Category Archives: Medical Clinic

Knees Not Creaking Yet But Arthritis

Total knee replacement surgery is considered for patients whose knee joints have been damaged by either arthritis, trauma, or other rare destructive diseases of the joint. It may be suggested for patients with severe destruction of the knee joint associated with progressive pain and impaired function. Osteoarthritis is the most common reason for knee replacement operation in India.

Are there any risks associated with the procedure?

In total knee replacement surgery, knee ligament is either retained, sacrificed, or substituted by a polyethylene prosthesis. Every type of knee replacement procedure has its own advantages and risks.
Risks of total knee replacement include:
Blood clots in the legs that can travel to the lungs (pulmonary embolism). Pulmonary embolism can cause chest pain and even shock in the longer run.
Urinary tract infection, nausea and vomiting, chronic knee pain and stiffness, bleeding into the knee joint, nerve damage, blood vessel injury, and infection of the knee which can require reoperation. Furthermore, the risks of anesthesia include potential heart, lung, kidney, and liver damage.
A knee replacement surgery may not have a good long-term outcome if the patient’s weight is greater than 200 pounds. Increased pressure on the prosthetic knee joint can cause it to dislocate.
Another group of patients that may encounter risks of dislocatig joints is children who may tend to be more active.

What precedes the operation?

Before knee replacement surgery, other joints of the body are also examined. This ensures optimal outcome and recovery from the surgery. Additionally, all medications that the patient is taking are reviewed. Blood thinning and anti inflammatory medications may have to be adjusted or discontinued prior to surgery.
Routine blood tests of liver and kidney function and urine tests are evaluated. Chest X ray and EKG are performed to exclude heart and lung disease that may cause complications in surgery or anesthesia.

What follows the operation?

Post surgery rehabilitation includes Physical therapy sessions.
Also, once the operation is successfully done, patients are required to take antibiotics even after minor elective invasive surgery, including dental work
Once the joint is damaged, regardless of the cause, the resulting progressively increasing pain and stiffness and decreasing daily function lead the patient to consider total knee replacement. Decisions regarding whether or when to undergo knee replacement surgery are life changing, hence not easy. Patients must understand the risks as well as the benefits of the procedure, and must trust an experienced and competent medical professional with it before making these decisions.

Want To Delay Osteoporosis

Bones are in a constant state of renewal; new bone is made and old bone is broken down. Osteoporosis occurs when the rate of creation of new bone tissue is slower than the rate of its removal. It is a disorder of the skeletal system wherein the bones become weak and brittle, so much so that even mild stresses like bending or coughing can cause physical trauma in the form of fracture. Most people reach their peak bone mass by their early 20s. As people age, bone mass is lost faster than it’s created.
Most commonly affected sites are hip, wrist and spine.

Symptoms

Typically, there are no symptoms in the early stages of bone loss. But once bone weakening by osteoporosis commences, there may be signs and symptoms that include:
1. Back pain, caused by a fractured vertebra
2. Loss of height at a later stage
3. Stooped posture
4. Easily fractured bones

Who is prone to Osteoporosis?

1. Gender and Race: The disorder affects men and women of all races. But it has been observed that post-menopausal White and Asian women are at higher risks.
2. One may want to consult a doctor about osteoporosis in case of early menopause or on taking corticosteroids for several months at a time.
3. Hereditary predisposition: one must talk to a doctor if either of one’s parents had hip fractures.
4. Hormonal predisposition: The reduction of estrogen levels in women at menopause and a gradual reduction in testosterone levels in men as they age, lead to development of osteopororsis. Prostate cancer and breast cancer treatments also cause weakening of bones.
5. Body type: People with small body frames tend to have a higher risk because they may have less bone mass to draw from as they age.
6. Diet: Low calcium intake contributes to diminished bone density, bone loss and an increased risk of fractures. Severely restricting food intake and being underweight, as in eating disorders, weakens bone in both men and women. Surgery to reduce the size of the stomach or to remove part of the intestine (Bariatric Surgery) limits the amount of surface area available to absorb nutrients, including calcium.
7. Lifestyle: Sedentary lifestyle, alcohol and tobacco consumption add to risk of developing osteoporosis.

Prevention

The probability of developing osteoporosis in old age depends on how much bone mass the person had in their youth. The higher your peak bone mass in youth, the more bone you have “in the bank” and the less likely you are to develop osteoporosis as you age.
Weak bones can be strengthened by medications, healthy diet and weight-bearing exercise.

*Combine strength training exercises with weight-bearing and balance exercises �” such as walking, jogging, running, stair climbing, skipping rope, skiing and impact-producing sports. Swimming, cycling and exercising on gym machines can provide a good cardiovascular workout, but they’re not as helpful for improving bone health.

*Vitamin D improves the body’s ability to absorb calcium and improves bone health in other ways. People can get adequate amounts of vitamin D from sunlight, but this may not be a good source if you’re housebound, or if you regularly use sunscreen or avoid the sun entirely because of the risk of skin cancer. Hence, dietary sources of vitamin D should be increased in the form of green leafy vegetables.

The Roommate And The Itchy Male Organ

At some point in his life, almost every dude is going to have a roommate; many guys will have roommates for an extended period of their lives. As with most social situations, there are advantages and disadvantages to sharing a living space with someone. And a successful roommate living situation depends on the right level of communication. Sometimes, surprisingly, that communication might need to center around male organ health, which can often be a delicate subject. For example, suppose a roommate has a noticeably itchy member. Is this something that should be of any concern to others who may live with him? If so, how should the subject be broached?

Itchy male organ causes

As most men know, there can be numerous reasons why a guy has an itchy male organ. All men get an itch every now and then, but in this case, an itchy manhood refers to a member that needs frequent and/or intense scratching. While there’s nothing wrong with an itchy male organ, it can sometimes indicate a health issue that might require attention.

For example, some causes of manhood itching that might cause concern include:

�A social disease. This, of course, is the elephant in the room, the cause that everyone really wants to avoid. Not every social disease includes itching as a symptom (and even if itching is a typical symptom, that doesn’t mean everyone who gets the social disease will also get an itch). But it is often associated with midsection warts and chlamydia, among other social diseases.

�Lice or scabies. Midsection lice (crabs) are tiny parasites that are often, but not always spread through sensual contact. Scabies are another kind of mite that can cause significant itching and are likely to spread beyond the midsection region.

�Thrush. Also known as candidiasis, thrush is a fungal infection that can create a rashy, itchy situation in men.

�Jock itch. Another fungal infection, and one that is very common among younger men living together.

If a roommate has an itchy manhood and it seems like one of the above could be a cause, it’s certainly in the roommate’s best interest to know that he should do something about it, most likely see a doctor. Exactly how willing a roommate is to tell his roomie this depends on their relationship and level of communication. For example, one reaction may be �What are you doing looking at my junk like that, bro?� which some guys may find off-putting.

A concern for both

But an itchy male organ caused by one of the above issues can be a concern for the non-affected roommate as well. For example, many of the causes of male member itching can be passed on through sharing of items. If one roommate takes a shower and dries his junk off with a towel which is then later used by another guy, the second guy could conceivably pick up the itch. (This is even true with midsection warts; though the virus that causes them is primarily passed on through sensual contact, studies have shown that it can be passed on through secondary contact points like shared towels, linens or clothing.)

For that reason, it pays for a guy to talk to his roommate if he seems to have a manhood itch that needs investigating and treating.

Whether he has a roommate or not, any guy is likely to get an occasional itchy member due to dry or irritated skin. In such cases, using a superior male organ health crme (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin) can be a big help. It’s essential to choose a crme with both Shea butter and vitamin E, as this combination of a high-end emollient and a natural hydrator does wonders to keep member skin moisturized. The better crmes will also include alpha lipoic acid, a potent antioxidant that helps prevent oxidative stress from marring sensitive member skin.

Antioxidants For Healthy Male Organ Skin

Because many men think of their manhood primarily in terms of its usefulness in sensual activities, they don’t always remember that good member health means more than taking steps to ensure a solid working tumescence. But in fact, there are many different aspects of member health, including taking steps to ensure healthy male organ skin, both for practical and aesthetic reasons. Part of keeping male organ skin healthy involves incorporating antioxidants into the manhood care routine.

What are antioxidants?

On a technical level, an antioxidant is a molecule that helps keep other molecules from getting oxidized. Oxidation, in turn, is a chemical process that creates something called free radicals, which then can cause damage to cells, such as skin cells. They can also contribute to heart disease, cancer and other health conditions. However, not all free radicals are bad, and a certain amount of them are useful. For example, oxidation is important in helping the liver detoxify food and the body to help fight certain bacteria.

On a more-than-molecular level, antioxidants refers to those vitamins, minerals and nutrients that have an ability to keep those free radicals (and the damage they do) at bay.

How do antioxidants help skin?

Many skin care products are rich in antioxidants, because keeping oxidative stress from damaging skin cells helps ensure the health of skin. There are many things that can damage the skin, both on the surface and on a more molecular level. The stronger the skin is on the molecular level, the better it is able to withstand attacks on the surface level.

How does a person get antioxidants?

The body itself makes some antioxidants and depends upon a healthy diet to help supplement these amounts. Some foods are richer sources of antioxidants than others. According to the U.S. Department of Agriculture, the following are foods particularly high in antioxidants:

�Goji berries
�Wild blueberries
�Dark chocolate
�Pecans
�Artichokes
�Elderberries
�Kidney beans
�Cranberries
�Blackberries
�Cilantro

And these are some of the herbs that are very good sources of antioxidants:

�Clove
�Cinnamon
�Oregano
�Turmeric
�Cocoa
�Cumin
�Dried parsley
�Basil
�Ginger
�Thyme

As mentioned earlier, many skin care products are also good sources of antioxidants. This can be especially important because skin that is damaged by free radicals can be vulnerable � and unattractive as well.

Free radical damage is one of the things that lead to skin looking early on aged. It can contribute to drying out and to the cracks, wrinkles and blemishes that can mar otherwise attractive skin.

This is as true of male organ skin as it is of skin elsewhere on the body. Male organ skin is naturally delicate, so that the manhood is more readily receptive to friction and stimulation. This can also make it more susceptible to cracking and wrinkling. When cracks appear on the member skin, they can also open up a pathway for bacteria to get inside, creating further member health concerns.

Proper Member Protection Requires Rubber

Yet, despite the fact that rubbers are so important to male organ health, the statistics tell us that men do not use them as often as they should. One study found that only 35% of men surveyed used a rubber during their last casual encounter. The Centers for Disease Control and Preventions state that only 19% of men always use a rubber � however, since those figures include men in monogamous relationships, it’s hard to determine the percentage of use among men in non-monogamous situations, who are more likely to need member protection from social diseases.

Why?

Since member protection and rubber use are closely linked, why is it that many men often do not make use of this form of protection? There are many reasons, including:

�Unavailability. Sometimes a man becomes involved in a sensual encounter that is entirely unplanned � and therefore neither he nor his partner may have immediate access to a rubber. Of course, in many (though not all) situations, there is the option to go out and buy a rubber; however, most couples don’t want to spoil the mood to do this and so will opt not to. This is one reason why many men carry a rubber with them in their wallets, as an emergency back-up. However, this, too, can present problems. Rubbers come with a shelf life, and sometimes those stored in a wallet for years have a higher risk of breaking during use.

�Difficulty in putting on. Some men find it difficult to put a rubber on properly, or find that it takes longer than they want it to. This can cause embarrassment and anxiety, which can in turn create a situation in which he may find it difficult to maintain his tumescence � and that can cause further embarrassment and anxiety. Past experiences like this can make it less likely a man will employ a rubber.

�Interference with sensitivity. Some men find that rubbers, though they are made of very thin material, may diminish the pleasurable sensations their members experience during sensual activity.

�Improper fit. This is a very frequent complaint. While some guys find the rubber too tight, it more often is too long and/or loose. One recent survey found that 83% of US men had member lengths that are shorter than the average rubber (which has typically measured at least 6.69 inches). This survey found the average member length to be 5.57 inches; a more expansive earlier global survey pegs the figure at 5.17 inches. In either case, the rubbers are substantially longer than the average manhood, making them looser and more likely to fall off or cause discomfort.

Whatever the reason for non-use, men need to make a greater effort to use a rubber, especially for member protection in instances in which there is even a slight possibility of social disease transmission.

In addition to using a rubber, men can help enhance everyday member protection by enhancing manhood health. Regular use of a superior male organ health crme (health professionals recommend Man1 Man Oil, which is clinically proven mild and safe for skin) can keep member skin healthy and resistant to dermatological issues. A crme with both a high-end emollient (such as Shea butter) and a natural hydrator (such as vitamin E) helps keep the skin from drying out and cracking. And a crme with alpha lipoic acid, a potent antixodiant, can battle free radicals that can cause damaging oxidative stress to the delicate manhood skin.

Manhood Health Primer

There’s no doubt about it: Member ulcers can be scary. Even a man who maintains the best male organ care, including careful daily cleansing and using a barrier protection during all sensual activity, might one day look down to see this unexpected sore on his male organ. So what is a member ulcer and how does a man get it? And more importantly, how does a guy get rid of it?

What’s a member ulcer?

Member ulcers are open sores on the male organ. It might be alone, just one strange sore in the midst of perfectly healthy skin. Or it might be one of several that show up on the male organ. Sometimes they are even accompanied by rashes, with the more significant part of the rash leading to the member ulcer.

When it comes to pain, member ulcers vary widely. Some are entirely pain-free; a man could touch it and not even wince. But others are very painful, even when they are not being touched by anything, even soft underwear. They might be accompanied by swelling and itching.

What causes member ulcers?

In most cases, a member ulcer must be brought to a doctor’s attention, as it can be caused by many things that a man doesn’t want to think about. These include:

1.Social diseases. Chlaymidia, herpes, and syphilis can lead to serious member ulcers. Another infection, known as chancroid, is rare in the United States but more common in developing countries, can cause member ulcers.

2.Mononucleosis. Yes, this is often called �mono� or �the kissing disease� because it spreads easily through saliva. Mono is usually accompanied by fatigue, swollen lymph nodes, fever and sore throat. In some cases it can also cause member ulcers.

3.Granuloma inguinale. This is a bacterial disease that is more common in tropical climates. If the ulcers from this do not get prompt treatment, the damage to manhood health can be permanent.

4.Yeast infections. The member ulcers from a long-running yeast infection will usually occur near the tip of the male organ, but they can also happen anywhere along the surrounding area.

5.Scabies. These microscopic skin mites can wreak havoc on a man’s body, and they tend to really like the midsection. Enough of them, given enough time, can create member ulcers, usually from openings in the skin as a result of itching.

6.Skin wounds. The simplest explanation, any sort of abrasion or wound on the male organ skin � perhaps from a rigorous round of sensual activity the night before � can lead to an ulcer.

7.Male organ cancer. While male organ cancer is rather rare, it’s important to get a member ulcer checked out to ensure that’s not what’s happening.

The only one on this list that might be treated without a doctor’s visit is the skin wound. That’s because a man will likely know exactly what happened � for instance, he will look down and see the ulcer, then realize it must have happened last night, when he was a little too enthusiastic but didn’t use enough creme. Otherwise, any skin ulcer without a perfectly clear cause must be checked out.