Posts Tagged ‘Therapy’
An element of conventional Chinese medicine that began around 50 centuries past in Asia is known as acupuncture. A key that it relies on is that living things pose a vital energy called to as “qi” that circulates approximately a dozen of invisible energy routes labeled as meridians on the body. An individual meridian is associated with a different organ system. If there is an imbalance in the circulation of this key energy all the way through a meridian a condition is liable to develop .
Practitioners of acupuncture, referred to as acupuncturists, place needles into exact points along the path of the meridian to impact the restoration of balance to the flow of qi. There is stated to be more than 1,000 acupuncture points in the whole human body.
The United States Food and Drug Administration or US FDA in 1997 have reclassified acupuncture needles from what was then “experimental” to “medical” device. The National Institutes of Wellness has introduced a consensus memorandum, in that same calendar year, for the endorsement of acupuncture as a variety of treatment on a variety of health and wellbeing conditions such as tennis elbow, post-operative pains and carpal tunnel syndrome.
One of the best known substitute all natural healing remedies is being viewed as acupuncture. People today in the United States are estimated to spend more than the huge amount of $500 million per calendar year on availment of acupuncture procedures. Insurance coverage for acupuncture treatment options is had by the greater part of these people.
The methods in the domain of acupuncture are anchored in a variety of various theories. Some of most of these theories are:
- Acupuncture influences the autonomic nervous system – Acupuncture influences the electrical currents in the body – The release of pain-relieving hormones called endorphins is promoted by acupuncture – Blood circulation is improved by acupuncture – Acupuncture affects the release of specific substances that sends nerve impulses to the brain called neurotransmitters
There are a wide range of complaints that are treatable by acupuncture; the following are to name a couple of: Sinusitis; Addictions, such as smoking; Tennis elbow; Fibromyalgia; Weight loss; Lower back pains; Sciatica; Common cold; Migraines and tension headaches; Meniere’s disease; Arthritis; Asthma; Trideminal neuralgia
In the course of the procedure an acupuncturist could utilise any of the following techniques: Electrostimulation – application of electrical signals to stimulate two or several acupuncture needles -This is used for relief from pain and muscle pain; Cupping – glass cups are applied to generate a suction on the skin aimed at relieving the stagnation of blood and qi such as in sports injury; Laser acupuncture – involves non-needle stimulation of needles; Moxibustion – acupuncture needles are heated with the use of herb sticks – The technique is also referred to as “moxa”; Herbal medications – these can come in the form of pills, teas and capsules in conjunction with the acupuncture treatment solution.
No type of pain should be felt by a patient undergoing an acupuncture procedure. A handful of seconds to longer than an hour is the vary that acupuncture treatment methods might session. About 20 to 30 minutes is the normal time of the treatment.
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Dr. James L. Campbell Jr., MD, MS discusses Psoriasis Treatment Topical Therapy. See more at http://www.dermnet.com PLEASE RATE AND COMMENT!!!
Topical therapy is appropriate for patients with limited skin involvement and in combination with other modalities. Topical preparations include shampoos, foams, solutions, creams, ointments and sprays. Patients must be provided with an adequate amount of the preparation to treat the involved areas for the amount of time directed.
Several active ingredients have been compounded into these various preparations. Coal tar containing products are effective, but somewhat messy to use and irritating to the skin. Odor is also an issue. Anthralin containing preparations are also effective, but staining of skin and clothing limits compliance.
Dovonex is calcipotriene is a vitamin D3 analogue preparation which can be applied once or twice daily as tolerated in amounts up to 100 g/week. It is important to confine medication to the plaques so as to minimize local irritation and erythema.
Tazorac is tazarotene, a synthetic retinoid, in gel or cream once or twice daily is effective. Again confining application to the plaques minimizes local irritation of the surrounding skin.
Topical corticosteroids in Groups 1 through 5 have been mainstays of psoriasis treatment for several decades. Their direct anti-inflammatory effect treats psoriasis. There is risk of skin atrophy with long-term use. It is important to limit duration of use, quantity and potency of topical steroids in the long-term management of psoriasis. For this reason, topical steroids are often combined with other topical agents such as tazarotene and calcipotriene which do not risk skin atrophy. The topical steroid reduces the irritation from these agents as well.
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Dr. James L. Campbell Jr., MD, MS discusses Psoriasis Treatment Systemic Therapy. See more at http://www.dermnet.com PLEASE RATE AND COMMENT!!!
Patients with psoriasis involving more than 20% of the body surface or who are very uncomfortable should consider systemic therapy. Systemic therapy is complicated and best managed by a dermatologist. A rotational approach to therapy minimizes long-term toxic effects from any one therapy and allows effective long-term management.
Methotrexate is effective in unstable erythrodermic, generalized pustular psoriasis and extensive chronic plaque disease. It is effective for psoriatic arthritis and can be given orally, intramuscularly or subcutaneously in doses of 12.5 to 22.5 mg weekly. Close follow-up is needed; monitor complete blood cell count, liver function, and liver biopsy should be performed periodically. Beware of potentially life-threatening drug interactions with salicylates, many non-steroidal anti-inflammatory agents, trimethoprim sulfamethoxazole, penicillins, and others. Side effects include nausea, anorexia, fatigue, oral ulcerations, leukopenia, and thrombocytopenia, hepatic fibrosis or cirrhosis. Use caution in the elderly or patients with renal insufficiency.
Cyclosporine is best used for severe inflammatory psoriasis and better yet for acute control only. The typical dose is 2.5 to 5.0 mg/kg/day. Once control is achieved, the dose is slowly tapered. Close monitoring of blood pressure is needed, as well as complete blood count, creatinine, magnesium and cholesterol/triglyceride levels. Decrease dose if creatinine increases by 30% from baseline and beware of potentially life-threatening drug interactions. Side effects include hypertension and cumulative renal toxicity.
Acitretin, brand name Soriatane, is highly effective for generalized pustular and erythrodermic psoriasis, and moderately effective for palmoplantar psoriasis. An oral retinoid, acitretin is useful in combination with psoralen plus ultraviolet A and ultraviolet B. Start at 10 to 25 mg/day as a single dose.
Side effects are similar to those of isotretinoin and include teratogenicity, dry skin, sticky skin, myalgias, arthralgias, pseudotumor cerebri, depression, hair loss, hepatitis, pancreatitis, increased cholesterol/triglycerides.
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