Shingles, a contagious and painful disease

Herpes zoster or shingles is an infectious and contagious disease, caused by the varicella-zoster virus, the same virus that causes chickenpox. The condition is characterized by inflammation of one or more sensory ganglia and nerve roots in question, and clinically is manifested by an erythematic – vesicular eruption, with living pain, with limited topography (hence … Continue reading “Shingles, a contagious and painful disease”

Herpes zoster or shingles is an infectious and contagious disease, caused by the varicella-zoster virus, the same virus that causes chickenpox. The condition is characterized by inflammation of one or more sensory ganglia and nerve roots in question, and clinically is manifested by an erythematic – vesicular eruption, with living pain, with limited topography (hence the name of shingles).

Varicella-zoster virus persists for a long time (perhaps lifetime) in the body of people who have had a typical chickenpox or an unapparent infection. It made such a persistent infection, nerve ganglia located in the spinal or cranial nerve counterparts.

After chickenpox immune system is strong enough to prevent a relapse, but not enough to suppress virus persistence in lymph or nerve roots. Hence, given declining immunity (stress, intense exercise, trauma), infection can reactivate making a picture of herpes zoster. Herpes zoster is thus a reactivation of a latent infection with varicella-zoster virus (and not a reinfection), the clinical response primary is varicella and herpes zoster is the late manifestation of latent infection.

Contagiousness of herpes zoster is safe. Patient with herpes zoster can trigger an outbreak of chicken pox, if they are in contact with children susceptible to varicella. Disease is more common in adults and elderly (90%) and rarely occurs in children (5% of all cases).

Clinical picture

The onset of disease is varied, a few days is usually preceded by fatigue, headache, fever. The main symptom is pain, very intense, felt as a burning or stinging on a track that will appear rash. Strong pain precedes the rash appears, which can lead to errors in diagnosis (appendicitis, pleuritis) and may be accompanied by pain when touched. Pain may persist for weeks and even months, especially in the elderly which can also cause mental disorders. Inflammation of regional lymph nodes may also precede the rash.
When occurs, eruption is bordered in an area of skin, irritated nerves belonging to a sensitive nerve roots or nerve roots group (root distribution). Eruption stops at midline, lesions are unilateral. Initially there are some red spots that later turn into blisters. Vesicle content is disturbing, then dried, turning into scabs. They persist for 10-14 days, then off leaving a central depigmentation and peripheral hyperpigmentation.

Feature is the root of the eruption topography in shaped bands (regional aspect, the belt or strap) superimposed on the surface of skin sensory innervations of the root or roots affected by the virus (e.g. chest, neck, abdomen, limbs). Evolution of shingles lasts between 2 and 4 weeks to heal skin lesions.

Complications may be local (bacterial superinfection) or systemic – zoster pneumonia, laryngo-tracheitis, digestive manifestations (colic, intestinal paresis, pseudo-occlusive syndrome), encephalitis.
Prognosis in terms of healing is favorable especially in children and adults. Elderly people may remain for a long time with troublesome pain, and people with low resistance (neoplasms, corticosteroids) can spread herpes. Relapses are rare.

Method of treatment

Treatment is symptomatic and aims:
* Relief of pain – are recommended anti-inflammatory, painkillers, vitamins of group B;
* Prevention of bacterial superinfection – touch with menthol solutions, local antiseptic.
* Patients should be kept at rest and isolated for the first 7 days of illness. Eat a nutritious diet.
* Ophthalmic treatment of ophthalmic zoster is determined only by an ophthalmologist.

Prophylactic measures

In shingles are given the same preventive measures as in chickenpox. Every patient must be isolated from individuals susceptible to varicella (especially children). For responsive children and people “at risk” (immunodeficiency states) is used the administration of anti-zoster immunoglobulin prepared from plasma collected from herpes zoster convalescents or varicella in 1-2 weeks after rash onset.

Natural treatment for shingles with Calivita products

– By improving of the immune system function we can protect us against many diseases outburst. The content of natural extracts with immunostimulatory effects from Virago natural supplement helps us protect against viruses and bacteria attacks, and also help us to more easily pass the disease already present.

– Natural aspirin obtained from white willow extract -White Whillow natural supplement- help to relieve pain and reduce inflammation without the side effects of chemical aspirin.

– In case of emotional stress and anxiety we can trigger varicella zoster virus – as shingles. These states that put our health at risk can be managed with Stress Management B Complex nutritional supplement, with a complex action on the nervous system.

– Mega Protect 4Life protects against harmful factors around us, strengthen the immune system and promotes resistance, both physical and mental.

Stefania write blog articles for RetetaNaturista where you can find more details about Zona zoster and natural products from Calivita that can help you with this problem.

How Osteopaths Treat Wrist Fractures

As the winter starts the weather gets cold and frosty mornings make pavements and roads slippery and dangerous, causing an epidemic of falls. A FOOSH, a fall on the outstretched hand, is a typical accident and commonly results in a fracture of the ulna and radius in the forearm, although it is often referred to as a wrist fracture. A wrist fracture can be small like an avulsion or a greenstick or major like multiple fractures requiring internal fixation. Osteopaths assess progress and rehabilitate wrist fractures in osteopathy departments and fracture clinics.

75 percent of wrist fractures involve the radius and ulna, with the wrist the most often injured part of the upper extremity. A fracture can be minor and be undisplaced or very severe with multiple fractures (comminuted) and badly displaced, which may need operation with plates and screws to fix the fracture securely. The type of fracture is related to the age of the sufferer: adolescents have wrist growth plate displacement, children bend their bones in a greenstick fracture and adults present with a fracture of the final inch of the forearm bones above the wrist.

The highest incidence of this fracture occurs in people from 6 to 10 years and from 60 to 69 years. In older people the fracture is usually away from the joint but in younger people the forces involved are often higher and this increases the likelihood of joint damage along with the fracture. On examination a fractured wrist is usually swollen and may have a typical bony deformity as the bones are out of line, referred to as a dinner fork deformity. The fracture will be very painful and palpation over the fractured area will confirm the likely diagnosis.

Medical Treatment of Wrist Fractures

The main principle of treatment is to immobilize the fracture in an anatomically correct position so it heals as closely as possible to the original shape. The fracture is assessed for its severity and whether it is displaced. Displacement can be manipulated and plastered to hold the position but if the displacement is too great or the plaster does not hold the position then operative intervention is pursued. Internal fixation can involve passing narrow wires into the bones to hold position (k wiring) or inserting a plate with screws to immobilize the fracture, after which plaster is again applied.

Osteopathy Rehabilitation of Wrist Fractures

The plaster is usually in place for 5-6 weeks and then the osteopath can get a look at the wrist and hand to see what rehabilitation plan is required. When the hand is removed from plaster its condition varies greatly so a skilled osteo needs to assess the situation and recommend appropriate treatment. The swelling and colour of the hand will give the osteopath important information about how severe things are. High levels of pain, strong changes in colour and extreme swelling in the hand and wrist could indicate Complex Regional Pain Syndrome (CRPS), a severe pain condition needing vigorous management.

The shoulder ranges are assessed initially by the osteopath as the shoulder can be injured in the fall and suffer loss of movement. Loss of movement at the elbow can occur if the patient holds their arm stiff for the first few weeks but the rotatory forearm movements (supination & pronation) are much more commonly restricted and functionally important. The fracture is close to the lower rotatory forearm joint and restricts this and the wrist ranges of motion. The hand function, finger and thumb movements are also assessed by the physio.

If the osteopath determines that the wrist is uncomplicated after removal of plaster then they will prescribe mobilizing exercises for the wrist, forearm and hand and perhaps the elbow and shoulder. Coming straight out of plaster is a shock for the wrist and a strap on futura splint can rest the wrist and permit normal activity without too much discomfort. If the wrist is very stiff then attendance at a hand class may be useful and the accessory joint movements can be restored by using joint mobilization techniques on the many wrist joints. The physio will progress to strengthening the wrist as the movements improve and teach the patient to use the hand normally in daily activities.

Andrew Mitchell, editor of the Osteopath Network, writes articles about cranial osteopaths, osteopaths, osteopath in Brighton, back pain, neck pain, injury management. Andrew is interested in many aspects of alternative medicine.

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The Benefits Of Going To An Orthopaedic Clinic

An average orthopaedic health facility brings surgical and medical expertise to patients. Such a clinic usually offers an all-in-one solution for anyone’s orthopaedic-related problems. Other than providing diagnostic and radiology services, these clinics similarly offer acupuncture and physiotherapy complementary services. They also supply surgical and medical solutions for those suffering from arthritis in the hips, knees and joints.

A good orthopaedic clinic is more than ready to offer 24-hour emergency assistance. Patients with any orthopaedic-related injury could go to such a clinic and have access to specialists. Take note that health screening is extremely important in the early detection of diseases and conditions which could cause death or disability. Also, do be aware of the fact that stress and a lifestyle associated with modern unhealthy living could have a negative impact on health.

The best orthopaedic facilities offer personalised treatment. Their goal is to enhance your well-being as well as improve your own knowledge on your personal health. Screening services are ideal for corporate organisations and individuals. Remember that you have to be responsible for how you take care of your well-being. Do have yourself evaluated in order to halt any possible health risks. Expect an individualised detailed medical report from an orthopaedic clinic. This will then be reviewed while you are in a private consultation with your preferred doctor.

Pain management is also addressed by such clinics. A few of these ailments include neck/shoulder/arm pain, musculoskeletal pain, back/leg pain. whiplash injuries, work-related injuries, sports injuries, chronic post-surgical pain, arthritic pain, fibromyalgia, spinal cord injury, phantom limb pain, peripheral nerve pain, spasticity complex regional pain syndrome and HIV-related pain.

However, though these clinics are more than willing to provide extensive services for patients experiencing these physical discomfort, there are cases where severe problems are evident which not even the most intensive therapies might not be able to fully relieve. This could similarly apply in cases where there is neglect or when a physical condition has been left to degenerate to a serious state. When this happens, it is a must for patients to consider procedures which are invasive.

A few of the surgeries include Slipped Disc Replacement, Knee Replacement, Nucleoplasty, Bunion Corrections, Hip Replacement, Shoulder Operation. Also, there are numerous orthopaedic surgeons all of whom differ in experience, skill and sub-specialty. It is a fact that it might be difficult and confusing to select the proper orthopaedic surgeon for your case. Also, do not forget that cost could similarly be a contributing factor specially when you select private specialists. If you want to find the doctor that is suitable for your specific condition, do research and locate those which are experts in their field.

Searching for a singapore sports clinic is always a tough task for foreigners.
Now you can always go to a tested singapore orthopaedic clinic any moment you like.

a video about complex regional pain syndrome, my journey, symptoms and treatments.

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