Tag: surgery

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/.

How Surgeons Hide Donor Scars during Hair Transplant Surgery

Hair transplant procedures leave scars. It is just a fact of life. However, if the surgeries are handled in the proper manner, the scars are barely noticeable. They are thin to the point that they can barely be seen in most cases. Skilled doctors have ways of making the scars practically disappear.

First of all, the surgeon must be very skilled in choosing the site of the path where he harvests the donor tissue for the hair transplant. Its width should be no more than one centimeter in most instances. This allows the scalp to close completely when sutured back into place.

If the hair transplant procedure is done well, the scar will not be noticeable even if the patient likes to wear his hair in a short style. The scar will only become unsightly if the patient is genetically predisposed to keloid scarring. People who have this kind of problem need special treatment.

If a patient is known to suffer from keloid scarring, the first thing a reputable doctor will do before hair transplant surgery is to explain the possibility of unsightly scars. This requires a very honest surgeon, since the patient may decide the procedure is not worth the scarring it will cause.

The next step with such a patient would be to discuss ways the keloid could be covered. It could be camouflaged by wearing the hair just a little longer. Other patients have rubbery skin that stretches too much and so causes wide donor scars. These two groups add up to about 5% of the patients who have hair transplant surgery.

The other 95% of patients have no problems with their tiny scars at all. The hair transplant doctors are able to keep the donor strips very thin. They also use a double layer closure method to help the skin heal properly. As long as the surgeon knows what she is doing, the scars are a minor consideration.

Another aspect of scarring is when doctors go in for multiple hair transplant surgeries. A new strip of donor tissue has to be taken each time to supply the grafts for the new transplant. It would seem that this would lead to a large number of scars on the back and sides of the head.

Actually, there is a hair transplant procedure that keeps the scarring to one thin line. It consists of cutting the new thin donor strip immediately above the original scar. In most cases, the old scar is removed at the same time. When the wound is stitched up, the entire area of both the old scar and the new cut are sewn into one line. If multiple surgeries are done, this procedure is used every time.

Hair transplant surgery leaves scars. That much is certain. If you are one of the unlucky few who scar easily, you might have scars big enough that you have to hide them. Yet, if you are like most people, you will not have scars that anyone will notice at all.

Relief for Arthritis

Relief for Arthritis
Nestler

Inflammation or degeneration of the joints is a common problem
especially as one ages, and sufferers are constantly on the
lookout for arthritis
relief.

Popping a pill may be the first thought that comes to mind,
perhaps a pain killer or one of the anti-inflammatory
medications. The latter come in the form of pills, ointments,
gels or salves and may provide the desired relief. However, if
the problem persists, use of medication should be discussed with
a physician so the sufferer is aware of possible side-effects
and precautions with their use.

In spite of the pain, moderate daily exercise, such as swimming,
walking, or perhaps physical therapy is critical if the
arthritis sufferer is to maintain mobility in the joints. A
therapist will help design an exercise program which, when
interspersed with rest periods, will help reduce joint
inflammation. Moist heat is helpful in reducing pain and
increasing ease of movement. Heat is soothing and infra-red is a
penetrating heat. Placed about 60cm or 24inches from the
affected joint, for about 20 minutes, up to 3 times daily, it
may be helpful, especially just before beginning an exercise
routine. However, there is probably no long term benefit.

A physiotherapist may give advice on maintaining correct
posture, during sitting and standing. Some individuals seek
relief from various forms of alternative medicine. . Needless to
say, excess body weight aggravates the problem.

In severe cases, surgical procedures may be necessary;
artificial joints may be implanted to replace those damaged
beyond repair.

Some detective work on the part of the sufferer may be called
for. By determining when the symptoms pop up, it may be possible
to manage some of the suffering. Pain in a joint may be felt
during or after use, or after a period of inactivity. Discomfort
may signal a change in the weather or be felt during it.

Although there’s no cure for arthritis, available treatments can
relieve pain and help you remain active. At the first signs of
the illness, treatment should begin. Rest and easy exercise such
as swimming may be effective starting points along with some
over the counter medications to ease the pain and improve joint
functioning.

Among the treatments your doctor may suggest are medication,
self-care, physical therapy and occupational therapy.
Occasionally surgery is recommended.

In addition, how well you live with arthritis often depends on
your behaviors and attitude. If you actively manage your
arthritis, you may be able to gain control over your pain.

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Tales From the Lasik Waiting Room

As an experienced Lasik patient I thought I might give a glimpse into the worst part of the Lasik procedure… the waiting room. I have had a Lasik procedure twice, the second being a follow up since one of my eyes needed additional work after the healing procedure was complete. I was distinctly less nervous about the second procedure, and observed and talked to a number of the other Lasik clients that were waiting with me.

One was a young woman in her early twenties who talked incessantly trying to keep her mind off of any of the Lasik brochures and information on the table. She had been thoroughly oriented to both the Lasik operation and post-op procedures, but had brought along a few stuffed animals to keep her company during the operation. Most Lasik physicians recommend a minimum age of 18 due to sufficient maturity of the eye, but maybe waiting for some emotional maturity might be another factor. On the other hand, I wondered what I looked and sounded like waiting for my first Lasik operation.

Talking to a few of the other Lasik clients, I realized I was not the only one in for a second Lasik procedure. Two others were like me in that they did not get sufficient improvement in their vision to satisfy themselves or the Lasik surgeon. In all of our cases, our first Lasik procedure of several months earlier went well, and none of us were particularly nervous.

It did surprise me, considering that it was 6:30 AM, of the variety of clothing styles of the Lasik clients. Most of us, considering the hour and the rather frigid temperature of the Lasik operating room and the waiting room, were dressed in snug and warm sweat suits or other comfortable wear. One Lasik patient was dressed in formal business attire with full makeup.

This puzzled me for at least two reasons: any makeup, lotions, or other things that could get into the eye are forbidden for at least 24 hours before the surgery, and it is highly recommended to go home and sleep as quickly as possible after the Lasik procedure. The only thing I could figure out was that she wasn’t actually getting a Lasik procedure, but no one else is there at 6:30 AM. Her dominating and withering look made me decide that any pre-Lasik conversation with her was better left unsaid.

I was probably the fourth person escorted into a waiting room for a final discussion on Lasik post-op procedures, but I could not tell how long I had been waiting. I think they avoid clocks for a very good reason. The lady two seats down from me was calm enough about her Lasik procedure to go back to sleep while waiting, which seemed like an eminently sensible idea.

Each patient is offered a mild sedative before the Lasik procedure starts. It is mainly for psychological purposes, as my first Lasik experience was not painful at all. I did take it for my first experience, but my own Lasik history and the others I have heard in the waiting room make me think that I don’t need it. But I take it anyway, just in case.

I hope that this window into a Lasik waiting room helps give the attitude that for most people it is not a dreaded procedure, and for those of us that have had Lasik done, a rather uneventful one.