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...
We're often asked questions about extended-release medications and how they are used. Following are the most frequently asked questions. Q: What is the difference between extended-release and regular medication? A: The active ingredients in regular medications are usually released within 15 to 30 minutes of when they are injested. Often they are prescribed to be taken three or four times a day. The active ingredients in extended-release medications are are released over a much longer period of time and are usually taken only once or twice a day. The mechanisms by which extended-release medications are released into the body vary according to the medication. If you want to know more details about the specific mechanism used in a particular medication, ask your pharmacist. The important thing to know is that the medication is gradually released into your body so that it remains at a more constant ...
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