Signs and Early Symptoms of Bronchitis

Bronchitis is actually a respiratory system illness, to be more exact, it is an inflammatory reaction of your mucous tissue layer which unfortunately gets irritated and thicker plus it actually starts to block up the bronchial ways in the lungs. There are 2 different types of this respiratory infection: acute and then chronic. An acute bronchitis usually lasts under five to six weeks, while the chronic bronchitis might occur all the time for over two years. We will also speak about the particular asthmatic bronchitis, that is certainly found in people with symptoms of asthma

Typically the signs and symptoms of bronchitis might be the same as the signs and symptoms of usual cold: runny nose, sore throat, chilliness, ache on the muscle tissues plus low energy. The actual coughing of the patient can be dry at first, indicating the coming of acute bronchitis. In the event that bronchitis is the consequence of virus, on the list of symptoms might be white colored mucous that could be spotted when coughing. In case the coloration of the mucous gets green or yellow, that tells that your disease is actually complex with bacterial infections.

When it comes to really serious bronchitis a person might have temperature of about 38 to 38.5C, which may last for three or five days. This temperature normally may last for that long regardless of the anti-biotic cure. When the temperature has disappeared the breathing problems may as well continue for a couple of weeks possibly even longer.

The key signs and symptoms of bronchitis are:

• Consistent dry cough combined with mucus.

• Shorter breath coupled with wheezing.

• Decrease of energy and weakness

• Temperature

Higher sensitivity of the airflow ways is just about the most popular sign and symptom of bronchitis. For that reason those channels can be narrowing and then make the flow of air into the lung area more challenging. Normally, this is activated by numerous irritants for example, sucking in airborne dirt and dust and gases, frosty air, cigarettes smoke, as well as smell of strong scents. If your air flow is greatly clogged, most popular conditions that can take place will be shorter breathing along with wheezing.

What is a Rotator Cuff Tear in the Shoulder?

First, a quick explanation on how the shoulder works. Because the shoulder is used constantly in many activities that require effort in pulling, pushing and lifting motions, a torn tendon in the shoulder is a common injury.

The rotator cuff refers to a group of muscles and their corresponding tendons, whose main function lies in stabilizing the shoulder. Wrapped around the shoulder joint, these tendons and muscles make it possible for the shoulder to engage in a wider range of motion and allows the arm to rotate. This ability to rotate helps when you lift something overhead, when you use your arms for activities like swimming and bowling or when you do something as simple as putting a jacket on.

A tear basically means one of the tendons has been injured. The appearance varies in shape and size. However, it is usually associated with a hole in one of the tendons. This tear or hole is attributed to one of two things. It is caused by a traumatic injury or repetitive use injury.

Traumatic injury

When a shoulder injury is brought on by a traumatic occurrence, it simply means the tear happened as a result of a physical event or activity. Normally, this occurs when a person falls or has a very strong collision with a hard object.

Since these type of injuries happen due to accidents, they are not as common as repetitive use injuries. Moreover, younger and more athletic people are prone to this form of shoulder injury.

Repetitive use injury

Repetitive use injuries are how most rotator cuff tears occur. Years of repetitive use of the shoulder muscles cause gradual wear and tear on the tendons until they finally give out.

A repetitive use injury of the shoulder affects people who do a lot of overhead motions with their arms. This can be seen in people whose job involves stacking high shelves and in sports like tennis, rowing and baseball. This form of injury is more prominent in older people, especially those who are over 40 years of age.

TMJ Surgery – Several Different Types of Surgery For TMJ Relief

Although you shouldn’t turn to TMJ surgery as the first option for treatment, there does come a time when surgery may be the only option you have left. In rare situations, it may be necessary.

For those dealing with severe problems, sometimes surgery can provide relief. Of course, there are several different types of surgery out there that can be done. If you are considering whether surgery is the right option for you, here is a closer look at the surgical options you have available.

Arthrocentesis

This happens to be the least invasive type of TMJ surgery, and it includes irrigating your jaw joint. You are put out with general anesthesia and the surgical procedure only takes a few minutes of time. Usually there is some swelling that occurs after the surgery. However, if your TMJ pain is better after this procedure, it is considered successful. If the pain doesn’t go away, you may need one of the more invasive surgeries to get the relief you need.

Disk Repositioning

Another type of TMJ surgery that may be an option for you is known as disk repositioning. This surgery will require you to be put under general anesthesia and it takes about two hours. The disk is repositioned and sewn into the right place, and any ligaments or muscles that need repaired are taking care of. It is possible that even after this surgery the disk will slip out once again, which could require more surgery.

Discectomy

Then next type of surgery to consider for your TMJ problems is called a discectomy. This surgery is done to remove the disk that is providing the joint with cushioning. It usually takes a few hours and recovery can take a couple of weeks. While you are waiting for the tissue to cover the joint, the bones will be grinding on each other. However, within 4-6 weeks you’ll usually enjoy some pain relief and begin using your jaw once again.

Articular Eminence Recontouring

You’ll find that this TMJ surgery is done on the socket area of your jaw joint. Sometimes the socket can be too deep, causing there to be pressure on the joint’s ball. This causes swelling and pain to occur. Smoothing and shortening the articular eminence can take away this pressure, giving some relief from the pain. Usually this surgery is done if trauma to the joint has occurred, or it can be included as a part of a replacement surgery.

TMJ Replacement

Last, TMJ replacement surgery is done if the joint is damaged and there is no way to repair it. This TMJ surgery is to remove the old joint and put in a new one. This could be a partial replacement or a total replacement. There are many risks to this surgery and it should only be used as a last resort for those who have exhausted all their other options. There is a long recovery time and it can take a long time to get used to the replacement joint.

It is important to realize that it is rare that you would have to submit to surgery and the results are usually not what they’re hyped up to be. We only do this type of surgery as a last resort and when all other non-surgical methods have been tried first.

The Correlation Between Back Pain and Fractures

What is a Fracture?

In medical terms a fracture is defined as a break in the structure of the bones. However there are several different types of fractures which a doctor needs to consider before he or she makes a diagnosis. There are thirteen different types of fractures i.e. complete, avulsion, pathologic, compressed, comminuted, incomplete, greenstick, oblique, depressed, spiral, compound, simple, and transverse. There is a fracture called greenstick that usually occurs at a young age in children. This fracture usually has one end of the bone that is broken or dysfunctional while the other end is slightly curved or bent.

Now the manner in which a fracture is treated largely depends on the doctor’s findings. If the back pain is a result of any of these hip fractures i.e. intracapsular, intertrochanteric, and extracapsular then these types of hip fractures are treaded in separate manners. If a doctor is considering a fracture to the hip he or she will also consider maturity, trauma, multiple myeloma etc.

Osteomyelitis is a disease that affects the bones and causes inflammation of the marrow as well as the bone itself. This problem is often a result of an infection. Young women will mostly contract osteoporosis which usually occurs after menopause. This is largely because the bones become soft and high permeable after menopause which as a result causes fractures and slows down the healing process.

Once the cause is found the doctor would consider pathophysiology which in simple terms means an assessment or study of the fracture. The doctor will try to find out when the fracture transpires and under how much stress does the bones begin to break or stop holding weight. They will also consider tissue localization to avert edema, echymosis, muscle spasms, hemorrhage etc.

Edema causes back pain because of the excessive amounts of fluids that build up between the cells of the tissues. The reason for these excessive amounts of fluid buildup is the fact that during edema there is fleeting of blood that goes into the different groups of cells that have been ruptured or broken off from the blood vessels.

How is a fracture Accessed?

Doctors usually start with finding out pain that is caused by motion or false motions, visible deformity etc. If a doctor notices that one leg is longer than the other there are chances that a hip has been fractured. If there is a presence of paresthesia the patient will often feel tingling or pricking sensations.

How is a fracture pinpointed?

Hematology tests along with X-rays are used to locate fractured bones. An X-ray scan will help the doctor locate the point of breakage in the bones and the Hematology tests will help the doctor spot HCT and HGB decreases.

Once the condition has been identified proper medical supervision is recommended along with suitable medication. The patient will often be required to go on a diet as well as regular exercises, however all this really depends on the extent of the fracture as well as the type of fracture.

Shoulder Injuries, Conditions, Surgery and Treatment

If you have injured your shoulder, consult an orthopedic specialist for correct diagnosis and treatment of the problem, as this can make a big difference in the long run.

How does the shoulder work?

Your shoulder is made up of a ball-and-socket joint that has three bones: the upper arm bone (humerus), the shoulder blade (scapula), and the collarbone (clavicle). The top end of the humerus has a ball on the end that fits into a small socket of the shoulder blade. This is what forms the shoulder joint. The socket of the shoulder is surrounded by soft-tissue and the head of the arm bone has a smooth, durable surface. There is a thin inner lining of the joint called the synovium, and this allows for the smooth motion of the joint.

The upper portion of the scapula protects the shoulder joint. Your collarbone is attached to the shoulder blade by the acromioclavicular joint, often called the ‘AC joint’. The inner portion of the collarbone joins with the breastbone (sternum). Your rotator cuff is the group of tendons and muscles that attach your upper arm to your shoulder, and this structure covers the shoulder joint. You have many muscles that attach to the three upper arm bones and these enable you to lift your arm, throw a ball, swim, and reach over your head.

What are some common shoulder conditions?

Bursitis or Tendinitis

Bursitis or tendinitis occurs with overuse from repetitive activities like weight lifting, swimming, and throwing. These types of activities lead to a pinching and rubbing of the rotator cuff under the AC joint. The biceps tendon and rotator cuff will get irritated and inflamed with tendinitis and can lead to impingement syndrome and biceps tendon tears and/or rotator cuff tears. Sometimes, this condition can be treated by limiting the activity, but oftentimes, the pain starts after the damage has been done. If you have this condition and it is associated with isolated biceps tendon damage and pain, a procedure called ‘biceps tendoesis’ can be performed by a surgeon. This procedure relieves symptoms and prevents further damage to the joint.

Partial Rotator Cuff Tears

If the rotator cuff is partially torn, it is called a ‘partial thickness tear’. These are associated with chronic inflammation of the shoulder joint and the development of spurring under the AC joint. Sometimes, an orthopedic specialist will treat these with modification of activity, light exercise, as steroid injections. If these methods fail, surgery will be necessary to repair the rotator cuff and remove the spurs that have developed.

Full-Thickness Rotator Cuff Tears

When the rotator cuff is torn completely in two pieces, it is known as a full-thickness rotator cuff tear. This can occur from heavy lifting, a fall, or a car accident. Most of the time, surgery of the shoulder is necessary for full-thickness tears. Arthroscopic techniques allow our expert surgeons to shave the spurs, evaluate the rotator cuff, and repair the tear. If the tear is larger or significantly retracted or associated with other structural problems, the surgeon may have to perform open surgery on the shoulder.

Impingement Syndrome

Impingement syndrome develops when the bursa of the joint is inflamed and the bone and tendons are irritated from rubbing on the undersurface of the acromion or AC joint. Your orthopedic surgeon can treat this with an ‘arthroscopic subacromial decompression’ procedure. With this procedure, the doctor removes some of the bony prominence or spurs and the inflamed bursa to allow for more space for the shoulder structures.

Instability

When the head of the upper portion of the arm bone is forced out of the shoulder socket, instability occurs. This usually is the result of a sudden injury, but can occur from excessive laxity of the shoulder ligaments. The two forms of instability are subluxations and dislocations. Basically, a subluxation is an incomplete dislocation. With subluxation, the shoulder is partially out of the socket. A dislocation occurs when the head of the upper arm bone slips completely out of the socket and may result in chronic instability of the joint. If you have repeated dislocations, our orthopedic specialists can operate by means of arthroscopic or open surgical repair.

Frozen Shoulder

A frozen shoulder occurs when the structures of the shoulder joint become immobile and lose flexibility. This occurs from injury or ‘wear-and-tear’ or may develop spontaneously with no specific cause. An orthopedic specialist can treat frozen shoulder with many modalities including physical therapy, anti-inflammatories, injections and on rare occasions with manipulation under anesthesia or surgery to release the tight structures.

Fractured Collarbone and Acromioclavicular Joint Separation

Two common injuries for children and young adults who fall are a fractured collarbone and acromioclavicular separation. Most of these types of injures can be treated with splinting and arm slings, but often a serious displaced fracture or separation requires open surgical repair.

Fractures of the Upper Humerus or the Humeral Head

If you fall on an outstretched arm, you could suffer a fracture of the upper arm or humeral head. This type of fall is common in older people with osteoporosis. Open surgical repair is needed if the fracture is fragmented or displaced. Sometimes, the orthopedic specialist must put in an artificial joint called a prosthesis.

Osteoarthritis and Rheumatoid Arthritis

Arthritis can completely destroy the shoulder joint and its surrounding structures. Two forms of arthritis that do this are osteoarthritis (the most common type) and rheumatoid arthritis. These conditions may also cause deterioration and degeneration of the rotator cuff. If this happens, your orthopedic surgeon can surgically replace the shoulder joint with a metal and plastic joint to aid mobility and eliminate pain.

What are the types of shoulder surgeries?

Arthroscopy

Arthroscopy is a type of shoulder surgery that allows the surgeon to insert a small device inside the joint structure through a small incision to look inside. The images inside the shoulder joint can be viewed on a TV monitor that allows the orthopedic specialist to make a correct diagnosis. The surgeon can also insert small instruments inside the joint to make necessary repairs. Arthroscopy can usually be performed on an outpatient basis. The American Orthopedic Society for Sports Medicine reports that there are around 1.4 million shoulder arthroscopies done worldwide every year.

Open Surgery

Open shoulder surgery may be needed for some cases where there is an extensive injury or if the structures inside the joint are severely damaged. Open surgery can be done with a few small incisions. For some injuries, open surgery is associated with better results than arthroscopy. Open surgery technique uses larger incisions than arthroscopy to allow the surgeon to mobilize retracted tissues. Your orthopedic specialist will recommend the procedure that is best for you.

What are the possible complications of shoulder surgery?

After your shoulder surgery, some pain, stiffness, and tenderness are to be expected. There are some possible risks that could occur, however. These include infection, blood clots, and nerve damage.

How can I prevent future shoulder problems?

Once you have undergone a shoulder procedure, it is vital that you continue a shoulder exercise program that includes daily stretching and strengthening. Patients who follow their doctor’s therapies and instructions have the best medical outcome after shoulder surgery.

What can I expect during the recovery from shoulder surgery?

Your recovery really depends on the type of surgery that was performed. Most of the time, you will receive physical therapy for several weeks following surgery. It is critical that you only perform the activities your orthopedic specialist recommends.

Children With Cerebral Palsy

Cerebral Palsy is a medical condition that involves complete or partial paralysis of certain muscles of the body, usually in the legs and arms. A leg, arm or hand can either be stiff with weak, jerky movements or completely immobile. This can affect both arms and legs, both legs, or an arm, leg and trunk muscles on either side of the body. The child who has this condition may not be able to learn to walk and may have to use a wheelchair. For the child with cerebral palsy, fine motor movements are very difficult. Raising a cup to the lips may require many attempts and still not be possible.

It is caused by a brain abnormality and a child’s hearing, vision, and speech may also be affected. Sometimes children with cerebral palsy are also mentally retarded to some degree. Others may be exceptionally intelligent. Cerebral palsy may not be noticed until towards the end of the baby’s first year of life. The main symptom is the stiffening of the legs and arms and this doesn’t usually happen until six months of age. Children who do not walk on time or fail to walk at all are deprived of the opportunity to learn by exploring their environment, something that all children need to do. If the cerebral palsy is accompanied by hearing, speech or vision problems, the situation is even worse.

Treatment for this disorder is a team effort that involves parents, doctors, physical therapists and perhaps speech therapists. At a later date the child’s teachers will need to be involved.

Physical therapy will always be involved. And physical therapy has helped some children learn to walk with aids such as crutches and braces. Orthopedic surgeons can also perform operations to make movement easier. If the child has hearing problems as well, these can often be helped with a hearing aid or cochlear implant. Children with cerebral palsy often have crossed eyes and this condition can be corrected surgically. Glasses can be prescribed for other visual problems. Speech therapy improves speaking ability. All of these are important. Children of average and high intelligence who have cerebral palsy become very frustrated when they have problems communicating or when their mobility is limited. This may also result in emotional problems. Upon entering school, children with cerebral palsy are entitled to and receive special education services according to their individual needs.

These services include physical therapy, occupational therapy, speech therapy, and academic assistance in the classroom if required. It is important that parents of a child with cerebral palsy take the child for regular examinations by a physician and other health care professionals as needed in order to track the child’s progress. The medical field continues to advance along with other technologies. The prospects and opportunities for a child born with cerebral palsy today are much improved over those fifty years ago. New technologies and new treatments continue to emerge. It is important that parents keep up with the progress in the field. There are associations that parents can join for support and help in doing this.

Practical Ways to Overcome Analysis Paralysis

Are you experiencing Analysis Paralysis or avoidance issues in your business? This is something that occurs in many businesses – you can get so involved with analyzing everything, that you forget you are in business to achieve something – like making money and helping your clients.

Of course, you could just be avoiding doing something – and that has the same impact as analysis paralysis.

Analysis Paralyisis occurs when you become obsessed with knowing EVERYTHING there is to know about something. When you get caught in this trap, you spend all your time analysing, and no time doing – and this is not healthy.

Avoidance generally occurs because you can’t ‘see’ what needs to be done and it all looks too much! Often avoidance occurs because you haven’t done the Analysis….

You most certainly should spend time doing your research and understanding what you’re getting yourself into before you do anything – however, you need to balance that level of analysis with the need to actually do something.

After all, nothing really happens until a sale is made… and a sale only happens when you take action!

Here are some indicators that you might be stuck in Analysis Paralysis or simply avoiding taking action:

  1. You’re constantly researching and in doing so, you find more that you need to know before you can move forward.
  2. You keep asking the same question, of the same and different people, and getting the same answer – but you want a different answer
  3. You’re too busy to implement any of the strategies you decide on
  4. Something else always comes up that needs attention – at times, the filing may seem very important!

You may sometimes find yourself sitting at your desk organizing the icons the desktop – and it’s when that happens that you should stop and ask yourself why you’re really doing it…. This is a sure sign that you are avoiding something!

Fear Plays A Part

Sometimes, Analysis Paralysis and Avoidance is due to fear – fear of not knowing enough, fear of failing or possibly fear of succeeding (to name a few) – and we really have to overcome that fear.

Sometimes, doing the analysis helps allay our fears – particularly the fear of not knowing however, be aware that we can take analysis to a level that it becomes avoidance!

But What About Overwhelm?

Sometimes the lack of action is due, purely and simply, to OVERWHELM. There is so much information to take in, so many things to do to make that action happen, so many people to coordinate – that we freeze and don’t know where to start and we literally freeze. (Sometimes, you may just want to go back to bed and pretend the world doesn’t exist!)

How Can You Help You?

When this happens, break the activities down into very, tiny chunks really helps.

Then, write out a step by step plan to just get started. By ‘chunking it down’, you will be able to tick off the activities as you do them and feel a real sense of achievement, which then helps me take the next step. Before you know it, you’ve finished your project and moving forward!

It sometimes difficult doing this by yourself, so try working with an accountability partner or a coach, to gain clarity around what is important, what isn’t, what can be done now and what needs to wait until other activities are finished.

Most importantly, be honest with yourself – this will help you get clear and avoid the analysis paralysis.

Minimally Invasive Spine Surgery: What You Need to Know

Throughout the State of California, there are many surgeons who perform spinal surgeries and other procedures pertaining to the back. However, only the best of the best offer minimally invasive spine surgery due to the delicate nature of the method and equipment used. If you do not know much about minimally invasive spinal surgery, you will be happy to know that it is safer and quicker than others are.

To perform minimally invasive spine surgery, the attending physician uses a small tube that is equipped with a tiny camera to see inside of your back. This tube I referred to as an endoscope. It has been around since 1910 and was successfully used in a gall bladder surgery during 1980. However, using endoscopy for spinal surgery is a relatively new concept.

As the endoscope enters the body though a small incision, the surgeon is able to see what is going on in the patients spinal cavity via a TV screen that the instrument is attached to. The endoscopic instrument can also move and use other small surgical instruments within the spine as the physician watches the TV monitor.

Patients who undergo minimally invasive spine surgeon in California benefit from the procedure in a variety of ways. For example, the incision made in the body is considerably smaller than a traditional incision would be because it only needs to accommodate the endoscopic tool, which is very small. Smaller incisions indicates less trauma to surrounding tissues and result in quicker healing times.

A conventional spine surgery could require a patient to remain in the hospital for quite a long time. Complete healing might not occur for up to one-year post surgery. When minimally invasive surgery is performed, recovery time is decreased by weeks and even months. A patient’s stay in the hospital is also shorter.

There are certain criteria to be met in order to be considered a good candidate for minimally invasive spine surgery. Some procedures unfortunately require traditional methods to be performed such as bone grafts or when metal rods need to be installed within the back.

Ideal candidate for minimally invasive surgery are those suffering from degenerative disc disorder, scoliosis, spinal tumors, and compression fracture. A patient and their surgeon will decide whether a traditional or minimally invasive procedure is right for them.

Endoscopic spine surgeries include laminectomies, discectomies, cervical foraminotomy, lumbar interbody fusion, and the placement of pedicle screws. Again, the patient and their doctor will go over their procedure and which types of treatment will suit their needs best.

During the recovery period, plan to take it easy for a few weeks. Not listening to doctor’s orders can result in the re-injury of the spine and having to go under the knife again. However, when minimally invasive surgery is performed in a California surgical suite, plan to be up and walking by suppertime of the day the procedure was performed. Pain medication will be made available to the patient as needed.

Depending on the type of minimally invasive surgery that was had, most patients can home on the same day or within a few days after the procedure. In any case, the surgeon will most likely refer the patient to a therapy program in order to strengthen the spine and help speed up the recovery process.

As with any surgery, there are risks involved but they are decreased when minimally, invasive procedures are performed in a reputable Californian hospital. Some of the most common complications include infection, blood loss, blood clots, and adverse reactions to the anesthesia. Again, these risks are low. If you are concerned, speak with your surgeon about the risks involved for peace of mind.

History of the Honda CB125 Motorcycle

In the 1970s, Japanese motorcycles were becoming a common sight on UK streets. Simple machines with excellent fuel efficiency, they were also much cheaper than the larger UK bikes or US imports. The CB125 entered the arena in 1972 as a basic commuter motorcycle that could also quicken your heartbeat! A single-cylinder, four-stroke bike, the CB125 had an overhead camshaft (OHC) engine with a 122 cc displacement (increased to 124 cc in 1976).

Honda designed this to be a rev-happy engine, with a 9500 rpm red line encouraging you to twist the throttle. For a small motorcycle in the 1970s, it performed brilliantly. Riders managed to cross 65 mph at top speed, while the bike could effortlessly cruise at 55 mph. A real beauty, the Honda CB125 engine could last forever, provided you kept a close eye on the oil levels. Most owners stuck to oil changes every 1000 km to keep everything in tip-top condition.

The Honda CB125 provided exciting performance to the average biker, yet managed to stay frugal. Part of the reason was that it was light with a kerb weight of less than 90 kgs. Depending on how it was ridden, a 1970s Honda CB125 could manage over 40 kilometres on a single litre of petrol. The 5-speed transmission also helped improve both control and mileage. With a torque of something like 18.5 bhp @ 9000 rpm, the Honda CB125 was a versatile motorcycle that could be used for commuting, work or just riding pleasure!

Honda did not make a lot of variants and most survivors bear CB125, CB125S and CB125J designations. Interestingly, the US-manufactured models (1976-89) all carry the Honda CB125S model designation. In any cases, the changes were minor, such as the upgrade of the electrical system from 6V to 12V in the 1980s. Also, from 1974-79 the CB125 came with disc brake as standard for the front wheel. Later models reverted back to the rather weak drum brakes, a strange decision for such a zippy motorcycle.

The last Honda CB125 rolled out of a US manufacturing plant in 1989 but its legacy lives on. Near-clones of the Honda B125 still zoom around some countries. It’s also an admired classic motorcycle with many loyal long-term owners. Simple to use and maintain, you can often spot this very efficient bike at used motorcycle sales. A Honda CB125 in good condition still attracts a lot of attention from collectors and bike restorers.

How to Treat Morton’s Neuroma With Surgery

Surgical management of Morton’s Neuroma

Surgical excision remains the most common procedure for Morton neuroma. It is most commonly performed through a dorsal or plantar longitudinal incision approach. these procedures are essentially the same, with the same goal of neurectomy (to simply cut out the nerve), differences exist in the dissection. You will lose feeling in the area after this surgery.

Dorsal Approach (from the top)- The dissection is more difficult and more inter-operative complications may occur.

Plantar Approach (from the bottom)- The dissection is very easy with little complications, but you must be in a surgical boot for 2-3 weeks so a scar or keloid doesn’t develop at the bottom of your boot.

Unique Surgical options

Nerve decompression- is performed by releasing the deep transverse metatarsal ligament. – this requires a small cut from between the webspace of the 3rd and 4th digits. The ligament above the nerve is cut to allow the nerve to expand. Although this has little complications and feeling remains in your foot – the pain may not go away. Usually if the surgeon observes the nerve as very thick they will just cut it out.

*** The nerve was excised in 46 of the 69 cases; the nerve was preserved in 23 cases with release of the deep transverse metatarsal ligament. Total relief of symptoms was appreciated in all but one from each group. Thus results were almost 100% successful after surgery***

Unproven Surgical options

Cryogenic Neuroablation- this is a minimally invasive procedure that freezes the nerve at -50 to -70 degrees celsius- the results are not permanent and the procedure is unproven with research.

Complications of Surgery

Most Common in descending order

1) Stump neuroma – caused by not resecting the nerve proximal enough, incomplete excision, or tethering of the nerve to the plantar aspect of the metatarsophalangeal joint or other structures.

2) One study found that 54% of the time there is a tarsal tunnel irritation at the proximal tibial nerve as well & this is why the surgery did not work.

Less Common

3) Damage to the digital arteries- This occurs almost 30% of the time according to some studies- although this almost always leads to no ill effects due to formation of collateral vessels to compensate.

4) Hammertoe formation- the toes can splay if the deep transverse inter tarsal ligament required resection

Very Rare

Keloid formation, complex regional pain syndrome.

Sciatic Nerve Cure – How You Can Use Bromelain to Relieve Your Horrible Sciatic Nerve Pain!

If you are looking for an effective sciatic nerve cure which you can use from the comfort of your own home, then look no further. Contrary to popular belief, the days are long gone when you had to visit your doctor constantly, due to the fact that your sciatic nerve pain flares incessantly, before you could get a relief for your pain.

More and more today, many folks are opting for natural sciatica cures. The reason for this is because an average sciatic nerve cure is available, affordable, and effective.

Added to this is the fact that more and more people are discovering that surgery and most pharmaceutical sciatic nerve cures are not permanent; in fact in some cases, they will bring you more grief in the long run.

So, since natural methods for curing sciatica are the way to go, which should you opt for and why? Well, there are a lot of natural methods for eliminating your pain but this article will look at one of such method which is notably effective.

Bromelain – What Is It?

The natural method for curing your pinched nerve which we will be discussing today is known as Bromelain. Bromelain is an anti inflammatory enzyme that can be used to relieve sciatic pain almost immediately.

It is 100% natural and can be gotten by eating pineapples. Pineapples are that only fruits known to contain this enzyme. You can take Bromelain in the middle of a sciatic flare for near instant relief from the pain.

Bromelain can be gotten from your local drugstore also. The advantage of having this enzyme in two different formats is that you can opt for the nearest one when you are feeling the pain caused by your condition.

If you are not near a drugstore, you can opt for a pineapple fruit and still get the necessary relief you require.

Bromelain – What Does It Do?

There are those of you who would really want to know what this enzyme does exactly and maybe how it does it, if possible right?

Well, just like magnesium, this enzyme, Bromelain, is supplement that has anti inflammatory properties. This means that Bromelain prevents your muscles from becoming inflamed.

A sciatic nerve cure is needed when your sciatic nerve becomes pinched due to the muscles which surround it becoming inflamed. It is this inflammation that causes a painful flare.

Bromelain – Will The Effects Last?

There is good and bad news; first the bad – unfortunately, while the sciatic pain can be instantly relieved by Bromelain, there is no guarantee that the pain won’t return. In fact it will return at a later date but…

…there is an innovative method that you can apply today to permanently cure your sciatica. You can find out more about this method below…

How to Tell If You Have Strep Throat

Sore throats are among the most common of the minor illnesses that plague parents and children. Often sore throat is one of the earliest signs of an upper respiratory illness, and it is even more often one of the several symptoms. So how do you as a parent tell whether your child may benefit from seeing a physician to see if you or your child has strep throat, or whether the sore throat is just a symptom of a viral illness? This is really pretty straight forward, and you just need to know the basics in order to be right most of the time. Keep in mind that when I say “be right” I mean knowing whether to have your child seen, not to tell with certainty whether your child has streptococcal pharyngitis.

Keep in mind the following facts:

  • Strep throat is much more common in children than it is in adults. Up to 30% of cases of sore throat seen in physician’s offices are strep throat in the 5-15 year old age range, as opposed to less than 10% of adults.
  • In streptococcal phayrngitis a sore throat, usually severe, is the primary symptom. Other symptoms like runny nose and cough are usually absent. If a runny nose and head congestion are present, strep throat is unlikely.
  • Streptococcal pharyngitis comes on quite suddenly. A sore throat that comes on gradually over several days is not often strep.
  • Usually fever is present, and usually a fairly high fever of greater than 102 degrees Fahrenheit.
  • Swollen lymph nodes that are tender in the anterior neck are commonly associated with this condition.
  • On looking at the throat if you see small bright red patches called petechiae on the soft palate, and a patchy whitish yellow exudate on the throat strep throat is more likely.

In summary you should have your child seen in the first day or two of a severe sore throat that is the primary symptom, without runny nose or congestion, that is associated with fever. Having swollen anterior neck lymph nodes and a petechial rash on the throat associated with a patchy white or yellow exudate on the tonsils. It is important to have your child seen early in the course of strep throat because although early treatment in the first two days of symptoms may shorten the illness by a day or two, treatment after 2-3 days of symptoms has not been shown to reduce the duration of the illness.

Tonsil Stones – How on Earth Do I Get Rid of Tonsils Stones?

Tonsil stones , also known as tonsilloliths, are a huge cause of embarrassment to many adults, as they cause foul smelling breath. They are white yellowish balls that are the result of a build up of debris, bacteria and mucus that build up in the back of the throat, in the crevasses in your tonsils and gums.

These annoying stones can also cause your throat to be sore, cause coughing and other symptoms similar to tonsillitis, as well as bad breath.  A doctor or dentist will be able to confirm that you suffer with tonsilloliths, or you can look in a mirror, open your mouth wide, look for yellowish balls at the back of the mouth. If you feel like you have got something stuck in the back of your mouth, then the cause could well be tonsilloliths.

Although a highly embarrassing problem, it is not a condition that is considered harmful and a trip to the doctor will usually result in a course of antibiotics.  Self diagnosis could lead to you trying various nasal sprays, mouthwashes or special toothpastes. 

These types of solutions can work for a short while, but after a time you will get tonsil stones again.  Also shoving a load of chemicals down your throat on a regular basis is not really good for you in the long term and does not tackle the root cause, or in many cases the accompanying bad breath.

Other solutions I have come across include scraping and brushing the back of your mouth to dislodge these little blighters, with your finger, water picks or even a chopstick.  None of these are recommended, because as well as causing the unpleasant gag reflex, it is very easy to damage the back of your mouth, tonsils and throat.

One method that can work to get rid of the tonsil stones in your mouth is to suck a lollipop, as the suction pressure can cause the stones to pop out.  This is only a short term solution and will not prevent the condition from reoccurring.

Some things that you can do to prevent the recurrence of this condition is to eat certain foods.  Things like eating an apple after a meal helps pull out any gunk forming in your mouth, which could end up forming these stones.

Other foods to make sure to include in your diet are celery and carrots, both of which stimulate the saliva flow and helps destroy oral bacteria.  Drinking plenty of water also keeps the saliva flowing and gargling water  also helps keep your mouth free from tonsil stones.

Diabetes – A Day in the Life

For people that live without diabetes it is hard to understand how the disease impacts the flow of daily life. Every day begins with a “stick” and a drop of blood. A “stick” is the term we use to describe using a lancet to pierce the skin and draw a drop of blood for a blood sugar test.

Then we check the blood glucose levels (BGL) with a test strip and meter. Each diabetes meter is different, but they are all easy to use and accurate. Once we have the BGL it’s time to do some math. Counting carbohydrates is simple and becomes almost second nature to most diabetics. Reading the nutritional information of food we eat to determine the carb value and portion size are critical parts of controlling diabetes. Based on the carb count for the meal and the current BGL a measurement of how much insulin needs to be injected is calculated. Now days many people dial this value into an insulin pump, but our son is too young so we still use an old fashion syringe. It is now time for the first shot of the day.

This routine is repeated before every meal and snack. Any time a diabetic feels “strange”, light headed or hyper, or has a sudden mood swing you need to check BGL as well. On most days we check our son’s BGL at least 6 times, sometimes more. It is always better to check as often as possible. The pain of a BGL check is much less than the suffering a diabetic will deal with later on in life.

Diabetes does not care who you are, if testing is painful or if you are tired. Diabetes is a condition and a disease both of the body and the mind. Every day a diabetic may have 6 blood sticks and 4 injections, or more. My daughter does not have diabetes and she freaks out when she sees a needle, but my son smiles and tells me about his day when I give him his injections. Managing his diabetes is normal to him; it’s just a part of his life.

Every day a diabetic faces the daunting reality that they will be forced to experience the pain and inconvenience of managing there diabetes. A diabetic cannot take a brake from the condition.

The day ends with yet another stick and another injection. Parents of young diabetics understand, and in the truest sense, live every day of the life of their children. Parents feel their children’s pain, live with their mood swings, and learn to sleep knowing their children are always at risk. It is not uncommon for us to wake in the middle of the night and sneak into our son’s room to do one more BGL check. In a strange way our son’s diabetes has taught us more about love and togetherness.

Cold Sores Remedies – Home Remedies For Cold Sores

There are many home remedies for cold sores. In some cases such traditional treatment options have already been shown to work just as well as antiviral supplements or the freezing type ointments. A particular advantage of using a home remedy is that therapy can start straightaway, since there is no need to visit a medical expert to get a prescription or go to your pharmacy and choose between several ointments. The minute someone realizes they are developing a blister, they can commence their home cold sores remedies.

You will find that there are various home treatments available. Such treatment options may include diet modifications, consuming vitamins and supplements, applying different types of juice or powder to the sore, or perhaps just placing an ice cube against it. While some of theses treatment options work better when compared to others, there is a possibility that some of the more obscure home remedies may not provide any comfort at all. Having said that, some of them have been proven to help the healing process.

Pressing or rubbing ice on the sore is possibly the best known home cure. There are various benefits for this remedy. If your ice is applied early in the development of the sore, it could reduce the metabolism of the vicinity around the sore, greatly slowing its potential progress. It really is good to hold the ice to the sore for a couple of minutes, every ten minutes, for a couple of hours. Your ice will also make the blister smaller and keep the herpes simplex virus from moving or spreading.

Pressing aloe, lemon balm essence, or tea bags to cold sores is also known to decrease their particular mass and aid pain reduction. Drinking much less coffee is an additional home remedy. It is alleged that coffee can be a catalyst in their formation. It is recommended that those unfortunates who are susceptible should cut back on his or her coffee consumption.

A variety of home remedies are good for healing cold sores. Such remedies are quick, simple, and cheap and may help relieve the pain as well as help make it recover faster.