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Exercises for Knee Pain Relief Scott 51 Views • 2 years ago

Hey everyone! When I started posting more squat and lower-body workouts last week, I got many requests for this video. I actually had already had a knee pain video, but I felt like I could make it a lot better, so I remade it.

For more information, check out my friend ‎@ChrisRaynorMD aka @stablekneez on Instagram. Dr. Chris is a great surgeon, creative content creator, and all around good guy. He knows a LOT more than I do about this stuff. If you're interested, check him out!

Knee pain can be caused by MANY things, and this video is not intended to diagnose or treat any medical conditions. Some issues cannot be solved with exercise or physical therapy alone.

However, I've found that building up do doing squats with a full range of motion can help with knee pain. It's interesting, because there are some fitness figures that are adamantly against deep squatting because they claim it is BAD for the knees. I like it, and I've found it to be a very natural position. However, I do think that many people may not be prepared for it. Like any exercise, it can potentially hurt you if you're not acclimated to it. You can use your arm to assist you through the motion until you're able to do it without your arms with no pain. I have a full YouTube video on this: www.hybridcalisthenics.com/deepsquat.

Beyond this, sometimes strengthening our calves and hamstrings can "mysteriously" fix our knee pain. Both of these muscle groups support the knees.

On the other hand, sometimes these muscles are simply too TIGHT. You muscle fibers may be getting too tight and constantly trying to hyperextend your knees. Savor some calf and hamstring stretches.

I should point out that my chosen hamstring stretch in this video, standing toe touches, are controversial to some. Again, I like them, so they're shown here. If you are against them or they hurt you, you're very welcome to choose a different hamstring stretch.

Finally, I talk about isometric exercises like the horse stance and wall sit that seem to help with knee pain.

I touch upon synovial fluid, which is largely responsible for healing and nourishing our joints. Synovial fluid mostly circulates with movement, so I've included some knee "circles."

Hope this helps!

Legal Notice: Consult your doctor before beginning any kind of exercise program. This video does not replace a physical therapy program or consultation with a medical professional.

#shorts #hybridcalisthenics #kneepain

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Tracheostomy procedure 3D animation Scott 169 Views • 2 years ago

https://bit.ly/3HIStRc #shorts

Tracheotomy and tracheostomy are surgical procedures that create an opening in the trachea (windpipe) to help patients breathe when they have difficulty doing so through the nose or mouth. Though they are similar in purpose, there are some key differences between them.

Tracheotomy is a temporary procedure that involves creating a small incision in the trachea to insert a breathing tube. The tube is typically removed once the patient no longer requires it, and the incision heals on its own. Tracheostomy, on the other hand, is a more permanent solution that involves creating a hole in the trachea and inserting a tracheostomy tube, which remains in place for an extended period.

Indications for these procedures include:

Airway obstruction due to trauma, tumors, or infection
Severe respiratory distress or failure
Prolonged mechanical ventilation
Inability to protect the airway due to neurological disorders or impaired consciousness
Steps for performing a tracheotomy and tracheostomy:

Preparation: The patient is positioned, and the neck area is cleaned and draped. Local anesthesia is often administered, although general anesthesia may be used in some cases.
Incision: A small incision is made in the neck, and the muscles and tissues are carefully separated to expose the trachea.
Tracheal opening: A small opening is made in the trachea, typically between the second and third tracheal rings.
Tube insertion: A tracheotomy tube is inserted through the incision and into the trachea for a tracheotomy, while a tracheostomy tube is inserted for a tracheostomy. Both tubes are secured in place.
Confirmation: Proper placement of the tube is confirmed by listening for breath sounds and checking for adequate ventilation.
Pre-operative care typically involves a thorough assessment of the patient's medical history, as well as any necessary imaging studies or lab tests to ensure the procedure is appropriate and safe. Informed consent should be obtained from the patient or their legal representative.

Post-operative care includes monitoring the patient's vital signs, ensuring the tube remains secure and patent, and managing any pain or discomfort. For tracheostomy patients, regular cleaning and maintenance of the stoma (the opening in the trachea) and the tracheostomy tube are essential to prevent infection and other complications. Long-term care may involve speech therapy, respiratory therapy, and support from a multidisciplinary team to address any ongoing needs.

It's crucial to remember that these procedures should only be performed by trained medical professionals in a clinical setting.

for additional information about this procedure check our article @ www.medicalartsshop.com

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This video and associated content are for entertainment and educational purposes only!!

WARNING: Graphic Medical Procedure - Selective Dorsal Rhizotomy Surgery Surgeon 387 Views • 2 years ago

Dr. Debbie Song at Gillette Children's describes in detail selective rhizotomy surgery.

A selective dorsal rhizotomy is an operation performed to treat spasticity. It is thought that high tone and spasticity arise from abnormal signals that are transmitted through sensory or dorsal nerve roots to the spinal cord. In a selective dorsal rhizotomy we identify and cut portions of the dorsal nerve roots that carry abnormal signals thereby disrupting the mechanisms that lead to spasticity. Potential patients go through a rigorous assessment that includes an in-depth gait and motion analysis as well as a physical therapy evaluation.

They are evaluated by a multidisciplinary team that includes a pediatric rehabilitation doctor, a neurosurgeon, and an orthopedist, Appropriate patient selection is vital. Ideal candidates for selective dorsal rhizotomy are children who are between four and ten years of age, have a history of being born prematurely, and have a diagnosis of diplegia cerebral palsy. These patients usually walk independently or with the assistance of crutches or a walker. They typically function at a level one, two, or three in the gross motor function classification system or gmfcs. A selective dorsal rhizotomy involves the coordinated efforts of the neurosurgery, physiatry, anesthesia and nursing teams. The operation entails making an incision in the lower back that is approximately six to eight inches long. We perform what we call a laminoplasty in which we remove the back part of the spinal elements from the lumbar one or l1 to l5 levels. At the end of the procedure the bone is put back on. We identify and open up the Dural sac that contain the spinal fluid spinal cord and nerve roots. Once the Dural sac is opened ,we expose the lumbar and upper sacral nerve roots that transmit information to and from the muscles of the lower extremities.

At each level we isolate the dorsal nerve root, which in turn is separated into as many as 30 smaller thread light fruitlets.

Each rootlet is then electrically stimulated. Specialized members of the physiatry team look for abnormal responses in the muscles of the legs as each rootless is being stimulated. If an abnormal response is observed then the rootlet is cut.

If a normal response is observed, then the rootlet is not cut. We usually end up cutting approximately 20 to 40 percent of the rootlets. The Dural sac is sutured closed and the l1 through l5 spinal elements are put back into anatomic position, thus restoring normal spinal alignment. The overlying tissues and skin are then closed and the patient is awoken from surgery. The entire operation takes between four and five hours. A crucial component to the success of our rhizotomy program is the extensive rehabilitation course following surgery. With their tone significantly reduced after a rhizotomy, patients relearn how to use their muscles to walk more efficiently through stretching, strengthening, and gait training. Approximately one to two years after a rhizotomy patients undergo repeat gait and motion analysis. The orthopedic surgeons assess the need for interventions to correct bone deformities, muscle contractures, poor motor control, impaired balance, or other problems related to cerebral palsy.

At Gillette we work closely with patients and families to ensure that our selective dorsal rhizotomy program meets their goals for enhancing their function and improving their quality of life.

VISIT https://www.gillettechildrens.org/ to learn more

0:00 Why choose selective dorsal rhizotomy?
0:56 Who is a good candidate for selective dorsal rhizotomy?
1:31 What does a selective dorsal rhizotomy entail?
3:26 What is recovery from selective dorsal rhizotomy like?

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