Jun 29

Rehabilitation Following Cranial Cruciate Ligament Surgery

dcfaRehabilitation Following Cranial Cruciate Ligament Surgery
By Dr. Ed Mapes
Stonebridge Animal Hospital
McKinney, TX

Surgical procedures treating ruptured cranial cruciate ligaments provide stabilization of the joint and decrease the rate at which arthritic changes occur. Rehabilitation of the limb is equally important in assisting the patient to a satisfactory recovery. No matter which surgical procedure is used, controlled rehab prevents post-op damage and aids in healing.

It is important for McKinney vets to understand that whenever a joint is damaged, it will never be the same again. There will be, at some time, other consequences that cause at least intermittent discomfort. The most common is the development of arthritis. Tearing of the meniscal cartilage can also occur after cruciate ligament rupture.

An important addition to our surgical protocols at Stonebridge Animal Hospital is incorporation of scheduled laser therapeutic sessions in the early post-op period. This has been a major factor in controlling pain and swelling, and it hastens the return to function in our patients.

We do the first session immediately after surgery to control post-op symptoms. A Robert Jones bandage is then applied to prevent undue use of the leg in the first four important days following the procedure. The second laser session is done on the following morning, at which time patients are released from the hospital for home care.

We recheck patients at 4 days post-op to remove the dressings, monitor temperature and attitude, and examine the limb carefully. At that time the third laser session is performed. This is an important time for pet owners because patients often begin using the leg to some degree after the protective dressings are removed, possibly causing damage to the surgical repair. Owners at this time must limit the pets’ activity to leash walks outdoors to urinate/defecate only.

During the first week, pet owners can help their pets perform Range of Motion (ROM) exercises to prevent adhesion formations and control swelling. As the patient lies on the floor with the operated leg up, gently flex and extend the stifle joint 10 times. After the exercises, you can ice the limb for 5 minutes: place a wet washrag on the limb first, and then apply the ice packing. Do not perform ROM exercises if it seems painful to the pet.
At 10 to 14 days post-op, we recheck the patients for examination, suture removal, and the final laser therapy session. By this time (and often much sooner) they are placing some weight on the leg; many are even using the leg better than before surgery. This must be controlled, though, because swelling, damage to internal structures, or tearing of surgical implants can occur.

During weeks 2 and 3 of post-op, owners should continue the ROM exercises, and now include gentle flexion/extension of the hock and hip joints as well. It’s also time to apply slight pressure in the flexed position, hold the limb there for 5 seconds, and then push with similar force into the extended position. This helps to maintain joint fluidity. Controlled leash walks can now be extended to 10-15 minutes per day. As always, discontinue exercises or walking if they become painful for the pet.

At one month after surgery we can add the Sit/Stand Exercise to maintain thigh muscle tone. While controlling any vigorous running, have the patient sit and then stand for 10 cycles two times per day.
Swimming is another beneficial activity which requires muscular activity and joint motion without pounding on hard surfaces. Swimming should only be allowed if the leg is sufficiently healed to withstand the exercise, pain levels are well controlled, and the patient is able to swim adequately. This must be strictly monitored in case any problem arises. Begin with very short sessions as a trial period, and then monitor the patient and limb afterward. Duration can increase gradually as the patient demonstrates ability to handle it.

Deep muscle massage can be done several times daily.
Massage of the leg muscles involves kneading of the thigh and shin muscles. This should not elicit pain.
At the sixth week, owners should begin taking the pet on short walks in taller grass to encourage muscular activity. Again, prevent uncontrolled bursts of running or jumping. Slow stair climbing can now be encouraged; 5 times up and down a flight of steps several times daily helps muscle tone and joint flexibility. McKinney vets recommend a recheck by the surgeon if problems such as crying out, limping, drainage, or swelling are seen.

Excessive walking while the patient favors the operated leg places more weight and stress on the opposite rear leg. Statistics show that 70% of patients with a ruptured cruciate will at some point damage the other. This is due in part to genetics and the tendency for ligaments to lose elasticity; therefore, excessive strain placed on the good leg during healing can damage the healthy ligament as well.

More vigorous motion such as light play and walking on an extended leash can usually begin by the eighth week. Do not allow all-out running in activities such as chasing balls or catching Frisbees due to the risk of fast turns and rapid start/stops. Healing is usually complete by the end of the third month after surgery, and patients should then be able to use the leg fairly normally. As stated previously, however, intermittent discomfort is common in any patient that has incurred a ruptured cruciate ligament.

The pace of rehab is governed in part by the patient’s response, but the desire for return to normal activity doesn’t mean it’s medically wise to allow it. Setbacks can arise when activity becomes too strenuous too soon, so even though the dog wishes to run after squirrels after a few weeks of healing, McKinney vets advise that strenuous running shouldn’t be allowed until at least three months post-op.

Jun 29

A Guide to Breast Prosthesis: Gives Shape and Balance to the Chest

Breast prosthesis simply means breast enhancers. Women at any age want to look young and beautiful. A deformed or small breast can change the way one looks. Breast is the answer to such problem. A minor prosthesis procedure can tremendously change the look of women. It not only enhances the beauty but also confidence.

Who want to go in for breast prosthesis?

• Women who have under gone breast removal surgery because of breast cancer would want to go in for breast.
• Transvestites who change gender also prefer prosthesis.
• Women with deformed or very small breast prefer to go in for breast.

These are available in various sizes and shapes for all women. You can get them custom made also as per your requirement. Breast surgery in turkey is quite famous and is available in various sizes and shapes. The breast prosthesis is made of gel filled or saline filled silicone material. They have a very natural look and feel.

General procedure of breast prosthesis surgery

The general idea is to give a good and proper shape to the breasts and to maintain the balance on the chest. Most important step first of all is to look for a well experienced surgeon to do the surgery. The surgeon discusses the patient’s medical history and explains the full procedure and complications, if any, involved. A mammography of the patient is done. Patient should be in sound health and take necessary precautions and follow directions given by the surgeon before the surgery. Surgery takes about a few hours and is conducted under general or epidural anesthesia. Incisions are made under or over the pectoral muscle. These incisions are quite invisible. After the implantation the incisions are closed either with tape or sutures. Person is taken to the recovery area for some time and in absence of any complications the patient is discharged with full instructions which are to be followed after surgery at home, for proper recovery. With proper care and rest recovery will be faster. This surgery in Turkey is extremely well-known for the accomplishment rate for success. You will be in safe hands of qualified and certified surgeons with a well trained team of nurses and staff. After surgery recovery time is also very short and the marks made due to incisions also vanish after a few days.

Availability of breast prosthesis

Breast prosthesis is available in all shapes, sizes and shades of natural colors in the market. You may browse on the internet and order online too. There are many types available in the market like silicone breasts implants, saline breast implant, round breast implants, smooth breast implants and textured breast implants and others. The vast variety available will leave you confused. You may get them custom made according to your suitability and requirement. The breast is very important aspect of figure correction and may help in avoiding many physical complications too.

Jun 29

Fat Grafting – Safe and Convenient Plastic Surgery Procedure

The concept of fat grafting is very simple involving removal of fat cells from excess areas like buttocks or abdomen and injecting it back in deficient areas like face or breasts that need filling out. It’s a non-surgical and non-invasive procedure without any downtime and the results are visible almost immediately. It gives a youthful and refreshed look to the face by eliminating hollowed out features mainly in the mid-face region around the cheeks. Fat can be injected to the lips, under the eyes, cheeks and nasolabial folds. For limited breast augmentation, fat grafting in Calabasas is preferred over implants. This procedure makes the treated area feel soft and natural and does not have any rejection problems as it is own body fat.

If you consider going in for fat grafting, always consult a reputed, experienced and board certified plastic surgeon in Santa Clarita to do it for you. Accurate amounts in the exact places have to be injected to craft the perfect look. Any variation will naturally result in asymmetrical shape and be at variance with the desired size. Fat grafting is not a permanent procedure. The body absorbs the injected fat to some extent over time so the patient has to come back again for a repeat of fat grafting in Calabasas. But better and more advanced forms of harvesting and processing of fat is making this treatment a more lasting one.

While it is true that fat grafting is drawing fat from one place and replenishing another, there is a lot of work that needs to be done in between. The fat cells must be cleaned of any blood or fluids and damaged cells have to be removed. Fat drawn out by a syringe is preferable to that taken out through liposuction as the latter tends to destroy fat cell membrane hampering the production of new cells later. A plastic surgeon in Santa Clarita might even embed fat cell strands individually instead of injecting them in. The effects of this procedure last for a very long time. But on the other hand, recovery period is more as it requires extremely small incisions to be made.

There will be a degree of swelling and bruising after fat grafting in Calabasas. The swelling should completely go away within 2 to 4 weeks and you should be fit to resume your normal activities thereafter. It is advisable not to move the treated area much for at least a few days as it gives the fat cells a better chance to grow. Since fat cells are absorbed by the body, the effects of a procedure usually last for up to three years.

Jun 29

Get A Perfect Figure After Liposuction

Liposuction in Columbus Ohio is a cosmetic surgery procedure that removes unwanted fat from specific areas of the body. Stubborn fat often refuses to burn away even after strict dieting and vigorous daily exercises. In all such instances, plastic surgery in Ohio has to be carried out to contour the body. The places most prone to accumulation of fat are abdomen, waist, thighs hips and buttocks, upper arms inner knees calves and ankles, and the face. But it should be kept in mind that liposuction is not a means of weight reduction and any form of negligence in leading a healthy life afterwards will bring the fat back once again.

There are three basic procedures of liposuction in Columbus Ohio liposuction –

Conventional method – Small incisions are made in the area to be treated and a thin stainless steel tube that is attached to a suction pump is inserted through them. This tube is known as a cannula. When the fat is sucked out, tiny channels are formed in the fat layer which later collapse to give the area a leaner look.

Ultrasound assisted liposuction – Here too, a cannula is inserted through small incisions and the fat is dissolved by ultrasound waves emitting from the end of the cannula. It is then drawn out by a cannula attached to a suction pump.

Laser Liposuction – A thin laser fiber which focuses low energy waves and melts fat is inserted through tiny incisions. Once the fat is liquefied, it is removed by a cannula attached to a suction pump.

After this specific plastic surgery in Ohio elastic bandages or a compressed garment is placed over the treated area. This helps to apply pressure on the skin and shapes the body as required. There will be bruising and swelling on the affected area, the major part of which reduces after a couple of weeks. However, it may take several weeks for the swelling to totally subside. The effect of liposuction in Columbus Ohio can be seen immediately after surgery but it may take a few months for the full impact to be visible. Initially, there will be loose skin hanging around the area from where the fat has been taken out but due to its elasticity, it will retract and tighten over time.

Whenever you consider plastic surgery in Ohio, keep one thing firmly in mind. Always consult a board certified surgeon and see before and after photographs of his previous patients. Only a surgeon with great artistic vision can perfectly shape the body.

Jun 29

Describing the Benefits of Facelift Surgery in Chicago

The face is an important part of our body and life. This is an identity and hence plays a crucial role in representing our individuality. As the age grows, it affects our skin and face completely. Of course, no one wants sag and wrinkle skin. If your facial appearance dependably looks tired, exhausted, or ghastly, it can take a toll on your self-confidence. Facelift surgery can restore a more characteristic and energetic appearance to your face, helping your identity radiate through and permitting you to age all the more smoothly in the years to come.

The Benefits of Face Lifts & Brow Lifts

There is an extensive variety of distinctive benefits that are prepared to be enjoyed and investigated by those who settle on the choice to have a facelift. These benefits have as of now been enjoyed for a long time by many men and women as far and wide as possible that have officially put resources into these sorts of methodology in the past and have been overpowered with fulfilment focused around the results.

Chicago Face lifts are permitted your facial muscles to be re tightened. The muscles in your face steadily debilitate about whether and can begin to age, so this re tightening can really work ponders for your appearance on the grounds that it will mitigate the measure of pressure that is presently overpowering your skin and permit you to appreciate the benefits of this method for quite a while. If the skin all over has additionally begun to hang, a facelift repair that detached skin and tightens it too so as to restore your young appearance. Chicago Face lifts additionally help to mellow your cheeks and the region underneath your eye tops while likewise making an engaging jaw line shape that further upgrades the nature of your revived and restored energy.

An alternate benefit of facelift surgery is that the surgery will be customized to your needs and your objectives. Since everybody’s face is different, it’s essential that every surgery be approached in an unexpected way. Different Chicago facial lift surgeries and strategies may be connected to best address your needs and upgrade your appearance.

This Can Be a New Beginning

Because your skin might commonly begin to hang far from your face and energy you to look much more established than you really are don’t imply that there is nothing that you can do to prevent that from happening. By putting resources into quality methodology, for example, face lifts and temples lifts, you will have the capacity to invert the ageing process and keep your face looking tight and young so you can keep grinning each one time that you gaze at your own particular reflection.

Conclusion

One of the best alternatives to consider for upgrading the face appearance is a facelift. The facelift can decrease and even dispense with the presence of lines, wrinkles, and drooping in the face. There are different Chicago face lifts accessible that can target diverse parts of the face, for example, the temple, the cheek and eye region, and the neck area and cheeks.

May 14

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