Posts Tagged ‘tenosis’
Article by Suzanne Benz
The new Structural Heart Disease Program at Brigham and Women’s Hospital provides highly specialized, multidisciplinary evaluation and care for patients with advanced and complex valvular and structural heart disease.
Comprised of a renowned team of specialists in cardiovascular medicine and surgery, including cardiology, interventional cardiology, cardiac surgery, cardiovascular imaging, and cardiac anesthesia, the Program enables patients to be evaluated by multiple specialists in one visit. These specialists collaborate closely in the development of a treatment plan – often using multiple modalities – designed to deliver the best outcome for each patient.
Groundbreaking Clinical TrialsThe team of experts in the Program participates in leading clinical trials and is currently enrolling patients in the PARTNER trial, a national, multi-center, randomized trial for patients with aortic stenosis who are at high risk for conventional surgery.
The team recently completed the first percutaneous aortic valve replacement as part of this trial, placing a 26mm SAPIEN prosthesis via the transfemoral route, with vascular access and closure done entirely percutaneously. In the future, patients will be treated using either a percutaneous or transapical approach. New trials for patients with mitral regurgitation are expected within the year.
Advanced Treatment OptionsThe team of specialists in the Program collaborates to offer a range of advanced procedures, including:• Percutaneous valve replacement;• Aortic and mitral valvuloplasty;• Catheter-based closure of periprosthetic valvular leaks in high risk or inoperable patients;• “Hybrid” approaches to combined coronary and valvular heart disease.
Brigham and Women’s Hospital’s neuroscience center offers neurology services with the care & compassion you would expect from an organization that has been consistently ranked as one of America’s best hospitals on the U.S. News & World Report® Honor Roll, and one of the top neurology & neurosurgery providers in the country. For close to 175 years, Brigham and Women’s Hospital has been the most trusted name in women’s health. Our women health center has been the site for important advances in women’s health. Our team works to improve the health of women and transform their care. For more information about BWH, please visit http://www.brighamandwomens.org/ .
About the Author
BBrigham and Women’s Hospital, a teaching affiliate of Harvard Medical School, is consistently ranked as one of the nation’s leading hospitals. With a state-of-the-art cardiovascular center & orthopedic center of excellence, BWH is committed to excellence in patient care with expertise specialty of medicine and surgery.
Article by Novatex Marketing Staff
There are a wide variety of conditions that may influence or cause lower back pain.
Bulging disc: Also referred to as protruding, herniated, or ruptured disc. The discs in your back are under constant pressure. As we age our discs weaken and degenerate making it likely that cartilage can bulge or be pushed into nerve roots or the spinal cord, causing lower back pain.
A much more serious complication of a ruptured disc is cauda equina syndrome, which occurs when disc material is pushed into the spinal canal and compresses the bundle of lumbar and sacral nerve roots. Permanent neurological damage may result if this syndrome is left untreated.
Sciatica: The large nerve that extends down the spinal column, exiting the pelvis and carrying nerve fibers to the legs is called the sciatic nerve. When a herniated or ruptured disc presses and creates pressure on the sciatic nerve, this condition is referred to as Sciatica. The pressure put on the sciatic nerve causes a shock-like or burning low back pain combined with pain through the buttocks and down one leg to below the knee which occasionally reaches the foot. If the symptoms are extreme enough, where the nerve is pinched between a disc and the adjacent bone, numbness and come loss of motor control over the leg may occur. This condition may also be cause by a cyst, tumor, or degeneration of the sciatic nerve root.
Spinal degeneration: Caused when disc wear and tear leads to the narrowing of the spinal canal. Affected individuals may feel lower back pain after standing or walking for a long time and may also have stiffness in the back when awakening.
Spinal Stenosis: This condition is the narrowing of the spinal canal by a piece of bone or disc material. This narrowing results in pressure on the spinal cord and/or nerves which can cause weakness in your extremities. Spinal stenosis can occur in a variety of ways in the spine. Most cases of spinal stenosis occur in the lower back (lumbar spine) and will affect the sciatic nerve, which runs along the back of the leg.
Spondylitis: This chronic contition is caused by inflammation or a severe infection of the spinal joints. Some symptoms include lower back pain and stiffness.
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Laser Back Surgery, What conditions are associated with lower back pain.
Article by Franchis Adam
Millions of people are affected by high blood pressure (hypertension), a condition in which blood travels through the body’s arteries at a pressure too high for good health. High blood pressure in the arteries that supply the lungs is called pulmonary hypertension (PHT). The blood pressure measured by cuff on your arm isn’t directly related to the pressure in your lungs. The blood vessels that supply the lungs constrict and their walls thicken, so they can’t carry as much blood. As in a kinked garden hose, pressure builds up and backs up. Although the terms primary pulmonary hypertension (meaning of unknown cause) and secondary pulmonary hypertension (meaning due to another medical condition) still persist in materials disseminated to patients and the general public, these terms have largely been abandoned in the medical literature. This change has occurred because the older dichotomous classification did not reflect pathophysiology or outcome.
The heart works harder, trying to force the blood through. Nearly 50 million Americans have high blood pressure (also known as hypertension). It occurs when blood travels through the body’s arteries at a pressure too high for good health.
It is most commonly found in women between ages 20 and 40. However, men and women in all age ranges â€” as well as very young children â€” can develop PPH. There are two main kinds of pulmonary hypertension. One runs in families or appears for no known reason. The other kind is related to another condition, usually heart or lung disease. The most common cause of pulmonary hypertension is left heart failure leading to pulmonary venous hypertension (WHO Group II). This may be due to systolic or diastolic malfunction of the left ventricle or due to valvular dysfunction such as mitral regurgitation, mitral stenosis, aortic stenosis, or aortic regurgitation. It usually manifests as pulmonary edema or pleural effusions.Treatment is determined by whether the PH is arterial, venous, hypoxic, or miscellaneous.
What are the signs of pulmonary hypertension?Common signs of pulmonary hypertension are getting short of breath with activity, feeling tired, fainting and having chest pain. Symptoms usually limit a person’s ability to exercise and do other activities.
What is the treatment?
The first priority is to raise the oxygen level in the blood with oxygen therapy. Children who respond to pulmonary vasodilators, which are medications that relax the muscles in the blood vessel walls and cause the blood vessels to widen, are treated with calcium channel blockers. Calcium channel blockers help the heart to pump blood by relaxing the smooth muscle in the walls of the heart. Patients who donâ€™t respond to a vasodilator are treated with prostacyclin, which is another drug that dilates the blood vessels. The child may also be given additional medications to treat heart failure, if present. In secondary pulmonary hypertension, surgery may be necessary to correct any known cause. Patients who do not respond to any treatment may need a lung transplant.
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Read more on Asthma. Check out for asthma treatment and arthritis treatment.
Article by Mike Bordon
Amlodipine, branded as norvasc is a long term calcium channel blockers that is commonly in use as the anti-hypertensive and is of use for treating the angina pectoris. Norvasc is a dihydropyridine calcium antagonist or a slow channel blocker that inhibits of the transmembrane passage or influx of calcium ions into the vascular muscles and cardiac musculature. Norvasc acts by causing relaxation of the smooth muscles of the arterial walls, reducing the total peripheral resistance and thus minimising the blood pressure.
Angina is a condition due to the decreased blood flow to the cardiac muscles therefore; here norvasc acts by improving the blood flow to the heart muscles. Therefore norvasc is indicated commonly for hypertension and angina pectoris. It is used cautiously used in hepatic impairment and pregnancy. Norvasc is contraindicated in cardiogenic shock, aortic stenosis, unstable angina and even in case of breast feeding. Norvasc causes dilatation of blood vessels which result in decreased cardiac output in severe case of aortic stenosis. There are some common side effects for norvasc which ranges from peripheral oedema, dizziness, muscle pain, stomach pain, headache, dyspepsia, nausea, depression, insomnia, tachycardia, impotence, gynecomastia in man, rarely gingival overgrowth, jaundice, tremor, Stevens Johnson syndrome etc.
People with allergic manifestations to amlodipine or its active ingredients should avoid norvasc as it may lead to severe reactions in the body. It is prescribed as 2.5gm to 10mg daily as per the requirement. An over dosage may cause excessive vasodilatation of peripheral arteries that too with significant hypotension and even a reflex tachycardia sometimes. In patients with exceptional type of angina norvasc will reduce the after load, thus in turn the rate pressure product and the oxygen demand of the cardiac musculature.Norvasc is also useful in treating vasospastic angina. Its pharmacodynamics says that following the therapeutic doses of norvasc, vaso dialation is produces thus leading to a reduction in the supine and standing blood pressures.
Norvasc is a well known drug and at the same time it is widely considered as the best option for most of the strange diseases that you might come along. It is always advised to buy these drugs at the online pharmacies, as you can save a lot of time and money. You can click here to buy Norvasc online
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The author is a renowned SEO professional and author of many articles and e-books. Presently he is working as the editor of spotwriters. He is currently providing article writing service for many SEO firms.
Article by Deepti Man
The spine is the column of bones called vertebrae. This column is to protect your spinal cord. The importance of spine is well known. It provides support for your body as muscles are attached to it. Also, it provides the overall shape to your body. However, there are lots of people who face problems with their spine. Any type of pain that will be associated to your spine may be because of a serious disease of spine. So, you must never take this pain lightly as things can become worse if you will practice carelessness.
When it comes to spinal diseases, you can feel pain because of several reasons. For instance, if you are having a low back pain, then it may be because of lumbosacral muscle strain which can lead to disability in some cases. In this condition, a person will usually feel better with rest. However, low back pain may be because of other spinal conditions.
Lumbar disc herniation is another condition which may be contributing towards increasing your low back pain. If you will be having back pain because of lumbar disc herniation, you will feel more pain while sitting. Spinal stenosis is another reason behind the low back pain. When it comes to spinal stenosis, you can actually feel pain in different sections or regions of your spine. Actually, spinal stenosis is a situation where your nerves get pressed which means that you can feel pain in different parts of your body.
So, it can really be a confusing situation to deal with. As this pain is because of the pressure on nerves, so, you will feel a bit relieved while sitting as the space between the vertebrae becomes increased. It is bit different from herniated disk as there a disk will slip out of its place to press a nerve. Apart from these abovementioned problems, low back pain may be because of vertebral fracture, spondylolisthesis or because of simple inflammation.
Here, it is also essential to mention that pain in back or spine may be because of a tumor. Spinal cord tumors are caused by the high protein content. In most cases, this tumor can be removed, but, situation can get worse if you will not pay a sufficient attention to it. Speaking of spinal tumor, it is pertinent to mention that there are certain types of it. Bony tumors of the spinal column, Extra dural tumor, Intra dural extra medullary and Intra medullary tumors are the basic types of spinal tumors.
There are different methods that are used to deal with different tumors and spinal conditions. In most cases, people are treated with certain therapies. These therapies are used to remove pressure from certain nerves which get pressed because of different reasons. This can really help to relieve pain. However, the treatment will depend on the severity of the pain that you will be having. If its severity will be greater, then you may have to go for some surgical treatment to get out of the pain.
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Article by carl formby
There are many types of spine diseases and people suffering from any of them can be really laid down low. The most common of them is associated with lumbar pain which mainly affects the lower back and is caused by muscle strain or vascular problems or arthritis or a ruptured intervertebral disc. Spine surgery is usually the last resort after all other methods have become ineffective in alleviating the pain. Spine disease treatments can be non-surgical as well as surgical though that is in very severe cases.
Spinal stenosis is a type of spine disease and can take two forms; lumbar spinal stenosis and cervical stenosis. In the former, the lower back gives trouble since the nerve roots over there get compressed or choked and this radiates pain. Sciatic pain where numbness, tingling or pain shoots from the low back into the buttocks or legs especially with activity is also a result of this problem. In the majority of cases, the pain is bad and increases with walking and is reduced with sitting. This is known as claudication which maybe caused by poor circulation in legs. Treatment is only sought if the pain gets debilitating and hampers normal activities severely. Cervical stenosis is a form of spinal stenosis in the neck region and can become far more dangerous because it can compress the spinal cord itself and lead to weakness of the body and in extreme cases, to paralysis.
When the normal curve of the neck begins to straighten, the condition is called cervical kyphosis. This disease can progress to the level where the curve of the neck starts going in the opposite direction from its normal position. The causes of this disease may be ascribed to the wear and tear of degenerative discs wherein the vertebra begins to weaken. Traumatic injuries such as fractures or infections and diseases like osteoporosis as well as congenital conditions also cause this problem. Cervical lordosis is the inward curvature of the neck area in an abnormal way. While the cervical spine should have a typical lordotic curve, some people have an increased curvature whose existence may not be discovered for years. There are hardly any symptoms linked with this disease and only a small number of people may experience any pain.
A bulging disk is also related to spine diseases and occurs when a disc protrudes through the spine. A disc cushions the vertebrae of the spine and when it shifts out of its normal position it is called a bulging disc. The bulging disc normally affects the lower back but sometimes it may happen in the neck causing pain in the shoulders or arms.
Spine diseases can be treated if they are diagnosed in time.
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carl formby owns and operates http://www.cervicallordosispain.com Degenerative Lumbar Pain Surgery and Cervical Bulging Disk
Article by Pundari Kumar
What is the cause of herniated discs’ symptoms?Your nerves will become pinched as pressure from a herniated disc or ruptured disc as it pushes out and into nerves or the spinal cord. A fall or traumatic accident may be the cause of a herniated disc or it may be that it occurred over time with repetitive strain being placed on your spine. People who are experiencing the pain of a herniated disc often already suffer from a condition called spinal stenosis. Spinal stenosis refers to the narrowing of the area around the spinal cord and the spinal nerves. With people suffering from spinal stenosis the space that is allotted for the spinal nerves and spinal cord is further limited by a herniated disc.A herniated disc can have some of the following painful symptoms:The spinal cord or the nerves will not work properly when they become compressed. When the nerves are compressed abnormal signals or even no signals at all will be communicated. Electric shock type pain: Abnormal sensations often described as electric shock type pains can be the result of pressure on spinal nerves or the spinal cord itself. If the compression is in the cervical section of your spine the shocking sensation will be felt down your arms. When this pressure located in your lumbar back the shock will be felt down your legs.Numbness and tingling sensations: A tingling or numbness sensation, often referred to as “pins and needles” in a body extremity or a part of the body “falling asleep” is often an indication that there is a form of herniated disc or ruptured disc affecting the patient. Depending on the location of the disc problem it will occur in the legs or the arms.Muscle weakness: If there is nerve irritation, the signals being sent from the brain may be interrupted causing the muscle weakness symptom. Examining patient’s reflexes will often help to test for nerve irritation.Problems affecting normal bowel or bladder functions: A serious symptom of a herniated disc or ruptured disc is problems with the function of the bladder or bowel and this should be examined and treated immediately. These symptoms are a warning sign for cauda equine syndrome which is a medical emergency. If you are having problems urinating, having bowel movements or if you are experiencing a numbness sensation around your genitals you should seek professional help from your doctor immediately.The pressure from a herniated disc causes the irritation of the nerve or spinal cord. All these symptoms are from signals that are being sent to and from the brain being interrupted by the interference that the herniated disc is causing in the neurological pathway.
The symptoms of a herniated disc can either be gradual in the onset or sudden from a traumatic stress or strain applied to your back.Your health care physician will use a physical examination to test your sensation, reflexes and muscle strength when diagnosing a herniated disc or bulging disc. Along with this examination diagnosing a herniated disc will often require at least one of the following tests:* CT scan (Computed tomography)* MRI (magnetic resonance imaging) * x-rays * electromyography * discography* myelography
Are you interested in Laser Back Surgery? Do you need more information about herniated discs.
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Are you interested in Laser Back Surgery? Do you need more information about herniated discs.
Article by malo
Have you ever felt a chronic, burning pain that spreads from your lower hip running down to your foot? Is it just as painful sitting down or standing up? You might be suffering from sciatica.
Sciatica, as the name implies, affects the sciatic nerve. The sciatic nerve is the single longest nerve in the body. It originates from the lower lumber region of your spine, through the pelvis, through the hind portion of your leg down to your foot. It is mainly responsible for distributing blood to the back of our lower extremities.
The most common causes of sciatica are: a herniated disc, lumbar spinal stenosis, spondylolisthesis, trauma, piriformis syndrome, and spinal tumors. When one suffers from a herniated disc, there is an inflammation or bulging of the spinal disc causing it to protrude out of the annulus. The annulus is the space between the spine where the spinal discs are located. Disc herniation could exert pressure on the nearby nerve root causing a direct compression on sensitive nerve tissues such as the sciatic nerve. Lumbar spinal stenosis is almost the same as disc herniation in the sense that spinal nerves are pinched. In this case, though, the spinal canal shrinks, squeezing and applying too much pressure on the spinal nerve inside. The spinal nerve branches out of the spinal canal to the entire body through openings called as neural foramina. Once these passages are congested or narrowed, it causes nerve compression. If the blockage happens on these passageways, they’re considered foraminal stenosis. If it occurs on the opening where the sciatic nerve passes, it may cause sciatica.
Another cause can be spondylolisthesis, or more commonly known as slipped discs. It may also cause sciatica when a vertebral disc moves out of place and applies direct pressure to the spinal nerve adjacent to it, usually occuring on the lumbar or the lower portion of the spine. Blunt force trauma to the lower back region may cause severe damage to the spine and may cause sciatica as well. Accidents or external forces that may cause bone fractures like vehicular accidents, horse riding accidents, sports injuries may all lead to sciatica as bone fragments may occasionally be the cause of the nerve compression. The piriformis syndrome occurs when the piriformis muscle spasms and compresses the sciatic nerve. In this case, the sciatic nerve running beneath the piriformis muscle may sometimes get irritated by movement of the said muscle.
Lastly, spinal tumors are anomalous growths on the spine that can either be benign or malignant. Rare as sciatica cases being caused by spinal tumors may be, once a tumor develops in the lumbar region, it may cause nerve compression that may trigger sciatica.
There are a lot of treatments recommended for sciatica, some non-invasive and some involving surgery. In cases of bone fragments, spinal tumor, and severe cases of slipped or herniated disc causing the sciatica, of course surgery would be required as treatment. But for some minor instances, chiropractic treatment and acupuncture is enough to relieve the pain. Chiropractic therapy may range from ice/cold therapy, ultrasound, transcutaneous electrical nerve stimulation (TENS), to spine adjustment or manipulation. These entail for the lumber area to be exposed to cold or heat to reduce inflammation and muscle spasms.
Acupuncture is a form of alternative medicine that originated from China. Fine needles are inserted into your skin in strategic points in the body to release negative energy and restore health and well-being, and treat pain and illnesses. It has been proven effective by medical practitioners. It is highly recommended as a treatment for generic lumbar pain, even for mild sciatica, as it supposedly releases tension from the spastic muscles and relieves the pressure from the compressed nerve.
So if you have been experiencing sharp, burning pain on your lower extremities, it is best that you consult a medical practitioner at once. You might be experiencing sciatica. But like they say, prevention is better than cure. Let’s not abuse our bodies.
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Article by Sharon Bell
Did you know that about ninety percent of Americans experience back pain at one time or another? Well, it’s true; and half of this figure has been affected by back pain in more than one occasion. Back pain is so common among Americans that it is regarded as one of the top reasons for work absences and it is also fast becoming one of the top health concerns that compel people to consult with doctors.
However, having back pain is not a disease in itself. The pain that you feel in your back is only a symptom caused by a wide range of other ailments or disorders. When you consult with doctors, they will not look at your back pain as it is; rather, they will investigate further to find out if you are suffering from other diseases. Also, doctors will commonly classify your back pain only in terms of how long it has been present; acute back pain means having it for not more than a month, while chronic back pain means you have been enduring it for longer than a month.
It has been observed that some pains that begin in other organs of the body can end up being felt in your lower back. This is especially true if the organs being racked by pain are located in your abdomen. Conditions like aneurysms or appendicitis and those that involve your kidneys, ovaries, and bladder can all refer pains to your back. If you do not suffer from any other disorder and you experience back pain on a day to day basis, you may be experiencing one or more of the following common causes of back pain.
Herniated discs are the worst causes of back pains. This happens when your spinal discs start to deteriorate or become thinner. As portions of the discs become bulged or herniated, they are sure to touch or impinge against nerve roots; this is why you feel back pains when you have herniated discs.
When your spinal discs lose adequate amounts of fluids that lubricate them, you have a condition known as spinal stenosis. This condition can seriously constrict the movement of your spinal column because the spaces between the discs are diminished. In simple words, when you have spinal stenosis, your discs are gnashing with each other in the absence of sufficient moisture or lubrication.
Typical Spinal Deterioration
Or finally, you may have a typical spinal deterioration. As people grow old, the spinal discs start to degenerate and there are changes that occur; usually causing back pain. A person with severe spinal degeneration may feel pain or stiffness in the morning and during long walks; even standing up for extended periods can be quite an ordeal. If left unattended, ordinary spinal degeneration may lead to more complicated disc problems like the ones mentioned above.
But here’s the good news, a large percentage of all those who suffer from back pain, even the ones who suffer from spinal disc problems, have a good chance for adaptation or improvement within a couple of months even in the absence of specific back pain treatment. Of course, this finding excludes those who suffer from back pain due to old age or those with serious illnesses in other organs.
For most people who suffer from back pain, the main concern is to alleviate the pain in the shortest possible time. Fortunately, there are products that can drive away pain and, to some extent, bring back moisture and lubrication to your spinal discs. Apart from doctor-recommended medications, you can use products like Phosoplex to soothe your back pain. To know more about how to relieve your back pain, visit http://www.Phosoplex.com.
About the Author
Sharon Bell is an avid health and fitness enthusiast and published author. Many of her insightful articles can be found at the premiere online news magazine http://www.healthnfitnesszone.com.
Article by Raj Rishi
Sciatica can be a severe and debilitating pain. There are several causes of the pain.
1. Piriformis Syndrome
Piriformis muscle is a pyramid shaped flat muscle. It is partly located against the posterior wall within the pelvis region and partly at the back of the hip-joint. Some times the imbalance caused in the piriformis muscle pinches the sciatic nerve that runs through the buttock to the knee, lower leg and the foot.
The pinch causes referral pain in the areas through which the sciatic nerve passes. The patient feels a deep and shooting pain and is called sciatica.
The pain becomes worse when the person sits, climbs the stairs or attempts to squat.
2. Herniated disc
The vertebrae in the spinal cord are separated by discs, which are made up of soft bone substance. The disc, which is soft and flexible in young people, becomes hard with the advancing years. When the spinal cord is compressed due to tension or pressure upon it, the disc also comes under pressure and is pushed out of its protective ring. A disc so pushed out is called a herniated disc.
The disc may also get herniated due to accidents or muscle imbalance resulting from uneven pressure. The herniated disc presses the sciatic nerve located close to it, which in turn causes sciatica.
3. Spinal Stenosis
The spine protects the spinal cord from being hurt. But when the spine becomes narrow, the resultant condition is called spinal stenosis. The narrowing down takes place at one or more of the three parts of the spine: the centre of the spine, place where the nerves branch out of the spine and the space between the bones of the spine.
Spinal stenosis may also be caused by
* Herniation of the spinal discs. It may adversely affect the cervical, thoracic and lumber areas
* Tumors in the spine which pinch the root the sciatic nerve
* Arthritis or osteoarthritis.
When the sciatic nerve is hurt as a result of spinal stenosis, it causes sciatica in the buttocks and thighs.
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