Podcasts about Contracture

Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Jason Ingraham, an adult living with eosinophilic fasciitis (EF), and Dr. Catherine Sims, a rheumatologist at Duke University and a Health Services Research Fellow at the Durham Veterans' Affairs Hospital. They discuss Jason's experiences living with EF and Dr. Sims's experience treating EF. They share Jason's journey to diagnosis and the importance of working with a group of specialists. They share tips on medication and physical therapy, how to communicate with your medical team, and manage your activity and mindset. Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:50] Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron, and co-host, Holly Knotowicz.   [1:14] Holly introduces today's topic, eosinophilic fasciitis, with guests, Jason Ingraham and Dr. Catherine Sims.   [1:25] Jason is an adult living with eosinophilic fasciitis (EF). Dr. Sims is a rheumatologist at Duke University and a Health Services Research Fellow at the Durham Veterans' Affairs Hospital.   [1:52] Dr. Sims explains what EF is. Patients may present with symptoms of large plaques on their skin, edema of arms and legs, Raynaud's Phenomenon, contractures of arms or legs, limited mobility, or loss of the ability to do tasks they used to do.   [2:42] EF, as with most eosinophilic disorders, doesn't follow the textbook. Some people will present with one symptom and some with multiple symptoms. There is a disconnect between how we diagnose conditions like EF and how patients present.   [3:01] There are major and minor criteria for the diagnosis. As in Jason's case, it takes time for the symptoms to present. Things develop over time. It took multiple specialists to diagnose Jason.   [3:38] Eosinophilic conditions are incredibly different from each other. When Dr. Sims sees a patient with high eosinophils, she thinks of three major buckets: infection, autoimmune diseases, and cancer.   [4:12] Patients will often see many different specialists. In Jason's case, they had done a skin biopsy that wasn't as helpful as they hoped. That led him to get a deep muscle biopsy to collect the lining of the muscle.   [4:47] Fasciitis is the inflammation of the muscle lining or fascia. A sample of the fascia can demonstrate under the microscope if there is a thickening, swelling, or inflammation of the lining of the muscle.   [5:24] Dr. Sims as a rheumatologist treats a number of rare diseases. Eosinophilic fasciitis is an ultra-rare disease.    [5:43] Jason had a local primary care doctor and a rheumatologist who both did a really good job and referred him to Dr. Sims. She had the benefit of their hard work to guide her next steps. Because EF is so rare, she has pitched Jason's case twice in rheumatology grand rounds sessions.   [6:18] During one of these sessions, Dr. Sims was advised to get the fascial biopsy that ultimately led to the diagnosis. She benefited from the intelligence and input of dozens of doctors.   [6:59] In the Fall of 2022, while hiking on vacation with his wife, Jason was extremely fatigued, and his forearms and lower legs swelled. His socks left deep impressions. It was difficult to reach his feet to put socks on. He spent a lot of time uncharacteristically resting.   [8:09] Jason's primary care doctor ran lots of blood tests. He thought it might be a tick bite. Jason started seeing specialists, having tests and hospital visits.   [8:57] Jason worked with a rheumatologist in Wilmington, an infectious disease doctor, and a hematologist/oncologist who reached out to a Duke expert. He also saw a pulmonologist and a dermatologist. He got the referral to Dr. Sims for March of 2023.   [9:57] The first diagnosis Jason received was after his first hospital stay in January of 2023, when he had bone marrow biopsies, CT scans, ultrasound, and other tests. He was deemed to have idiopathic hypereosinophilic syndrome (IHES).   [10:30] It was only a few weeks before his local rheumatologist said his panels were back and one tipped it from an IHES diagnosis to eosinophilic granulomatosis with polyangiitis (EGPA). He joined the Vasculitis Foundation and researched EGPA.   [11:03] Dr. Sims told Jason that EGPA was a working diagnosis but he didn't check all the boxes. There was the underlying thought that maybe it was something else. He had a second flare when he came off of prednisone in June of 2023.   [11:48] Dr. Sims scheduled Jason for a muscle biopsy while he was off steroids. That's how he got the diagnosis of eosinophilic fasciitis (EF). Jason says the disorder is hard for him to pronounce and he can barely spell the words.   [12:52] Jason's wife Michelle encouraged Jason to track his symptoms and medications and keep track of data. Going from specialist to specialist, the first thing he did was give the history.   [13:31] Jason found it helpful to create a spreadsheet of data with blood test results, meds, how he was feeling each day, his weight, and even notes about when he had difficulty putting his socks on. Jason is an advocate of owning your continuity of care as you see different doctors.   [14:42] Jason says the doctors at Duke talk very well between themselves.   [14:49] Jason likes to look back at that spreadsheet and see how far he's come, looking at the dosage he was on during and after flares and the dosage he's on now, or zero, on some of the medications. That's a little bit of a victory.   [15:16] Holly works at a private hospital without Epic or CareEverywhere so she gives physical notes to her patients to give to their doctors. She comments that a great PCP, like the one Jason had, can make all the difference in the world.   [16:18] Jason's PCP, Dr. Cosgrove, referred Jason to Duke for a second opinion. That was where he met Dr. Sims. He's glad to have both Dr. Sims and his PCP accessible.   [17:35] Jason says the number of questions you have with this type of thing is immense. When you look up EF, you find very little and the literature isn't easily digestible by patients. Being able to reach out to your doctors for a quick question is super helpful. [17:56] Jason has been able to do telehealth follow-ups and not always have to travel or take off work, which has been extremely helpful. He has been at Duke a good handful of times for various things but remote follow-ups are helpful.   [18:52] Dr. Sims says people just don't know about EF as it is an ultra-rare diagnosis. Even physicians don't understand what causes it. It's lumped in with all other eosinophilic conditions but these disorders don't all present the same way.   [19:19] EoE doesn't look like EF, even though they're both driven by the same immune cells. Dr. Sims says the first need is educating providers and patients on what the diagnosis is; awareness in general when a patient is having this swelling of extremities.   [19:44] Dr. Sims says at his baseline, Jason is very active with multi-mile hikes. When Dr. Sims met him, he was off from the baseline of what he was able to do. Being aware of your baseline and changes from that is very informative for doctors.   [20:07] Dr. Sims talks about the patient being a liaison between multiple specialists. Bringing data to your subspecialist always helps facilitate care and come up with a bigger picture of what's happening.   [20:23] Jason first went to Dr. Sims with the diagnosis of EGPA. She said, let's treat the EGPA and see what happens but they kept an open mind. With ultra-rare diseases, sometimes it's difficult for patients not to have a label for their condition.   [20:45] Dr. Sims explains to her patients that sometimes we live in the discomfort of not having a label. She keeps an open mind and doesn't limit herself to just one diagnosis. She seeks feedback from providers who have seen this before and know what works.   [21:07] Just as Jason described, you will go through multiple diagnoses. Is this cancer? Is it a parasitic infection? Where did you travel? You will see many subspecialists. It's extremely anxiety-provoking.   [21:31] When Dr. Sims did her grand rounds, she gave a third of the presentation, and the other two thirds were presented by an infectious disease doctor and a hematologist. In these cases, you need more than one subspecialist to complete the workup.   [22:10] Dr. Sims says there are a lot of misconceptions that the patient will get the diagnosis right away and the right therapy and get better. There are multiple therapies, not just medications. There are lifestyle and work modifications; it's a gradual process.   [22:22] One of Dr. Sims's goals for Jason and Michelle is to get back to doing the things that they enjoy, tennis and hiking. That's a measurement of the quality of life that a patient has.   [22:34] Talking to your doctors about how you're feeling and how you're functioning is huge. It may be that this is your new normal, but it may also be that we can make adjustments to maximize your quality of life.   [23:00] There are misconceptions about the journey of diagnosis and treatment. Have a close relationship with your subspecialist. PCPs have a high burden of expectations. As a rheumatologist who treats rare diseases, it's helpful to take on a part of that burden.   [22:31] If you don't have good communication with your providers and they aren't listening to you, you can always go get another opinion. The provider relationship is life-long.   [23:43] It's important for your provider to take what's important to you into consideration when they make treatment decisions.   [25:00] As a rheumatologist, steroids are a first-line therapy for Dr. Sims. Their role is the quick control of inflammation. The goal is always to get you off of the steroids as soon as possible, in the safest way possible.   [25:17] When Jason came to Dr. Sims, he was on mepolizumab for the working diagnosis of EGPA. Mepolizumab is one of the primary therapies for EGPA. They talked about not making treatment changes as they were navigating what was happening.   [25:40] They didn't want to make a change of medication and then have that be mistaken for disease activity. They didn't want too many variables moving at once.   [25:47] Typically, the first-line therapy is steroids, meant to help with the swelling, pain, and tightness that patients will get lining their muscles and give them a bit more functionality and decreased pain.   [26:00] Long-term, Dr. Sims gives immunosuppressant medication. She prescribed methotrexate for Jason. In EF, the immune system is overly activated, attacking the lining of the muscles and causing the symptoms.   [26:51] If you suppress the immune system activity, that leads to decreased inflammation and symptoms in the patient. Steroid use, over a few months, is detrimental, with low bone density, weight gain, high blood pressure, and diabetes.   [27:14] Dr. Sims starts with prednisone and folds in medications like mycophenolate or methotrexate.   [27:19] Mepolizumab is an interleukin 5 blocker. Interleukin 5 is part of the immune system and is necessary for eosinophils to grow, function, and multiply. The goal of using mepolizumab is to lower the eosinophils that are contributing to the disease symptoms.   [27:48] Methotrexate, prednisone, and mepolizumab can work synergistically or independently. Most rheumatologists start with methotrexate or mycophenolate which have fewer side effects and have been around longer. We know how to manage those.   [28:08] If there is no response, we may add something like mepolizumab. As Jason was already on mepolizumab, Dr. Sims added methotrexate.   [28:20] IVIG, an infusion of immunoglobulin, has also been used as a quick way to control inflammation. It is used in other autoimmune diseases like myositis, which is inflammation of the muscle itself.   [29:08] With untreated eosinophilic fasciitis, the lining of the muscle may continue to be inflamed and can lead to fibrosis, damage that cannot be reversed. The patient can become very disabled. Contracture is one result of this.   [30:16] Jason says when he tried a new medication, he monitored if it was a good fit and if the side effects were less impactful than the underlying disease. Dr. Sims adjusted his dosages or tried to get off certain medicines as needed.   [30:59] After his muscle biopsy from his left calf, it took about a month to get back to walking easily. He was already in physical therapy, going many times for a variety of things. He had back pain, potentially related to his EF. His physical therapist was great.   [31:56] The stretches alternated between upper and lower body. Jason bought tools to do the stretches at home. When he's not feeling as well, he goes back to some of those same stretches. When he was on steroids, he took long walks to strengthen his bones.   [32:39] Jason started making phone calls to supportive family and friends on his walks and started listening to podcasts related to his condition or medications. Getting back to tennis and hiking is important to Jason. He's happy to be out there.   [33:20] Jason was open with his employer about his condition. Some of the weekly meds can make him not feel well. His employer gives him some flexibility. He has good days that far outnumber the bad days. He doesn't have to think about EF too much now.   [34:33] It's nothing like when he was in a flare, especially when he was in a flare before being diagnosed. What gets him through a bad day is giving himself some grace and understanding while he waits for his meds to catch up. He rests more than he wants to.   [35:33] Low-impact exercises like walking help Jason. He's trying to find a support network that gets EF. That led him to APFED, to find anyone experiencing something like what he was. He saw a conference that included a session on EF.   [36:09] Jason signed up for the conference and there he met Ryan's mother who has EF. They were each the first person the other had met with EF. They decided to connect after the conference. They talked on the phone for about an hour.   [36:39] She told Jason how she got into APFED and talked a lot about her son who had eosinophilic diseases. Soon after, Jason talked to Ryan as a primer for this podcast.    [38:15] Having a community to relate to, even if it's one person, is massive. It can make you feel less isolated.   [38:42] Holly says it's hard having a chronic illness. She thanks both Jason and Dr. Sims for sharing so much information and their journey and she asks for last words.   [38:58] Dr. Sims believes finding a community is critical. She interviews a lot of patients for research and isolation is a frequent theme. Even the doctor doesn't know what it's like to live with the condition you live with daily. As Jason said, give yourself grace.   [39:33] Dr. Sims tells her patients that they're different from the general population because they have to spend so much time and energy managing their condition that they can't do x, y, or z today, and that is OK. She says to stay motivated and positive.   [40:12] Find what works for you. Walking is good for your physical and mental health. Have the goal of getting back to what makes you happy. Take initiative and find non-medication ways to recuperate. You have control over ways you can feel better.   [40:43] Connect with others and share your story, like Jason did today. It may make someone's journey a little easier and make them feel less alone. Utilize your condition for good, for a bigger purpose.   [41:04] Jason had wished he could meet someone who could tell him what EF would be like over the years. He says to stay positive and find out what you have control over. Jason believes the future is bright for being able to do many things for a long time.   [42:26] For our listeners who would like to learn more about eosinophilic fasciitis, please visit APFED.org and check out the links in the shownotes.   [42:33] If you're looking to find a specialist who treats eosinophilic disorders, like Dr. Sims, you can use APFED's Specialist Finder at APFED.org/specialist.   [42:43] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at APFED.org/connections/.   [42:55] Ryan thanks Jason and Dr. Sims for joining us for this excellent conversation. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron for supporting this episode.   Mentioned in This Episode: Dr. Catherine Sims, rheumatologist Duke University Hospital Durham VA Medical Center   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, and Regeneron.   Tweetables:   “EF patients may present with large plaques on their skin, edema of arms and legs, Raynaud's Phenomenon, contractures of arms or legs, limited mobility, or loss of the ability to do tasks they used to do.” — Dr. Catherine Sims   “Steroids are … first-line therapy. Their role is the quick control of inflammation. The goal is always to get you off steroids as soon as possible, in the safest way possible.” — Dr. Catherine Sims   “Methotrexate, prednisone, and mepolizumab can work synergistically or independently. Most rheumatologists start with methotrexate or mycophenolate which have fewer side effects and have been around longer.” — Dr. Catherine Sims   “Stay positive and find out what you have control over. The future is bright for being able to do many things for a long time.” — Jason Ingraham

In this episode, we journey through a series of inspiring stories and expert discussions about the power of healing through innovative medical techniques and patient care strategies. Witness a heartwarming reunion that turns into a deep dive into Frequency Specific Microcurrent (FSM), exploring its profound impact on patients with severe pain and chronic conditions. Learn from compelling case studies and expert insights on pain management, mental health, and the role of language in treatment. Discover the transformative potential of epigenetics and mind-body therapies, and how patients can take control of their healing processes. Join us for engaging conversations, practical advice, and real-life examples of how collaboration, adaptability, and continuous learning can lead to breakthroughs in medical practice and patient outcomes. 00:00 Reunited and It Feels So Good 02:16 The Power of Flexibility and Adaptation 03:36 Creative Solutions and Improvisations 04:02 The Legacy of Netter's Medical Illustrations 04:51 A Heartfelt Reunion 05:16 Overseas Adventures and Insights 05:29 The Joy of Continuous Learning 06:19 FSM: Simple Fixes for Complex Problems 06:40 A Case Study: Chronic Pain and Innovative Treatments 21:54 The Importance of Words in Healing 24:38 Dupuytren's Contracture: A Deep Dive 28:50 Connecting the Dots in FSM 29:43 Learning from Patterns and Advice 30:22 The Importance of Collaboration 31:02 Rapid Results and Client Safety 31:23 Challenges in Treating Dupuytren's Contracture 36:36 Understanding Tendinopathy 45:27 Empowering Patients with Knowledge 53:25 Upcoming Symposium and Final Thoughts   Epic Advice: What You Need Shows Up It's crucial to trust that what we need will eventually manifest, albeit in unexpected forms. Herein lies an epic piece of advice shared—embracing this mindset alleviates anxiety for those with type-A personalities, encouraging a survival kit of adaptability in ever-changing environments.   Healing Beyond Boundaries: The Magic of FSM In the core of this discussion lies the heart of Frequency Specific Microcurrent (FSM) therapy. Kim passionately talks about its magic—the swift relief it brings to complex physical ailments that seem eternal and its ability to change lives one patient at a time. Through real case stories, she illustrates how a simple shift in approach can unearth significant changes. FSM offers a reprieve and hope for those suffering chronic pain, teaching practitioners to respect its rapid outcomes and adapt strategies for lifelong benefits.   Diving Into Case Studies: An FSM Journey The symptoms and stories of various patients, including a gripping account of managing Dupuytren's contracture, highlight the power of FSM. Practitioners who faced curse-like chronic ailments saw light through this revolutionary therapy. Highlighting detailed case reports, Kim explains breakthroughs achieved with FSM, signifying its pivotal role in modern medical practices.   These case studies reflect the intertwining of knowledge, skill, and innovation that FSM supports, uncovering connections unseen in conventional treatments. They reiterate the FSM mantra: "think in three dimensions" to implement successful healing journeys.   Words Hold Power: Changing Narratives for Better Healing Kim emphasizes the importance of changing nomenclature in practice, accentuating how the words we use can impact patient mindsets and outcomes. Renaming 'concussion' to a more neutral term like 'Brain Balance' to alleviate anxiety is one such example. Words can invoke different emotions; the right language prepares the body and mind for healing.   Harnessing Internal Power: Mantras and Epigenetics Mantras like "I am safe," "This feels strong," and "Movement feels good" were highlighted as transformative tools fostering emotional safety during treatments. Delving into the realm of epigenetics, the speakers shared insights into how the environment affects genetic expression, showing promising ways to empower patients with autoimmune diseases to change their narratives.   Honoring the Journey At the essence of FSM lies a powerful message—each patient deserves happiness and healing. Healing isn't just freeing one from pain; it's about elevating the entire life experience and understanding that we are all integral parts of a bigger picture with our stories interlinking in the vast tapestry of life. FSM continues to unlock doors to miraculous recovery, not by magic but through steadfast learning, compassionate patience, and creative problem-solving. Each session is a tribute to selfless purveyance among practitioners and the shared mission of changing lives, one patient at a time.

Get ready to dive into the topic of capsular contracture with the compassionate expertise of Dr. Rednam, alongside her brilliant patient coordinators, Cheryl and Candice. Today, we'll unravel the realities of this condition, which might affect a small percentage of individuals with breast implants. From understanding the encapsulation process to unraveling the symptoms and the importance of addressing them promptly, we're covering it all — including prevention tips, surgical interventions, and the role of insurance. Whether this term is new to you or hits close to home, this episode promises to enlighten, inform, and guide you through the intricacies of maintaining your confidence and comfort post-augmentation. Stay tuned as we navigate the delicate balance of beauty and the body's responses right here on "The Confidence Doc."Request your consultation here:Contact Rukmini Rednam, MD in Houston TX and The Woodlands (drrukminirednam.com)

In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Dupuytren Contracture ⁠from the Orthopedics section. Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Breege discovered from Revenue that, to her surprise, Taxrebate.ie were now her tax agent. Callers discuss the death of Aleksei Navalny. Listeners discuss their experiences with Dupuytren's Contracture.

In this groundbreaking episode of 'Plastic Surgery 90210', we are thrilled to welcome Dr. David Hidalgo, a renowned plastic surgeon from New York, known for his exceptional work in breast reconstruction. Hosted by Dr. J. Timothy Katzen, this episode delves deep into Dr. Hidalgo's pioneering approach to treating capsular contracture using Acellular Dermal Matrix (ADM). Dr. Hidalgo shares his expertise and insights from two landmark cases, discussing the challenges and breakthroughs in using ADM to improve patient outcomes. This is a must-listen for anyone interested in the latest advancements in plastic surgery and for professionals seeking to enhance their knowledge in this specialized field. Join us for an enlightening conversation with Dr. Hidalgo, as we explore the cutting edge of reconstructive surgery.

During this episode I discuss Dupuytren's Disease/Contracture.  I outline causes of the contracture, demographics and what increases the likelihood of gene expression.  I also discuss prevention strategies, as well as things that increase recurrence rates follow medical procedures.  We also take a look at the most common treatment interventions for Dupuytren's Contracture: open partial fasciotomy, CCH injections & needle aponeurotomies.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/concast/message

Join host Tony Winyard in this captivating episode of "The Art of Living Proactively" as he sits down with fitness expert Steven Borden to discuss the revolutionary concept of Blood Flow Restriction (BFR) training. Discover how BFR training can help you train smarter, not harder, by reducing stress on your joints while still achieving significant muscle growth and endurance. Learn about the science behind BFR, its benefits for athletes of all levels, and how to effectively incorporate it into your workout routine. Whether you're a seasoned weightlifter or an endurance athlete, this episode will provide you with valuable insights on harnessing the power of your choices to achieve peak physical performance. Don't miss out on this thought-provoking conversation and unlock the secrets of proactive living with BFR training. Chapters: 01:18 Intro 02:04 What is Blood Flow Restriction (BFR)? 04:18 BFR is great for rehabilitation 04:48 BFR can help oler people increase strength safely 05:42 Is BFR dangerous? 07:12 Does it make the muscle work more efficiently? 08:48 There are many professional sports team using BFR 09:54 Origins of BFR 10:59 Does it effect blood pressure? 12:10 Can it help people with Dupuytren's Contracture? 17:53 How does it help endurance athletes? 19:56 Is there anyone who maybe shouldn't use it? 22:43 Why shouldn't people wear BFR cuffs on arms and legs at the same time? 23:52 Does it effect HRV? 25:28 Examples of how it can help 29:35 BFR is hugely helpful for those with fatigue 31:11 There are a lot of studies that have been done in this field? 31:56 The Blood Flow Restriction podcast 32:40 How does it help cognition? 33:56 Some people still think lactate is the bad guy? 35:03 Pair BFR with rucking 35:46 Steve's contact details 36:47 Steve's favourite book 37:37 Favourite quote 38:57 Tips on how BFR can help you be proactive with health 40:15 Next week, episode 240 Full shownotes including a transcription available at: https://tonywinyard.com/steven-borden On YouTube at: https://youtu.be/dn9ftMMSbFE The Art of Living Proactively (Harnessing the Power of Your Choices) links: Website - tonywinyard.com Facebook Page - facebook.com/TonyWinyard.HabitsAndHealth Facebook Group - facebook.com/groups/habitshealth Twitter - @TonyWinyard Instagram - @tony.winyard LinkedIn - uk.linkedin.com/in/tonywinyard YouTube - .youtube.com/@tony-winyard How to leave a podcast review - tonywinyard.com/how-to-leave-a-podcast-review/ Details of online workshops to create habits for health - tonywinyard.com/training/ Are you in control of your habits or are they in control of you? Take my quiz to find out - tonywinyard.com/quiz Embark on an enlightening journey to discover the essence of proactive living in my podcast, "The Art of Living Proactively: Harnessing the Power of Your Choices". Your guide is none other than Tony Winyard, a multifaceted professional committed to the cause of health and wellness. He's a qualified Functional Medicine Health Coach, Oxygen Advantage Instructor, HeartMath Certified Coach, nutrition coach accredited by Precision Nutrition, a Laughter Yoga Instructor and a Tiny Habits coach. This comprehensive set of skills allows Tony to navigate the complex web of interconnected wellness disciplines, providing a holistic approach to health. Tony champions the cause of busy individuals, helping them reclaim their health through gradual and transformative changes in lifestyle, habits, and nutrition. With an impressive career spanning over 20 years in coaching, public speaking, and workshop facilitation, Tony has impacted lives from diverse backgrounds and cultures. He is fervently dedicated to empowering individuals to upgrade their health, well-being, and overall life quality. With Tony, your journey to wellness is grounded in the five core pillars of health - sleep, stress management, breathing, nutrition, and physical activity. He assists clients in embracing beneficial habits while shedding unwanted ones. Whether you seek online sessions or in-person engagement, individual coaching or group interaction, or are looking for corporate health and wellness programmes, Tony's offerings cater to all your needs. Ready to conquer your health journey? Reach out to Tony and discover the power of proactive living.

Gracilis muscle contracture can be one of those frustrating cases to treat. Andrew joins Megan to discuss how the combination of regenerative therapies and rehab can have an amazing result in treating this condition.  Learn more about Andrew Armitage: https://www.greensidevetpractice.co.uk/ To learn about Onlinepethealth, watch a free webinar, or join any of our Facebook groups, click here: https://onlinepethealth.com/podcast

In this episode, we review the high-yield topic of Volkmann Ischemic Contracture from the MSK section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://anchor.fm/medbulletsstep1/message

In the 16th century, a curse was foretold about the Scottish MacCrimmon clan that they would cease to be the official (bag) pipers of the chiefs of the Clan MacLeod and would be forced to leave the Isle of Skye forever. The curse came true. The fingers of the men from the MacCrimmons clan became twisted and gnarled resembling a claw and they were unable to play the pipes. Throughout history, this disease has been known by many names: ‘MacCrimmons curse', ‘Celtic Hand' or the ‘Vikings disease'. While this is clearly a debilitating condition and many cultures believed it to be a curse, others associated it with divinity. In the 19th century, French surgeon Guillaume Dupuytren presented his now famous lecture at the Hotel Dieu where he showed 30-40 patients with what he called ‘rétraction permanente' that that he had seen over 20 years and demonstrated successful surgery to manage it. Today we know this disease as Dupuytren contracture. Our special guests on this episode are: - Dr Paul van Minnen who is a plastic and reconstructive surgeon specialising in hand surgery and runs his own private practice ‘Grip surgery' in Adelaide; and - Dr Sarah Shepard who is an Anatomical Pathologist at Clinpath Pathology who has specialised in bone and soft tissue pathology.Support the show: https://theadelaideshow.com.au/listen-or-download-the-podcast/adelaide-in-crowd/See omnystudio.com/listener for privacy information.See omnystudio.com/listener for privacy information.

This episode is very special! Denali Marshall is the daughter of Curtis & Carrie Marshall. She suffered a chemical burn to the back of her hand as a child and after more than a dozen surgeries she was still unable to use her hand at the level of function she wanted. Listen as Denali and her parents tell her incredible story of bravery and resilience. Just the thing to inspire you at the start of the new year! At the end of the episode you'll have the chance to hear a song writen about Denali by the incredibly talented Steve Mortensen, a family friend of the Marshalls!

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Nicole Hoffman, DPT, about her study investigating whether carbon fiber two-pull solid ankle-foot orthoses (CTP-AFOs) would have similar outcomes as serial casting in the treatment of children with a diagnosis of idiopathic toe walking and ankle equinus contracture. The two discuss the motivation behind the research, the decision to use carbon fiber orthoses, primary findings and surprises, and clinical takeaways.

Dr. Joseph Woodward, an Orthopedic Surgeon at Evergreen Health Orthopedic and Sports care, joins us to discuss what Dupuytren's Disease is, what the symptoms are, and what the treatment process looks like.

August 19, 2022Mark, Ray, and Scott discuss questions that came into the PRS community:I just listened to the podcast on Order of modifiers on a claim. Just one question. I've been taught that the global modifier doesn't apply to an assistant surgeon. So if the patient is in a global you wouldn't add the 78 or 79 modifier to their claim. It would only be added to the primary surgeon. I have been coding for over 20 years and never used a global modifier on an assistant claim with no denied claims. Correct me if I'm wrong. Thanks for your time in advanceGood Morning, Just need to clarify. If my doc performs a 52356-RT DX N20.0 and due to unrelated Hydro on the left a 52005 is performed on left side only. Can 52005-LT be billed also ? According to the edits it cannot be billed even though it is not related. Any input would be great! Thank you, LindaMy clinic is confused on coding for trimix injections. We have patients that are coming for teaching on how to do a trimix injection. Should I be coding 54235 if the patient is injecting them self during the teaching and bringing their own needle and medication for the injection? I think we should not be coding 54235 unless the doctor/PA/NP is injecting the medication. Please let me know what you think.Would you be able to go over the difference in coding TUR bladder neck contracture, TUI BNC, Cysto incision of BNC, TUR or Inc postoperative BNC. These can get pretty confusing.  Urology Advanced Coding and Reimbursement Seminar  - Registration OpenLas Vegas, NV - December 2-3, 2022New Orleans, LA - January 27-28, 2023Register Now  Compliance PlansQuestions or need help, please send us an email: info@prsnetwork.com   Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com 

L'équipe Quoi de Meuf espère de tout coeur que vous passez un bel été ! L'occasion de ré(écouter) des épisodes marquants du podcast. Et cette semaine, on vous propose un épisode marquant, avec Clémentine et Pauline. Bonne écoute ! « Vulvodynie », « vaginisme », « dyspareunie » … Ces maux intimes, encore bien souvent tabous ou banalisés dans les discours sociaux, peu ou mal diagnostiqués, touchent pourtant de nombreuses personnes.Le manuel “Au bonheur des vulves”, d'Élise Thiébaut et Camille Tallet, prend le contre-pied de ces zones de flou pour rendre accessibles, auprès de tous.tes, clés et conseils pratiques permettant de prendre soin de soi, sans honte ni tabou. À l'occasion de sa sortie, Clémentine Gallot et Pauline Verduzier tentent d'apporter un regard étayé sur ces problématiques de santé publique, et nous en parlent dans ce nouvel épisode long de Quoi de Meuf. Les références entendues dans l'épisode : Elise Thiebaut et Camille Tallet, “Au bonheur des vulves”, Editions Leduc (2021)Emilien Charrier, “Contracture spasmodique du sphincter vaginal”, thèse (1862)Sabrina Fajau (Princesse Périnée), “In Périnée we trust”, Editions First (2021)De Elizabeth, “Painful Sex Is Common for Women of All Ages, Study Says”, Teen Vogue (2017)Ellen Scott, “Nearly half of women are putting up with discomfort during sex”, Metro (2021) "Fulfilling His Needs, Not Mine", Journal of Sexual medicine (2019)Marie Albert, journaliste, militante et autrice du podcast Marie sans filtre L'épisode avec Shonah dans la série Youtube Cher Corps de Léa Bordier Lauren, “How I Learned to Navigate Vaginismus as a Lesbian”, Autostradlle (2017) Sebastian Zulch, “How my trans identity complicates my vaginismus”, HelloFlo (2016) Kathryn Ayling et Jane Ussher, “If Sex Hurts Am I Still a Woman?”, (2008)L'épisode 127 de Bliss Storiee sur Aurélie, “Mon combat contre le vaginisme” et l'épisode 129 sur HassAlexandra Pizzuto, “Post-partum : à quoi ressemble le sexe après un accouchement ?”, Magazine Marie-Claire(2021)Osez le féminisme et les frangines, “Petit guide pour une sexualité féministe et épanouie”, Editions First (2021)Anne-Laure Lebrun, “Vaginisme, des solutions pour mettre fin à ce trouble sexuel”, Le Figaro (2019)L'association les Clés de Vénus L'association les FluxLe podcast Vaginisme & CoLe compte instagram Vulvea Le compte instagram Douleurs féminines L'autrice Marie Rose Galès (plusieurs ouvrages sur l'endométriose) Cualli Carnago, “L'histoire d'une huître - ou comment j'ai failli rater ma vie sexuelle”, La Musardine 2021Sex Education de Laurie Nunn (2019)Unorthodox Maria Schrader (2020)Masters of sex Michelle Ashford (2013)Le podcast Réparer les violences de la maison des femmes de Saint-Denis American crime story Scott Alexander et Larry Karaszewski (2016)Quoi de Meuf est une émission de Nouvelles Écoutes. Rédaction en chef : Clémentine Gallot. Journaliste chroniqueuse : Emeline Amétis. Mixage et montage : Laurie Galligani. Prise de son par Thibault Delage à l'Arrière Boutique. Générique réalisé par Aurore Meyer Mahieu. Réalisation et coordination : Cassandra de Carvalho et Mathilde Jonin.Vous pouvez consulter notre politique de confidentialité sur https://art19.com/privacy ainsi que la notice de confidentialité de la Californie sur https://art19.com/privacy#do-not-sell-my-info.

This episode covers Dupuytren's contracture.Written notes can be found at https://zerotofinals.com/surgery/orthopaedics/dupuytrens/ or in the orthopaedic section of the Zero to Finals surgery book.The audio in the episode was expertly edited by Harry Watchman.

I read from contracture to contraposition.     The word of the episode is "contra dance". https://en.wikipedia.org/wiki/Contra_dance     "The Dictionary - Letter A" on YouTube   "The Dictionary - Letter B" on YouTube   "The Dictionary - Letter C" on YouTube     Featured in a Top 10 Dictionary Podcasts list! https://blog.feedspot.com/dictionary_podcasts/     Backwards Talking on YouTube: https://www.youtube.com/playlist?list=PLmIujMwEDbgZUexyR90jaTEEVmAYcCzuq     dictionarypod@gmail.com https://www.facebook.com/thedictionarypod/ https://twitter.com/dictionarypod https://www.instagram.com/dictionarypod/ https://www.patreon.com/spejampar 917-727-5757

Aujourd'hui, dernier épisode de notre série sur la récupération sportive.  On clôture sur la compression, et c'est Clément qui prend la parole à mes côtés.  Clément, qui est kinésithérapeute en thérapie manuelle, est aussi un fervent adepte de la course à pied. Qu'est ce que la compression, une solution efficace pour le retour veineux ?  Pourquoi est ce utile dans la récupération sportive ?  Comment peut-on "pratiquer" la compression ?  Sur quelles parties du corps ? Sur le bas du corps ? Sur le haut du corps ?  Grâce à des vêtements de compression ? des bas de contention ? des appareils ?  Est-ce utilisé uniquement par les sportifs ?  Principalement utilisé par les pratiquants de course à pied ?  Quels sont les bienfaits de cette pratique ?  Y a t'il des contre-indications ?  Comment ça s'utilise ? avant ou après le sport ?  A quelle fréquence ?  Est ce que ça améliore les performances ?  Quels résultats peut-on espèrer rapidement ?  Voilà une multitude d'interrogation, j'espère que vous trouverez les réponses à vos questions !! Si vous souhaitez en savoir plus :  Voici le conseil associé : https://conseilsport.decathlon.fr/contention-ou-compression-des-membres-inferieurs-et-sport  Retrouvez tous nos conseils sportifs sur notre site https://conseilsport.decathlon.fr/   Et si, ce conseil vous a plu, n'hésitez pas à le partager à votre entourage et sur vos réseaux, et nous laisser un commentaire, une note étoiles sur Apple Podcast, Itunes. On suivra ça avec attention !  Vous pouvez aussi vous abonner au podcast, cela vous permettra de récupérer les épisodes directement sur votre téléphone mobile, et les écouter dans vos déplacements. Et si vous souhaitez partager, suggérer, n'hésitez pas à m'écrire à podcast.decathlon@gmail.com 

« Vulvodynie », « vaginisme », « dyspareunie » … Ces maux intimes, encore bien souvent tabous ou banalisés dans les discours sociaux, peu ou mal diagnostiqués, touchent pourtant de nombreuses personnes.Le manuel “Au bonheur des vulves”, d'Élise Thiébaut et Camille Tallet, prend le contre-pied de ces zones de flou pour rendre accessibles, auprès de tous.tes, clés et conseils pratiques permettant de prendre soin de soi, sans honte ni tabou. À l'occasion de sa sortie, Clémentine Gallot et Pauline Verduzier tentent d'apporter un regard étayé sur ces problématiques de santé publique, et nous en parlent dans ce nouvel épisode long de Quoi de Meuf. Les références entendues dans l'épisode : Elise Thiebaut et Camille Tallet, “Au bonheur des vulves”, Editions Leduc (2021)Emilien Charrier, “Contracture spasmodique du sphincter vaginal”, thèse (1862)Sabrina Fajau (Princesse Périnée), “In Périnée we trust”, Editions First (2021)De Elizabeth, “Painful Sex Is Common for Women of All Ages, Study Says”, Teen Vogue (2017)Ellen Scott, “Nearly half of women are putting up with discomfort during sex”, Metro (2021) "Fulfilling His Needs, Not Mine", Journal of Sexual medicine (2019)Marie Albert, journaliste, militante et autrice du podcast Marie sans filtre L'épisode avec Shonah dans la série Youtube Cher Corps de Léa Bordier Lauren, “How I Learned to Navigate Vaginismus as a Lesbian”, Autostradlle (2017) Sebastian Zulch, “How my trans identity complicates my vaginismus”, HelloFlo (2016) Kathryn Ayling et Jane Ussher, “If Sex Hurts Am I Still a Woman?”, (2008)L'épisode 127 de Bliss Storiee sur Aurélie, “Mon combat contre le vaginisme” et l'épisode 129 sur HassAlexandra Pizzuto, “Post-partum : à quoi ressemble le sexe après un accouchement ?”, Magazine Marie-Claire (2021)Osez le féminisme et les frangines, “Petit guide pour une sexualité féministe et épanouie”, Editions First (2021)Anne-Laure Lebrun, “Vaginisme, des solutions pour mettre fin à ce trouble sexuel”, Le Figaro (2019)L'association les Clés de Vénus L'association les FluxLe podcast Vaginisme & CoLe compte instagram Vulvea Le compte instagram Douleurs féminines L'autrice Marie Rose Galès (plusieurs ouvrages sur l'endométriose) Cualli Carnago, “L'histoire d'une huître - ou comment j'ai failli rater ma vie sexuelle”, La Musardine 2021Sex Education de Laurie Nunn (2019)Unorthodox Maria Schrader (2020)Masters of sex Michelle Ashford (2013)Le podcast Réparer les violences de la maison des femmes de Saint-Denis American crime story Scott Alexander et Larry Karaszewski (2016)Quoi de Meuf est une émission de Nouvelles Écoutes. Rédaction en chef : Clémentine Gallot. Journaliste chroniqueuse : Emeline Amétis. Mixage et montage : Laurie Galligani. Prise de son par Thibault Delage à l'Arrière Boutique. Générique réalisé par Aurore Meyer Mahieu. Réalisation et coordination : Cassandra de Carvalho et Mathilde Jonin.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the Award-winning PRS Journal Club Podcast, 2021 Resident Ambassadors to the PRS Editorial Board – Saïd Azoury, Lindsay Janes, and Ara Salibian- and special guest Arash Momeni, MD, FACS, discuss the following articles from the November 2021 issue: “Acellular Dermal Matrix–Associated Contracture: A Clinical and Histologic Analysis of Patients Undergoing Prosthetic Breast Reconstruction” by Kearney, Yan, Bricker, et al. Read the article for FREE: https://bit.ly/ADMHistology Special Guest Arash Momeni, MD, FACS, is Ryan-Upon Scholar and Director of Clinical Outcomes Research in the Division of Plastic and Reconstructive Surgery at Stanford University. READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/PRSNov21Collection

 After listening to this episode, learners should be able to: Describe the typical clinical presentation of Dupuytren's contracture Explain the pathophysiology and list common risk factors for Dupuytren's contracture Outline the diagnosis and management of the patient with Dupuytren's contracture.

In this episode, I list dangerous diseases with unknown causes.Thank you so much for taking the time to listen to this podcast episode and stay tuned for tomorrow's! Download our app FOR FREE: For Android: https://play.google.com/store/apps/details?id=com.acuplife.andrioidFor iPhone: https://apps.apple.com/us/app/acupuncture-is-my-life/id1584082657Our website: https://acupunctureismylife.com/ Follow our social media for more information on acupuncture: Instagram: https://www.instagram.com/acupunctureismylife/ Facebook: https://www.facebook.com/acupunctureismylifeTikTok: https://www.tiktok.com/@acupunctureismylife?lang=en

Neuroscientist and psychologist Lisa Feldman Barrett. She gives us “7½ Lessons about the Brain” and has some surprises – there is no “reptilian” part of your brain … it's just a myth. Then in biotech – treatments to fight diseases caused by inflammation – Dr. Jim Woody, the CEO of 180 Life Sciences talks about their pipeline of drugs, as well as their lead work in clinical trials now – it's for Dupuytren's Contracture, affecting one out of 25 people in Europe and North America.

Neuroscientist and psychologist Lisa Feldman Barrett. She gives us “7½ Lessons about the Brain” and has some surprises – there is no “reptilian” part of your brain … it's just a myth. Then in biotech – treatments to fight diseases caused by inflammation – Dr. Jim Woody, the CEO of 180 Life Sciences talks about their pipeline of drugs, as well as their lead work in clinical trials now – it's for Dupuytren's Contracture, affecting one out of 25 people in Europe and North America.

Sean's affection for his dog gets him an ear infection and Priyanka prevents his panic over the arthritis in his foot. Anders Holm makes Sean squirm as he describes in detail his love for LASIK eye surgery and shares his experience inheriting Dupuytren's contracture.

A client has Dupuytren's contracture, a progressive thickening and shrinking of the palmar fascia that causes her pinky finger to be bent all the time. Now it seems to be starting on the other side. Is massage safe? Can it help slow the progress? What is Dupuytren's contracture, anyway?   Sponsors:     Anatomy Trains: www.anatomytrains.com      Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                     Recent Articles by Ruth:                   “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32,    “Critical Thinking,” Massage & Bodywork magazine, May/June 2021, page 54,       Check out ABMP's Pocket Pathology: www.abmp.com/abmp-pocket-pathology-app              Resources:   Alraek, T. et al. “Complementary and Alternative Medicine for Patients with Chronic Fatigue Syndrome: A Systematic Review,” BMC Complementary and Alternative Medicine 11 (2011): 87. doi:   Foundation for Mitochondrial Medicine. “Chronic Fatigue Syndrome.” May 24, 2018.   Jacobson, Eric. “Structural Integration, an Alternative Method of Manual Therapy and Sensorimotor Education,” Journal of Alternative and Complementary Medicine 17, no 10 (2011): 891–99. doi:   Jones, James. F. et al. “Complementary and Alternative Medical Therapy Utilization by People with Chronic Fatiguing Illnesses in the United States,” BMC Complementary and Alternative Medicine 7 (2007): 12. doi:   MECFS_KeyFacts.pdf. Accessed July 2021.   NINDS. “Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Standards.” Accessed July 2021.    Wang, Ji-hong et al. “Effects of the Intelligent-Turtle Massage on the Physical Symptoms and Immune Functions in Patients with Chronic Fatigue Syndrome,” Journal of Traditional Chinese Medicine 29, no. 1 (2009): 24–8. doi:   About our sponsors:   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                     Website: anatomytrains.com                     Email: info@anatomytrains.com                      Facebook: facebook.com/AnatomyTrains                     Instagram: instagram.com/anatomytrainsofficial                     YouTube: www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA            

EP 16 Q&A w/ Dr J - What is Capsular contracture ?In this Episode I talk about Capsular contracture and how to treat it.CONNECT WITH ME ON SOCIAL MEDIA WEBSITE: https://drjenebyplasticsurgery.comYOUTUBE: https://www.youtube.com/drjenebyplasticsurgeryFACEBOOK: https://www.facebook.com/DrJenebyPlasticSurgeryTWITTER: https://twitter.com/drjenebyTIK TOK: https://www.tiktok.com/@drjenebytv

Today we’ll focus first on Arthritis, and then on Dupuytren’s Contracture, and give you a good basis to understand each. (Lots of facts to learn, including whether cracking your knuckles makes a difference ;-)This episode is the 3rd of 4 which are dedicated to Hand problems and their treatment.

Dr. John Gaffey talks about Dupuytren’s contracture and ganglion cysts. Dupuytren’s contracture is an abnormal thickening of the tissue just beneath the skin. This thickening occurs in the palm and can extend into the fingers. Ganglion Cysts are very common lumps within the hand and wrist that occur adjacent to joints or tendons. About John Gaffey, MD Dr. John Gaffey is an Iowa native and University of Iowa graduate. Dr. Gaffey joined DMOS Orthopaedic Centers in 2010 and has built a significant practice centered around hand and wrist surgery. Dr. Gaffey has an interest in and experience treating sports-related injuries. One area of further interest of Dr. Gaffey is the minimally invasive treatment of Dupuytren’s Contracture. In his free time, Dr. Gaffey enjoys outdoor activities such as camping, fishing, and boating. He also enjoys traveling on family vacations.       This podcast represents Dr. Barron Bremner and Dr. Jason Sullivan's opinions and their guests on the show. The content here should not be taken as medical advice. The content here is for informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Views and opinions expressed in the podcast and website are our own and do not represent that of our places of work. While we make every effort to ensure that the information we share is accurate, we welcome any comments, suggestions, or corrections of errors. Privacy is of the utmost importance to us. All people, places, and scenarios mentioned in the podcast have been changed to protect patient confidentiality. This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing a "standard of care" in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or website. In no way does listening, reading, emailing, or interacting on social media with our content establish a doctor-patient relationship.  

Her name is Tara McNeil. This is amazing story. It is a little bit long. But it's amazing story. Amputated… oh and coffee too... Arthrogryposis, also called arthrogryposis multiplex congenita (AMC), involves a variety of non-progressive conditions that are characterized by multiple joint contractures (stiffness) and involves muscle weakness found throughout the body at birth. This disorder should be considered a symptom complex or a descriptive term rather than a disease and an underlying cause should be sought when possible. The most common type of arthrogryposis is called amyoplasia in which the hands, wrists, elbows, shoulders, hips, feet and knees are affected. In more severe types, every joint can be affected including the jaw and spine. The name, derived from the Greek, means “curved or hooked joints”. 1.https://www.achillesct.org/ 2. TBlosser Photography is at Gaylord Gauntlet. https://www.facebook.com/100000463001782/posts/3348226748536059/?d=n 3 Dreaming & Working Together To improve the quality of life and bring about sustainable change for the medically underserved population of Lima, Peru by providing various types of surgeries and prosthetic and rehabilitative services. http://dreamingandworkingtogether.net/ 4. Brant (goose) https://en.wikipedia.org/wiki/Brant_(goose) 5. Arthrogryposis This is a rare disorder occurring in 1 out of every 3,000 live births. The incidence of true amyoplasia occurs in 1 out of every 10,000 live births. Arthrogryposis (AMC): Overview, Causes, Diagnosis and Treatment 6. Children have a lot to learn in the first three years https://www.birth23.org/?fbclid=IwAR3x9SJLM-d1z1wiUL-09NPFpADZhi0WWtAuCF0b1jwn9FMO05QhWOgWqqU 7. How Arterial Dissection Can Cause a Stroke https://www.verywellhealth.com/arterial-dissection-and-stroke-3146026 8. neurogenic arthrogryposis multiplex congenita https://www.wikidata.org/wiki/Q708165 Frank Sinatra's That's Life I would like to hear from you... strokelife2013may@gmail.com 1-12 --- Support this podcast: https://anchor.fm/mike-weed5/support

Neuroscientist and psychologist Lisa Feldman Barrett. She gives us “7½ Lessons about the Brain” and has some surprises – there is no “reptilian” part of your brain … it's just a myth. Then in biotech – treatments to fight diseases caused by inflammation – Dr. Jim Woody, the CEO of 180 Life Sciences talks about their pipeline of drugs, as well as their lead work in clinical trials now – it's for Dupuytren's Contracture, affecting one out of 25 people in Europe and North America.

Neuroscientist and psychologist Lisa Feldman Barrett. She gives us “7½ Lessons about the Brain” and has some surprises – there is no “reptilian” part of your brain … it’s just a myth. Then in biotech – treatments to fight diseases caused by inflammation – Dr. Jim Woody, the CEO of 180 Life Sciences talks about their pipeline of drugs, as well as their lead work in clinical trials now – it’s for Duputrin’s Contracture, affecting one out of 25 people in Europe and North America.

Dr. Jim Woody, CEO, 180 Life Sciences is one of four world-renowned scientists that have come together to form 180 LS to focus on treating inflammation, fibrosis and pain. Jim discusses the company's lead clinical program using anti-TNF to treat Dupuytren's contracture, a fibrotic disease of the hand. With a goal of preventing the fibrosis, Jim is drawing on his early invention of the first anti-TNF drug that worked in rheumatoid arthritis, Crohn's disease and psoriasis with an eye to preventing frozen shoulder as well. #fibrosis #inflammation #Dupuytren #antiTNF 180LifeSciences.com Download the transcript here    

Dr. Jim Woody, CEO, 180 Life Sciences is one of four world-renowned scientists that have come together to form 180 LS to focus on treating inflammation, fibrosis and pain. Jim discusses the company's lead clinical program using anti-TNF to treat Dupuytren's contracture, a fibrotic disease of the hand. With a goal of preventing the fibrosis, Jim is drawing on his early invention of the first anti-TNF drug that worked in rheumatoid arthritis, Crohn's disease and psoriasis with an eye to preventing frozen shoulder as well. #fibrosis #inflammation #Dupuytren #antiTNF 180LifeSciences.com Listen to the podcast here    

Is the use of ADM the answer to surgical treatment of CAPCON? Or just an expensive option Hidalgo DA, Weinstein AL. Surgical Treatment for Capsular Contracture: A New Paradigm and Algorithm. Plast Reconstr Surg. 2020 Sep;146(3):516-525. doi: 10.1097/PRS.0000000000007079. PMID: 32842102.

In this episode of the Award-winning PRS Journal Club Podcast, 2020 Resident Ambassadors to the PRS Editorial Board – Min-Jeong Cho, Casey Kraft, and Ara Salibian- and special guest Nolan Karp, MD, discuss the following articles from the September 2020 issue: “Surgical Treatment for Capsular Contracture: A New Paradigm and Algorithm” by Hidalgo and Weinstein. “Stability of Long-Term Outcomes in Implant-Based Breast Reconstruction: An Evaluation of 12-Year Surgeon- and Patient-Reported Outcomes in 3489 Nonirradiated and Irradiated Implants” by Seth and Cordeiro. “Venous Thromboembolism following Microsurgical Breast Reconstruction: A Longitudinal Analysis of 12,778 Patients” by Rochlin, Schecter, Pannucci, et al. Special Guest Nolan Karp, MD, is a Professor of Plastic Surgery and Vice Chair of Clinical Operations at the NYU Langone Health Department of Plastic Surgery. READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/PRSJCSept20Collection #PRSJournalClub

Katelyn and Mike discuss Tough Mudder Challenges as well as next weekend's Virtual Toughest. You may strongly disagree with Mike's grumpy hot takes but if you leave us hate mail please word it kindly because Katelyn manages our mail. That being said feel free to disagree, we hope as many people are enjoying whatever they can through this pandemic!  0:00 - 3:08 - Intro 3:08 - 8:44 - Quick News 8:44 - 9:10 - Content Preface 9:10 - 18:32 - Tough Mudder Challenges 18:32 - 25:40 - Virtual Toughest Mudder 25:40 - End - Outro Nike Commercial Savage Race Maryland OCR Underground Live Virtual Race Dupuytren's Contracture 75 Year Old Beats Mile Record 2 Kids with CP Walk 5k Secret Link OCR Discord (Get friends together to run the course!) Next week's episode will be one of the many things we have planned, and by that we mean scrambled to put together!  The OCR Report Support us on Patreon for exclusive content and access to our Facebook group For a podcast shirt, send $20 to Katelyn-Ritter-8 on Venmo with your size and address Use coupon code "adventure" for 10% off MudGear products Use coupon code "ocrreport20" for 20% off Caterpy products Like us on Facebook: Obstacle Running Adventures Follow our podcast on Instagram: @ObstacleRunningAdventures Write us an email: obstaclerunningadventures@gmail.com Subscribe on Youtube: MStefano Running Intro music - "Streaker" by: Straight Up Outro music - "Iron Paw" by: Dubbest

The Docs talk with a caller about Dupuytren’s contracture, DNA,  coronavirus testing

Dr. Jay Calvert & Dr. Millicent Rovelo discuss Capsular Contracture. In some breast augmentation cases, the tissue, or capsule, that normally forms around the implant tightens and contracts the implant - lead to both aesthetic problems and, in extreme cases, pain in the breasts. The two docs discuss the topic, why it happens, probability, details of the procedure, as well as patient expectations, post care tips, costs, and more! Contact Dr. Jay Calvert through his website https://www.drcalvert.com - and Dr. Millicent Rovelo at https://roveloplasticsurgery.com

GTR for GBM, Transplants for Breast Cancer, COMBI-AD, Contracture, Bone Met SBRT, PD-L1>90%, MET inhibitor savolitinib, USMLE Step 1 quadshotnews@gmail.com @QuadShotNews

In this episode, we continue our read-along of The Fiery Cross with our discussion of Chapter 94 “New Blood,” Chapter 95 “The Summer Dim,” Chapter 96 “Aurum,” and Chapter 97 “Conditions of the Blood.”   Join our exclusive Facebook community! (http://outlanderpod.com/group)Support us on Patreon! (https://www.outlanderpod.com/patreon)Follow us on Twitter! (https://www.outlanderpod.com/twitter)Connect with us on Facebook! (https://www.outlanderpod.com/facebook)Help us spread the word!If this episode tickled your 'Outlander' fancy, head over to iTunes and kindly leave us a rating, a review, and subscribe!· Apple Podcasts (https://itunes.apple.com/us/podcast/the-outlander-podcast/id707360955?mt=2)· RSS (https://audioboom.com/channels/1689437.rss)· Stitcher (http://www.stitcher.com/podcast/the-outlander-podcast?refid=stpr)· Spotify (https://open.spotify.com/show/3ca8w2I8rlQyr7K5iEeGV8)· Google Play (https://play.google.com/music/listen?u=0&gclid=CPqUmY3tmc8CFQbrfgodSOsMCw&gclsrc=ds#/ps/Irr5s2ri372mj5fgmte23z6dghe)· iHeartRadio (https://www.iheart.com/show/270-the-outlander-podc/)You can ask questions and comment below and leave us voice feedback via our Listener Line at 916-587-0POD.

Superstar quaterback John Elway recently shared his experiences with Dupuytren's Contracture which afflicts the hands. As one who built his career using his hands, this was an especially confounding and cruel illness by the way it froze his fingers in a bent position. He said on the NBC "Today" Show that "For me not to be able to pick up a football, that was an emergency." This illness doesn't strike suddenly. It's a progressive problem, one that the late US President Ronald Reagan also suffered. DR. PHILIP BLAZAR is a hand and upper extremity expert who sheds tremendous light on Dupuytren's contracture in this conversation. He practices at the top-rated Brigham and Women's Hospital in Boston. He's also an associate professor of orthopedic surgery at Harvard Medical School, and he's the director for the Harvard Hand and Upper Extremity Surgery Fellowship. In 2019, he was named a top doctor by Boston Magazine and by Castle Connolly which offers rankings on doctors nationwide. For further details, visit: https://www.dramaofdiagnosis.com/post/john-elway-dupuytren-s-contracture

July 9, 2019 John Brisson UC7vqQJCxvXl2tZ_V5P-gYJQ   00:03:45 John Brisson https://store.fixyourgut.com/products/fix-your-gut-third-edition 00:06:55 2 mins…GO! 00:09:09 Initiate Controversy 00:13:13 Why Epstein Now? 00:23:45 ANWR http://priceofoil.org/2017/12/21/after-a-decades-long-battle-congress-votes-to-open-anwr-to-oil-drilling/ 00:26:06 Opperman https://www.listennotes.com/podcasts/the-opperman-report/john-brisson-on-william-barr-93uL84ZnR5o/ 00:29:19 PAN AM https://www.wired.com/story/robert-muellers-search-for-justice-for-pan-am-103/ 00:34:50 Our Guys https://grimworks.grimerica.ca/ourguys-1-weekly-news-with-john-and-jason/ 00:36:18 Derek Broze 00:38:00 Q Chart https://external-preview.redd.it/sEpHL-a9zm1Z7QHRRFwh8_E2kDBM6InVzBCAS5bfsCM.jpg?auto=webp&s=911de15c8586326d1a56a7c84ae22640ed008b90 00:48:12 DJ Level9News https://www.level9news.com/tag/jade-helm/ 00:55:05 Josh Reeves Spellcasters http://www.theglobalreality.com/documentaries/the-spellcasters 01:02:50 Corbett Report https://www.corbettreport.com/the-weird-darpa-facebook-coincidence-you-never-heard-about/ 01:12:12 Derek Broze https://theconsciousresistance.com/ 01:17:24 Brisson show 01:30:20 Dupuytren’s Contracture https://en.wikipedia.org/wiki/Dupuytren%27s_contracture 01:32:42 Adrenochrome https://www.grimerica.ca/ep302/ 01:40:40 Sanhdrein https://www.jewishvirtuallibrary.org/the-sanhedrin 01:51:31 Into the Microcosm https://www.youtube.com/watch?v=G_cT5y5CdDA   Grimerica.ca/support

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:  Rosemary: Asking for help for all who have (what supplements etc.,) for Dupuytren's Contracture (this from the internet) is a common problem that develops most frequently after age 40. It is more common in men than women, though both can be affected. It is usually hereditary occurring in people of European and Western Asian ancestry. It is unusual in Oriental or African-Americans. Dupuytren's usually starts as a painless nodule in the palm. It can progress to fibrous cords extending into the fingers, most commonly ring and little. These bands can cause contracture of the fingers. It can progress slowly or rapidly. The flexor tendons are not affected. Kerry: Hi DR Cabral, What you you advise to support a 8 yr old how has had rheumatic fever and now has been prescribed daily antibiotics till their 21st birthday. Your advice is so appreciated Jason: I’m wondering what you recommend as a sun screen that’s not toxic to the body. I’m looking for something you can use multiple times a day with summer coming up.. thank you Aston: Hi Dr. Cabral, I know you like to like to talk about doing things that support the body’s natural detox process. Even with a good diet of mainly plant based foods with some fish and good exercise of Pilates and yoga, I still will wake up sometimes very bloated/puffy. I have been into using jade rollers, dry brushing and foam rolling to help out my lymphatic system and it does seem to help a bit. I was wondering if there was a way to prevent the puffiness and what your thoughts are on these “trendy” tools. Thanks! Katie: Hi Dr. Cabral! I’ve heard all your podcasts focused on estrogen dominance and your recommendations, but I was wondering if you could talk about low estrogen in women (who are too young to be going through menopause). Do you see this a lot in your practice? I’ve had extensive hormone testing done (both convention endocrinologist and integrative practioners) and my estrogen levels are consistently low, even when considering the e:progesterone ratio. I know you can’t make specific recommendations for me, but I was hoping you could spend some time discussing why this happens to some young women and what your suggestions are. What are the negative symptoms of low estrogen? How to balance these hormones? I think this would be really great for a lot of us struggling to find answers about our hormones when there is so much information out there is about pacifying too high of estrogen... but sometimes its the opposite issue! If you search up seed cycling for examples, so many articles and testimonials are about how it was aimed to cure their estrogen dominance and regulate their cycle. I know you mentioned that seed cycling could also help menopausal women with low estrogen, and that most women can benefit from it, but if you have any more to say on the topic (low estrogen in young women) I think there’s a lot of us who would love to hear your insights. side note: all other markers (cortisol, pituitary mri, FHS, thyroid) came back totally well and good. Haven’t had a period in 2 years, not on BC, on ultra sounds a lot of follicles present so I have been left with the “mild PCOS” diagnosis and very little options other than ‘not to worry’ because i will be able to have kids some day and that ‘there’s always the pill’ if I’m that concerned about mensturating regularly (which is definitely not an option for me ha). I have been really struggling with my health the past two years, so much so I had to take time off from college (academics are so important to me so this was a really big blow) and has had a huge impact on my mental and emotional help. I have been treated for parasites, eat a super healthy diet, and am currently following you CBO protocol. Without getting into EVERYthing I have tried and done (much like your journey, its been a wild ride), I guess I’m wondering if this hormonal imbalance really could all be related to stress and my emotional state (despite stress hormones being in normal range) that have resulted from all my gut and digestive issues. Thanks so much for all the information you share with us, I love learning as much as I possibly can to get to the bottom of this, and the podcast is so full of value, its truly amazing how much you offer free of charge. Thank you. best, Katie!   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community’s questions!  - - - Show Notes & Resources: http://StephenCabral.com/1226 - - - Get Your Question Answered: http://StephenCabral.com/askcabral   - - - Dr. Cabral's New Book, The Rain Barrel Effect https://amzn.to/2H0W7Ge - - - Join the Community & Get Your Questions Answered: http://CabralSupportGroup.com - - -   Dr. Cabral’s Most Popular Supplements: > “The Dr. Cabral Daily Protocol” (This is what Dr. Cabral does every day!) - - - > Dr. Cabral Detox  (The fastest way to get well, lose weight, and feel great!) - - - > Daily Nutritional Support Shake  (#1 “All-in-One recommendation in my practice) - - - > Daily Fruit & Vegetables Blend  (22 organic fruit & vegetables “greens powder”) - - - > CBD Oil  (Full-spectrum, 3rd part-tested & organically grown) - - - > Candida/Bacterial Overgrowth, Leaky Gut, Parasite & Speciality Supplement Packages - - - > See All Supplements: https://equilibriumnutrition.com/collections/supplements  - - -   Dr. Cabral’s Most Popular At-Home Lab Tests: > Hair Tissue Mineral Analysis (Test for mineral imbalances & heavy metal toxicity) - - - > Organic Acids Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Thyroid + Adrenal + Hormone Test  (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Adrenal + Hormone Test (Run your adrenal & hormone levels) - - - > Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Omega-3 Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - > Stool Test (Use this test to uncover any bacterial, h. Pylori, or parasite overgrowth) - - - > Genetic Test (Use the #1 lab test to unlocking your DNA and what it means in terms of wellness, weight loss & anti-aging) - - - > Dr. Cabral’s “Big 5” Lab Tests (This package includes the 5 labs Dr. Cabral recommends all people run in his private practice) - - - > View all Functional Medicine lab tests (View all Functional Medicine lab tests you can do right at home for you and your family!)

That's right, there's a question mark in our title. What starts off as a normal debate about two of the biggest pop scientists, quickly devolves into chaos as one of the boys tries to exploit a loophole. Nick looks to the cosmos for his arguments about Neil DeGrasse Tyson. Ryan...well, he does something. And Judge Mike is left holding the bag on this one. Listen as they discuss: Carl Sagan, Shaun of the Dead, stand up comedy, Dupuytren's contracture, Trump's Space Force, Godzilla, event horizons, coal miners, and punching your daughter in the face. Does Nick have a wet mouth? Does Mike still talk to his parents? Is Ryan the enemy of the people? Look up to the stars for: Neil DeGrasse Tyson vs Bill Nye?

Tonight I will talk about: - pros and cons of using the areola incision to put the implants in - How does bodytite lipo ‘tighten’ the skin. How effective is it? - Reducing the chance of capsular contracture - Can I get some advice on the excess skin on my hips and flanks? - Does the pubic hair move up when having lipo to the mons? - Risk of ALCL vs Capsular Contracture ...and anything else that crops up. #AskJJ

The Whys Wingmen Community really is Team Awesome.  May we always support and lift each other up.   Tina F – Charlotte, NC    Connect - @tinafox312 Twitter - @tinaf312 Instagram – @tinaf312 Amy G – Allegan, MI    Connect - @amylynn824 Instagram - @dizzychk Becky H  –    Colorado Springs, CO Connect - @msbekanator Twitter - @becky_hargis Instagram - @msbekanator   How to get On the Air with FatDag: Email OnAir@FatDag.com 317-662-4214   Join The Whys Advice Podcast Facebook Community! WhysWingmen.com   If you enjoy the show and would like to see it continue to grow, you can become a patron here. Patrons have access to exclusive content!   All things FatDag, including the podcast, blog and merchandise shop can be found at FatDag.com   The following links provide a monetary kickback to the podcast.  Check them out, they are all products I fully use and support!   American Express | Sanebox | Withings | Todoist | Bench | Sticker Mule     Complacency, Life Changes, Separation, Dating, New Start Date, Negative Voice, Air Force, Sister, Suicide, Grief, Self-Punishment, Dupuytren’s Contracture, Genetic Condition, 

Episode 79-Dupuytren's Contractures Today let's talk about what a Dupuytren's Contracture is, who is at higher risk of getting it and how   it can affect your shoulder patients. Let's also talk about how to treat it. In today's episode I will discuss the following: Collagen deposition. The progression of Dupuytren's. Early management. High incidence… The post Episode 79-Dupuytren's Contractures appeared first on Ortho Eval Pal.Support the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6GY24EJMBHTMU&source=url)

"Third Fridays" is a live, 30-minute legal talk show from Lois LLC featuring moderator Christian Sison. It is the original forum in which real attorneys discuss workers' compensation issues, share their opinions and engage in colorful conversations. The goal of the show is to showcase the diverse perspectives of the attorneys handling workers' compensation cases. Attorneys discuss case law trends, practical litigation strategies, and hot topics. Special Guest: Tim Kane.

https://www.facebook.com/thestaianoclinic Happy New Year! In the first broadcast of 2018, I talk about whether you would need a lift if you have your breast implants removed, whether you need to do a capsulectomy when removing breast implants and what is gynaecomastia. I also share my views on body image and body confidence and talk about when capsular contracture is likely to occur. Please subscribe to my channel for new videos every week and join me on Facebook every Tuesday at 7pm for a Live Q&A. #AskJJ

I talk about the rate of capsular contracture with breast implants and the pros and cons of polyurethane foam breast implants, the aim of good plastic surgery and the difference between a breast lift and breast implants. Join me every Tuesday at 7pm on Facebook for a Live Q&A. www.facebook.com/thestaianoclinic/ #AskJJ Please subscribe to my youtube channel for more videos. www.youtube.com/channel/UCxb_uGfIyjzv09x8OMZVIwQ

Digging into the new Shirley Ryan Ability Lab with its chief scientific officer Dr. Richard Lieber. Proposed NIH budget cuts. Rehab Robotics 2017. E-stim during hemodialysis. Taking a needle to tendon contractures with Isabelle Laffont, Flavia Coroian and Bertand Coulet of France’s University Hospital of Montpellier.

I talk about whether you should take Arnica, what is included in the cost of surgery, what can you expect with the postop recovery after surgery, why you should have surgery close to home, worries about not waking up after surgery or waking up half way through, capsular contracture, how long would a capsulectomy and implant replacement with a lift take, breast implants hurting, how long to wait to have breast surgery after breastfeeding. Join me every Tuesday at 7pm on Facebook for a Live Q&A. https://www.facebook.com/thestaianoclinic/ #AskJJ Please subscribe to my youtube channel for more videos. https://www.youtube.com/channel/UCxb_uGfIyjzv09x8OMZVIwQ

This month we looked at one centre's experience of breast reconstruction using ADM.The paper can be found below. Salzberg CA, Ashikari AY, Berry C, Hunsicker LM. Acellular Dermal Matrix-Assisted Direct-to-Implant Breast Reconstruction and Capsular Contracture: A 13-Year Experience. Plast Reconstr Surg. 2016 Aug;138(2):329-37

Dr. Rosenblum discusses the evaluation and management of hip pain after Total Hip Arthroplasty   For the Full Version, Subscribe to our Premium Subscription via our App, or Download the Full Lecture Library at PainExam.com  PainExam Podcast For Board Review and Practice Management Updates TEXT the word  PAINEXAM to the number 33444  Download our iphone App! Download our Android App! For more information on Pain Management Topics and keywords Go to PainExam.com David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medical Center and AABP Pain Managment For evaluation and treatment of a Painful Disorder, go to www.AABPPain.com 718 436 7246 DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment.  You should regularly consult a physician in matters relating to yours or another's health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional.    Copyright © 2015 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.   References Frontera: Essentials of Physical Medicine and Rehabilitation, 2nd ed. Copyright © 2008 Saunders, An Imprint of Elsevier Chapter 53

Are you a viking who can't straighten your fingers, find it difficult to get your hand in your pocket and keep poking yourself in the eye when you're washing your face? If so, you might have Dupuytren's contracture. Benjamin Baker talks to Jill Arrowsmith about this common problem, discussing aetiology, diagnosis and treatment options in the latest in our plastic surgery podcasts. Dupuytren's contracture is common, and if you can diagnose it and discuss its management in undergraduate and postgraduate examinations, either as the main problem, or an incidental finding when you are examining the hands as part of your global assessment, you will be well on the way to a pass. Benjamin Baker is an academic foundation doctor and Jill Arrowsmith is a Consultant in Plastic and Reconstructive Surgery at the world famous Pulvertaft Hand Centre, in Derby, Uk

Prosper Benhaim, MD, FACS (UCLA) discusses his experience with various treatments for Dupuytren’s contracture including needle aponeurotomy and collagenase injection. (20 minutes) related reading recommended by the featured guest Pess GM, Pess RM, Pess RA. Results of needle aponeurotomy for Dupuytren contracture in over 1,000 fingers. J Hand Surg Am. 2012 Apr;37(4):651-6. PubMed PMID: 22464232. […]

Topics: [6:06] Liposuction Effect On Fat Cells [10:54] Animal Studies And Relevancy To Humans [17:54] Tonic And Phasic Muscles [25:48] Low Vitamin B12 [28:18] Female Hardgainers [34:43] Nutrition And Training For A Carpenter [40:11] DHEA [45:11] Dupuytren’s Contracture [49:12] Ketogenic Diet Effect On Thyroid

Guest: Lawrence Hurst, MD Host: Lee Freedman, MD Dupuytren's disease can cause severe joint contracture in the hands, and surgery is often recommended for these patients most affected by the condition. But Dr. Lawrence Hurst, professor, chairman and chief of the division of hand surgery in the department of orthopaedics at Stony Brook School of Medicine Health Sciences Center, tells us about another new, non-surgical option that may soon be available for treating Dupuytren's contracture, using injectable collagenase. What types of patients are most susceptible to developing this condition? Dr. Lee Freedman hosts.