This document provides information about a posterior lumbar interbody fusion (PLIF) surgery. It describes the procedure, which involves removing a disc and replacing it with bone graft to fuse two vertebrae together using instrumentation like screws and rods. It lists common reasons for having a PLIF and answers frequently asked questions about the surgery and recovery process, such as limitations, medication usage, physical therapy, and when to call the doctor.
As a general term, traction means pulling on part of the body.
Most often, traction uses mechanical force (sometimes generated by weights and pulleys) to put tension on a displaced bone or joint, such as a dislocated shoulder, to put it back in position and keep it still. In the medical field, traction refers to the practice of slowly and gently pulling on a fractured or dislocated body part. It’s often done using ropes, pulleys, and weights. These tools help apply force to the tissues surrounding the damaged area.
Cyriax tenets of the physical examination processSatoshi Kajiyama
Cyriax developed a systematic process for examining soft tissues to differentiate between inert and contractile tissues. His process uses selective tissue tension testing through active, passive and resisted motions to identify the specific injured soft tissue structure causing pain. Key aspects of his approach include understanding referred pain and how it can be used diagnostically, examining tissues by putting them under tension individually, and recognizing capsular patterns to differentiate joint conditions from other soft tissue injuries. His examination process systematically tests contractile tissues with isometric contractions and inert tissues with passive movements to isolate the source of pain.
This document provides information on taping techniques used in physical therapy. It discusses the materials used for tape, different tape shapes and colors, and the physiological effects of taping on the skin, circulation, fascia, muscles and joints. Various taping techniques are described, including standard athletic taping, McConnell taping, Mulligan taping, kinesiology taping, and functional movement taping. Contraindications and precautions for taping are also outlined.
1. Rehabilitation after lower limb amputation involves pre-op, post-op, and long-term phases aimed at preventing complications, educating the patient, and improving functional mobility and independence.
2. The post-op phase focuses on managing pain, increasing range of motion and strength, promoting wound healing, and training the patient in mobility and prosthetic use.
3. Long-term rehabilitation involves community and vocational reintegration, lifelong prosthetic management, and psychological support through follow-ups and support groups.
The document discusses the basics of soft tissue examination for practitioners who treat the human structure using their hands. It emphasizes the importance of functional testing through observation, palpation, and passive and contractile muscle testing to determine the source of soft tissue pain. Dr. James Cyriax developed orthopedic medicine based on examining, diagnosing and treating non-surgical lesions of the musculoskeletal system through assessing soft tissues and their patterns of limitation.
Taping is a technique used to support injured soft tissues and joints by restricting motion and providing compression. It has several goals including restricting injured joint motion, compressing tissues to reduce swelling, and supporting injured structures. There are different types of tape including stretch tapes that conform to the body and non-stretch tapes that provide support. Proper skin preparation, tape application technique, and removal are important to avoid further injury and allow for healing. Taping can aid the rehabilitation process and allow safe return to activity.
This document defines and describes different types of passive range of motion (PROM) exercises. It begins by defining PROM as movements produced by an external force during muscular inactivity or reduced range of motion. There are three main types of PROM discussed: relaxed PROM, forced PROM, and continuous passive motion (CPM). Relaxed PROM is performed slowly through pain-free range by a therapist, while forced PROM exerts external force to end range. CPM uses a machine to passively move the joint continuously after surgery. The goals of PROM are to maintain range of motion, mobility, and prevent contractures while allowing for healing. Precautions are discussed as well as limitations compared to active exercises.
This document discusses cervical and lumbar traction. It begins with the anatomy of intervertebral discs, noting their water content decreases with age. Disc injuries like bulging or herniation occur when the annulus fibrosis is weakened, allowing the nucleus pulposus to protrude. Traction works by separating vertebral surfaces to reduce nerve impingement and break pain cycles. It can centralize herniated discs. The document provides guidelines for applying cervical and lumbar traction manually or with devices, including appropriate angles, durations, and forces.
As a general term, traction means pulling on part of the body.
Most often, traction uses mechanical force (sometimes generated by weights and pulleys) to put tension on a displaced bone or joint, such as a dislocated shoulder, to put it back in position and keep it still. In the medical field, traction refers to the practice of slowly and gently pulling on a fractured or dislocated body part. It’s often done using ropes, pulleys, and weights. These tools help apply force to the tissues surrounding the damaged area.
Cyriax tenets of the physical examination processSatoshi Kajiyama
Cyriax developed a systematic process for examining soft tissues to differentiate between inert and contractile tissues. His process uses selective tissue tension testing through active, passive and resisted motions to identify the specific injured soft tissue structure causing pain. Key aspects of his approach include understanding referred pain and how it can be used diagnostically, examining tissues by putting them under tension individually, and recognizing capsular patterns to differentiate joint conditions from other soft tissue injuries. His examination process systematically tests contractile tissues with isometric contractions and inert tissues with passive movements to isolate the source of pain.
This document provides information on taping techniques used in physical therapy. It discusses the materials used for tape, different tape shapes and colors, and the physiological effects of taping on the skin, circulation, fascia, muscles and joints. Various taping techniques are described, including standard athletic taping, McConnell taping, Mulligan taping, kinesiology taping, and functional movement taping. Contraindications and precautions for taping are also outlined.
1. Rehabilitation after lower limb amputation involves pre-op, post-op, and long-term phases aimed at preventing complications, educating the patient, and improving functional mobility and independence.
2. The post-op phase focuses on managing pain, increasing range of motion and strength, promoting wound healing, and training the patient in mobility and prosthetic use.
3. Long-term rehabilitation involves community and vocational reintegration, lifelong prosthetic management, and psychological support through follow-ups and support groups.
The document discusses the basics of soft tissue examination for practitioners who treat the human structure using their hands. It emphasizes the importance of functional testing through observation, palpation, and passive and contractile muscle testing to determine the source of soft tissue pain. Dr. James Cyriax developed orthopedic medicine based on examining, diagnosing and treating non-surgical lesions of the musculoskeletal system through assessing soft tissues and their patterns of limitation.
Taping is a technique used to support injured soft tissues and joints by restricting motion and providing compression. It has several goals including restricting injured joint motion, compressing tissues to reduce swelling, and supporting injured structures. There are different types of tape including stretch tapes that conform to the body and non-stretch tapes that provide support. Proper skin preparation, tape application technique, and removal are important to avoid further injury and allow for healing. Taping can aid the rehabilitation process and allow safe return to activity.
This document defines and describes different types of passive range of motion (PROM) exercises. It begins by defining PROM as movements produced by an external force during muscular inactivity or reduced range of motion. There are three main types of PROM discussed: relaxed PROM, forced PROM, and continuous passive motion (CPM). Relaxed PROM is performed slowly through pain-free range by a therapist, while forced PROM exerts external force to end range. CPM uses a machine to passively move the joint continuously after surgery. The goals of PROM are to maintain range of motion, mobility, and prevent contractures while allowing for healing. Precautions are discussed as well as limitations compared to active exercises.
This document discusses cervical and lumbar traction. It begins with the anatomy of intervertebral discs, noting their water content decreases with age. Disc injuries like bulging or herniation occur when the annulus fibrosis is weakened, allowing the nucleus pulposus to protrude. Traction works by separating vertebral surfaces to reduce nerve impingement and break pain cycles. It can centralize herniated discs. The document provides guidelines for applying cervical and lumbar traction manually or with devices, including appropriate angles, durations, and forces.
What is Kaltenborn concept? What is kaltenborn assessment method? How we treat major joints with Kaltenborn approach? What are grades of Kaltenborne? How to find slack in joint? How to diagnose which capsule of joint is restricted? How to treat joint restriction with manual mobilization? How to treat adhesive capsulitis with kaltenborn treatment approach?
it is another taping technique which inhibits or control the movement. it is helpful in postural correction and movement pattern correction as well. usually used clinically
Hello everyone here I upload mckenzie exrercise basic details and some of its position.Its technique for use to cervical, Lumabar pain relief via particular position.Thank you.
Modern orthotic devices play a vital role in rehabilitation by improving function, restricting or enforcing motion, or increasing support. An orthosis is a mechanical device fitted to the body to maintain it in an anatomical or functional position. Orthoses utilize forces like rigidity or springs to limit or assist movement and correct deformities using a three-point system of counter forces. They are classified based on their function, region, and specific condition or injury and made of materials like plastic, metal, or carbon fiber considering strength, weight, and comfort.
1. SNAGs work directly on facet joints and can help disc lesions by assisting the McKenzie response. They involve applying a gliding force to the facet joint plane to increase flexion and decrease pain.
2. The procedure is done either sitting or standing, with a belt placed around the patient and therapist. The therapist applies a gliding force as the patient flexes forward until pain is felt and then slightly backs off.
3. Only three SNAGs are done in the first visit to avoid overdoing it, with more repetitions allowed in subsequent visits if pain is reduced. Patient cooperation and feedback is important to check techniques.
Taping a therapeutic and a protective approach by physiotherapist having various types; Kineso, McConnell, Rigid, Neutral tape, Mulligan taping techniques.
this slideshow states brief about taping techniques with elaboration of Kinesiotaping technique
McConnell taping technique: 05/04/2020
Other taping techniques: 08/04/2020
The document discusses spinal traction and the intervertebral disk. It describes the layers of the disk, its functions, and how damage can occur. Traction is explained as a treatment that increases separation between vertebrae to relieve pressure and encourage healing. Both cervical and lumbar traction techniques are outlined, along with their physiological effects and guidelines for appropriate use and contraindications.
This document discusses myofascial pain syndrome (MPS), also known as chronic myofascial pain. MPS is characterized by chronic pain caused by multiple trigger points and fascial constrictions. Fascia is a layer of fibrous tissue that surrounds muscles, bones, blood vessels and nerves. Trigger points in fascia can cause focal tenderness and referred pain patterns. Myofascial release techniques aim to relax contracted muscles and stimulate the stretch reflex by applying sustained pressure to fascial restrictions to allow the tissue to elongate. MPS is a common cause of chronic pain that can be treated through myofascial release.
Basic Introduction about Joint Mobilisation and Manipulation, This article gives clear notes for the students to understand the Mobilisation techniques.
This document discusses cervical and lumbar traction for relieving neck and back pain. Cervical traction uses gentle pulling of the head to relieve pressure in the neck, while lumbar traction does the same for the lower back. Both can help with issues like muscle spasms, disc problems, and nerve impingement. There are many devices and techniques described that provide traction, including overhead pulleys, inflatable harnesses, inversion tables, and manual methods done by therapists. The effectiveness of traction is debated, but it may provide benefits for some individuals when used appropriately.
This document defines joint mobilization techniques and provides guidelines for their use. It describes mobilization as a manual therapy that uses passive joint movement to increase range of motion or decrease pain. Accessory joint movements like gliding and traction are explained. Precautions and contraindications for mobilization are outlined. A grading scale from I to V is presented to indicate the amplitude of oscillations used in different mobilization techniques.
The document discusses Kaltenborn manual mobilization techniques which use traction and gliding movements to reduce pain and increase joint mobility. It describes testing for restrictions in joint play, end feels, and functional movements to determine appropriate treatment grades of mobilization parallel or perpendicular to the treatment plane. Indications for treatment include restricted joint play or abnormal end feels while contraindications include various pathological bone and joint conditions.
1) Warming up before stretching is important to avoid injury, as cold muscles are more prone to injury when stretched. Stretching should not be used as a warm up.
2) Stretching should target all major muscle groups evenly to avoid muscle imbalances. Static stretches where each stretch is held for 10-30 seconds are generally preferred due to their low injury risk.
3) Stretching should be done slowly and smoothly without bouncing or jerky movements to allow the muscles to safely stretch to their full range of motion.
Cyriax, a manual therapy technique, used to treat the soft tissue related pain. invented by James Cyriax who also coined the term "orthopedic medicine". There are various techniques described by Cyriax under the concept which are; infiltration, deep friction massage, manipulation and traction.
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
This document provides an overview of kinesio taping, including its origins, mechanisms of action, applications, and techniques. The key points are:
- Kinesio tape was developed in the 1980s by Dr. Kenzo Kase to mimic skin and avoid sensory stimuli. It can facilitate or inhibit muscles depending on application tension.
- It works by lifting the skin to enhance muscle, joint, and circulatory function. It can be used to support injured structures in all injury phases from acute to rehab.
- Common applications include pain relief, swelling reduction, improved biomechanics and range of motion. Different cut techniques like I, Y, X are used for specific conditions.
-
This document discusses spinal traction and its effects. It describes traction as a process of drawing or pulling apart body segments. Mechanical traction uses machines while manual traction uses a clinician's hands. Traction can encourage movement between spinal segments and reduce pain by separating vertebrae. It may increase spinal movement and bone density over time. Traction stretches ligaments and decompresses disks, facet joints, nerves and muscles. The document outlines various traction techniques for the lumbar and cervical spine including positional, inversion, manual and mechanical approaches. Treatment parameters like force levels, durations and progression are provided.
This document outlines a 4-phase rehabilitation program for hip injuries. Phase 1 focuses on pain relief, reducing swelling, and maintaining range of motion and muscle strength. Phase 2 aims to further improve range of motion and strengthen muscles through exercises like mini squats and lunges. Phase 3 advances strengthening with techniques like PNF stretching and introduces plyometrics once strength is sufficient. Phase 4 incorporates plyometrics and combined exercises to fully return the individual to their prior activity level.
This document discusses fracture classification and management guidelines. It defines a fracture and describes factors such as position of fragments, direction relative to the longitudinal axis, and common fracture patterns. It also covers classification based on site, extent, configuration, relationship of fragments, relationship to the environment, and causes. Management guidelines are provided for the immobilization period and post-immobilization, focusing on patient education, protection of the healing site, restoring range of motion, strength, and cardiovascular fitness. Exercises are progressed from active range of motion to isometrics to stretching as healing allows, before advancing to resistive and aerobic exercises once radiological healing is complete.
Kinesio tape is used by athletes to treat sore or injured muscles while keeping them moving to reduce pain and speed healing. It was developed in 1979 by Dr. Kenzo Kase and works by gently lifting the skin over an injured muscle to improve blood flow and fluid movement. When applied correctly, kinesio tape supports muscle contraction and reduces pain, protects from overexertion, improves circulation to reduce inflammation, and facilitates the body's natural pain relief mechanisms. However, it must be applied correctly by a certified practitioner, as improper use could do more harm than good.
The document discusses the acronym "WTF" and what it can mean in different contexts. It is repeated multiple times at the beginning and end to emphasize confusion or surprise. The document then provides some potential meanings of WTF, including "What's The Fun" and "Where's The Food". It concludes by stating assumptions are evil and to not assume, alongside another use of WTF.
This document discusses application lifecycle management (ALM) and how it can be implemented using various tools. ALM aims to integrate the different phases of software development like requirements management, coding, testing and release management. It promotes collaboration and automation across tools and teams. Popular ALM solutions mentioned include IBM Rational Jazz, Microsoft Visual Studio Team System, VersionOne and Atlassian. Implementing ALM requires choosing tools, establishing processes and coaching teams.
What is Kaltenborn concept? What is kaltenborn assessment method? How we treat major joints with Kaltenborn approach? What are grades of Kaltenborne? How to find slack in joint? How to diagnose which capsule of joint is restricted? How to treat joint restriction with manual mobilization? How to treat adhesive capsulitis with kaltenborn treatment approach?
it is another taping technique which inhibits or control the movement. it is helpful in postural correction and movement pattern correction as well. usually used clinically
Hello everyone here I upload mckenzie exrercise basic details and some of its position.Its technique for use to cervical, Lumabar pain relief via particular position.Thank you.
Modern orthotic devices play a vital role in rehabilitation by improving function, restricting or enforcing motion, or increasing support. An orthosis is a mechanical device fitted to the body to maintain it in an anatomical or functional position. Orthoses utilize forces like rigidity or springs to limit or assist movement and correct deformities using a three-point system of counter forces. They are classified based on their function, region, and specific condition or injury and made of materials like plastic, metal, or carbon fiber considering strength, weight, and comfort.
1. SNAGs work directly on facet joints and can help disc lesions by assisting the McKenzie response. They involve applying a gliding force to the facet joint plane to increase flexion and decrease pain.
2. The procedure is done either sitting or standing, with a belt placed around the patient and therapist. The therapist applies a gliding force as the patient flexes forward until pain is felt and then slightly backs off.
3. Only three SNAGs are done in the first visit to avoid overdoing it, with more repetitions allowed in subsequent visits if pain is reduced. Patient cooperation and feedback is important to check techniques.
Taping a therapeutic and a protective approach by physiotherapist having various types; Kineso, McConnell, Rigid, Neutral tape, Mulligan taping techniques.
this slideshow states brief about taping techniques with elaboration of Kinesiotaping technique
McConnell taping technique: 05/04/2020
Other taping techniques: 08/04/2020
The document discusses spinal traction and the intervertebral disk. It describes the layers of the disk, its functions, and how damage can occur. Traction is explained as a treatment that increases separation between vertebrae to relieve pressure and encourage healing. Both cervical and lumbar traction techniques are outlined, along with their physiological effects and guidelines for appropriate use and contraindications.
This document discusses myofascial pain syndrome (MPS), also known as chronic myofascial pain. MPS is characterized by chronic pain caused by multiple trigger points and fascial constrictions. Fascia is a layer of fibrous tissue that surrounds muscles, bones, blood vessels and nerves. Trigger points in fascia can cause focal tenderness and referred pain patterns. Myofascial release techniques aim to relax contracted muscles and stimulate the stretch reflex by applying sustained pressure to fascial restrictions to allow the tissue to elongate. MPS is a common cause of chronic pain that can be treated through myofascial release.
Basic Introduction about Joint Mobilisation and Manipulation, This article gives clear notes for the students to understand the Mobilisation techniques.
This document discusses cervical and lumbar traction for relieving neck and back pain. Cervical traction uses gentle pulling of the head to relieve pressure in the neck, while lumbar traction does the same for the lower back. Both can help with issues like muscle spasms, disc problems, and nerve impingement. There are many devices and techniques described that provide traction, including overhead pulleys, inflatable harnesses, inversion tables, and manual methods done by therapists. The effectiveness of traction is debated, but it may provide benefits for some individuals when used appropriately.
This document defines joint mobilization techniques and provides guidelines for their use. It describes mobilization as a manual therapy that uses passive joint movement to increase range of motion or decrease pain. Accessory joint movements like gliding and traction are explained. Precautions and contraindications for mobilization are outlined. A grading scale from I to V is presented to indicate the amplitude of oscillations used in different mobilization techniques.
The document discusses Kaltenborn manual mobilization techniques which use traction and gliding movements to reduce pain and increase joint mobility. It describes testing for restrictions in joint play, end feels, and functional movements to determine appropriate treatment grades of mobilization parallel or perpendicular to the treatment plane. Indications for treatment include restricted joint play or abnormal end feels while contraindications include various pathological bone and joint conditions.
1) Warming up before stretching is important to avoid injury, as cold muscles are more prone to injury when stretched. Stretching should not be used as a warm up.
2) Stretching should target all major muscle groups evenly to avoid muscle imbalances. Static stretches where each stretch is held for 10-30 seconds are generally preferred due to their low injury risk.
3) Stretching should be done slowly and smoothly without bouncing or jerky movements to allow the muscles to safely stretch to their full range of motion.
Cyriax, a manual therapy technique, used to treat the soft tissue related pain. invented by James Cyriax who also coined the term "orthopedic medicine". There are various techniques described by Cyriax under the concept which are; infiltration, deep friction massage, manipulation and traction.
Joint mobilization refers to a technique of manual therapy by which a therapist applies a brief stretch of 30s or less through traction and gliding along a joint surface.
This document provides an overview of kinesio taping, including its origins, mechanisms of action, applications, and techniques. The key points are:
- Kinesio tape was developed in the 1980s by Dr. Kenzo Kase to mimic skin and avoid sensory stimuli. It can facilitate or inhibit muscles depending on application tension.
- It works by lifting the skin to enhance muscle, joint, and circulatory function. It can be used to support injured structures in all injury phases from acute to rehab.
- Common applications include pain relief, swelling reduction, improved biomechanics and range of motion. Different cut techniques like I, Y, X are used for specific conditions.
-
This document discusses spinal traction and its effects. It describes traction as a process of drawing or pulling apart body segments. Mechanical traction uses machines while manual traction uses a clinician's hands. Traction can encourage movement between spinal segments and reduce pain by separating vertebrae. It may increase spinal movement and bone density over time. Traction stretches ligaments and decompresses disks, facet joints, nerves and muscles. The document outlines various traction techniques for the lumbar and cervical spine including positional, inversion, manual and mechanical approaches. Treatment parameters like force levels, durations and progression are provided.
This document outlines a 4-phase rehabilitation program for hip injuries. Phase 1 focuses on pain relief, reducing swelling, and maintaining range of motion and muscle strength. Phase 2 aims to further improve range of motion and strengthen muscles through exercises like mini squats and lunges. Phase 3 advances strengthening with techniques like PNF stretching and introduces plyometrics once strength is sufficient. Phase 4 incorporates plyometrics and combined exercises to fully return the individual to their prior activity level.
This document discusses fracture classification and management guidelines. It defines a fracture and describes factors such as position of fragments, direction relative to the longitudinal axis, and common fracture patterns. It also covers classification based on site, extent, configuration, relationship of fragments, relationship to the environment, and causes. Management guidelines are provided for the immobilization period and post-immobilization, focusing on patient education, protection of the healing site, restoring range of motion, strength, and cardiovascular fitness. Exercises are progressed from active range of motion to isometrics to stretching as healing allows, before advancing to resistive and aerobic exercises once radiological healing is complete.
Kinesio tape is used by athletes to treat sore or injured muscles while keeping them moving to reduce pain and speed healing. It was developed in 1979 by Dr. Kenzo Kase and works by gently lifting the skin over an injured muscle to improve blood flow and fluid movement. When applied correctly, kinesio tape supports muscle contraction and reduces pain, protects from overexertion, improves circulation to reduce inflammation, and facilitates the body's natural pain relief mechanisms. However, it must be applied correctly by a certified practitioner, as improper use could do more harm than good.
The document discusses the acronym "WTF" and what it can mean in different contexts. It is repeated multiple times at the beginning and end to emphasize confusion or surprise. The document then provides some potential meanings of WTF, including "What's The Fun" and "Where's The Food". It concludes by stating assumptions are evil and to not assume, alongside another use of WTF.
This document discusses application lifecycle management (ALM) and how it can be implemented using various tools. ALM aims to integrate the different phases of software development like requirements management, coding, testing and release management. It promotes collaboration and automation across tools and teams. Popular ALM solutions mentioned include IBM Rational Jazz, Microsoft Visual Studio Team System, VersionOne and Atlassian. Implementing ALM requires choosing tools, establishing processes and coaching teams.
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.
SeedEZ 3D culture methods and protocols - cell isolation techniquesLena Biosciences
This document provides protocols and guidelines for recovering cells that have been cultured in 3D using Lena Biosciences' SeedEZ cell culture system. It discusses general guidelines for recovering adherent cells coated on SeedEZ substrates or embedded in hydrogels. It provides details on commonly used reagents for recovery and factors to consider like coating composition and culturing time. The document includes two specific protocols for recovering cells coated on poly-D-lysine coated SeedEZ and embedded in an extracellular matrix gel in SeedEZ. It discusses expected results and recommendations for automation and increased throughput.
Deeper understanding of corrosion controlRobin Wright
This document discusses corrosion control and the importance of thoroughly cleaning metal surfaces prior to coating application. It explains that visually clean blasted surfaces still contain microscopic contaminants that can cause corrosion under coatings over time. The standard surface preparation methods do not fully remove these contaminants. The CleanWirx system is presented as an improved method that uses a gel to dissolve and remove microscopic contaminants, ensuring coatings adhere properly and assets last longer. It provides a deep decontamination in a simple, efficient process.
This document summarizes a presentation on whether laminectomy increases the rate of adjacent segment disease. It describes a clinical case of a 67-year-old male with previous laminectomy presenting with symptoms above the laminectomy level. It outlines the search strategy and results, which found some evidence that reoperations after laminectomy sometimes involve adjacent level problems, but no conclusive data that laminectomy alone causes adjacent segment disease. The conclusions state that different laminectomy techniques may influence outcomes and more data is needed analyzing reoperation reasons and adjacent segment disease rates after laminectomy.
Nanostructured lipid carriers (NLCs) were presented as a topical drug delivery system. NLCs consist of a blend of solid and liquid lipids which can incorporate drugs at high loading capacities. They were summarized to have advantages over solid lipid nanoparticles including avoidance of drug expulsion and unpredictable gelation. Methods for producing NLCs like high pressure homogenization were described. NLCs were said to increase skin permeation of drugs while providing occlusive and moisturizing properties beneficial for skin care. Several drug-loaded NLC formulations were presented including ones for flurbiprofen, minoxidil, and tacrolimus to improve their topical delivery and stability.
Anterior cervical discectomy with fusion (ACDF) is a surgical procedure to treat a herniated cervical disc. During the procedure, the problematic disc is removed and a bone graft and metal plate are placed to fuse the vertebrae together. After surgery, patients may experience hoarseness, increased arm pain, and pain between the shoulder blades as their neck heals. Physical therapy typically begins within 1-2 weeks, and most people can return to light work within 2-6 weeks depending on the job. Anti-inflammatory medications should not be taken for 6 months to allow the fusion to fully heal.
A spinal fusion surgery is a procedure that is used to join two or more vertebrae together. Spinal Fusion Surgery India has a high success rate and you can be one of the many people who recover from a serious illness and live a long and happy life.
Dr. Paul Licina will perform a lumbar discectomy surgery on the patient. The patient will be admitted the morning of surgery and should expect to stay in the hospital for one day. Before surgery, the patient must stop taking certain medications and supplements. During the procedure, the surgeon will make an incision in the patient's back to remove a herniated disc putting pressure on a nerve root. After surgery, the patient will recover in the hospital before being discharged home, where they will do exercises and slowly resume normal activities over several weeks as pain improves.
This document provides information about lumbar microdiscectomy surgery to treat a herniated disc. It describes the procedure, recovery process, and frequently asked questions. A herniated disc occurs when part of the cushion between spinal bones moves and irritates a nerve, causing leg pain. Microdiscectomy removes the protruding part of the disc under a microscope through a small incision, relieving pressure on the nerve. Patients typically go home the same day and start physical therapy within a few weeks to regain mobility and strength.
Every day we work with clients who present with neurological tone which creates a continual challenge for every day activities, positioning, hygiene and feeding. Being able to intervene within the first 3 days post CVA, or any Brain/Spinal Cord Traumatic event, we are able to work with the sometimes destructive forces of tone to maintain muscle tissue length allowing the fullest return to function possible. This presentation will look at why standard orthotic devices do not meet the needs of these clients and how they can often induce episodes of prolonged tone. We will explore why “Flex” technology does work to relax tone, and also go over the “process” of dealing with neurological tone over time to reduce, stop, and reverse the damage that can be caused from shortened tissue. A neurological client’s road to rehabilitation is a long term one, often taking months and even years, in some cases they will need us in one form or another for the rest of their lives. Being able to manage and reduce tonal episodes and keep muscle fibres lengthened allowing freedom of movement and range of motion over this period is vital for our clients quality of life. It is very exciting that with early intervention with the appropriate devices we can enable our clients to grasp life and live it to their fullest.
Periarthritis shoulder, also known as frozen shoulder, is an inflammatory condition of the shoulder joint and surrounding soft tissues that causes pain and loss of movement. It typically progresses through three stages - painful, stiff, and recovery. Risk factors include age over 40, female sex, diabetes, prolonged immobility, and previous shoulder injury. Treatment involves medications, corticosteroid injections, and physical therapy to regain mobility, with surgery as a last resort if conservative treatments fail after several months. Regular exercise is important for prevention.
A herniated disc occurs when the outer layer of an intervertebral disc tears, allowing the gel-like inner nucleus pulposus to bulge out. This can press on nerves and cause pain. While most herniated discs heal on their own, surgery may be recommended if conservative treatments like medication and physical therapy do not provide relief. Common surgical procedures to treat a herniated disc include endoscopic spine surgery, discectomy to remove the bulging disc material, and laminectomy to remove part of the vertebrae pressing on nerves. Recovery from herniated disc surgery typically involves avoiding strenuous activities for 4 weeks to prevent re-injury while allowing time to heal.
This document discusses periarthritis of the shoulder, also known as frozen shoulder. It begins by defining the condition as an inflammatory disorder of the shoulder joint and surrounding soft tissues. It then describes the three stages of frozen shoulder according to Cyriax: stage 1 involves pain with movement, stage 2 includes increased stiffness, and stage 3 is the recovery stage with gradual return of movement. The document outlines causes such as injury, prolonged immobility, diabetes, and thyroid disorders. Signs, symptoms, diagnosis, and management are explained, including medications, cortisone injections, physical therapy, and possibly surgery if conservative treatment fails.
This document discusses transfemoral prostheses. It begins with an introduction to transfemoral amputation, which is the amputation of the leg between the knee and hip. It then covers the rehabilitation process for individuals with a transfemoral amputation, including exercises and management of the residual limb. Finally, it describes the components of transfemoral prostheses, including different socket designs, suspension methods, knee and foot options. The goal of rehabilitation and prosthetic training is to help individuals regain mobility and independence.
The Brunnstrom Approach is a popular physical and occupational therapy treatment for restoring motor function after a stroke. It involves 7 stages of recovery from flaccidity to normal movement. Key points:
- Muscle synergies become abnormal after stroke, causing fixed movement patterns. Brunnstrom uses these synergies to facilitate movement.
- Treatment progresses patients through stages of regaining voluntary control over synergies and combining movements.
- Reflexes and facilitation techniques are used initially to develop muscle tension and patterns before introducing voluntary effort. Resistance and repetition reinforce correct movements.
Dr. Dheeraj Bojwani is a medical consultant who assists patients in receiving spine surgeries in India. Spine surgeries are generally only considered after non-surgical treatments have failed to provide relief over 6-12 months for conditions like spinal stenosis, sciatica, spondylolisthesis or degenerative scoliosis. Common spine surgeries include discectomy, foraminotomy, spine fusion, and spinal disc replacement. India offers high quality spine surgeries at world-class hospitals for costs that are 40-70% lower than procedures in countries like the US or UK. Medical tourists are able to combine their surgical treatment and recovery with vacation time in India's various cities and
The document provides a rehabilitation protocol for ACL reconstruction surgery. It outlines exercises and guidelines for various phases of recovery, from pre-operation to 6 months post-operation. The highest priority in the early postoperative phase is regaining full passive extension through various stretching exercises to prevent knee stiffness. Exercises gradually progress from range of motion and isometric contractions to strengthening exercises over 6 months to restore muscle strength and normal gait.
You've undergone major surgery for either your hip, spine, or knee - and now what? While every case is unique, here are some general guidelines and expectations for your recovery process after each of the above surgeries.
From the time you spend in the hospital, to recovery at home, and therapy - every case is different, and consulting a professional at Orthopedic and Spine Center can greatly help. Learn more at http://osc-ortho.com/
This document defines and describes different types of passive range of motion (PROM) exercises. It begins by defining PROM as movements produced by an external force during muscular inactivity or reduced range of motion. There are three main types of PROM discussed: relaxed PROM, forced PROM, and continuous passive motion (CPM). Relaxed PROM is performed slowly through pain-free range by a therapist, while forced PROM exerts external force to end range. CPM uses a machine to passively move the joint continuously after surgery. The goals of PROM are to maintain range of motion, mobility, and prevent contractures while allowing for healing. Precautions are discussed as well as limitations compared to active exercises.
This document discusses spinal orthosis and cervical orthosis. It provides an overview of the principles and indications for orthotic devices. Specifically, it outlines the functions of orthosis in relieving pain, immobilizing joints, reducing weight bearing, preventing and correcting deformities, and improving function. It also describes different types of cervical orthosis including soft collars, Philadelphia collars, and halo vests. The key objectives of spinal orthosis are to control spinal position, apply corrective forces, and aid stability.
Spinal stabilization involves surgical procedures to treat acute spinal injuries and conditions by restoring vertebral alignment and removing bone fragments. The degree of stabilization depends on the severity of the problem. Surgery involves inserting instruments like screws and plates in the back to stabilize the spine and facilitate fusion after decompression. Minimally invasive procedures perform stabilization through small incisions without damaging muscles. Recovery takes around six months with limited activity and physical therapy starting in the first week.
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- Inguinal hernias occur when abdominal tissue protrudes through the groin area due to weakness in the abdominal wall. Hernia repair surgery closes this weakness using mesh or stitches. Potential side effects include pain, swelling, and bruising that usually clear within a week. Complications are rare but can include infection, bleeding, or nerve pain. Physical therapy focuses on regaining strength in the abdominal and hip muscles.
- Appendectomy is the surgical removal of the appendix, usually to treat appendicitis. The standard incision is gridiron (McBurney) which splits abdominal muscles. Patients are encouraged to change positions and perform light exercises after a few days to prevent complications like muscle weakness or respiratory issues
This is short presentation of most common fracture in hip joint. Femoral neck fractures are the most common type of fractures around the hip joint- more common in elderly in weak osteoporotic bone. This presentation gives a brief idea about these fractures, investigations, methods of management in different age groups.
Part 4 examination of motor and sensory systemAtul Saswat
This document summarizes the examination of the motor and sensory systems. It describes how to examine muscle bulk, tone, power, and involuntary movements. It also outlines how to test various sensory modalities like pain, touch, temperature, proprioception, vibration, and cortical sensations. Key points examined include muscle wasting, tone (loss or increase), power grading, reflexes, coordination, dermatomes, and signs for proprioception. Assessment methods are provided for each test with normal and abnormal findings.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
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Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
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Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
1. A Patient’s Guide to
Posterior Lumbar Interbody Fusion (PLIF)
25 Thurber Boulevard, Unit 6
Smithfield, RI 02917
Tel: (401) 404-2975
Fax: (401) 404-2976
www.bsnidoctors.com
2. Introduction Frequently Asked Questions
What is a lumbar fusion? How long will my surgery last? Between 4
A lumbar fusion is a surgical procedure that joins two or more vertebral and 6 hours, depending on the number of
bodies together. We accomplish this with the use of different forms of levels of the fusion.
bone, which act as the bridge between the two vertebral bodies.
How long will I be in the hospital? 1 to 2
Instrumentation is typically utilized to hold everything in place until
days.
bony growth (fusion) is obtained.
What kinds of conditions necessitate a lumbar fusion? When can I drive?* Short drives are fine after
5 days; longer drives are acceptable after 2
Lumbar fusion is used for any condition that is associated with spinal
weeks, provided you feel comfortable while
instability. Spinal instability is the abnormal motion of the bones in the
sitting.
spine. This instability may cause pain, numbness, and/or muscle
weakness in the lower back, hips, and legs. These conditions include When can I go back to work? This will depend on the individual and the
degenerative disc disease, spondylolisthesis (a slippage of one bone on type of work being performed.
another), and spinal stenosis. Light/sedentary work (lifting <25 lbs.) 4 weeks
Medium work (lifting up to 50 lbs.) 2-4 months
Strenuous work (lifting >50 lbs.) 4-6 months maximum
How active can I be? Activity is encouraged, especially walking. You
may begin to exercise as early as one to two weeks in the post-operative
period. Avoid activities with twisting and/or bending.
What if I want to get pregnant after a fusion? There are certain
precautions associated with pregnancy after a fusion. Please discuss this
with one of our physicians.
When do I wear my brace? The brace is worn at all times when active
out of bed (not required when sitting or lying down).
How long do I wear my brace? Typically 6-8 weeks after surgery.
Why should I consider a lumbar fusion?
A fusion should only be considered in two situations. One, if progressive How long do I wear my bone stimulator?* 6 months.
muscle weakness is occurring in the lower extremities, or two, if all
conservative options have failed, and the impact of the conditions has a Can I get an MRI after a PLIF? Yes, the instrumentation used for a
significant effect on one’s lifestyle. PLIF is MRI-compatible.
Will I lose a significant amount of mobility with a lumbar fusion? *Narcotic usage is not recommended while driving.
Those patients who require spinal fusions are suffering from a significant *Dependent upon condition; not all patients are required to have a bone
amount of discomfort. Ultimately, with a successful surgery, the amount stimulator.
of pain-free mobility that a patient experiences is more than compared to
before surgery. Therefore, patients generally are moving much better and
with greater freedom and range of motion compared to prior to surgery.
3. The Procedure
An incision is made in the lower back
with the patient lying on their The addition of screws and rods
stomach. Once the spine is accessed, help to support and stabilize the
the surgeon removes the lamina (the spine until the graft hardens, or
bone covering the spinal cord) so as to fuses (e.g. similar to the purpose
visualize the nerve roots that are of a cast for a broken leg).
being compressed.
The compressed nerve roots are then
moved to one side and the disc material The incision is then
is completely removed and is replaced closed using dissolvable
with bone that is packed in a cage. suture material. A brace
should be worn for 6-8
weeks after this surgery
so as to help support the
spine as it heals.
4. What to Expect After Surgery MEDICATIONS LIST
Pain at incision site: You may experience incisional pain for The following medications contain aspirin or anti-inflammatory agents,
approximately 5-7 days. Icing the incision and narcotic medications can which increase the risk of bleeding during surgery or injections.
also be helpful. Anti-inflammatory medications CANNOT be taken at
this time. These medications and supplements should NOT be taken up to 14 days
prior to an injection or to surgery
Increased leg pain: This is due to inflammation/swelling of the nerve
roots 2-3 days following surgery. It will gradually improve and slowly Should you need pain relief medication, Tylenol is acceptable. You may
subside over the following week. In severe cases, oral steroids are used. discuss other medication options with your physician or nurse if necessary.
Hoarse throat/throat discomfort: This is due to the breathing tube
placement during the surgery. This will gradually improve with time. Please note that this is not an inclusive list. If you have any concerns about
your current medications, please consult your doctor, nurse, or pharmacist.
You should call the office if you develop any neurologic Advil Duradyne Nabumeton
findings that were not present at the time of your hospital AGGRASTAT Ecotrin Naprosyn
discharge. Examples include: AGGRENOX EFFIENT Naproxen
Aleve Enbrel NSAIDS
Sudden or slow onset of weakness in the lower extremities Alka-seltzer Equagesic Norgesic
Loss of control over your bowel/bladder Anacin Etodolac Oxaprozin
Elevated temperature (greater than 101 degrees) Anaprox Excedrin Piroxicam
Excessive redness/swelling of the incision Ansaid Feldene PLAVIX
Drainage/oozing from the incision site ASPIRIN Fiorinal PLETAL
Bufferin 4 Way Cold Tabs PRADAXA
Cataflex Garlic Tablets Relafen
How do I get refills of my prescription? Call our prescription hotline Celebrex Ginko Bilboa Reopro
during business hours (9am–4pm) at (401) 404-2975 x152. Cephalgesics Ginseng Robaxisal
Clinoril Ibuprofen Ticlid
When will my staples/sutures be removed? Staples are removed at 7-10
CLOPIDOGREL- Indomethacin Trental
days. Sutures under the skin will dissolve on their own. Surface/drain
BISULFATE Indocin Vanquish
tubes will be removed after 1-2 days. Integrilin
Coricidin Vitamin E
When will I start physical therapy? This will be discussed at your first COUMADIN Ketoprofen Voltaren
post-operative appointment. Daypro Lodine WARFARIN
Diclofenac Meloxicam
When can I shower? We do not encourage showering within the first 2 Diflunisal Midol Any herbal supplements or
days after surgery. Showering is permitted provided that the wound Doan’s Mobic non-FDA approved drugs
remains completely dry. You must replace the dressing after every shower Dristan Motrin
with a clean, dry dressing.
What about taking anti-inflammatory medications after surgery? Anti- *If you are taking any of the medication HIGHLIGHTED, you MUST
inflammatory medications should NOT be taken until 6 months consult your physician prior to discontinuing your prescription*
AFTER your surgical procedure.