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Alternatives To Knee Surgery
Weigh You Options and make the right choice for you

Alternatives to Knee Replacement Surgery

Written by Samuel
Knee surgery should never be your first option. You can sometimes help your knee pain with alternative treatments instead. You and your doctor should discuss less invasive ways to ease knee pain.

Weight Loss and Exercise

Losing pounds may help you lose the pain. Being just 10 pounds overweight adds up to 60 pounds of force on your knee with each step. One study found that shedding even 15 pounds could lead to big improvements in your comfort level and the quality of your life. Exercise can help you achieve your weight loss goal while strengthening your muscles and reducing pain.

Working with a Physical Therapist

A physical therapist can design a regimen that helps you reduce pain and strengthen the key muscles that affect your knees. They can work with you to make sure you’re doing exercises correctly. Your physical therapist may apply ice and heat or use transcutaneous electrical nerve stimulation (TENS) or ultrasound imaging. These and other therapies can increase your cutaneous blood flow.

Knee Injections (Hyaluronic Acid)

Knee injections of hyaluronic acid lubricate the knee and act as shock absorbers. They help the cartilage and bone tissues slide more smoothly in the joint. The technique helps reduce pain and improve knee mobility. Potential side effects include additional swelling and pain. You may have an allergic reaction if you’re already allergic to eggs or poultry.

Medication or Cortisone Shots

Medication, including over-the-counter pain relievers and topical creams with the numbing agents lidocaine or Marcaine, may help control your knee pain. Your doctor might also recommend an injection of either steroids or cortisone.


The steroids are injected at the site of inflammation. They mimic naturally occurring hormones in your body. Cortisone injections usually work to relieve pain within a few days and last several weeks.

Side effects include:
•temporary increased pain
•whitening of the skin
•allergic reaction
•infection


Prolotherapy

Prolotherapy is an approach that uses a dextrose solution injected into the ligament or tendon to increase the blood flow and supply of nutrients. The dextrose solution is a sugar mixture. This treatment aims to stimulate the tissue so it will repair itself. The therapy usually requires four to six treatments and with periodic retreatment. It isn’t clear how effective this procedure is. It may be helpful when it’s used with other therapies.

Arthroscopic Surgery

A surgeon may suggest arthroscopic surgery to remove bone fragments or repair tendons and cartilage inside the knee. An arthroscope is a type of camera that allows a surgeon to view the inside of your joint through a small incision. After making two to four incisions, the surgeon uses the arthroscope to operate on the inside of your knee.


This technique is much less invasive than traditional surgery. People mostly go home the same day as their surgery. Within a week, you no longer need crutches and you can drive and resume your daily activities. However, a recent study found “no benefit” to this procedure.

Stem Cells

This experimental treatment uses bone marrow stem cells from the hip to help regenerate cartilage tissue in the knee. A small but growing number of doctors are turning to cutting-edge stem cell therapy as an alterative to knee replacement surgery. One study found that stem cell therapy after knee surgery helped reduce pain and repair the knee.

Knee Osteotomy

People with a knee deformity or damage to only one side of their knee may benefit from an osteotomy. This procedure shifts the weight-bearing load off the damaged area of the knee. However, relatively few people are good candidates for the procedure. Knee osteotomy is usually used for younger patients with limited knee damage.

Weigh Your Options

It’s important to consider all your options and explore alternatives to knee replacement surgery. However, discuss the procedure with your doctor if you’ve exhausted your options or your surgeon feels that your knee requires a total or partial replacement. Delaying a necessary surgery can cause additional long-term problems.


Five Things You Need to Know
About Appendectomy Surgery Complications

5 Things You Need to Know About Appendectomy Complications

Appendectomy Surgery Is Common

An appendectomy is surgery performed to remove an inflamed or infected appendix. It's a common surgery and mostly goes off without a hitch. Sometimes, however, there may be appendectomy complications. Removal of the appendix may create other problems requiring immediate attention. Infection around the incision area may show up as red skin with drainage coming from the incision. Peritonitis is a much more serious appendectomy complication. This infection enters the blood stream and may become life-threatening. Abdominal tenderness, fever, vomiting and rapid heart rate may indicate peritonitis.

Complications Cause Immobility and Increased Pain

Immobility (difficulty moving around) is an appendectomy complication due to simply not being able to get up and move soon after surgery. You may be immobile due to tubes or drains coming from your abdominal area, draining off infection or fluid. When an appendix ruptures, tubes must be used to drain infection and prevent the infection from spreading throughout your body systems. Increased pain and difficulty breathing may be side effects of anesthesia used during appendectomy.

Abscess and Hemorrhage Are Serious Complications


Pelvic abscesses or an abscess under the diaphragm (just below the lungs) may be appendectomy complications. An abscess is a pus pocket that forms deep in the body's tissues or in a body cavity. These abscesses must be surgically drained to prevent further infection. Chills, fever, sweating and diarrhea may be signs of abscess. Hemorrhage (excessive bleeding internally or externally) may be a complication of appendectomy.

Laser Surgery Cuts Down on Unsavory Connections

One appendectomy complication happens when fibrous tissue forms abnormal connections from one abdominal organ to another. These adhesions may cause pain and other unwanted side effects, making healing difficult. However, these adhesions happen during traditional appendectomies where the abdomen must be opened up using a large incision. Nowadays, most appendectomies are done by laser, greatly minimizing adverse adhesions problems. Another appendectomy complication happens when another abdominal organ is accidentally perforated (cut or pricked) during appendix removal. Thankfully, this rarely happens.

Bowel Problems Are Rare But Serious

A condition called "ileus" in the medical field may happen after an appendectomy. This complication involves the bowels. When a doctor or nurse listens for bowel sounds, none can be heard. That's because nothing is moving and that's not a good sign. Anesthesia may cause your bowels to be slow "waking up" and you may require IV fluids to replenish bodily fluids and get things moving again. Very rarely bowels may be damaged during appendectomy. In that case, you may need another surgery to repair the damage


When Thyroid Surgery Becomes Necessary
Dan E. Austin MD

Indications

Various indications for thyroidectomy exist. One of the major indications is a diagnosis of thyroid cancer, usually biopsy-proven by fine-needle aspiration of a nodule.

Although the full range of thyroid nodule histology is beyond the scope of this chapter, the histology can have significant ramifications as to chosen operative management. In patients with all but the most minimal (low-risk) biopsy-proven papillary thyroid cancer, and all medullary thyroid cancer, a total thyroidectomy is indicated. Patients with a fine-needle aspiration showing either Hürthle cells or follicular neoplasm require at least a thyroid lobectomy of the side ipsilateral to the nodule and possibly a total thyroidectomy if the permanent operative specimen shows signs of malignancy. In addition to these malignancies, anaplastic thyroid cancer can occasionally be an indication for thyroidectomy, if no significant extension and infiltration into the surrounding structures is found. [4]

Beyond malignancies, thyroidectomy is also a viable option for patients with symptomatic thyroid masses or goiters. Patients who have compressive symptoms including dysphagia, dyspnea, shortness of breath, and/or hoarseness due to a large goiter should undergo a thyroidectomy. Usually dysphagia to solids is the earliest presenting symptom. Aesthetic concerns due to a goiter may be an indication for thyroidectomy. Another indication includes patients with medically refractory Graves disease or hyperthyroidism. [5]


Hernia Surgical Treatment - Question From Reader
From James Petterson, Lansing, MI

Question: I have been reading about hernia repair techniques and I am now quite confused. Can you help me understand the differences?

Health Market Place Answer:
Basic principles

A hernia is the protrusion of tissue through a weak spot in the surrounding wall of the cavity that normally contains it. Because of this opening of the wall, an organ or a part of an organ squeezes through and reaches another region of the body, forming kind of protruding 'sac' (hernia sac).

Several surgical approaches to hernia repair have been developed over the years. All of these different methods follow some basic common principles:

Inversion - Removal
The protruding tissue should get back to where it belongs. To achieve that, surgeons dissect the surrounding tissues and locate the hernia sac and its contents. The hernia sac can be then inverted (pushed or pulled back) or it can be opened and removed (herniotomy).

Closure - Reinforcement
The week spot - opening through which the hernia came out in the first place should be closed and reinforced, in order to remain closed. To achieve that, surgeons can stitch the defect or use a implant to fix the opening as a patch.
hernia




30 years as General Overseer, clerics extol Adeboye’s virtues
He Submitted Himself to The Call And The Purpose of His Calling Has Made Great Changes in Christendom

AS the Redeemed Christian Church of God, RCCG, quietly mark the 30th anniversary of Pastor Enoch Adejare Adeboye’s assumption of office as the General Overseer, Christian leaders have extolled the virtues of the man who was voted by Newsweek Magazine, as one of the 50 most influential individuals in the world.

Pastor Adeboye (at the age of 38) was officially consecrated as the successor to the founder of the Redeemed Christian Church of God, Rev. Josiah Akindayomi, on January 21, 1981 after the demise of the founder.

Among the religious leaders who spoke to Vanguard on the anniversary were the National President of the Christian Association of Nigeria, CAN, Pastor Ayo Oritsejafor; Spiritual Leader of the St. Joseph’s Chosen Church of God, Apostle Hayford Alile and the LAWNA Territorial Chairman and National Vice President, The Apostolic Church Nigeria, Pastor Gabriel Olutola.

Oritsejafor, in his response, described the RCCG General Overseer as a colossus that had contributed immensely to development of the country and Christendom in Nigeria and beyond.

In a telephone interview, Pastor Oritsejafor also used the occasion to extol the virtues of the founder of the Redeemed Christian Church of God, Rev. Akindayomi, describing him as a true man of God, because at the time he made his choice of successor he may have offended several persons in the church.

Spiritual Head of St. Joseph’s Chosen Church of God, SJCCG, Apostle Hayford Alile also congratulated Pastor and Pastor (Mrs.) Adeboye, saying: “It is just like yesterday you mounted the pulpit as the General Overseer of the Redeemed Christian Church of God, and these three decades have seen the RCCG experience great positive transformation from the struggling multitude to a major voice of evangelism in the propagation of the gospel of our Lord and Saviour, Jesus Christ not only in Nigeria but also the globe.

The LAWNA Territorial Chairman and National Vice President, The Apostolic Church Nigeria, Pastor Gabriel Olutola thanked God for the life of Pastor Adeboye “because when he started 30 years ago, he was very young and people thought that as a young man in the ministry he might not be able to perform and naturally looked down on him. But to the glory of God, he has been used mightily by the God who called him to the ministry and he has also achieved a lot to the dismay of people. He started very well and I pray that he will end well in Jesus’ name.”

Continuing, the TAC helmsman said Adeboye submitted himself to the call and the purpose of his calling has made great changes in Christendom both here in Nigeria and internationally, “my congratulatory message to him is that he should keep the flag flying, not relent in its efforts and I pray that the Lord will continue to use him more for His glory. There are other important things that he is still going to embark on in The Redeemed Christian Church of God.”



New Years Bomb Attack - Marks of Boko Haram
TTimes Nigeria

Security officials in Nigeria are looking for those responsible for a New Year's Eve blast that killed at least four people in the capital. Nigeria's president is blaming a radical Muslim group that claimed responsibility for a Christmas Eve bombing.

Defense Minister Adetokunbo Kayode says a thorough investigation is underway to determine who planted the bomb in a crowded market near a military barracks in Abuja. He says the attackers will be tracked down and will be made to face the full wrath of the law for the blast that also injured more than 20 people.

All of the dead and most of those injured are civilians.

President Goodluck Jonathan says the attack is a new and dangerous challenge to Nigerian peace and stability as the country prepares for nationwide elections in April.

No one has claimed responsibility for the bombing, but the president believes it is the work of the militant Boko Haram group that set off a Christmas Eve bomb in the northern city of Jos that killed 80 people.

In a written statement, President Jonathan said the group, basking in what he called their nefarious success in Jos on Christmas Eve, once again knifed at the heartstrings of a nation celebrating New Year's Eve with this evil and wicked attack.



Pope Denounces Attacks Against Christians Around the World
TTimesworld

Pope denounces attacks in Nigeria, Philippines

VATICAN CITY — Pope Benedict XVI deplored on Sunday the "absurd violence" against Christians after attacks on churches in Nigeria and the Philippines over the Christmas holiday.

"It was with great sadness that I learnt about the attack on a Catholic Church in the Philippines during the celebrations for Christmas and also against Christian churches in Nigeria," the pope said.

"The earth is once again stained with blood as we have seen in other parts of the world," Benedict added in his Angelus address at The Vatican, as he offered his condolences to the victims of the "absurd violence".

At least 32 people were killed and 74 wounded after a series of Christmas Eve bomb blasts in the troubled Nigerian city of Jos on Friday evening. Many of the victims were doing their Christmas shopping at the time and a church was also targeted.

On the same night, suspected members of an Islamist sect that launched an uprising last year attacked three churches in northern Nigeria, leaving six people dead and one of the churches burnt.

Six people were also wounded on Saturday when a bomb went off in a church during Christmas Day mass on the southern Philippine island of Jolo which is known as a hotbed of Islamic


Mormon Church Reaffirms Opposition to Gay Marriage
Mormon church reaffirms opposition to gay marriage in Argentina weighs gay union legalization

Mormon church leaders have sent a letter reaffirming the faith's position on gay marriage to its members in Argentina, where the government is debating whether to legalize gay unions.

Spokeswoman Kim Farah on Monday confirmed it was sent to Church of Jesus Christ of Latter-day Saints leaders in Argentina. It says marriage is between one man and one woman.Argentina's Senate is debating whether to approve either gay marriage or a civil union law. Its other legislative chamber has approved gay marriage, and the country's president has promised not to veto the measure.

The letter recalls a 2008 church letter on the institution of marriage that sought help passing a California ballot initiative banning gay marriage.

The letter to Argentine members did not call for any political action.


Mormon Church Reaffirms Opposition to Gay Marriage



New Body

Kenya Deports A Radical Islamist Cleric
Jamaican Born Man With History of Inciting Hatred

Police officers in Nairobi on Friday clashed with rock-throwing mobs who were angry about the government’s decision to deport a radical Islamist cleric. The police fired tear gas and unleashed attack dogs on hundreds of demonstrators. Witnesses said at least three people were killed. Kenyan officials recently arrested the Jamaican-born cleric, Abdullah al-Faisal, who has served jail time in Britain for inciting hatred, and are trying to deport him.

Radical elements with history of inciting hatred and violence are becoming more common among various islamic groups. Their base of support is eroding in most communities. Abdullah Al Faisal would suffer simialr fate as many would be terrorist, who are either apprehended or remove to areas where there ability to incite terror are less likely.




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