tag:blogger.com,1999:blog-90890620746742236622024-03-13T11:33:30.995-07:00Atlanta Car & Auto Injury BlogAnonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.comBlogger104125tag:blogger.com,1999:blog-9089062074674223662.post-38690802174273833322013-04-22T09:48:00.000-07:002013-04-22T09:48:00.729-07:00A.C.L. Reconstruction<br />
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Treatment</div>
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Originally it was felt that the knee should be repaired surgically as soon as possible. Now, most orthopedic surgeons feel that the swelling should subside and the patient should work to improve range of motion with physiotherapy for 2-3 weeks. Once this is accomplished the patient can then proceed to an anterior cruciate <a href="http://www.painatlanta.com/">ligament </a>reconstruction. As stated earlier, surgery does not have to be performed on a sedentary older patient, but it is almost always recommended to a younger, active athlete that they should have anterior crucial tear repaired. With modern techniques it is performed as an outpatient – the patient is discharged from the hospital the same day. The patients will leave the hospital on crutches wearing a knee immobilizer for approximately 10 days while they are up and getting around. When the immobilizer comes off, the patient usually will use a passive motion machine that moves the knee through flexion and extension. Physical <a href="http://www.impairmentdoctor.com/">therapy </a>is started immediately post-operatively. Treatment of a torn anterior crucial ligament in the older patient usually consists of physical therapy and exercise training as well as potentially brace-wear for some activities.</div>
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Surgical Treatment Options</div>
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There have been many options described for the surgical treatment of the anterior cruciate ligament. The most popular and currently recognized as the gold standard at this point is an operation where the middle one third of the patella tendon is used as a graft. It is virtually impossible to repair the <a href="http://www.theinjurypages.com/">ligament </a>that is torn. The torn ACL is simply removed and the replaced with the patella tendon graft. Two thirds of the patella tendon is left behind and it will repair itself, not compromising the function of the knee. At each end of the patella tendon a bone block is also taken; one piece from the tibia, and the other from the patella (kneecap). These two bony blocks are inserted into holes that are drilled into the tibia and femur and held into place with screws, which provide stabilization of the ligament graft.</div>
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There are other <a href="http://www.findatlantadoctors.com/">tissues </a>that can be used to substitute for the anterior crucial ligament. Most commonly the second choice are hamstring tendons which are weaved into a graft close to the size of the anterior crucial ligament. We have also used quadriceps tendon and allograft. An allograft is donated cadeaver tissue which is freeze dried until the time of usage upon which time it is thawed out and trimmed to size and used as an ACL substitute. The advantage of an allograft operation is that there is a smaller incision required, the rehab is shorter, and less painful. The disadvantage is that it is not quite as strong as a graft formed from the patient’s own tissue.</div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com2tag:blogger.com,1999:blog-9089062074674223662.post-29510653573530763142013-04-18T09:37:00.000-07:002013-04-18T09:37:00.360-07:00O'Donohue's "Terrible Triad"<br />
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<span style="color: red;">Mechanics</span></div>
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The anterior cruciate is the main factor causing resistance to the anterior displacement of the tibia on the femur. This is demonstrated when the orthopedic surgeon pulls the tibia forward on the femur performing a test of the anterior cruciate ligament. The tibia will displace much further forward than it should when the ACL is torn. The ligament is tight when the knee is in full extension and has the least amount of <a href="http://www.painatlanta.com/">tension </a>at approximately 45’ of flexion. Because there are different bands to the anterior cruciate ligament different areas of the anterior cruciate tighten at different angles of the knee.</div>
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Physical Examination</div>
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<img align="right" border="0" height="525" src="http://www.universityortho.4udr.com/4udrwebcomp/clientid99999/GC_SM/images/acl03.jpg" width="350" />Examination immediately at the time of injury will reveal usually at least mild <a href="http://www.findatlantadoctors.com/">swelling </a>of the knee, but not necessarily. The best test is called a Lachman Test where each of the examiner’s hands are placed just above and just below the knee joint. The lower bone is brought forward with the knee angled at approximately 15’ and the examiner assess the end point. Usually, there is a firm endpoint with an intact ACL when the tibia is pulled forward. When the ligament is torn that endpoint is no longer present. The examiner will also look for increased excursion of the tibia forward on the femur. A Drawer Test is when the knee is flexed to 90’. Essentially, the same test is performed. It is more difficult in an acute situation to perform this test because usually the athlete’s knee is too <a href="http://www.theinjurypages.com/">sore </a>to allow the knee to bend to 90’. A Pivot Shift is a test where the knee is brought from an extended position into flexion. Usually the knee will show a slight and subtle shift as the tibia rotates on the femur and shifts back into proper position. It is actually subflexed in the full extended knee position and returns to its natural position as the knee is flexed. As it returns to its natural position there is a "pivot shift" which takes experience to detect.</div>
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Associated injuries are always assessed for at the same time. Joint line tenderness representing torn cartilage and tenderness over the lateral knee which may reflect tearing of the collateral ligaments. O’Donohue’s "terrible triad" injury involves not only the ACL, but also the medial meniscus and the medial collateral ligament. It is unfortunately fairly common.</div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com2tag:blogger.com,1999:blog-9089062074674223662.post-60757258003858698292013-04-15T09:36:00.000-07:002013-04-15T09:36:00.111-07:00Natural History of the Torn Anterior Cruciate Ligament<br />
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<i style="font-size: 14px;"><b>Natural History of the Torn Anterior Cruciate Ligament</b></i></div>
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If left untreated the laxity which is immediately present only becomes worse. The other structures of the knee try in vain to provide some stability to the <a href="http://www.findatlantadoctors.com/">knee</a>. Over time and with more usage these other structures stretch out as well, resulting in increased instability and then associated meniscal (cartilage) tears. There is an incidence of approximately 1 in 3 patients who at the time of the anterior cruciate ligament tear will tear their <a href="http://www.painatlanta.com/">cartilage </a>as well. This progresses with time because in an untreated knee the knee is unstable and produces greater stress on the cartilage. Up to 80% of the knees will eventually develop a cartilage tear. The smooth Teflon lining of the knee which is known as articular cartilage is often damaged at the time of the<a href="http://www.theinjurypages.com/"> ACL tear</a>. If left untreated, this will again progressively wear at the knee, causing an increased rate of osteoarthritis development. The patients will alter their gait and will develop a rather specific quadriceps avoidance gait because when they contract their quads during normal walking its slides the tibia forward which is usually stopped by the anterior crucial ligament. The patient will naturally and unconsciously try to prevent this. All these problems mean that the knee will progress to late degenerative changes and osteoarthritis much earlier than in a normal knee. There is not good evidence that bracewear alone will decrease the rate of re-injury to the knee. However, in older and non-active patients there is definitely a role for non-operative <a href="http://www.impairmentdoctor.com/">treatment </a>by simply modifying their activities and avoiding all situations where they may pivot and damage their knee further.</div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-64735488012636753182013-04-12T09:10:00.000-07:002013-04-12T09:10:00.549-07:00ANTERIOR CRUCIATE LIGAMENT TEARS <table border="0" cellpadding="0" cellspacing="0" style="background-color: white;"><tbody>
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<b>ANTERIOR CRUCIATE LIGAMENT TEARS</b></div>
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Anatomy</div>
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The anterior cruciate ligament is a thick band of tissue which has two major strands that extend from the lower leg bone (tibia) to the thigh bone (femur). This ligament is very important for maintaining stability of the knee. When it is <a href="http://www.theinjurypages.com/">injured </a>or torn the patient feels the instability of the knee when they turn or pivot. This instability is particularly problematic when participating in pivoting sports such as soccer and football. The ligament sits just in front of its counterpart, the posterior cruciate ligament, directly in the middle of the knee joint.</div>
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Mechanism of Injury</div>
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Most anterior cruciate ligament tears occur during a sporting activity and usually in younger patients. When you consider the number of sport hours played, they are more common in women. There have been a variety of reasons proposed for this, such as <a href="http://www.painatlanta.com/">muscle </a>imbalance and slight variations in the anatomy of the knee joint in women compared to men. The most common sports are football and basketball in younger patients; skiing injuries predominate in older patients. It is, however, possible to injure the anterior cruciate doing a variety of activities. We’ve seen bilateral ACL tears in a weight lifter who was doing an incline bench and popped both his knees at the same time when bench-pressing 350 pounds. It can also be a work-related injury. Interestingly, most people would expect that it is due to contact, but this is not true. Mostly it is a non-contact deceleration where the athlete suddenly turns to the opposite side of the planted and <a href="http://www.impairmentdoctor.com/">injured </a>knee. As the patient turns and pivots the ligament tears. In basketball it is usually a result of a hyperextension and internal rotation of the tibia on the femur, associated with deceleration.</div>
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Usually the patient will feel a sudden pop in their knee immediately in injury to the knee. Surprisingly, sometimes the knee will not get very swollen, although it certainly can. The injury is often missed because the physical examination requires some experience and training. It might actually be easily missed in the initial stages.</div>
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Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-31236429594964627292013-04-08T08:48:00.000-07:002013-04-08T08:48:00.623-07:00PLANTAR FASCITIS (Heel spurs)<br />
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<big>PLANTAR FASCITIS (HEEL SPURS)</big></div>
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Plantar fascitis is a common foot problem in sports participants. It starts as a dull intermittent pain in the heel which may progress to a sharp persistent pain. Classically, it is worse in the morning with the first few steps or at the beginning of sporting activity.</div>
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The plantar fascia is a thick fibrous material on the bottom of the foot. It is attached to the heel bone (calcaneus) and fans forward toward the toes. It is responsible for maintaining the arch of the foot.</div>
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The problem usually occurs when part of this inflexible fascia is pulled away from the heel bone. This causes an inflammation and thus <a href="http://www.theinjurypages.com/">pain</a>. Plantar fascia injuries may occur at the midsole or towards the toes. Since it is difficult to rest the foot, a vicious cycle is set up with the situation aggravated with every step. In severe cases, the heel is visibly swollen. The problem progresses rapidly and treatment must be started as soon as possible.</div>
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As the fascia is pulled away from the bone, the body reacts by filling in the space with new bone. This causes the classic "heel spur." This heel spur itself is a secondary X-ray finding and is not the problem, but a result of the problem.</div>
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Predisposing Factors</div>
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Flat pronated feet</div>
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High arched rigid feet</div>
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Inappropriate or improper shoes</div>
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Toe running, hill running</div>
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Soft terrain (i.e. running in the sand)</div>
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Increasing age</div>
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<u>Treatment</u></div>
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<u>Arch Supports</u> - These are custom made from molds taken of your feet.</div>
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<u>Rest</u> - Use pain as your guide. If your foot is too painful, bearing sports can be temporarily replaced by swimming and/or cycling to maintain cardiovascular fitness. Weight training can be used to maintain leg strength.</div>
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<u>Ice</u> - Icing your heel (frozen peas) for 15 minutes several times a day will reduce <a href="http://www.painatlanta.com/">inflammation</a>. You should also ice your heel after activity for 15 minutes.</div>
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<i><b>Medication</b></i></div>
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A physician may on rare occasions prescribe anti-inflammatory pills. These are important in reducing the inflammation in your foot.</div>
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<i><b>Physiotherapy</b></i></div>
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The initial objective of physiotherapy (when needed) is to decrease the inflammation. Later the small muscles of the foot will be strengthened to support the weakened plantar fascia.</div>
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<i><b>Cortisone</b></i></div>
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A cortisone injection is usually quite beneficial if the above have not solved the problem. It is a local injection and it is very safe in this area.</div>
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<i><b>Surgery</b></i></div>
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Surgery is occasionally required for plantar fascitis. The tension on the plantar fascia is released, and the spur may be exercised.</div>
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<i><b>Risks</b></i></div>
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Risks include skin breakdown, infection, slow healing, nerve or blood vessel damage, blood clots, and other complications. Discuss these with our team prior to your surgery and make sure you understand them.</div>
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<u>Sports</u></div>
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Plantar fascitis can be aggravated by all weight-bearing sports. Repetitive foot landing, such as occurs in running and jogging, will aggravate the problem. When the problem is severe the best sports are ones which are non-weight-bearing (i.e. swimming, cycling). Go back into other sports slowly. If you have a lot of <a href="http://www.impairmentdoctor.com/">pain</a> either during the activity or following morning, you are doing too much.</div>
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<i><b>Shoes</b></i></div>
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It is possible for shoes to cause the problem. You may need different or new shoes. A knowledgeable salesperson can be invaluable.</div>
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<u>Exercise</u></div>
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The following exercises are designed to strengthen the small muscles of the foot to help support the damaged area. If performed regularly, they will help prevent re-injury.</div>
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<i><b>Towel Curls</b></i></div>
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Place a towel on the floor. Curl the towel toward you, using only the toes of your injured foot. Resistance can be increased with a weight on the end of the towel. Repeat 20 times.</div>
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<i><b>Shin Curls</b></i></div>
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Run your foot slowly up and down the shin of your other leg as you try to grab the shin with your toes. Repeat 30 times. A similar exercise can be done by curling your toes around a tin can.</div>
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<i><b>Toe Grabs</b></i></div>
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Stand feet together. Rotate your knees outward while attempting to grab the floor with your toes using the muscles of your foot. Hold 10 seconds, then relax. Repeat 20 times.</div>
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<u>Stretches</u></div>
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Lean against a wall with your back knee locked. Press forward until a stretch is felt in your calf <a href="http://www.findatlantadoctors.com/">muscle</a>. Hold for 15 seconds.</div>
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<i><b>B)</b></i></div>
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Then bend your knee until a stretch is felt in your Achilles tendon. Hold a further 15 seconds. Repeat 3 times. You should feel a pull in your muscle and tendon, but no pain.</div>
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Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com1tag:blogger.com,1999:blog-9089062074674223662.post-21966165469471412212013-04-04T08:37:00.000-07:002013-04-04T08:37:00.483-07:00Ruotures of the Achilles Tendon<br />
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RUPTURES OF THE ACHILLES TENDON<br />Version III</div>
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Rupture of the Achilles tendon is one of the most devastating injuries which the competitive and recreational athlete can suffer. Overall it is not as common an injury as, for example, tendonitis of the elbow, but it is much more difficult to treat in the higher levels of competitive sports. Although it is not entirely avoidable, there is much that can be done to reduce your chances of suffering such an <a href="http://www.theinjurypages.com/">injury</a>.</div>
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First it is necessary to understand the anatomy of the area. The tendocalcaneus (Achilles tendon) is the thickest and strongest tendon in the human body. It is approximately 15 cm long and begins in the mid-aspect of the calf and extends distally (towards the foot) to its insertion on the heel bone (calcaneus). It actually originates from three separate muscles which join together to form the strong muscular group which is responsible for pushing the foot downward to provide the push-off for propelling the body forward. This is especially accentuated in sports such as squash where a rapid push-off is required. It is obvious, therefore, that when this tendon ruptures it is a major injury.</div>
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The classic history of the injury is that it usually occurs in males, although it certainly occurs in females as well. It most commonly affects people aged 30-50 but can cross all age groups. Unfortunately, it can particularly affect athletes and will simply occur as they are pushing off to reach forward, although it has been known to occur when the athlete is simply in the ready position anticipating forward movement. The classic story is that the athlete feels a sudden pain in or just below the calf and, due to the sudden nature of the pain and the sensation of a direct blow, turns around to see who hit him with the tennis ball. The sudden <a href="http://www.painatlanta.com/"><span style="color: blue;">pain </span></a>stops play immediately and medical attention should be sought without delay.</div>
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The medical and surgical treatment is controversial at times. This is mostly related to the fact that treatment is difficult and there is no one simple answer to the problem. The leg can either be operated on or casted for a prolonged period of time, and there are proponents of both types of treatment. However, with either treatment there is a long period of casting and immobilization of up to ten weeks with a long and arduous course of physiotherapy after the casting is over. Surgical repair is most commonly advocated for the more distal (lower) injuries which are closer to the insertion on the calcaneus (heel bone). Often at higher levels of competition it is a career-ending injury in spite of vigorous surgical or casting treatment. Although the athlete is able to recover, they rarely attain the high level of sport which they were at prior to the injury.</div>
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It is obvious that the best thing to do with the injury is to avoid it in the first place. This can be done very simply with stretching exercises prior to the workout. All stretching exercises, whether they are done for the Achilles tendon or for any other muscle group in the <a href="http://www.impairmentdoctor.com/">body</a>, should be done with the speed of a glacier; that is to say that they should not be rapid twisting motions or pumping motions up and down. The affected area should be put on a stretch and then held for 15 seconds just below the feeling of discomfort. The best way to determine exactly how much of a stretch should be put on a limb is strained but still comfortable. The stretch should be held for 15 seconds and repeated several times prior to workout if the best results are to be obtained. This also promotes flexibility as well as protecting the tendon from injury.</div>
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By far the best treatment of this injury is prevention itself and although the stretching exercises do take a few minutes of time, they are well worth the effort and should be part of every athletes warm-up to avoid this devastating injury.</div>
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Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-50757940812994561462013-03-31T08:26:00.000-07:002013-03-31T08:26:00.424-07:00Treatment of Foot Problems Pt.3 <br />
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Hammertoes</div>
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A muscle imbalance or abnormal bone length can make one or more small toes buckle under, causing their joints to contract. This in turn, causes the tendons to shorten. Corns (build-ups of dead skin cells where shoes press and rub) often form on the contracted joint, and may become irritated and <a href="http://www.painatlanta.com/">infected</a>.</div>
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<i><b>Flexible Hammertoes</b></i></div>
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When hammertoes are flexible, you can straighten the buckled joint with your hand. Flexible hammertoes may progress to rigid hammertoes over time. Corns, irritation, and pain are common symptoms. Function is often limited as well.</div>
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<i><b>Rigid Hammertoes</b></i></div>
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A rigid hammertoe is fixed; you can no longer straighten the buckled joint with your hand. Corns, irritation, pain, and loss of function may be more severe for rigid hammertoes than for flexible ones.</div>
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Curled Fifth Toe</div>
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The little toe may curl inward underneath its neighbor so that the nail faces outward. With this inherited problem, the fat pad on the bottom of the toe (normally used for walking) loses contact with the ground. Corns and <a href="http://www.theinjurypages.com/">pain </a>may result.</div>
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Plantar Calluses</div>
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<i><b>Second Metatarsal Plantar Callus</b></i></div>
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When the second metatarsal bone is longer or lower than the others, it hits the ground first - and with more force than it is equipped to handle at every step. As a result, the skin under this bone thickens. Like a rock in your shoe, the callus causes irritation and pain. The treatment for this is an osteotomy. The second metatarsal bone is cut, and the end of the bone is then "lifted" and aligned with the other bones.</div>
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Heel Spurs</div>
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A heel spur is a bony overgrowth on your heel bone (see Plantar Fascitis). It may be stimulated by muscles that pull from the heel bone along the bottom of the foot. High-arched feet are especially apt to have too-tight muscles here. Heel spurs may cause <a href="http://www.impairmentdoctor.com/">pain </a> when the foot bears weight. They can be treated first with an injection, anti-inflammatory medication, as well as arch supports if indicated. If this fails, they can then be treated with surgical excision and a plantar release. The band of tight muscles is released to relieve the abnormal stress. The bone spur is surgically removed.</div>
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Neuromas</div>
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When a nerve is pinched between two metatarsal bones (usually the third and forth metatarsals), enlargement of the nerve may occur. Abnormal bone structure contributes to the cause, but too-tight shoes can aggravate the condition. You may experience sharp pain in your toes that may become severe enough to keep you from walking.</div>
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<i><b>Treatment</b></i></div>
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Excision: A small portion of the nerve is removed. As a result of this, a small area is usually permanently numbered, but this is preferable to pain.</div>
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<i><b>Follow-up Care</b></i></div>
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You can usually bear weight right away, but you must return to have your dressing changed. Keep your incision dry until the stitches are removed.</div>
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High-Arched Feet (Pes Cavus)</div>
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The shape of your foot often determines the kinds of foot problems you will have. Your feet may have unusually high arches due to an imbalance of muscles and nerves, which is usually inherited. Too high arches can cause various problems - tired or aching feet; and calluses. High arches are not usually investigated with surgery but most often treated with arch supports.</div>
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Flat Feet (Pes Planus)</div>
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Flat feet can be hereditary and are caused by a muscle imbalance. Feet with low, relaxed arches may bring on such problems as hammertoes and bunions; arch, foot, and leg fatigue; calf pain; and an overly tight heel cord (which makes the foot even flatter). Loose joints move to freely, causing pain and instability. Flat feet are also usually treated with arch supports.</div>
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Orthotics</div>
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Orthotics (also called orthoses or orthotic devices) are prescribed, custom0made arch supports. They fit inside most shoes and "bring the floor up to your feet."</div>
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A podiatrist may prescribe them to help correct such problems as high arches and flat feet. Also, following some foot surgeries, orthotics can help support the correction that was achieved.</div>
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To be fitted with orthotics, your podiatrist will first take an impression of your feet. Your orthotics are then fashioned from leather, plastic, or other materials. Their fit is checked at an office visit and adjustments can be made as you wear them. Expect an initial "breaking-in" period; you may need to build up wearing time gradually (as you would with contact lenses).</div>
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Surgery Decision</div>
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If your bunions or hammertoes are bad enough, they may need surgical correction. This is a gratifying operation that can provide both pain relief and improved appearance.</div>
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<i><b>Risks</b></i></div>
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All surgery carries risks including stiffness, persistent pain and swelling, recurrence of problem, damage to nerves, hardware breakage, blood clots in the legs, anesthetic problems, inability to correct the problem, etc. Make sure you understand the risks and alternatives prior to surgery.</div>
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Post-Operative Tips</div>
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Your recovery, like your foot problem and surgery, is as unique as you are. In addition to the previous tips given on follow-up care for each surgery, here are some pointers that can help you recover quickly and without complications, and help get you back on your feet again.</div>
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<b>Pain:</b><span style="color: green;"> </span>To help relive pain and reduce swelling in the first 24 to 48 hours after surgery, apply an ice pack to the affected area and elevate your foot above heart level, as recommended. <a href="http://www.findatlantadoctors.com/">Pain </a>is usually most severe the second and third days after surgery, and after you first begin to walk again.</div>
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<b>Bathing:</b><span style="color: green;"> </span> You will need to keep your foot dry. Getting the stitches wet can lead to infection, so be sure to keep your foot outside the shower or bath.</div>
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<b>Weight-Bearing:</b> Bearing weight and walking can stimulate circulation and promote healing. But overtaxing a healthy foot can detract from the results of your surgery.</div>
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<b>Shoes:</b><span style="color: green;"> </span> Our team may give you a wide surgical shoe to wear on the affected foot. A surgical shoe stabilizes and protects the foot as it heals.</div>
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<b>Returning to Work: </b><span style="color: green;"></span>How soon you can return to work depends on the type of surgery you had and the activities you job requires. You can generally return earlier to a desk job than to physical labor. Consider beforehand how much time you can take off from work until you are back on your feet.</div>
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REPORT TO EMERGENCY IMMEDIATELY IF YOU NOTICE REDNESS, DRAINAGE, INFECTION, CALF PAIN, SHORTNESS OF BREATH, OR HAVE ANY CONCERNS.</div>
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Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-20994427510804276532013-03-28T07:22:00.000-07:002013-03-28T07:22:00.370-07:00Treatment of Foot Problems Pt.2 <br />
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Anatomy of the Foot</div>
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Before you have your foot surgery, it helps to understand how your foot works in supporting you and carrying you from place to place. Knowing how skin and bone heal following surgery can help you to better understand the importance of post-operative foot care during your <a href="http://www.painatlanta.com/">recovery</a>.</div>
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Ligaments are flexible bands of fiber joining bone to bone. The foot has over 100 ligaments. Joints form where two bones meet. The 33 complex joints in each foot permit flexibility. Bones form the basic supporting structure of your foot. There are 26 bones in each foot. Tendons are tough, fibrous cords that connect muscle to bones. Muscles help move the feet and toes. When a muscle contracts, it pulls on a tendon, which in turn moves the bone.</div>
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The Healing Process</div>
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All foot surgeries involve the skin, and in some cases, the bone inside must be cut as well. When you understand the healing process, you can help make your foot surgery a success.</div>
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Skin heals in phases. First, it grows together so the stitches can be removed. The scar may look slightly inflamed; some redness and swelling are normal. After about six months, the scar blends with the surrounding skin.</div>
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Bone also heals in phases. A bone-like "cement" forms, bridging the affected bone and allowing it to bear weight. Later, the extra bone is dissolved, and in about six months, the bone is back to normal <a href="http://www.theinjurypages.com/">strength</a>.</div>
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Bunions</div>
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A bunion is an enlargement of bone in the joint at the base of the big toe. Bunions are most often inherited. Tight shoes do not cause bunions, but they can aggravate them. There are several types of bunions and surgical treatments for each. Your surgery may be similar to some of the common examples listed.</div>
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<i><b>Positional Bunion</b></i></div>
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A positional bunion develops when a bony growth on the side of the metatarsal bone enlarges the joint, forcing the joint capsule to stretch over it. As this growth enlarges, it pushes the big toe toward the others making the tendons on the inside tighten. This, in turn, forces the big toe further out of alignment. The bunion presses against the shoe, irritating the skin, and causing further <a href="http://www.impairmentdoctors.com/">pain</a>.</div>
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<i><b>Structural Bunion</b></i></div>
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Structural bunions occur when the angle between the first and second metatarsal bones increases to a point where it is greater than normal. The increase angle of the metatarsals makes the big toe bow toward the other toes. Sometimes bony growths may form. Irritation and swelling may often follow. The tendency toward developing this painful condition is usually inherited. A structural bunion becomes severe when the angle between the metatarsal bones of the first and second toes grows greater than the angle of a mild structural bunion. Again, a tendency toward developing this condition is usually inherited. The big toe bows toward the others, sometimes causing the second and third toes to buckle. Irritation, swelling and pain may increase when tight shoes are worn.</div>
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<i><b>Degenerative Disease</b></i></div>
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While not a true bunion, this condition is often associated with bunions. Bunions, left untreated, can increase wear and tear in the joint of the big toe, break down the cartilage, and pave the way for degenerative diseases such as arthritis. Pain and stiffness are symptoms of both.</div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-15186181687505721462013-03-25T07:16:00.000-07:002013-03-25T07:16:00.284-07:00TREATMENT OF FOOT PROBLEMS<br />
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TREATMENT OF FOOT PROBLEMS</div>
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Reasons for Foot Surgery</div>
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<span style="font-family: Verdana, sans-serif;">The more you know about what to expect, the more smoothly your <a href="http://www.painatlanta.com/">treatment</a>, either conservative or surgical, is likely to be. While each problem is unique, there are three basic goals: to relieve pain, to restore function, or to improve the appearance of your feet.</span></div>
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<i><u><b><span style="font-family: Verdana, sans-serif;">Relieve Pain</span></b></u></i></div>
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<span style="font-family: Verdana, sans-serif;">Feet that hurt interfere with your work, family, and your social life. Pain often signals an underlying problem. Fortunately, in many cases, foot treatment can correct the problem and relieve the <a href="http://www.theinjurypages.com/">pain</a>.</span></div>
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<i><b><u><span style="font-family: Verdana, sans-serif;">Restore Function</span></u></b></i></div>
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<span style="font-family: Verdana, sans-serif;">If your feet are not doing their job, it is hard for you to do yours. When simply walking becomes a problem, your lifestyle is affected. But accepting a life of hobbling or sitting on the sidelines can make you old before your time. Foot <a href="http://www.impairmentdoctor.com/">surgery </a>can be performed at almost any age - and in most cases, surgery can restore the normal use of your feet.</span></div>
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<i><b><u><span style="font-family: Verdana, sans-serif;">Improve Appearance</span></u></b></i></div>
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<span style="font-family: Verdana, sans-serif;">Although foot surgery is not usually performed for cosmetic reasons alone, it can often improve the appearance of your feet.</span></div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-54419652527033762992013-03-21T06:39:00.000-07:002013-03-21T06:39:00.401-07:00Bunions Pt. 2<br />
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<u>Information on Bunions </u></div>
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<span style="font-family: Verdana, sans-serif;">Shoewear</span></div>
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There are a few basic pointers to remember when buying shoes. Do not buy shoes by simply buying the size that you think you should fit into. The shoe must be tried on and worn in the store for several minutes until you make sure that it is not compressing your foot. The shoe itself should look as close as possible to the normal shape of a foot. You should realize that the size and shape of your feet will change as you get older. With age your arch generally flattens out slightly and your foot will become slightly longer. As well the left foot will not always be the same size as the right foot. Shoes should be fitted at the end of the day when your feet are at their largest due to gravity and natural occurrence. You should stand during the fitting process and make sure that you measure width as well as for length of the shoe. Do not expect your shoes to stretch to fit you.</div>
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<span style="font-family: Verdana, sans-serif;">Indications for Surgery</span></div>
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Pain is the commonest indication for bunion <a href="http://www.painatlanta.com/">surgery</a>. You may also notice redness and inflammation and usually this means that the bunion has progressed to a point that it will not respond to simple modification in shoe wear. Eventually that major joint of the big toe will become stiff and this makes it difficult for activities such as climbing stairs and sports.</div>
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<span style="font-family: Verdana, sans-serif;">Types of Bunion Surgery</span></div>
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There are many different procedures described to correct bunions. You should be aware that usually just shaving the bunion off, although it is attractive and minimally invasive, is usually not enough. Initially the foot will look much better but with time the bunion will recur.</div>
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Arthrodesis refers to surgery performed on the great toe <a href="http://www.theinjurypages.com/">joint </a>where the joint is fused. This is usually reserved for people with very severe deformities when other surgical options are impossible.</div>
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Bunionectomy refers to the simple removal of the bunion itself. This is seldom used because it doesn’t correct the underlying bone problems.</div>
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Osteomety is the commonest surgical procedure. The bone is cut and the bones realigned and pinned in place until they heal so that the underlying bone deformity is corrected and the bunion will not recur.</div>
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The resection arstplasty refers to the removal of the toe joint and this creates a flexible scar that functions as the joint instead. In the past there has been some interest in implanting artificial joints but this has fallen out of favor due to the fact that they usually do not hold up with the normal every day stress that people put their feet through.</div>
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<span style="font-family: Verdana, sans-serif;">Surgical Results</span></div>
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All patients should understand pre-operatively what they can expect from the surgery. The majority of patients who have bunion surgery are very pleased with their results and have a significant improvement in both their cosmetic appearance as well as the pain. Surgery does not however make it possible to fit into smaller shoes for the purpose of cosmetic reasons. If this is done the bunion generally will recur. You have to wear good shoe wear after surgery.</div>
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You should also be aware of the risks and complications and alternatives such as infections, nerve injury and recurrence of the bunion and failure of the hardware. Other medical risks such as blood clots in the legs and risks related to the anesthetic must also be considered. Unfortunately no surgery can be formed that is actually risk free no matter what kind of <a href="http://www.findatlantadoctors.com/">surgery </a>is performed. Generally speaking bunion surgery is safe and effective. Surgery is performed on an outpatient basis unless there is underlying medical problems. The patient will enter and leave the hospital on the same day and the patient will have a choice of different anesthetics such as spinal, general anesthetic and various nerve blocks. The anesthesiologist will discuss this with the patient in detail.</div>
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<span style="font-family: Verdana, sans-serif;">Post Operative Care</span></div>
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Crutches will need to be worn for the first few days. After that a special boot is placed on the bandage and the patient can weight bear but will have to wear that special post-op shoe for approximately 4-6 weeks to ensure proper healing. This dressing has to be kept clean and dry but usually the patient can get around for day to day activities quite well after just 2-3 days. But they will have to modify their activities during the 4-6 week healing period.</div>
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Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-49344052701914885942013-03-18T06:31:00.000-07:002013-03-18T06:31:00.661-07:00Information on Bunions<br />
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<b><u><i><span style="color: #3d85c6;">BUNIONS</span></i></u></b></div>
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<u>What is it?</u></div>
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A bunion is a very common foot deformity that develops over the first metatarsal phalageal joint of the big toe of the foot. The joint that joins the big toe to the foot is called the first MTP joint. When it becomes prominent and the big toe starts to become crooked this is known as a <a href="http://www.painatlanta.com/"><span style="color: blue;">bunion</span></a>. The term referring to deformity of the big toe as it becomes crooked is called Hallux Valgus. It is the bump itself that is known as the bunion. When it gets red and swollen over the bunion because it gets sore this is usually due to an inflamed soft tissue over the underlying bone.</div>
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<u>Causes</u></div>
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The commonest cause of bunions is prolonged wearing of poorly designed shoes such as the narrow high heels that women wear. This is one of the reasons why bunions are much more common in women than in men. There is also a hereditary component to bunions in that many times we will see a grandmother, mother and daughter all with various stages of bunions. 38% of women in the United States wear shoes that are too small and 55% of women have some degree of bunion formation. <a href="http://www.theinjurypages.com/">Bunions are 9 times more common in women than they are in men.</a></div>
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<u>History</u></div>
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<span style="font-family: arial, verdana, optima, sans-serif;"><span style="font-size: 12px;">Left untreated bunions will gradually become worse especially if women continue to wear the narrow pointed shoes. Not all bunions progress because if the patient starts wearing good shoewear and they are caught early enough they may not get any worse. In general however, they will certainly not get any better no matter how they are <a href="http://www.findatlantadoctors.com/"><span style="color: blue;">treated</span></a>. We generally reserve surgical treatment for bunions that are painful. If they are not painful they should simply be observed and shoewear modified. Occasionally the patient will want the bunion corrected for cosmetic reasons.</span></span></div>
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Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-52018267500634414992013-03-14T06:21:00.000-07:002013-03-14T06:21:00.731-07:00Treatment for "Sprained Ankle" <br />
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Treatment</div>
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<br /><img align="right" alt="Ankle Arthroscopy" border="0" height="216" src="http://www.universityortho.4udr.com/4udrwebcomp/clientid99999/GC_SM/images/ankles2.jpg" width="288" /></div>
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In the more mild forms of sprains the best <a href="http://www.painatlanta.com/">treatment </a>is known as R.I.C.E. This is an acronym which stands for Rest, Ice, Compression, and Elevation. The rest is quite self-explanatory and consists of non-weight bearing with crutches. The ice should be applied as ice packs, and these should be applied for the first 72 hours as much as can be conveniently performed in order to keep the swelling down. Compression consists of a tensor bandage which will help to limit the swelling, although occasionally a cast is required. Elevation must be performed to help keep the swelling down. This period of compression and elevation can often take up to 2-3 weeks if the sprain is bad enough. As the pain subsides an exercise program with <a href="http://www.findatlantadoctors.com/">physiotherapy </a>can be started to increase the strength of the ankle and foot muscles. The advice of physiotherapists or similar knowledgeable individuals should be sought for proper teaching of these exercises.</div>
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Although somewhat controversial it is rare to operate on even severely sprained ankle injuries. In the U.S.A., immobilization involving bracing and non-weight bearing with crutches is usually employed.</div>
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Depending upon the situation, the surgical repair for instability, whether acute or chronic, is a viable alternative and can be very gratifying.</div>
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Prevention</div>
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Perform stretching exercises.</div>
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Use proper footwear. Your shoe should have good lateral support, a relatively low heel (different from jogging shoes which have a built up heel and poor lateral stability) and rounded contours to avoid "going over." Shoes with a higher boot top ("high cuts") may be indicated for those with chronic instability. Lace-up ankle supports may be very helpful.</div>
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Avoid uneven surfaces which might include anything from your opponents foot to poor court flooring to uneven training ground.</div>
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Deciding on Surgery</div>
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If you get repeated <a href="http://www.impairmentdoctor.com/">ankle spraining</a> easily, you may need to have your ligaments reconstructed. This will re-stabilize your ankle and allow you to return to sport without constantly worrying about re-spraining your ankle. It is a very satisfying procedure, but like all surgeries, does carry some elements of risk to it. Discuss these risks/advantages with your doctor.</div>
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Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0Atlanta, GA 30313, USA33.7657549 -84.3949400000000233.7129519 -84.475621000000018 33.818557899999995 -84.314259000000021tag:blogger.com,1999:blog-9089062074674223662.post-88607725103180225712013-03-11T06:18:00.000-07:002013-03-11T06:18:00.240-07:00What is a "Sprained Ankle" <br />
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What is it?</div>
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A "sprained ankle" is one of the most common <a href="http://www.theinjurypages.com/">injuries </a>a sports medicine physician encounters. It is also one of the most poorly understood by lay persons and health care providers (including physicians), and is often under treated. A severe ankle sprain, although treated properly, can still result in chronic instability of the ankle. Fortunately, most are not severe and with quick and proper treatment these injuries heal well.</div>
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Anatomy</div>
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<img align="right" alt="Anatomy" border="0" src="http://www.universityortho.4udr.com/4udrwebcomp/clientid99999/GC_SM/images/ankles1.jpg" height="409" width="200" />Three essential ligaments cross the lateral (outside) surface of the ankle joint and are the most commonly injured with ankle sprains.</div>
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Anterior Talofibular Ligament (ATFL)</div>
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Posterior Talofibular ligament (PTFL)</div>
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Calcaneo Fibular Ligament (CFL)</div>
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Much more uncommonly, however, on the medial (inside) surface of the ankle joint, the deltoid ligament is <a href="http://www.findatlantadoctors.com/">injured</a>.</div>
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Mechanisms of Injury</div>
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The injury is usually the result to the ankle turning in, commonly referred to as "going over the ankle." In squash this can occur with sudden pivoting or cutting movements. More often the ATFL and CFL are involved.</div>
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Classification of Ankle Sprains</div>
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First Degree: Most common and often neglected. The ligaments are stretched, not torn. There may be minimal to mild swelling and no instability. This patient usually treats him/herself and simply puts up with a sore ankle for a week or so.</div>
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Second Degree: Ankle ligaments are partially torn and bleeding into the surrounding soft tissue occurs resulting in ecchymosed (bruising and discoloration). Swelling and pain may be very minimal initially and gradually worsen over the next few days peaking within a week. This degree of tear requires varying degrees of immobilization and usually 3-6 weeks before the person van resume activities.</div>
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Third Degree: Most severe and ominous. Represents complete disruption of at least the ATFL and CFL and sometimes the PTFL. The ankle is unstable. X-rays are normal. <a href="http://www.painatlanta.com/">Healing </a>requires 8 to 10 weeks.</div>
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Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0Stone Mountain, GA 30087, USA33.8012981 -84.11184579999996933.695757099999994 -84.273207299999967 33.9068391 -83.950484299999971tag:blogger.com,1999:blog-9089062074674223662.post-73574763232389936902013-03-07T14:01:00.000-08:002013-03-07T14:01:00.507-08:00The Lingering Effects of Whiplash<br />
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<b><span style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">The
Lingering Effects of Whiplash<o:p></o:p></span></b></div>
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<b>Soft-tissue Injuries
of the Cervical Spine 15-year Follow-up<o:p></o:p></b></div>
<div class="MsoNormal">
Key Points from Dan Murphy<o:p></o:p></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->1)<span style="font-size: 7pt;">
</span><!--[endif]-->At a mean of 15.5 years post whiplash trauma,
70% of whiplash-injured patients continued to complain of symptoms referable to
the original accident.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->2)<span style="font-size: 7pt;">
</span><!--[endif]-->Long-term symptoms from whiplash injury include
neck pain, arm paresthesia, back pain, headache, dizziness, and tinnitus.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->3)<span style="font-size: 7pt;">
</span><!--[endif]-->Women and older patients have a worse outcome
from whiplash injuries.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->4)<span style="font-size: 7pt;">
</span><!--[endif]-->Radiating arm pain is more common in those with
severe symptoms.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->5)<span style="font-size: 7pt;">
</span><!--[endif]-->Between 10 and 15 years after the accident, 18%
of the patients had improved, whereas 28% had deteriorated.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->6)<span style="font-size: 7pt;">
</span><!--[endif]-->Soft-tissue injuries to the cervical spine may
give persisting <a href="http://www.painatlanta.com/" target="_blank">symptoms</a>.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->7)<span style="font-size: 7pt;">
</span><!--[endif]-->Most whiplash-injured patients reach their final
state by two years after being injured, but this study shows ongoing symptom
fluctuation between years 10 to 15. <o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->8)<span style="font-size: 7pt;">
</span><!--[endif]-->At the 15-year follow-up, neck pain was present
in 65% and low-back pain was present in 48%.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->9)<span style="font-size: 7pt;">
</span><!--[endif]-->80% of women and 50% of men continued to have
symptoms at 15 years.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->10)<span style="font-size: 7pt;">
</span><!--[endif]-->Back pain and tinnitus increased between years
10 and 15.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->11)<span style="font-size: 7pt;">
</span><!--[endif]-->Symptoms remained static in 54%, improved in 18%
and worsened in 28%.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->12)<span style="font-size: 7pt;">
</span><!--[endif]-->Degenerative changes are associated with a worse
prognosis for recovery.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->13)<span style="font-size: 7pt;">
</span><!--[endif]-->60% of symptomatic <a href="https://theinjurypages.com/"><span id="goog_1917492080"></span>patients <span id="goog_1917492081"></span></a>had not seen a
doctor in the previous five years because the doctors were unable to help them.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->14)<span style="font-size: 7pt;">
</span><!--[endif]-->18% had taken early retirement due to health
problems, which they related to the whiplash injury.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->15)<span style="font-size: 7pt;">
</span><!--[endif]-->Whiplash symptoms do not improve after
settlement of litigation.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->16)<span style="font-size: 7pt;">
</span><!--[endif]-->Most radiating pain is referral from the facets,
and not radicular.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->17)<span style="font-size: 7pt;">
</span><!--[endif]-->Chronic whiplash symptoms will cause an abnormal
psychological assessment after 3 months.<o:p></o:p></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->18)<span style="font-size: 7pt;">
</span><!--[endif]-->In this study, 100% of patients with severe
ongoing problems had cervical spine degeneration.<o:p></o:p></div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-69650557778991718282013-02-28T13:13:00.000-08:002013-02-28T13:13:00.160-08:00Tender here but no arterial pulsation - temporal arteritis ?<br />
<h2 style="background-color: white; color: #7e7bc7; font-family: Verdana, Geneva, sans-serif; font-size: 22px; margin: 6px 0px 14px;">
Tender here but no arterial pulsation - temporal arteritis ?</h2>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
This condition is very serious as it can suddenly lead to blindness of the eye on the affected side. This is a vascular <a href="http://www.theinjurypages.com/" target="_blank">headache </a>with blockage of the blood vessel.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
One clue to this is pain on chewing, as is generally feeling unwell.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
The artery is inflamed so will be swollen and tender, but unlike in <a href="http://www.findatlantadoctors.com/" target="_blank">migraine </a>will not be pulsing. In migraine the artery is tender and its pulsation is more obvious than usual.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
The most common reason by far, for tenderness here without arterial pulsation, is that the Temporalis <a href="http://www.impairmentdoctor.com/" target="_blank">muscle </a>is tight and tender, rather than anything to do with the artery.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
Temporal arteritis <acronym title="symptoms in many parts of your body, general symptoms">systemic</acronym> disturbances include weight loss, malaise, weakness and fever.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
If you suspect temporal arteritis, get medical advice today. I had one patient lose the sight in an eye a day or so after I put them on cortisone, while waiting to see the eye doctor. I didn't realize at that time, how big a dose of cortisone was needed.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
People generally need cortisone <a href="http://www.theinjurypages.com/" target="_blank">treatment </a>for 3 to 5 years for this condition. It is serious.</div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0Atlanta, GA 30309, USA33.7971137 -84.380488833.7707232 -84.4199708 33.823504199999995 -84.341006799999988tag:blogger.com,1999:blog-9089062074674223662.post-61163180814645344252013-02-25T13:10:00.000-08:002013-02-25T13:10:00.393-08:00MIGRAINE HEADACHE PREVENTION<br />
<h2 style="background-color: white; color: #7e7bc7; font-family: Verdana, Geneva, sans-serif; font-size: 22px; margin: 6px 0px 14px;">
MIGRAINE HEADACHE PREVENTION</h2>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
A very well researched naturopathy site, www.healthy-alternative-solutions.com, covers this well.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
80% of adult <a href="http://www.painatlanta.com/" target="_blank">migraine </a>sufferers have food intolerance. This is immune based reactions, to foods most commonly eaten. Amine containing foods can also precipitate attacks.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
A hypoallergenic, stone age diet, may help now.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
If someone has a recent increase in the frequency of their <a href="http://www.findatlantadoctors.com/" target="_blank">migraines</a>, I generally expect to find they have put their neck out.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
A little known cause of <a href="http://www.theinjurypages.com/" target="_blank">headaches </a>is sensitivity to alternating electromagnetic fields<sup>1.</sup><br />It is worth shifting bedside clock-radios and unplugging electric blankets at the wall socket rather than just turning the blanket off with its switch, etc, just as an experiment.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
Copper deficiency may contribute to this last problem.</div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-39208787403227632022013-02-21T13:04:00.000-08:002013-02-21T13:04:00.541-08:00Another sort of vascular headache, from high blood pressure<br />
<h2 style="background-color: white; color: #7e7bc7; font-family: Verdana, Geneva, sans-serif; font-size: 22px; margin: 6px 0px 14px;">
Another sort of vascular headache, from high blood pressure</h2>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
People with hypertension do get more ordinary <a href="http://www.painatlanta.com/" target="_blank">headaches </a>than normotensive individuals.<br />The specific headache of severe hypertension is seldom seen these days. It is a dull headache at the very back of one's head, on awakening, relieved soon after first arising.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
This is part of hypertensive encephalopathy, and resolves very rapidly when <a href="http://www.theinjurypages.com/" target="_blank">treatment </a>is started, even before office blood pressure measurements drop.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
Migraine and hypertension can both be manifestations of food intolerance. People tend to grow out of <a href="http://www.findatlantadoctors.com/" target="_blank">migraine </a>and grow into hypertension, both with the same underlying cause.</div>
<div style="background-color: white; font-family: Verdana, Geneva, sans-serif; font-size: 13px; line-height: 16px;">
Cervicogenic headache and sphenoid sinusitis are other headaches here at the back of our head.</div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0tag:blogger.com,1999:blog-9089062074674223662.post-30719842477507000282013-02-18T12:54:00.000-08:002013-02-18T12:54:00.710-08:00Headaches and Food Triggers<br />
<h2 style="background-color: white; font-family: Arial, Helvetica, sans-serif; font-size: 18px; line-height: 23px; margin: 0px; padding: 0px;">
Headaches and Food Triggers</h2>
<div style="background-color: white; color: #4d4d4d; font-family: Arial, Helvetica, sans-serif; font-size: 15px; line-height: 1.2em; padding: 9px 0px;">
In the past 10 years, I have treated hundreds of cases of migraine <a href="http://www.painatlanta.com/" target="_blank">headaches </a>in my clinic. Most recently, I met with a young lady who was having headaches so severe that she required hospitalization and IV <a href="http://www.findatlantadoctors.com/" target="_blank">medications </a>to help control the pain.</div>
<div style="background-color: white; color: #4d4d4d; font-family: Arial, Helvetica, sans-serif; font-size: 15px; line-height: 1.2em; padding: 9px 0px;">
In the large majority of patients, identifying food triggers have been a major factor in getting the headaches to resolve. In the case below, gluten played a big role in the genesis of headaches…</div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com01293 Bermuda Rd, Stone Mountain, GA 30087, USA33.8012981 -84.111845832.9529071 -85.3752733 34.649689099999996 -82.848418299999992tag:blogger.com,1999:blog-9089062074674223662.post-14079720611509693282013-02-16T14:22:00.000-08:002013-02-16T14:22:00.123-08:00Avoid these Foods<br />
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b>AVOID: <o:p></o:p></b></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Ripened cheeses (Cheddar, Emmentaler, Stilton, Brie, Camembert)<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
(permissible
cheeses: American, cottage, cream, Velveeta)<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Herring, pickled or dried<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<a href="http://www.painatlanta.com/" target="_blank">Chocolate</a><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Anything fermented, pickled, or marinated<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Sour cream (no more than ½ cup daily)<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Nuts, peanut butter<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Sourdough bread, breads, and crackers containing cheese or <a href="http://www.impairmentdoctors.com/" target="_blank">chocolate</a><o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Broad beans, lima beans, fava beans, snow peas<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Foods containing monosodium glutamate (MSG)-soy sauce, meat
tenderizers, seasoned salt<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Figs, raisins, papayas, avocados, red plums (no more than ½ cup daily)<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Citrus fruits (no more than ½ cup daily)<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Bananas (no more than ½ cup daily)<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Pizza<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Excessive amounts of tea, coffee, or cola beverages (no more than 2
cups daily)<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Sausage, bologna, pepperoni, salami, summer sausage, hot dogs<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Chicken livers, pate<o:p></o:p></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
Alcoholic beverages: (If you do drink, limit yourself to two normal
size drinks selected from Haute Sauterne, Riesling, Seagram’s VO, Cutty Sark)<o:p></o:p></div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0Stone Mountain, GA 30087, USA33.8012981 -84.111845833.748519599999995 -84.1908098 33.8540766 -84.0328818tag:blogger.com,1999:blog-9089062074674223662.post-55638647729396349202013-02-12T14:20:00.000-08:002013-02-12T14:20:00.174-08:00Diet and Headache<br />
<div class="MsoNormal">
<b>Diet and Headache<o:p></o:p></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Below is a list of foods that may
trigger <a href="http://www.painatlanta.com/" target="_blank">headaches</a>. Dietary triggers do not necessarily contribute to headaches
in all patients. Certain foods may trigger attacks in certain individuals, but
not on every occasion. Be your own expert by trying to log the foods you have
eaten before a migraine attack and see whether their removal reduces or
eliminates your <a href="http://www.findatlantadoctors.com/" target="_blank">headaches</a>.<o:p></o:p></div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0Atlanta, GA 30313, USA33.7657549 -84.3949433.739354399999996 -84.434422000000012 33.7921554 -84.355458tag:blogger.com,1999:blog-9089062074674223662.post-35997487492387293402013-02-09T14:16:00.000-08:002013-02-09T14:16:00.608-08:00The Lingering Effects of Whiplash<br />
<div class="MsoNormal">
<b><span style="font-size: 12.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">The
Lingering Effects of Whiplash<o:p></o:p></span></b></div>
<div class="MsoNormal">
<b><br /></b></div>
<div class="MsoNormal">
<b>Soft-tissue Injuries
of the Cervical Spine 15-year Follow-up<o:p></o:p></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Key Points from Dan Murphy<o:p></o:p></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->1)<span style="font-size: 7pt;">
</span><!--[endif]-->At a mean of 15.5 years post whiplash trauma,
70% of whiplash-injured patients continued to complain of symptoms referable to
the original accident.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->2)<span style="font-size: 7pt;">
</span><!--[endif]-->Long-term symptoms from whiplash injury include <a href="http://www.painatlanta.com/" target="_blank">neck pain</a>, arm paresthesia, back pain, headache, dizziness, and tinnitus.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->3)<span style="font-size: 7pt;">
</span><!--[endif]-->Women and older patients have a worse outcome
from whiplash injuries.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->4)<span style="font-size: 7pt;">
</span><!--[endif]-->Radiating arm pain is more common in those with
severe symptoms.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->5)<span style="font-size: 7pt;">
</span><!--[endif]-->Between 10 and 15 years after the accident, 18%
of the patients had improved, whereas 28% had deteriorated.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->6)<span style="font-size: 7pt;">
</span><!--[endif]-->Soft-tissue injuries to the cervical spine may
give persisting symptoms.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->7)<span style="font-size: 7pt;">
</span><!--[endif]-->Most whiplash-injured patients reach their final
state by two years after being injured, but this study shows ongoing symptom
fluctuation between years 10 to 15. <o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->8)<span style="font-size: 7pt;">
</span><!--[endif]-->At the 15-year follow-up, neck pain was present
in 65% and low-back pain was present in 48%.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->9)<span style="font-size: 7pt;">
</span><!--[endif]-->80% of women and 50% of men continued to have
symptoms at 15 years.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->10)<span style="font-size: 7pt;">
</span><!--[endif]--><a href="http://www.theinjurypages.com/" target="_blank">Back pain</a> and tinnitus increased between years
10 and 15.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->11)<span style="font-size: 7pt;">
</span><!--[endif]-->Symptoms remained static in 54%, improved in 18%
and worsened in 28%.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->12)<span style="font-size: 7pt;">
</span><!--[endif]-->Degenerative changes are associated with a worse
prognosis for recovery.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->13)<span style="font-size: 7pt;">
</span><!--[endif]-->60% of symptomatic patients had not seen a
doctor in the previous five years because the doctors were unable to help them.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->14)<span style="font-size: 7pt;">
</span><!--[endif]-->18% had taken early retirement due to health
problems, which they related to the whiplash <a href="http://www.impairmentdoctor.com/" target="_blank">injury</a>.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->15)<span style="font-size: 7pt;">
</span><!--[endif]-->Whiplash symptoms do not improve after
settlement of litigation.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->16)<span style="font-size: 7pt;">
</span><!--[endif]-->Most radiating pain is referral from the facets,
and not radicular.<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->17)<span style="font-size: 7pt;">
</span><!--[endif]-->Chronic whiplash symptoms will cause an abnormal
psychological assessment after 3 months.<o:p></o:p></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo1; text-indent: -.25in;">
<!--[if !supportLists]-->18)<span style="font-size: 7pt;">
</span><!--[endif]-->In this study, 100% of patients with severe
ongoing problems had cervical spine degeneration.<o:p></o:p></div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com01293 Bermuda Rd, Stone Mountain, GA 30087, USA33.8012981 -84.111845833.695734599999994 -84.2697743 33.9068616 -83.9539173tag:blogger.com,1999:blog-9089062074674223662.post-40457914004403908962013-02-06T14:38:00.000-08:002013-02-06T14:38:00.106-08:00 5 so-called health foods you should avoid<br />
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<span style="font-size: large;"><b> 5
so-called health foods you should avoid</b></span></div>
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<span style="font-size: large;"><b><br /></b></span></div>
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<span style="font-size: large;"><b><br /></b></span></div>
<span lang="EN">Eating healthy can be harder than
you think, thanks to an enterprising food industry that wants us to consume
more than we need. That’s because our country’s agricultural system produces
twice what most people require, according to the U.S. Department of
Agriculture’s Economic Research Service. This encourages creative marketing to
unload the excess, much of it with minimal nutritional value. As a <a href="http://www.painatlanta.com/" target="_blank">nutrition</a> consultant, I know that words such as “low fat,” “high fiber,” “multigrain” and
“natural” can fool even the most sophisticated customers into believing what
they’re buying is healthful. So what can you do? First, make a habit of reading
the ingredients list, not just the Nutrition Facts panel. And remember the
following products worth resisting.<o:p></o:p></span><br />
<strong><span lang="EN"><br /></span></strong>
<strong><span lang="EN">Reduced-fat peanut butter
</span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">The oil is the healthiest part of
a nut, containing most of the nutrients, so there’s no advantage to taking it
out. In fact, it’s worse because it robs the peanut butter of its health
benefits. “Reduced-fat peanut butter has as many calories and more sugar than
the regular,” says Bonnie Liebman, nutrition director for the </span><span lang="EN">Center
for Science in the Public Interest</span><span lang="EN">. <o:p></o:p></span><br />
<span lang="EN">Instead: Buy regular peanut
butter. Eating one or two ounces of nuts daily is associated with reductions in
heart disease and cancer risk. A </span><span lang="EN">recent Harvard study</span><span lang="EN"> showed that eating nuts is associated
with lower <a href="http://www.theinjurypages.com/" target="_blank">body </a>weights.<o:p></o:p></span><br />
<br />
<strong><span lang="EN"> </span></strong><strong><span lang="EN">Enhanced water</span></strong><br />
<span lang="EN">Drinks such as Vitaminwater are
essentially sugary drinks with a vitamin pill. They are “unequivocally harmful
to health,” says Walter Willett, professor of epidemiology and nutrition at
Harvard’s School of Public Health. “Whether vitamins dissolved in water have
any benefit will depend on who you are and whether you are already getting
enough. . . . Some people may be getting too much of some vitamins and minerals
if they add vitamin water on top of fortified foods and other supplements.” A
recent </span><span lang="EN">Iowa Women’s Health Study</span><span lang="EN"> found an association between certain
commonly used vitamin and mineral supplements and increased death rates.<o:p></o:p></span><br />
<span lang="EN">Instead: Drink water, ideally
from the tap (“Eau du Potomac,” as it’s known locally). It’s the best drink for
hydrating your <a href="http://www.impairmentdoctor.com/" target="_blank">body</a>, is naturally calorie-free and contains fluoride to prevent
tooth decay. No supplement matches the nutrients in whole foods such as fruits,
vegetables, nuts and whole grains. <o:p></o:p></span><br />
<strong><span lang="EN"><br /></span></strong>
<strong><span lang="EN">Energy bars </span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">The reputation of these bars,
also known as meal replacement bars, is that they are healthy, aid in weight
loss or help build muscle. In fact, they are calorie bombs: candy bars with
vitamins, protein or fiber added. For most of them, sugar is either the first
(predominant) or second ingredient. <o:p></o:p></span><br />
<span lang="EN">Instead: Snack on fruit or
veggies for weight loss and yogurt for muscle gain. If you’re hiking a long
distance and want a healthful, nonperishable calorie bomb, try nuts and dried
fruit.<o:p></o:p></span><br />
<strong><span lang="EN"><br /></span></strong>
<strong><span lang="EN">Multigrain foods</span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">Multigrain breads, crackers and
cereals are often the most confusing foods. People see “multigrain” and think
“whole grain.” That’s not necessarily so. This is an important distinction
because people who eat whole grains have a lower incidence of diabetes, heart
disease and cancers, and are less likely to be overweight compared with those
who eat refined grains. Note that when “enriched wheat flour” is listed in the
ingredients, that’s refined flour.<o:p></o:p></span><br />
<span lang="EN">Instead: Be sure a </span><span lang="EN">whole grain</span><span lang="EN">, such as whole wheat, whole oats or brown rice,
is the first and preferably the only grain in the ingredient list. A great
example is a cereal listing whole rolled oats as the only grain. Alternatively,
consider an egg for breakfast. “The huge amounts of refined starch and sugar
that many people eat for breakfast, often thinking that this is the healthy
choice, does far more damage to their well-being than an egg,” says Harvard’s
Willett.<o:p></o:p></span><br />
<strong><span lang="EN"><br /></span></strong>
<strong><span lang="EN">Non-fried chips and
crackers</span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">It’s easy to believe these foods
are healthful because of labels such as “baked,” “low fat” or “gluten free.”
But most are made with refined grain or starch, which provide plenty of
calories and few nutrients. Popchips, for example, are a new product marketed
as <a href="http://www.findatlantadoctors.com/" target="_blank">healthful</a>. But the ingredients are highly refined potato flakes, starch,
oil, salt and about 14 additional things. Pita chips, made with white flour,
oil, salt and several more ingredients, are no better. </span><span lang="EN">To boot, research</span><span lang="EN"> shows that too much refined grains and starches
increases the risk for heart disease, cancers, diabetes and weight gain. <o:p></o:p></span><br />
<span lang="EN">Instead: Try </span><span lang="EN">Wasa</span><span lang="EN"> or </span><span lang="EN">Finn
Crisp</span><span lang="EN"> Original Rye
crackers. They’re 100 percent whole grain and have little sodium. If you’d like
a chip, try </span><span lang="EN">Terra Chips</span><span lang="EN">, made with sliced vegetables, or even a 100
percent whole grain chip fried in a healthy oil, such as olive or canola.
Tortilla chips and SunChips are two examples. “Now that trans fats have been
removed from most cooking oils, the healthiest part of potato chips is the
fat,” Willett says. “And chips made of whole grains rather than potatoes, like
Frito-Lay’s SunChips, can legitimately be considered a health food,” so long as
you keep to the one-ounce serving size. <o:p></o:p></span><br />
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0Stone Mountain, GA 30087, USA33.8012981 -84.111845833.748519599999995 -84.1908098 33.8540766 -84.0328818tag:blogger.com,1999:blog-9089062074674223662.post-82770512634193699222013-02-03T14:33:00.000-08:002013-02-03T14:33:00.198-08:007 bad foods that are actually good for you<br />
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<span style="font-size: large;"><b> 7 bad
foods that are actually good for you</b></span></div>
<span lang="EN"><br /></span>
<span lang="EN">Are you shying away from bad
foods that are actually good for you? With all the hoopla about healthful
eating, it’s hard to separate fact from fiction. As a nutrition consultant,
I’ve come to realize there is no shortage of surprises and superstitions in the
world of <a href="http://www.painatlanta.com/" target="_blank">nutrition</a>. Here are reasons to enjoy some of your favorites.<o:p></o:p></span><br />
<strong><span lang="EN"><br /></span></strong>
<strong><span lang="EN">Gluten and wheat </span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">They are “the most demonized
ingredients beyond high fructose corn syrup and hydrogenated oil,” said Melissa
Abbott, culinary director at the </span><span lang="EN">Hartman Group</span><span lang="EN">, a company specializing in consumer research.<o:p></o:p></span><br />
<span lang="EN">Yet decades of studies have found
that gluten-containing foods, such as whole wheat, rye and barley, are vital
for good health, and are associated with a reduced risk of diabetes, heart
disease, cancer and excess weight.<o:p></o:p></span><br />
<span lang="EN">“Wheat is a good source of fiber,
vitamins and minerals,” said </span><span lang="EN">Joanne Slavin</span><span lang="EN">, nutrition professor at the </span><span lang="EN">University of Minnesota</span><span lang="EN">. She added that the confusion about gluten, a
protein, has caused some people to avoid eating wheat and other grains. <o:p></o:p></span><br />
<span lang="EN">Only about 1 percent of the
population, or less, cannot tolerate gluten and must eradicate it from their
diet to ease abdominal <a href="http://www.impairmentdoctor.com/" target="_blank">pain </a>and other symptoms, including the ability to fully
absorb vitamins.<o:p></o:p></span><br />
<span lang="EN">One reason wheat-free or
gluten-free diets are popular is that people who don’t eat wheat often end up
bypassing excess calories in sweets and snack foods. Then they start feeling
better, lose weight, and mistakenly attribute their success to gluten or wheat
avoidance. <o:p></o:p></span><br />
<br />
<strong><span lang="EN">Eggs</span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">Eggs also don’t deserve their bad
reputation. In recent decades, their high cholesterol content has been thought
to play a role in increasing LDL (“bad”) cholesterol and heart disease risk.<o:p></o:p></span><br />
<span lang="EN">But cholesterol in food is a
minor factor contributing to high blood cholesterol for most people, and
studies have not confirmed a correlation between eggs and increased heart
disease risk. The major determinant of LDL (bad) cholesterol is saturated fat,
and while eggs are high in cholesterol — 184 milligrams in the yolk — they’re
relatively low in saturated fat — about 1.6 grams in the yolk.<o:p></o:p></span><br />
<span lang="EN">Interestingly, some of the
biggest egg eaters in the world, the Japanese, have low cholesterol and heart
disease rates, in part because they eat a diet low in saturated fat. In
contrast, Americans eat eggs alongside sausage, bacon, and buttered toast. <o:p></o:p></span><br />
<span lang="EN">“The amount that one egg a day
raises cholesterol in the blood is extremely small,” says </span><span lang="EN">Walter Willett</span><span lang="EN">, professor of epidemiology and <a href="http://www.findatlantadoctors.com/" target="_blank">nutrition </a>at </span><span lang="EN">Harvard’s School of Public Health</span><span lang="EN">. “Elevations in LDL (bad) cholesterol of this small magnitude could easily
be countered by other healthy aspects of eggs.” <o:p></o:p></span><br />
<strong><span lang="EN"><br /></span></strong>
<strong><span lang="EN">Potatoes </span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">Potatoes have been blamed for
increasing blood glucose levels, insulin resistance, excess weight and Type 2
diabetes. A recent Harvard study that followed large populations and their
disease rates linked potato eating with being overweight, blaming it on the
blood glucose rise.<o:p></o:p></span><br />
<span lang="EN">But many foods, including
whole-wheat bread and whole-grain cereals, cause similar spikes in blood
glucose, and are correlated with superior health and lower body weights. How
could the higher <a href="http://www.painatlanta.com/" target="_blank">body </a>weight in the Harvard study be explained?<o:p></o:p></span><br />
<span lang="EN">The study lumped all potato
products together, including potato chips and french fries, very fattening
versions of potatoes usually eaten in large portions alongside hamburgers, hot
dogs, and sodas.<o:p></o:p></span><br />
<span lang="EN">“It’s an easy food to attack; but
the meal pattern may be the culprit,” said David Baer, a research leader at the
</span><span lang="EN">Agricultural Research Service </span><span lang="EN">of the Department of Agriculture. “Other
epidemiological studies have not verified a connection between potatoes and
weight gain or any diseases, and no clinical studies have shown a connection.”<o:p></o:p></span><br />
<span lang="EN">Potatoes are a great source of
potassium, Vitamin C and fiber that many cultures — Scandinavians, Russians,
Irish, and Peruvians — relied on as a nutritious staple for centuries. And they
were not fat.<o:p></o:p></span><br />
<br />
<strong><span lang="EN"> </span></strong><strong><span lang="EN">Fruits</span></strong><br />
<span lang="EN">People often ask me if fruit is
too high in sugar, especially for diabetics. This fear of fruit, I believe, is
left over from the Atkins craze, which discouraged eating some fruits on the
grounds that they are high in carbohydrates. <o:p></o:p></span><br />
<span lang="EN">Avoiding fruit could actually
damage your health. Study after study over many decades shows that eating fruit
can reduce the risk of some cancers, heart disease, blood pressure and
diabetes. <o:p></o:p></span><br />
<span lang="EN">Fruit is high in water and fiber,
which help you feel full with fewer calories, one reason why eating it is
correlated with lower body weight. Even though they contain simple sugars, most
fruits have a relatively low glycemic index. That is, when you eat fruit, your
blood sugar raises only moderately, especially when compared with refined sugar
or flour products. <o:p></o:p></span><br />
<span lang="EN">Several health organizations,
including the </span><span lang="EN">U.S. Dietary Guidelines</span><span lang="EN">, the </span><span lang="EN">National
Cancer Institute</span><span lang="EN">, and the
</span><span lang="EN">American Heart Association</span><span lang="EN">, recommend Americans eat at least five cups of fruits and vegetables a day
because of their superior health benefits. <o:p></o:p></span><br />
<strong><span lang="EN"><br /></span></strong>
<strong><span lang="EN">Soy</span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">Though popular for centuries in
many Asian cuisines, soy is sometimes seen as dangerous after studies found
elevated rates of breast cancer among rats when they were fed a concentrated
soy derivative. <o:p></o:p></span><br />
<span lang="EN">But studies looking at whole soy
foods in humans have not found a connection. In fact, the reverse may be true.<o:p></o:p></span><br />
<span lang="EN">Soy, “when consumed in childhood
or adolescence may make breast tissue less vulnerable to cancer development
later in life and probably has no effect on breast cancer risk when consumption
begins in adulthood,” said </span><span lang="EN">Karen Collins</span><span lang="EN">, registered dietitian and nutrition adviser with
the </span><span lang="EN">American Institute for Cancer Research</span><span lang="EN">. <o:p></o:p></span><br />
<span lang="EN">Actually, Collins said, the
evidence is so strong for protection against heart disease that the FDA allowed
a health claim for labels on soy food products. <o:p></o:p></span><br />
<strong><span lang="EN"><br /></span></strong>
<strong><span lang="EN">Alcohol </span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">Alcohol is feared because of the
potential for abuse and alcoholism and complications such as liver disease,
which are valid concerns.<o:p></o:p></span><br />
<span lang="EN">But decades’ worth of research
shows that moderate alcohol consumption “can reduce deaths from most causes,
particularly heart disease, and it raises HDL (good) cholesterol,” the USDA’s
David Baer said.<o:p></o:p></span><br />
<span lang="EN">Wine may have additional benefits
because its grapes are filled with nutrients called polyphenols, which reduce
blood-clotting, <a href="http://www.impairmentdoctor.com/" target="_blank">inflammation </a>and oxidation. <o:p></o:p></span><br />
<span lang="EN">The key is to drink alcohol
moderately and with meals. What’s moderation? One serving daily for women and
two servings for men, with a serving being 5 ounces of wine, 12 ounces of beer
or 1.5 ounces of spirits. <o:p></o:p></span><br />
<strong><span lang="EN"><br /></span></strong>
<strong><span lang="EN">Fried Foods </span></strong><span lang="EN"><o:p></o:p></span><br />
<span lang="EN">While it’s true that frying food
usually increases its caloric content, that doesn’t necessarily make it
unhealthful. <o:p></o:p></span><br />
<span lang="EN">As long as food is fried in
healthful oil instead of butter, shortening, or trans fat, and it’s eaten in
moderation, it isn’t less healthy. In fact, fat-soluble vitamins A, D, E, and
K, and heart-healthy, cancer-preventive carotenoids such as beta-carotene
(e.g., carrots, sweet potatoes), lycopene (e.g., tomatoes) and
lutein/zeaxanthin (deep-green leafy vegetables such as spinach and kale), need
fat in order to be absorbed by the <a href="http://www.theinjurypages.com/" target="_blank">body</a>.<o:p></o:p></span><br />
<span lang="EN">“The consumption of certain fats,
such as saturated fatty acids and trans fatty acids [fats that are solid at
room temperature], is associated with an . . . increased risk of cardiovascular
disease. On the other hand, the unsaturated fats, monounsaturated fatty acids
and polyunsaturated fatty acids [canola, safflower and olive oils] have
significant metabolic benefits and are health promoting,” said the 2010 U.S.
Dietary Guidelines Advisory Committee.<o:p></o:p></span>Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0Stone Mountain, GA 30088, USA33.7597692 -84.175164833.7070012 -84.2541288 33.8125372 -84.0962008tag:blogger.com,1999:blog-9089062074674223662.post-20175700790762592562013-01-31T14:17:00.000-08:002013-01-31T14:17:00.082-08:00Dance Rehabilitation<br />
<h2 style="background: white;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">Dance Rehabilitation</span></h2>
<h2 style="background: white;">
<span style="background-color: white; color: #333333; font-family: 'Lucida Sans', sans-serif;"><span style="font-size: small;">Dance & Chiropractic</span></span></h2>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">Dance is an art form based on proper body alignment to perform
beautiful feats of agility and strength. <a href="http://www.painatlanta.com/" target="_blank">Chiropractic </a>is a healthcare
system based on proper body alignment to promote optimal health and body
performance.<o:p></o:p></span></div>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDuhgzGXdMCNPZK3blE29Sc01Y0D1CzekzZgMBn_ec7B8skVI-VZ6InmqNPQhju4p90dFbg0t7C4Hux2q4Qi875LybQVgty2dHLdbdkNpAevNIO-HbMxVvNZQlQ-rbnqU6Z8t_6TUTWtc/s1600/manual+therapy.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img alt="" border="0" height="115" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDuhgzGXdMCNPZK3blE29Sc01Y0D1CzekzZgMBn_ec7B8skVI-VZ6InmqNPQhju4p90dFbg0t7C4Hux2q4Qi875LybQVgty2dHLdbdkNpAevNIO-HbMxVvNZQlQ-rbnqU6Z8t_6TUTWtc/s320/manual+therapy.jpg" title="Chiropractor" width="320" /></a><span style="color: #333333; font-family: "Lucida Sans","sans-serif";">Chiropractors are specifically trained and educated in
applying biomechanical treatments that will effect the body's neurology to
improve a dancer’s abilities.<o:p></o:p></span></div>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">The rigors of dance cause alterations in joint alignments,
whether the joint is in your foot or in your spine. These alterations
prevent proper joint motion and may cause injury and muscle tightness.<o:p></o:p></span></div>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">Joint alterations will also effect a dancer’s ability to create
the proper lines of technique and over time, if left untreated, will lead to
undesirable dance habits.<o:p></o:p></span></div>
<h3 style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span class="style1"><span style="color: #333333; font-family: "Lucida Sans","sans-serif";"><span style="font-size: small;">Dance Chiropractor</span></span></span><span style="color: #333333; font-family: "Lucida Sans","sans-serif";"><o:p></o:p></span></h3>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">It is important for a dancer to find a chiropractor who
specializes in Dance <a href="http://www.theinjurypages.com/" target="_blank">Injury</a>. Dancers need more than adjustments; they
need a doctor who fully understands how to treat dance injuries and most
importantly how to properly return dancers back to dance (as soon as
possible). <o:p></o:p></span></div>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">In addition to returning the dancer to the stage, the
chiropractor must correct alterations in the dancer’s techniques to prevent
future re-injuries.<o:p></o:p></span></div>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">When dancing with pain, dancers' bodies will automatically alter
their lines to avoid the <a href="http://www.findatlantadoctors.com/" target="_blank">pain</a>. The longer this continues, the more the
altered lines are neurologically ingrained and incorrectly assumed as dancers'
normal lines of techniques. Improper dance lines will lead to further injuries.
In fact, most dance injuries stem from altered dance lines.<o:p></o:p></span></div>
<h3 style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span class="style1"><span style="color: #333333; font-family: "Lucida Sans","sans-serif";"><span style="font-size: small;">Dance Specific
Rehabilitation</span></span></span><span style="color: #333333; font-family: "Lucida Sans","sans-serif";"><o:p></o:p></span></h3>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">If a dancer’s lines of technique have been altered, it is
imperative for the dancer to be treated with Dance Specific
Rehabilitation. Dance Specific Rehabilitation should not be based
in strength training as strength training will cause unnecessary overuse,
fatigue and lead to more injuries.<o:p></o:p></span></div>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">Dance Specific <a href="http://www.impairmentdoctor.com/" target="_blank">Rehabilitation </a>involves advance neuromuscular
control training and movement training to reconnect the dancer’s body with the
lost lines of techniques.<o:p></o:p></span></div>
<div class="style2" style="background-color: white; background-position: initial initial; background-repeat: initial initial;">
<span style="color: #333333; font-family: "Lucida Sans","sans-serif";">Dr. Giangiulio's years of experience have lead to the creation
of the four Dance Specific Rehabilitation Programs that reconnect the dancer
with the foundations of dance. If a dancer has problems in any one of
these four areas, the dancer will have altered lines and a high chance of
injury.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0McAfee St NW, Atlanta, GA 30313, USA33.7657549 -84.3949433.7129404 -84.473904 33.818569399999994 -84.315976tag:blogger.com,1999:blog-9089062074674223662.post-26034328545145669862013-01-28T14:13:00.000-08:002013-01-28T14:13:00.490-08:00Benefits of Chiropractic Care for Kids<br />
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 16.0pt;">Benefits of Chiropractic Care for Kids<o:p></o:p></span></b></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt;">An increase in chronic childhood disease is part of the
reason parents today seek alternative health care for kids. <a href="http://www.findatlantadoctors.com/" target="_blank">Chiropractic </a>care
is an effective and affordable program by licensed providers that addresses
children's health conditions associated with the nervous and musculoskeletal
systems. Gentle, noninvasive and drug free, chiropractic adjustments treat,
resolve and prevent a wide range of health problems. Recent research by the
International Chiropractic Pediatric Association (ICPA) found spinal
manipulative therapy safe and successful in treating children of all ages.<o:p></o:p></span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt;">Acute Conditions<o:p></o:p></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt;">Acute conditions may result from birth trauma, sports
mishaps and accidental <a href="http://www.theinjurypages.com/" target="_blank">injury</a>. Chiropractic care benefits children by correcting
the spinal alignment to improve their overall health. When vertebral joints are
misaligned during birth or from a blow or fall, muscle tissue and nerves may
also be affected. Spinal adjustment frees joints, restores motion and relieves
nerve pressure, which may be the cause of additional ailments. Parents report
successful treatment of children's health issues such as acute earache, upper
respiratory infection, muscle pain, neck pain and accident trauma. Spinal
manipulation for children as young as newborn babies is an alternative
treatment for the discomfort of colic and other digestive disorders as well.<o:p></o:p></span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt;">Chronic Conditions<o:p></o:p></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt;">Parents surveyed by the ICPA reported behavioral
improvement for kids who saw a chiropractor, as well as improved sleep and
stronger immune systems. Although scientific evidence in these areas is still
inconclusive, the growing number of those seeking children's health care from
<a href="http://www.painatlanta.com/" target="_blank">chiropractors </a>(up 8.5% since 1991, according to the American Chiropractic
Association) is a positive endorsement of its benefits. Chiropractic America
reports that natural, drug-free chiropractic care is sometimes more effective
than traditional medical approaches for chronic earache, scoliosis and neck
pain. Headaches and sleep disorders of nonspecific causes respond well to
spinal adjustments, which affect and repair interrupted neural pathways. Asthma
and allergy symptoms and patterns of attention-deficit hyperactivity disorder
(ADHD) may also be treatable with chiropractic.<o:p></o:p></span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt;">Prevention<o:p></o:p></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; mso-bidi-font-size: 11.0pt;">Success in these areas has implications for <a href="http://www.impairmentdoctor.com/" target="_blank">chiropractic</a>care's preventive capacity. Periodic ongoing adjustments at a young age may
help stave off the above ailments before they begin. Proper spinal alignment
now may delay or prevent degenerative bone or joint disease, such as
osteoporosis and osteoarthritis. In addition to maintaining children's health,
regular visits to the chiropractor also instill the value of proactive health
care in kids. They'll be more likely to monitor and manage their health as they
grow up and less likely to be afraid or in denial of any health problems.
Encouraging good lifelong health habits is one of chiropractic's best benefits
for kids.<o:p></o:p></span></div>
Anonymoushttp://www.blogger.com/profile/12686353439710943523noreply@blogger.com0Stone Mountain, GA 30088, USA33.7597692 -84.175164833.7070012 -84.2541288 33.8125372 -84.0962008