Category Archives: Therapetic treatment

Bariatric Surgery to reduce obesity


Description:
Bariatric surgery (weight loss surgery) includes a variety of procedures performed on people who have obesity. Weight loss is achieved by reducing the size of the stomach with a gastric band or through removal of a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) or by resecting and re-routing the small intestine to a small stomach pouch (gastric bypass surgery).

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Long-term studies show the procedures cause significant long-term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors, and a mortality reduction from 40% to 23%. The U.S. National Institutes of Health recommends bariatric surgery for obese people with a body mass index (BMI) of at least 40, and for people with BMI of at least 35 and serious coexisting medical conditions such as diabetes. However, research is emerging that suggests bariatric surgery could be appropriate for those with a BMI of 35 to 40 with no comorbidities or a BMI of 30 to 35 with significant comorbidities. The most recent American Society for Metabolic & Bariatric Surgery guidelines suggest the position statement on consensus for BMI as an indication for bariatric surgery. The recent guidelines suggest that any patient with a BMI of more than 30 with comorbidities is a candidate for bariatric surgery.

A National Institute of Health symposium held in 2013 that summarized available evidence found a 29% mortality reduction, a 10-year remission rate of Type 2 Diabetes of 36%, fewer cardiovascular events, and a lower rate of diabetes-related complications in a long-term, non-randomized, matched intervention 15-20 year follow-up study, the Swedish Obese Subjects Study. The symposium also found similar results from a Utah study using more modern gastric bypass techniques, though the follow-up periods of the Utah studies are only up to 7 years. While randomized controlled trials of bariatric surgery exist, they are limited by short follow-up periods.

Types:
Procedures can be grouped in three main categories: blocking, restricting, and mixed. Standard of care in the United States and most of the industrialized world in 2009 is for laparoscopic as opposed to open procedures. Future trends are attempting to achieve similar or better results via endoscopic procedures.

Blocking procedures:
Some procedures block absorption of food, although they also reduce stomach size.

Biliopancreatic diversion:
This operation is termed biliopancreatic diversion (BPD) or the Scopinaro procedure. The original form of this procedure is now rarely performed because of problems with. It has been replaced with a modification known as duodenal switch (BPD/DS). Part of the stomach is resected, creating a smaller stomach (however the patient can eat a free diet as there is no restrictive component). The distal part of the small intestine is then connected to the pouch, bypassing the duodenum and jejunum.

In around 2% of patients there is severe malabsorption and nutritional deficiency that requires restoration of the normal absorption. The malabsorptive effect of BPD is so potent that, as in most restrictive procedures, those who undergo the procedure must take vitamin and dietary minerals above and beyond that of the normal population. Without these supplements, there is risk of serious deficiency diseases such as anemia and osteoporosis.

Because gallstones are a common complication of the rapid weight loss following any type of bariatric surgery, some surgeons remove the gallbladder as a preventive measure during BPD. Others prefer to prescribe medications to reduce the risk of post-operative gallstones.

Far fewer surgeons perform BPD compared to other weight loss surgeries, in part because of the need for long-term nutritional follow-up and monitoring of BPD patients.

Jejunoileal bypass:
This procedure is no longer performed. It was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which all but 30 cm (12 in) to 45 cm (18 in) of the small bowel was detached and set to the side.

Endoluminal sleeve:
A study on humans was done in Chile using the same technique however the results were not conclusive and the device had issues with migration and slipping. A study recently done in the Netherlands found a decrease of 5.5 BMI points in 3 months with an endoluminal sleeve.

Restrictive procedures:
Procedures that are restrictive shrink the size of the stomach or take up space inside the stomach, making people feel more full when they eat less.

Vertical banded gastroplasty:
In the vertical banded gastroplasty, also called the Mason procedure or stomach stapling, a part of the stomach is permanently stapled to create a smaller pre-stomach pouch, which serves as the new stomach.

Adjustable gastric band:
The restriction of the stomach also can be created using a silicone band, which can be adjusted by addition or removal of saline through a port placed just under the skin. This operation can be performed laparoscopically, and is commonly referred to as a “lap band”. Weight loss is predominantly due to the restriction of nutrient intake that is created by the small gastric pouch and the narrow outlet. It is considered one of the safest procedures performed today with a mortality rate of 0.05%.

Sleeve gastrectomy:
Sleeve gastrectomy, or gastric sleeve, is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach, following the major curve. The open edges are then attached together (typically with surgical staples, sutures, or both) to leave the stomach shaped more like a tube, or a sleeve, with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopically and is not reversible. It has been found to be comparable in effectiveness to Roux-en-Y gastric bypass.

Intragastric balloon:
Intragastric balloon involves placing a deflated balloon into the stomach, and then filling it to decrease the amount of gastric space. The balloon can be left in the stomach for a maximum of 6 months and results in an average weight loss of 5–9 BMI over half a year. The intragastric balloon is approved in Australia, Canada, Mexico, India, United States (received FDA approval in 2015) and several European and South American countries. The intragastric balloon may be used prior to another bariatric surgery in order to assist the patient to reach a weight which is suitable for surgery, further it can also be used on several occasions if necessary.

Stomach folding:
Basically, the procedure can best be understood as a version of the more popular gastric sleeve or gastrectomy surgery where a sleeve is created by suturing rather than removing stomach tissue thus preserving its natural nutrient absorption capabilities. Gastric plication significantly reduces the volume of the patient’s stomach, so smaller amounts of food provide a feeling of satiety. The procedure is producing some significant results that were published in a recent study in Bariatric Times and are based on post-operative outcomes for 66 patients (44 female) who had the gastric sleeve plication procedure between January 2007 and March 2010. Mean patient age was 34, with a mean BMI of 35. Follow-up visits for the assessment of safety and weight loss were scheduled at regular intervals in the postoperative period. No major complications were reported among the 66 patients. Weight loss outcomes are comparable to gastric bypass.

Mixed procedures:       Mixed procedures apply block and restrict at the same time.

Gastric bypass surgery:
A common form of gastric bypass surgery is the Roux-en-Y gastric bypass, designed to reduce the amount of food a person is able to eat by cutting away a part of the stomach. Gastric bypass is a permanent procedure that helps patients by changing how the stomach and small intestine handle the food that is eaten to achieve and maintain weight loss goals. After the surgery, the stomach will be smaller. A patient will feel full with less food.

A factor in the success of any bariatric surgery is strict post-surgical adherence to a healthy pattern of eating.

There are certain patients who cannot tolerate the malabsorption and dumping syndrome associated with gastric bypass. In such patients, although earlier considered to be an irreversible procedure, there are instances where gastric bypass procedure can be partially reversed.

Sleeve gastrectomy with duodenal switch:
A variation of the biliopancreatic diversion includes a duodenal switch. The part of the stomach along its greater curve is resected. The stomach is “tubulized” with a residual volume of about 150 ml. This volume reduction provides the food intake restriction component of this operation. This type of gastric resection is anatomically and functionally irreversible. The stomach is then disconnected from the duodenum and connected to the distal part of the small intestine. The duodenum and the upper part of the small intestine are reattached to the rest at about 75–100 cm from the colon.

Implantable gastric stimulation:
This procedure where a device similar to a heart pacemaker is implanted by a surgeon, with the electrical leads stimulating the external surface of the stomach, is being studied in the USA. Electrical stimulation is thought to modify the activity of the enteric nervous system of the stomach, which is interpreted by the brain to give a sense of satiety, or fullness. Early evidence suggests that it is less effective than other forms of bariatric surgery.

Eating after bariatric surgery:
Immediately after bariatric surgery, the patient is restricted to a clear liquid diet, which includes foods such as clear broth, diluted fruit juices or sugar-free drinks and gelatin desserts. This diet is continued until the gastrointestinal tract has recovered somewhat from the surgery. The next stage provides a blended or pureed sugar-free diet for at least two weeks. This may consist of high protein, liquid or soft foods such as protein shakes, soft meats, and dairy products. Foods high in carbohydrates are usually avoided when possible during the initial weight loss period.

Post-surgery, overeating is curbed because exceeding the capacity of the stomach causes nausea and vomiting. Diet restrictions after recovery from surgery depend in part on the type of surgery. Many patients will need to take a daily multivitamin pill for life to compensate for reduced absorption of essential nutrients. Because patients cannot eat a large quantity of food, physicians typically recommend a diet that is relatively high in protein and low in fats and alcohol.

Benefits of Bariatric Surgery:
Gastric bypass surgery is done to help you lose excess weight and reduce your risk of potentially life-threatening weight-related health problems, including:

* Gastroesophageal reflux disease

* Heart disease

* High blood pressure

* Severe sleep apnea

* Type 2 diabetes

* Stroke

Gastric bypass and other weight-loss surgeries are typically done only after you’ve tried to lose weight by improving your diet and exercise habits.

Risk Factors:
As with any major surgery, gastric bypass and other weight-loss surgeries pose potential health risks, both in the short term and long term.

Risks associated with the surgical procedure can include:

* Excessive bleeding

* Infection

* Adverse reactions to anesthesia

* Blood clots

* Lung or breathing problems

* Leaks in your gastrointestinal system

* Death (rare)

Longer term risks and complications of weight-loss surgery vary depending on the type of surgery. They can include:

* Bowel obstruction

* Dumping syndrome, causing diarrhea, nausea or vomiting

* Gallstones

* Hernias

* Low blood sugar (hypoglycemia)

* Malnutrition

* Stomach perforation

* Ulcers

* Vomiting

* Death (rare)

When weight-loss surgery doesn’t work:

Gastric bypass and other weight-loss surgeries don’t always work as well as you might have hoped. For one thing, although rare, something during or after the procedure itself may go wrong. For instance, the adjustable band may fail to work properly. If a weight-loss procedure doesn’t work right or stops working, you may not lose weight and you may develop serious health problems. Keep all of your scheduled follow-up appointments after weight-loss surgery. If you notice that you aren’t losing weight or you develop complications, see your doctor immediately. Your weight loss can be monitored and factors potentially contributing to your lack of weight loss evaluated.

It’s also possible to not lose enough weight or to regain weight after any type of weight-loss surgery, even if the procedure itself works correctly. This weight gain can happen if you don’t follow the recommended lifestyle changes. To help avoid regaining weight, you must make permanent healthy changes in your diet and get regular physical activity and exercise. If you frequently snack on high-calorie foods, for instance, you may have inadequate weight loss.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

Resources:
https://en.wikipedia.org/wiki/Bariatric_surgery
https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258

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EECP Therapy

Enhanced external counterpulsation (EECP) is a mechanical form of treatment for angina. While several clinical studies appear to show that this treatment can be helpful in reducing symptoms of angina in patients with coronary artery disease (CAD), EECP has yet to be accepted by most cardiologists, and has not entered the mainstream of cardiology practice.

What is EECP?
EECP is a mechanical procedure in which long inflatable cuffs (like blood pressure cuffs) are wrapped around both of the patient’s legs. While the patient lies on a bed, the leg cuffs are inflated and deflated synchronously with each heartbeat. The inflation and deflation are controlled by a computer, which uses the patient’s ECG to trigger inflation early in diastole (when the heart relaxes and is filled with blood), and deflation just as systole (heart contraction) begins. The inflation of the cuffs occurs sequentially, from the lower part of the legs to the upper, so that the blood in the legs is “milked” upwards, toward the heart.

EECP has at least two potentially beneficial actions on the heart. First, the milking action of the leg cuffs increases the blood flow to the coronary arteries during diastole. (The coronary arteries, unlike other arteries in the body, receive their blood flow in between heartbeats, instead of during each heartbeat.) Second, by its deflating action just as the heart begins to beat, EECP creates something like a sudden vacuum in the arteries, which reduces the work the heart muscle has to perform in pumping blood. It is also speculated that EECP may help reduce endothelial dysfunction.

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EECP is administered as a series of outpatient treatments. Patients receive 5 one-hour sessions per week, for 7 weeks (for a total of 35 sessions). The 35 one-hour sessions are aimed at provoking long lasting beneficial changes in the circulatory system.

How Effective Is EECP?
Several studies suggest that EECP can be quite effective in treating chronic stable angina. A small randomized trial showed that EECP significantly improved both the symptoms of angina (a subjective measurement) and exercise tolerance (a more objective measurement) in patients with CAD. EECP also significantly improved “quality of life” measures, as compared to placebo therapy. Other studies have shown that the improvement in symptoms following a course of EECP seems to persist for up to five years (though 1 in 5 patients may require another course of EECP to maintain their improvement).

How Does EECP Work?
The mechanism for the apparent sustained benefits seen with EECP is unknown. There is some evidence suggesting that EECP can help induce the formation of collateral vessels in the coronary artery tree, by stimulating the release of nitric oxide and other growth factors in within the coronary arteries. There is also evidence that EECP may act as a form of “passive” exercise, leading to the same sorts of persistent beneficial changes in the autonomic nervous system that are seen with real exercise.

Can EECP Be Harmful?
EECP can be somewhat uncomfortable, but is generally not painful. In studies, the large majority of patients have tolerated the procedure quite well.

But not everyone can have EECP. People probably should not have EECP if they have aortic insufficiency, or if they have had a recent cardiac catheterization, an irregular heart rhythm such as atrial fibrillation, severe hypertension, peripheral artery disease involving the legs, or a history of deep venous thrombosis. For anyone else, however, the procedure appears to be safe.

When Is EECP Recommended?
Based on what we know today, EECP should be considered in anybody who still has angina despite maximal medical therapy, and in whom stents or bypass surgery are deemed not to be good options. Medicare has approved coverage for EECP for patients with angina who have exhausted all their other choices.

In 2014, several professional organizations (the American College of Cardiology, American Heart Association, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons) finally agreed in a focused update that EECP ought to be considered for patients with angina refractory to other treatments.

Why Isn’t EECP Used More Often?
In general, the cardiology community has largely chosen to ignore such an outlandish form of therapy, and many cardiologists fail to to even consider offering EECP as a therapeutic option. Consequently, most patients who have angina never hear about it.

Indeed, EECP is a little outlandish. It certainly does not look like cardiology. Nobody can really explain how it works. And, from a cardiologist/s viewpoint, when you compare the relative effort and relative reimbursement of EECP to something like inserting a stent (35 sessions over 7 weeks vs. a 30-minute procedure) there is no contest. To expect cardiologists to embrace EECP with any enthusiasm simply ignores human nature.

Still, when a noninvasive treatment for angina exists that is safe and well tolerated, when available evidence (as imperfect as it may be) strongly suggests the treatment is quite effective in many patients, and when the patient being treated will be able to tell pretty definitively whether or not the treatment has helped in their own individual case (by the presence or absence of a substantial reduction in angina symptoms), it does not seem unreasonable to allow patients with stable angina to opt for a trial of that noninvasive therapy, perhaps even before they are pushed into invasive therapy.

If you are being treated for stable angina and still have symptoms despite therapy, it is entirely reasonable for you to bring up the possibility of trying EECP. Your doctor should be quite willing to discuss this possibility with you, objectively and without prejudice.

Resources:
https://www.verywellhealth.com/enhanced-external-counterpulsation-eecp-1745293

Auriculotherapy

Other Names: Ear acupuncture, Auriculoacupuncture

Description:
Auriculotherapy is a form of alternative medicine based on the idea that the ear is a micro system, which reflects the entire body, represented on the auricle, the outer portion of the ear. It is a health care procedure in which stimulation of the auricle of the external ear is utilized to alleviate health conditions in other parts of the body. While originally based upon the ancient Chinese practices of acupuncture, the somatotopic correspondence of specific parts of the body to specific parts of the ear was first developed in France. It is this integrated system of Chinese and Western practices of auricular acupuncture which is presented.

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Conditions affecting the physical, mental or emotional health of the patient are assumed to be treatable by stimulation of the surface of the ear exclusively. Similar mappings are used in many areas of the body, including the practices of reflexology and iridology. These mappings are not based on or supported by any medical or scientific evidence.

Proceedures:
Auriculotherapy is needle-less stimulation of the external ear for alleviating pain and dysfunction in other parts of the body. Auriculotherapy uses electricity to diagnose and treat auricular acupoints (acupuncture points on the ear). The external part of The ear is considered a “Microsystem” of the body. Microsystems are like small images of the whole body, located in different locations on the body and in this case, the ear. The ear is a complete Microsystem of the human body. All parts of the body are represented in an inverted pattern on the ear. There are other Microsystems in the body but the ear has been shown through research to be the most effective Microsystem. This is due to the type of tissue that makes up the ear and due to its direct connection to the nervous system, which controls every single cell and bodily function.

Auriculotherapy works by stimulating the central nervous system through the cranial nerves and spinal nerves on the auricle (external ear). This stimulation results in neurotransmitters being stimulated within the brain and spinal cord of the central nervous system. This stimulation of neurotransmitters modulates the pain and modulates nerve function beginning the healing process within the body to that organ or body part that is affected.

Auriculotherapy is performed by the doctor using electricity (micro-current) as a means to diagnose and treat auricular acupoints. There are over 200 auricular acupoints on each ear that represent all parts of the body and many functional areas of the body.

The doctor uses a small hand held wand that has two functions, it diagnoses by measuring the differences in skin conductivity in relation to the acupoint, and is also used to treat the acupoint. The wand measures the positive and negative polarity (differential) of acupoint and surrounding tissue. When there is a large difference in polarity, either positive or negative, it is indicative of the presence of an injury, pathology or disease in that part of the body that corresponds to the acupoint. If the point is extremely negative or extremely positive, the machine will automatically stimulate the ear point with electrical stimulation positively or negatively as needed. This is all done with the touch of a button on the wand. The machine, which is called a Stim-Flex 400A is the most advanced equipment in the field and allows the doctor to diagnose pain, dysfunction, and disease whether it be somatic, visceral or psychological in origin.

Benefits:
1.Fight overweight:
One of the biggest demands of people who go to auriculotherapy is to lose weight, because of the help that can provide this therapy to this purpose. This is one of the benefits that can be achieved, as it not only helps prevent fluid retention and eliminates toxins, but also fights the anxiety that is experienced when dieting.

This therapy helps in the thinning process, but by itself does not cause weight loss and requires a healthy and balanced diet, combined with regular practice of some physical activity.

2.Gynecological disorders:
Another field in which it has a great demand is in the gynecological for its proven results trying different problems like dysmenorrhea (menstrual pain). It is also advisable when one suffers an abrupt cessation of menstruation due to large uterine spasms, which can also cause problems for a woman to become pregnant since the contractions are so strong that the sperm passage is blocked.

3.Pain management:
Specialists in this alternative therapy assure that it has great results in the treatment of different types of pain such as sciatica, headaches, or neuralgias, as well as functional and organic disorders such as constipation, asthma, vertigo or insomnia.

4.Psychological approaching:
The emotional disorders such as anxiety, stress or depression. The release of endorphins manages to positively alter the body and makes the patient find a better predisposition to deal with everyday situations.

5.Gain weight:
In several cases it helps to gain weight through the appropriate points in as it increases appetite.As well as it helps in losing weight, it allows the gain of the same for those who require it.

An additional advantage of auriculotherapy compared to acupuncture, with which it is closely linked, is that working with spheres in surface contact with the skin avoids any risk of infection caused by needle pricks.

Kown Hazards:
The primary side effect of ear acupuncture or Auriculotherapy is tenderness or inflammation to the ear itself. This is usually very rare. Auriculotherapy and acupuncture generally have almost no side effects, especially if the doctor is using Auriculotherapy with electrical stimulation,which is how it is performed.

Infection is possible when the skin is pierced with the acupuncture needle, but is never heard of in Auriculotherapy. If the patient is afraid of needles, Auriculotherapy is a painless alternative to ear acupuncture. If the doctor is using the Electro-Therapy Association’s guidelines for treatment, there are virtually no negative side effects.

Auriculotherapy is contraindicated in patients that are in their first trimester of pregnancy and for those patients who have certain types of pacemakers or defibrillator’s.

Disclaimer : The information presented herein is intended for educational purposes only.

Resources:
http://auriculotherapy.com/
http://www.backneckpaincenter.com/auriculotherapy
http://www.healingboutiques.com/5-benefits-of-auriculotherapy/

Reflexology

Other Name: Zone therapy

Description:

Reflexology is gentle manipulation or pressing on certain parts of the foot to produce an effect elsewhere in the body.
It is an alternative medicine involving application of pressure to the feet and hands with specific thumb, finger, and hand techniques without the use of oil or lotion. It is based on a pseudoscientific system of zones and reflex areas that purportedly reflect an image of the body on the feet and hands, with the premise that such work effects a physical change to the body.

There is no convincing evidence that reflexology is effective for any medical condition.

Mechanism:
There is no consensus among reflexologists on how reflexology is supposed to work; a unifying theme is the idea that areas on the foot correspond to areas of the body, and that by manipulating these one can improve health through one’s qi.(a “material energy”, “life force”, or “energy flow”. As per the central underlying principle in Chinese traditional medicine and in Chinese martial arts.)

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Reflexologists divide the body into ten equal vertical zones, five on the right and five on the left. Concerns have been raised by medical professionals that treating potentially serious illnesses with reflexology, which has no proven efficacy, could delay the seeking of appropriate medical treatment.

Reflexologists posit that the blockage of an energy field, invisible life force, or Qi, can prevent healing. Another tenet of reflexology is the belief that practitioners can relieve stress and pain in other parts of the body through the manipulation of the feet. One claimed explanation is that the pressure received in the feet may send signals that ‘balance’ the nervous system or release chemicals such as endorphins that reduce stress and pain. These hypotheses are rejected by the medical community, who cite a lack of scientific evidence and the well-tested germ theory of disease.

Reflexology’s claim to manipulate energy (Qi) is unsupported by science; there is no scientific evidence for the existence of life energy (Qi), ‘energy balance’, ‘crystalline structures,’ or ‘pathways’ in the body.

In Trick or Treatment? Alternative Medicine on Trial, Simon Singh states that if indeed the hands and feet “reflect” the internal organs, reflexology might be expected to explain how such “reflection” was derived from the process of Darwinian natural selection; but Singh says that no argument or evidence has been adduced.

Medical uses:
Reviews from 2009 and 2011 have not found evidence sufficient to support the use of reflexology for any medical condition. A 2009 systematic review of randomized controlled trials concludes: “The best evidence available to date does not demonstrate convincingly that reflexology is an effective treatment for any medical condition.”

In 2015 the Australian Government’s Department of Health published the results of a review of alternative therapies that sought to determine if any were suitable for being covered by health insurance; reflexology was one of 17 therapies evaluated for which no clear evidence of effectiveness was found.

Benefits:
The benefits of reflexology include its ability to stimulate nerve function, increase energy, boost circulation, induce a deep state of relaxation, eliminate toxins, stimulate the central nervous system, prevent migraines, and treat urinary tract conditions. This type of massage speeds up recovery after an injury or surgery, reduces sleep disorders, and relieves depression and pain. Furthermore, it can help to ease the treatment of various types of cancer and even help to soothe the pain of pregnancy, even the one occurring after delivery.

Whether you work in an office, a factory, a field, a hospital, or anything in between, there is a good chance that you put a lot of weight and stress on your feet every day. It is not always the back, stress can manifest itself in the other parts of our body too. People often opt for massages, so it makes sense that there should be foot massages too, right? Reflexology is much more than a foot massage, but at its foundation, that’s the easiest way to describe the process. This specific area of massage therapy also includes hands and ears, making it a holistic massage.

Several studies funded by the National Cancer Institute and the National Institutes of Health indicate that reflexology may reduce pain and psychological symptoms, such as anxiety and depression, and enhance relaxation and sleep. Studies also show that reflexology may have benefits in palliative care of people with cancer.

Reflexologists claim that reflexology also can treat a wide variety of medical conditions, such as asthma, diabetes and cancer. However, scientific evidence is lacking to support these claims.

Reflexology is generally considered safe, although very vigorous pressure may cause discomfort for some people.

Known Hazards:
Cold or Flu:
Reflexology is generally considered to be a safe therapeutic method, but in some cases, people have developed cold or flu-like symptoms afterwards. Practitioners refer to this as a healing crisis that occurs as the body eliminates harmful toxins. You may experience a runny nose from sinus congestion or cough up mucus from the lungs as the bronchial passages clear.

Fatigue:
You might notice yourself yawning; in fact, falling asleep during treatment and feeling tired afterward is pretty normal. If you experience both fatigue and a headache, it may be anxiety, which many people experience at the onset of illness or when beginning a new treatment therapy. Some people also develop headaches when they feel tired; since these two side effects seem to go hand in hand, a headache usually disappears once your energy returns.

Emotional Reactions:
You might experience various emotional reactions during or after reflexology treatments. Some people feel relaxed or like laughing, and others feel like crying. An intense state of relaxation may even make you feel lightheaded. If feeling emotional is uncomfortable, try to be gentle with yourself and trust that any overwhelming feelings should pass.

Sensitive Feet:
Tenderness, increased sensitivity, tingling, or a pins-and-needles sensation in the feet are temporary side effects during or following the first reflexology session.

Uncommon Side Effects:
Nausea, excessive sweating, insatiable thirst and skin rashes are other possible side effects. Reflexologists say that nausea may be due to the effect of eliminating toxins from your body. Drink plenty of water to help to ease the discomfort. Staying well hydrated also helps remove toxins from the kidneys, bladder and liver. Another way to fight nausea is to take small bites and chew slowly when you eat. Do not eat foods that are high in fat or sugar, as these take longer to digest. Some people may experience more frequent urination or bowel movements for a day or two afterward, as the body detoxes.

Duration of Side Effects:
Side effects normally don’t last for more than 24 hours, but in some cases, individuals may continue to experience mild discomfort for a few days afterward. The symptoms being treated may actually get worse before they begin to get better; this usually means that your body is responding. If symptoms continue to worsen, or if you notice any new symptoms after a day or two, report them to your doctor and reflexologist immediately.

Disclaimer : The information presented herein is intended for educational purposes only.

Resources:
*https://en.wikipedia.org/wiki/Reflexology#cite_note-TRH1-7
*https://www.mayoclinic.org/healthy-lifestyle/consumer-health/expert-answers/what-is-reflexology/faq-20058139
*https://www.organicfacts.net/health-benefits/other/benefits-of-reflexology.html
*https://www.leaf.tv/articles/side-effects-of-reflexology/

Egoscue

Description:
Egoscue is a postural therapy designed to eliminate chronic pain without drugs or surgery. Founded by Pete Egoscue in 1978, the Egoscue Method focuses on a series of gentle stretches and exercises to correct misalignments in the musculoskeletal system of the body.

The core belief behind Egoscue is that pain, whether acute or chronic, is the result of misalignment in the body as it loses its correct posture. When the body works with gravity to find realignment through Egoscue, comfort will increase and pain will decrease naturally. Personally, I’ve used the therapy for back pain relief and consider it another effective natural remedy for joint or bone pain.

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It is believe that both chronic and acute pain is due to misalignment in the body as it loses its designed posture. The human body is designed to move! However, with most of society becoming more and more sedentary, the body develops musculoskeletal dysfunctions and compensations. When those are present, pain and injury set in or are lurking right around the corner. The Egoscue Method restores the body back to its designed posture, alleviating pain and returning you back to an active, pain-free lifestyle.

The method :
The Egoscue Method uses a series of gentle exercises and stretches to return musculoskeletal balance and symmetry to our body. It’s no secret that muscles move bones. If our body has looses its designed posture, it’s because muscles have moved our bones into a new, dysfunctional position. Pain is the body’s way of alerting us to the fact that our body isn’t aligned—and therefore isn’t moving—properly. Through The Egoscue Method, our muscles will be reeducated and reminded how they need to function in order to maintain proper alignment.

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The body has an amazing ability to heal itself; we just have to give it a chance. Most likely we will not get into our current position overnight, and won’t get out of it overnight. The Egoscue Method is a process, but one with a remarkable 94 percent success rate since its inception.

Benefits of Egoscue:

Egoscue can benefit anyone experiencing pain in the neck, shoulder, back, hip, knee, ankle and foot. Plus it can help naturally treat arthritis, scoliosis, spondylosis, spondylolisthesis, sciatica, tennis elbow, frozen shoulder, disc degeneration, and a variety of other chronic pain symptoms as well as those trying to improve their posture for their general health and/or performance in sports.

Some of the most common benefits of Egoscue include:

1. Improved Posture:

Ideally everyone should have good posture without trying. In other words, our natural posture should be correct posture. Egoscue helps to appropriately align the musculoskeletal system and gives exercises to improve your posture, which becomes optimal over time.

2. Less Pain:

By identifying the cause of the problem rather than just focusing on symptoms, Egoscue can quickly decrease acute or chronic pain and often end it all together. When it comes to joint pain, joints do what muscles tell them to do — so when muscles become imbalanced through specific action or inaction, the joints become compromised and lose that full range of motion, often resulting in a loss of mobility and pain.

Egoscue can help to regain that full range of motion and naturally reduce joint pain. In general, Egoscue improves posture, which can decrease pain throughout the body, especially the back.

3. Avoidance of Surgery:

People who have success with Egoscue often avoid very costly surgery and a lengthy recovery process. Specifically, back and knee surgery can be avoided by improving posture and alignment. For example, pressure on your back can be increased by 50 percent just from leaning over the sink incorrectly to brush your teeth. (5)

By improving posture, pressure is taken off of the nerves in the back, which reduces back pain. Once pain is reduced or eliminated, surgery is no longer needed. Another good reason to try Egoscue before surgery is that studies have shown that the outcomes of knee surgery are no better than those after a placebo procedure.

4. Long-term Improvements:

Once correct alignment is achieved and an effort is made to continue exercises, improvements are very long lasting. A body appropriately aligned is a body that is more likely to have all of its systems working optimally.

Of course, the right diet and lifestyle are also key to success. With the appropriate nutrition, weight management, stress reduction, and elimination of unhealthy habits (smoking, excessive alcohol intake, etc.), Egoscue can enhance well-being into old age — maybe even into the longevity enjoyed by folks living in the blue zones.

5. Anyone Can Benefit:

Regardless of age or athletic ability, anyone can benefit from the postural improvements that come from a successful Egoscue protocol. Egoscue exercises are relatively easy to remember and easy to practice at home or on the go. There are also many exercises that can be practiced by disabled individuals. By restoring postural alignment and function, quality of life can improve for anyone practicing Egoscue.

6. Better Balance & Athletic Performance:

Better posture equates to better balance, so there is a direct improvement in balance once posture is improved through Egoscue.  In addition, as a result of improved muscle balance the body will be able to perform more effectively while putting in less effort.

Known Hazards:
If you are looking to try out Egoscue with a certified practitioner, there are many practitioners in the U.S. as well as internationally (including Canada, Japan Mexico, Sweden and the United Kingdom). When practicing Egoscue without a certified practitioner, one must be mindful to follow instructions carefully so that exercises are done in a way that promotes healing rather than creating further issues.

Most Egoscue exercises are easy to follow from written instructions or video format, but the specific positioning of the body for each exercise is absolutely key to receiving optimal results. As with any physical exercise, it is important to pay attention to how the body reacts so that pain is not encouraged or increased.

Egoscue is not designed to be painful, but it is natural to feel some stiffness after some of the exercises and maybe even as you walk around the first few days, but that stiffness is most likely the result of reengaging long dormant muscles. If any pain worsens or persists after Egoscue exercises, consult a medical professional.

Disclaimer : The information presented herein is intended for educational purposes only.

Resources:
https://draxe.com/egoscue/
https://www.egoscue.com/getting-started/faq/