The shoulder is a complex joint consisting of a number of bones, ball, socket, and cartilage. For people suffering from arthritis of the shoulder joint, a total replacement of the shoulder joint is often a successful procedure. It significantly improves pain and range of motion. However, in case the patient is suffering from a special type of arthritis of the joint known as  cuff tear arthropathy , a total shoulder replacement often does not produce the desired result. These people suffer from large rotator cuff tear as well as arthritis. For such patients, a reverse shoulder arthroplasty often show better results. 

Reverse Shoulder Arthroplasty 

In traditional total shoulder replacement, the device put into the joint consists of a plastic cup fitted into the glenoid bone, also known as the socket, and a metal ball attached to the top of the humerus, the upper arm bone. In a way, it mimics the configuration of the original shoulder joint. However, in case of reverse shoulder arthroplasty, the positions of the metal ball and the socket are interchanged. The plastic cup is attached to the humeral head whereas the metal ball is attached to the glenoid bone. 

Benefits of the Procedure 

A reverse shoulder arthroplasty works better for patients who have a large rotator cuff tear along with arthritis. There are a number of rotator cuff muscles in the shoulder and they help to hold the arm in position as well as provide power to the arm during extreme movements. In case of people with large rotator cuff tear and arthropathy, the upper arm has to rely on different muscles for movement because the rotator cuff muscles don t function. Hence, the arm has to depend on other muscles such as the deltoid muscles, to position and power the arm. This is why a reverse arthroplasty is carried out.

Who Can Undergo This Surgery?

Every patient with cuff tear arthropathy is not a candidate for reverse shoulder arthroplasty. Surgeons recommend this surgery when the patient is suffering from: 

  A total tear of the rotator cuff which cannot be repaired 

  A special type of shoulder arthritis known as cuff tear arthropathy 

  An unsuccessful shoulder replacement surgery 

  Extreme shoulder pain along with difficulty in lifting the arm over the head or away from the body 

  A complex type of fracture in shoulder joint 

  A chronic dislocation of the shoulder 

  A tumor in shoulder joint 

Doctors can also suggest this procedure if the patient had previously tried other remedial measures such as medications, rest, physical therapy, injections, etc., but was not successful in alleviating the pain and improving the range of motion of the shoulder. 

Conclusion 

There are some medications that you need to stop before the surgery since they may cause excessive bleeding after the surgery. Some of these medicines are blood-thinning medicines and Non-steroidal anti-inflammatory medicines.

Revision Replacement - What Should You Know?

Exercise can benefit your digestive system. The benefit, however, depends upon your time and type of exercise. When you exercise, your body slows down the process of digestion. Maximum supply of blood is directed towards the muscles and lungs. Thus it is to be kept in mind that you shouldn't exercise after having heavy meals. You may suffer from heartburn or vomiting if you take heavy meals before exercising. However, if you exercise empty stomach, you can see health benefits. Your digestion time must not be the same as your time for exercise.

There are several relaxation techniques, physical activities and exercises to help absorption of essential nutrients. Exercise can help your digestive system in the following ways:

1. Boosts Blood Circulation: Exercise improves the flow of blood through our entire body. Thus the supply of blood to the digestive systems is also improved. The digestive system starts functioning better. With regular exercising, the digestive system starts functioning faster. An individual gets rid of gastric problems like gas, heartburn, constipation and stomach cramps.

2. Digestive Routine: It is important that you exercise at the right time. Proper exercising before having meals is a very healthy habit. It will encourage you to develop a healthy and effective digestive routine.

3. Yoga for Digestion: It is a low-energy exercise. It helps in strengthening of the stomach muscle and facilitates digestion.

Precautions
One should keep in mind a number of things while exercising for a healthy digestive system. You must fix up a proper schedule for exercising. You can't take larger and heavier meals, rich in proteins and fats, just before exercising. Drink adequate amount of water after exercising as it causes dehydration. Patients who suffer from frequent attacks of diarrhea should avoid caffeine intake while exercising or later.

How Exercise Affects Your Digestion

When the vocal cords suffer from the accumulation of non-cancerous and abnormal growth, these are known as vocal cord lesions. These lesions usually cause a variety of voice and speech related problems. These are also known as singer s nodules and nodes, which may be caused by pressure, stress and stretching of the vocal cords. Women between the age of 20 to 50 are more prone to this condition. Here is everything you need to know about the types, causes and treatment of these lesions.

Types: There are three kinds of vocal cord lesions, that is nodules, polyps and cysts. A vocal cord polyps may be caused on one side of the vocal cords and may also lead to many disturbances in one s voice. Another type of vocal cord lesions includes a mass of tissue that may manifest in the sac or membranes around the vocal cord. This cyst can be on the surface of the vocal cord or in the ligaments of the vocal cord. This may require surgical removal as well as voice therapy thereafter. Nodules are the third type of lesion that may form in the vocal folds. These are basically calluses that may disappear once the pressure and overuse of the vocal cords diminish.

Causes: These lesions are usually benign or non-cancerous growths that may be caused due to a variety of reasons. Screaming and overuse of vocal cords are few of the most common reasons for the eruption of such lesions. The heavy use of one s voice can cause quite a bit of trauma to the vocal cords and may lead to problems including lesions and disturbances in one s voice. Conditions like reflux and allergic reactions may also cause vocal cord lesions as a side effect.

Symptoms: From hoarseness to pain, there are a number of symptoms caused by this condition. A low pitch and difficulty while speaking are also some of the common symptoms of this condition. Patients suffering from the growth of such lesions will also find themselves making an effort in order to speak normally and to be heard. Constant throat clearing may be required as well.

Treatment: Besides giving your voice a rest and gargling warm saline water with salt, one can also have the condition checked by the doctor so as to ascertain whether or not it is a serious lesion that may require surgical removal and voice therapy. The doctor will usually prescribe medicines in order to deal with any underlying conditions that may have caused the lesions, including allergic reactions, reflux, sinusitis and other such ailments. One will also have to stop smoking so that there is less chemical pressure on the vocal cord. Finally, one will have to go through voice therapy for more serious lesions.

Vocal Cord Lesions - Causes + Treatment

Typhoid fever is a bacterial disease caused by a bacteria Salmonella typhi. It spreads through consuming food or water that has been contaminated by stool of an infected person. The bacteria spread rapidly through your blood and causes a range of ailments.

It can cause bleeding in the intestine and perforations. This results in stomach pains, nausea, vomiting, and sepsis. Repair of intestinal damage may require surgery. In less frequent cases, typhoid can result in inflammation of muscles, linings, and valves of the heart. It can also cause pneumonia, meningitis, kidney infection, bladder infection, and inflammation of the pancreas. It may also result in delirium.



Symptoms-

The symptoms of typhoid infection start appearing within 1 to 3 weeks depending upon the virulence of the infection. The common symptoms are-

  High fever
  A headache
  Weakness
  Confusion
  Agitation
  Loss of appetite
  Red spotting on skin

Vaccination-

Vaccination is the most effective measure to prevent typhoid. There are two methods of vaccination- inactivated typhoid vaccine shot and an oral dose of live typhoid vaccine. One dose of inactivated typhoid vaccine is enough to protect you against the infection. A booster dose may be required every 2 years. You must consume four doses of live vaccine every alternate day. The capsule must be consumed orally, at least one hour before a meal. A booster may be required every 5 years.

What to know before immunisation-

  The inactivated vaccine should not be used in children below 2 years. The live vaccine is not recommended for use in children below 6 years.
  You should wait to get live typhoid vaccine if you are suffering from a pre-existing fever or infection. If you are on antibiotics, you must not take the oral vaccine until 3 days of discontinuing the medicine.
  People with immunodeficiency diseases such as AIDS should take inactivated typhoid vaccine shots instead of the live vaccine.
  Anti-malarial medicines should not be used until 10 days of a typhoid shot.
  Extremely serious side effects resulting from typhoid fever vaccine are very rare. It is generally safe for use.
  The inactivated vaccine may cause fever in 1 person in 100. It can also cause a mild headache, stomach pain, rashes in a person. Although serious allergic reactions are extremely rare, notify the doctor as soon as possible.

Typhoid affects 21 million people worldwide and causes 2,20,000 deaths annually. It can be fatal if it goes untreated. Therefore, it is crucial for people living in a typhoid prone zone to be immunised.

Typhoid Fever Vaccine - All You Should Be Aware Of!

Water is the life giving source of the planet and we would do well to remember to have our daily dose of at least seven to eight glasses of water a day. Besides it many health benefits, water is also a great partner to have in the weight loss process. As per many scientific studies, you can actually lose up to 2 kilograms of fat by taking your daily intake of water to ten glasses a day, at least. So, let us find out how we can actually lose weight by drinking more water.

1. Appetite: When you drink more water before a meal, you are actually taking care of something called mental hunger, which is the reflex of the brain around mealtimes and during boredom, inducing you to eat more. So, to avoid eating a heavy meal, you may want to have plenty of water before you sit down to eat. 

2. Calories: It has been scientifically proven that greater water intake can actually help in the weight loss process by creating an increase in what is known as resting energy expenditure. As we all know, there are various ways in which calories may be burnt throughout the day, including sitting standing and even sleeping. The resting state may induce more calorie expenditure with the help of increased water consumption.

3 . Long Term Weight Gain: The intake of more water helps in bringing down your weight by 0.13 kilograms at a time, which goes a long way in your weight loss journey. Further, the results are also more sustainable and long staying. You can add a cup of water after each glass and you can also replace your other beverages with water. 

4. Better Results in the Gym: Your workout sessions and that gym outing could actually benefit from more water intake. The way this works is that your joints and muscles are better lubricated which reduces the chances of stiffness due to intense and prolonged movements. This will actually help you in working out for longer periods without getting drained or tired too soon. So remember to drink plenty of water at least half an hour before you hit the gym or go running.

While water can be your best weight loss partner, it can also be a futile ingredient if you do not eliminate the things that lead to weight gain, or hold you back as far as optimum weight loss is concerned. So, you may want to ditch the sweetened and carbonated drinks and let go of fried and fatty food to let your body make room for lots of water instead!

Will Drinking More Water Help Me Lose Weight?

Treatment for Kidney stones varies depending on the size and type of the stone or the symptoms caused by it. In case of small stones, medication and simple changes in lifestyle can be enough to treat it, but surgeries and extensive treatments are required if symptoms are severe. 

Following are treatment options for kidney stones:

Small stones with minimal symptoms 
1. Drinking water
Drinking around 3 liters of water a day will regulate your urinary system and can effectively eliminate small stones. Unless your doctor advices otherwise, drinking ample amount of fluids, usually water, is one of the commonest way to get rid of small kidney stones. 

2. Pain relievers
There might be a considerable amount of pain and discomfort associated with passing the stone through urine. Your doctor may recommend pain killers like Ibuprofen, Naproxen sodium or acetaminophen. 

3. Medical therapy
In order to eliminate the kidney stone, your doctor may administer medical therapy. Medication like alpha blocker helps in passing the kidney stone with least pain and more quickly. It relaxes the muscles in the ureter and makes the process relatively easy. 

Large stones with severe symptoms
 
1. Using sound waves to break up stones 
In this technique, a procedure called Extracorporeal Shock Wave Lithotripsy (ESWL), is employed. ESWL uses the help of sound waves to create vibrations which breaks the stones in smaller pieces. This procedure takes about an hour and can cause mild pain and discomfort. Your doctor may administer sedatives to reduce your sensitivity. ESWL has side effects like blood in urine or bruising in the abdomen. 

2. Surgical removal of kidney stones 
Surgical removal of stones is done with the help of a procedure called nephrolithotomy. It uses small telescopes and other instruments which are inserted in your back through a small incision. It is generally done in case of large stones and when ESWL fails. 

3. Ureteric Calculi (Using a scope to remove stones) 
A thin illuminated tube called ureteroscope is used to remove a comparatively smaller stone in the kidney or ureter. The ureteroscope is equipped with a tiny camera which determines the location of the stone which is then broken into pieces with the help of other instruments. It may require general or regional anesthesia.

Treatments For Kidney Stones

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