Osteoarthritis Acromioclavicular Joint Symptoms

By | June 4, 2017

23 Ways To Get Rid Of Inflammation and Joint Pain Saturday Strategy

Hey friend! Drew Canole. I am so jest up tobe here. We're in Lake Murray, Southern California at its finest. It's absolutelygorgeous out today and what better way to spend our day than you and me talking aboutsomething that I'm passionate about and I know a lot of you need help with. What isité Inflammation. Inflammation attacks us when we least expect it. We go to bed, wewake up in pain, we twist our neck it doesn't make us capable of being the fullest expressionof who you and I are. So today we are attacking inflammation headon. I wanna show you the11 things to eliminate, eradicate and destroy from your life and I also wanna show you 23remedies that can help inflammation when it

sets in but first we have to understand thetwo primary pathways for your body to heal inflammation on its own. Get the primary andyou have the secondary pathway to eliminate it. So if we help the body with the primarypathway of detoxification, of giving it the right foods, of eliminating the bad thingsthen that secondary response doesn't kick on. You start to feel better. So let's talkabout the 11 things to eliminate and cut back on righté Some of these are gonna be prettyhard to eliminate right away and I get that but to cut back on to help with that primarypathway of getting rid of inflammation on the body. Number one, processed food. Youheard me talk about it. Sugar, dairy, wheat.

If you are in a polluted area make sure youget an air purifier to clean your house. Smoking, ugh! Not good for inflammation at all. Ifyou're smoking and you're taking pain killers at the same time, double bad okayéDon't be doing that stuff or at least try to eliminate it slowly okayé Alcohol, transfats,omega 6's, fatty acids, MSG and sleep. Sleep is the big ticker. If you're getting enoughsleep it will help eliminate that. Your kidneys works when you're, at night its purifyingyour blood so it's exactly what you want. So sleep, bar none is the most important thing.‘Right my friend, have a seat. Let's talk about this real quick. So 23 things we cando to get rid of inflammation. Number one

is Omega 3's righté Omega 3's deliverin the process of getting rid of toxic. Inflammation build up in your body. Number two is greens.You've seen all of our juicing tutorials. I'm a firm believer of drinking greens in themorning on an empty stomach, you know that's why we do warm water and lemon, stimulatethat digestive fire as they talked about neuro data and then having the green juice afterwardsso that you a absorb the phytochemicals, amino, enzymes and that's if you're travelingor whatever you're doing that's why a lot of people are actually taking the Organifiwith them so they get the green superfood first thing in the morning. Very powerfulstuff. And then gut health righté Inflammation

starts in the gut with the food that we eat.80% of our immune system is in the gut so that's why you wanna eat the foods likewe talked about on last week's Saturday Strategy that are loaded with probiotics.Prebiotics, things to stimulate that immune system and help you heal. Hydration is absolutelykey. Listen, 80% of the country is chronically dehydrated. Drink your water, six liters atleast. Drop a little Celtic sea salt in there for your minerals, absolutely amazing foryou. One of my favorite teas is actually turmeric and ginger tea. You've seen me make tutorialsabout this. Really good for you. Epsom salt bath at night. One of my favorite things todo is add a little Epsom salt, sit in there,

relax, meditate, breath, lower that cortisollevel and just let that magnesium absorb through your skin. One of the best ways that leadsme to the next one which is magnesium. Magnesium is quintessential. I've a calm supplementI take from home, couple of dose a day make you feel absolutely amazing. Nine is oliveoil righté They've done research on this. They tested olive oil against ibuprofen, justone and a half tablespoons of olive oil is equivalent to 200 milligrams of ibuprofen.Dandelion greens, as I mentioned two weeks ago in 23 ways to cleanse your body, Dandeliongreens help promote bile in your digestive track which helps eliminate toxins as wellplus they're loaded with vitamins A, C and

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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