Repositioning a Dislocated Shoulder

A dislocated shoulder is not only painful, but is also an injury that must be corrected immediately to avoid any long-term damage. If you throw out your shoulder, then you should do the following.

 

Always be cautious of a patient’s history! Prior to trying to set a shoulder that has been dislocated you will need to learn the individual’s previous medical history. If dislocation has occurred for the first time, you would want to hurry them to the hospital. It’s hard to say if the dislocated shoulder is the only injury, or if there are additional ones present. It would be wise to leave the first diagnosis up to the doctors.

 

Ask yourself, “Can I set this dislocated shoulder by myself?” If it has happened to the person before, you can probably re-position the shoulder yourself. This procedure can be performed on the spot if no other severe trauma is apparent.

           

Determine what type of dislocation has happened. Now that you have discovered that it is not the first dislocation of your patient, you need to see what has been dislocated. You can re-position set an anterior dislocation (the most common) if this is not a new injury for the patient. For a posterior dislocation, which could have been caused by a fit or even electrocution, then the shoulder needs to be reset only while the patient is under a general anesthetic. It is not a good idea to try to set a posterior shoulder dislocation.

 

Verify that the patient is as comfortable as possible. Of course, there is a great deal of pain from a dislocated shoulder, so be sure they’re as comfortable as possible. They should lie down or sit. Give some pain killers. Apparently even caffeine and nicotine can help with the pain.

 

Re-position the shoulder. It is now time to re-position the dislocated shoulder. Put the top of the arm so that it is resting and facing downward. It is also okay to bend his elbow or draw it into his chest as well. Create a 90 degree angle at the elbow and rotate the arm in to create a letter ‘l’. Then slowly and gradually rotate the whole of the arm and shoulder out, ensuring that you keep the upper part of the arm as still as you can. Hold down their wrist and push with your other fist on the injured arm. With luck, the shoulder should fall back into its joint.

 

It is important to know that dislocation of the shoulder is very uncomfortable, but once it is re-set you will both feel a lot happier. 

Pain – Shoulder Pain Relief for Injuries & Degeneration Pain

Did you know that according to the American Academy of Orthopaedic Surgeons, over four million Americans seek shoulder pain relief from shoulder problems each year?

This number may sound alarming to you, but the fact of the matter is the shoulder is one of the most movable joints in the body, therefore making it one of the most potentially unstable.

The correct shoulder pain relief plan can be determined depending upon what kind of injury or condition you experience. Only your doctor can decide which shoulder pain relief plan is best for you. Most shoulder pain problems are attributed to two things:

1). Injuries and/or Overuse

2). Degeneration of the tendons, joints and tissues

Shoulder Pain Relief for Injuries & Overuse

Many people who injure their shoulders need immediate shoulder pain relief. Injuries, such as a dislocated shoulder and a shoulder separation can be extremely painful.

o Dislocated Shoulder. When the arm is pulled backward and overwhelms the muscles, dislocation and pain can occur. If you dislocate your shoulder, in addition to the pain, you will notice a lot of swelling and bruising. Your shoulder might feel numb and weak, as well. To receive shoulder pain relief from a dislocated shoulder, a doctor must push the ball of the humerus back into the socket of your shoulder joint. Then, you must wear a sling to rest your shoulder to heal and mitigate your pain.

o Shoulder Separation. Shoulder separation occurs when the ligaments that hold the collarbone to the shoulder blade are completely torn. Shoulder pain relief from a separation is simple: your arm among other prescribed treatments must remain in a sling until it heals.

People who suffer from either one of the aforementioned injuries can find immediate shoulder pain relief by applying ice to the wounded shoulder for up to 20 minutes three times a day. Your doctor will more than likely prescribe painkillers in order to receive even more shoulder pain relief. Physical therapy in many cases will also be recommended. One word of advice, keep moving your shoulder ever so slightly or you run the risk of frozen shoulder which is a whole different scenario to deal with.

Shoulder Pain Relief for Degeneration of the Tendons, Joints & Tissues

Many times, people seek shoulder pain relief due to the wear and tear of the tendons, joints and tissues. Tendonitis, arthritis and bursitis are common problems that cause inflammation and great amounts of pain. Most of the time, folks can find shoulder pain relief by taking Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil).

The first step to receive shoulder pain relief is to visit your doctor. Your doctor will lead you in the right direction toward the shoulder pain relief you need.

Click on and Visit the web sites below for more information about shoulder pain relief. And remember, everyday living should not involve shoulder pain or any other pain for that matter.

Peritonsillar Abscess

What is a peritonsillar abscess?

The peritonsillar abscess is the most common complication of tonsillitis (infection of the throat) and the bacteria most frequently involved in this type of Abscess is the Streptococcus.

An abscess is a collection of puss that forms and accumulates near the site of infection. It happens because of the spread of the infection to the soft tissue located around the tonsills. This disease is seen more frequently in adults and rarely in infants or teenagers.

What are the symptoms of a peritonsillar abscess?

The abscess can cause a variety of symptoms like intense throat pain (sore throat), inflammation of the throat and blockage. If the throat is blocked, then swallowing, speaking (muffle voice also known as “hot-potato” voice) and even breathing becomes difficult. Also high fever and chills may be present, ear pain on the affected side and/or trismus (muscle spasm in the muscles of the jaw).

What are the risk factors to develop a perintosillar abscess?

There are certain risk factors that make one more prone to a get a peritonsillar abscess such as gum infections (gingivitis or periodontitis), chronic tonsillitis, smoking, infectious mononucleosis, chronic lymphocitic leukemia (CLL) and stones or calcium deposits in the tonsills (tonsilloliths).

Diagnosis?

Usually, the diagnosis of a peritonsillar abscess is based on the history and the physical exam during the consultation of the patient. The diagnosis is usually made easier since swelling and redness on one side of the throat near the affected tonsil suggests the abscess. The uvula (structure that hangs from the middle of the throat), may be shoved away from the swollen side of the oropharynx. Also, sometimes if the doctor touches the tonsil with a tongue depressor, he/she may see puss draining from the site of infection.

Lab studies, such as X-rays, CT (computed tomography) scan of the neck or MRIs (magnetic resonance imaging) are not usually required unless other upper airway diseases are suspected (epiglotitis, retropharyngeal abscess).

What is the treatment for a peritonsillar abscess?

There are several options for the treatment depending on the severity of the case. One of treatments consists of puncturing the abscess with a needle to withdraw the puss into a syringe. Also, an incision and drainage using a scalpel to drain the puss can be used.

Antibiotics will be administered usually through an I.V., if the patient is very ill, have trouble swallowing or have other medical problems such as diabetes, the patient should be admitted to the hospital. But If the abscess drains well, then the patient can be discharged home with a checklist consisting of “alarming signs” such as bleeding, trouble breathing or swallowing, difficulty speaking, drooling, high fever and chills, which would mean that the problem got worse and that the patient’s life is in danger.

A Tonsillectomy may be needed in those cases where there is an obstruction of the upper airway, or history of chronic tonsillitis and patients with a previous episode of peritonsillar abscess.

What are the complications of a peritonsillar abscess?

The complications of a peritonsillar abscess can be major and all of them endanger the life of the patient. This complications are airway blockage, bleeding from erosion of the abscess into a major blood vessel, dehydration from difficulty swallowing, a deep neck abscess that could reach the site where the heart is located (mediastine), pneumonia, meningitis and sepsis (bacteria in the bloodstream).

This disease should be treated by a specialist, in this case an ear, nose and throat surgeon (ENT Dr.).

So, if you are experiencing a severe sore throat, difficulty breathing, swallowing or speaking, drooling or other potential signs of upper airway obstruction, call your doctor immediately!

Fastest Cure for Tonsil Stones

Tonsil stones, or tonsilloliths, are caused by impaction of food particles that get mixed with mucous and acted upon by bacteria to produce a sticky substance around tonsils. Once it mixed with calcium and dead epithelial cells (dead as a result of natural wear and tear process), tonsil stones are produced. Prevention and cure for tonsils, both are easy and totally organic. It does not require the use of any high dose antibiotics or surgery.

FASTEST CURE FOR TONSIL STONES:

Tonsil stones once get stuck in tonsil mucosa will increase a series of inflammatory events that causes tonsillitis, which is a combination of fever, sore-throat and yellow-red large, swollen inflamed tonsils. Tonsils may not just cause systemic and local illness but also affects the quality of life. Some remedies to get the fastest cure of tonsillar stones are:

1. Saline gargles: Warm saline gargling lower inflammation and causes soothing effect.

2. Extra virgin coconut oil: Gargling with extra virgin coconut oil is one of the most popular home remedy used by thousands to bring down inflammatory response of tonsils to tonsil stones. Once inflammation is reduced. Repeating the procedure 3-5 times a day will abolish the need of any antibiotic. Surgery is not a preferred route, especially in childhood.

3. Lugol iodine: Iodine gargles have anti bacteria and anti-inflammatory properties to bring down inflammation.

4. Garlic clove: garlic has anti-bacterial and anti-biotic properties.

5. Lorraine’s tonsillitis tea: Tonsillitis tea decreases inflammation and makes it less painful. Easier mechanical manipulation makes it easier for removal of stone.

6. Hydrogen peroxide gargles: Hydrogen peroxide is a chemical dilution with water decreases its strength. Gargling with hydrogen peroxide weak solution will soften the tonsil mucosa and loosen the tonsil stone, making it easier to be removed by water pik or cotton swab.

7. Apple cider vinegar: Gargling with apple cider vinegar mixed in water makes an efficient solution to loosen up tonsil stones, making it easier to be remove by cotton swab.

Tonsils are a lymphatic organ. In case of any infection, they are believe to produce anti-bodies that not just cures the current infection, but also produce a quicker inflammatory response in case of next exposure. This is the reason why it is a tough decision to get rid of tonsils at an early age just because of a problem, which can be cured by natural means. It is therefore better to try above remedies for the fastest and efficient cure of tonsilloliths.

Asthma and Enlarged Tonsils

There is a lot of controversy and debate regarding the point whether tonsils should be removed or not in a person suffering from asthma. Different doctors have different opinions in this matter. Some advocate tonsillectomy (removal of tonsils) while others do not. It is therefore important to understand the role of tonsils in the human body so that adequate judgement can be made in this regard.

Tonsils make the first line of defence in the human body. They are present on either side of the pharynx. Pharynx is the middle portion of the throat. Why tonsils make the first line of defence is because they try to trap any germs and foreign bodies that may enter the body through the mouth and the nose. After trapping them the tonsils also produce protective antibodies with the help of their lymphatic cell structure that forms the main body of the tonsils. These antibodies circulate in the blood and fight the foreign organisms that somehow pass into the blood stream. So tonsils on one hand act as a mechanical guard and on the other hand they act on the molecular level also to protect the body. The antibody forming tissue is present in other parts of the body too but tonsils are first line of defence of the human system.

The body of a child is exposed to many different kinds of germs for the first time. The body is not used to these germs and needs to be protected against them. The tonsils work vigorously and in some children get abnormally enlarged in the process. If a child suffers from cough and wheezing his breathing is as it is strained. If this is due to some allergic reactions it may be accompanied with sore throat and fever as well. If the allergy persists or may subside and reappear again and again the tonsils too get infected while protecting the body.

In such a scenario the infected tonsils may need to be removed as their infection may be adversely having an impact on the body repeatedly. Also their enlarged size may be straining the breathing further in a child who is already suffering with asthma. So the children who suffer with asthma may be recommended a removal of tonsils if the asthma is of extrinsic type and is caused by allergens.

Sometimes in the children who suffer from intrinsic asthma too this may be recommended as the body becomes weakened and is susceptible to attacks from various organisms. But this is controversial because tonsils are the first line of defence and removing them may not be such a good thing to do, at least in theory. But in practice the tonsils may be a cause for many infections and it is best to get rid of the source of infections.

Some of the views regarding the question of removal of tonsils are:

1 The tonsils act at the site and later as a source of infection in the body. Their removal would influence the course of asthma favourably and even prevent its occurrence in a susceptible individual.

2 The tonsils prevent the spread of infection from the nose and throat into the bronchi and the lungs so their removal would create situations of mild asthma developing into severe one. In susceptible individuals symptoms of asthma may even precipitate due to tonsillectomy.

3 The presence or absence of tonsils actually does not make any difference over the allergic state of an individual. So technically removal of tonsils cannot precipitate the symptoms of asthma according to this view.

With reference to the varied views mentioned above it seems that the most appropriate path for the surgery for the removal of tonsils would not only be an individual choice but also may mean that a certain individual needs to be studied for previous history of infections, process of treatment and pathway of recovering from the infections before any decisions can be taken.

If there is evidence of recurring infections of throat and the infections seem to be localised in the tonsils then this may be the only option provided there are no other serious complications. Children in the younger stages are more susceptible to repeated infections of throat and the chest so to understand that the infections are localised to the tonsil area is very important before taking the decision of tonsillectomy.

Another point to be thoroughly understood is that removal of infected tonsils may have no effect whatsoever over the condition of asthma of the child. The removal of tonsils may have effect on the associated conditions of aggravation of the symptoms because of the effect that the associated allergens may be having on the situation.

This is also true only to the extrinsic type of asthma, but it shall have none or very little effect on the intrinsic type of asthma. Some doctors feel that the benefits associated with tonsillectomy are most evident in the first year of surgery and later they dissipate and after some time there remains no difference between the asthmatic children who underwent surgery and the asthmatic children who did not undergo any surgery.