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Monthly Archives: January 2017

About Platelet Rich Plasma Therapy

Platelet Rich Plasma Therapy – additionally alluded to as PRP treatment – is a generally as of late created treatment that has turned out to be famous for various diverse conditions. These not just incorporate restorative reasons, for example, treating wrinkles and male pattern baldness, additionally different medicinal conditions, for example, joint inflammation and games wounds.

This treatment helps in the recuperation of different delicate tissues, and is conveyed through a progression of infusions. Despite the fact that this treatment is generally viewed as an exceptionally viable one, there are a couple reactions to consider should you go down the course of being treated with this specific treatment.

Firstly, it is imperative to note that with all infusions, it is conceivable to experience some agony both amid and after your PRP treatment. There may likewise be a tiny bit of wounding that shows up where the infusion has been given, albeit again this can be noted as an extremely ordinary and regular symptom that accompanies a wide range of infusions.

All things considered, a few people may encounter somewhat more torment subsequently of their treatment. This is very uncommon yet is absolutely typical and not unsafe, despite the fact that it is instructed to remain mindful concerning indications and connect with a therapeutic expert just to ensure that what you are encountering is ordinary.

This pain can feel like an acute soreness in the area that has been treated. This can be true regardless of the area of treatment, whether a bone, muscle or other soft tissue. This can be treated with preference by paracetamol rather than another type of painkiller.

In addition to this, one minor complication that can arise is the infection of the area where the injection has taken place. Although this is a potential complication due to the use of needles, the reality is that infection is very, very rare.

This is, of course, due to the fact that the vast majority of PRP treatment centers establish the highest levels of sterilisation and care which renders infection by injection virtually unheard of. Which that said, if this is a concern for you, speak to your doctor about the chances of infection and what you should do if you experience such a side effect.

One other side effect that may be experienced by those undergoing PRP is bruising in the area that has been treated. This can be very minor bruising that is typical which injections, as mentioned above. The bruising may be more severe, however, so it is recommended to keep an eye out for this type of symptom occurring.

It is generally advised to seek the advice of a doctor if the bruising is particularly dark in colour or if you do not normally bruise very easily. This could signal an abnormality and therefore the help of a medical practitioner will be necessary in order to treat this symptom and adjust your ongoing PRP treatment.

There can also be the issue of blood clots which can arise as the result of Platelet Rich Plasma Therapy. These will again likely be the result of the injection, if an artery is damaged during the procedure.

These are often relatively simple to treat and not dangerous, although you should seek a doctor’s advice if you notice unusual pain, swelling, bruising or infection in the area that has been treated. In all cases, speak to your doctor about the potential side effects that you could experience and he or she will be able to advise you based on their expertise.

Ultimately, there is no way to know if you will experience these side effects or not, but by receiving your treatment in a top clinic you will have a much higher chance of the best results possible. In any case, there are no known major side effects to Platelet Rich Plasma Therapy, which is very reassuring.

Know More about Uveitis

Uveitis is inflammation of the uvea – the middle layer of the eye that consists of the iris, ciliary body, and choroid.

Uveitis can have many causes, including eye injury and inflammatory diseases. Exposure to toxic chemicals such as pesticides and acids used in manufacturing processes also can cause uveitis.

The type of uveitis you have is classified by where inflammation occurs in the uvea:

  • Anterior is inflammation of the iris (iritis) or the iris and ciliary body.
  • Intermediate is inflammation of the ciliary body.
  • Posterior is inflammation of the choroid.
  • Diffuse (also called panuveitis) is inflammation of all areas of the uvea.

Many cases are chronic, and they can produce numerous possible complication, including clouding of the cornea, cataracts, elevated eye pressure (IOP), glaucoma, swelling of the retina or retinal detachment. These complications can result in permanent vision loss.

Most occurrences are frequently in people ages 20 to 50. A California study estimated that more than 280,000 people in the United States are affected each year, which is almost three times greater than previously thought.

The study based on medical records from six northern California communities also estimated that uveitis is the reason for 30,000 new cases of blindness a year and up to 10 percent of all cases of blindness.

Anterior is the most common form, with an annual incidence of about 8 to 15 cases per 100,000 people. This type of uveitis affects men and women equally.

Symptoms of Uveitis:

About half of all cases – with most occurring in the anterior uvea – don’t have an obvious cause. Symptoms of anterior include light sensitivity, decreased visual acuity, eye pain, and red eyes.

Intermediate and posterior usually are painless. Symptoms of these types include blurred vision and floaters, typically in both eyes. Most people who develop intermediate are in their teens, 20s or 30s.

Diffuse has a combination of symptoms of all types of uveitis.

What causes Uveitis?

It has dozens of causes, including viral, fungal and bacterial infections. But, in many cases, the cause is unknown.

Eye care practitioners sometimes can identify the cause if there has been trauma to the eye, such as from surgery or a blow, or if you have an infectious or immunological systemic disorder.

Some of the many different systemic disorders include:

  • Acute posterior multifocal placoid pigment epitheliopathy
  • Ankylosing spondylitis
  • Behcet’s disease
  • Birdshot retinol choroidopathy
  • Brucellosis
  • Herpes simplex
  • Herpes zoster
  • Inflammatory bowel disease
  • Juvenile rheumatoid arthritis
  • Kawasaki’s disease
  • Leptospirosis
  • Lyme disease
  • Multiple sclerosis
  • Presumed ocular histoplasmosis syndrome
  • Psoriatic arthritis
  • Reiter’s syndrome
  • Sarcoidosis
  • Syphilis
  • Systemic lupus erythematosus
  • Toxocariasis
  • Toxoplasmosis
  • Tuberculosis
  • Vogt-Koyanagi-Harada syndrome

Also, research shows smoking is a risk factor. “Cigarette smoke includes compounds that stimulate inflammation within the blood vessels, and this may contribute to immune system disruption and uveitis.

Uveitis and Iritis Treatment:

If your eye doctor determines you have uveitis, he or she will likely prescribe a steroid to reduce the inflammation in your eye. Whether the steroid is administered as an eye drop, pill or injection depends on the type of uveitis you have. Because iritis affects the front of the eye, it’s usually treated with eye drops.

Posterior uveitis usually requires tablets or injections. Depending on your symptoms, any of these treatments might be used for intermediate uveitis.

Steroids and other immunosuppressant’s can produce many serious side effects, such as kidney damage, high blood sugar, high blood pressure, osteoporosis, and glaucoma.

This is especially true of steroids in pill form because the dose must be relatively high in order for enough of the drug to find its way to the back of the eye. So it is important to follow your doctor’s dosage instructions carefully and to keep visiting him or her regularly to monitor the progress of the treatment.

Retisert (Bausch+Lomb) is the first surgical implant to gain FDA approval for use in the treatment of chronic, non-infectious posterior uveitis in the United States.

Approved in 2005, Retisert is a tiny drug reservoir that is implanted in the back of the eye and delivers sustained amounts of an anti-inflammatory corticosteroid medication called fluocinolone acetonide to the uvea for about 30 months.

During FDA clinical trials, the recurrence of uveitis fell from 40-54 – percent to 7-14 percent following Retisert implantation. The most common side effects noted during those studies were cataract progression, increased intraocular pressure, procedural complications and eye pain.

In a later study, researchers found the surgical implantation of the Retisert device was equally effective as systemic corticosteroid medications for the treatment of non-infectious intermediate, posterior and diffuse uveitis over a period of 24 months.

Ozurdex (Allergan) is another long-acting corticosteroid drug implant approved for the treatment of non-infectious uveitis affecting the back segment of the eye. Ozurdex implants contain the steroid medication dexamethasone and are biodegradable.

In addition to uveitis treatment, Ozurdex implants also are FDA-approved for the treatment of macular edema following retinal vein occlusion and for treatment for diabetic macular edema in adult patients who are pseudophakic or who are scheduled for cataract surgery.

If you have anterior uveitis, your doctor likely will prescribe, in addition to steroids, pupil-dilating eye drops to reduce pain. You also may need eye drops to lower your intraocular pressure if you develop high eye pressure due to uveitis.

Tonsillitis and Inflammation

The inflammation of tonsils, two masses of tissue at the back of your throat, which acts as filters, trapping germs that could otherwise enter your airways and causes infections is called “Tonsillitis”.

Tonsillitis is common, especially in children. The condition can occur occasionally or recur frequently.

Bacterial and viral infections can cause tonsillitis. A common cause is Streptococcus (strep) bacteria.

Other common causes include:

  • Adenoviruses
  • Influenza virus
  • Epstein-Barr virus
  • Parainfluenza viruses
  • Enteroviruses
  • Herpes simplex virus

The main symptoms of tonsillitis are inflammation and swelling of the tonsils, sometimes severe enough to block the airways.

Other systems include:

  • Throat pain or tenderness
  • Redness of the tonsils
  • A white or yellow coating on the tonsils
  • Painful blisters or ulcers on the throat
  • Hoarseness or loss of voice
  • Headache
  • Loss of appetite
  • Ear Pain
  • Difficulty swallowing or breathing through the mouth
  • Swollen glands in the neck or jaw area
  • Fever, chills
  • Bad breath

In children, symptoms may also include:

  • Nausea
  • Vomiting
  • Abdominal pain

If tonsillitis is caused by a virus, antibiotics won’t work and your body will fight off the infection on its own. In the meantime, there are things you can do to feel better, regardless of the cause.

They include:

  • Get enough rest
  • Drink warm or very cold fluids to ease throat pain
  • Eat smooth foods, such as flavored gelatins, ice cream, or applesauce
  • Use a cool-mist vaporizer or humidifier in your room
  • Gargle with warm salt water
  • Suck on lozenges containing benzocaine or other anesthetics
  • Take over-the-counter pain relievers such as acetaminophen or ibuprofen.

When is a Tonsillectomy needed?

Tonsils are an important part of the immune system throughout life, so it is best to avoid removing them. However, if tonsillitis is recurrent or persistent, or if enlarged tonsils cause airway obstruction of difficulty eating, surgical removal of the tonsils, called tonsillectomy, may be necessary. Most tonsillectomies involve using a conventional scalpel to remove the tonsils; however, there are many alternatives to this traditional method. Increasingly doctors are using techniques such as lasers, radio waves, ultrasonic energy or electrocautery to cut, burn, or evaporate away enlarged tonsils.

As with all surgeries, each of these has benefits and drawbacks. When considering the procedure, it’s important to discuss your options with the surgeon to select the most appropriate one for your child.

What to expect after Surgery?

Tonsillectomy is an outpatient procedure performed under general anesthesia and typically lasting between 30 minutes and 45 minutes. It is most commonly performed in children.

Most children go home about four hours after surgery and require a week to 10 days to recover from it. Almost all children will have throat pain, ranging from mild to severe, after surgery. Some may experience pain in the ears, jaw, and neck. Your child’s doctor will prescribe or recommend medication to ease the pain.

During the recovery period, it’s important for your child to get enough rest. It’s also important to make sure your child gets plenty of fluids; however, you should avoid giving your child milk products for the first 24 hours after surgery. Although throat pain may make your child reluctant to eat, the sooner your child eats, the sooner he or she will recover.