Search Results: massage therapy

Three Issues Chiropractic Care Can Help With

You probably are not aware of what types of ailments chiropractic care can benefit. Whether you or a loved one is suffering from an ongoing injury or a recent sprain from an accident, chiropractic treatments may offer relief. Some people think that back pain is the only condition treated by a chiropractor, but that is incorrect because chiropractic care can be used to treat various conditions. These three conditions may be treated by your local chiropractic office.

Injury pain
Whether it’s a work injury or sports injury, you want to find relief using natural treatments. Physical therapy in Valrico FL can possibly help to loosen muscles that are impacted. Massage therapy is also another type of treatment used for injury pain. Getting regular chiropractic treatments after a sports injury can promote a quicker recovery and ultimately improve your performance.

Auto accidents
Depending on the severity of the auto accident, drivers can endure crippling pain from their injuries. Patients may experience the pain right after the accident or several days after the incident. Oftentimes, ligaments can be stretched, damaged or even torn. Various modes of healing can be used to treat the pain including mechanical traction, craniosacral techniques, physical therapy, massage therapy and lightforce laser therapy. These treatments are in addition to adjusting techniques.

Neck and shoulder pain
Loved ones of all ages can experience neck and should pain. When this occurs it can prevent you from performing normal day-to-day activities. Chiropractic treatments may help to alleviate neck and shoulder pain. The culprit of neck pain can be a herniated disc, bulging disc, muscle strain, pinched nerve or worn joints. Injuries can cause limited mobility and possibly lead to damages to the surrounding tissues or nerves.

When you or a loved one experiences pain related to a work or sport injury you probably did not think that your local chiropractor can offer relief. Most people are not sure which ailments are treated by a chiropractor. Essentially, consider seeing a chiropractor for these three ailments: injury pain, auto accident injuries, neck and should pain.

 

Image courtesy of David Castillo Dominici at FreeDigitalPhotos.net

Posted by - May 10, 2018 at 11:20 am

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An Instant Solution for Mind and Body

When in any stress or pressure, one needs to relax not just their minds but bodies also. There are many ways of relaxing the human mind, but massage is the only one that guarantees a stress-free outcome and is handy too, it is the act of working on the nerves and tissues through pressure to give relief from pain. Massage is usually done involving usage of hands, fingers, elbows, feet or a mechanical or manual device made especially for this purpose. Unique massage tables and chairs are provided to lie down, relax and rest for the next couple of hours.

MASSAGE IN OGDEN

Massage has become a primary necessity in maintaining mental and physical health which does not involve any medication. Many spas and salons in Ogden offer their incredible massage services in your reach that too at fair rates. If you are stressed or in any pain, be it muscular or joint, massage can make all your stress vanish in no time because of which your mind gets to rest, and you can think openly and widely.

WHY MASSAGE?

Massage is one such therapy which does not require medication to cure an ailment or condition. Frequent use of medicines is very harmful to human body, and it can treat your illness temporarily but not in the long run and creates a lot of other problems too in the future such as acidity. Treatments of massage are also being used for the cure of anxiety and depression. It is done with the help of fingertips and hands usually, which relaxes and release nerves tissues. Massage is very beneficial for a headache, soft tissue strains or injuries, especially which have been caused athletically. Massage therapy also proves to improve blood flow. Massage Ogden is also a favorable choice especially for those who are facing insomnia which is caused by the restlessness of mind and lack of concentration.

TYPES OF MASSAGE

There are many types of massage offered worldwide. Some of them are as follows:

  1. Swedish massage therapy: This is a common type of message mostly provided in clinics and gyms etc.
  2. AROMATHERAPY MASSAGE: Scented plant oil is mixed with massage oil to give this kind of massage.
  3. HOT OIL MASSAGE: Foreseeable, hot stones or oil are put on affected areas of the body to provide a heated massage.
  4. DEEP TISSUE MASSAGE: For this kind of massage, muscles and joints are the primary targets to ease the tissues that are affected due to injury.
  5. PREGNANCY MASSAGE: Pregnant women are being given this massage to relax their exhausted body and mind.

The list continues with a lot of other types of massage are being created/invented around the world.

 

After a tiring and hectic schedule, our body deserves to treat well, and massage is the only therapy which gives instant relief from any pain and mental condition, then and there! Continuous treatment of massage therapy provides permanent ease to the body which results in a healthy lifestyle and physically fit body.

Posted by - October 26, 2017 at 11:02 am

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Take Your Health From Average To Awesome With These Wellness Strategies

Individuals who are interested in life optimization should know that maintaining great health is one key to enhancing efficacy and enjoyment in the personal and professional realms. Luckily, there are several simple techniques you can implement to take your level of health from average to awesome. Here are three of them:

1. Find The Ideal Doctor.

Finding the perfect doctor can help you attain the assistance and support necessary to keep your health optimized. Ideally, you want to select a trained medical professional who can offer preventative services that keep you out of the hospital. When you start looking for the ideal doctor, be sure to consider Dr Bryan MD. Dr Bryan is pleased to offer a diverse array of wonderful health services that can help you feel your very best. Some of them include:

Verju Laser System
• Motivational Interviewing
• Weight Management
• Pain Management
• Medical Hypnosis

2. Hire A Personal Trainer.

In addition to finding the ideal doctor, be sure to consider the value of hiring a personal trainer. This step is important because most people do not exercise regularly enough to attain great health benefits like improved sleep, enhanced digestion, more youthful-looking skin, and better posture. Yet when you hire a personal trainer, you can attain ongoing assistance and customized exercise routines that empower you to look and feel your best. When you start looking for the ideal personal trainer, make sure that she or he has been certified by a reputable organization like ACE or ISSA.

3. Invest In Massage Therapy.

Many people consider massage to be a luxury treatment that one attains while on vacation or during a sporadic visit to the spa. However, it’s important to know that regular massage therapy can be a wellness strategy that helps you fight disease, remove toxins from the body, and decrease stress levels. Additionally, massages are generally viewed as a pampering activity in which the individual is enabled to relax and let the cares of the world drift away. Thus unlike other wellness strategies that may seem like hard work, massage therapy can be your sweet escape from daily life!

Don’t Delay: Start Optimizing Your Health Today!

If you want to optimize your health, remember that operating in a systematic fashion can help you do so. Three of the wellness techniques you can use to realize the goal include finding the ideal doctor, hiring a personal trainer, and investing in massage therapy!

Posted by - November 4, 2016 at 11:59 pm

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Body detox by 4 Techniques That You do not Know

Toxins are a serious threat

Nowadays, people are exposed to the influence of various harmful substances. One gets toxins from the polluted air – industrial emissions from the enterprises, gases from the car traffic flow, cigarette smoke, etc. The industrial pollution affect the water and the soil. Often, for an intensive growth, in the plant-growing and the stock-breeding are used chemicals, of which, through the food products, certain innutritious substances fall in the body. The food itself is also processed in many cases – for example, for its long durability.

In addition, people themselves contribute to the formation of toxins in their bodies. The chaotic eating during the day, with unselected food, and the incorrect combinations with alcohol, overindulging in front of the TV in the evening, put the digestive system under the unnatural regime and overburdening. It does not cope with the digestion of the food, and, in the tract, undigested remainders start to stagnate. They begin to decay, at which, toxins start to release, the blood carries them, along with the nutritional substances, around the whole body. This overloading comes in excess for the body, and it cannot get rid of the toxins, although, in principle, it is a self-purifying system.

This damages the body at all levels – from the cells to the tissues and organs, destroys the natural processes in the body, and its functions, which leads to diseases of the different systems. Heavy metals are associated with the depressive conditions, bone damages, etc.; the pesticides damage the nerves and the brain, etc. This is why in the modern medicine, body detox is applied. There are entire programs in specialized clinics, such as LuckyFit, which is in the town of Bansko and is for efficient and fast weight loss, with purification methods, anti-stress, yoga practices, and others, under medical supervision. The course is based on a dietary regime, prepared by professional dieticians, intake of certain supplements and lots of water, colon hydrotherapy, specialized massages.  There are some techniques, easily applicable in a home environment.

Cleansing in a home environment

The detoxification can be done in a home environment, but it is good to consult your doctor. The diet regimes and the procedures are related to the function of the intestines, kidneys, lungs, skin, complete changes in the body. That is why they should be in compliance with the eventual diseases – blood sugar, blood pressure, the occurrence of pain in certain situations, problems with the defecation, etc.; physical fitness. On the whole, in the initial stage, weakness may appear, as well as dizziness. During the detox, the coffee must be stopped, also the green and black tea, the alcohol, and the cigarettes. Herbal tea without sugar is allowed.

The cleansing can be done by gradually reducing the heavy foods such as meat and processed semi-prepared foods, and switching to wholegrain foods, fresh vegetables, and fruit, to facilitate the metabolism. Three weeks of a vegetarian diet with plenty of water, pulse, vegetables, fruit, seeds, nuts, are a good variant to enable the body to cleanse. The detox may be liquid as well – several days to a week, only fresh vegetable and fruit juices can be taken, soups like rare purées and water. Another way of detox is the fruit one – for three days you should be on a certain kind of fruit – for example, to eat only fresh organic apples, to drink juice from the apples, and water for the release of the preservatives, the fats, etc. After the three-day regime, gradually, other food is included, by working out a healthy menu. A variant is also, if you impose, as a regular practice, once a week, not to have anything else but water. The water actually is included in all cases, as it is important for the cleansing. If a person is dehydrated, kidneys do not work effectively and the liver is overburdened. At least two litres of water a day must be drunk, by drinking it in small quantities evenly distributed throughout the day.

Posted by - July 21, 2018 at 6:59 am

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Athlete’s Foot-Natural Cures and Remedies

Athlete’s Foot-Prevalence in General Population

Why write an article about curing athlete’s foot? Well, for many good reasons. To start with, it’s not an exclusive club limited to just athletes, or feet for that matter. It is the most common fungal infection of the skin. Athlete’s foot effects about 15%-25% of all people at any given time. UK findings suggest that athlete’s foot is present in about 15% of the general population. Dermatology clinics in Italy found prevalence’s of 25%. In China it came in at about 27% and in Israel the prevalence among children clocks in at around 30%. Secondly, over 70% of all people worldwide will contract the condition during some point in their lives. That’s a lot of fungus!

Before we investigate some of these miraculous cures, let’s first take a look at just what athlete’s foot is all about.

 

What is Athlete’s Foot?

Athlete’s foot, scientifically known as tinea pedis, is a fungal infection of the upper layers of dead skin on the foot. There are several subspecies of fungus found in Africa and Europe, however, the two types of fungus that most commonly cause athlete’s foot are Trichophyton rubrum and Trichophyton mentagrophytes. T. rubrum usually effects the area between the toes and is easily treated. T. mentagrophytes can effect the entire foot, causing what is known as “moccasin foot” and would be considered a chronic condition that is much harder to treat and eradicate. The fungus is a parasite and feeds on keratin which is a protein found in dead skin, hair and nails. They do not attack or feed on living tissue and prefers dark, moist, warm conditions to thrive, and the foot in our shoe is the ideal habitat for the fungus to grow and multiply.

 

Symptoms

The symptoms which might present themselves, depending on which type of fungus you have been affected with, are many. Some of the more common symptoms are itching, burning and stinging between the toes, usually between the last two smaller ones. You may also experience these symptoms on the soles of your feet. The skin may become red and raw and the sweat may seem to be sticky or tacky with a foul smell akin to vinegar and/or yeast. Cracking, peeling and dry skin anywhere on the foot are less common and may indicate a more invasive chronic infection. The infected areas may also show signs of swelling and small blisters may appear on the surface of the skin.

 

How Do You Get It?

Athlete’s foot is a contagious disease and can be contracted in a number of ways. It can be transmitted through direct or indirect contact. Direct contraction can occur when an individual comes into direct contact with the skin of another individual who is infected. Indirect contact can occur when an individual comes into contact with the fungus on inanimate objects such as towels, locker room floors, shared showers in the home, gym, pool or workout center. Sharing socks and footwear with an infected individual can also lead to a cross infection. Pets who are allowed to roam outdoors can also carry the fungus and transmit it into the dwelling where it may infect the entire family or household.

The spores, or “seeds”, of the fungus can survive for years in a dormant state, without food or moisture, when conditions are less than favorable for it to thrive. As soon as an unsuspecting host, a foot we’ll say, comes walking along and comes into contact with these spores, they soon emerge from this dormant state and begin to proliferate.

 

Susceptibility

Some people are more susceptible in contracting athlete’s foot. Certain individuals may come into contact with the fungus and never develop the condition at all or even know that they are carrying it. They are, however, able to act as carriers and in turn infect other people. The reported prevalence of athlete’s foot in men is higher than in women. Susceptibility also increases with age. If you have a history of being susceptible to fungal infections, you stand more of a chance of contracting athlete’s foot. Certain medications such as antibiotics, birth control pills and corticosteroids also increase your chances of contracting the condition. If your immune system is impaired or compromised due to conditions such as diabetes, HIV or cancer, you may contract the disease more readily than others. If your immune system is weakened due to stress, poor diet, smoking or the over consumption of alcohol, you also may be at risk of contracting athlete’s foot. You may also be more susceptible in contracting it if you live in a climate that is warm and humid most of the time.

 

Just For Feet?

Not many people are aware of the fact that the same fungi that causes athlete’s foot can spread to other parts of the body. It is confusing to many due to the fact that the fungus that causes athlete’s foot is most usually termed a different name when it affects other parts of the body. It is called jock itch when it affects the area of the groin, ringworm when it affects areas of the skin other than the feet, Tinea capitus when it affects the scalp, Tinea barbae when found within the beard, Tinea faciei when it grows on the face and Tinea manuum when it infests the palms of hands. It can also infect the underarms, legs nails and virtually any other part of the body. All of these conditions are caused by the identical organism. The fungus can spread to these other areas simply by touching an affected area with your fingers and transmitting it to another part of the body or by spreading the fungus around with a towel. If you have athlete’s foot, it is suggested that you dry your feet first with a separate towel other than the one you will be using to dry off the rest of your body.

 

Complications

Normally, athlete’s foot is a fairly common condition that, with a little effort and diligence, can be effectively treated and eliminated. However, there are several things to watch out for if you are suffering from athlete’s foot. The main concern is secondary bacterial infection. This can occur when the skin becomes broken due to scratching which can be an open invitation to pathogens. If left untreated, the bacteria can migrate to the deeper tissues of the body and can cause septicemia (blood poisoning), which can be a life threatening condition. Patients who are considered obese, or have HIV, diabetes or cancer pose a higher risk of contracting a bacterial infection than do the average populace due to the fact of them having a lowered immune system. Diabetics in particular need to take certain precautions to prevent any bacterial infections of the feet from becoming dangerous foot ulcerations.

 

Prevention

The first and foremost tactic in preventing an infection by athlete’s foot fungus is to keep your body healthy. When your body is experiencing optimal health, your immune system also tends to be operating and functioning at its maximum efficiency thus has the ability to fend off undesirable pathogenic invaders. A diet rich in fresh, whole food while avoiding denatured processed food is a must. This aspect will be further addressed in a future article.

 

  • Ensure that your feet are completely dry prior to putting on socks and footwear. If you are prone to athlete’s foot or have had it in the past, you may opt to “finish” off the drying process by using a blow dryer set on low.
  • Keep your feet clean and be sure to never wear the same socks twice.
  • If your feet are prone to heavy sweating, you may choose to change your socks twice daily.
  • Wear socks that are made from natural fibers such as cotton or wool.
  • If at all possible, air out your feet as much as as you can throughout the course of the day. Exposing them to sunshine can also be extremely beneficial.
  • If you live near the beach, a barefoot wade in the salty water can work wonders.
  • Wear shower sandals in gym showers, locker rooms, hotel rooms and whenever you frequent public pools.
  • Ensure that your feet are completely dry prior to putting on socks and footwear. If you are prone to athlete’s foot or have had it in the past, you may opt to “finish” off the drying process by using a blow dryer set on low.
  • Keep your feet clean and be sure to never wear the same socks twice. If your feet are prone to heavy sweating, you may choose to change your socks twice daily.
  • Wear socks that are made from natural fibers such as cotton or wool.
  • If at all possible, air out your feet as much as as you can throughout the course of the day. Exposing them to sunshine can also be extremely beneficial.
  • If you live near the beach, a barefoot wade in the salty water can work wonders.
  • Wear shower sandals in gym showers, locker rooms, hotel rooms and whenever you frequent public pools.
  • Try to wear shoes that are well ventilated and choose ones that are not entirely made from plastics and rubber.
  • If you have an active case of athlete’s foot, wash out the shower or bath with a strong disinfectant after each use. Never share towels and always wash your hands well after coming into contact with the effected areas.

 

Natural Remedies and Home Cures

There are many natural remedies that can alleviate and cure athlete’s foot just as effectively as over the counter or prescription drugs, creams and ointments. In many cases, I have found that these home remedies actually work faster and are more effective when it comes to eradicating athlete’s foot. The benefits of using these methods is that there are virtually no side effects; most of us may already have the items in our house. The treatment also works out to be drastically less expensive then doctors visits and medically prescribed pharmaceuticals.

Some methods may seem to be a bit bizarre such as using bleach, deodorants and antiperspirants, Vicks Vaporub, yogurt and iodine. I won’t get into every proposed cure that’s on the internet. Instead, I will focus only on the methods that I have used and which have had the most positive results.
Note: Fungus and yeasts, much like bacteria, have the ability to build up an immunity and resistance to certain treatments, so alternating and combining remedies will produce the most beneficial results. Also, it is advisable to continue the treatment for a period of time after the symptoms have disappeared to ensure that all of the fungus is killed off. A periodic treatment every now and again, even when you are symptom free, is also extremely beneficial at keeping the invaders at bay.

 

  1. Ozonated Olive Oil or Paste- This oil or paste, originally developed by Nikola Tesla, has the remarkable ability to cure and treat many different ailments and conditions; from warts, poison ivy, poison oak, blisters, burns, acne, sunburn, cuts, bruises, and many more. It is basically highly oxygenated (O3) infused oil. Massage well into your feet, at least up to the ankles, being sure to get in between the toes and under the nails as much as possible. Do this once in the morning and once in the evening before going to bed. Condition usually clears up within 2-4 days.
  2. Tea Tree/Lemongrass Oil- This is one of my favorites and by far one of the most effective. You can apply these essential oils, in equal parts, directly onto the effected areas straight out of the bottle. Use a cotton bud or cotton ball to apply evenly. Considering that some people are sensitive to essential oils, be sure to first dab a small bit on your skin to ensure that you won’t have a reaction. Do this once in the morning and once in the evening before you go to bed. Depending on the severity of the infection, you may observe noticeable results the following day. I also recommend rubbing a generous amount of this mixture to the inside of your shoes. If you are sensitive to either of these oils you may want to try diluting them in a pan of warm water or foot bath. Add 30 drops of each and soak feet for 10-15 minutes.
  3. Apple Cider Vinegar/Himalayan Sea Salt- This is also another highly effective method that is used to banish athlete’s foot fungus. This will create a highly acidic environment in which the fungus simply can not survive. Dissolve 3 tablespoons of the salt in warm water and add a 1/2 cup of the vinegar. Raw, organic, unfiltered vinegar seems to work the best. Soak your feet for 15-20 minutes.
  4. Other Essential Oils- Neem, Lavender and Oregano- These oils contain compounds which possess highly anti-fungal properties. They can either be used on their own or combined with each other. Use neat or 20 drops of each diluted in warm water. Twice daily.
  5. Coconut Oil- The effects that coconut oil has on killing yeasts and fungus can not be over emphasized! It is a truly amazing remedy for a plethora of ailments. Be sure to use raw, cold pressed unbleached oil. Coconut oil contains high amounts of caprylic acid which is highly anti-fungal. Apply twice daily to affected areas.
  6. Fresh Raw Ginger- Grate about an ounce of ginger into 1 cup of water and simmer for twenty minutes. Let cool and either soak or apply the liquid directly onto your feet. Again, twice daily seems to yield the best results.
  7. Fresh Raw Garlic- Although this may not seem to be the easiest, and odor friendly way of eradicating athlete’s foot, it still is highly effective. Crush about 4 cloves of garlic into a smooth paste. Apply to the effected areas paying particular attention to the areas in between the toes. This could be done twice per day.
  8. Ginger and Turmeric Essential Oils- These oils on their own have amazing anti-fungal properties, but when combined, they exert a synergistic effect which increases their potency. Combine the oils in equal proportions and apply directly onto the affected areas or dilute 30 drops of each into a warm foot bath.
  9. Olive Oil and Sesame Oil- These two oils have good anti-fungal properties. Mix both together and apply to affected ares twice daily.
  10. Olive Leaf Extract- Olive leaf contains natural anti-fungals and when extracted in its concentrated form it is even more effective in treating athlete’s foot. Apply directly to effected area twice daily. It can also be purchased as a tea where it can be infused in hot water to make a foot soak. Twice daily.
  11. Pau d’arco- Pau d’arco is a truly amazing natural medicine; to amazing to list all of its benefits here. I Suggest you do a little research into this powerful healing aid. Pau d’arco is a tree found in South and Central America in which the inner bark of the tree is used medicinally. It has incredibly strong anti-fungal properties. Simply add 3 tablespoons to 1 quart (litre) of cold water. Bring to a boil and simmer for 30 minutes. Let cool and soak feet for 30 minutes. This brew can be used several times. To enhance the properties, squeeze half a lemon into the water when simmering and add in 1 lemongrass stalk.
  12. Cinnamon and Lemon Soak- Break up about 10 cinnamon sticks and add to 3 cups of water. Bring to a boil and simmer for 10 minutes. Cool the liquid down and squeeze in 2 lemons just before you soak your feet. Twice daily. This mixture can be used multiple times.

 

So, I hope that this information served you well and good luck trying out these remedies to finally wipe out that bothersome fungi.

Be sure to check out my next post which will cover what you can do to effectively combat athlete’s foot from a dietary standpoint.

 

Author: David Rossi is a Certified Nutritional Therapist at Back To Life Therapies, http://backtolifetherapies.weebly.com/ and operates a clinic in Wicklow Town, Ireland. He also consults national and international clients through a confidential Skype session. With a strong university medical back round in biology, chemistry, microbiology, anatomy and physiology, David is able to apply this knowledge to his current field. His main focus is Nutritional Therapy, Weight Loss, Weight Loss Management, Reiki and Body Detox.

Posted by backtolifetherapies - November 4, 2015 at 12:33 pm

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Top Natural Remedies for Restless Legs

ID-100120664This neurological disorder known also as Willis-Ekbom disease is described as an irresistible urge to move some parts of the body in order to stop uncomfortable and odd sensations. It usually affects the legs, thus it is called Restless Legs Syndrome, but it can affect other parts of the body such as arms, torso, and head.  When one moves the affected part of the body, a temporary relief occurs. RLS usually appear when one is trying to sleep or when the atmosphere is relaxing, although some reported that it could also occur during the day, when one is sitting for a long time, for instance. The sensation related to RLS range from pain in the muscles to an unpleasant “tickle” or “crawling” feeling.

Symptoms of the RLS

Symptoms differ from person to person. RLS may start at any age, and it may progress for some or remit in others. Words that usually describe the sensation of RLS include words such as “antsy”, painful, uncomfortable, itching, numbness, electrical, pins and needles, and crawling. All mentioned symptoms may also appear in case of cellulitis in lower leg condition.  Symptoms can worsen by relaxation, especially when one is sitting or lying down.  Moreover, symptoms of RLS can cause sleeping difficulties. Read more…

Posted by - June 21, 2013 at 11:27 am

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Natural Ways to Ease Fibromyalgia Pain

ID-10075944Fibromyalgia is something you know all about. The weakness, the pain, and the chronic fatigue are getting to you. You’ve tried drugs, or you’ve been told that they’ll help. You’re skeptical. While there is no known cure for this illness, there are things you can do to try and ease the pain.

Get Outside

Vitamin D, called “the sunshine vitamin,” is known to be low in many people with fibromyalgia. According to doctor Laura J Martin, contributor for WebMD, not getting enough vitamin D in your system may be linked to chronic pain. A study published in the Archives of Internal Medicine in 2009 showed that vitamin D levels are really low in the majority of people living in the U.S.

 

Some experts believe that, in some people, it may trigger some symptoms of fibromyalgia. To get the benefit of sun exposure, you will need to go outside when the UV index is high (i.e. greater than “3”), since UVB light is what is responsible for vitamin D production. The UVB light hits your skin, and your body starts converting cholesterol to the hormone we call “vitamin D.” Read more…

Posted by - May 15, 2013 at 5:14 pm

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Treatment of Frostbite

Frostbite occurs (usually to the extremities especially fingers and toes, but can occur in hands, feet and legs) when exposed to subzero temperature and tissue temperature drops below 0°C. Ice crystals are formed which subsequently distorts and destroys the cellular architecture. If not treated very promptly there may be loss of the affected part due to death of cells and the tissues.

The most effective treatment of frostbite is rapid and complete thawing of affected frozen tissues by immersion in circulating water at 37°–40°C. A common error is the premature termination of thawing, because the reestablishment of perfusion is intensely painful and parenteral narcotics will be necessary with deep frostbite. The sign of good prognosis is formation of early, large clear distal blebs and bad prognostic indication is formation of smaller proximal dark hemorrhagic blebs.

The principle of treatment of frostbite can be summarized into three stages before thawing, during thawing and after thawing.

To do Before thawing:

First of all remove the patient from environment (usually cold and dump). After removing from environment, refreezing and partial thawing should be prevented. Stabilize core temperature and treat hypothermia which usually accompanies frostbite. Frozen parts should be properly protected and no friction or massage allowed.

To do During thawing:

Give parentaral analgesics and ketorolac, and also give ibuprofen 400 mg orally. Immerse the frozen part in 37°–40°C (temperature should be monitored with thermometer) circulating water containing an antiseptic soap until there is distal flush (which usually takes 10–45 min). Ask the patient to gently move affected part and if there is refractory pain reduce water temperature to 35°–37°C.

To do After thawing:

Gently dry the affected part, protect it and elevate it. Put cushion in between toes or fingers. If clear vesicles are intact, aspirate sterilely and if broken, debride and dress with antibiotic or sterile aloe vera ointment. Keep giving ibuprofen 400 mg orally (12 mg/kg per day) 2-3 times a day. If there are hemorrhagic vesicles leave them intact to prevent desiccation and infection. Give prophylaxis for streptococcal prophylaxis. Continue giving hydrotherapy at 37°C.

Any decision regarding debridement or amputation should be deferred until there is clear evidence of demarcation, mummification, and sloughing in the affected parts unless there is infection when amputation may have to be done early. Magnetic resonance angiography can demonstrate the line of demarcation earlier than clinical demarcation.

Delayed affects of frostbite include nail deformities, cutaneous carcinomas, and epiphyseal damage (damage to the bone ends due to incomplete growth of bones in children) in children.

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Posted by - May 13, 2009 at 12:32 am

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