Archive for February, 2008

06
Feb

Acupuncture

Posted by Jammy B. | No Comments

Acupuncture is a component of the health care system of China that can be traced back for at least 2,500 years. The general theory of acupuncture is based on the premise that there are patterns of energy flow (Qi) through the body that are essential for health. Disruptions of this flow are believed to be responsible for disease. Acupuncture may correct imbalances of flow at identifiable points close to the skin. The practice of acupuncture to treat identifiable pathophysiological conditions in American medicine was rare until the visit of President Nixon to China in 1972. Since that time, there has been an explosion of interest in the United States and Europe in the application of the technique of acupuncture to Western medicine.
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Acupuncture describes a family of procedures involving stimulation of anatomical locations on the skin by a variety of techniques. There are a variety of approaches to diagnosis and treatment in American acupuncture that incorporate medical traditions from China, Japan, Korea, and other countries. The most studied mechanism of stimulation of acupuncture points employs penetration of the skin by thin, solid, metallic needles, which are manipulated manually or by electrical stimulation. The majority of comments in this report are based on data that came from such studies. Stimulation of these areas by moxibustion, pressure, heat, and lasers is used in acupuncture practice, but due to the paucity of studies, these techniques are more difficult to evaluate.
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Acupuncture has been used by millions of American patients and performed by thousands of physicians, dentists, acupuncturists, and other practitioners for relief or prevention of pain and for a variety of health conditions. After reviewing the existing body of knowledge, the U.S. Food and Drug Administration recently removed acupuncture needles from the category of “experimental medical devices” and now regulates them just as it does other devices, such as surgical scalpels and hypodermic syringes, under good manufacturing practices and single-use standards of sterility.
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Over the years, the National Institutes of Health (NIH) has funded a variety of research projects on acupuncture, including studies on the mechanisms by which acupuncture may have its effects, as well as clinical trials and other studies. There is also a considerable body of international literature on the risks and benefits of acupuncture, and the World Health Organization lists a variety of medical conditions that may benefit from the use of acupuncture or moxibustion. Such applications include pre-vention and treatment of nausea and vomiting; treatment of pain and addictions to alcohol, tobacco, and other drugs; treatment of pulmonary problems such as asthma and bronchitis; and rehabilitation from neurological damage such as that caused by stroke.

05
Feb

Another reason why people get hammertoes

Posted by Jammy B. | No Comments

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Another reason why people get hammertoes is they have neuromuscular problems which usually manifest as pes cavus or a very high arched foot. But as this mechanical overload occurs and it’s tendon imbalance occurs, what are some of the secondary things that happen? Well, the fat pad migrates. You can imagine if your toes go from being straight to being curled up, you start to thin out the padding under those metatarsal heads. You are pulling it distal, you are pulling it beyond the metatarsal heads, so now you don’t have the normal cushion to take the weight bearing surfaces. Also, as your toes curl up, as the proximal phalanx in each toe extends, the first metatarsal head is effectively driven down through the bottom of the floor, again, now you’re pushing that metatarsal head out the bottom of the foot so to speak, and that hurts, and then you get the callous formation, that is the obvious manifestation of too much weight and too small an area. So what do we need to do to treat this? Well, we need to offload the metatarsal head and this slide over here showing you some very simple things that can be done for this, they are called metatarsal pads. These have a sticky back adhesive, you can put them directly into patient’s shoes, you can send them to a shoe shop, they can do that for you as well. But the idea here and I described this as you want to make the metatarsal heads float. You don’t want the metatarsal heads to hit the ground so hard. Again, too much pressure, inflammation of the joint, the toes are curling up and it’s hurting them. So you need to get the weight bearing forces back into the arch of the foot, so this padding is placed just proximal to the heads, you can see you have different gradations of thickness here, you can sort of control the effect of how much offloading you do with those metatarsal heads. You can also have this built in to an orthotic as well as being an isolated pad that you put in the shoe, and again, appropriate shoe wear, they are going to need high, wide toe box shoes with an orthotic or metatarsal pad in order to distribute the weight bearing forces better, and they need physical therapy. Sometimes with these people with hammertoes, there can also be contracture of the Achilles tendon, so we need to stretch that Achilles tendon out a bit so they don’t overload their forefoot, they start to put weight back in their hindfoot and their heel. Viagra Soft Tabs