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Advancement in back pain treatment
This document provides an overview of back pain and recent advances in back pain treatment presented by Dr. Manish Raj. It discusses the anatomy of the spine, common causes of low back pain like strains and disc issues, risk factors, and prevention through exercise and posture. Treatment options covered include minimally invasive procedures like disc decompression, vertebroplasty, and spinal cord stimulation as well as open surgeries. The document aims to educate about back pain causes, prevention, and recent non-surgical and surgical treatment advances.
5 dr daya-thirumala-rao-ambulatory-spine-surgery_ncas_2011
Nova Medical Centers provides ambulatory spine surgery, also known as day care spine surgery, in Bangalore, Delhi, and Mumbai, India. Advances in surgical techniques and technology have allowed many spinal procedures that previously required long hospital stays to now be routinely performed on an outpatient basis. Key procedures discussed include percutaneous endoscopic lumbar discectomy (PELD) for herniated discs, nucleoplasty for contained disc herniations, kyphoplasty for osteoporotic vertebral fractures, and percutaneous endoscopic transforaminal lumbar interbody fusion (Pe-TLIF) for severe degenerative lumbar disc disease.
Spine clinical approach (basic spine 2009)
Evaluation of Lumbar Spine Disease starts with understanding the clinical back grounds. It starts with good history and physical examination. This is a teaching lecture given twice by Prof. Dr. Mohamed Mohi Eldin, professor of neurosurgery, in the Basic Spine Course, Egyptian Medical Syndicate, Cairo, March 2009 and in 2010.
Spine Decompression Surgery
Aarex Medical Services: Save 70% on spine surgery cost in India. World class spine surgery facilities like top spine surgery hospitals in India, microscopic spine surgery in India, low cost & affordable spine surgery in India. Contact us to get most competitive cost of spinal surgery in India, back surgery & microscopic spine surgery in India.
Reaching us is easy…
Write to us…
ramesh.aarex@gmail.com
doctor@aarexmedical.com
Call us
+ 91 98201 99574
+ 91 22 2537 2435
+ 91 98192 11068
Speak to us free of cost!
Skype: aarex.ramesh
Google Talk:ramesh.aarex@gmail.com
Browse our site,
www.surgeryinindia.in
Touch base via,
Facebook : www.facebook.com/aarexmedicalservices
Twitter : www.twitter.com/aarexmedicalservices
Blog : www.blogger.com/aarexmedicalservices
Laminectomy vs Discectomy in Rehabilitation
Simplified continuing ed talk created for hospital physical medicine and rehabilitation department in Saudi Arabia around 2013. Had/has many animations and movement in slides, which don't seem to work in slideshare? Somewhat outdated anyway, so needs updating.
**apologies for non-working animations. Haven’t had time to recreate this and try to re-upload to make them work properly. Slideshare just doesn’t display my ppt’s as created.
Breaking Down and Understanding Laminotomy, Laminectomy & Spinal Fusion
The document discusses laminectomy, laminotomy, and spinal fusion procedures. A laminectomy involves completely removing the lamina bone, while a laminotomy removes only part of the lamina bone. Both procedures are used to treat herniated discs and spinal stenosis. Spinal fusion is used to stabilize vertebrae and is often needed after laminectomy due to instability. The document describes each procedure and compares their goals, risks, and post-operative considerations.
Cervical nucleoplasty
This document discusses treatment options for a 35-year-old male patient suffering from neck pain radiating to his left arm for 6 months. It outlines conservative care, steroid injections, percutaneous disc decompression, endoscopic discectomy, and fusion as potential treatment options. Cervical nucleoplasty is highlighted as a minimally invasive procedure for contained disc herniations that provides significant and long-lasting pain relief based on clinical studies and the author's experience treating over 80 patients. The technique is described as a safe and controlled method of disc decompression using Coblation technology.
New advances in spine surgery
This document discusses new advances in spine surgery. It describes minimally invasive techniques that are becoming more common, such as balloon kyphoplasty to treat vertebral fractures, cervical disc replacement instead of fusion, and minimal access lumbar surgery. These new approaches aim to reduce trauma to muscles and soft tissues compared to conventional open surgeries. The document also discusses the importance of selecting the right surgical treatment and technique based on a patient's individual clinical findings and investigational results.
Recommended
Advancement in back pain treatment
This document provides an overview of back pain and recent advances in back pain treatment presented by Dr. Manish Raj. It discusses the anatomy of the spine, common causes of low back pain like strains and disc issues, risk factors, and prevention through exercise and posture. Treatment options covered include minimally invasive procedures like disc decompression, vertebroplasty, and spinal cord stimulation as well as open surgeries. The document aims to educate about back pain causes, prevention, and recent non-surgical and surgical treatment advances.
5 dr daya-thirumala-rao-ambulatory-spine-surgery_ncas_2011
Nova Medical Centers provides ambulatory spine surgery, also known as day care spine surgery, in Bangalore, Delhi, and Mumbai, India. Advances in surgical techniques and technology have allowed many spinal procedures that previously required long hospital stays to now be routinely performed on an outpatient basis. Key procedures discussed include percutaneous endoscopic lumbar discectomy (PELD) for herniated discs, nucleoplasty for contained disc herniations, kyphoplasty for osteoporotic vertebral fractures, and percutaneous endoscopic transforaminal lumbar interbody fusion (Pe-TLIF) for severe degenerative lumbar disc disease.
Spine clinical approach (basic spine 2009)
Evaluation of Lumbar Spine Disease starts with understanding the clinical back grounds. It starts with good history and physical examination. This is a teaching lecture given twice by Prof. Dr. Mohamed Mohi Eldin, professor of neurosurgery, in the Basic Spine Course, Egyptian Medical Syndicate, Cairo, March 2009 and in 2010.
Spine Decompression Surgery
Aarex Medical Services: Save 70% on spine surgery cost in India. World class spine surgery facilities like top spine surgery hospitals in India, microscopic spine surgery in India, low cost & affordable spine surgery in India. Contact us to get most competitive cost of spinal surgery in India, back surgery & microscopic spine surgery in India.
Reaching us is easy…
Write to us…
ramesh.aarex@gmail.com
doctor@aarexmedical.com
Call us
+ 91 98201 99574
+ 91 22 2537 2435
+ 91 98192 11068
Speak to us free of cost!
Skype: aarex.ramesh
Google Talk:ramesh.aarex@gmail.com
Browse our site,
www.surgeryinindia.in
Touch base via,
Facebook : www.facebook.com/aarexmedicalservices
Twitter : www.twitter.com/aarexmedicalservices
Blog : www.blogger.com/aarexmedicalservices
Laminectomy vs Discectomy in Rehabilitation
Simplified continuing ed talk created for hospital physical medicine and rehabilitation department in Saudi Arabia around 2013. Had/has many animations and movement in slides, which don't seem to work in slideshare? Somewhat outdated anyway, so needs updating.
**apologies for non-working animations. Haven’t had time to recreate this and try to re-upload to make them work properly. Slideshare just doesn’t display my ppt’s as created.
Breaking Down and Understanding Laminotomy, Laminectomy & Spinal Fusion
The document discusses laminectomy, laminotomy, and spinal fusion procedures. A laminectomy involves completely removing the lamina bone, while a laminotomy removes only part of the lamina bone. Both procedures are used to treat herniated discs and spinal stenosis. Spinal fusion is used to stabilize vertebrae and is often needed after laminectomy due to instability. The document describes each procedure and compares their goals, risks, and post-operative considerations.
Cervical nucleoplasty
This document discusses treatment options for a 35-year-old male patient suffering from neck pain radiating to his left arm for 6 months. It outlines conservative care, steroid injections, percutaneous disc decompression, endoscopic discectomy, and fusion as potential treatment options. Cervical nucleoplasty is highlighted as a minimally invasive procedure for contained disc herniations that provides significant and long-lasting pain relief based on clinical studies and the author's experience treating over 80 patients. The technique is described as a safe and controlled method of disc decompression using Coblation technology.
New advances in spine surgery
This document discusses new advances in spine surgery. It describes minimally invasive techniques that are becoming more common, such as balloon kyphoplasty to treat vertebral fractures, cervical disc replacement instead of fusion, and minimal access lumbar surgery. These new approaches aim to reduce trauma to muscles and soft tissues compared to conventional open surgeries. The document also discusses the importance of selecting the right surgical treatment and technique based on a patient's individual clinical findings and investigational results.
Spinal Surgery 2019
Disorders and Deformities of the Spine, Tumors, Scoliosis, Minimal Invasive Techniques, Reconstructive Surgery, Bioengineering, Implants, Molecular Biology, Nanotechnology – Biomaterials
Herniated disk in the lower back agrasen hospital dr sandeep agrawal gondia v...
Herniated disk in the lower back agrasen hospital dr sandeep agrawal gondia v...Dr.Sandeep Agrawal Gondia
Back Pain
Back pain is often a common symptom of many disease conditions and the back pain may range from simple or dull pain to sudden and sharp pain. If the pain persists for few days, it is acute pain whereas if continues for more than 3 months, it is considered as chronic pain. In most cases, back pain may resolve without any treatment however if persists for more than 3 days, medical intervention is necessary.
Neck Pain
The first 7 vertebral bones on the spinal column form the cervical spine and are located in the neck region. The neck bears the weight of the head, allows significant amount of movement, and also less protected than other parts of spine. All these factors make the neck more susceptible to injury or other painful disorders. Common neck pain may occur from muscle strain or tension in everyday activities including poor posture, prolonged use of a computer and sleeping in an uncomfortable position.
Spinal Deformity Surgery
The Spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of several irregularly shaped bones, called vertebrae appearing in a straight line. The spine has two gentle curves, when looked from the side and appears to be straight when viewed from the front. When these curves are exaggerated, pronounced problems can occur such as back pain, breathing difficulties and fatigue and the condition will be considered as deformity. Spine deformity can be defined as abnormality in the shape, curvature and flexibility of spine.
Spine Injections
Spine injection is a nonsurgical treatment modality recommended for treatment of chronic back pain. Injection of certain medicinal agents relieves the pain by blocking the nerve signals between specific areas of the body and the brain. The treatment approach involves injections of local anaesthetics, steroids, or narcotics into the affected soft tissues, joints, or nerve roots. It may also involve complex nerve blocks and spinal cord stimulation.
Spine Trauma
Spine trauma is damage to the spine caused from a sudden traumatic injury caused by an accidental fall or any other physical injury. Spinal injuries may occur while playing, performing normal activities, operating heavy machines, lifting heavy objects, driving automobiles, or when you suffer a fall. Injury to spine may cause various conditions including fractures, dislocation, partial misalignment (subluxation), disc compression (herniated disc), hematoma (accumulation of blood) and partial or complete tears of ligaments.
Vertebral Fractures
Vertebral compression fractures occur when the normal vertebral body of the spine is squeezed or compressed. The bone collapses when too much pressure is placed on the vertebrae, resulting in pain, limited mobility, loss of height, and spinal deformities. In severe compression fractures the vertebral body is pushed into the spinal canal which will apply pressure on the spinal cord and nerves.Reverse Shoulder Arthroplasty
Reverse shoulder arthroplasty is a procedure used to treat shoulder arthritis and rotator cuff tears. It works by reversing the natural ball-and-socket anatomy of the shoulder joint. Early results showed improved shoulder function and pain relief. However, complications can include scapular notching, instability, infection, and loosening. Modifications to implant design, including increased prosthetic overhang, have helped reduce scapular notching. While reverse shoulder arthroplasty can improve shoulder function in patients with rotator cuff dysfunction, long-term outcomes remain variable and reoperations are sometimes required to address complications.
Current Concepts in Treatment of Proximal Humerus Fractures
This document discusses treatment options for proximal humerus fractures, including surgical and nonsurgical approaches. It summarizes several studies comparing outcomes of locking plate fixation versus nonoperative treatment, finding an advantage in function but also higher reoperation rates for plating. Hemiarthroplasty is presented as an alternative for nonreconstructable fractures, though outcomes are variable and depend on factors like tuberosity healing. Technical considerations for hemiarthroplasty are reviewed, including the importance of restoring proper version and head size to optimize function and avoid complications.
Lumbar Laminectomy
The document provides information about lumbar laminectomy surgery, which involves removing part of the lamina bone in the lower back to widen the spinal canal and relieve pressure on nerve roots, and details what patients can expect after the outpatient procedure including short-term pain and a recovery period over several weeks with physical therapy. It also lists medications that should be avoided before surgery due to increased bleeding risk and provides post-operative guidelines about incision care, activity levels, and follow-up appointments.
Vertebral Augmentation by Vertebroplasty and Kyphoplasty: Introductory concerns
Vertebral Augmentation by Vertebroplasty and Kyphoplasty: Introductory concernsProf. Dr. Mohamed Mohi Eldin
Vertebroplasty and kyphoplasty are minimally invasive procedures used to treat painful vertebral compression fractures. Vertebroplasty involves injecting bone cement into the fractured vertebra to stabilize it, while kyphoplasty first uses an inflatable balloon to restore vertebral height before cement injection. Both procedures provide effective pain relief, though kyphoplasty may reduce risks of new fractures and cement leakage compared to vertebroplasty. Candidate selection, technical execution, and post-procedure management are important to achieve optimal outcomes and minimize complications.Jose Austine- Shoulder instability
This document discusses shoulder instability, including the normal anatomy, causes of instability, classifications, clinical evaluation, radiographic evaluation, and treatment options. The glenohumeral joint has the highest mobility of any joint but lacks stability. Instability can be caused by excessive ligament laxity, bone defects, or trauma. Clinical exams include special tests like the apprehension and relocation tests. Treatment may involve arthroscopic or open stabilization surgery like Bankart repair, with post-op rehabilitation progressing from immobilization to strengthening and return to activity.
Orthopaedic Trauma - The Basics
This document provides an overview of orthopaedic trauma and fracture management. It defines the golden hour of trauma and describes the ATLS protocol. It discusses the primary and secondary surveys for trauma patients. Key aspects of fracture assessment and basic fracture mechanics are reviewed. The stages of fracture healing and factors affecting healing are outlined. Methods for maintaining fracture reduction both externally (casts, traction, external fixators) and internally (wires, pins, plates, nails, screws) are summarized.
Prox humerus fx for leathers
1) Proximal humerus fractures most commonly occur in active middle-aged patients due to osteoporosis and are classified based on displacement and angulation.
2) Treatment options include non-operative management, closed reduction, open reduction and internal fixation (ORIF), and shoulder arthroplasty. ORIF is appropriate for displaced fractures but challenging for 4-part fractures.
3) Shoulder hemiarthroplasty provides better results than non-surgical treatment for displaced fractures, though functional outcomes are less predictable. Attention to tuberosity healing and rotator cuff integrity leads to better postoperative function.
Minimal invasive techniques in lumbar degenerative diseases
Minimally invasive techniques (MIT) are increasingly used to treat lumbar disc disease. They offer advantages over open surgery such as smaller incisions, less tissue damage, shorter recovery times, and lower risks. MITs include discography, epidural injections, facet/nerve blocks, nucleoplasty, kyphoplasty, tumor debulking, and interspinous spacers. They aim to diagnose and treat back pain conditions under local anesthesia or mild sedation using fluoroscopy guidance. MITs are generally low risk and allow many patients to be treated as outpatients or with only overnight hospitalization.
Vertebroplasty for osteoporotic crush fractures
1) Percutaneous vertebroplasty is a procedure used to treat painful vertebral compression fractures, often caused by osteoporosis. It involves injecting bone cement into the fractured vertebra under imaging guidance.
2) Patient selection is key, with imaging used to confirm an acute fracture and rule out other issues. The procedure aims to reduce pain and improve mobility.
3) Early studies found improvements in pain levels, activity, and quality of life for over 80% of patients. However, a large randomized controlled trial found no difference compared to a sham procedure, questioning its effectiveness. Its use has since declined significantly.
Fusion with open or minimally invasive techniques in degenerative listhesis
Fusion with open or minimally invasive techniques in degenerative listhesisProf. Dr. Mohamed Mohi Eldin
1) Spinal fusion remains the gold standard for maintaining stability of unstable spinal segments caused by various pathologies like degenerative listhesis.
2) For degenerative listhesis, surgical options include decompression alone, decompression with non-instrumented fusion, and decompression with instrumented fusion, though there is no consensus.
3) Minimally invasive techniques for transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF) provide similar efficacy to open techniques but with less blood loss, shorter hospital stays, and fewer complications.Neck Of femur fracture.pptx
- Fractures of the femoral neck are common and serious injuries that are increasing in incidence. They can occur from low or high-energy mechanisms.
- Treatment depends on patient age and fracture characteristics. Younger patients generally undergo open reduction and internal fixation while elderly patients may be treated with hemiarthroplasty or total hip arthroplasty.
- Factors like time to surgery, quality of reduction, and implant positioning influence outcomes like avascular necrosis and nonunion. Special considerations exist for stress fractures and nonunions.
Lumbar spinal stenosis
Lumbar spinal stenosis is a common condition among older adults causing lower back and leg pain. It results from the narrowing of the spinal canal which compresses the nerves and blood vessels. Key features include neurogenic claudication pain that worsens with standing or walking and is relieved by bending forward. Treatment involves non-operative options like medication, injections and physical therapy initially. For those with more severe symptoms, open decompressive laminectomy is currently the gold standard surgical treatment, though minimally invasive techniques are gaining popularity due to lower complication rates. Proper patient selection and postoperative rehabilitation are important for achieving good long-term outcomes.
Lateral mass screws
Lateral mass screw fixation is a widely used technique for cervical spine fixation that has been used for over 25 years. It is indicated for trauma, tumors, deformities, and degenerative conditions. Important factors for determining the surgical approach include the spinal alignment, rigidity of deformity, number of levels involved, presence of subluxation, patient's medical status, and presence of axial neck pain. Lateral mass screws are directed laterally from the lateral mass to avoid injury to the spinal nerve, vertebral artery, and dorsal ramus. Studies show high fusion success and stability with lateral mass screws and relatively low complication rates.
Shoulder Impingement : The Surgeon's Approach
This document discusses the history and treatment of subacromial impingement. It describes Neer's theory of extrinsic impingement from the acromion and coracoacromial ligament. The standard open and arthroscopic approaches to subacromial decompression are outlined. Studies comparing surgery to exercise-based treatment show similar long-term outcomes, though surgery may provide better short-term relief. Factors predicting poorer outcomes include longer symptom duration, lack of social support, and non-compliance with rehabilitation. The role of the surgeon is to establish an accurate diagnosis and ensure adequate rehabilitation, as failure of non-surgical treatment may reflect systemic issues rather than patient factors alone.
Percutaneous coblation disc nucleoplasty
Coblation nucleoplasty is a minimally invasive technique that uses radiofrequency energy to remove nucleus pulposus material from herniated lumbar discs. Several studies found that coblation nucleoplasty provided significant short and long-term relief of radicular pain and improved function in patients with contained disc herniations. Larger and longer term studies are still needed but initial results suggest coblation nucleoplasty is a safe and effective alternative to open discectomy for carefully selected patients.
Rotator cuff disorders, bicipital tendinopathies
The presentation includes new insight to rotator cuff anatomy, rotator cable, concept of force couple, different classifications of rotator cuff tear, signs and symptoms, special tests, non operative and operative management of rotator cuff tear, comparison of recent surgical modalities, management of irreparable cuff tears, post operative rehabilitation protocols, SLAP lesion, Parsonage Turner Syndrome
Avn hip
This document discusses surgical procedures for osteonecrosis of the femoral head, including both joint preserving and replacing options. Key joint preserving procedures described are core decompression, various bone grafting techniques using vascularized and nonvascularized grafts, and proximal femoral osteotomies. Total hip arthroplasty and hip resurfacing are mentioned as joint replacing options.
Ariunaa spine trauma
This document discusses spinal trauma, with a focus on cervical spine injuries. It provides details on:
- Epidemiology of spinal cord injuries and common causes
- Imaging techniques used to evaluate spinal trauma, including radiography, CT, MRI
- Clinical criteria like NEXUS and Canadian C-Spine Rule that can determine if imaging is needed
- Differences in cervical spine injuries between age groups and considerations for imaging children
- Types of fractures more common in the elderly
- Using CT to evaluate the thoracolumbar spine
- Advantages and limitations of various imaging modalities and techniques
1比1制作(uofm毕业证书)美国密歇根大学毕业证学位证书原版一模一样
原版定制【微信:bwp0011】《(uofm毕业证书)美国密歇根大学毕业证学位证书》【微信:bwp0011】成绩单 、雅思、外壳、留信学历认证永久存档查询，采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信bwp0011】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信bwp0011】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
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Spinal Surgery 2019
Disorders and Deformities of the Spine, Tumors, Scoliosis, Minimal Invasive Techniques, Reconstructive Surgery, Bioengineering, Implants, Molecular Biology, Nanotechnology – Biomaterials
Herniated disk in the lower back agrasen hospital dr sandeep agrawal gondia v...
Herniated disk in the lower back agrasen hospital dr sandeep agrawal gondia v...Dr.Sandeep Agrawal Gondia
Back Pain
Back pain is often a common symptom of many disease conditions and the back pain may range from simple or dull pain to sudden and sharp pain. If the pain persists for few days, it is acute pain whereas if continues for more than 3 months, it is considered as chronic pain. In most cases, back pain may resolve without any treatment however if persists for more than 3 days, medical intervention is necessary.
Neck Pain
The first 7 vertebral bones on the spinal column form the cervical spine and are located in the neck region. The neck bears the weight of the head, allows significant amount of movement, and also less protected than other parts of spine. All these factors make the neck more susceptible to injury or other painful disorders. Common neck pain may occur from muscle strain or tension in everyday activities including poor posture, prolonged use of a computer and sleeping in an uncomfortable position.
Spinal Deformity Surgery
The Spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of several irregularly shaped bones, called vertebrae appearing in a straight line. The spine has two gentle curves, when looked from the side and appears to be straight when viewed from the front. When these curves are exaggerated, pronounced problems can occur such as back pain, breathing difficulties and fatigue and the condition will be considered as deformity. Spine deformity can be defined as abnormality in the shape, curvature and flexibility of spine.
Spine Injections
Spine injection is a nonsurgical treatment modality recommended for treatment of chronic back pain. Injection of certain medicinal agents relieves the pain by blocking the nerve signals between specific areas of the body and the brain. The treatment approach involves injections of local anaesthetics, steroids, or narcotics into the affected soft tissues, joints, or nerve roots. It may also involve complex nerve blocks and spinal cord stimulation.
Spine Trauma
Spine trauma is damage to the spine caused from a sudden traumatic injury caused by an accidental fall or any other physical injury. Spinal injuries may occur while playing, performing normal activities, operating heavy machines, lifting heavy objects, driving automobiles, or when you suffer a fall. Injury to spine may cause various conditions including fractures, dislocation, partial misalignment (subluxation), disc compression (herniated disc), hematoma (accumulation of blood) and partial or complete tears of ligaments.
Vertebral Fractures
Vertebral compression fractures occur when the normal vertebral body of the spine is squeezed or compressed. The bone collapses when too much pressure is placed on the vertebrae, resulting in pain, limited mobility, loss of height, and spinal deformities. In severe compression fractures the vertebral body is pushed into the spinal canal which will apply pressure on the spinal cord and nerves.Reverse Shoulder Arthroplasty
Reverse shoulder arthroplasty is a procedure used to treat shoulder arthritis and rotator cuff tears. It works by reversing the natural ball-and-socket anatomy of the shoulder joint. Early results showed improved shoulder function and pain relief. However, complications can include scapular notching, instability, infection, and loosening. Modifications to implant design, including increased prosthetic overhang, have helped reduce scapular notching. While reverse shoulder arthroplasty can improve shoulder function in patients with rotator cuff dysfunction, long-term outcomes remain variable and reoperations are sometimes required to address complications.
Current Concepts in Treatment of Proximal Humerus Fractures
This document discusses treatment options for proximal humerus fractures, including surgical and nonsurgical approaches. It summarizes several studies comparing outcomes of locking plate fixation versus nonoperative treatment, finding an advantage in function but also higher reoperation rates for plating. Hemiarthroplasty is presented as an alternative for nonreconstructable fractures, though outcomes are variable and depend on factors like tuberosity healing. Technical considerations for hemiarthroplasty are reviewed, including the importance of restoring proper version and head size to optimize function and avoid complications.
Lumbar Laminectomy
The document provides information about lumbar laminectomy surgery, which involves removing part of the lamina bone in the lower back to widen the spinal canal and relieve pressure on nerve roots, and details what patients can expect after the outpatient procedure including short-term pain and a recovery period over several weeks with physical therapy. It also lists medications that should be avoided before surgery due to increased bleeding risk and provides post-operative guidelines about incision care, activity levels, and follow-up appointments.
Vertebral Augmentation by Vertebroplasty and Kyphoplasty: Introductory concerns
Vertebral Augmentation by Vertebroplasty and Kyphoplasty: Introductory concernsProf. Dr. Mohamed Mohi Eldin
Vertebroplasty and kyphoplasty are minimally invasive procedures used to treat painful vertebral compression fractures. Vertebroplasty involves injecting bone cement into the fractured vertebra to stabilize it, while kyphoplasty first uses an inflatable balloon to restore vertebral height before cement injection. Both procedures provide effective pain relief, though kyphoplasty may reduce risks of new fractures and cement leakage compared to vertebroplasty. Candidate selection, technical execution, and post-procedure management are important to achieve optimal outcomes and minimize complications.Jose Austine- Shoulder instability
This document discusses shoulder instability, including the normal anatomy, causes of instability, classifications, clinical evaluation, radiographic evaluation, and treatment options. The glenohumeral joint has the highest mobility of any joint but lacks stability. Instability can be caused by excessive ligament laxity, bone defects, or trauma. Clinical exams include special tests like the apprehension and relocation tests. Treatment may involve arthroscopic or open stabilization surgery like Bankart repair, with post-op rehabilitation progressing from immobilization to strengthening and return to activity.
Orthopaedic Trauma - The Basics
This document provides an overview of orthopaedic trauma and fracture management. It defines the golden hour of trauma and describes the ATLS protocol. It discusses the primary and secondary surveys for trauma patients. Key aspects of fracture assessment and basic fracture mechanics are reviewed. The stages of fracture healing and factors affecting healing are outlined. Methods for maintaining fracture reduction both externally (casts, traction, external fixators) and internally (wires, pins, plates, nails, screws) are summarized.
Prox humerus fx for leathers
1) Proximal humerus fractures most commonly occur in active middle-aged patients due to osteoporosis and are classified based on displacement and angulation.
2) Treatment options include non-operative management, closed reduction, open reduction and internal fixation (ORIF), and shoulder arthroplasty. ORIF is appropriate for displaced fractures but challenging for 4-part fractures.
3) Shoulder hemiarthroplasty provides better results than non-surgical treatment for displaced fractures, though functional outcomes are less predictable. Attention to tuberosity healing and rotator cuff integrity leads to better postoperative function.
Minimal invasive techniques in lumbar degenerative diseases
Minimally invasive techniques (MIT) are increasingly used to treat lumbar disc disease. They offer advantages over open surgery such as smaller incisions, less tissue damage, shorter recovery times, and lower risks. MITs include discography, epidural injections, facet/nerve blocks, nucleoplasty, kyphoplasty, tumor debulking, and interspinous spacers. They aim to diagnose and treat back pain conditions under local anesthesia or mild sedation using fluoroscopy guidance. MITs are generally low risk and allow many patients to be treated as outpatients or with only overnight hospitalization.
Vertebroplasty for osteoporotic crush fractures
1) Percutaneous vertebroplasty is a procedure used to treat painful vertebral compression fractures, often caused by osteoporosis. It involves injecting bone cement into the fractured vertebra under imaging guidance.
2) Patient selection is key, with imaging used to confirm an acute fracture and rule out other issues. The procedure aims to reduce pain and improve mobility.
3) Early studies found improvements in pain levels, activity, and quality of life for over 80% of patients. However, a large randomized controlled trial found no difference compared to a sham procedure, questioning its effectiveness. Its use has since declined significantly.
Fusion with open or minimally invasive techniques in degenerative listhesis
Fusion with open or minimally invasive techniques in degenerative listhesisProf. Dr. Mohamed Mohi Eldin
1) Spinal fusion remains the gold standard for maintaining stability of unstable spinal segments caused by various pathologies like degenerative listhesis.
2) For degenerative listhesis, surgical options include decompression alone, decompression with non-instrumented fusion, and decompression with instrumented fusion, though there is no consensus.
3) Minimally invasive techniques for transforaminal lumbar interbody fusion (TLIF) and posterior lumbar interbody fusion (PLIF) provide similar efficacy to open techniques but with less blood loss, shorter hospital stays, and fewer complications.Neck Of femur fracture.pptx
- Fractures of the femoral neck are common and serious injuries that are increasing in incidence. They can occur from low or high-energy mechanisms.
- Treatment depends on patient age and fracture characteristics. Younger patients generally undergo open reduction and internal fixation while elderly patients may be treated with hemiarthroplasty or total hip arthroplasty.
- Factors like time to surgery, quality of reduction, and implant positioning influence outcomes like avascular necrosis and nonunion. Special considerations exist for stress fractures and nonunions.
Lumbar spinal stenosis
Lumbar spinal stenosis is a common condition among older adults causing lower back and leg pain. It results from the narrowing of the spinal canal which compresses the nerves and blood vessels. Key features include neurogenic claudication pain that worsens with standing or walking and is relieved by bending forward. Treatment involves non-operative options like medication, injections and physical therapy initially. For those with more severe symptoms, open decompressive laminectomy is currently the gold standard surgical treatment, though minimally invasive techniques are gaining popularity due to lower complication rates. Proper patient selection and postoperative rehabilitation are important for achieving good long-term outcomes.
Lateral mass screws
Lateral mass screw fixation is a widely used technique for cervical spine fixation that has been used for over 25 years. It is indicated for trauma, tumors, deformities, and degenerative conditions. Important factors for determining the surgical approach include the spinal alignment, rigidity of deformity, number of levels involved, presence of subluxation, patient's medical status, and presence of axial neck pain. Lateral mass screws are directed laterally from the lateral mass to avoid injury to the spinal nerve, vertebral artery, and dorsal ramus. Studies show high fusion success and stability with lateral mass screws and relatively low complication rates.
Shoulder Impingement : The Surgeon's Approach
This document discusses the history and treatment of subacromial impingement. It describes Neer's theory of extrinsic impingement from the acromion and coracoacromial ligament. The standard open and arthroscopic approaches to subacromial decompression are outlined. Studies comparing surgery to exercise-based treatment show similar long-term outcomes, though surgery may provide better short-term relief. Factors predicting poorer outcomes include longer symptom duration, lack of social support, and non-compliance with rehabilitation. The role of the surgeon is to establish an accurate diagnosis and ensure adequate rehabilitation, as failure of non-surgical treatment may reflect systemic issues rather than patient factors alone.
Percutaneous coblation disc nucleoplasty
Coblation nucleoplasty is a minimally invasive technique that uses radiofrequency energy to remove nucleus pulposus material from herniated lumbar discs. Several studies found that coblation nucleoplasty provided significant short and long-term relief of radicular pain and improved function in patients with contained disc herniations. Larger and longer term studies are still needed but initial results suggest coblation nucleoplasty is a safe and effective alternative to open discectomy for carefully selected patients.
Rotator cuff disorders, bicipital tendinopathies
The presentation includes new insight to rotator cuff anatomy, rotator cable, concept of force couple, different classifications of rotator cuff tear, signs and symptoms, special tests, non operative and operative management of rotator cuff tear, comparison of recent surgical modalities, management of irreparable cuff tears, post operative rehabilitation protocols, SLAP lesion, Parsonage Turner Syndrome
Avn hip
This document discusses surgical procedures for osteonecrosis of the femoral head, including both joint preserving and replacing options. Key joint preserving procedures described are core decompression, various bone grafting techniques using vascularized and nonvascularized grafts, and proximal femoral osteotomies. Total hip arthroplasty and hip resurfacing are mentioned as joint replacing options.
Ariunaa spine trauma
This document discusses spinal trauma, with a focus on cervical spine injuries. It provides details on:
- Epidemiology of spinal cord injuries and common causes
- Imaging techniques used to evaluate spinal trauma, including radiography, CT, MRI
- Clinical criteria like NEXUS and Canadian C-Spine Rule that can determine if imaging is needed
- Differences in cervical spine injuries between age groups and considerations for imaging children
- Types of fractures more common in the elderly
- Using CT to evaluate the thoracolumbar spine
- Advantages and limitations of various imaging modalities and techniques
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Vertebral Augmentation by Vertebroplasty and Kyphoplasty: Introductory concerns
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对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
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Hypertension and it's role of physiotherapy in it.
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
nurs fpx 4050 assessment 4 final care coordination plan.pdf
nurs fpx 4050 assessment 4 final care coordination plan.pdf
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查询留服认证是国内鉴别留学生海外学历的唯一途径，但认证只是个体行为，不是所有留学生都操作，所以没有办理认证的留学生的学历在国内也是查询不到的，他们也仅仅只有一张文凭。所以这时候我们提供的和学校颁发的一模一样的毕业证成绩单，就有了使用价值。
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This edition features a handful of Innovative Minds: France's Most Impactful Healthcare Leaders that are leading us into a better future.
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Microstomia, characterized by an abnormally small oral aperture, presents significant challenges in prosthodontic treatment, including limited access for examination, difficulties in impression making, and challenges with prosthesis insertion and removal. To manage these issues, customized impression techniques using sectional trays and elastomeric materials are employed. Prostheses may be designed in segments or with flexible materials to facilitate handling. Minimally invasive procedures and the use of digital technologies can enhance patient comfort. Education and training for patients on prosthesis care and maintenance are crucial for compliance. Regular follow-up and a multidisciplinary approach, involving collaboration with other specialists, ensure comprehensive care and improved quality of life for microstomia patients.
Pneumothorax and role of Physiotherapy in it.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
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1所有材料真实但资料不全无法提供完全齐整的原件。【如：成绩单丶毕业证丶回国证明等材料中有遗失的。】
2获得真实的国外最终学历学位但国外本科学历就读经历存在问题或缺陷。【如：国外本科是教育部不承认的或者是联合办学项目教育部没有备案的或者外本科没有正常毕业的。】
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6快递给客户（国内顺丰国外DHLUPS等快读邮寄）。头贼脑的倒也逗人喜爱日上三竿时山娃总爱窜进自家瓜棚里跟小伙伴们坐着聊天聊着聊着便忍不住往瓜田里逡巡一番抱起一只硕大的西瓜用石刀劈开抑或用拳头砸开每人抱起一大块就啃啃得满嘴满脸猴屁股般的红艳大家一个劲地指着对方吃吃地笑瓜裂得古怪奇形怪状却丝毫不影响瓜味甜丝丝的满嘴生津遍地都是瓜横七竖八的活像掷满了一地的大石块摘走二三只爷爷是断然发现不了的即便发现爷爷也不恼反而教山娃辨认孰熟孰嫩孰甜孰淡名义上是护瓜吃
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
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