Penile Oddities: What Is Happening to My Junk?

Men in general are as familiar with their junk as they are with the back of their hand, and they rely on it to work properly and stay healthy and wholesome. However, occasionally, penile oddities may crop up that are a cause for concern. In most cases, these are not serious, but knowing what is happening can both prevent panic and help a man to determine whether treatment is warranted. Here are just some of the environmental and psychological factors can play a part in a guy’s penile health.

1) Shy bladder. This issue is something that many people struggle with, especially men. Also referred to as avoidant paruresis or psychogenic urinary retention, it refers to a condition in which a person is unable to urinate in the presence of others (e.g., in a public restroom). In mild cases, shy bladder, or paruresis, happens only occasionally; in other instances, it can be an ongoing problem. If you have trouble peeing surrounded by other men, using a stall instead of a urinal may help. If you are experiencing significant anxiety with urinating, to the point that it is affecting your day to day life, seek professional treatment. This may start with a visit to a urologist, but in many instances, psychotherapy to address the underlying cause is the most appropriate form of treatment.

2) Penile shrinkage. The idea of a shrinking member sounds like the stuff of nightmares, but it can actually happen in real life, and unlike the spontaneous shrinkage that might happen in an anxiety dream, there is generally a rational explanation. Shrinking of the manhood is more common in older men, especially those who are overweight. During aging, fatty deposits can build up in the arteries, effectively reducing the journey of blood flow to the penis. This will cause smaller, less firm erections. Excess body fat can also engulf the penile tissue, making it appear smaller, although the actual size does not change. On the other hand, smoking can damage the tissue to the point where it does actually shrink, sometimes up to a centimeter or more in length! If that’s not a good enough reason to snuff the butts… !

3) Bladder stones. These painful little objects are hard masses of minerals that can develop in the bladder when the minerals in urine crystallize. This happens often if a man cannot fully empty his bladder due to a health issue or surgery. Symptoms can range from very serious abdominal pain to blood in your urine, although in some cases, they don’t cause any pain. In order to be diagnosed with bladder stones, you will need a physical exam, urinalysis or ultrasound. Treatment typically involves inserting a rigid tube into the urethra and breaking up the stones with a laser, after which the fragments are washed out in the urine.

4) Varicoceles. This condition involves an enlargement of the veins in the scrotum, similar to varicose veins in the legs. They may not cause direct pain, but if the veins are severely enlarged, they can cause the testicles to swell, leading to discomfort. Varicoceles are common causes of low sperm count, production and quality, and they can even effect testicle growth and development. For pain or discomfort, men can take ibuprofen to reduce the swelling. The most common treatment for varicoceles is surgery.

5) Ejaculation disorders. Ejaculatory issues such as premature or delayed ejaculation can wreak havoc on a man’s sex life and on his relationships. Premature ejaculation is often caused by an underlying psychological problem such as anxiety; delayed ejaculation may be due to psychological concerns, as well, or can be caused by medications or certain medical conditions. Medical treatment with a trained urologist or psychotherapy can address these problems.

6) Erectile dysfunction. Most men will experience occasional ED, which can have a profound effect on their sex life, their relationships and their self-esteem. Erectile dysfunction is particularly common in older men, but those who smoke have a higher likelihood of experiencing issues with their penis later in life. Other common causes for erectile dysfunction are heart disease, diabetes, obesity, Parkinson’s disease, atherosclerosis, high blood pressure and high cholesterol. Keep your heart and lungs healthy by eating right, exercising, avoiding alcohol and cigarettes, and taking your vitamins.

When unusual penile symptoms do occur, it’s important to seek appropriate treatment and to follow the recommendations of your health care provider. But everyday care can go a long way toward preventing abnormalities and promoting overall health and wellness. To keep the penis in good form, be sure to wash every day with a mild cleanser. While bathing, use the opportunity to check over the skin for any unusual spots, rashes, lumps or bumps. After properly cleansing the area, pat dry and make sure to moisturize the skin with a penis health creme (health professionals recommend Man 1 Man Oil, which has been clinically proven safe and mild for skin). This particular health crème is a super weapon, containing vitamins and nutrients essential to the wellbeing of penis skin, like vitamin C, for collagen production, and Shea butter, which hydrates the skin leaving the area soft and smooth. Keep the penis skin clean, dry, and hydrated for optimal health.

Things to Do If a Loved One Has a Stroke

For someone who is at risk for a stroke or who has had a stroke you will want to make sure that they understand exactly what a stroke is. It is very important that you know all of the warning signs of a stroke. You will see that a lot of the symptoms will occur quickly so you will want to call 9-1-1 or get your loved one medical help as quickly as possible. Even thought some of the people who have the symptoms are not having a stroke. It is important to recognize all of the symptoms, but you should also act quickly so that you can minimize the damage.

If you experience a sudden numbness in the face, arm and leg you will want to get immediate attention. A stroke may occur on both sides of the body or it may just be one side. It all depends what side of the brain was affected. There are times when the body is only affected on one side. You may also notice that the person may have problems with their speech and may have a difficult time understanding others. Also, they may be experiencing, dizziness, tiredness, and loss of coordination as a sign too. You will want to get emergency care quickly so that your friend can have a better chance. There are people who do die from a stroke.

For these reasons you take the time to write down all valuable information and leave it next to the phone. Make sure you have all the numbers that you could possibly ever need to help you for emergency problems. You may also want to enter the same information in a cell phone or write it down and carry it with you in your pocket, purse, or wallet for any occasion that you might be out and need to get emergency help.

You have to treat every stroke as an emergency. It is very important you think about getting help as if you new someone was taking a heart attack. You will also find that timing is very important. Early treatment can help you save your friends life. You will want to make sure to get treated within three hours of showing signs. You will be given medications to dissolve blood clots and you will also find that your doctor or the hospital will try to do all that they can to minimize the damage.

After a stroke you will need to give the person some time for rehabilitation. They may take several months off and learn the basics all over again. Most people are unable to do things like walking, talking, or even associating with those that they love. Sometimes it is best that you spend as much time with a person who has had a stroke so that they know that they are loved and make a good recovery.

Glaucoma Specialist – How to Choose the Right One

Glaucoma is an eye disease associated with increased pressure in the eyeball that can cause gradual loss of sight. The pressure on the eyeball is caused by a backup of fluid which can damage the optic nerve over time. This is the second leading cause of blindness in America. Detecting the disease in its early stages is crucial to stopping it before major damage occurs. The only way to detect glaucoma is to have a yearly comprehensive eye exam on a regular basis. If you have been diagnosed with this disease by your eye doctor of family doctor, they may refer you to a glaucoma specialist for further tests and treatment.

Becoming a glaucoma specialist usually requires an extra year two of training after residency as an ophthalmologist. There are many ophthalmologists who specialize in glaucoma either because of personal interest or because they have a lot of patients with glaucoma. A glaucoma specialist sees patients that are at different stages of the disease. They see people who come in for consultations, those who are going through treatments and those that have already had surgery and are in need of post-op care. It is important to work with the patients to determine their specific needs and make them feel comfortable and well cared for. The first step in treating glaucoma including is with eye drops and or prescription pills. If the condition worsens, laser surgery or traditional surgical procedures may be required to prevent vision loss.

Successful glaucoma specialists are constantly researching and keeping up with the latest information and technology related to glaucoma treatment. There are new studies completed and published in various medical reports that influence the latest procedures for glaucoma care.

Doctors also share information by consulting with each other on difficult or challenging cases.

Choosing a glaucoma specialist is a lot like choosing another other doctor; you have to do your research. The internet can provide a lot of information as current and present patients like to share their experiences. Be mindful of the number of treatments a doctor has completed since the more procedures a surgeon perform, the more skilled he will become in the treatment. Insurance companies may be able to provide information on the number of procedures a doctor has completed. Various doctors may recommend different medications or therapies, so discuss your options with each person and determine which methods are most comfortable for you.

Shingles – Treatment and Prevention

Most of us get chickenpox as children, and a few of us are left with a tell-tale souvenir of the experience: a tiny scar on the face or neck where we scratched once too often. But some of us are left with another legacy of that usually harmless childhood infection: shingles.

Shingles is an excruciatingly painful rash which occurs in people who have had chickenpox. The virus that causes chickenpox, scientifically known as the varicella-zoster virus, is the same one that causes shingles (a form of the herpes virus). What happens is that after you've had the pox, it lies dormant in your body. Then, sometimes decades later, it re-emerges – in the form of a painful and unfortunately painful and unpleasant rash.

Sadly, shingles is a lot nastier than chickenpox for the vast majority of people who come down with it. The worst bit, although it is fairly uncommon, is that you can be left with postherpetic neuralgia. The best way to explain it is that your skin "keeps" a memory of the rash, making it extremely painful to touch for years to come, even after the original infection is gone.

About one in five people who develop shingles get posttherpetic neuralgia, and the majority of them see the pain disappear in about one to three months. For people who have it quite badly there are several medications on offer, including ones used to treat depression and seizures (now there's a bonus!). However, it usually takes a few weeks for them to work.

Some researchers say that shingles is not just a skin disease requiring a trip to the dermatologist, but a nerve disorder. It has been described as feeling like a hot curling iron being applied to the skin. The reason: the root of the nerves is where the chickenpox virus has been hiding ever since you got it, probably as a child. Now it's emerging again – but this time with a vengeance.

Knowing You Have Shingles

Shingles can mimic other infections, but it's actually fairly easy to spot (no pun intended). For some bizarre reason it occurs on one side of the body or face only, and is characterized by a chickenpox-type rash full of fluid-filled blisters. Some lucky folk just find that their shingles itch, others find them too painful to believe.

According to the Mayo Clinic, here are the signs that you might have shingles:

Pain, burning, tingling, numbness or extreme sensitivity in a certain part of your body
A red rash that begins a few days after the pain
Fluid-filled blisters that break open and crush over
Itching
Fever and chills
Headache
Upset stomach or abdominal pain

Please note that if you never had a chickenpox but were inoculated against it, you are still a prime candidate for contracting shingles. Sorry!

Preventing Shingles

The Zostavax vaccine will reduce the risk of getting shingles – and can reduce the duration of the infection if you catch it. Originally the vaccine was for people aged 60 and above only. In trials, it cut the number of infection in half. Treating a first attack with antiviral drugs can also reduce the severity of the infection.

Interestingly, adults with shingles can pass the virus onto others, usually a child, and he or she will get chickenpox. You can not pass actual shingles on to others, and people with chickenpox can not pass on shingles to others.

Here is what an individual identified only as Q wrote on a sports website about his experience with shingles:

"Had it on the side of my head over to my eyelid about 3 years ago. Sore head for about a week, then got worse and suddenly felt like someone was crushing my head in a vice for about a week. a couple of weeks plus 2 types of painkillers. Also eye drops to stop spread onto eyeball which can cause blindness. I still get pain in that side of my head now and again, apparently this is quite common and can last for years. "

Shingles Complications

Like its little brother chickenpox, shingles is usually reliably harmless. But it can cause complications in some people. If you are HIV-positive, had had a recent organ transplant or have a suppressed immunity for other reasons, stay far away – ditto if you are pregnant or an adult who has never had chickenpox. In these people, shingles can cause sever complications.

There is often the rare complication of Ramsay Hunt syndrome, which occurs when shingles affects the ear. This can cause not only earache but also dizziness, facial paralysis and confusion. Extremely rarely shingles can also affect the brain and vision.

Remember that the virus can be reactivated, although typically this happens with older people who have an impaired immune condition. Having chemo or radiotherapy, excess alcohol consumption, taking steroids long-term and stress can all play a role in activating shingles. In fact, doctors have said that stress can play a major role in our getting the virus.

If you get shingles stay away from vulnerable people and take it easy. It will usually clear up on its own within a few weeks. You can take oatmeal baths and apply creams to treat the symptoms, much as you would do with chickenpox, and also take antiviral drugs – the earlier the better. They will shorten the duration of the infection and help make it more bearable.

The information in the article is not intended to substitute for the medical expertise and advice of your health care provider. We encourage you to discuss any decisions about treatment or care an appropriate health care provider.

Natural Treatment For Glaucoma – With One Homeopathic Medicine

The natural treatment for glaucoma is likely to resolve more than the glaucoma. Natural treatment, especially homeopathic, works by clearing blockages that prevent your immune system working properly. Once it can resume its normal function, everything starts to come right.

Glaucoma is an increase in the pressure within your eye structure. This comes about because the aqueous humor (eye fluid) is being created more quickly than it is leaving the eye. This increased pressure can change the optical efficiency of the parts of the eye, especially the retina, the optic disc and eventually the optic nerve. This can lead to vision defects and eventually to blindness. The symptoms can come on unnoticed, as there is no pain, so it may take some time to notice a decrease in your vision.

When the natural treatment for glaucoma, or any health problem, is using homeopathy, it’s always helpful to know what was going on in your life at the time it started. Since the symptoms come on slowly in glaucoma, this can be difficult. So the accurate prescription may rely entirely on the matching of your symptoms to those of the chosen medicine. The homeopathic medicine Phosphorus works very well on the structures of the eye. Here are some of the symptoms:

  • glaucoma
  • retinal bleeding
  • degenerative changes in the retina
  • detached retina
  • atrophy (degeneration) of the optic nerve
  • writing appears red
  • there is a green halo around light sources
  • as if there is a veil over your eyes
  • photophobia (unable to tolerate direct sunlight or glare)

Along with one or more of the above symptoms, for this medicine to work for you, you will also need some of the general symptoms:

  • a great thirst for icy cold drinks
  • a history or respiratory troubles which go to your chest easily
  • a history of bleeding which is bright red and won’t clot (wounds, nose bleeds, etc), including hemophilia
  • worse for fasting, spicy food, lying on left side, twilight
  • better for company, eating, sleep
  • anxiety especially for sudden noises and/or that something bad is going to happen

Otitis Media And Ear Pain Relief

Inflammation of the inner ear (OM) is extremely common in children as well as affecting quite a few adults. Recurrent, protracted ear inflammation causes severe pain, restlessness and muffled hearing, which can hamper development and prejudice learning. Ear infection is one of the main reasons for visiting the doctor or the emergency room.
Blockage of the Eustachian tube (OT) which links the middle ear cavity to the oral cavity can be a main cause of inflammation or a secondary factor – caused by inflammation and swelling of the mucus membrane of the ear and blocking the Eustachian canal.

Opening the Eustachian tube is an important and even essential step towards healing the inflammation. Blockage of the canal prevails drainage of the fluids secreted by the mucosal membrane of the middle ear and predictions equalization of the atmospheric pressure on either side of the eardrum. This increases the pressure inside the ear cavity and pushes the eardrum outwards, leading to pain, muffled hearing, and occasionally problems with balance. Moreover, increased pressure in the middle ear cavity prevents the absorption of medication into the region via local osmosis (eardrops) or systemically (via the blood).

Prevailing medical treatment – until now, treatment has involved the use of steroids and pseudo-epinephrine to reduce edema, with antibiotic cover for primary bacterial infection or secondary complication. If medical treatment failures and inflammation recurs constantly extended antibiotic treatment, the usual practice is to perforate the tympanic membrane and ensure that it remains open by inserting tiny drainage tubes. This allows the contents of the middle ear cavity to drain out, equalizing pressure, improving hearing, stopping pain, and permitting medication to enter locally and heal.

The newly invented device is called the EarDoc (Figure 1). EarDoc is a small, low cost electrical device for treating and opening the Eustachian tube. It works by producing vibrations at a sub-sonic frequency. The instrument head is specifically designed so that when positioned behind and resting on the base of the ear, the bulge on the head of the device lies against the mastoid bone and the pointed front section rests against the base of the ear.

The front of the head of the device causes the cartilage of the ear base to vibrate along the outer ear canal to the tympanic membrane. The vibrating membrane produces tiny pressure waves affecting the air and pressurized fluids of the middle ear cavity. The previously constant pressure inside the middle ear cavity is converted into cyclical waves, which acting as shock waves exert pressure on the walls of the narrowed or blocked Eustachian tube. In addition, the vibrations from the head of the device via the mastoid bone to the wall of the middle ear cavity produce vibrations in the swollen mucus membrane of the middle ear canal and the Eustachian tube, reducing edema. This combined action tremendously improves the possibility of opening the canal and enabling trapped air and fluids from the middle ear cavity to drain into the mouth.

Adjusting the frequency helps to improve the efficiency of the device in several ways: the optimum operating frequency is different for each individual depending on the size of the middle ear cavity and the Eustachian tube, which naturally vary. Frequency adjustment also enhances the oscillation of the mucosal membrane. It is recommended that the patient should gradually adjust the frequency to cover the entire frequency range. EarDoc should be used for 3-5 minutes approximately six times a day when the canal is narrowed or blocked. This improves the likelihood of opening the canal and ensuring it positions open, and provides instant pain relief, improved absorption of medication, and healing of the inflammatory.

Air travel and diving – Blockage of the Eustachian tube is a commonplace consequence in air travel and underwater diving. Fluctuating differences in atmospheric air pressure on both sides of the tympanic membrane induced reduced pressure in the middle ear cavity, swelling of the mucus membrane cells in the inner ear, and increased fluid secretion. This produces a vicious circle in which the greater the difference in pressure, the narrower the Eustachian tube becomes and the less effect it can drain fluid and equalize air pressure. Impaired functioning of the tube causes insufficiency in the canal and blockage. Inflammation of the pharynx and upper respiratory tracts leading to early boiling of the mucosal membrane exacerbate the phenomenon and risk of blockage. Use of EarDoc during flights and following diving sessions can reduce pain and produce healing as described above.

Sinus inflammation – like the middle ear cavity, when the sinus drain is blocked due to swelling or inflammation of the sinus cavity mucus membrane, EarDoc can help by resting it against the bone adjacent to the sinus in order to open the closed opening and allow drainage and healing.

Swine Flu Prevention

With all the news about swine flu, few people are talking about prevention, other than taking the controversial flu shot.

Is it real prevention? Have dozens of people really become sick or died from the shot? Is is more of a danger than a precaution? There are more questions than answers.

Each of us needs to make our own decision about taking the shot, but whether we do or do not, we should be taking some basic precautions to prevent this, or any other flu.

The first step, of course, is to keep our hands clean. Wash often with anti-bacterial soap, and use hand wipes or gel when soap and water are not available. This is especially important when visiting public places, where we may touch items that have been touched by sick people.

Think of the grocery store as a prime example. Those shopping cart handles feel hundreds of hands up them every day. Some stores offer wipes at the entry door, so use them. But do be careful using them on your own hands if you have any chemical allergies. I gave myself a pounding head one day by being too diligent cleaning my hands with one of them.

Next, also of course, is to try to keep your hands away from your mouth and nose. This is probably the most difficult – most of us are constantly touching our own faces.

Possibly even more important than these preclusions is what we should do when we get home after being out in public.

According to one doctor's column I read, the "Swine flu bug" lives in the throat and nasal passes for a couple of days before it begins to do its dirty work. So we need to take steps to kill it before it gets a chance to make us sick.

That doctor recommended gargling nightly with salt water. Then, either using a netti pot to clean our noses, or doing a swab with a q-tip soaked in salt water.

One last precaution works by washing the bugs into your digestive tract, where they can do no harm. It's also the easiest to do: drink hot liquids. Choose coffee, tea, hot chocolate, or even hot water with a bit of lemon and honey.

Such simple solutions to carry such strong prevention.

What about kids?

Children can learn to gargle – but it may take a few tries before they "get it." I recommend teaching them with plain water.

Alopecia Cure – Put an End to Baldness

The state of lacking hair is scientifically termed as Alopecia, but in layman's term; it is referred to as baldness. Baldness or alopecia is characterized by the rapid thinning of the hair, resting hair falling and the absence of growth of new hairs. It typically affects adult men. It is largely attributed to aging and if it is caused by aging, not much alopecia cure can be done for hair weaving or hair transplantation.

In some cases wherein baldness is brought about by temporary chemotherapy or some serious ailment, alopecia can be treated by certain drugs or just by discontinuing that specific treatment.

Baldness can also be caused by hereditary factors, and alopecia cure for these cases are yet to be discovered. Good options in such cases include artificial hair transplantation and hair weaving. Both methods are less painful and costy but they cure alopecia areata permanently.

There are also some cases of alopecia that is caused by some local skin infection, or infection of the scalp or some tumors or a type of fungal infections. These cases may be fully managed by medication; however, this is quite a slow process and may take weeks or even months for the new hair to grow back.

There are also natural remedies that may help in preventing baldness and to some extent cure alopecia. This involves:

* Rubbing the nails – rub left and right nails against each other. This is considered to be a tremendously effective procedure in treating hair fall and cure baldness. It is a very simple procedure which requires you to just simply rub your nails against each other in regular swift motions. This rubbing method will tend to increase the flow of blood to the scalp and helps in empowering the hair roots. This procedure not only halts further loss of more hairs, it also results to re-growth of fallen hair in people experiencing alopecia or hair falls.

* Brandy and egg concoction – mix brandy and a piece of egg then apply this mixture directly to the scalp. Massage the mixture gently for 10 to 15 minutes. Leave the mixture on for some more time and relax. Shampoo off your hair thoroughly. This procedure will promote hair growth. This is also a proven natural treatment for baldness.

The truth of the matter is that, there is no permanent alopecia cure. However, it is always important to avoid alopecia areata by preventing hair falls from even happening. It is entirely up to you to prevent hair loss. Do not wear your hair very tight in braids or other hairstyles. It may also help your hair's overall health if you exercise everyday. Daily exercises will tend to increase the supply of blood in the scalp as it strengthens the roots and results hair fall. Eating a well balanced diet with good vitamin rich and nutritious food can also do wonders for your hair. Keep a good hair care regimen and avoid from staying up late and stress. In cases of baldness that are brought about by specific drugs, see a doctor and discuss other options in managing hair loss.

Natural Myopia Cure – How to Cure Myopia Without Surgery

Myopia is a nearsighted condition where the eyes have become accustomed to near object and thus sees objects that are far away in a blurred manner. There are many ways people can try to find a myopia cure. One of the most common ways people choose to cure it is through glasses or surgery. Even though these are common, they may not necessarily be for everyone.

Glasses can be bothersome and sometimes expensive. They also are not a cure, but just a means of being able to see well. When you don’t wear them you have bad vision. It may also be the case that glasses can even worsen your vision over time. For surgery, the common issue is that it can be risky and expensive. There are also natural ways to improve your eyesight.

One way many people have attempted to find a myopia cure is through exercises. Some exercises involve you rolling your eyes side to side and up and down. This is an attempt to stimulate blood flow to the eyes. This has to be repeated for a long period for it to have even the slightest effect. Some people have received positive results so it is worth a try.

Another common solution is to take a bilberry extract supplement. It has been shown to prevent macular degeneration and is also believed to help with night vision problems. It also improves the overall health of your eye sight because of its vitamin levels. Bilberry is a fruit that is similar to a blueberry.

Another manner by which you can cure myopia is by relaxing your eyes after reading or staring at the t v or computer. After 30 minutes of nearsighted work, stare at a wall in the distance for at least 5 minutes. This will relax your eyes. Myopia cure through relaxation is very easy and free.

Mario Santos has been working as an eye wellness expert for years and has helped hundreds of people who have eyesight problems.

Anterior Hip Replacement – What is it All About?

As a Fellowship Trained Joint Replacement Surgeon, I am often asked about the latest developments in arthritis surgery. With the advent of minimally invasive techniques in orthopedic surgery there has been a renewed interest in performing hip replacement through the front (anterior) of the hip as opposed to the more traditional posterior, or backside approach.

The logic behind anterior hip replacement is to try to minimize muscle damage by separating muscles to gain access to the front of the hip as opposed to releasing and repairing the muscles to gain access to the hip joint form behind. In short, there is no perfect way to deliver implants to the hip joint. If there were, we would all be performing that approach only for hip replacement surgery. Having given you this background, these are the most frequently asked questions encountered in my office:

Is anterior hip replacement a new technique?

No. The anterior hip approach was first described by Smith-Petersen in 1917. It was used by the French surgeon, Robert Judet, in 1947 to perform an isolated femoral head replacement. This later evolved into other French surgeons performing complete hip joint changes through anterior exposure in the 1960's.

If this technique has been in existence since 1960, why all the interest now?

Early surgeers found that the visualization of the hip socket was excellent through the front of the hip; although it was very difficult to insert a long straight metal stem down the femur through an anterior approach. If complications occurred during surgery it was very difficult to change or extend the anterior approach to overcome difficult surgeries and provide for better visualization. Therefore, most surgeons opted to perform hip replacement through posterior, or posterior and lateral exposures. The posterior approach has become the standard of care since that time. By using specialized instrumentation, new generation hip implants, a custom operating table, and real time intraoperative x-ray equipment, anterior hip replacement has made a resurgence. These additions have allowed the anterior approach to become easier and more reliable to perform than before.

What are the drawbacks to anterior hip replacement?

Performing an anterior total hip replacement requires positioning on a special operating table with the legs attached directly to the table. By manipulating the table, the leg is positioned to insert the hip stem. Since it is difficult to judge how much force is applied to the leg, fractures in the leg bones have occurred on the operating table. The implants are placed using real time x-ray equipment; if that equipment is malpositioned the implants can be misplaced leading to potential increased wear or dislocation and a painful joint.

Is it true that hips done through an anterior approach will not dislocate?

No. All hip replacements can dislocate. Historically, the incidence of dislocation from an anterior approach is less than through a posterior approach. However with a new generation of hip replacements, the use of larger femoral head replacements has reduced the incidence of hip dislocations for all approaches.

What hip approach do you recommend?

I recommend finding a surgeon who is versed in anterior, posterior, and anterolateral hip replacement. Since every hip exposure has specific pros and cons, it is the job of the surgeon to match each individual patient's need to the specific approach. Patients and surgeons want to minimize pain and speed recovery, yet the main objective of hip replacement is to provide patients with a well done operation, with good component position, and the expectation that it will last for the next 20-30 years.

Lymphadenitis – Ayurvedic Herbal Treatment

Lymphadenitis means inflammation in the lymph nodes. This can be generalized or localized. This condition usually points to some infection or inflammation. A common example of this is tonsillitis, where the tonsil glands are swollen and inflamed, usually due to repeated infections involving the throat. Generalized swelling of the lymph glands may point to more serious infections like HIV and tuberculosis, or may be indicators of serious diseases like cancer. Filariasis causes significant inflammation of the lymph glands and lymphatic channels, usually in the lower limbs, resulting in gross edema of the feet.

Clinical examination and relevant medical tests usually help pinpoint the exact cause of lymphadenitis, and conservative treatment is usually sufficient to help treat and cure the condition. Of late, however, more and more individuals have started presenting with gross lymphadenitis in various parts of the body, without evidence of any specific cause like tuberculosis, widespread infection, or cancer. Symptoms vary according to the location of affected lymph glands. Inflamed and enlarged glands in the chest may cause breathlessness, cough, or fluid collection in the layering of the lungs (known as pleural effusion). Similarly affected glands in the abdominal cavity may cause symptoms like abdominal pain, adhesions in the intestinal loops, and fluid collection in the ovaries or peritoneal cavity (known as ascites).

The commonest chronic cause of such swelling and inflammation of lymph glands is tuberculosis infection, so much so that even when all diagnostic tests come out negative, most health professionals still consider it worthwhile to give a therapeutic trial of anti-tuberculosis medications. Indeed, a large percentage of such affected individuals do benefit with this therapy; however, when even this treatment does not work, it becomes necessary to explore other causes for this condition.

Chronic inflammation due to stress, food allergies, exposure to toxins, hidden and obscure infections, and autoimmune processes within the body, is fast becoming a reality of modern times. Such inflammation, in addition to lymph glands and lymph ducts, may also affect blood vessels, skin, and various organs in the body. If multiple tissues and glands are involved, the presentation of clinical signs and symptoms will vary accordingly.

Coming back to non-specific inflammation of lymph glands, treatment needs to be given at various levels. Herbal medicines are given to reduce inflammation, and remove excess accumulated fluid. Herbs with known antiviral and antibacterial actions are given to treat infections. Immune-modulating herbs are used to treat a dysfunctional immune system. Specific diet instructions are given to address food allergies, and prevent inflammation. Adequate lifestyle recommendations are given to reduce stress and get sufficient, good quality sleep on a regular basis.

It is also necessary to normalize the digestive capacity and intestinal flora of affected individuals. Detoxification may also be necessary, especially for people who do not respond well to the treatment mentioned above. People with a strong autoimmune component may need more aggressive therapy for a longer period of time.

Most people having non-specific lymphadenitis respond very well to this line of treatment and report complete resolution of all symptoms. It is necessary for them to continue following a healthy diet and lifestyle so as to prevent a recurrence.

Golf Strategy – How to Break 90

Most people who play golf have never broken 90 in their golf careers.

This is obviously a major goal for these folks and a source of major frustration …

When I talk and play with these golfers, there is one common observation that I can make about their games that is creating a serious mental barrier to their progress … and that is an intense desire for "more distance".

The other common observation I can make about their game is that they are passionate about golf and will do whatever it takes to improve.

The golf industry thrives on these desires:

"buy this driver and add 10 extra yards to your game"
"buy this ball for extra distance"
"Learn to swing like the pros"
"Turn more for more distance"

Whenever you look in golf magazines or watch infomercials on TV these headlines are everywhere …. its no wonder that this distance message has rubbed off on the struggling golfer.

Yet, when you do the math on what distances you require to break 90 off the standard white tees on the typical golf course, the numbers will surprise you …

Understand the Numbers

Golf is all about numbers and making smart decisions. If you can understand the numbers that are necessary to meet your scoring goals, you will begin to make smarter decisions that will quickly lead to lower scores.

I say this because it is this lack of understanding of the numbers involved in the game that leads golfers to make bad decisions both on and off the course:

"I need this new $ 600 driver to get my drives to 230 yards …. that will make a huge difference to may scores"

"If only I could get my irons to go further, what a difference that would make"

Yet, talk to these same people 6 months after their purchase and many of them have made little difference to their scores …

This push for distance is a huge mental barrier. Those golfers who progress faster with their games are those who have discovered how to overcome this mental obstruction.

What they need to do is make mental shift away from distance, to one of "consistency" …

If you can make that change, you will find your game will accelerate quickly to lower scoring.

That process begins by knowing your numbers ….

Understand the Distance Numbers

Golf is all about making smart decisions around distance. If you can understand the numbers that are necessary to meet your scoring goals, you will begin to make smarter decisions that will quickly lead to lower scores.

I say this because it is this lack of understanding of the distances involved in the game that lead golfers to make bad decisions both on and off the course:

"I need this new $ 600 driver to get my drives to 230 yards … that will make a huge difference to may scores"

"If only I could get my irons to go further, what a difference that would make"

Yet, talk to these same people 6 months after their purchase and many of them have made little difference to their scores …

This push for distance is a huge mental barrier. Those golfers who progress faster with their games are those who have discovered how to overcome this mental obstruction.

Make this mental shift, and you will find your game will accelerate quickly to lower scoring.

That process begins by knowing your numbers …

Average distances to Break 90

Let's assume you play on an average length course of 6,100 yards. I am going to throw some average distance requirements per stroke out there to break 90 that is based on different putting abilities …

45 putts / round – average distance / stroke to shoot 89 = 138 yards
40 putts / round – average distance / stroke to shoot 89 = 124 yards
36 putts / round – average distance / stroke to shoot 89 = 115 yards
(average distance = 6,100 ((89 – # of putts / round))

For ladies on a 5,500 yard course the yards are less:

45 putts / round – average distance / stroke to shoot 89 = 128 yards
40 putts / round – average distance / stroke to shoot 89 = 115 yards
36 putts / round – average distance / stroke to shoot 89 = 104 yards

As you look at these numbers, even some absolute beginners using a set of old clubs can reach these distances!

So where is the need for distance?

If you are any good at putting you could probably get round the course in 89 using only a 9/8 iron and a putter …

"Ah, but that is not how the game is played …" some say.

That is certainly true. But then I would ask "how should you play the game and what are you trying to achieve?" …

Change of Thinking

In showing you these distances and prodding these questions I am not trying to be critical of those who play in the 90's or above …

I am simply trying to help you clarify the numbers to encourage you think a little more about how you may be approaching your own game.

Of course I would not suggest you go around the course with nothing but an 8 iron and a putter. That is silly. However, these numbers clearly suggest that you do not need a 230 yard drive either.

So what can we learn from just studying these distances?

1. For starters, if you are able to average a 2 putt on every green for your round, you remove a huge distance requirement from your game.

This then should be your top priority for breaking 90 … practice putting at home to get your putting average down to 36 or less per round.

2. The second observation that jumps out at us is that distance is not an issue if you are able to execute every shot cleanly during the round without a miss hit or duff shot.

Swing consistency becomes key, not distance.

Here is how your thinking and mental approach to your swing has to change …

It does not matter how far you hit the ball, but it is vital that you hit every shot with some level of consistency.

Consistency comes with a lot of practice, but it can also come from making smart decisions with your shot making …

Operating at the Top End of your Swing Capability Curve

Your judgment calls on distance and club selection can seriously affect your swing consistency … this is all a "mental process" and has nothing to do with your physical capability.

Let me show you an example …

Let's say that you are faced with an approach shot to the green of 140 yards. What are your choices?

Well, on the range you know that you can reach 140 yards with an 8 iron …. in most cases you might have a go with that decision.

How confident do you feel at executing that shot? What are the likely outcomes if you do not pull it off?

Here is what I observe with many high handicap golfers when making decisions of this nature …

9 times out of 10 they are always short of the green. This is because of either a complete miss hit duff shot or they did not catch the ball cleanly at contact.

On top of this the accuracy of the shot is off as well.

The reason for this is that they are swinging at the high end of their swing capability curve trying to execute a "full turn", because that is what they have read, or were told will give them the "most distance".

If they adopt this same mental approach to swinging with a full turn during their practice sessions with all their clubs, their decisions on distance ability with each club are going to be influenced by the results they achieve on the range.

The shots they remember are the shots they hit well that go a mile, but do they remember how far they hit the balls that did not go so well? …. probably not.

Whenever you try to run a "system" at the high of it capability it is going to experience some failure.

The same can be said of your golf swing. Try to swing with a full turn on every shot, and you will experience failure more times than not.

That is because with a full backswing extension you are more likely to experience:
o Balance problems
o Breakdowns of the left arm
o Excessive tension in the arms that leads to a prerelease of the hands from the top of the swing and poor timing

to mention but a few …

OK. Now I want you to consider your chances of reaching the same 140 yards with either a 7 iron or even a 6 iron. Are you likely to be short with either of these two clubs?

The answer is, "no, only if I miss hit the shot completely. If anything I may overshoot the target …"

Choose a Club Down for better Swing Consistency

Here is how you can immediately improve your swing consistency on the course …

I want you to ask yourself why you put yourself under distance pressure for this 140 yard shot?

Why do you need to operate your swing at the high end of your capacity curve and push the extremes of your swing limits with an 8 iron, knowing that you are likely to experience a miss hit?

This is totally unnecessary. You have the option of selecting down a club that you know you will reach the distance with a much higher degree of certainty.

This same thought process can be applied to every swing decision you make with every iron you have in the bag.

The only time you reach a point where you have to make a full turn to increase distance comes with clubs at the low end such as a 3 iron, 3 wood and driver where you no longer have the option to choose down a club.

Going to club down for all of your distance decisions changes your mental approach from one of going for distance, to one of going for consistency.

The first reaction you have when you make this decision is worrying about over shooting the target.

This thought process forces you to shorten your backswing so that you take some "heat" out of the shot.

When you shorten your backswing:

o Your balance is better and your swing is much easier to time.

o With improved balance also comes improved accuracy.

So, club down and shorten your backswing for improved consistency …

Set a scoring goal for each hole

You can reduce the pressure to swing for distance from your swing even further by accurately knowing what distance you need to achieve your scoring goal for every hole to break 90.

On a par 72 hole course you need to score 17 over par in order to achieve an 89.

You can break that down to a scoring goal for every hole of a 1 over par, only needing a single par on any one hole somewhere during the round.

Now let's look at how this information affects your decision making and club selection on the course …

For those of you who feel you need to add more distance to your game but have yet to break 90, I want to try and dispel this mental obstacle once and for all with this following example …

Let's put you under a pressure for distance scenario on the course by imaging you are standing on the tee of a 410 yard par 4. Does this intimidate you? You bet!

"I need to have a long drive so that I can give myself every chance of getting on or near the green with my approach shot …"

"It is holes like this that bring out the need for that 230 yard drive! Even with that drive I still have 180 yards to go with the next shot."

How do you rate your chances of pulling off consistent shots under this amount of pressure?

Not very high is my guess … "

Before you reach into the bag for the heavy artillery and psych yourself up for a monster drive, step back for a minute and think about what you are trying to achieve on this hole.

You are not trying to play for par, you are trying to play for a one over par because that is your goal for this hole.

Come to think of it, even a 5 handicap golfer does not need to go for par on this hole because horses of this nature usually have a handicap index of 5 or less!

Knowing you have 5 strokes to meet your goal, how can you best use those strokes to make each shot as simple as possible?

The trick lies in working your way back from the green to the tee, not from the tee to the green in your club selection …

Work backwards from the green for shot simplicity and improved consistency

First of all, I am going to assume you took note of my first observation and have practiced your putting at home and feel pretty good at averaging 2 putts per green.

That leaves you with 3 shots with which to work your way back to the tee to cover the 410 yards.

The first decision you need to make is at what distance and with what club can I feel confident at getting anywhere on the green 9 times out of 10, remembering that there is no need to push your swing to it's high limits for distance.

Let's say that a 65 yard pitching wedge comes to mind.

Ok, now let's work back a little further and decide what would be a reasonable shot that you feel pretty confident at getting you within that 65 yard approach shot range even from light rough.

Maybe a 160 yard iron or hybrid club.

What's left for your drive …. 185 yards, which for some of you may be a 3 wood distance.

What this exercise does for you is reduce the pressure to swing for distance completely from every shot tee to green. You will be able to swing well within your distance capability … especially if you also club down.

Your chances of implementing this strategy with reasonable consistency compared to the "conventional approach" is going to be much higher because you are not swinging at the high end of your swing range.

On top of this, if you successfully land your third shot on the green, you give yourself a one putt chance of a par!

Now compare that opportunity to the "conventional approach" where you would probably be satisfied with a one or even a two over par ….

Adding the Extra Shot and Shorten your Approach Shot

The one over scoring goal on every hole but one to break 90 allows you to design your tee to green play with an "extra shot" compared to a regulation strategy.

That extra shot on all the par 4's and par 5's brings the distance you require for every shot considerably.

Knowing this allows you to back off and swing well within your distance capability by clubbing down.

The extra shot also allows you to select a shooter approach shot on every hole which improves your changes of getting on the green.

This helps you avoid many wasted short game shots from around the green which are wonderful shot consumers for high handicap players who have not developed a short game.

Breaking 90

As I have shown you in this article, knowing the distance numbers to break 90 takes away the pressure to operate at the high end of your swing capability on every shot

Making smart club choices by clubbing down, also eliminates this distance pressure.

The strategy of adding the extra shot from tee to green to shorten your approach shots on every hole, not only reduced wasted shots from around the green, you also give yourself more par opportunities for a one putt par.

The desire to add more distance to your game can be a major mental barrier that is preventing you from lowering your scores and reaching your goal of 89.

Make the mental shift to thinking more on how to improve consistency by swinging well within you distance capabilities and your scores will drop significantly in a short period of time …

Good luck and good scoring!

Stress and Hair Loss

Stress and hair loss … hair loss and stress, which comes first? Research has shown that both sides have a strong argument; stress unduly affected the hair cycle and losing ones hair causes a lot of stress. Below I have discussed the effects of stress and hair loss looking at both sides of the equation.

DOES STRESS CAUSE HAIR LOSS?

The role of stress on hair loss (alopecia) is controversial, however, there is evidence that acute and / or chronic stress may precipitate certain hair loss conditions.

Genetic Hair Loss …

As male hormones trigger genetic hair loss, many researchers believe that stress can aggravate the condition as, during stressful episodes, the adrenal glands increase their output of certain hormones that can lead to the production of more dihydrotestosterone (DHT) levels. Also, some researchers believe that the skin becomes more sensitive to the effects of testosterone during stress, so increasing the chances of hair loss.

Telogen Effluvium …

Severe stress can also influence diffuse shedding of hair (telogen effluvium), though this condition tends to be reversible. One possible explanation for stress induced telogen effluvium could be that the body's uptake of glucose is increased during a stress episode, leaving less available for non-essential tissues, such as the hair, causing the fiber to be shed prematurely. One study in Britain of 800 professional women who worked in a stressful environment found that over 30% were experiencing hair loss.

Alopecia Areata …

Alopecia areata or "patchy" hair loss has also been connected to stress episodes. One study showed that over 90% of patients with alopecia areata were under more stress. As alopecia areata is believed to be partially a product of an auto-immune response, the stress impact on reducing the immune system is thought to be a factor in the condition.

Trichotillomania …

Trichotillomania, the compulsive habit of recurrently pulling the hair, is also associated with stress, as well as more severe psychological problems. Amongst other factors, it is stress that tend to be a very important influence in both the sunset and continuity of the condition.

DOES HAIR LOSS CAUSE STRESS?

Obviously, people who are losing their hair tend to become very worried about the consequences. Many cases have been reported of people becoming introverted and withdrew due to the worry of losing their hair. This has been confirmed by research studies on men and women losing their hair. It has been reported that many subjects felt their lives changed and their stress levels increased after they noticed a worsening of their hair quality / quantity, not before.

Dr. David H. Kingsley, PhD is a board certified trichologist (hair loss specialist). He is the only trichologist in the world who is a member of the American Academy of Dermatology. Dr. Kingsley has 3 New York City trichology centers. For more information on hair loss, please log onto http://www.HairAndScalp.com/

Otitis Media Treatment – Discover the Secrets to the Most Successful

Typical otitis media treatment is with antibiotics. This may resolve the whole issue in many children. But an increasing number of children are becoming resistant to them. You can see this by the number of times the condition returns.

It's worth knowing that antibiotics lowers the immune system. Many parents are now becoming concerned, and rightly so, about using antibiotics on their children.

It's far better to allow a child's immune system to try to cure their ailments unaided. By allowing for this possibility, you are ensuring your child will grow up with a healthy immune system, one that will stand them in good stead all their lives.

However, there are times when you need to give them some help. And you can do that so elegantly by using homeopathic medicines.

One of the best homeopathic medicines for otitis media treatment is Chamomilla. This diverse medicine can resolve some ugly symptoms so easily.

But you need to be able to match the symptom picture of your child's condition to that of the medicine. So let's see what the strong keynote symptoms of Chamomilla are:

  • any ear condition, where the child seems to be over sensitive to the pain
  • any condition of your child, where you feel at the end of your patience
  • the pain is worse for touch and worse if wind blows on the affected part
  • the child may be irritable and / or capricious – demands something then throws it away
  • maybe worse at around 9 am or 9 pm
  • the child demands to be transported

The best otitis media treatment, the most successful, is with the use of homeopathic medicines, which work by boosting the immune system. You can not get better than that.

Brain Sarcoidosis – All You Need to Know and Exciting News

Brain sarcoidosis is a complex disease and its treatment in modern medicine is based on dealing with the symptoms, rather then addressing the causes which remain obscure. In sarcoidosis, the immune system is activated to fight a non-existent enemy, hence the name autoimmune.

This is an article that will be looking into the involvement of the Central Nervous System in sarcoidosis or Neurosarcoidosis.

Sarcoidosis may affect any part of our brain. CNS involvement occurs in 2-7% of patients. One of the most common symptoms in those affected by neurosarcoidosis is facial weakness (if the disease affects the nerves of the face). It can also cause distortions in the ways our senses function (hearing, taste …).

One of the worst implications is the involvement of hypothalamus, which regulates our body weight, body temperature and sleep.

Brain sarcoidosis diagnosis

Neurosarcoidosis is the most difficult to diagnose, because of the inaccessibility and the risk of biopsies of CNS lesions. That is why MRI scans are the first choice in health practitioners looking into brain involvement in sarcoidosis.

Brain sarcoidosis manifestations

Common manifestations of brain sarcoidosis include: Meningitis, Seizures, Cerebellar ataxia (loss of coordination), Psychiatric symptoms, Decreased hearing, Speech impairment, Loss of sense of smell, Dementia or delirium, Dizziness or vertigo (abnormal sensation of movement), Papilledema ( optical disc swelling).

Brain Sarcoidosis – Optic nerve

This is the second most commonly hidden cranial nerve in sarcoidosis (after the facial nerve). Optic nerve lesion occurs in 5% of patients with brain sarcoidosis. Visual symptoms of optic nerve involvement include blurred vision, field defects, and pupillary abnormalities. Examination of the optical fundi reveals characteristic sarcoid changes, including edema of the disc, optic neuritis, and optic atrophy secondary to granulomatous infiltration in brain sarcoidosis.

Brain sarcoidosis and the spinal cord

There are no rules to what part of the spinal cord can be involved in sarcoidosis. Clinical signs of spinal cord dysfunction include: paraparesis (weakness of the lower extremitudes), tetraparesis (weakness of all four limbs), back and leg pains, incontinence (inability to control excretory functions).