Estrogen Replacements

Surgeons in the Orthopedic and Arthritis Center at Brigham and Womens Hospital are delivering dramatically improved outcomes and quality-of-life for patients with upper extremity disorders.

Revolutionary Inverse/Reverse Shoulder Prosthesis
Laurence D. Higgins, MD, Chief of the Shoulder Service, and other orthopedic specialists at Brigham and Womens Hospital have been pioneers in developing a groundbreaking inverse/reverse prosthesis that provides pain relief and restores shoulder function in patients with markedly limited range-of-motion. Outcomes with the inverse/reverse prosthesis typically include between 130 and 140 degrees of full reflection and substantial pain relief. Dr. Higgins also offers a unique modification of this procedure using a muscle and tendon transfer (latissimus transfer) in conjunction with the new prosthesis to improve strength and provide additional function and degrees of movement.

Next Generation Wrist Replacements
Barry P. Simmons, MD, Chief of the Hand and Upper Extremity Service, offers a new prosthesis for total wrist replacement, providing an alternative to standard wrist fusion for patients with arthritic disease. Closely replicating wrist anatomy, the new prosthesis does not require the use of cement enabling subsequent revisions without extensive tissue damage.
Early results with this prosthesis show high success and low complication rates with restoration to average functional range-of-motion of 40 degrees from extension to flexion, as well as significant pain relief. In addition, this new generation of wrist replacements also offers improved side-to-side motion compared with older generation wrist replacements.

Indications for Referral
The inverse/reverse prosthesis for shoulder replacement may be considered for patients with:

  • Severe arthritis and rotator cuff tear;
  • Large rotator cuff tear and pseudoparalysis (inability to lift the arm above the shoulder);
  • Failed joint replacement for fractures or arthritis;
  • Poor outcome after fracture of the proximal humerus.

The new prosthesis for wrist replacement may be appropriate for patients with severe, debilitating arthritis, including:

  • Systemic arthritis, such as rheumatoid arthritis;
  • Traumatic arthritis.

Access and Information
For more information regarding orthopedic services at Brigham and Womens Hospital, or to refer a patient, please contact a Referral Coordinator at (617) 732-9894.



estrogen replacements

How To Stop Period Pain

If you would like to know how to stop the pain from a UTI, there are a number of steps you can take to bring some relief. First of all, as a former UTI sufferer, I can honestly say that the pain I have experienced from this condition has been unbearable and I have found myself unable to sleep at night and desperate.

Depending on how severe your infection is, sometimes drinking plenty of water can really help. Try to have at least 2 liters of water during an infection. Although water is best, if you simply cannot bear drinking so much, other drinks can help such as diluted fruit juices and decaffeinated teas. The very fact that liquid is passing through your bladder and you actually have urine there to pass can really ease the pain as I always found that it was so much more severe when there was nothing there!

Unsweetened cranberry juice is also good to drink as it contains a component which prevents bacteria adhering to the bladder wall, making it easier for the water you are drinking to flush it out. You might also find it helpful to take a paracetamol-based painkiller.

Heat therapy is great if you are looking at how to stop the pain from a UTI. A heat pad ir hot water bottle on the abdomen can be very soothing. Leading on from this, something which goes against much advice but which I personally found to be extremely good for stopping the pain was to sit in a warm bath. Now this is often advised against as it is felt that the water in the bath could penetrate the urethra and cause further irritation. However, if you do not add any perfumed products, I would personally vouch for the fact that this was the one thing that helped me through many an unbearable patch when I suffered from UTI's.

Of course, wanting to know how to stop the pain from a UTI is essential, but ou are a regular sufferer from this condition you should take steps to eliminate the root causes as if left untreated, repeated outbreaks have the potential to cause kidney damage.



how to stop period pain

What Vitamins Can I Take To Regulate My Menstrual Cycle

A woman's body undergoes various changes. This can be due to the menstrual cycle, pregnancy, menopausal period and the aging process. Without proper care, the body can be weakened by these changes, which is why it is necessary to find the best multivitamin for women depending on her age, health condition and level of activities. To help you with that, here are some ideas on how you can choose the right multivitamin for you:

For Pregnant or Lactating Women

Pregnant women experience massive changes in their nutritional demands. This is because of the need to feed the bay inside her womb and to make up for all the deficiencies to ensure her baby's health. When looking for the best multivitamin, one thing that should be considered is the amount of iron and folic acid it contains. The multivitamin should also be high in vitamin A, as it is helpful in maintaining strong and healthy bones and tissues. On the other hand, folic acid prevents any defects during the course of pregnancy.

Proper consumption of folic acid in a diet can prevent anemia and enhance cell growth at the same time. Pregnant woman needs to consume 600 mcg of folic acid daily, while non-pregnant women needs 400 mcg of it. For lactating mothers, the recommended daily dose of folic acid is at 500 mcg. Iron, on the other hand, is helpful in preventing anemia, apart from making up for the blood loss during child delivery. So when choosing a multivitamin for pregnant and lactating women, make sure that the supplement contains all these essential nutrients.

For Women who are in their Menopausal Stage

As women reach their menopausal stage, lots of hormonal changes occur in their body. Lots of iron is lost, thus requiring the help of a supplement to restore the necessary amount of iron her body needs. The best multivitamin for women should have at least 18 mg of iron as well as 400 mg of folic acid. Vitamin D should also be contained in the supplement, as this is helpful for keeping the bones strong. Take note that during the menopausal stage, the bones in the body start to become weak and fragile, and this could result to osteoporosis. Vitamin D in multivitamins is also helpful in reducing the risk of rheumatoid arthritis and colon cancer.

For Women Over 40

The age of 40 and above is considered as a crucial age for women, and this is the time when she needs to take care of her health properly. During this age, when a woman fails to make up for the nutrient loss, she could face various problems involving her heart, skin and bones. Women aged 40 and above should consume a multivitamin that contain at least 25 mcg of vitamin B12. The multivitamin should also have vitamin D and 2500 IU of vitamin A. the latter is helpful in keeping the bones and tissues strong, boosting the immune system and in improving the eyesight. Vitamin B12 is helpful in improving the memory and the nervous system of a woman, apart from getting rid of depression. In addition to these vitamins, vitamin K should also be contained in the multivitamin supplement, as this is helpful in preventing blood clots and keeping the heart healthy.

Then again, apart from consuming the best multivitamin for women, following a healthy diet and engaging in regular exercises is also necessary to keep the body healthy and safe from various diseases. If you are unsure of what multivitamin will best suit your body's needs, it would be best to consult a physician before opting for any supplement to make sure that you and your body will benefit from it.



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Melasma On Neck

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What Causes Dark Skin

Most people do not take care of their skin and body correctly, they have an unhealthy lifestyle that is making their body more prone to illnesses, toxins and premature aging, some of the first signs that are the result of that lifestyle are dark eye circles under eyes.

I want to let you know what are the main dark eye circles causes and how to prevent bags under eyes:

Sometimes the cause can be heredity

Allergies are a common cause of dark circles, you might have allergy to pollution, pollen, dust, pet dander or other thing.

Another common cause is fluid retention, when blood vessels under eyes become dilated it contribute to dark circles.

Lack of Sleep is another common cause that we should avoid. It can make the skin more pale, thus allowing the blood vessels to be more visible through the skin.

Dehydratation is a cause of dark circles.

And of course this becomes often when we age and we think that we cant get rid of bags and dark circles.

However we can prevent bags under the eyes by following some simple things like:

Drinking a lot of water to avoid dehydratation

Get plenty of rest, sleep at least for 8 hours a day.

Dont consume a lot of dietary salt

Take vitamins and eat healthy foods such as cranberries, blue berries, onions, legumes and other vegetables and fruits and that contain potent anti oxidants.

Quit smoking

Those are the best ways to prevent bags under eyes, however sometimes aging is just the main cause and is not that simple to get rid of dark circles, in those cases it can be very effective to use a good cream or gel for reducing bags, just make sure that the product you choose is made of natural ingredients and consult your dermatologist.



what causes dark skin

What Causes Darkening Of The Skin

Adrenal insufficiency is a life-threatening condition. It affects about 1 in 100,000 people. It occurs in all age groups and agonize men and women equally. The disease is characterized by weight loss, muscle weakness, fatigue, low blood pressure, and sometimes darkening of the skin in both exposed and non-exposed parts of the body. Causes of the permanent form of the condition include Addison's disease, congenital adrenal hyperplasia, complete surgical removal of the pituitary gland or the adrenal. Primary adrenal insufficiency, which can be acute or chronic, may be caused by the anatomic destruction of the gland. This destruction can have various causes, including tuberculosis (TB) or fungal infection , other diseases infiltrating the adrenal glands, and hemorrhage.

Primary insufficiency - rare 0.8 per 100,000; affects both sexes equally and can occur at any age. Secondary conditions are related to both long and short-term use of corticosteroids or megesterol acetate. Secondary adrenal insufficiency may be caused by hypopituitarism due to hypothalamic-pituitary disease, or it may result from suppression of the hypothalamic-pituitary axis by exogenous steroids or endogenous steroids. Secondary adrenocortical insufficiency is relatively common. Extensive therapeutic use of steroids has greatly contributed to increased incidence. Causes of adrenal insufficiency may include genetics , congenital weakness, nutritional imbalances, emotional or psychological stress, toxic substances , mental attitude, stimulants and mental attitude.

Symptoms of adrenal insufficiency is fatigue, decreased tolerance to cold, low stamina, apathy or depression, allergies, low blood pressure, low blood sugar level and poor circulation. Treatment of Addisons disease involves replacing, or substituting, the hormones that the adrenal glands are not making. Cortisol is replaced orally with hydrocortisone tablets. Aldosterone is replaced with oral doses of a mineralocorticoid, called fludrocortisone acetate, that are taken once a day. Fludrocortisone helps to maintain the right levels of salt and fluids in the body. Nutritional supplements to reduce stress and enhance adrenal activity. Detoxification procedures such as sauna therapy to help eliminate toxic metals. Lifestyle modification to reduce harmful stressors.

Adrenal insufficiency Treatment and Prevention Tips

1. Cortisol is replaced orally with hydrocortisone tablets.

2. Lifestyle modification to reduce harmful stressors.

3. Nutritional supplements to reduce stress and enhance adrenal activity.

4. Detoxify or de-infect something that needs to be removed from the body in order to heal.

5. Fludrocortisone may be withheld on the day of surgery

6. Androgen replacement is sometimes recommended for women with primary adrenal insufficiency.



what causes darkening of the skin

Supplement Diet

Before choosing the best dietary pill, it is imperative that you read and get to know about the nutritional supplement reviews. To choose the best variety of dietary supplements, it is important to read the reviews carefully. Let us firstly discuss that what exactly dietary supplements are. Diet supplements are commonly called as food supplements which are given to complement the diet. Essential nutrients like vitamins, minerals, amino acids, anti-oxidants, essential fatty-acids, fibers etc missing or not in adequate quantities in persons diet can be given as supplements. They can be natural organic food supplements or can be pharmaceutically manufactured products. For fine maintenance of health or to recuperate from an ailment or in case of dietary deficiency, diet supplements are taken. Dietary supplements are also be made for a person to shed some extra weight.
Do some homework and check out some diet supplement reviews on public forums and blogs before buying a nutritional supplement. Read the reviews about a particular diet supplement objectively. Dont jump into the conclusion after reading only one or two reviews. There are many different kinds of food supplements available in the market and the reviews may just be written for marketing purpose. If a single product is discussed in an article or review, then it would be better to explore more reviews and information about the product on the web. If different products are mentioned and talked about in the review, then you will be in a better position to decide. You can compare between the various diet supplements which are available in the market and can choose the right one for yourself. To find the most effectual helpful product, it is important to go through the articles and reviews vigilantly. Opt for the nutritional supplement product which suits your lifestyle and opt for the most appropriate product.
Results and efficacy of the product may not coincide with the testimonials and articles, reviews which you read about. So you need to be cautious. Read diet supplement reviews without any biases, with an open mind. In order to opt for right kind of product, you can also read some independent testimonials which will give you a better idea. Reading the reviews about the diet supplements and understanding about the product can help you with the decision making process. You will be wasting all your money if you opt for a wrong product for yourself. Tried and tested supplements for which positive feedbacks are given should be chosen. If you are obese and looking forward to buy a diet pill for weight loss, then along with dietary supplement intake, it is also advised to follow the correct diet plan and exercise regularly for additional benefits.
It is also highly recommended to discuss your decision about intake of diet supplements with your doctor. They may have negative harmful effects in some cases so you need to consult a doctor to avoid any deleterious body effects on health from intake of dietary supplement. It is important to make an informed decision before buying diet supplements.



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Non Prescription Estrogen Cream

If you have eye hand bags, you might have perhaps heard of this specific old "remedy" which was endorsed by your own mother or granny. Go to the closest drugstore as well as get a tube regarding Preparation H. This specific hemorrhoids ointment may supposedly remove fluffy eyes fast.
No one knows who started this foolish gossip nonetheless it is described in product Diane Iron's well-liked publication "The Tour's Biggest Beauty Techniques. " Iron promises that lots of middle-aged celebs make use of Preparation H to keep their youthful looks. Supermodels reportedly claim by it, stating that hemroid cream provides these an instant raise if they are troubled through attention bags.

Apparently, individuals who make use of Preparation H believe that whether it may dissove hemorrhoids, it will work for protruding eyes bags. Promoters state this is due to two ingredients: shark necessary oil and also a reside candida cellular offshoot called Bio-Dyne Epidermis Respiratory system Aspect. Nevertheless the ALL OF US Food and Drug Administration (FDA) failed to purchase that will tale as well as bought the maker Whitehall-Robbins Inc. to be able to reformulate the item.

At present, PEOPLE variations regarding Preparation H will no longer bring these types of elements but you'll still locate them within the Canadian and Western editions. Rather, the actual U . s . version provides phenylephrine HCI 0. twenty-five percent - any vasoconstrictor that several skin doctors said will constrict capillary vessels and also briefly reduce darker sectors and also swollen eye.

Dr . Debra Jaliman, any clinical instructor inside dermatology in New York's Mount Sinai University of Medicine mentioned phenylephrine "tightens facial epidermis through briefly tightening blood vessels and also getting smaller under-eye cells -- not much different from the way that constricts and reduces anal bloodstream and cells. inches However , a Whitehall agent stated Preparation H is not really meant for the actual eye and really should not applied generally there.

Since the skin across the eyes will be leaner, it's more delicate and susceptible to effects that will happen through the elements seen in Preparation H. There were studies regarding irritation, losing, and also irritation and others.

"I would not suggest making use of Preparation H regarding puffy eyes. Every time I actually tried this, that burned and that i had to rush towards the sink and also rinse this down together with cold h2o. The skin across the eyes is very skinny as well as very sensitive, as opposed to the other location Preparation H is used for, " stated one customer inside eHow. net.

"Instead of discovering magic, almost all I saw has been that the encounter had been switching redder and also redder and also the pockets beneath our sight had been getting bigger instead of smaller! Finally, whenever the face began burning and also itching throughout, I actually laundered off of the much products since fast ?nternet site might. For just two days, our deal with had been inflamed and also organic... hardly the final results I had expected! Think me personally, I got so frustrated through the failing regarding Preparation H to do exactly what Golf irons said it could do that I actually promised never ever once again to make use of this. Not in the encounter as well as most certainly not on some other a part of my body! inches mentioned one more unhappy customer in MyDoctor2. net.

If you are suffering from eyes hand bags, darkish sectors, swollen eye or perhaps fine lines and wrinkles, may depend on hearsay or if your neighbor for guidance. One particular product or service well worth looking into is actually Eyevive, the actual safe and natural method to change the particular symptoms of aging.



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Hormone Replacement Therapy Nashville Tn

When youre in need of new or replacement glass, whether its to replace a broken pane, install a new custom mirror, or for shower door glass replacement, youll want to find a glass contractor thats experienced with residential glass replacement of varying types.

The first thing to consider is years of experience. Theres a big difference between now open and 15 years of satisfied customers when it comes to a glass company. Consistency and some history are important.

Then ask about the crews experience. Are they licensed? Is there a good ratio of highly experienced crew members to apprentice crew members? Experience means your crew has seen everything and knows how to deal with the unexpected. Thats crucial since every single project involving residential window glass project. Wouldnt you rather have your shower door glass replacement completed by someone who knows what to do if they come across unusual construction of some sort? Thought so!

If you havent already, ask your friends and family if theyve had any residential glass replacement work done lately, and how the project went. This is often how good companies get workby word of mouth from happy, satisfied customers. On the other hand, if your friends and family have had bad experiences with a particular company, youll want to know that, too. Better to know ahead of time than fix a problem because you were careless in your search.

Once youve got some experienced companies from which to choose, its time to get estimates. Residential glass replacement is competitive and often becomes a numbers game; contractors are extremely accustomed to providing quick estimates in the hope of winning a job. Its your job as the client to be sure youre getting accurate and comparable quotes. You do this by giving as many details as you can about your project, so your contractors understand what they have to work with for your job. Make sure each contractor providing a quote can explain the estimate fully for any residential window glass project. Leave nothing open for a later disputeask questions now to save time, money and trouble down the line.

Ask about turnaround time and warranty. A reliable and reputable residential glass replacement company should have no problem giving you an honest, reasonable explanation of their turnaround, and they should absolutely guarantee their work. Here, too be observant and compare carefullynot all guarantees are created equal!

Finally, check the references of your top two or three choices for your residential glass replacement project. In addition to the standard howd they do questions, ask for the clients input on anything that didnt go according to plan, more for the way in which the contractor handled the resolution than the problem itself. Sometimes problems happen. Its how theyre fixed that matters!

Following the guidelines above will help put you on the road to a satisfactory experience with your residential glass replacement project.



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Natural Estrogens

The Pueraria Mirifica (Kwao Krua BUTEA or Superba) is a botanical species of Thailand and Myanmar. Its tubers are used to improve the general appearance of the breasts as they expand the mammary ducts, in order to stimulate and expand fat tissues. Consequently, the breast becomes firmer. In addition, it also helps to maintain the collagen and new skin cells. The breasts become softer, more rounded and more attractive.

Normally these plants are found in abundance in the forests of the north, west and north-west Thailand. The active ingredients of this plant lie in the inter-tuberous roots that look like strings of rounding bulbs. The shape and size of the tuberous roots can vary depending on the environment in which they grew.

There are 9 species of plants of the Pueraria family that look alike in Thailand. However, it is possible to verify the authenticity of Pueraria Mirifica thanks to the characteristics of the stamen of the flower and its thick husk. The tuber can enlarge and accumulate at least 13 known natural chemicals classified as phytoestrogens: the Miroestrol, daidzein, genistin, genistein, B-sitosterol, estigmasterol, coumestrol, Pueraria, compesterol, mirificoumestn, kwakhurin and mirificin.

To the east, the belief in miracles and rejuvenating properties of Pueraria Mirifica has been passed down from generation to generation for centuries. The rhizome extract of Pueraria Mirifica contains phytoestrogens (hormones plant) which include isaflavones (daidzin, daidzein, genistin, genistein and puerarin) and others such as coumestrol, puerarin, mirificoumestan the kwakhurin, the mirificin, b-sitosterol, alkane to alcohol, fat and sugar.

It was shown that Pueraria Mirifica contains the estrogenic mirostrol of the substance, which can be found in the dry rhizome in proportions of 0.002-0.003%. It was shown that this substance is 2 times more effective than human oestrogen. The phytoestrogen of Pueraria Mirifica is also high in phytoestrogen, a substance which imitates the female oestrogen. A series of studies on cell lines of the chest and the activity of Pueraria Mirifica in vitro were performed in parallel by the faculty of Emory University.

The importance of phytoestrogens

The phytoestrogens are a group of different components of the nonsteroidal plant which can behave as oestrogen and arise naturally in most plants, fruits and vegetables. They were first observed in 1926 for their estrogenic activity, more specifically, because the position and distance of the oxydril substitutes enabled the molecule to link the oestrogen receptor. It connects the two types of receptors, alpha oestrogen and beta oestrogen.

Many phytoestrogens seem to have a higher affinity for the ERB receptors than steroidal oestrogen, suggesting that they may bring an action in different ways. Yet, despite their ability to link the oestrogen receptors, they are much weaker than human estrogens, with 105 times less activity.
Phytoestrogens are similar and so are their anti-oestrogenic activities.

The fact to act as an oestrogen or an anti-oestrogen seems to depend on the amount of endogenous estrogens and the number and type of the last oestrogen receptor, also on the type of tissue where the receivers are located. Phytoestrogens are frequently detected in humans in quantities much higher than the endogenous oestrogen products.

There are three main types of phytoestrogens: the isaflavonnes (most powerful), the coumestranes, and lignans. There are over 1000 types of isofalvonnes but the most common are the elgenistein and daaidzein who are also prepared to raise the estrogenic activity. They are present in vegetables such as soy, chickpeas pitch, clover, lentils and beans. The isaflavonnes are also present in glucose, when they are ingested by people, they are enzimatically dissolved in the stomach by the active forms.
The metabolism of phytoestrogens varies from one person to another, and there also seems to be
a difference according to sex because women metabolize them more efficiently. The lignannes (enterolactone and enterodiol) are found in lentils, fruits, beans and vegetables. Other types, more rarely ingested are coum (found in the shoots of plants) flavones, flavanones to the chalcones, terpenoids and saponins.



natural estrogens