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Dr. Ebraheim's educational animated video describes the AC joint injuries and Classifications, how to diagnose it, and the ...

Dr. Ebraheim’s educational animated video describes the AC joint injuries and Classifications, how to diagnose it, and the treatment options in a simple and easy way.

The AC joint is stabilized by a joint capsule and ligaments. The AC ligament controls the AP translation (horizontal stability). The Cc ligament controls the vertical stability. Two separate coracoclavicular ligaments that stabilize the distal clavicle. These ligaments are the primary stabilizers to superior or vertical migration of the distal clavicle. The conoid is medial (inserts about 4.5 cm from the end of the clavicle).
These injuries are classified according to the degree of the injury, the amount and the direction of displacement into six types.
Type I: Sprain – pain at the point of the shoulder.
Type II: AC ligament ruptures and there is partial displacement of the AC joint (CC ligament is intact).
Type III: The AC and CC ligaments are ruptured with superior displacement of the clavicle up to 100% of the clavicle width. There is an increase in the CC ligament distance and the deformity is reducible.
Type IV: The ligaments are ruptured and the AC joint is dislocated and displaced posterior through the trapezius muscle. Axillary view x-rays will show this posterior displacement very well. In the axillary view, the anterior aspect of the clavicle and the acromion should align.
Type V: greater than 100% displacement of the clavicle superiorly. Marked increase in the CC distance and the deformity is not reducible. There will be marked gross disparity between both the injured and normal shoulder.
Type VI: inferior displacement of the clavicle. This type is rare. The distal clavicle lies under the acromion and the coracoid.
Injuries to the AC joint are sometimes apparent due to the pain and deformity. Injury results from direct trauma such as a direct fall on the point of the shoulder and if the distal clavicle is prominent, then the patient probably has a high grade injury. If you can reduce the deformity with manual pressure, this probably means that the clavicle did not button hole through the trapezius or deltoid muscles and this determines if the patient will need surgery or not. Be sure to examine the patient carefully because the neurovascular status may be affected, especially if it is a violent trauma that may cause a brachial plexus injury or scapulothoracic dissociation.
The amount of displacement can often be difficult to assess on plain x-rays. If the deformity is more than 2 cm, then you probably need to do surgery. The idea is that there is a higher risk of complications with surgical treatment. The result of conservative treatment is usually better with a quick recovery and return to work. With Types I, II and Type III the trend is to do conservative treatment. Conservative treatment in Type III injuries is controversial, especially in athletes. Surgery is better with Type IV, V and Type VI injuries.
Nonoperative Treatment
•Treatment the patient with a sling for about 7 days followed by range of motion exercises
•Patient may develop painful arthritis of the AC joint
•Patient may have residual prominence of the distal clavicle and pain with nonoperative treatment that may last for about 6 months.
You will work on and stabilize the CC interval
•Healing of the ligament will occur with no need for graft augmentation (do CC interval fixation).
•Use suture anchors, buttons placed in the coracoid, or sutures passed around the coracoid (both probably have the same result).
•May do distal clavicle excision and you also add AC joint fixation with a Hook plate to support the CC ligament repair.
•CC ligament fixation in isolation could translate the clavicle anteriorly due to the lack of an anterior AC ligament.
Chronic Symptomatic Dislocation Treatment
•Do tendon reconstruction if greater than 4 weeks (augmented Weaver-Dunn procedure)
•Weaver-Dunn procedure is a good operation when it is performed acutely.
•It may not be good alone in chronic injuries
•It does not matter which procedure is done, loss of reduction can occur and it usually does not affect the result of the treatment.

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AC Joint injury,shoulder separation , treatment – Everything You Need To Know – Dr. Nabil Ebraheim

nabil ebraheim 239K views June 22, 2016 9:47 pm

This animation is available for instant download licensing here: ...

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Perfect for patient education.
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Myofascial pain syndrome is a common chronic pain disorder that can affect various parts of the body. Myofascial pain syndrome is characterized by presence of hyperirritable spots located in skeletal muscle called trigger points. A trigger point can be felt as a band or a nodule of muscle with harder than normal consistency. Palpation of trigger points may elicit pain in a different area of the body. This is called referred pain. Referred pain makes diagnosis difficult as the pain mimics symptoms of more well-known common conditions. For example, trigger point related pain in the head and neck region may manifest as tension headache, temporomandibular joint pain, eye pain, or tinnitus.
Symptoms of myofascial pain syndrome include regional, persistent pain, commonly associated with limited range of motion of the affected muscle. The pain is most frequently found in the head, neck, shoulders, extremities, and lower back.
Trigger points are developed as a result of muscle injury. This can be acute trauma caused by sport injury, accident, or chronic muscle overuse brought by repetitive occupational activities, emotional stress or poor posture. A trigger point is composed of many contraction knots where individual muscle fibers contract and cannot relax. These fibers make the muscle shorter and constitute a taut band — a group of tense muscle fibers extending from the trigger point to muscle attachment. The sustained contraction of muscle sarcomeres compresses local blood supply, resulting in energy shortage of the area. This metabolic crisis activates pain receptors, generating a regional pain pattern that follows a specific nerve passage. The pain patterns are therefore consistent and are well documented for various muscles.
Treatment of myofascial pain syndrome aims to release trigger points and return the affected muscle to original length and strength. Common treatment options include:
– Manual therapy, such as massage, involves application of certain amount of pressure to release trigger points. The outcome of manual therapy strongly depends on the skill level of the therapist.
– The Spray and Stretch technique makes use of a vapor coolant to quickly decrease skin temperature while passively stretching the target muscle. A sudden drop in skin temperature provides a pain relief effect, allowing the muscle to fully stretch, and thus releasing the trigger points.
– Trigger point injections with saline, local anesthetics or steroids are well accepted as effective treatments for myofascial trigger points.
– Dry needling — insertion of a needle without injecting any solution – is reported to be as effective as injections.

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Myofascial Pain Syndrome and Trigger Points Treatments, Animation.

Alila Medical Media 2.2M views May 26, 2014 5:28 pm

Dr. Ebraheim's educational animated video explains the condition of knee pain and arthritis - total knee replacement. This video ...

Dr. Ebraheim’s educational animated video explains the condition of knee pain and arthritis – total knee replacement.
This video describes knee pain, knee examination, knee diagnosis and treatment .knee pain relief may need surgery .this video describes knee arthritis animation, knee arthritis symptoms, diagnosis, x rays and treatment
Knee arthritis treatment will include physiotherapy, knee injection and total knee replacement.
DR Nabil Ebraheim UTMC Toledo.
The cartilage of the knee is complex and it is made of elastic comprehensive structure.
The normal articular cartilage is called hyaline cartilage; it provides a smooth, gliding surface to help the motion of the joint.
There is about 2cc of the synovial fluid inside the knee that helps in the motion and lubrication of the joint.
Between the hyaline cartilage which is called the articular cartilage you can see the meniscus, the lateral and the medial, the meniscus is a shock absorbing cartilage or cushion between the articular cartilages.
The hyaline cartilage has 4 layers:
1- The superficial layer.
2- The middle layer.
3- The deep layer.
4- The calcified layer
After the calcified layer you find the bone.
These cartilage cells are supposed to live forever.
Good cartilage cells are sterile; they can’t make more cartilage if these cartilage cells are destroyed.
If the cartilage is subjected to excessive wear, trauma, injury, overuse, excessive weight or improper alignment, then the cartilage will wear away leaving the bone to rub against bone.
The cartilage doesn’t have the ability to heal itself by hyaline cartilage, but sometimes it can heal itself by inferior type of cartilage called fibrocartilage, especially if the area that needs to be repaired is small.
What is the treatment of the arthritis of the knee?
1- Medication: people respond differently to medications, the doctor select the type, dosage and duration of the treatment, the medication has to be safe and effective.
Ask the doctor about the side effect of the medication.
There are several medications for example: NSAIDS.
2- Losing Weight: it’s advisable to lose about 5% of the body weight, especially if the BMI was above 25.
3- Low Impact Physical Therapy: such activities like swimming or cycling, adds less stress on the knees, life style modification to protect the knee will slow the progress of the arthritis, there is a strong evidence that physical therapy will help the patient.
The physiotherapy will decrease the pain, will improve the function, increase the strength, the range of motion; physiotherapy should be individualized with program that meets the patient’s needs, the life style, and expectations.
4- The physician will also use intra-articular injection of steroids; viscosupplementation, or hyaluronic acid, injection will relieve the patient’s pain and disability.
5- Other injection methods:
– Gene therapy
– PRP
– Growth factor
– Stem cells
6- Other treatment options:
– Acupuncture
– Massage
– Glucosamine
– Chondroitin sulfate
– Valgus directing brace
– Wedges in the foot
– Arthroscopic debridement and lavage
7- Assistance devices:
– Cane
– Shock absorbing shoe
– Shoe inserts
– Knee sleeves
– Support brace
8- Arthroscopy shouldn’t be done in arthritis unless there is loose body or meniscal tear causing mechanical symptoms of recurring lacking, catching, swelling and pain.
There are some guide lines from the American Academy of Orthopaedic Surgeon AAOS: these guidelines are suggestive, and the treatment of the arthritis patient should be individualized and based on:
– The doctor’s clinical judgment.
– The patient’s clinical situation.
– The evidence tested and published.
It is a combination of all of these factors.
If it works for you, it may not work for your neighbor.
So basically arthritis can be minimal, and anything can help the arthritis ion this situation.
But if the arthritis is moderate then the physician has many options for treatment and none of those options are predictable in the result.
When the arthritis is severe, total knee is the most predictable option for treatment of arthritis.
You have to reduce the pain and improve the function of the knee.

Become a friend on facebook:
http://www.facebook.com/drebraheim

Follow me on twitter:
https://twitter.com/#!/DrEbraheim_UTMC

Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund:
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Knee Pain , Knee arthritis treatment – Everything You Need To Know – Dr. Nabil Ebraheim, M.D.

nabil ebraheim 2.8M views October 7, 2016 10:38 pm

Penile pain is a common symptom among men who suffer from pelvic pain. Pelvic pain expert Elizabeth Akincilar is back to talk ...

Penile pain is a common symptom among men who suffer from pelvic pain. Pelvic pain expert Elizabeth Akincilar is back to talk about the most common symptoms of male pelvic pain, why it can cause pain in the penis, and what treatments are available to overcome this issue.

Watch all the most recent Pelvic Health and Rehabilitation Center Videos: youtube.com/user/pelvicpainrehab​
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Visit our Website: https://PelvicPainRehab.com​
Schedule a Virtual Appointment: PelvicPainRehab.com/schedule

About Pelvic Health and Rehabilitation Center:
PHRC is the leading physical therapy center for patients experiencing pelvic pain. At PHRC our advanced pelvic floor training allows us to integrate pelvic floor and pelvic girdle physiology to help the person function better as a whole. The benefit of our focus is that it has allowed us to establish a deep well of experience that we are able to draw from when treating this complex part of the body.

About Elizabeth Akincilar, MSPT
Liz received her Masters of Physical Therapy from the University of Miami Medical School. She is a Pennsylvania native but spent much of her early professional career in San Francisco. In 2015 Liz was excited to move back to the east coast to open PHRC’s first New England location. Now she is a fully acclimated New Englander who loves the four seasons. Liz’s happy place is in the kitchen cooking for friends and family or in the mountains with her partner and two rescue German Shepherds, Gunner and Jackson.

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Treating Your Penile Pain Symptoms | Pelvic Health & Rehabilitation Center

Pelvic Health and Rehabilitation Center 27.3K views July 31, 2021 1:00 pm

I believed I had arthritis when I was a teenager but my GP always said that I'm too young for it. People around me always said it ...

I believed I had arthritis when I was a teenager but my GP always said that I'm too young for it. People around me always said it was an old-person's condition. But is that the case? Are we misled? And how do I now treat my arthritis?

I share all of this in today's video, but as always, please remember that I am not a medical professional, I am a patient sharing her medical journey. Please always seek a doctor for your personal case.

If you would like to navigate through this video faster, then you can through the time stamps stats below:

Time Stamps:

00:18 – Disclaimer
00:56 – What is arthritis?
01:57 – Osteoarthritis
04:52 – Are osteoporosis and osteoarthritis the same?
05:48 – Rheumatoid Arthritis
07:21 – Ankylosing Spondylitis
08:42 – How I Treat My Arthritis

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Original article to this video:

How To: Living With & Treating My Arthritis:
https://allthingsendometriosis.com/living-treating-arthritis/

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Follow me on Social Media (and check out my website & podcast too!):

Website: https://allthingsendometriosis.com/
Instagram: https://www.instagram.com/footprintsnoboundaries/
Pinterest: https://in.pinterest.com/itstarot/
Facebook Page: https://www.facebook.com/footprintsnoboundaries
Podcast: https://open.spotify.com/show/2l9oX7AmiMPhhN00zc6Fym?si=gunOhQkrSxeZgzWlfZFOiA

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References mentioned in video:

Mayo Clinic:
https://www.mayoclinic.org/diseases-conditions/osteoarthritis/symptoms-causes/syc-20351925#:~:text=Osteoarthritis%20is%20the%20most%20common,%2C%20knees%2C%20hips%20and%20spine

WebMD:
https://www.webmd.com/ankylosing-spondylitis/what-is-ankylosing-spondylitis#:~:text=Ankylosing%20spondylitis%20(AS)%20is%20a,other%20parts%20of%20your%20body.

Carrie's Story
:https://www.myseveralworlds.com/ankylosing-spondylitis/

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Website Reference:

Can Endometriosis Cause Joint Pain:
Blog: https://allthingsendometriosis.com/endometriosis-cause-joint-pain/
Video: https://youtu.be/zHYusU7py5A

How I was diagnosed with Ehlers-Danlos syndrome:
Blog: https://allthingsendometriosis.com/journey-diagnosed-ehlers-danlos-syndrome/
Video: https://youtu.be/M7-W_v9vkZs

Kinesiology Taping:
Blog: https://allthingsendometriosis.com/using-kinesiology-taping-ehlers-danlos-syndrome/
Video: https://youtu.be/v0kX4MwdCvs

Treatments to manage Ehlers-Danlos syndrome:
Blog: https://allthingsendometriosis.com/treatments-manage-ehlers-danlos/
Video: Part 1: https://youtu.be/4Z7twB3czKI
Part 2: https://youtu.be/pyBNEfP_1es

My Diet for Endometriosis & Ehlers-Danlos Syndrome:
Blog: https://allthingsendometriosis.com/my-diet-for-endometriosis-ehlers-danlos-syndrome/
Video: https://youtu.be/QqHHYUyngns

Endometriosis vs Adenomyosis:
Blog: https://allthingsendometriosis.com/adenomyosis-vs-endometriosis-2/
Video: https://youtu.be/SlklHz4tFpY

My natural pain-relief ways:
Blog: https://allthingsendometriosis.com/endometriosis-and-adenomyosis-natural-pain-relief-my-journey/
Video: https://youtu.be/S8WbxjuGIiQ

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Disclaimer: I am not a medical professional. I am a patient and have created this platform to share my experiences. This is all purely informative and in no way am I providing medical advice. Please consult a medical professional. 

#arthritis #osteoarthritis #rheumatoidarthritis #ankylosingspondilytis #endometriosis #osetoporosis #osteopenia #ChronicIllness #ChronicPain #Spoonie #fibromyalgia #livingwitharthritis #antiinflammatorydiet

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Arthritis: Living with & Treating My Arthritis [CC]

Footprints, No Boundaries 89 views February 22, 2022 2:15 pm

What is a pleural effusion? A pleural effusion is when the pleural space fills with fluid which can cause problems with breathing.

What is a pleural effusion? A pleural effusion is when the pleural space fills with fluid which can cause problems with breathing. Find more videos at http://osms.it/more.

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Pleural Effusion – causes, symptoms, diagnosis, treatment, pathology

Osmosis 742.5K views June 27, 2017 5:11 pm

Chronic pain from shingles can be really bothersome for many. While we need more data, our nerve procedures seem to be ...

Chronic pain from shingles can be really bothersome for many. While we need more data, our nerve procedures seem to be helping.

Thank you so much for watching! My hope is to create a community where you feel like I provide value to your life. If you feel this is the case, please take a second to introduce yourself, add a comment, or share this video with your closest circle.

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Bio:
Dr. Timmermans is a licensed naturopathic doctor in Gilbert Arizona with a passion for helping his patients overcome chronic pain to reclaim their life. This passion is what drives him to think outside the box when helping patients who are looking to reduce/resolve pain. and avoid surgery if possible. With a clinical focus in regenerative injection therapies such as prolotherapy, PRP, and autologous cellular therapy, he takes a holistic approach to healing from chronic pain.

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Treating Nerve Pain Associated with Shingles

Drew Timmermans, ND 2.3K views October 4, 2021 2:00 pm