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Friday, 02 November 2018 00:00



To diagnose certain problems, a doctor needs to look directly into the abdomen and at the reproductive organs. This can be done with laparoscopy.

The word laparoscopy comes from the Greek words that mean “look into the abdomen.” A laparoscope is a small telescope that is inserted into the abdomen through a small incision (cut). It brings light into the abdomen so the doctor can see inside.

There are several reasons why laparoscopy may be recommended. Laparoscopy may be used if you have problems with infertility or if you want to be sterilized. It is also used to check for ectopic pregnancy, causes of pelvic pain and masses.

Diagnosis and Surgery

Laparoscopy is often used to diagnose causes of abdominal pain. If the doctor finds that he or she can treat the condition during the procedure, diagnostic laparoscopy can turn into operative laparoscopy. This procedure is used to treat many health problems.

Endometriosis. Tissue like endometrium (the lining of the uterus) sometimes grows in places outside of the uterus. One way to be certain that endometriosis is present is by laparoscopy.

Adhesions. Sometimes tissues in the abdomen stick together and form scar tissue called adhesions. Adhesions can cause pain. They can be separated during laparoscopy.

Fibroids. Fibroids are growths that form on the inside, outside or within the wall of the uterus. Laparoscopy can diagnose some fibroids.

Ovarian cysts. Ovaries sometimes develop cysts (fluid-filled sacs). These cysts may be harmless, causing only mild pain.

Hysterectomy. The laparoscope can be used to assist in a vaginal hysterectomy (removal of the uterus through the vagina). The laparoscope is used to help the doctor see inside the abdomen during part of the surgery.

Infertility and Sterilization

Women who have trouble getting pregnant may have laparoscopy to find problems like endometriosis or cysts.

Laparoscopy is also used for sterilization. In this operation, the doctor uses the laparoscope as a guide to block the fallopian tubes by cutting, clipping or burning them.

Ectopic Pregnancy

When a woman has pain in her lower abdomen during early pregnancy, the doctor may suspect an ectopic pregnancy. An ectopic pregnancy is one that may be located in the tube instead of the uterus. It may rupture the tube and cause abdominal bleeding that may require emergency surgery.


Friday, 02 November 2018 00:00

Fall Back Into Beautiful

Fall is officially here. Just as you change your wardrobe with the change in seasons, so do your skin care and hair care needs. With the impending reduction in humidity and cool air, your skin may feel dryer. Your hair will be more manageable, but dryer, and your scalp may become flaky and itchy. Have no fear. Fall is the best season ever for re-beautification. This is the best time to do all the procedures that require you avoiding the sun. Now is the time to schedule chemical peels for dark spots and rough skin, and microneedling for acne scars, stretch marks, and wrinkles. Also, since laser hair removal required at least six treatments to be effective, start your treatments now to be hair-free by…
Do you look in the mirror and see unwanted fat? Probably so – virtually everyone has unwanted fat. The good news is that the options for fat removal are better than ever. CoolSculpting® New technology allows non-surgical removal of stubborn areas of fat. Fat cells freeze faster than other tissues when cooled. Cryolypolysis is the principle behind CoolSculpting. Sit back and read a book or watch TV as this new technology freezes away unwanted fat. Each area takes approximately 60 minutes to treat. A specialized device covers the desired treatment area and results in a 25% reduction of fat. The fat cells gradually die and are reabsorbed by the body. Patients can expect to see a difference in 4-6 weeks, and full results in about…

Knee pain is a common complaint among many patients. It is one of the most common reasons that patients seek medical attention from a physician (general practitioners, orthopedists, rheumatologists, and pain management specialists).

The cause of knee pain arises from several factors. These include factors originating from inside the knee joint, those from around the joint, and that referred from nearby structures like the hip, femur bone and tibia and fibula bones.

Some of the common causes of knee pain from inside the joint include arthritis, infection, fracture, tumor, chronic dislocation of the patella, joint instability, foreign body, patellofemoral syndrome, and hemarthrosis, which is blood formation in the joint. Causes of knee pain attributable to structures around the knee joint includes bursitis, tendonitis, joint instability, muscle strain, muscle sprain, infection around the joint which does not involve the joint space, and adhesive capsulitis (frozen joint). Knee pain can also be caused from systemic disease and some of the most common cases of these are rheumatoid arthritis, gout, Reiter’s syndrome, collagen vascular disease, among others.

Though less common, knee pain can also be caused from other areas of the body. These include lumbar radiculopathy (commonly referred to as sciatica), lumbar spondylosis (degeneration in the spinal discs), fibromyalgia, myofascial pain syndrome, inguinal hernia, nerve entrapment, and pelvic tumors.

Knee pain can be acute or chronic. When the pain is acute in the absence of trauma, it warrants seeking medical attention as some conditions associated with acute knee pain can cause serious damage to the joint, such as bleeding into the joint especially in patients on blood thinners. On the other hand, the prevalence of chronic knee pain has increased over the years. Osteoarthritis of the knee is a common disorder among older adults. Chronic osteoarthritis of the knee is often not effectively treated with our current pharmacological and interventional treatments. As an alternative to current treatment options, a new technology has been developed to effectively treat knee pain: genicular nerve radiofrequency ablation.

Genicular nerve radiofrequency ablation is a new cutting edge treatment currently used to treat osteoarthritis of the knee in patients who have not been effectively treated by current management techniques, those who want to delay surgery, and those who have had knee surgery and failed to have relief of their pain.

The procedure is performed in two stages. These include a diagnostic genicular nerve block and the genicular nerve ablation. The genicular nerve block is a test injection that consists of injecting a small amount of local anesthetic to the genicular nerves. If the patient has sufficient response to the test with significant pain relief, then this justifies going forward with the genicular nerve ablation. The nerve radiofrequency ablation is the therapeutic treatment in which a specialized type of radio wave is applied to the nerves to effectively relieve the pain, provide long-term relief and restore function to the patient. The radiofrequency ablation works by shocking the nerves that supplies pain to the knee and stop them from sending signal to the brain.

While this is a neuro-destructive procedure, the nerves do grow back. The same technology has been used for years in treatment of neck and back pain with excellent success. One of the advantages of this procedure is the fact that it is performed outside of the knee joint.

This procedure is indicated for a number of conditions including osteoarthritis, degenerative joint disease, chronic knee pain, patients who have undergone total or partial knee surgery, patients who are not candidates for knee replacement, and those who want to avoid surgery totally. If you or someone you know suffers from any of the above conditions, contact your local pain management doctor to further discuss this treatment option.


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