In the previous post, we discussed different types of surgeries which are used in patients with rheumatoid arthritis . This week I’d like to talk more about surgeries involving soft-tissue, specifically synovectomy, tendon repair, and carpal tunnel release.
What is a Synovectomy?
The synonium is a membrane surrounded a joint, usually only one or two cell layers thick, which produces synovial fluid to help lubricate the joint. In rheumatoid arthritis, the synovium becomes inflamed and may grow excessively, producing too much synovial fluid containing an enzyme that can eat away at the cartilage on the joint surface. Disease-modifying anti-rheumatic drugs (DMARDs) are used to control the abnormal growth of synovium.
If DMARDs do not work, a patient’s rheumatologist may suggest steroid injections into a joint or a needle aspiration of excess synovial fluid. If these strategies do not work, then the patient may be referred to an orth...
As a breast cancer survivor, the past three and a half years have been an amazing learning experience for me. As powerful as my personal experience was, learning and becoming an educated advocate has also given me the opportunity to know when to speak up on an issue, and taught me the importance of weighing all aspects and facts before doing so.
Having said that, on Monday, November 16, 2009, the Lombardi Cancer Center at Georgetown University released an analysis led by Jeanne S. Mandelblatt, MD, MPH (of Georgetown Lombardi Comprehensive Cancer Center and a CISNET member), along with six independent team of researchers, which suggests that mammography screening should be done every other year and discouraged the efficacy of women performing breast self-exams and the usefulness of clinical breast exams.
I read the Mandelblatt study with shock, disbelief, outrage, then fear, and sadness for the women who might follow these guidelines.
I will address their rec...
Myofascial Release Therapy is a treatment option that many people are not aware of. It is a hands-on type of therapy that is particularly effective for fibromyalgia, myofascial pain syndrome, and can be quite helpful for many other types of chronic pain as well. What It Is To understand what Myofascial Release Therapy is, it's important to know what fascia is. Fascia is the connective tissue that surrounds, supports and stabilizes every muscle, bone, organ, nerve, blood vessel and cell in the body. It forms a continuous web from head to toe. Think of a piece of raw chicken. Between the skin and the meat you'll find a layer of thin white tissue – that is the fascia. The fascia is normally fluid and moves easily, but when there is an injury, the fascia constricts to protect the injured area. Usually when the injury heals, the fascia relaxes and goes back to its normal state. However, sometimes it can get bound up and crea...
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