Monthly Archives: May 2020

tmj physiotherapy

Physiotherapy in temporomandibular joint dysfunctions

Jaw pain? Ringing in the ears? Dizziness? Neck and shoulder pain? Blockage when opening or closing the mouth?…

Many of these symptoms are caused by dysfunction of the temporomandibular joint.

Temporomandibular joint concept

When we talk about the temporomandibular joint, we refer to a joint that is made up of two bones, the temporal and the lower jaw.

They constitute, therefore, two joints that, like a hinge (one on each side of the face), connect the jaw with the skull. It allows us to move our mouth up and down and to the sides, making possible such important functions for the human being as digestion and speech.

Therefore, starting from this premise, we can imagine how much repercussion the dysfunction of said temporomandibular joint can have for a patient.

What is a temporomandibular dysfunction?

When we talk about temporomandibular dysfunction (TMD), we are referring to a functional type of alteration that causes pain around the TMJ and surrounding muscles.

This dysfunction affects all the structures that are related to and give shape to this joint, as is the case of the bony parts, muscles (such as the masseter) and the entire vascular-nervous package (nerves, arteries).

TMD can affect the ability to speak, eat, chew, swallow, make facial expressions, and even breathe.

According to the most current scientific evidence, a very high percentage of the population suffers or has suffered from a dysfunction at this level. There is a prevalence in the population between twenty and forty years of age and a higher incidence in women than in men.

Causes of TMJ dysfunctions

There are many factors that cause and generate TMJ dysfunction, thus being considered a disease of multifactorial origin.

Among the most frequent, we find:

  • Biomechanical causes: dental malocclusion, lack or loss of a dental piece and some dental treatments.
  • Psychological causes: Increased stress, anxiety; which leads to somatization and increased muscle tension at this level.

If you are so stressed that you clench your jaw and grind your teeth, you may develop temporomandibular joint (TMJ) related pain.

  • Metabolic type alterations.
  • Infections and autoimmune diseases.
  • Various forms of arthritis.

Symptoms of TMJ dysfunction

TMJ dysfunctions, due to the complexity of the joint itself, will generate a large number of symptoms, very different from each other. This can cause confusion and make an accurate diagnosis difficult.

For this reason, it is important to go to a qualified professional (dentist in Delhiphysiotherapist in Delhi expert in TMJ) to establish a good clinical diagnosis and propose the best treatment for each case.

As the most important symptoms of said injury, we find:

  • Local pain in the joint area.
  • Stiffness of the jaw muscles.
  • Pain radiating to the neck and shoulder area.
  • Clicking, crackling, or grinding sound of the TMJ when you open or close your mouth.
  • Headache or headaches, of great intensity, with the possibility of irradiation to the eye area.
  • Limitation in the functionality of the TMJ, with difficulty chewing, opening and/or closing.
  • Alterations at the hearing level, with the possibility of tinnitus or ringing in the ear, pain, dizziness and vertigo and even decreased hearing capacity.
  • Dysphagia or difficulty swallowing (trouble swallowing, making it difficult to eat).
  • Paresthesias or tingling of the entire facial area.
  • Tooth sensitivity.
  • Psychological alteration, depression and/or anxiety type.

Treatment of TMJ dysfunctions

As we have been able to observe, temporomandibular dysfunction can present with very different causes and symptoms in different regions of the body.

For this reason and given the complexity of the joint, it is necessary for the patient to receive joint treatment by a multidisciplinary team of specialists: dentist in Delhiphysiotherapist in Dwarka, neurologists, among others. In order to receive a comprehensive and integrated program of care.

Within physiotherapy in Dwarka, treatment begins with:

  1. A good clinical diagnosis.

To do this, a clinical history of the patient will be made, with a correct anamnesis. We will also perform neurodynamic tests where we will ask if you have pain in the joint, difficulty opening or closing your mouth, if you have joint sounds or clicks, headache or dizziness…

  1. Later we will carry out a complete evaluation of the joint: joint mobility and functional examination.

With all these data we establish:

  1. Most suitable treatment.

This will consist of:

  • Massage therapy techniques for all the muscles involved.
  • Joint mobilizations.
  • Stretches.
  • manipulative techniques.
  • Dry needling of muscle trigger points.
  • applied electrotherapy.
  • Home exercise guidelines.

All of this will help relax the affected muscles and tendons with consequent pain relief and improvement in range of motion.

It has been proven that after adequate physiotherapy treatment, the muscles of mastication and the neck achieve a more normal muscle tone, reducing signs and symptoms.

Conclusions

The temporomandibular joint (TMJ) is one of the most complex and most used anatomical structures in our body. It is responsible for chewing, swallowing and phonation and must work in a balanced and symmetrical way to achieve proper function.

In TMJ injuries, even more so, a good clinical diagnosis is extremely necessary. This will allow us to discern and rule out other more serious injuries that may be causing the pain in this region. Thus, later, we can establish a good treatment to improve function.

Interdisciplinary work is of the utmost importance. Only a coordinated and qualified team of physiotherapist in Dwarka will manage to treat your pathology with assured success.

abdominoplasty

What is abdominoplasty and why is it performed?

Are you worried about the contour of your waist? Would you like to define your abdomen? Does your belly fat not go away no matter how much sport you do? In this case, keep reading, because today we will tell you what abdominoplasty is.

What is abdominoplasty?

Abdominoplasty is surgery on the abdominal wall. During this operation, excess skin and fat are removed from the middle and lower abdomen. Likewise, the muscles in the area are repositioned and strengthened.

Abdominoplasty is not the same as liposuction. But both treatments can be combined.

Who is the ideal candidate to undergo a tummy tuck?

The ideal candidates for a tummy tuck in Nagpur are people who have a good figure but are self- conscious about excess skin and fat in the abdomen.

For example, this surgery is very useful to eliminate the sequelae of pregnancy. And it can also correct the loss of skin elasticity in older people.

Why is abdominoplasty performed?

To undergo this operation, no health reasons are required. It is carried out to significantly reduce the bulging and flaccid appearance of the abdomen. This allows for a flat stomach and a slimmer waist.

Abdominoplasty in Nagpur is also used to relieve rashes or skin infections that occur under flaps of skin.

What does abdominoplasty consist of?

You already know what abdominoplasty is, but… How is it done? You see, a tummy tuck begins with an incision that starts over the pubic hair area and ends towards the hips. Through this cut, the excess skin of the belly is removed, and the abdominal muscles are strengthened by plastic surgeon in Nagpur.

Where is the surgery performed?

Abdominoplasty is always done in an operating room, either in a clinic or a hospital, following strict asepsis guidelines. In other words, it is not an intervention that should be carried out in consultation.

What type of anesthesia is used?

Abdominoplasty usually involves general anesthesia. In some cases of mini-abdominoplasty or abdominal liposuction in Nagpur, local anesthesia and sedation may be applied.

Preparation for abdominoplasty

Days before the intervention, you will have to stop consuming medications that hinder the formation of blood clots. Likewise, the best plastic surgeon in Nagpur will recommend others and a time of fasting.

Care after the intervention

Abdominoplasty leaves a scar, the length of which will depend on the incision made depending on the severity of each case.

In the days after surgery, you will feel some pain and discomfort, so your doctor will prescribe pain medication. In addition, you have to use a girdle for 2-3 weeks, as well as avoid sports or activities that can generate tension for about 4-6 weeks.

You will have to wait 2-4 weeks to return to work.

Types of Abdominoplasty

The specific treatment that will be carried out will be assessed by a plastic surgeon in Nagpur. Among the possible procedures for the abdominal wall, we find:

  • Mini-abdominoplasty without umbilical detachment: if you have a little excess skin and fat in the part below the navel. In this treatment, the navel is not modified.
  • Mini-abdominoplasty with umbilical detachment: as the previous procedure, but there is a moderate excess of skin over the umbilical region.
  • Abdominoplasty with vertical scar: if there is more skin than in the previous cases, the navel is separated from the skin, dried and the navel is removed again.
  • Fleur de Lys abdominoplasty: when there is too much skin left over.
  • Classic or standard abdominoplasty: the excess skin of the umbilical part is taken and joined with the groin and the pubis.
  • Abdominoplasty with lateral extensions: reduces excess skin on the sides of the belly.
  • Circumferential tummy tuck or contour tummy tuck: when someone loses a lot of weight in an exaggerated way and has excess skin everywhere.
  • Reverse or ascending abdominoplasty: the excess is located above the navel. It joins the breasts and increases their size.

What is the difference between abdominoplasty and liposuction?

In the world of cosmetic surgery, there are different treatments to change the appearance of the abdomen. Apart from abdominoplasty, there is liposuction:

  • Worked areas: liposuction is based on extracting fat from certain areas of the body. So, it is not only directed to the abdomen, like abdominoplasty, but it can be performed on the buttocks, hips, legs, etc.
  • Duration of the intervention: liposuction lasts between 1 and 4 hours. Abdominoplasty, between 2 and 4.
  • Abdominoplasty and liposuction scars: liposuction do not leave a scar, while abdominoplasty does leave a slight mark (although not very visible, thanks to its strategic location).

One option (in trend) is to combine both interventions. In this way, better and longer lasting results are achieved.

Liposuction is the second most popular cosmetic surgery after breast augmentation in Nagpur.

The results of the tummy tuck

Abdominoplasty provides spectacular results in patients with weak abdominal muscles and excess fat and skin. In almost all cases, the effects are permanent. Of course, the treatment must be accompanied by a balanced diet and regular exercise. They are the keys to how to maintain the figure after abdominoplasty.

If you are realistic with your expectations and are able to face a long postoperative period, abdominoplasty may be indicated for you.

Conclusion

Now you know what abdominoplasty is, what it consists of, who can perform it and what its types are. If you have any more questions about this treatment or you dare to undergo it, do not hesitate to contact best plastic surgeon in Nagpur.

weak erection

Weak erection during masturbation may indicate cardiovascular risk

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When weak erection problems occur in young men, the tendency is to think that their origin is one hundred percent psychological. So much so that we find many studies on the causes and treatment of erectile dysfunction in adult and older men, but very few in the young male population.

However, beyond the fact that erectile dysfunction increases with age, as well as the health problems that are its risk factors, we should not stop investigating the physical factors that cause it in young men. In fact, sexologists in Delhi are increasingly convinced that in all sexual problems and dysfunctions the causes are not only psychological or medical, and that all components of the human being are always involved.

In today’s article Dr P K Gupta, Best Sexologist in Delhi, will talk about a weak erection during masturbation and how it can indicate a cardiological risk, continue reading!

What happens in those young men who, without having sexual intercourse, present a weak erection due to masturbation?

Perhaps we think, at first, that it is a problem of anxiety, lack of desire or concentration. But an investigation carried out in Shanghai between 2009 and 2012, and published in the Journal of Sexual Medicine in 2014, concludes that it could be evidence of early cardiovascular risk that health professionals should take into account.

This work was carried out with men whose age ranged between 18 and 40 years. Some of them (78) had weak erection from masturbation and did not have sexual intercourse. The other group did have coital activity. Of these men, 179 were diagnosed with erectile dysfunction, and 43 did not have this problem. The evaluation of the three groups was exhaustive, including clinical and biochemical examinations, sexual history, International Index of Erectile Function and monitoring of nocturnal penile tumescence, among others.

Conclusions

The conclusion is that in these young men with difficulties in masturbation, certain cardiovascular risk factors are present, sometimes in a higher proportion than in the group with erectile dysfunction: vascular dysfunction, early glycometabolic disorder and nocturnal penile tumescence.

Thus, not only erectile dysfunction but also weak masturbatory erection should be considered as an early cardiovascular risk factor in young men, says sexologist in Delhi.

Both this study, as well as others cited in it, suggest the importance of cardiovascular evaluation in young men, and even more so if they present difficulties in their erectile function, either in coital or masturbatory activity.

The challenge for the future is to carry out similar studies in different countries and with a larger number of men, and to make both patients and doctors aware of the evaluation and prevention strategies to be carried out in daily clinical practice.

Going to a medical visit is the right way to live healthier, adopting good habits, healthy customs and appropriate medical recommendations by sexologist in Delhi.

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breast surgery

5 Types of Breast Surgery

The various types of breast surgery meet different aesthetic and health demands. Know the indications of each technique.

There are different types of breast surgery to meet the patients’ varied aesthetic demands, some of which are also indicated for health issues —such as reducing mammoplasty and breast reconstruction.

Knowing the different mammoplasty options allows the patient to select the one that best meets her needs, but it is indispensable a consultation with a reliable plastic surgeon in East Delhi for support and information.

What types of breast surgery?

The various types of breast surgery allow correcting dissatisfactions related to the size, shape, asymmetries or resulting from mastectomy, which is when the breasts are removed as part of breast cancer treatment. Better understand the following options.

Augmentation mammoplasty

Breast Augmentation in Delhi is perhaps the best-known type of breast surgery and consists of the placement of silicone prosthesis to increase breast volume, and can also be used to correct more significant asymmetries between the breasts.

This plastic surgery has an exclusively aesthetic indication, being recommended by plastic surgeon in Noida for patients dissatisfied with the small size of the breasts, which can affect self-esteem and personal satisfaction.

In some cases, augmentation mammoplasty may be associated with other procedures, such as liposuction and rhinoplasty. If there is this desire on the part of the patient, a thorough evaluation of the best plastic surgeon in Noida is essential to evaluate the safety of this option.

Reducing mammoplasty

Reducing mammoplasty or breast reduction surgery in Delhi is the surgical option to reduce the size of the breasts and includes partial removal of glands, fat and skin for an aesthetic more proportional to the physical structure of the patient.

Although it can be indicated for aesthetic purposes, when the patient feels uncomfortable with the size of the breasts too much, reducing mammoplasty can also be indicated for health issues, such as:

  • Back pain;
  • Shoulder pain;
  • Shoulder and back injuries caused by the bra;
  • Wings on the breast groove.

These conditions can occur when the breasts are very large and imply an additional weight to the spine, causing damage to the patient’s health. This type of breast surgery can also include repositioning and aesthetic alteration of the areola.

Mastopexy

Mastopexy or breast lift surgery in Delhi consists of breast surgery indicated to correct excess sagging sinus, which results in an unwanted and aesthetically uncomfortable trim to the patient.

Breast sagging can be caused by different factors such as multiple pregnancies or breastfeeding, great weight loss, accordion effect or even due to the natural aging process.

In this surgery, excess skin is replaced, and the breast is repositioned by plastic surgeon in Vaishali for a more satisfactory aesthetic result. In addition, the procedure may be associated with the placement of the silicone prosthesis.

Gynecomastia

Gynecomastia surgery in East Delhi is the breast surgery indicated for men who have abnormal growth of the mammary glands, usually due to a hormonal dysfunction or imbalance.

In gynecomastia, breast reduction is performed, as in reducing mammoplasty in women. The best plastic surgeon in Vaishali removes excess glands and tissues and can also perform the reconstruction of the areola.

Although many men present breast growth during adolescence, it is recommended to wait until the stabilization of body development to perform the intervention, since the condition can regress alone in adulthood.

Breast reconstruction

Breast reconstruction is a type of breast surgery indicated for women who have undergone mastectomy as part of cancer treatment.

In these cases, the planning of breast surgery depends on the extent of tissues removed in the mastectomy, and may cover one or both breasts and may even be necessary to completely remove the breasts, including the areola.

Thus, in addition to the silicone prosthesis to return the volume of the breasts, the reconstruction of the areola can be done using techniques such as micro pigmentation or the use of autogenous tissue.

Knowing the types of breast surgery contributes to having more awareness in the decision about plastic surgery.

urologists

7 reasons to look for a urologist urgently!

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Although we are experiencing a difficult and delicate situation, some diseases and clinical conditions cannot wait for the end of the pandemic. Acute testicular pain and renal colic are examples of often critical situations that require urgent evaluation by the best urologist in Noida.

What does the urologist treat?

First of all, it is important to clarify which organs the urologist in Noida works in.

Although known as a prostate doctor, this specialist takes care of the urinary tract of men and women and the reproductive system of men. Therefore, the urologist treats diseases that affect the kidneys, ureters, bladder, prostate, urethra, penis and testicles.

Among the main diseases of these organs, we have cancers (usual acinar adenocarcinoma of the prostate, testicular cancer (“lump in the testicle”), carcinoma of the kidneys, bladder and others). In addition to these, these organs can be affected by inflammatory and infectious diseases (cystitis, urinary infections, acute prostatitis, sexually transmitted diseases STDs) and benign alterations, such as renal and testicular cysts, hydrocele, pain in the testicles (testicular torsion) among others.

What are the reasons to see a urologist urgently?

When we talk about emergency situations, it is important to know that it is about the need to look for a doctor or health unit for an evaluation in the next few hours or up to 2 days.

So, what are the 7 reasons to see a urologist?

Despite the dramatic situation we are experiencing, during the new coronavirus (Covid-19) pandemic, there are some signs and problems that cannot wait, and it may be too late with irreversible loss of the affected organ or important worsening of the condition.

The main reasons to seek an emergency urologist in Ghaziabad are:

  • acute urinary retention
  • Renal colic (ureterolithiasis)
  • Urinary tract infections (cystitis and pyelonephritis)
  • pain in testicles
  • paraphimosis
  • penis fracture
  • Bleeding in the urine (hematuria)

Acute Urinary Retention

Acute urinary retention means difficulty or inability to urinate. Urine is produced but for some reason is unable to be eliminated through the urethra. Urine is formed in the kidneys and stored in the bladder, which is an organ that has a large muscle and is responsible for urination. Acute urinary retention can occur in both sexes, but it affects more men. The reason is the presence of the prostate, an organ that only they have. The normal size of the prostate at age 70 is usually larger than the normal size of the prostate in young adults. In cases of urinary retention, the diagnosis is clinical. Ultrasonography can sometimes aid the diagnosis. In these cases, the MRI of the prostate will not bring more data.

That is, with age, the prostate tends to grow and can become a barrier to the passage of urine from the bladder. In this situation, the patient has pain in the abdomen and an increase in the volume of the belly in the lower part (bladder). If you are faced with this situation, urgent evaluation is necessary for prompt diagnosis and treatment.

Renal colic

The presence of kidney stones can lead to a well-known clinical condition, renal colic. This problem is a symptom manifestation when a kidney stone goes down the ureter canal and gets stuck in the middle, causing a blockage of the urine produced in the kidney, the hydronephrosis. Renal cramps can have many reasons, the most common being the presence of a stone in the ureter (ureterolithiasis). The pain is intense, can lead to vomiting and if it does not improve with medication, urgent assessment should be considered. In some patients, surgery for kidney stone treatment in Noida will be necessary.

Urinary infection

Urine infection is a common problem especially in young women. Lower urinary tract infection, known as cystitis, is clinically easy to identify and simple to treat in most cases. When the patient performs tests, it is possible to identify the bacteria that is causing the problem. Attention should be redoubled when this infection does not resolve or when other symptoms appear, such as fever, low back pain (back pain) and malaise. This picture may be compatible with a kidney infection, acute pyelonephritis. It is a serious problem and requires urgent evaluation for immediate treatment, sometimes requiring hospitalization.

Pain in the testicles (testicular torsion)

The testes are 2 important male organs. They are responsible for man’s virility and fertility, and their main functions are the production of the male hormone (testosterone) and the production of sperm. Testicular pain is common, but acute testicular pain is rare and can be associated with a serious problem: acute testicular torsion. Testicular torsion is more common in childhood and young adults.

We still do not know exactly what the reasons for the predisposition of this problem are. In these affected men, the blood vessels that carry blood to the testicle turn around on their own axis, causing a pause in the organ’s irrigation, which leads to a heart attack or cell death and loss of testicle function. Therefore, severe and acute testicular pain should be taken seriously and need to be evaluated immediately by the best urologist in Ghaziabad.

Paraphimosis

Phimosis is a common problem that many people know about or have heard of. It is a narrowing of the skin of the penis that makes it difficult or impossible to expose the head of the penis (glans). It is a clinical condition that is often born and can be treated with postectomy, the surgery for phimosis. Paraphimosis is not the same as phimosis and should not be confused. This problem occurs in an acute way, due to an inflammation in the skin of the foreskin, generating a thick ring causing a strangulation of the head of the penis. It presents with intense pain and swelling, especially when not resolved promptly. After the initial evaluation and treatment, the removal of the foreskin (postectomy) should be performed at an opportune time.

Penis fracture

This is an unusual and fortunately rare problem. Although the penis does not have bone in its composition, when it is erect, its musculature is so rigid that when subjected to an intense impact it can tear, which is known as a penis fracture. The main time this can happen is during vigorous intercourse, especially in certain positions during the act. A click is heard and the patient has intense pain, evolving with a soft penis followed by an enormous swelling with a bruise, similar to an eggplant. Prompt evaluation and correction, in most cases surgical, should be done as soon as possible. This prevents the patient from developing erectile dysfunction and other organ changes.

Bleeding in the urine (hematuria)

Any bleeding that comes out of our body is often frightening and a cause for concern. The presence of blood in the urine (hematuria) can represent a number of clinical conditions. In most patients, the main reason is linked to urinary infection or kidney stones. However, bleeding in urine of moderate amount and bright color requires more attention. First, if there are clots, they can block the output of urine causing acute urinary retention. Second, the diagnosis could be bladder cancer or kidney cancer. Then, at the slightest sign of blood in the urine or hematuria, an urgent evaluation by urologist in Greater Noida is necessary.

If you already understand how to behave in the face of the reasons to see an emergency urologist, but still want to know more, be sure to seek more information, contact a urologist in Delhi or go to the emergency room. At this point, despite the guidance to avoid the hospital, there are situations in which following this rule can bring irreversible harm.

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impact of erectile dysfunction

How to establish the psychological impact of erectile dysfunction on your quality of life?

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In this article, sexologist in Delhi is going to present a study published in the Journal of Urology of the American Urology Association, which describes a scale to measure the impact of erectile dysfunction on the quality of life of patients. It is a very interesting and superior instrument, since until now the tools we had were not specific but rather general measures of psychological and sexual functioning.

Get ready to know how to establish the psychological impact of erectile dysfunction on your quality of life!

What is the first thing I should do if I think I have erectile dysfunction?

Ordering blood tests, performing studies such as penile doppler or monitoring of nocturnal penile tumescence and taking objective tests of sexual functioning such as the International Index of Erectile Function are part of the treatment process carried out by a sex specialist doctor in Delhi, particularly in the evaluation and diagnosis stage. But it is also key to analyze how the sexual problem impacts the patient’s life and that of his partner.

Particularly when it comes to chronic erectile dysfunction, with treatments that did not have a positive result or even if it is associated with other couple problems, the man’s mood and the stability of his relationship are put at risk. That is why in the first consultation with the best sexologist in Delhi it is important to use validated tests to measure not only the level of negative impact of sexual dysfunction, but also the specific areas in which each individual patient is affected.

Erectile dysfunction affects far beyond the confines of the marital bedroom.

The man feels bad about himself, with his self-esteem, and in relationships with other people, including the workplace and other aspects of his daily life.

A work called: ” Study of the quality of life in men with erectile dysfunction” describes the development of an instrument called Psychological Impact of Erectile Dysfunction. What is interesting is that, unlike two other tests that were created previously, it not only includes a global measure of impact but also measures several more specific aspects. This gives the possibility of working in more detail on specific factors. Basically, this scale measures two large areas. On the one hand, the impact of erectile dysfunction on the sexual experience. On the other hand, its consequences in emotional life. It consists of 16 items, which are solved in a few minutes.

As an example, these are some statements whose answer will provide us with very significant information about erectile dysfunction:

  • “I avoid sexual opportunities.”
  • “I am afraid of touching my partner and provoking a sexual approach.”
  • “I don’t believe my partner when he tells me that he is satisfied with my sexual performance.”
  • “At times I have been so devastated by the performance of my penis that I wanted to die.”
  • “I am easily frustrated by little things.”
  • “My erectile dysfunction makes me feel like less of a man.”

With this sample, you can think of your own answers and have a first approach to the impact of this problem on your emotional and sexual life.

In this way, the sexologist doctor in Delhi can have greater clarity about the need to refer to psychotherapy, and the psychologist can have initial information related to points to work on with the patient and the couple. Thinking that erectile dysfunction is reduced to the study and treatment of the penis is not practicing sexual medicine.

Remember that making a consultation with an expert sexologist in Delhi is always better than not doing it.

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tummy-tuck

Abdominoplasty: know the risks in the postoperative period

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Tummy tuck and its possible consequences

Learn about the risks and consequences of abdominoplasty and also how to prevent them by adopting good practices before and after surgery.

Abdominoplasty in Delhi is one of the most sought after plastic surgeries, consisting of the recommended procedure for relieving flaccidity in the abdomen.

Surgery is indicated mainly for patients after significant weight loss, after multiple pregnancies or for people with a tendency to accumulate skin in this region.

Despite the unsatisfactory results related to like any plastic surgery, it involves risks that still need to be clarified in the preoperative period.

What are the possible consequences of abdominoplasty?

abdominoplasty, like other invasive surgical procedures, has some associated risks that need to be explained to the patient and considered before deciding on treatment.

Find out below what these possible consequences of the are, but also how they can be mitigated.

Bruises

Hematomas are possible consequences of any surgical intervention, as they include ecchymosis and redness of the site, as they result from the manipulation and trauma of adjacent tissues during the surgical procedure.

These occurrences are not serious and do not require any specific care, easing in the weeks following the surgery if the postoperative period is done correctly.

Seroma

Seroma is the most common complication of tummy tuck in Delhi, consisting of fluid accumulation in the scar, which occurs in 15% of cases.

Thus, it is recommended by plastic surgeon in Vaishali in the postoperative period of abdominal surgery to carry out lymphatic drainage sessions to stimulate the elimination of the linda, and the use of the post-surgical belt to alleviate the trauma in the operated site.

Infections

Infections are the second most common complication, with an incidence between 1 and 3.8% of cases, and may affect the surgical wound or consist of infected seroma.

The use of postoperative medications is essential to reduce the chances of this complication.

Thrombosis

Thrombosis is one of the most serious complications of any plastic surgery, consisting of the formation of a blood clot that forms in the vein.

In the postoperative period of abdominoplasty, thrombosis can affect patients who are resting for too long, and it is recommended by plastic surgeon in Noida to perform light walks within each one from the first days of recovery.

Necrosis

Skin necrosis after surgery can range from mild cases that require conservative interventions, such as the use of ointments and moisturizers, to more severe cases that may require a new surgical intervention.

Signs of necrosis in the surgical incision include redness, swelling, and a change in the initial color of the scar.

How to reduce the risk of complications from tummy tuck?

Therefore, like other plastic surgeries, abdominoplasty in East Delhi also carries an increased risk of some complications. These occurrences, however, can be minimized with care such as:

  • choosing a reliable, qualified plastic surgeon in East Delhi;
  • carrying out preoperative exams and adequate survey of the medical history;
  • stop bad habits, especially tobacco, which increases the risk of postoperative infection to 12.7% of cases compared to 5% among non-smokers;
  • adopt a lifestyle compatible with the aesthetic goals of the treatment, especially a healthy and balanced diet and the regular practice of physical activities;
  • present the list of medications to the plastic surgeon in Delhi before treatment, making the necessary adjustments and interruptions for the period;
  • follow the list of postoperative recommendations informed by the medical team;
  • seek immediate medical help if there is any significant change in recovery, such as fever, pain, unpleasant odor and others.

Knowing beforehand the possible consequences of abdominoplasty and the main care with the treatment, it is possible to achieve more satisfactory results.

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sexual satisfaction

Healthy lifestyles and sexual satisfaction

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In this article sexologist in Delhi will explain how healthy lifestyle habits help to have greater sexual satisfaction. Let us begin!

Our sexual satisfaction is related, among other things, to our lifestyle habits. And for a better quality of erectile and vascular function, it is essential that we take into account some aspects that in general we do not pay much attention to.

An article published in the International Journal of Impotence Research entitled “Lifestyle and metabolic approaches to maximizing erectile and vascular health” summarizes the fundamental care to be taken into account.

Within those routines that favor or harm sexuality, we can consider some very important ones such as: diet, physical activity, sleep, free time management, social life, tobacco, alcohol and drug consumption.

How is the relationship between healthy diets and sexual satisfaction?

A healthy and balanced diet is the first condition for a healthy body and mind, and in this sense, sometimes we will require the advice of nutritionists or even doctors who are experts in obesity, to adapt the diet to the particular circumstances. The best sexologist in Delhi advises to reduce the consumption of fats and sugar in food.

In the case of diseases such as diabetes, as well as when cholesterol or triglyceride levels are above normal levels, we need a specific diet and treatment. All these factors, frequently reflected in the increase in abdominal fat, increase the risk of erectile dysfunction.

As a dietary supplement, and always thinking about the stimulation of nitric oxide -key in erectile function-, the regular consumption of antioxidants -such as vitamins C and E and green tea itself-, omega 3 and folic acid is recommended. The sexologist doctor in Delhi is the one who will indicate the recommended doses for each person.

How does physical activity favor sexuality?

Physical activity appropriate to age, gender and body characteristics is a factor that is becoming increasingly important for our sexual satisfaction. Exercise produces a general well-being and a whole series of specific advantages that as a whole favor sexual performance.

In fact, physical activity increases the production of nitric oxide and improves blood circulation at a general level and also in the cavernous bodies of the penis. And on the contrary, a sedentary lifestyle is a predisposing factor for different acute and chronic diseases, which is detrimental to sexual satisfaction, says the best sex doctor in Delhi.

Is it important to have a good rest to achieve greater sexual satisfaction?

The answer is clearly yes, because sleep is another of the really important habits, and perhaps one of the least we put on the scale. We need to rest for a certain number of hours, something that is also specific to each organism, and that is also a real rest, not just closing our eyes.

Many medical and psychological illnesses stem from sleep disorders, including sexual dysfunctions. If the sleep is not really restful, let’s not stop making the respective consultations to solve this problem, since “sleep clinics” that provide specialized treatment are becoming more and more frequent.

Remember that any treatment you do must always be accompanied by a change in your habits, abandoning those that do not collaborate in your process to add those that do take care of your health. Keep in mind that changing your lifestyle facilitates the speed of the results and helps the improvement obtained to be maintained over time, says sexologist in Delhi.

Don’t stop taking care of yourself!

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Achilles tendon rupture

Achilles tendon rupture – treatment, surgery

What is Achilles tendon rupture?

An Achilles tendon rupture or rupture occurs when the tendon “ruptures or tears” leading to separation or discontinuity in the tissues that make up the tendon.

In terms of anatomy, the Achilles tendon, a sort of fibrous “ribbon” or “cord” that connects muscle to bone, is the largest and strongest tendon in the body that connects the calcaneus (heel bone) to the medial gastrocnemius muscles., lateral gastrocnemius and soleus muscles (popularly known as calf muscles or “leg belly” muscles). When the muscle contracts, it “pulls” the tendon, which in turn moves the foot.

The rupture often reflects the previous existence of tendinosis phenomena caused by sports microtraumas or degeneration (aging) of the tendon. In most cases, the tear occurs at the bottom of the tendon (just above the heel), but it can occur anywhere along the tendon. In the presence of a healthy tendon, the lesion can appear in the bone or muscle.

Total ruptures, partial ruptures

We can generically classify Achilles tendon ruptures into:

  • Total rupture – in the total rupture of the Achilles tendon, the tissues break completely, that is, the tendon is completely “separated”.
  • Partial rupture – in a partial rupture of the Achilles tendon, the tendon does not completely rupture, only an incomplete rupture occurs. Partial tears can vary greatly in severity according to the extent of the injury.

A total rupture is more frequent than a partial rupture. As a rule, a total rupture is a more serious injury when compared to a partial rupture and with more exacerbated symptoms. A partial tear can also present with pain that can range from moderate to severe and, if not recognized, it can quickly progress to a total tear.

See more information on treatments to better understand the different therapeutic approaches according to the extent of the lesion.

Achilles tendon rupture – causes

The Achilles tendon can lose elasticity and become “weak and thin” with age and lack of use. Then, it becomes prone to injury or breakage.

Rupture is more common in people with pre-existing Achilles tendonitis (tendon inflammation). Repetitive tendinitis and the consequent calcifications are a risk factor for tendon rupture.

Certain diseases (such as arthritis and diabetes) and medications (such as corticosteroids, for example) can also increase the risk of rupture.

Rupture occurs most often in the middle-aged male athlete. The injury usually occurs during recreational sports that require impacts with the ground, running, jumping, etc. Most of the time, these are football, athletics, tennis, basketball, among others. Injury can happen in these situations as a result of traumatic dorsiflexion when the muscle is strongly contracted causing it to tear.

Breaks can, however, also occur in everyday activities. For example, when falling from a significant height, when entering a pothole abruptly, traffic accidents, etc.

Achilles tendon rupture – symptoms

The signs and symptoms of Achilles tendon rupture are:

  • Sudden, severe pain may be felt in the “back” of the ankle or the “tummy of the leg”, often described as “being hit by a rock or shot” or “like someone stepping on the back of the ankle”;
  • A loud clicking sound can be heard;
  • A discontinuity (“gap”) or depression (void) can be felt and seen in the tendon above the calcaneus (heel bone);
  • Inability to stand on tiptoe on the affected side;
  • Initial pain, swelling (swelling) and stiffness may be followed by bruising and weakness (not being able to land on the foot, walking).

Achilles tendon rupture – diagnosis

The diagnosis is made by the orthopaedic doctor in Delhi after collecting the clinical history, performing the physical examination and some complementary means of diagnosis (MCDT).Bottom of Form

A simple test is to “stretch” the “calf or calf muscles” while lying on your stomach (Thompson test). In the impossibility of being able to elevate the foot, there is, most likely, a rupture in the tendon. This test isolates the connection between the “calf muscles” and the tendon and eliminates other tendons that may still allow poor movement.

The orthopaedic doctor in Dwarka may order the following tests to confirm the diagnosis and to know in greater detail the location and degree of severity of the lesion:

  • Plain radiography (XR) – not being a very useful exam, it can identify a bone fragment avulsion of the calcaneus;
  • Ultrasound or ultrasound – Ultrasound of the leg and thigh can help assess the possibility of deep vein thrombosis and can also be used to rule out a Baker’s cyst (or cyst). Ultrasound can identify Achilles tendon rupture or signs of inflammation (tendinitis or tendinosis);
  • Magnetic Resonance Imaging (MRI) – MRI is extremely sensitive for diagnosis and allows you to determine if there is still a tendon in continuity. It allows other diagnoses such as tendinitis, tendinosis and bursitis.

Pain in the “back of the heel” is not always due to an Achilles tendon rupture. In the differential diagnosis, tendinitis (inflammation of the Achilles) and bursitis (inflammation of the bursae) should be considered, among the most frequent pathologies that cause pain in the Achilles region.

Achilles tendon rupture – treatment

The objective of the treatment is to restore the function of the tendon, for this, it is necessary that the tissues that make up the tendon heal “united” with each other. In this way, it will be possible for the patient to return to the same level of activity before the injury. Regaining Achilles tendon function after an injury is critical to making walking possible.

Treatment reflects a balance between tendon protection and initial movement. Protection is necessary to allow time for healing and to prevent further injury. Moving the foot and ankle is necessary to prevent stiffness and loss of muscle strength.

We can divide treatment options into surgical and non-surgical. Conservative (non-surgical) treatment consists of a set of therapeutic attitudes aimed at healing the tendon and restoring its function without resorting to any type of surgical intervention.

The choice between surgical and non-surgical treatment can be controversial in some cases. Both surgical and non-surgical treatment will require an initial period of approximately six weeks of immobilization. For most patients, both treatment options have good functional results.

NON-SURGICAL TREATMENT

Nonsurgical treatment is often used for non-athletes or for people with a low general level of physical activity who will not benefit from surgery. In the elderly and people with clinical complications, conservative (non-surgical) treatment should also be considered as a first option.

Initially, a cast below the knee is performed with the foot in equinus (foot in marked plantar flexion, “down”). Although it is not routine, it is possible to perform an MRI to verify that the tops of the tendon are in contact. The cast is changed, at intervals of two to four weeks, to slowly stretch the tendon back to its normal length. This treatment usually takes 8 to 12 weeks. During this period, global strengthening and flexibility exercises are taught.

SURGERY (SURGICAL TREATMENT)

Surgery on Achilles tendon rupture is often indicated in healthy and active people who want to resume activities such as walking, running, cycling, etc. Even those who are less active may be candidates for surgical repair of the tendon. The decision to operate should be discussed with your orthopaedic surgeon in Delhi.

Surgery should not be performed if there is an active infection or damaged skin at or around the Achilles tendon rupture site. In addition, some diseases or lifestyle habits, such as diabetes, smoking habits, sedentary lifestyle, steroid use and inability to follow instructions after the operation, may be a contraindication for surgery.

Surgical intervention for an Achilles tendon rupture is usually performed on an outpatient basis. This means that the patient is operated on and goes home the same day.

We can identify two distinct surgical approaches:

The first is to perform the intervention percutaneously, allowing to perform a minimally invasive surgery, through small incisions. A kind of needles with attached sutures are passed, allowing the Achilles tendon to be sutured.

The second approach is the open approach (traditional method, where the surgeon makes an open incision to access the tendon). This starts with an incision made in the back of the leg, just above the calcaneus (heel bone). After the best orthopaedic in Dwarka finds the two ends of the torn tendon, these ends are sutured. The incision is subsequently closed.

The surgical technique will be previously determined by the orthopaedic in West Delhi, depending on the type and location of the rupture, among other factors. In the postoperative period, regardless of the surgical technique chosen, the patient is immobilized with an equinus foot.

Despite being a safe surgery, some complications can arise, such as risks associated with anesthesia, infection, damage to nerves and blood vessels and bleeding or blood clots, among others. A new rupture can also occur (recurrence).

Recovery after surgery

After the surgery, the patient is placed with a splint or a “plaster boot” from the foot to the knee. Usually, the patient cannot walk or put weight on the involved leg. Crutches, a walker or a wheelchair are used to allow the patient to remain mobile for the first few times. Patients are encouraged to keep the operated leg elevated above the level of the heart to decrease swelling (swelling) and pain.

Patients are usually seen in the office two weeks after surgery. The splint or cast is removed, and the surgical incision is evaluated. Stitches are usually removed at this point if necessary. After two to six weeks, depending on postoperative protocol and orthopedic in Dwarka preference, patients may be allowed to begin performing some force. For this, a “hiking boot” can be used. Ankle movement is often allowed and encouraged.

After six weeks, full-body strength is generally allowed. Physiotherapy in Dwarka will need to be started and is intended to restore ankle range of motion. Strengthening of the “calf muscles” and Achilles is gradually allowed as the tendon heals. It is usually possible to resume full activity after six months. Recovery time after surgery can extend up to a year, until the patient can achieve full rehabilitation.

Even in cases where surgery is performed, the above-mentioned therapeutic attitudes are included in the rehabilitation plan.

spine injury physiotherapy

Physiotherapy treatment for patients with spinal cord injury

Spinal cord injury is a public health problem, which produces disability and dependency, physiotherapy plays a very important role in the treatment of patients with this type of condition.

What is spinal cord injury?

Spinal cord injury is defined as any pathological process of diverse etiology (accidents, illness, among others) that directly affects the spinal cord and that causes, therefore, an alteration of sensory, motor or autonomic functions below the level of the spinal cord injury.

In general, the patient with this type of injury is classified with tetra and according to the name of the limbs that are affected, thus indicating the level of injury, also distinguishing between the concepts of paresis and plegia, depending on whether or not there is preserved motor capacity, therefore, the deficit experienced by the patient will be conditioned by the extent of his injury, extension and involvement of the substance.

What is the treatment through physiotherapy for this type of alteration? 

The consequences of accidents that produce a spinal cord injury and its complications turn the user with this condition into a subject who undergoes multidisciplinary rehabilitation and constant control and treatment supervised by professionals.

In our physiotherapy clinic in Dwarka we have professionals who treat patients with this type of illness, allowing them to develop their activities satisfactorily and that they obtain the best recovery.

Physiotherapy in relation to pain control and trophic disorders will be based on improving muscle tone, avoiding muscle atrophy as much as possible and reducing or controlling the pain that may arise from the injury. Pains that are originated due to myofascial trigger points.

They are treated through myofascial release techniques, as well as assisted passive kinesitherapy in the extremities in order to relax the limbs and maintain function. In addition, physiotherapist in Delhi can apply to denervated muscles or those that are healthy.

Electrotherapy makes it possible to avoid muscle atrophy and increase the strength of the muscles that are preserved, in addition to this it is also applied to patients with spasticity, stretching and electrotherapy with ultrasound, massage, among other techniques… Dry needling is also used, technique applied by physiotherapist in Dwarka.

Regarding the control of respiratory infections, inspiratory muscle training shows numerous benefits, infections must be prevented through physiotherapy using mobilization and daily activation of the respiratory muscles, in addition to this, a plan is also applied in the different sessions. Sloped in order to facilitate the movement of mucus from the apical bases, in the same way respiratory exercises combined with assisted or passive active movements of the upper limbs are also performed in patients with decreased respiratory muscle strength.

Respiratory muscle training with technical strength and resistance exercises and airway clearance such as autogenous drainage, manual and electrical techniques, as well as manual chest compression, volume-enhancing techniques, and practical exercises are the most commonly used for this. Diaphragmatic and chest breathing exercises and the use of inspiratory and expiratory volume incentives are used.

Regarding the treatment for the control of the alterations of the renal, digestive and urinary system, the treatment should allow the patient to stand up even walking with the purpose of achieving a movement of the intestinal tract through the free suspension system, other techniques used For patients with paraplegia, abdominal massages, Valsalva maneuver, flexion of the upper trunk, among other exercises focused on improving the patient’s quality of life, are used to increase pressure at the abdominal level.

At the level of the renal and urinary system, the best physiotherapist in Delhi must work the pelvic floor muscles, so that it has the ability to recover its strength, stimulation is encouraged either with manual, electrical or electropure stimulation, in this way the patient with exercises of the pelvic floor can perform these movements autonomously.

People who suffer from this type of spinal cord injury can have greater functionality through physical therapy rehabilitation. In our clinic we have best physiotherapist in Dwarka who will address this and other types of pathologies, in addition to that, we work based on integrative physiotherapy in Dwarka, which is a methodology which is based on working the body as a whole, from a holistic view, where a large part of the injuries or pathologies that affect the musculoskeletal system are originated through an emotional factor or an incorrect diet that ends up affecting an organ in one way or another, causing not a disease but a dysfunction of the same, which has repercussions on a muscular, nervous or bony structure that affects the patient.