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Most people associate Botox with treatment for wrinkles and droopy eyelids -- cosmetic therapy by dermatologists and plastic surgeons with good benefit for those who can afford it. In patients with a 6-month history of moderate to severe shoulder pain , the ability of Botox to provide meaningful relief when injected into the joint space suggests a novel form of pain therapy for osteoarthritis . Botox may prove beneficial at multiple sites, including knees, ankles and the small joints of the hands and wrists. Recent data from the November meeting of the American College of Rheumatology includes a report from the Minneapolis Veterans Administration Medical Center regarding use of botulinum toxin (Botox is the brand name) to manage shoulder pain caused by osteoarthritis. Dr. Singh studied a treatment group of 43 patients with moderate to severe shoulder osteoarthritis. Twenty-one patients received joint injection with Botox while 22 patients received a sham injection to the shoulder...
Q. I’ve just been diagnosed with lymphedema. What are the treatments like? A. Depending on the seriousness of your case, treatments can range from a simple hand massage, exercises, and instructions to keep your arm elevated for a portion of each day; to daily hours-long treatments for several weeks, followed by wearing a wrist to shoulder elastic sleeve, potentially for life. In other words: HUGE possible range of treatments. You won’t know what YOUR treatment will be like till you see the physical therapist or lymphedema therapist for the first time. However, you can hazard a guess, based on how much swelling you see and feel in your arm/chest area: the greater the swelling, the more advanced the lymphedema probably is, the longer-lasting the treatment will be. Q. So, let’s take a middle-of-the-road scenario, just as an example. What might that look like? A. At your first visit, the PT will measure both arms very carefully, taking their circumference ...
In short, rheumatoid arthritis is an inflammatory disease which attacks joints in the body. It can affect the alignment and positioning of those joints, even to the extent that they become stuck in a bent position or become dislocated. Bone erosion caused by RA may make the ends of bones rough and irregular. Patients may eventually notice that their fingers begin to shift toward the direction of their elbow.
In previous posts, we have discussed different types of surgery used in patients living with rheumatoid arthritis, including synovectomy, tendon repair, and carpal tunnel release . Today’s discussion centers around joint replacement and implants.
What is Joint Replacement?
One would think that this is a simple question, right? Take the joint out and put a fake or replacement one in. But in researching this subject, I found it rather difficult to find information which went much beyond this simple concept without become ...
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