Scalp Acupuncture Treatment
Electro Acupuncture Procedure
Ear Acupuncture Technique
Three Edge Needling Procedure
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Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain.
Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.
Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:
Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.
Patient Controlled Analgesia (PCA): This method is also known as ‘Pain Pump’. An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.
Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.
Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.
Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.
Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.
The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.
There are a few things in our lives which we don’t value until we lose it and our hair is one of those blessings that we are endowed with. For many such people, the hair transplant treatment can bring back the hair that they have lost owing to both external and internal factors. There are a variety of causes behind hair fall such as regular exposure to pollution and harmful UV rays. Also, our daily dose of stress and tension has a role to play in this respect.
What is a hair transplant treatment?
If an individual is bothered about the thinning of hair at certain places, then hair transplant is a treatment worth consideration. It will not only restore back the lost tresses but boost up the self-confidence as well.
Hair transplant is a kind of surgery which helps in moving the hair that you already possess to an area which has less or no hair at all. The treatment has been in practise since the 1950s in the United States of America although the advancement of medical science has contributed to making hair transplant much effective only in the recent years.
How is hair transplant done?
The hair transplant treatment is done at the doctor’s office where he removes a thin strip of skin measuring between 6 and 12 inches from the back of the head. This strip of skin is kept aside, and the scalp is closed and is instantly hidden by the hair present in the surrounding.
The next task of the surgeon is to divide the removed piece of scalp into 500 to 2000 little grafts where each of them comprises of a single or a few hairs. The type and the amount of graphs that an individual requires is based on the type of hair, quality, hair colour, hair condition and the size of the area where the hair is required to be transplanted. The actual process of hair transplant is all the same after this point. Once the graft is prepared, the surgeon would clean the area and numb the zone where the hair would be transplanted. Then slits or holes are created with the aid of needle or scalpel and finally the each graft is delicately placed in one of the holes. The whole process of hair transplantation may take 4 to 8 hours depending on the extent of treatment. An individual may require another session of the treatment if he or she decides to get thicker hair or if the problem of hair loss persists.
What you may expect after the treatment?
After the hair transplantation, the scalp may become very tender, and the doctor may prescribe am antibiotic and a painkiller to alleviate the condition. It is normal for the transplanted hair to fall out but the new growth of hair should start within a few months after the treatment. Most people who are treated with hair transplant notice 60 percent of renewed hair growth within 6 to 9 months after the treatment.
My hair growth is too slow. One month is passed I have cut my hair by zero machine. Since one month is passed but my hairs are small only. please give home remedy for fast growth of hair and for stronger hair roots.
I have a pain in right side number since 20 to 25 days. And now I have a weakness in my both leg with lumbar pain.
Can I use my beard hair as a donor for hair transplant? Can I use my back side hair as a donor for hair transplant n will my donor area will regrow back?
I am having pain in right shoulder my pharmacist gave me an injection of deca50 mg with diclofenac q. S I am still having pain and some part of shoulder is very hard n stiff I want to know that is shoulder stiff /hard due to injection. My ultrasound of shoulder as well x ray is OK please suggest me the right way. With regard Ashu Tandon Age 40 male.
I have swelling in my finger joints n pain in knees. RA test is negative. Plss suggest it's cause n remedy.
I used hair dye long back n after dat now so much of white hair so I used garner hair dye for now I felt small irritation on my scalp nt for longer tim so shall I stop using it r shall I go for som other products suggest me wch 1 s best.
Hi Doc. I want to grow more facial hair. What should I do? Is there any specific diet that I need to follow?
My mother has a severe pain in her legs and joints from long ago. She is 52 years of age. She is no a diabetes patient. Can you help her in this?
In my scalp my hair has so much gap between each other but it looks like in young age only you have bal head. For this is also I need natural recipes to. Grow my. Hair and to became to strong.
I lost my hair so much at top of my head and came nearly to bald head so please tell me how to regain my hair please tell me.
Hello, I have unwanted hairs on my face at the region under eyes and on cheek. So how can I remove it permanently and what does it cost.
Scalp: Complete oily scalp Hair: very thin due to hair loss Scalp is visible if does not cover in a specific way Mild Dandruff Undergone several tests regarding thyroid and iron n blood deficiencies Everything is fine regarding those cases Working as software engineer Note: I do not want use any pills or take treatment Question: I need a daily routine like which kind of specific foods If I take daily will be helpful for my regrowth of hair (I want hair regrowth becoz my scalp is completely turning into bald) Which Shampoo Which Conditioner Which oil How many times and when and for how much time I have to apply oil Can I shampoo daily.
I have unwanted hair on my face and body. I am troubled of this. Suggest me any easy and permanent solution for this.
What medicine or remedy could aid to relieve from cervical spondylosis pain from neck to right shoulder blade, hand n leg. Thank you doc.
I have unwanted hair on my nose and near eyes please suggest me something permanent solution of this.
Arachnoiditis is a sort of inflammation of the defensive layers of the spinal canal. You can envisage it as the scar tissues that enlarge in the arachnoid lining. Also the lining can turn out to be inflamed due to the recurrent intervention on the spine, a lot of surgeries can lead to the scarring, for instance. It can also expand due to definite type of the spinal infections as well as due to the chemicals of epidural steroid injections, particularly if these kinds of chemicals get into the spinal fluid.
As the disease increases day by day, the symptoms also become bigger in magnitude. A lot of people who are suffering from this type of problems are incapable of working. Further due to Arachnoiditis the following symptoms are likely to happen
- Grounds of the nerve roots to plod together
- The nerve pain
- The numbness
- The tingling
Radio Frequency rhizotomy is primarily effectual on the joint pain. Patients who are good candidates for the RF have the pain whilst they're doing activities that increase the stress of the spine. Also the RF blocks all the nerves around the joint from sending the pain signals to the brain, as well as that pain free period normally lasts around one year. In that time, patients have to learn regarding the postural correction as well as the good body mechanics. RF presents the patients an option to get back their mobility as well as provide training regarding the movements of their daily lives with the less pain.
The details of information about drugs which might help arachnoiditis:
There are lots of pain management treatments available. Further patients might try the medications to find out the pain relief. A number of options are:
- The NSAIDs ( one kind of the anti-inflammatory drugs)
- The corticosteroids kind of drugs
- The anti-spasm type of the drugs
- Also an anti-convulsant drugs as well as
- The narcotic type of the pain relievers
A number of these types of medications might be given with a spinal pump. That is the little device which is entrenched under the skin and it then distributes the medication straightly to the inflamed area.
Also the patients might also take the spinal cord stimulation. On the other hand, the natural type of the treatments can assist, also, as well as it can often be utilized in conjunction with the prescribed type of the medication. You can also consult with your doctor about your options regarding your treatments.