Do you have low back pain and it does not go away?Then be careful.It may be Lumbar Spinal Stenosis. The term lumbar spinal stenosis refers to a narrowing of the an individual's spinal canal. This happens when the growth of bone or other tissue (or possibly the combination of the two) reduces the size of the opening in the spinal bones.
Dr. Donald Corenman, M.D., D.C. (http://neckandback.com 970-479-5895) is a spine surgeon who specializes in the anatomy of the spine. He treats chronic back pain and all conditions associated with the neck, back and spine including arthritis of the spine, slipped disc, degenerative disc disease, degenerative Spondylolysthesis, spinal stenosis, sciatica and scoliosis. He is in private practice at the Steadman Clinic, Spine Institute, in Vail, CO.
This presentation was created to help patients, students and physicians gain insight into understanding disorders of the spine, as well as provide a broader understanding relating to the anatomy of the spine. The presentation details the causes of chronic back pain and describes specific causes as they relate to spinal disorders.
Ligament stress, strain on the back, annular and disc tears, degenerative changes and aging can lead to chronic back pain. Understanding disorders of the spine and how they are caused will help provide the right treatment option for individual patients.
Dr. Corenman is a Colorado spine expert and talented lecturer and researcher. He has written countless medical articles on spine injuries, spine conditions and the surgical options that are available today. He recently launched his own website (http://neckandback.com) to educate patients on spine disorders and to offer second opinions to physicians and colleagues who are seeking additional information on specific spine injuries and treatment options.
Do you have low back pain and it does not go away?Then be careful.It may be Lumbar Spinal Stenosis. The term lumbar spinal stenosis refers to a narrowing of the an individual's spinal canal. This happens when the growth of bone or other tissue (or possibly the combination of the two) reduces the size of the opening in the spinal bones. Our website spinalstenosis.org can help you to provide more information about Lumbar Spinal Stenosis,its treatment and about the surgery .
Cervical foraminal stenosis is a serious issue for quite a few people. It is when the cervical disc space is narrowed and pinches a nerve root. To get more information about forminal stenosis and its treatments, our website spinalstenosis.org is the best place for you.
Do you have low back pain and it does not go away?Then be careful.It may be Lumbar Spinal Stenosis. The term lumbar spinal stenosis refers to a narrowing of the an individual's spinal canal. This happens when the growth of bone or other tissue (or possibly the combination of the two) reduces the size of the opening in the spinal bones.
Dr. Donald Corenman, M.D., D.C. (http://neckandback.com 970-479-5895) is a spine surgeon who specializes in the anatomy of the spine. He treats chronic back pain and all conditions associated with the neck, back and spine including arthritis of the spine, slipped disc, degenerative disc disease, degenerative Spondylolysthesis, spinal stenosis, sciatica and scoliosis. He is in private practice at the Steadman Clinic, Spine Institute, in Vail, CO.
This presentation was created to help patients, students and physicians gain insight into understanding disorders of the spine, as well as provide a broader understanding relating to the anatomy of the spine. The presentation details the causes of chronic back pain and describes specific causes as they relate to spinal disorders.
Ligament stress, strain on the back, annular and disc tears, degenerative changes and aging can lead to chronic back pain. Understanding disorders of the spine and how they are caused will help provide the right treatment option for individual patients.
Dr. Corenman is a Colorado spine expert and talented lecturer and researcher. He has written countless medical articles on spine injuries, spine conditions and the surgical options that are available today. He recently launched his own website (http://neckandback.com) to educate patients on spine disorders and to offer second opinions to physicians and colleagues who are seeking additional information on specific spine injuries and treatment options.
Do you have low back pain and it does not go away?Then be careful.It may be Lumbar Spinal Stenosis. The term lumbar spinal stenosis refers to a narrowing of the an individual's spinal canal. This happens when the growth of bone or other tissue (or possibly the combination of the two) reduces the size of the opening in the spinal bones. Our website spinalstenosis.org can help you to provide more information about Lumbar Spinal Stenosis,its treatment and about the surgery .
Cervical foraminal stenosis is a serious issue for quite a few people. It is when the cervical disc space is narrowed and pinches a nerve root. To get more information about forminal stenosis and its treatments, our website spinalstenosis.org is the best place for you.
New trend in the managment of lumbar canal stenosis nilesProf. Rehab Yousef
2018-04-18 المؤتمر العلمي الثاني للمعهد القومي لعلوم المسنين جامعة بني سويف بعنوان" التحديات والمستجدات العالمية في رعاية المسنين"
http://www.bsu.edu.eg/ShowConfDetails.aspx?conf_id=217
Lumbar spinal stenosis perhaps is understood best as a clinicopathologic disorder: narrowing of the lumbar spinal canal and the nerve root canals (causing central and lateral recess stenosis respectively) typically is brought about by the process of osteoarthritis and leads to compression of the contents of the canals the neural and vascular structures, causing neurologic symptoms (typically low back and leg pain and lower limb numbness and weakness) that are intermittent, characteristically triggered by ambulation (ameliorated by pausing), and generally positional (aggravated by standing and eased by trunk flexion).
New trend in the managment of lumbar canal stenosis nilesProf. Rehab Yousef
2018-04-18 المؤتمر العلمي الثاني للمعهد القومي لعلوم المسنين جامعة بني سويف بعنوان" التحديات والمستجدات العالمية في رعاية المسنين"
http://www.bsu.edu.eg/ShowConfDetails.aspx?conf_id=217
Lumbar spinal stenosis perhaps is understood best as a clinicopathologic disorder: narrowing of the lumbar spinal canal and the nerve root canals (causing central and lateral recess stenosis respectively) typically is brought about by the process of osteoarthritis and leads to compression of the contents of the canals the neural and vascular structures, causing neurologic symptoms (typically low back and leg pain and lower limb numbness and weakness) that are intermittent, characteristically triggered by ambulation (ameliorated by pausing), and generally positional (aggravated by standing and eased by trunk flexion).
Wie soll der Rückenschmerz behandelt werden, minimal-invasiv, konservativ oder operativ. Wir suchen nach der besten Möglichtkeit die Beschwerden zu beseitigen
Gangstörung kann viele Ursachen haben, z.B. Einengung des Wirbelkanals, Polyneuropathie, cerebrale Durchblutungsstörung, Fehlfunktion des Kleinhirns, Normaldruckhydrocephalus
USMLE MSK L001 Back Vertebral column-pelvic girdle.pdfAHMED ASHOUR
The human back is a remarkable and intricate structure composed of various interconnected elements, each contributing to its overall function. This complex anatomy is crucial for providing support, protection, and mobility throughout the body. Understanding the intricate details of back anatomy is paramount for healthcare professionals specializing in musculoskeletal health, rehabilitation, and spinal disorders. Moreover, individuals interested in maintaining back health can benefit from this knowledge to make informed decisions regarding posture, exercise, and injury prevention strategies.
Regular exercise, proper ergonomics, and attention to overall spinal health contribute to the well-being of the back and its multifaceted functions.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
1. Spine center Berlin
Center of excellence for endoscopic &
minimal invasive spine surgery
The Cosmic System in the Treatment of the
Degenerative Lumbar Spine
Christian Woiciechowsky
christian@woiciechowsky.de
www.spine-berlin.com
2. Process of spine degeneration
disccolaps → subluxation of the facet joints → spondylarthrosis/spondylosis
→ instability/deformity → stenosis
www.spine-berlin.com
3. Biomechanics of the lumbar spine
Flexibility and neutral zone
The load-displacement curve of the spine
The neutral zone (NZ) is
the displacement at low
loads.
The elastic zone (EZ) is
the displacement from the
end of the neutral zone to
the maximum
physiological load.
The range of the loaddisplacement curve
motion (ROM) is the sum
of NZ and EZ.
White and Panjabi: Clinical biomechanics of the spine, 1990.
www.spine-berlin.com
4. Changes in the biomechanics of the lumbar
spine due to degeneration
Pain
Pain
Pain
Flex.
Ext.
Normal
8
EZ
NZ
EZ
6
4
Degeneriation
2
Increase
of the NZ
0
Dynamic
-2
Stabilisation
-4
-6
“Active Zone"
-8
-12
-9
-6
-3
0
3
6
9
12
ROM [°]
www.spine-berlin.com
5. Goals in lumbar spine surgey
Decompression, improvement of neuroloy
Resolve of pain
Stibilze the spine
Restriction or prevention of motion
Motion preservation
Fusion
dorsal
ventral
www.spine-berlin.com
6. Problems with fusion
Adjucent level instability
solution
dorsal dynamic stabilisation with
motion preservation
www.spine-berlin.com
18. Clinical results
Oswestry disability index
stabilisation without decompression
stabilisation with decompression
mean value of oswestry score
(in percent)
60,00
50,00
49,28
48,70
40,00
30,00
26,58
23,86
20,00
24,46
20,59
10,00
0,00
PreOP
12 months FU
24 months FU
observation date (OP and follow up)
www.spine-berlin.com
19. Clinical results
VAS pain scale
stabilisation without decompression
stabilisation with decompression
10
mean value of VAS pain scale
9
8
7
6
7,43
7,09
5
4
2,67
3
2,36
2,82
2
2,68
1
0
PreOP
12 months FU
24 months FU
observation date (OP and follow up)
www.spine-berlin.com
20. Indikations for dynamic systems
Good Indikations
Facett joint syndrom witgh some discogenic pain
Mild Spondylarthrosis
Signs of instability (segmental hyperlordosis)
Relative Indikations
Spondylolisthesis Meyerding I°
Kontraindikations
Spondylolisthesen > Meyerding I°.
Skoliosen.
Kyphosen
Stabilisierung über 3 Segmente.
www.spine-berlin.com