Rotator Cuff Tear Symptoms - Pain, frailness and The importance of bodily Therapy

***Do you know about - Rotator Cuff Tear Symptoms - Pain, frailness and The importance of bodily Therapy

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Rotator cuff tear symptoms are separate for each individual. Although the range of symptoms and the area affected is well known; we are all different.

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How is Rotator Cuff Tear Symptoms - Pain, frailness and The importance of bodily Therapy

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The main symptoms can be separated into two major areas; there are others but here I want to concentrate on the two most frequent symptoms of rotator cuff tear. Firstly, rotator cuff pain and the second of the rotator cuff symptoms is shoulder weakness.

Pain

The first of the two main symptoms is pain.It is prominent to remember that some citizen suffer no pain at all. Their symptoms are said to be asymptomatic. Studies have shown that many citizen who have suffered cuff tears have never complained of any pain.

If you do have pain however, you are unmistakably not alone. Another thing to remember is that many citizen begin to palpate pain and infirmity in the shoulder even before a tear unmistakably occurs.

Early onset can be indicated by generalised aching of the shoulder and pain when raising the arm out from the body. At first, the pain may be mild and only present with overhead activities, such as reaching or lifting. Over time however the pain may come to be noticeable at rest or with no performance at all.

If the tendon is unmistakably torn then the pain experienced can be severe especially in the case of a perfect rupture. The pain is commonly felt in the front of the shoulder and can radiate down the side of the arm as far as the fingers.

When the cuff is wholly torn severe pain can occur and will remain constant, even at rest. You will not be able to lift items and you may not be able to lift your arm from your side.

Pain is often worse at night, especially if you sleep on the affected side. This can be one of the most debilitating aspects of any cuff injury. You can be in pain and unmistakably tired, not a great combination!

Weakness

The other of the major rotator cuff tear symptoms is a infirmity of the shoulder. This often manifests itself as an inability to raise the arm. That not only includes up over the head but in any direction depending upon which tendon is unmistakably torn.

Often this infirmity is quite vague as the torn muscle can be compensated for by other muscles. The deltoid muscle for example is utilised to lift the arm and can in some way make up for the loss of cuff function. This is not ideal and literal, medicine should remain a priority.

In other cases however, especially full thickness tears, the symptoms can be extreme. Some citizen suffering major tears or detachments are left with very tiny residual arm movement.

There are a range of other symptoms associated with tears and other injuries. Pain and infirmity are by far the most common.

No matter what your symptoms, please remember this. Anything can successfully utilise corporal therapy for rotator cuff muscles to develop and sell out the effects of any rotator cuff tear symptoms. Join me to study more

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Post-Cholecystectomy Syndrome (Symptoms After Gallbladder Surgery)

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An estimated 20 million Americans have gallstones (cholelithiasis), and about 30 percent of these patients will ultimately build symptoms of their gallstone disease. The most base symptoms specifically linked to gallstone disease include upper abdominal pain (often, but not always, following a heavy or greasy meal), nausea, and vomiting. (The upper abdominal pain often radiates colse to towards the right side of the back or shoulder.)

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How is Post-Cholecystectomy Syndrome (Symptoms After Gallbladder Surgery)

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Patients with complications of untreated cholelithiasis may perceive other symptoms as well, in expanding to an increased risk of severe illness, or even death. These complications of gallstone disease include:

- Severe inflammation or infection of the gallbladder (cholecystitis)

- Blockage of the main bile duct with gallstones (choledocholithiasis), which can cause jaundice or/and bile duct infection (cholangitis), as well as pancreatitis

More than 500,000 patients undergo removal of their gallstones and gallbladders every year in the United States, making cholecystectomy one of the most commonly performed major abdominal surgical operations. In 85 to 90 percent of cholecystectomies, the doing can be performed laparoscopically, using multiple small "band-aid" incisions instead of the original large (and more painful) upper abdominal incision.

For the vast majority of patients with cholelithiasis, cholecystectomy effectively relieves the symptoms of gallstones. In 10 to 15 percent of patients undergoing cholecystectomy, however, persistent or new abdominal or Gi symptoms may arise after gallbladder surgery. Although there are many private causes of persisting post-cholecystectomy abdominal or Gi symptoms, the nearnessy of such symptoms following gallbladder surgery are collectively referred to as "post-cholecystectomy" syndrome (Pcs) by many experts.

I routinely receive inquiries from patients who have previously undergone cholecystectomy, and who description troubling abdominal or Gi symptoms following their surgery. In many cases, these patients have already undergone rather comprehensive evaluations, but without any exact findings. Understandably, such patients are troubled and frustrated, both by their persisting symptoms and the ongoing uncertainty as to the cause (or causes) of these symptoms.

The most base symptoms attributed to Pcs include persisting abdominal pain, nausea, vomiting, bloating, inordinate intestinal gas, and diarrhea. Fever and jaundice, which most commonly arise from complications of gallbladder surgery, are much less common, fortunately. While the correct cause, or causes, of Pcs symptoms can finally be identified in about 90 percent of patients following a proper evaluation, even the most comprehensive work-up can fail to identify a exact ailment as the cause of symptoms in some patients. It is foremost to stress that there is no universal consensus on the topic of Pcs among the experts, although most agree that there are multiple and diverse causes of persisting post-cholecystectomy symptoms. Thus, it can be very difficult to counsel the small minority of patients with persisting symptoms after surgery when a comprehensive work-up fails to identify exact causes for their suffering.

Because Pcs is, in effect, a non-specific clinical diagnosis assigned to patients with persisting symptoms following cholecystectomy, it is critically foremost that an proper work-up be performed in all cases of persisting Pcs, so that an correct diagnosis can be identified, and proper medicine can be initiated. As the known causes of Pcs are numerous, however, physicians caring for such patients need to tailor their evaluations of patients with Pcs based upon clinical findings, as well as prudent laboratory, ultrasound, and radiographic screening exams. This logical clinical advent to the appraisal of Pcs symptoms will identify or eliminate the most base diagnoses linked with Pcs in the majority of such patients, sparing them the need for further unnecessary and invasive testing.

In reviewing the etiologies of Pcs that have been described so far, both patients and physicians can gain a great understanding of how complicated this clinical question is:

- Irritable bowel syndrome (Ibs)

- Bile gastritis (inflammation of the stomach)

- Gastroesophageal reflux (Gerd)

- Hypersensitivity of the nervous theory of the Gi tract

- Abnormal flow of bile into the Gi tract after removal of the gallbladder

- inordinate consumption of fatty and greasy foods

- Painful surgical scars or incisional (scar) hernias

- Adhesions (internal scars) following surgery

- Retained gallstones within the bile ducts or pancreatic duct

- Stricture (narrowing) of the bile ducts

- Bile leaks following surgery

- Injury to bile ducts while surgery

- Infection of the bile ducts (cholangitis), incisions, or abdomen

- Residual gallbladder or cystic duct remnant following surgery

- Fatty changes of the liver or other liver diseases

- persisting pancreatitis or pancreatic insufficiency

- Abnormal function or anatomy of the main bile duct sphincter muscle (the "Sphincter of Oddi")

- Peptic ulcer disease

- Diverticulitis

- Crohn's disease or ulcerative colitis

- Stress

- Psychiatric illnesses

- Tumors of the liver, bile ducts, pancreas, stomach, small intestine, colon, or rectum

In reviewing the comprehensive list of inherent causes of Pcs, it is obvious that some causes of Pcs are directly attributable to cholecystectomy, while many other etiologies are due to unrelated conditions that arise whether prior to surgery or after surgery.

While it is impossible to predict which patients will go on to build Pcs following cholecystectomy, there are some factors that are known to increase the risk of Pcs following surgery. These factors include cholecystectomy performed for causes other than confirmed gallstone disease, cholecystectomy performed on an urgent or emergent basis, patients with a long history of gallstone symptoms prior to undergoing surgery, patients with a prior history of irritable bowel syndrome or other persisting intestinal disorders, and patients with a history of definite psychiatric illnesses.

In my own practice, the initial appraisal of patients with Pcs must, of course, begin with a proper and correct history and corporal exam of the patient. If this initial appraisal is concerning for one of the many known corporal causes of Pcs, then I will regularly ask the sick person undergo several initial screening tests, which typically include blood tests to assess liver and pancreas function, a perfect blood count, and an abdominal ultrasound. Based upon the results of these initial screening tests, some patients may then be advised to undergo further and more sophisticated tests, together with endoscopic ultrasound (Eus), upper or/and lower Gi endoscopy (including, in some cases, Ercp, or endoscopic retrograde cholangiopancreatography), bile duct manometry, or Ct or Mri scans, for example. (The decision to order any of these more invasive and more precious tests must, of course, be dictated by each private patient's clinical scenario.)

Fortunately, as I indicated at the beginning of this column, a thoughtful and logical advent to each private patient's presentation will lead to a exact diagnosis in more than 90 percent of all cases of Pcs. Therefore, if you (or man you know) are experiencing symptoms consistent with Pcs, then referral to a doctor with expertise in evaluating and treating the varied causes of Pcs is critical (such physicians can include family physicians, internists, Gi specialists, and surgeons). Once a exact cause for your Pcs symptoms is identified, then an proper medicine plan can be initiated.

Disclaimer: As always, my advice to readers is to seek the advice of your doctor before making any critical changes in medications, diet, or level of corporal activity.

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Kaiser Permanente (HMO) presentation -- Benefit plan design changes for 2011

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Kaiser Permanente (HMO) presentation -- Benefit plan design changes for 2011 Video Clips. Duration : 13.60 Mins.

We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Kaiser Appointment Number. Northern California region -- Sara Frampton of Kaiser Permanente, presents benefit plan and prescription drug program changes for 2011. Handout www.calpers.ca.gov Transcript www.calpers.ca.gov

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Get Festive - Europe's Christmas City Breaks

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As Christmas is well nearby the corner, many European cities are preparing for the festivities by chance their Christmas markets. Historically part of the arrival in Germany and Austria, it has now become part of the Christmas celebration in several cities nearby the world. While there are several Christmas markets nearby the world, the most spellbinding ones can be found in Vienna, Budapest, Berlin and Prague.

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How is Get Festive - Europe's Christmas City Breaks

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For the uninitiated, a Christmas store consists of several booths and stalls in the town quadrilateral or other pedestrian zones selling food, drink and gifts. The food on sale includes sweets like 'Gebrannte Mandeln' (candied, toasted almonds), gingerbread cookies and 'Christstollen' or 'Stollen' (a bread-like cake with pieces of candied fruit inside), while mulled wine (with or without a shot of brandy) and 'Eierpunsch' (egg nog) are consumed to keep warm in the cold winter air.

In Vienna, the biggest Christmas market, Rathausplatz, is held in the quadrilateral infront of the City Hall. Surrounded by the elaborately decorated trees in the park, it truly gives patrons the feel of a winter wonderland and offers several locations suitable for a souvenir photo. For most Viennese, Christmas Markets are not so much for shopping as for drinking, so it is a excellent chance to mix with the locals while sampling some of the local delicacies and mulled wine.

In Budapest the biggest Christmas store is held in Vorosmarty Square, where great emphasis is put on the capability of the handcrafted gifts on sale, being inspected by the association of Hungarian Folk Artists. In addition, the capability of the entertainment has made it a truly exceptional Christmas market. This year it will be host to over 150 stage shows, including puppet theatre, folk dancing and folk music. Visitors can also make their own seasonal decorations in the heated marquee.

Berlin is host to over 50 Christmas markets, with the Gendarmenmarkt, held near the Kaiser Wilhelm Memorial Church, being the most popular. Held in one of the most gorgeous squares in Europe it is visited by over 4 million habitancy every year. Berlin has a reputation for being home to young German artists, which means that in addition to former gifts and Christmas decorations, the fair offers unique jewellery, decorations, and artwork made by some of the most innovative artists around. The quadrilateral is also surrounded by some of Berlin's most paramount division stores, making it an excellent place to do some Christmas shopping.

In Prague the two main Christmas Markets are held at the Old Town quadrilateral and Wenceslas Square. Here, visitors can sample local delicacies like corn on the cob and sausages, while local and international choirs and musical ensembles entertain them as they browse the store stalls. The goods on sale include Czech glass, scented candles, wooden toys, ceramic mugs and Christmas tree ornaments. The quadrilateral also includes a Christmas tree shipped from the Sumava mountains in the South of the Czech Republic to make for a truly spectacular view against the gothic skyline.

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Jennifer Burgham MD

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How is Jennifer Burgham MD

Jennifer Burgham MD Tube. Duration : 1.68 Mins.

We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Kaiser Appointment Number. Jennifer Burgham, MD Pediatrics Female 925 827-9195 | Concord, CA John Muir Physician Network Member Joined: November 1, 2003 Specialty: * Pediatrics Certification: * American Board of Pediatrics Education: * Degree: University of California San Francisco * Residency: Kaiser Permanente Medical Center Languages Spoken: * Spanish Affiliated With: * Walnut Creek Campus How to Choose this Doctor Call the doctor's office to see if he is accepting new patients and make your first appointment. For some specialists, you may need a referral from your primary care doctor. Already an HMO Member? If you'd like to choose this doctor as your primary care physician, call your health plan's customer service department. Check the back of your ID card for the phone number. Ask to be assigned to this doctor. Not all John Muir Health doctors may be available with your plan. Note: Some physicians may have more than one affiliation, and not all physicians affiliated with a John Muir Health facility are members of the John Muir Physician Network. The information provided about these doctors is not confirmation that they have contracted with your health plan. Confirm coverage directly with either the doctor's office or your health plan. Information displayed here is subject to change. We strongly encourage you to confirm this information with the provider upon your visit or phone call to their office. To the physicians: To request an update to your information displayed on this page, please ...

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