FROM OUR EXPERTS
In July 2008, I experienced some foot pain, but felt that I could work through it by exercising. Therefore, a round of Australian tennis doubles with two friends sounded wonderful in order to enjoy the warm weather and to burn a few calories!
By the third game of the match, it was time for me to play the singles court. The first rally went just fine, although I don’t remember who won the point. After a good serve to start the second point of the game, we started to rally. One of my friends hit an off-speed shot to my backhand. While standing around the baseline, I remember shifting my weight from the balls of my feet to my heels and then -- realizing that the shot was going to fall shorter than I expected -- shifting back onto the balls of my feet to start sprinting toward the ball. But a stabbing pain in my right heel caused me to stop dead in my tracks. “I’m through,” I said, hobbling gingerly to the courtside bench.
How little did I know how true that stat...
Necrotizing Fasciitis is an inflammation of the connective tissue, which may be caused by streptococcal or other types of infection, an injury, or an autoimmune reaction. Necrotizing fasciitis is a severe infection that leads to necrosis of the subcutaneous tissue and adjacent fascia. The usual cause is a mixture of aerobic and anaerobic organisms, although group A streptococcus alone may be responsible. The organisms reach the subcutaneous tissue by extension from a contiguous infection or trauma to the area, includings surgery. There is widespread damage to the surrounding tissue, and occlusion of small subcutaneous vessels leads to dermal gangrene . Extensive surgical incision and debridement is the mainstay of treatment, with concomitant antibiotic therapy. There are various other necrotizing conditions that are clinically very difficult to distinguish from one another and from necrotizing fasciitis. This disease is caused by one or more aggressively multiplying bacterial species, mos...
Symptoms Bone pain or tenderness Carpal tunnel syndrome Numbness or tingling in one or both hands Pain in one or both hands Weakness in one or both hands Muscle weakness Tenderness and swelling of the arms and legs (occasionally including joints) Thickened skin with puckered appearance Signs and tests Tests that may be done include: Gamma globulins (a type of immune system cell) Erythrocyte sedimentation rate ( ESR ) MRI Muscle biopsy Skin biopsy
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