When you initially presented to the office, you presented with chronic neuropathy symptoms in the feet, lower extremities, numbness, tingling, and burning. We've been managing you here with the Davis neuropathy program. What's been your experience here in the office, and how are you feeling today with the neuropathy Well it's been a very good experience. I can sleep through the night, I don't have any pain in my legs, I don't wake up with cramps, and when I walk in the daytime I don't feel like I'm walking on glass. The pain has just.
What is Benzoyl Peroxide DermTV Epi 461
Benzoyl peroxide, also called BP, is one of the most important acne fighting ingredients available. Why is it so important And how does it work Stay tuned! Hello, I'm Dr. Neal Schultz pause And welcome to DermTV. Benzoyl peroxide is so important that it's included in the World Health Organization's Model Lists of Essential Medicines, which is a list of minimum medical needs for a basic health care system. That's impressive! The reason it's so important is because it works to both prevent and treat both non inflammatory acne, you know, the blackheads and whiteheads,.
And also, it prevents and treats inflammatory acne your red pimples, pus pimples and painful zits. BP has three major acne fighting actions. First, it's a very effective exfoliant. Second, it's antibacterial in a special way. And third, it supplies oxygen to help healing. So first, as an exfoliant, it helps remove clogging dead cells that contribute to causing both blackheads and whiteheads. Also as an exfoliant, it helps dissolve those clogs of dead cells and oil after they form, and, it also helps speed healing of all the inflammatory acne lesions.
By increasing turnover of the cells on top of the pimples. While I believe that glycolic is the gold standard of chemical exfoliants and is very helpful for acne for the same reasons, BP has a great synergy with glycolic and can be used with it. Second, BP has antibacterial activity against the acne causing bacteria, Propionibacterium acnes, or P. Acne, as we call it. But it should be noted that Benzoyl peroxide is not actually an antibiotic. P. Acne is an anerobe which means that it needs an oxygen free environment.
To multiply and conduct its metabolic activity, which includes making the enzyme lipase which is how it causes pus pimples, cysts and painful inflammation in your skin. But the oxygen that Benzoyl peroxide makes inhibits P. acne's ability to make the lipase that causes inflammatory acne lesions. Last, the same oxygen rich environment that prevents inflammatory acne also helps in the healing of all types of acne. At concentrations of 2 to 10, it's best used as a leave on spot treatment to heal individual lesions, but in short contact uses such as a cleanser where it's not left on the skin,.
It's a great preventative treatment to help prevent all types of acne lesions. And as a note, for those people who are concerned about whether or not it will irritate their skin in spot treatments, in a cleanser, it's much less apt to cause any irritation and could also be a great way to start using BP. Lastly, let me reassure you again that the F.D.A. has determined and declared that benzoyl peroxide is safe. They put it in the category of grase products, spelled GRASE, which stands for, generally recognized as safe and effective,.
Helping the body regrow nerves Science Nation
MUSIC MILES O'BRIEN Combat, cancer and accidents all can cause devastating nerve injuries. Sometimes, the body heals on its own. CHRISTINE SCHMIDT Your peripheral nerves are the ones in the arms and the face, have an inherent ability to regenerate but only under ideal circumstances. MILES O'BRIEN With support from the National Science Foundation, University of Florida Biomedical Engineer Christine Schmidt is working to restore nerve function when injuries are more complicated. SURGEON Took that muscle and rotated it, took it over the back of his elbow to cover MILES O'BRIEN Surgeons can sometimes move a nerve from one.
Part of a patient's body to another. Schmidt has developed a method that grafts cadaver tissue onto the damaged area to act as a scaffold for nerves to regrow themselves. CHRISTINE SCHMIDT Basically what we're doing is removing all the cellular material that would cause rejection but leave behind the native architectures. You're putting this graft into the site of injury. And now, that graft is providing a scaffold for your blood vessels to grow in. And then once you have that recellerization your nerve fibers can then regrow, so then, ultimately regain that muscle function.
MILES O'BRIEN Navy Veteran Edward Bonfiglio, wounded in Afghanistan, faced the prospect of an amputation. A graft was a welcome option. The company, AxoGen, distributes the grafts, which were developed based on work done in Schmidt's lab. JILL SCHIAPARELLI And his family pressed the doctors to say, Are there any alternatives He was a young, healthy, vibrant guy. And they had a great surgeon at Walter Reed who was willing to work with them to find those options. CHRISTINE SCHMIDT This is some of the micronized nerve that you're working with.
MILES O'BRIEN Schmidt and her team are also looking at other approaches to directly stimulate nerve growth using natural sugar molecules found in the body as building blocks, eliminating the need to transplant tissue. CHRISTINE SCHMIDT So you don't have to actually take it from somebody's body. You can grow it. MILES O'BRIEN While the ultimate goal in nerve regeneration is reversing paralysis, Schmidt says intermediate successes, like improving lung or bladder function, can be invaluable to patients and their families. CHRISTINE SCHMIDT So rather than saying we're going to try.
What Causes Painful and Numb Feet in the Morning
We treat a lot of heel pain, or plantar fasciitis, in our office. Many of the symptoms include pain when you first get up in the morning, burning, numbness, and increased symptoms by the end of the day. The pain is usually caused by tightening of the plantar fascia ligament, located on the bottom of the foot. The plantar fascia ligament supports the arch. When you are resting, the ligament contracts. As you start to walk, the ligament pulls and may tear slightly, causing pain. Heel pain can also be brought on by trauma, overexertion, illfitting shoes, or poor foot.
Alignment. We initially treat plantar fasciitis conservatively with icing, stretching, strapping, antiinflammatory medications, physical therapy, night splints, and possibly an injection. Proper foot support is one of the most important treatments we recommend. The purpose of foot support is to stop the ligament from tearing, thereby getting at the cause of the problem. We often prescribe a custom orthotic for the best possible foot support. Custom orthotics are inserts that fit into your shoes, which are custom molded specifically to your foot to correct the faulty foot alignment and bring your foot into a more natural position.
Spinal Lumbar Surgery Helps Salem Resident Maintain Active Lifestyle
My name is Dennis Korumpas, I'm 73 years of age and I born and grew up in Salem, Massachusetts. I was social studies teacher in Peabody for about 22 years and I ended my career in Peabody in 2003 and I've been retired since. I was doing a spinathon at the Salem Y in June 2nd of 2013 and when I got home I couldn't feel my right foot, my right toe. Lucky to get in to see Dr. Medlock. MRI revealed that I had spinal stenosis. In spinal stenosis, these are the nerves that come down from the head and go down to the.
Legs so they have to come through this channel right here and then they have to come out through down to the legs. So this area gets smaller as the spine becomes more arthritic with age. Well we took the conservative approach, therapy, medication, and I did that for four or five months. Yeah the treatment of spinal stenosis is always conservative, it's always non surgical and and surgical is the last step when we can't keep em' comfortable by any other means. So I referred him to Dr. Pajela. Yeah I went to see her two or three times and again she was checking the strength of my foot,.
Whatever, and we sort of reached a plateau, it wasn't getting any better. So, in Dennis' case, he lost function in his foot, which is important because he teaches spinning classes, so we really focused on trying to get his strength back. So after about, you know, six to eight weeks of physical therapy when I saw that his weakness wasn't improving we discussed surgery. So we really don't like jumping into that unless we have to, but you know, we really want to restore their function to the level where they're.
Able to do the things they want to do and that's what we really, we try to impress upon patients. And that's when she sent me back to Dr. Medlock, and that's when he said, do you want, do you want to do the surgery And the procedures called a lumbar laminectomy and involves taking the bone off of the back of the spine, so again this is the back of the patient. So the patient is put to sleep, and then I make an incision, and then I come down and I take off this bone so that.
These nerves in here are no longer compressed. He said to me that it would be probably six months to a year before you get back most of what you had before. The speed of the recovery is quite variable, generally younger patients, like Dennis do very well, and he's a very motivated person, so he's it's always a delight to treat someone like that because they're, they have places to go and things to do, and you know that they're gonna, they're gonna be very proactive in their recovery and do well.
DRHOS Circulation Promoter Testimonial Olivia
I had really, really bad circulation in my legs, swollen, burning and there was uncomfort for working, for walking. When I went to see my doctor, he recommended doing surgery or inject a needle and I'm not agreed with that. Since I used the DRHO'S, my circulation is much, much better and I can walk better and I can stand much better working. My leg is not swollen they way they used to be. Burning is gone. I use the DRHO'S in the morning before I go to work and at night, when I come back from work, and I feel my legs relax and.
Will my case go to trial Hicksville, Ohio
Question I get asked a lot, is my case going to trial Well the statistical answer is probably not and that's because the lion's share of cases get negotiated and settled long before we get to the courthouse that is if you and the insurance adjuster with our help agree on a settlement amount there's no use to go to the courthouse is no reason there's no filing. Its only when we cannot agree with the insurance company other value for your case then we take the next step File the case in court but, still that doesn't mean you're cases going to trial.
That just means we now have set the stage by which to ask a judge for a jury to award you a sum of money there's many steps to go between the filing of a lawsuit and a court case in an actual trial and so I would suggest to you up the files cases no more than five percent of those cases get tried most to them are saddled with the satisfaction of our clients long before we start preparing for trial. So I can't have I'd be happy to answer any of those types of questions.
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