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The Most Common Treatments for Uterine Fibroids

uterine fibroids endovascular clinic newest treatments

Uterine fibroids are benign growths in the womb that might or might not cause symptoms, being often discovered during routine pelvic exam. The cause that leads to the appearance of fibroid is not fully understood, but specialists consider hormonal fluctuations to be the trigger. The symptoms of uterine fibroids are extremely varied, from irregular or very heavy and very long menstrual periods to pelvic pain and lumps in the breasts and from hot flashes and night sweats to frequent urination and backaches. While uterine fibroids are usually benign, they might interfere with the woman’s ability to become pregnant.

Uterine fibroids are usually considered treatable – here are some of the most common treatment options.

Watchful Waiting

The women who have asymptomatic fibroids usually do not need treatment. However, fibroids might start changing anytime, therefore regular visits to the gynecologist are very important for making sure that any modification in the size and the number of the fibroids is discovered in time and addressed properly.

Medication

The medication used for the treatment of uterine fibroids are intended to regulate the hormonal imbalances behind the problem, mainly targeting the restoration of the estrogen-progesterone balance or the shrinkage of the fibroids. Here are some options:

  • Gonadotropin-releasing hormone (GnRH) agonists – these medications block the production of estrogen and progesterone for a short time, discontinuing menstruation and putting the body into a state that is similar to menopause. During the treatment, the hormone supply to the fibroids will be cut, causing them to shrink and in some case, even to disappear completely;
  • Intrauterine devices that release progestin – these devices might help with the symptoms related to fibroids, but they do not make the fibroids shrink or disappear. The devices have contraceptive effects, therefore they prevent pregnancy;
  • Pain medication and help with heavy bleeding – these drugs help only with the symptoms related to fibroids, they do not cause them to become smaller or to disappear.

Surgical Treatment

There are several surgical methods used as fibroid treatment, selected based on the patient’s age, the size, number and position of the fibroids in the uterus and the patient’s intention to bear children in the future:

  • Uterine artery embolization – this method involves the injection of small particles into the arteries that supply the uterus with blood. The particles will cut off the blood supply to the fibroids, causing them to shrink or to disappear;
  • Radiofrequency ablation – this method also targets the blood supply to the fibroids through a laparoscopic or trans-cervical intervention;
  • Myomectomy – this surgical option involves the laparoscopic removal of the fibroids without removing the uterus;
  • Hysterectomy – the most radical treatment option of them all, hysterectomy involves the removal of the entire uterus.

Of all the surgical methods, hysterectomy is known to be the only permanent solution to uterine fibroids, but it is a major surgical intervention that ends the patient’ ability to bear children and induces menopause instantly. The results achieved through the other options might or might not be permanent – in many cases, uterine fibroids grow back and start causing problems again after a certain period, usually within a couple years after the intervention.  Find out the latest in uterine fibroid treatments through an interventional radiologist near me in Fort Collins for proven results.



Learn About What Oral Surgeons Do

Parker oral surgery

Oral surgery is a dental specialization that requires special training. An oral surgeon will typically spend 4 to 6 extra years as a resident in a hospital, learning how to treat various problems related to the tooth, jawbone, gums and soft tissues of the face.

The complete name of this dental specialty is oral and maxillofacial surgeon. This name of the profession is given by maxilla – the upper jaw of the face. This is one of the most important parts of the human face, since all the other bones in the face except for the lower jaw touch it.

What Kind of Training Does an Oral Surgeon Receive?

Given the complexity of the parts of the body they have to treat, oral surgeons need to become familiar with several medical specialties. Parker oral surgery specialists receive schooling and practical education in:

  • Anesthesia
  • Internal medicine
  • ENT (ear, nose, throat) medicine or otolaryngology
  • Emergency medicine
  • Plastic surgery.

That’s right, plastic surgery. If a patient suffers from congenital issues such as cleft palate or suffers extensive facial damage in an accident, a Parker oral surgeon will perform reconstructive surgery on them.

Types of Procedures Performed by an Oral Surgeon

Here are some of the typical medical procedures an oral surgeon performs:

  1. Wisdom Teeth Extractions

Wisdom teeth (third molars) have a four-pronged root. Therefore, you don’t need any dentist, but an oral surgeon to extract them. In some cases, the extraction requires surgery and closing the extraction site with stitches.

  1. Installing Dental Implants

A dental implant is the most realistic looking tooth replacement option. It looks just like a tooth and is screwed in the jawbone. This kind of procedure is performed by an oral surgeon because it does involve a surgery to insert the screw in the jawbone. 

  1. Corrective Jaw Surgery

Some people suffer from misaligned jaws, which cause an overbite or an underbite. These issues are far more problematic than from the esthetic point of view. People with misaligned jaws have difficulty eating and speaking. In some cases, orthodontics can solve the problem. However, in other cases surgery is required to realign the upper and lower jaws.

  1. Facial Trauma Treatments

Facial trauma, such as being hit in the face with a blunt instrument or being involved in a car accident, destroys more than just your looks. Muscles, bones and nerves are damaged and you need a skilled oral surgeon to put everything back in place, reconnect tissue and help you heal and get back the full function and esthetics of the various parts of your face.

  1. Oncologic Surgery

Mouth cancer can lead to the development of large tumors that leave patients unable to eat and breathe properly. Oral surgeons have the skill and experience to identify the extent of these tumors and remove them as much as possible.

Finally, as we mentioned above, an oral surgeon will usually assist a plastic surgeon in facial reconstruction procedure. While one specialist focuses on esthetics, the other will ensure that the patient will have full function of the soft tissues, nerves and jaws after the surgery.



What Is Y90 Radioembolization?

Y90 procedure

A diagnosis of cancer is definitely the worst news one can get from the doctor. It is made even worse if the tumor is inoperable or poses special difficulties to traditional treatments, such as radiation therapy. Fortunately, modern technology has evolved in amazing ways and its role is to improve healthcare and give patients the option of a longer life and improved quality of life.

For patients suffering from liver cancer, the latest treatment available is called Y90 radioembolization.

What Exactly Is Y90 Radioembolization?

This Y90 procedure combines two types of treatments. First, we are talking about embolization. This modern medical procedure is minimally invasive. Instead of surgery, the doctor (called an interventional radiologist) will make a small incision to guide a hollow tube (a catheter) through the veins, using a MRI or other imaging technology to see inside the body.

The catheter delivers tiny particles that obstruct the blood flow to a certain area of the body, in this case the cancerous growth. In the case of Y90 radioembolization, these particles are microspheres filled with the radioactive isotope yttrium Y90. It delivers a powerful dose of radiation specifically to the tumor, without harming the healthy tissue around it.

Thus, Y90 radioembolization is an effective treatment course for liver cancer, when surgery to remove the tumor is not an option.

How to Prepare for Y90 Radioembolization?

If your doctor decides that you are eligible for the Y90 procedure, you will have to follow specific instructions. Among these:

  • Stopping any treatment with NSAIDs (nonsteroidal anti-inflammatory drugs), blood thinners and aspirin a few days prior to the procedure
  • Removing all jewelry (including metallic piercings) before going to the hospital to have your procedure
  • Telling your doctor if you have allergies, are pregnant or breastfeeding and whether you had recent illnesses or have preexisting conditions
  • Listing any kind of supplements you are currently taking (including holistic and herbal cures).

At the same time, you will need to have someone drive you back home from the hospital after the procedure. You will also be instructed to restrict all contact with anyone (children and adults) for 3 to 7 days after the procedure.

What Happens during Y90 Radioembolization?

The interventional radiologist will start by performing an arteriogram – an image of your veins in the upper abdominal area. Next, an IV line will be inserted into a vein in your hand to deliver anesthetic. While some patients require general anesthesia, in most cases you will not need a breathing tube. Once you are anesthetized, the doctor will sterilize the area of your body where the incision will be performed and numb it with a local anesthetic.

Next, a small incision is made and a catheter is inserted in it, guiding it to the right place using the arteriogram for reference. Once the catheter is properly positioned, the doctor will inject the Y90 loaded microsphere. The radiation will be released towards the tumor during the next 2 weeks.

The doctor will remove the catheter and apply pressure to stop the bleeding at the incision area and apply a dressing. The procedure is over and it usually lasts one hour or less.



Examining the Risks and Dangers Involved with the Onset of Sleep Apnea

Sleep apnea can involve a lot of risks you might not know about. Although most people dismiss it as a mere set of quick episodes that usually result in falling back to sleep and then sleeping through the rest of the night without a problem, the possible complications of the disorder and long term development of more dangerous forms of sleep apnea can be quite debilitating and scary at times.

Knowing about these potential issues is important, since it will give you a fighting chance to prevent them and to live a more normal and empowered life, even if you did start out with a relatively serious form of sleep apnea to begin with. You will want to discuss snoring treatment and other solutions to sleep disruptions with a sleep specialist as soon as possible.

Possible Complications of Sleep Apnea

As you might already have read, sleep apnea comes with a great many risks. Sometimes it can lead to prolonged episodes where the patient stops breathing entirely during sleep, or their airways are blocked and they can’t get a single breath out for an extensive amount of time. As opposed to the short episodes that don’t even wake the person up, these can have far more dire ramifications.

For starters, the obstruction of your airways can lead to lowering your levels of oxygen and causing problems with your heart and cardiovascular system. Elevated blood pressure and a greater risk of stroke and heart attack can ensue, along with the long term side effect of developing a disorder such as diabetes, heart failure or irregular heartbeat. Liver-related problems such as various fatty liver diseases could also appear, along with the risk of developing obesity. Finally, even milder forms of OSA can sometimes lead to death, if your oxygen levels are too low.

The Risks of Central Sleep Apnea

Central sleep apnea is far more dangerous than OSA (obstructive sleep apnea) for a variety of reasons. First of all, CSA results not from blocked airways, but from a failure of the respiratory system to comply with the brain’s signals to inhale. Even though the normal signal to inhale exists, in the case of patients suffering from CSA, the neurological feedback system that’s supposed to trigger the brain’s signals doesn’t respond fast enough, and the result is often the inability to inhale for a certain period of time, during sleep.

If these episodes last long enough, the result can quickly become critical, both because of the lack of oxygen being delivered to the body’s vital organs, and because of the combination of sleep apnea and the presence of other disorders such as epilepsy, in which case seizures can often be triggered by CSA episodes.

In some extreme cases, central sleep apnea can even be lethal. While seizures and cardiovascular events don’t always have lasting effects, and the onset of a disease like diabetes, which can arise from the presence of sleep apnea, is still not necessarily a huge problem, the most important issue arises when the patient is in danger of experiencing sudden death because of sleep apnea. The danger of sudden death arising from CSA is greater than in the case of OSA because of the main cause of the disorder.



What Questions Should I Ask Before Choosing An Oral Surgeon

Ask The Right Questions With Wisdom Tooth Extraction

Having to go through oral surgery is a major source of stress for most patients, therefore you need to make sure that the oral surgeon who will be performing your surgery is the best one in terms of professional knowledge and experience as well as a compassionate person who can understand your worries and calm you. Here are some of the questions that you should ask your surgeon before committing to the intervention.

Questions about Experience

It is very important to have a surgeon who is experienced in the type of intervention that you need. Oral surgery is a vast segment of the medical profession and no oral surgeon can be expected to be experienced in all types of procedures and interventions, that is why it is essential to find the specialist who is an expert in the treatment that you require. When talking to oral surgeons, ask them how many times they have performed the type of treatment that will be performed on you – the answer is very important for your final choice.

Questions about the Procedure

It is also very important to know what will happen to you during the intervention, so ask your doctor to walk you through the process from beginning to end. Ask about the type of anesthesia recommended, about how you will feel while under the effects of the drug, how long the procedure will take and what its steps are. You can also ask about how long it will take for the anesthesia to take effect and how long that effect will last, you can ask whether the wisdom tooth extraction Park Ridge doctor will use stitches and cuts, how long the intervention will take and how long you will have to rest in the doctor’s office before you can go home.

Questions about Dental Cleaning and Wound Care after Surgery

Most interventions performed by oral surgeons requires the patients to follow certain instructions regarding wound care and diet. After a dental extraction, for example, it is not recommended to consume any dairy products for a couple of days and you should pay increased attention to how you clean the wound area to prevent the loss of the blood clot that forms in the gap to protect the wound from infection. Ask the doctor to tell you about these measures and ask any questions that come to your mind – the doctor’s willingness to answer those questions will reveal a lot about how helpful and compassionate the doctor is as a person.

The Risks of the Surgery

Any surgical intervention entails risks and you need a doctor who is honest about the risks entailed by the type of procedure that you will go through.

The Costs of the Procedure

Many people are embarrassed to ask their doctor how much the intervention or treatment to be performed will cost, but the information is very important. Not all oral surgeons practice the same rates and you need to know exactly how much you will be charged before you choose your doctor and you schedule the intervention.



When to Get Treatment for Depression?

Therapists Can Help Change Unhappiness to Happiness

Everyone feels down and sad occasionally, but those feelings are usually of a short duration and in most cases, they are triggered by life events or situations that must be handled. Such difficult periods are not to be confused with depression, though – a condition that is a very common medical condition that can seriously affect the depressed person’s health and the life of the depression sufferer as well as the life of everyone around. Fortunately, depression can be efficiently treated, so here are the symptoms that indicate the need for medical treatment.

The Symptoms of Depression

One of the principle differences between a difficult and saddening period and depression is the time frame – if the dark thoughts and feeling persist for more than a couple of weeks and they seem to become worse, it might be a good idea to seek professional help.

Every person is different and every depression sufferer experiences different symptoms. The most common signs of depression include constant sadness, the loss of interest in activities that the person used to consider enjoyable, changes in appetite, otherwise unexplained weight gain or weight loss, insomnia, fatigue, difficulties focusing and concentration, intense feelings of guilt or shame and, in the most severe cases, thoughts of suicide.

How Depression Is Diagnosed

When someone turns to a medical professional with symptoms of depression, the doctor will first of all order specific tests, such as blood tests and other lab tests, to rule out physical conditions that can mimic the symptoms of depressions, such impaired thyroid function, brain tumor or a hormonal imbalance. If no such underlying conditions are found, the doctor will probably refer the patient to a therapist or to a psychiatrist.

The mental health professional that the patient turns to will start the treatment with talk therapy to reveal the most recent event that has triggered a depressive episode and to map the patient’s history of previous depressive events. After one or several talking sessions, the specialist determines the best course of treatment and discusses it with the patient. The options are varied and usually very efficient (almost all depression sufferers experience relief as a result of treatment) and they might include the prescription of ant-depressants and anti-anxiety drugs, continued talk therapy, cognitive and behavior therapy or the combination of all these methods.

Anti-depressant medication might have almost instant effects – these drugs improve the patient’s mood and ameliorate the physical symptoms of depression within 1-2 weeks of taking them. They are often used only for a short time, to help with the therapy process in the beginning, then the selected therapeutic approach takes over. Cognitive therapy has been found to be among the most efficient approaches – the method focuses on improving the patient’s abilities to cope with negative feelings as well as with stress as well as on transforming the patient’s way of thinking.

Depending on the severity of the depression, the treatment might take only a couple of weeks or it might last for years; so it’s important to search for a therapist near me to find someone close in proximity to where you live, until all the traumas and emotional issues that have led to the depression are revealed and coped with.



What Could a Home Health Care Person Do for You?

Alzheimer’s Home Care Services

Home care is one of those topics that not many people focus on. A home health care person will help you out with the problems you simply can’t deal with on your own due to physical incapacity or various disorders you might have, but that’s not the whole story. The best home health care experts can do so much more for you than what you might hear about in the mainstream media, often being able to help people get back on their feet from an accident or heal from a debilitating disorder.

 

The Need for a Home Health Care Person

 

So you might be dealing with a health problem like Alzheimer’s, or maybe you’re recovering from a serious car accident. Alternatively, it could be that you have a parent or grandparent who can no longer care for him- or herself, and you’d like to hire someone to help you out. In many cases, this task falls to family members who take time out of their busy schedule to stay with the person, or maybe a caring friend who has no problem spending some extra time around your house if you are in need.

 

The problem is that life is messy, and you can’t always rely on people to be there for you. This is why a professional Alzheimers care Denver area home health care person or nurse might be required. They can usually take care of any chore that you can’t do yourself, or help you with medical emergencies and taking your medicine when you need to. Although some of these people do have a medical background, that’s not always necessary, and you can often find dependable home health care personnel for a much more affordable fee than you’d pay for a qualified nurse.

 

What Can a Home Care Person Do for You?

 

Home health care individuals can be very good at a lot of things and tasks, going well beyond what most people know about their abilities. Here is a short list of what they can truly do for you:

 

  • First of all, a home health care professional can handle those chores and tasks that you can’t do yourself. They can help you with everything from cooking and cleaning to getting dressed, taking your bath or driving to your daughter’s house.
  • Medication management is very important, especially if you suffer from something like diabetes or heart disease. They can assist you with taking all your medicine according to your prescription and getting the right dosage each time.
  • Should you need support with diet and nutrition, a home health care person can provide you with that, so you won’t need to call your nutritionist each time you have a question. They will know which foods you should avoid and provide you with advice on how to prepare healthy dishes for better nutrition.
  • Finally, and perhaps most importantly, if you need one-on-one care and if you want someone caring and kind by your side, home health care professionals will help comfort and support you in your time of need.

 

In many cases, simply having access to the care and soothing comfort of a home care professional can help speed up the healing or recovery process, especially if, aside from your main problems, you also suffer from severe depression and anxiety.



How Long Do Dental Implants Take?

The process of getting dental implants takes several months and the period that needs to pass between the extraction of the tooth to be replaced by the implant and the time when the implanting process can start will also add about six months to the complete duration of the process.

dental implants Colorado Springs

The Process of Getting a Dental Implant

A dental implant is a complete, artificial tooth made from a strong, durable and lightweight material, such as titanium alloys. The solution is usually recommended for patients who have undergone tooth extraction that has healed well and whose jawbone has rebuilt on its own or who can be a good candidate for bone replacement and who prefer a dental replacement solution that is more stable and more attractive than dental bridges. Dental implants are also the solution for situations in which the lack of natural tooth roots makes it impossible to attach dental bridges to existing teeth.

Implants practically consist of a metal post that is surgically placed into the jaw of the patient, either under local anaesthesia, in the dentist’s office or in general anesthesia, but only after the patient’s jaw has healed after the extraction. After extraction, the surface of the gum recovers relatively quickly, but the jawbone underneath can take 6 months or longer to recover. In most cases, the oral surgeon or implant specialist who will perform the implanting procedure will perform a CT scan of the jawbone to confirm that the density of the bone is suitable for applying the implant. If the CT scan confirms suitability, the metal post is introduced into the jawbone; if the bone has not recovered properly, the specialist might recommend a procedure called grafting to strengthen and prepare the jawbone to hold and to accept the implant.

After the intervention of mounting the post, the patient must wait for another 3-6 months before the next step – the body needs to accept the post and the gum needs to grow around it. When the specialist considers that the surgical area has recovered sufficiently, the next phase is the placement of the abutment, the piece of the implant on which the visible part of the implant, the final crown will be placed. The mounting of the abutment is also followed by a period of healing, after which the crown is made and installed.

It is recommended that you find the most reputable dental implants Colorado Springs oral surgeon possible for this highly technical procedure.

 

The Durability of Dental Implants

With proper, thorough oral hygiene, dental implants are very durable solutions, for many patients being lifelong solutions. In some cases, the jawbone into which the implant is installed might weaken due to issues related to bone density and as a result, the jaw might become unable to lock the implant sufficiently. In these cases, the implant can be removed, the jawbone can be strengthened with various methods and the process of installing a new implant can start. However, such cases are very rare and they are usually caused by an underlying condition that the patient suffers from – most patients willing to undertake the long process of getting the implant are very happy with the results and they never have any problems related to their implants.



How To Protect Your Skin in the Summer

tinted moisturizer with spf

Summer is the period of the year when the days are the longest, when the temperatures are high, when everything is inviting us to spend time outside. However, summer is also a period of the year that comes with very specific and often difficult to tackle challenges for our skin. The outermost defense layer of our body is constantly exposed to the sun’s rays as well as to the wind in summer; whenever we enter an air-conditioned building interior, our skin becomes exposed to dry air, all these special circumstances taking a toll on our skin. Fortunately, there are lots of efficient and easy to implement measures that can counter all these negative effects – here are some.

Never Go Out without Sunscreen

Solar protection is essential for maintaining the elasticity and the health of your skin. Pick a product that has a high sun protection factor (SPF), level 30 or higher, and check out the skincare ingredients in the product as well – many sunscreen lotions, creams and sprays today can double as a day moisturizer as well, what’s more, you can find tinted moisturizer with spf formulated especially for your skin type (sensitive skin needs a different protection than oily or combination skin).

It is also very important to know how to use your sunscreen correctly. Applying your product only once a day is not enough, especially if you go into the water as well. Make sure to reapply your sunscreen every couple of hours on your entire body to maximize its protective effects.

Bathe and Sunbathe with Caution

The sun’s rays are the strongest between 10 a.m. and 2 p.m., so it is a good idea to stay out of the sun, in the shade, during that period. Take a shower each time after you swim in the sea or in the pool – the salt of the sea and the chlorine used in swimming pools have skin-drying effects and can harm your skin if they are not removed.

A Special Skincare Regimen

Your summer skincare routine should also include other measures to tackle the special environmental challenges of the hot season. Use a gentle cleanser to remove any impurities and dead skin cells from your skin in the morning and in the evening and apply a nourishing and moisturizing cream after each cleansing. Pick your cream depending on your skin type – if you have dry skin, choose products with increased emollient properties, while for oily skin, choose products that minimize the risk of breakouts.

Peeling should also be an integral part of your summer skincare routine. Choose a gentle, but efficient product and use it every couple of weeks, but don’t rub your skin too vigorously and always avoid the sensitive area around your eyes. After you exfoliate, apply a nourishing skin mask as well.

Consume Lots of Liquids

When it is hot outside, your entire body, including your skin, needs more hydration. Consume at least eight glasses of water, herbal tea and fresh fruit juices a day and avoid caffeinated or alcoholic beverages as much as you can – they all dehydrate the body, causing skin dryness.

 



When Does It Make Sense To Use A Massage Therapist?

Time For A Massage Therapist

The therapeutic massage, as the name suggests, is indicated in situations of impairment of the functional balance of the body. Some types of therapeutic massage include orthopedic massage and neuromuscular therapy (indicated to treat pain and problems with the circulatory system).

The therapeutic massage has been practiced for thousands of years and comprises over 80 massage styles, which differ from one another through the technique and movements used as well as the pressure exerted on the patient’s body.

The benefits of this type of massage have been proven by many studies and controlled trials – one of these was carried out in Seattle, on 64 people suffering from neck pain and demonstrated that therapeutic massage improves motor functions and eliminates symptoms.

It is important to note that therapeutic massage should be used as a complementary therapy and practiced only by specialized therapists (doctors specialized in physiotherapy or therapeutic massage). It does not replace medication, but it is usually indicated alongside a medical treatment.

 

Characteristics of the therapeutic massage

Therapeutic massage is more than a relaxing therapy, because its principles and techniques are aimed at treating the patient’s diagnosed condition. So, we are talking about a number of other benefits to the body, related to immunity, tension, muscle tone, blood circulation etc.

The therapeutic massage involves several disciplines:

  • Lymphatic drainage
  • Neuromuscular therapy
  • Cranio-sacral therapy
  • Orthopedic massage
  • Decontracting massage
  • Toning massage

 

Therapeutic Massage Technique

In therapeutic massage, hands and fingers are commonly used, but forearms, elbows or legs can also be an option.

The massage technique may vary, involving mild pressure or deep pressure, depending on the severity of the patient’s condition. If all the movements are properly executed, the pain will be greatly reduced right from the first sessions, and the patient will gradually regain his / her mobility.

Hot packs (clay or gel bags) can also be used, heated to a temperature of 65 degrees Celsius. Their role in therapeutic massage is to warm the area and prepare it for the massage.

Other techniques used in therapeutic massage include deep massage, pressopuncture and stretching.  Search for a chiropractor Denver near me to find a therapist in your community to help alleviate the stress of getting there.

 

When should you choose therapeutic massage?

Because it is an alternative solution indicated in treating several health problems, being considered an excellent complementary therapy, it is usually the specialist who can advise a patient to try the therapeutic massage.

Doctors take into account the type of condition the patient suffers from, as well as the short-term and long-term effects (reduction of inflammation or pain and using therapeutic massage associated with other procedures – acupuncture, kinetotherapy, physiotherapy…).

Generally, if the patient does not suffer from certain health problems where any type of massage is contraindicated, therapeutic massage remains a good complementary therapy option. Among the conditions that can be treated successfully using therapeutic massage are:

  • Joint problems
  • Spinal cord disorders
  • Muscular and neuro-muscular dystrophy
  • Venous or lymphatic circulatory disorders
  • Degenerative rheumatism

In situations of functional imbalance, the results are more quickly achieved through therapeutic massage than in the case of organic disorders. In both situations, however, patient cooperation is very important.

 

 




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