surgery, non-surgical options or a combination
thereof. The American Academy of Orthopaedic Surgeons can answer
most of your general questions about surgical arthritis
treatment options that can bring relief from arthritis symptoms.

Arthritis Treatment Specialist: Physical Therapist

Sometimes known as occupational therapists as well, physical
therapists help with the daily management of the disease by
showing patients practical, hands on tactics to find relief from
arthritis. This can include heat/cold therapy, assistive
techniques (different ways of doing the same thing so that there
is less pain but with no reduction of mobility), introducing
tools that can help with day-to-day living and exercises that
increase flexibility and mobility. Contact the American Physical
Therapy Association for more information.

Arthritis Treatment Specialist: Rheumatologist (MD)

A rheumatologist is a doctor who specializes in the treatment of
muscle and skeletal problems, such as lupus, osteoporosis and
gout. Rheumatologists work closely with your family doctor to
ensure your arthritis treatment is specific and specialized. The
American College of Rheumatology provides “professional
education” to its members and publishes several journals related
to arthritis treatment and the relief from arthritis symptoms.

About the author:
John Robben is the owner/operator of Ultimate Water Massage
(est. 2000), a Washington-based company that offers over 2000
products to ease your pain and your life. Visit for more
information, tools, supplies and tips for relief from arthritis
pain at http://www.ultimatewatermassage.com/.