Osteoarthritis Hand Surgery

By | February 27, 2018

Hip Pain Relief Piriformis SI joint Yoga Tune Up

lastly you need to use your Yoga Tune Up Balls to target powerful muscle call the piriformis. the the piriformis is a major muscle in yourbuttocks. that helps to rotate your thigh bone outwards. The muscle starts right about at your SI joint that's called the sacroiliac joint.

You can find it by looking for the dimples in your sacrum There's a little dimple here on the inner edgeof each buttock. so you take your balls and place it right thereon that dimple and then slowly start to shimmy you hips along the muscle from side to side.

the muscle the piriformis overlies the sciatic nerve and often when people have sciatic nerve painit's because the piriformis is so tight now because you're shimmying and your buttocksdo have some amount of size to them from time to time you're gonna have to resetthe balls because your buttocks are going to be pushing the balls out of the way and one more thing to do to get deeper intothat piriformis is to drop one knee the at a time as you shimmy

and he will definitely need to reset yourballs but oh my goodness this is so incredible What a massage, right into that piriformis.

What is Osteoarthritis A short Introduction

Living with pain, stiffness, or inflammation can be a sign of osteoarthritis. Osteoarthritis is the most common form of arthritis affecting onethird of U.S. adults over the age of 65. In this tutorial we explainwhat causes osteoarthritis what it does to your body and some of the best treatments

that are available today. Osteoarthritis is mostly caused by wear and tear of ageing joints, but excessive weight, extreme physical activity, or repetitive manual tasks can make it worse faster. Osteoarthritis is also linked

to genetic predispositions,inflammation, diet and damage to the bone underneath the cartilage which supplies the cartilage with nutrition. A joint is where two bones meet. The ends of these bones are cushioned by a smooth, slippery layer of articular cartilage like the rubbery cartilage

on the tip of a chicken leg. Movable joints are surrounded by a synovial membrane that contains a liquid called synovial fluid. Osteoarthritis occurs when the joint cartilage erodes, and the bones begin

to grate against one another. Bone spurs are protrusions that can grow from the bone as a result of this constant friction. Osteoarthritis can affect any joint of the body, but it is most prevalent in Knees, hips, big toes, spine and hands.

Osteoarthritis has no cure, but there are a variety of options to treat the disease. If the disease is caught early and there isjust some wear and tear, some of the joint can be preserved through lifestyle changes. Oral supplements like glucosamine sulphate

Osteoarthritis of the Shoulder Total Shoulder Arthroplasty Vail Valley and Greater Denver

in this tutorial we'll illustrate our technique for total shoulder arthroplasty utilizing an anatomicshoulder prosthesis this technique and system allow the surgeon to replicateeach patient's anatomy by adjusting the inclination angle version and head offset hi, today we're going to talk about shoulder osteoarthritis and demonstratea total shoulder replacement my name is peter miller and we'rehere at the Vail Valley Medical Center our patient is a seventyfour year old a left hand dominantgentleman with long standing shoulder pain

he's failed nonoperative treatment includinginjections in physical therapyand his pain has become progressively debilitating to the point where he has difficulty sleeping atnight he also has restricted passive motion active motion in his shoulder his xrays as you can see here as ana_p_ view of the left shoulder demonstrating some of the classic findingsof osteoarthritis he has goad sphere deformity with an inferior osteophyte hereon the humeral head flattening of the humeral head

he also has subchondral sclerosis and he has some early cysts formation in thejuxtaarticular space in that particular humerous it's always important to get 3Dimaging as well and we get either an MRI or CT scan to look at the shape ofthe glenoid and to evaluate the degree of going to glenoid retroversion that's presenthere's his MRI demonstrating mild retroversion but not severe he does not have a biconcave glenoid. If they have a biconcave glenoid

they usually have to do morework and it's more difficult exposure but this is fairly straight forward somesome retroversion here you see his biceps tendon with a lot of fluid around itthere's a lose body in the back here you see again joint space narrowing and flatteningof the humeral head with some osteophytes anteriorly and posteriorly and his subscapularis looks to beintact so with this case we're going todemonstrate a an anatomical total shoulder replacement go through thesteps to help you do a better total

replacement thank you the patient is positioned in beach chairposition with the assistance of the hydraulic arm holder we utilize a standard deltopectoral approach the incision begins just distal to theclavicle passes over the lateral third of thecoracoid process and continues over the proximal arm full thickness flaps are created with sharpdissection

next, the cephalic vein is carefully dissectedand retracted medialy so as to minimize traction on the vein withretraction the clavipectoral fascia is identified and incised just lateral to the biceps tendon at this point the anterior circumflex humeralvessels are identified and cauterized at the medial boarder of thebiceps tendon to improve exposure the superiorcatchment of the pectorals tendon is released

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