Plastic Surgery

I Have Achilles Tendonitis… Could It Be Caused By The Antibiotic I Took?

By Nathan Wei

Tendons are ropes of tissue that connect muscles to bones and allow joint motion. When a muscle contracts, the tendon is pulled and the bone that the tendon is connected to moves.

Tendons consist of collagen (mostly type I collagen) and elastin that sit inside a matrix (framework) with collagen accounting for 65-80% and elastin approximately 1-2% of the mass of the tendon.

Collagen and elastin are produced by special cells called tenoblasts and tenocytes. Crosslinks strengthen the collagen and help them form fibrils which are thin fibers. These fibrils are bunched together to form a collagen fiber which is the basic unit of a tendon. The entire tendon is surrounded by a fine connective tissue sheath called epitenon. The actual structure of a tendon is very complex with fibers being oriented horizontally, longitudinally, and diagonally.

As mentioned above, the basic function of a tendon is to transmit the force created by the muscle to the bone, and, in this way, make joint movement possible. Normally, tendon tissue is extremely tough but it can be damaged through excessive shear forces, trauma, and, recently, with certain drugs.

The Food and Drug Administration recently notified the makers of fluoroquinolone antimicrobial drugs for systemic use of the need to add a boxed warning to the prescribing information about the increased risk of developing tendonitis and tendon rupture. In addition, a Medication Guide for patients was also mandated.


The actual wording of the FDA statement was…

‘Fluoroquinolones are associated with an increased risk of tendinitis and tendon rupture. This risk is further increased in those over age 60, in kidney, heart, and lung transplant recipients, and with use of concomitant steroid therapy. Physicians should advise patients, at the first sign of tendon pain, swelling, or inflammation, to stop taking the fluoroquinolone, to avoid exercise and use of the affected area, and to promptly contact their doctor about changing to a non-fluoroquinolone antimicrobial drug.

Tendinitis and tendon rupture most frequently involves the Achilles tendon, and rupture of the Achilles tendon may require surgical repair. Tendinitis and tendon rupture in the rotator cuff (the shoulder), the hand, the biceps, and the thumb have also been reported. Tendon rupture can occur during or after completion of fluoroquinolone use; cases occurring up to several months after completion of therapy have been reported.

Selection of a fluoroquinolone for the treatment or prevention of an infection should be limited to those conditions that are proven or strongly suspected to be caused by bacteria.’

Currently available fluoroquinolone antimicrobial drugs include ciprofloxacin (marketed as Cipro and generic ciprofloxacin), ciprofloxacin extended release (Cipro XR and Proquin XR), gemifloxacin (marketed as Factive), levofloxacin (marketed as Levaquin), moxifloxacin (marketed as Avelox), norfloxacin (marketed as Noroxin), and ofloxacin (marketed as Floxin and generic ofloxacin).

The warnings about fluoroquinolones and adverse effects on tendons applies only to fluoroquinolones for systemic use (e.g., tablets, capsules and injectable formulations); it does not apply to fluoroquinolones for eye or ear use (e.g., eye drops and ear drops).

This danger has been known to be present for approximately 14 years with case reports first surfacing in the 1990’s.

One group of investigators have stated, ‘current exposure to fluoroquinolones increases the risk of Achilles tendon disorders. This finding is in agreement with a smaller study, in which we found an association between tendinitis and fluoroquinolones’ (van der Linden PD, et al. BMJ 2002;324:1306-1307).

Researchers feel that the mechanism is due to a toxic effect on collagen fibers. This may be caused by a substance called matrix metalloproteinase.

Bottom line? Avoid these antibiotics if you have any of the above risk factors!

About the Author: Nathan Wei, MD FACP FACR is a nationally known board-certified rheumatologist. For more info:

Arthritis Treatment


Tendonitis and PRP


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Plastic Surgery

7 Tips To Finance Your Cosmetic Surgery

Submitted by: Rena Graham

We have to admit that as much as we want to look our best, this usually comes with a price. A simple hair cut, facial or even just having your eyebrows shaped to perfection can cost you some cash. So how much more when you go into surgical procedures? Cosmetic surgery can cost you thousands of dollars at the least. Since these are considered to be elective procedures sometimes it can be quite hard to have insurance companies cover for it. Because money is really hard these days here are seven tips to help you pay for your cosmetic surgery.

1. First of all, you can never go wrong with good old savings. For every paycheck that you get, set aside a certain amount for that little cosmetic surgery fund. Doing so in small amounts may not be so hard on the budget. It may not fully pay for the procedure but it will really cut back on the expenses.

2. Research on the kind of surgery you have. This is for you to know whether you have the option of having a procedure done under general or local anesthesia. The latter is usually cheaper, however it should also be assessed whether it is really the best one for you. The net is teeming with sources, and there are even clinics who provide information as to how the procedure is done. This way you can get an idea on certain options on which you can save.


3. Another thing why it is always best to go for a personal consult, because through it you can also discuss better with your surgeon on financing options that his clinic offers. A consultation will also give you a heads up on the certain amount that you need to prepare. There are actually some doctors who can give you an option of paying on installment basis.

4. If your surgeon does not offer any financing options, there are a lot of financing companies that also offer help specifically on cosmetic surgeries. It is also best if you scan around on a number of financing companies to know which of these have better rates and options.

5. Another is to get apply for secured loans in the bank. Secured loans is when you have to put in a collateral, which can be your car, as the loaner s way of securing that you pay because the property that you put on collateral will be repossessed if you fail to do so. This kind is cheaper than the open loan because the latter has bigger interests since they have nothing to repossess should you have any problems of paying for your cosmetic surgery in the future.

6. Your birthday s coming up? Or Christmas lurking around the corner? You can ask your friends and family that instead of giving you gifts they can just give donations to curtail the expenses on your planned cosmetic surgery.

7. You can make a loan at your bank or credit union. You can also look around at different banks to see who has better rates.

About the Author: Esteem Cosmetic Studio provides patient financing for those who are financially challenged and receive the

best cosmetic surgery in Australia

without undermining safety. We offer payment plan in various procedures such as liposuction,

breast surgeries

, rhinoplasty and more. Visit our clinic in Brisbane, Canberra and Sydney for more details.


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Plastic Surgery

What Is Schizandra Fruit Good For?

Submitted by: Darrell Miller

People of today s generation are still very lucky because despite of the arrays of diseases that linger in our horizons, experts have discovered various ways and means to combat them. Several remedies are now made available to cure illnesses that threaten to batter us. Schizandra fruit is one of the newly discovered modalities that are natural and safe to use. Its scope as a cure is very wide therefore many are opting to utilize the fruit in curing whatever ailments they have. Visiting your doctor every time you are not feeling well will for sure cost you a lot of money. Hence, there is a great need for you to know the different natural remedies that are not only affordable but effective as well.

Schizandra is a part of the Magnoliaceae family. It is characterized by a creeping woody vine that is very abundant in the fertile grounds of China and Japan. The schizandra fruit tastes a bit salty, bitter, sweet, hot, and sour. Because of the mixture of tastes, the Chinese named the fruit wu wei zi which means five taste fruit. However, despite the fruit s weird taste, its vitamin and mineral content is irrefutably high.

Many herbalists all over the globe utilize schizandra as part of their medicinal regimens for various medical conditions. The schizandra is one of the few herbs that are being regarded to contain the three treasures namely the Qi, Shen, and Jing. If only it will be utilized in the right manner, for sure, there are still a lot of benefits that will be discovered out from the schizandra fruit.


Below is the list of health benefits that the Schizandra fruit could offer:

The fruit is very effective in terms of stimulating the nervous. It has certain properties that will hasten the nervous system s capacity to respond to external stimulus. In addition, Schizandra fruit can also enhance mental clarity and focus.

Schizandra fruit also contain essential components that could cure wide range of respiratory problems such as cough, shortness of breath, and wheezing. It can also help you maintain fluid homeostasis in your body through strengthening kidney function.

Years ago, Schizandra s vine was used to treat various skin conditions which include nettle-rash and eczema. People are still utilizing the fruit as a remedy for diarrhea, dysentery and other psychological problems. Dried fruits of Schizandra are also proven to be effectual in rejuvenating one s strength, vigor, and energy.

But more than anything else, it is still very important to note that prevention is still far better than cure. Clich that it may sound, but the statement still holds true up to this present time, and in this modern world that we live. Start living healthy and right so that you will be able to embrace the endless possibilities that life could offer. There is so much in store for you if you are healthy and capable to explore the world.

Schizandra fruit is available in capsule form at your local or internet vitamin store. always choose name brands like Solaray to ensure quality and purity of the product you buy for better health.

About the Author: Boost Your

Health And Wellness

With herbs like schizandra fruit. VitaNet 7reg;, LLC Vitamin Store.


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Plastic Surgery

Facelift Rediscover Your Looks

Facelift- Rediscover Your Looks by Many of us constantly look for different ways to fight the signs of ageing. This is where the significance of a face lift comes into picture. A face lift is one of the most effectual ways to combat the signs of ageing. Constant exposure to sun, dust and other factors within our surroundings start affecting our skin. This effect becomes visible in the form of folds, wrinkles and flabby skin around the neck. Today, there are a variety of methods available in the market, ranging from facelifts to Botox. A face lift, medically known as Rhytidectomy, is a procedure that lifts up the skin of cheek and neck, in order to curtail hanging neck skin and jowls. Various other procedures can also be combined with a a href=”” facelift /a to offer best results to the patient. For getting a face lift, your skin must have good elasticity. Although, the elasticity varies from person to person, being well hydrated helps in ensuring that your skin retains the best elasticity. Maintaining good health and being a non-smoker are two important qualities to possess if you are looking for positive results from the procedure.Your bone structure is another determinant factor for a face lift. Without a well-defined and strong bone structure, a face lift may not show positive effects. Many people question whether getting a face lift calls for some unwanted risks or not.One cannot deny that there are certain uncertainties and risks when it comes to getting a face lift. One of the primary risks involved in this procedure is the development of hematoma. Hematoma basically refers to the accumulation of blood under the skin. Injury to nerves might also become a problem, although these are only temporary problems. The common surgery complications are infection or a negative reaction to anaesthesia. Smokers should be extra cautious before going in for this procedure as smoking reduces the ability to heal the skin after face lift.It is always better to consult your plastic surgeon about what you are expecting from the treatment. This would help you understand the consequences well before undergoing the treatment. There are minor numbness and discomfort which you might experience, but they are temporary and would last only for a few weeks. You can resume your regular activities within the period of 10- 15 days.According to the experts, an ideal candidate for this treatment is a person who has a healthy body and a healthy emotional outlook. He/she must be able to see it with a positive attitude to seek better results.For more insights and further information about executive mini face lift visit our site Source:

Plastic Surgery

Uterine Fibroid Treatment With Rf Ablasion Moore

byAlma Abell

Rf Ablasion Moore uses high-energy waves in order to interrupt pain signals. While there are a number of areas of the body that this treatment can be used on, one of the most common is for destroying uterine fibroids. When this is used, the uterus is able to be preserved.

The procedure is considered a minimally invasive one that is done in an out-patient setting. If you opt for this type of treatment for uterine fibroids, you can expect:

* The surgeon you use to map out your uterus for the fibroids.

* A small incision to be made to insert the hand piece of the machine into the uterus. Then small needles will be inserted into every fibroid to apply the energy.

* The tissues that are normal in the uterus will not be affected and the tissue that is destroyed will be reabsorbed.

Is this procedure safe?

Using Rf Ablasion Moore for the treatment of uterine fibroids has been proven extremely safe. Prior to administering the procedure, your doctor will cover all of the treatment possibilities with you in order to discuss the benefits and risks of each option.

What are the specific advantages of this treatment over other options for getting rid of uterine fibroids?

There are a number of advantages offered by this treatment for uterine fibroids, which include:

* A much shorter recovery period and the ability to return to your normal activities quickly.

* Reduction of all symptoms related to or caused by fibroids.

* Improvement of your quality of life.

* Very low rates of complications.

* The need for smaller incisions than other procedures.

* Only a small possibility of scarring.

Will the treatment be painful?

The treatment will be completed after you are giving general anesthesia, which means that you will not experience any pain while it is being done. After completion, there may be some mild discomfort in your abdominal area.

If you are interested in the treatment, talk with Dr Darryl D Robinson for more information. He will be able to provide you with the results you need. You can also discuss if this is the right treatment option for your particular needs. Visit website for more information.

Plastic Surgery

Do You Dare Get A Nip And Tuck?

Submitted by: Kazama Amazak

As with any surgery, there are plastic surgery risks. Most cosmetic surgeries have very minimal risks. There are always certain cases that can prove dangerous and even life-threatening. Most people have plastic surgery to look and feel better about themselves. Everyone wants to look good. There are other patients that have surgery for health purposes in cases of obesity and diabetes. It can make a marked improvement in their health and quality of life. With weight loss from the surgery they will feel like new people, ready to take on the world. Physicians have also said that it shows a marked improvement in their self-esteem and social outlook.

In our socially conscious world, looking young and hot is a major priority. However, it can come with a major cost if things do go wrong. There are various types of plastic surgery procedures. Not everyone opts for plastic surgery for vanity. Many are children of all ages up to adults who have never been scarred or disfigured from birth. They have had to live with their disfigurement until now. There are many doctors who travel to other countries and perform these surgeries for free. But to these people the plastic surgery risks are surely worth it.


Most of the major risks occur from the anesthesia. Some people have developed the breathing problems, temporary paralysis, brain damage, and death to name a few. If a patient suffers from a heart condition, obesity, or a lung disease, they are at the highest risk of developing complications because of the anesthesia. Many of the mild complications are brought on by allergic reactions to the drugs. If you are consider have this type or any kind of surgery be certain to inform your physician of any allergies or illnesses you have. It could save your life.

Other plastic surgery risks include blood clots, infection, drop in blood pressure, or aspiration. The American Society of Aesthetic Plastic Surgery has written an article on the matter. They state that according to a 1997 poll less than a half a percent of people suffered from serious complications. Only one in 57,000 plastic surgery cases proved fatal. The overall serious plastic surgery risks can be compared to freestanding surgery centers and hospitals. These are incredible statistics considering how many people have plastic surgery today. With today s technology, the medical profession is progressing by leaps and bounds. There no telling what they will be able to do for people next. It will be exiting to see.

They also state that patients will be screened for other risk factors that may cause blood clots, such as obesity or patients with recent traumatic injury. The new screening programs will allow them to catch early warning signs that might not otherwise be noticed. This will minimize plastic surgery risks further so if you decide you want a little nip and tuck go for it. You could look 10 to 20 years younger in no time at all.

About the Author: Find more information about Plastic Surgery, Visit

Plastic Surgery Risks


Plastic Surgery



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