Lymphedema is a condition that typically affects the arms and legs. The most common cause of this condition is damage to the lymph nodes or their removal as part of a cancer treatment program. There is no known cure for this condition. However, surgeries such as Vascularized lymph node transfer surgery may help deal with it better.

Vascularized lymph node transfer surgery involves replacing the affected lymph nodes with healthy lymph nodes from other parts of the body. This allows blood to flow more easily and restores or augments the lymphatic drainage system. In most cases, the healthy lymph nodes are harvested from the patient s groin. This procedure is relatively new, and its limits are still being explored by doctors. In cases of breast cancer that causes lymphedema in the upper limbs, this procedure may be performed along with breast reconstruction.

To be a viable candidate for this procedure the patient must have maximized control over lymphedema through other forms of lymphedema therapy. This therapy will need to be restarted after the surgery to ensure good results. The lymphedema diagnosis should also be less than 5 years old such that the patient s lymphedema is in its early stages.

As with any other surgical procedure, there are certain risks associated with this procedure. These can include

Reaction to anesthesia
Bleeding
Infection
Scarring at the site and poor healing
Damage to adjacent blood vessels
Nerve damage that can cause a temporary loss of sensation
Muscle weakness
Numbness ta the sites from where healthy lymph nodes were harvested
Risk of Lymphedema in the area where the lymph nodes were harvested from
After the surgery, the patient will need to keep pressure off the site where the lymph nodes have been transferred. The surgery site may be bandaged but compression garments will not need to be worn. On being discharged the patient may resume normal activities such as driving and work. High-intensity exercises that involve the use of the operated limb should be avoided for at least a month after the surgery. Compression garments should not be used until recommended by the doctor or a minimum of 2 weeks post-surgery. They will also need to schedule review consultations with the doctor. The schedule followed usually involves check-ups after 2 weeks, 1 month, 3 months, 6 months, 9 months and 1 year. 

Lymphedema - Vascularized Lymph Node Transfer Surgery!

Immediately after hair transplantation, you need to exercise little extra care to derive the best benefits. This includes immediate postoperative care, some common with most other surgeries and some very specific to hair transplantation. 

The following things will happen immediately after transplant, throughout the first week: 

Immediately after surgery, like any other surgery requiring anesthesia, there will be slight drowsiness and so it is advisable to arrange for a drive.

Expect some mild swelling and soreness that can be managed with rest and anti-inflammatories.

There will also be a tight and itchy feeling in areas where transplant has been done.

Spray water or saline every half an hour to keep the scalp moist in both the recipient and the donor sites. This promotes healing and also reduces the itchy feeling in these sites.

Thermal shock would be applied to areas to damage the existing follicles and new stem cells would be transplanted. This can also produce a warm feeling, sometimes referred to as 'thermal shock'.

In some people, there could be scab formation which occurs due to fall of the topmost transplanted hair follicles.

If you have undergone a micrograft, then you will have a compression bandage around your head. This should be in place for a day and will cause a tight feeling.

Sleep with your head elevated with a couple of pillows.

The first day after surgery, hair needs to be washed under the supervision of a physician or a nurse. Use a shampoo, which contains tea tree oil.

It is recommended to shampoo your hair regularly from day 2, as it is required to remove the dirt, blood, and oil that often accumulates at the recipient's site. This also helps to controlling infection, which is common post surgery.
Wait for at least 14 days before you resume coloring your hair, use of hair sprays, gels, and other hair care products.

All transplant surgeries require stitches. If the suture material is absorbable, there is no need to follow-up for removal. If it is not of absorbable material, they need to be removed after 2 weeks' time.

Please do not get into a regular exercise routine for up to 6 weeks. Cycling, gymming, swimming, golfing, etc., are to be avoided until the scalp is completely dry and to avoid stretching of the scar.

Everyone's body is unique and responds differently to hair transplantation. Go for periodic review with your doctor to understand how your body is responding.


What To Expect After Your Hair Transplant Session?

Corns and calluses are defined as thickened and hardened areas of the skin, which are formed due to excess pressure, friction or rubbing in a particular area. They generally form at the bottom of the feet and can cause discomfort and pain while walking. Corns usually form on the sides and tops of toes. There are several variants of corn such as hard corn, soft corn and seed corns. Calluses typically form in areas which undergo high friction. It can appear on hands and feet. Read on to find more about corns and calluses.

Causes
1. In some cases, corns or calluses may form due to improper walking motion but in most cases corns and calluses form due to wearing shoes which fit in an improper manner.
2. High heels in particular are a major reason for the formation of corns and calluses. Other reasons include foot deformities or wearing shoes and sandals without socks.
3. Corns and calluses have a risk of being infected by bacteria which causes the infected region to secrete pus or fluid.

Symptoms
There are different types of corns and calluses and each of them have different symptoms during their formation.
1. A callus is a small patch of dead skin which can form anywhere in the body but usually in places which undergo friction.
2. A hard corn is a patch of hard skin which is located outside the little toe or on top of a toe.
3. A soft corn is a sensitive red patch of skin which is typically found between toes.
4. A seed corn is a painful patch of dead skin which typically forms on the ball of the foot or on the heel.

Treatment
If you have developed a corn or a callus it is advisable to consult a doctor as they can correctly differentiate between warts and calluses. Use of moleskin around the corn or callus usually reduces the pressure from the affected region. Oral antibiotic medication can also be prescribed by your physician. Certain moisturising creams also help treating corns and calluses. Opt for stronger moisturising creams after consulting your doctor if regular ones are not helping. In certain instances corns and calluses may need to be surgically removed.

All About Corns and Calluses

While injuries of any form can be painful, burn injuries are one of the worst to suffer from. While cuts and bruises can be temporarily assuaged with a proper dressing, burns are quite different in this regard. With burns, the damaged tissues will stay on the body and may cause continuous pain. Thus, burn injuries are difficult to treat and they require different strategies for pain management as well.

Treatment methods available for treating pain arising due to burn injuries

Apply an anesthetic cream or aloevera gel to soothe the burnt skin. Avoid exposing the skin to air as that will cause painful sensations.
Loose gauze or antibiotic ointment must be used to protect the influenced area.
Soak the burnt area wound in cold water for about five minutes or more.
If the burn escalates or affects a widespread area, seek medical attention immediately.
Pain management factors for burn injuries:

Relaxation: During the phase of recovery, burn injuries put immense stress on your body and continue for a long period. Muscle tension is caused by stress that increases pain. Some relaxation techniques are proven to be beneficial to reduce the stress on body.
Coping with your pain: Different people have different ways to cope with physical discomfort. Look out for situational aspects which are currently under your control and take it positively. The  what ifs  or wishing that the burn didn t occur in the first place will not help with your current situation. You should focus on things what you can control like self-rehabilitation, doing your daily exercises, physical therapy treatment or following a doctor s suggestion of pain management strategies. This will help you cope with your pain to a greater extent.
Sleep medications: If your normal sleep routine is hampered, consult your physician for safe sleep medications. Proper sleep is very important for the healing process and even more so in the case of burn related injuries.
Antidepressants: Some people may not be suffering from depression, but they might still need antidepressants for relief and sound sleep. A health care provider might prescribe antidepressants as a way to deal with acute pain from burn injuries.
Increase the pace of your activities: If you want to rebuild your health and stamina and get back in form soon, focus on the regular physical and mental activities. Exercise regularly, but don t push yourself too much. Increase your physical activities gradually over time. Unless and until you are fully comfortable, don t strain yourself too much. Occupational and physical therapists can help you with an appropriate activity program.

Burn Injuries - 5 Ways to Manage Its Pain

 Hives  or  urticaria  can be defined as an outbreak of reddish swollen bumps on the skin surface. This happens because of the body s response to involuntary histamine release by the skin s blood vessels (which in turn, cause a leakage of blood plasma). The infection generally lasts for about 5-6 weeks, varying significantly in sizes and shapes. Although it is not a serious medical condition, hives can posit considerable discomfort to the affected person (coupled with severe itching and a constant burning sensation near the spot).

Although the exact reason behind the development of this condition is still unknown, researchers suggest that there are some factors that initiate the disorder.

Hives can occur as a result of insect or parasite bites.
In some cases, this disorder might occur as a side effect of painkillers or anti-inflammatory drugs.
Excessive intake of alcohol or foods rich in proteins such as eggs, fish, nuts, chocolate, berries etc. might also cause hives.
Excessive exposure to the harmful UV rays of the sun or high levels of stress can also result in hives.
Also, suffering from serious underlying medical conditions such as cancer, hepatitis or thyroid disorders might drastically aggravate chances of chronic hives as well.
Symptoms

Development of numerous reddish welts around the face or the arms along with a severe itchy sensation, recurrent feeling of tightness around the chest and constant dizziness.
Oral inflammation
If not treated immediately after diagnosis, this disorder might cause life- threatening allergic reactions such as Anaphylaxis (a condition which narrows down the bronchial tubes and causes significant breathing troubles) and auto-immune disorders such as rheumatoid arthritis.

The homeopathic preparations useful for treating hives have been mentioned below:

Apis mellifica: This medication works best for a case of hives that has resulted from insect or parasite bites. Other symptoms that are taken care of by this medication include severe itching and a stinging sensation that worsens at night or with exposure to cold, coupled with mild fever.
Arsenicum album: This homeopathic preparation is effective to cure hives that include symptoms of a burning sensation, abnormal swelling, and constant restlessness.
Ichthyolum and Astacus: This preparation is effective to cure chronic hives caused due to serious medical conditions such as uric acid, tuberculosis, or excessive alcohol consumption. People suffering from this particular type exhibit symptoms such as a large appetite, irritability, and a constant itchiness.

Can Homeopathy Treat Hives?

Cosmetic surgery has made it possible for almost everyone to have the body they desire. Having small breasts is one of the most common reasons women choose to undergo cosmetic surgery. This type of surgery is known as breast enhancement or breast augmentation.

For this procedure, the doctor will make a small incision along the natural crease lines of the breast. The breast tissue is then lifted to create a pocket in the breast area and an implant is placed in the pocket. These implants can be filled with saline or silicone. The surgeon will then close the incision and reshape the breasts to accommodate the implant.

Breast augmentation is a relatively safe procedure but as with any other invasive surgery, it does have a few risks. Some of the risks associated with this procedure are:

Reaction to anesthesia
Pain for the first 48 hours after surgery
Hematoma
Infection and bleeding
Numbness and temporary loss of sensation in the breasts
Asymmetric breasts
Scarring
Recovery time from breast augmentation surgery varies from person to person. However, to be on the safe side, avoid any sort of strenuous activity or exercising for a few days. Also, avoid running, jumping or any activity that will make your breasts bounce or potentially dislodge your implants. Swimming should also be avoided. The surgical dressing will need to stay in place for a few days after which you may be advised to wear a support bra. Do not wear under-wired bras until your doctor says you can. You should be able to return to work within a week. During this time, surgical sutures, if any, will also be removed. Avoid sleeping on your stomach or on your side for atleast a month after the surgery.

Follow the aftercare regime prescribed strictly to speed up the healing process. Avoid alcohol for as long as you are taking medication and do not self-medicate yourself in any form. Massaging your breasts can help deal with the scarring unless you have been advised not to.

Most women notice a drastic difference in the way their breasts look after a month. However, for the implants to completely settle into your breast tissue it will take around 3 months. During this time, they become softer and shift until they are placed just behind the nipple. In some cases, you may require a follow up surgery and hence it is best to stay in touch with your cosmetic surgeon. 

Breast Enhancement - Safety, Procedure and Aftercare

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