Monthly Archives: July 2014

Dislocated Knuckle Joint: Causes, Symptoms and Treatment

Your knuckles are part of your finger joint that form when your hands are clenched, forming a fist. It is easy to get your knuckles dislocated when hit against a strong object, or when you throw punches against a metal or a concrete wall, either intentionally or accidentally.

Athletes that play baseball or basketball are the ones that suffer dislocated knuckle the most because they are always applying pressure to the tip of their finger. A finger that gets caught in a jersey or a pad is more likely to suffer dislocation.

Knuckle joint dislocation occurs when the bones of the finger separate or move side-ward, causing the ends of the bones to misalign.

It is most likely to occur then the finger is accidentally or intentionally bent backwards, exceeding its range of motion.

Dislocated knuckle is to some extent a common condition. The condition affects just about any finger, and can occur at any joint of the finger. However, it is the little, ring, middle and index finger that is affected the most.

Symptoms of a dislocated Knuckle Joint

When the bones of the fingers get dislocated, the following symptoms may occur

  • Crooked look of the fingers
  • Extreme pain which leads to swellings
  • The finger wears a pale look
  • The finger becomes bent at an odd angle
  • Straightening the dislocated finger becomes impossible
  • The skin where the dislocation occurred becomes bruised or scraped
  • If the dislocation is a severe one, the affected finger will suffer numbness and tingling

Treatment and recovery from dislocated Knuckle

After suffering dislocation, an affected finger needs to be realigned. But this can only be done after your doctor confirms there is no pain, fracture, swelling and tenderness around the affected joint.

You will have to wear finger splint or a buddy tape for a period of 2 weeks. This ensures the affected finger is well secured to an adjacent finger, thus providing immobilization and support.

A dislocated knuckle is in some instances treated with a local anesthesia. When treating the condition, a doctor will first press the dislocated bone, causing it to extricate in case it had been caught by the side joints. After freeing the end bone, next is to pull the finger in an outward manner until it fits back to its initial position. This treatment technique is known as reduction. Once your dislocated joint has been restored back to its original position, you will have to wear a tape or a splint for a period of 4 to 6 weeks, depending on the severity of your condition.

If your doctor feels that closed reduction can’t get your dislocated knuckle into position, surgery will be the next alternative. A dislocated joint that suffers complicated fractures can only be fixed via surgery. It takes about 5 to 6 weeks to fully recover and get back to your daily activities after going through surgery to correct a dislocated finger.

Recovery time

It takes about 3 full weeks to recover after being treated of dislocated knuckle. As for the pain, you will have to wait for 4 months to be completely relieved.

There are cases when a dislocated joint suffers perpetual swelling. This occurs mostly around the proximal interphalangeal joint.

 

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Left Anterior Fascicular Block: LAFB Causes and Treatment

Left Anterior Fascicular Block is a heart condition which occurs when the transmission of pulses across the muscles of the heart is delayed due to delayed pumping of blood by the heart.

Diagnosis of this condition is achieved through the use of ECG. Otherwise known as left anterior hemiblock, LAFB is often as a result of improper functioning of the anterior half of the heart which contains some specialized cells which carry impulses from the AV node to the apex of the heart.

The condition becomes aggravated when myocardial infarction occurs. Other conditions that accompany LAFB include; cardio-myopathies, degenerative fibrotic disease and cardio-myopathies hypertension.

Causes of Left Anterior Fascicular Block

There are several factors responsible for the development of LAFB. Some of them include;

  • Dilation of the aortic root
  • Chronic hypertension is as a matter of fact the major cause of LAFB
  • Dilation of the cardiomyopathy
  • LAFB is also caused by aortic stenosis otherwise known as valvular disorder
  • Ageing as well as Degenerative fibrotic disease is also responsible for LAFB.
  • LAFB can develop due to the presence of liver disease.
  • About 4% of acute myocardial infarction contributes to LAFB.

Symptoms of Left Anterior Fascicular Block

This condition is often as a result of irregular contraction of the muscles of the heart. Most patients that suffer from this condition do not develop any particular symptom because LAFB is asymptomatic in nature. Diagnosis is performed using electrocardiogram reports. Some common symptoms associated with the condition include;

  • Intermittent pain in the chest which is often as a result of a damaged circulatory system.
  • Dizziness which results from defective functioning of the heart

2D echo or auscultation techniques are used in performing diagnosis.

Treatment of Left Anterior Fascicular Block

Treatment will largely depend on the severity of the blockage or the symptoms of the condition. Other treatment techniques used in managing LAFB include;

  • In depth examination of the heart to determine the severity of the condition.
  • Patients are placed on well planned diet that contain very little carbohydrate and fat. This will then be followed by increase in protein intake
  • An individual suffering from LAFB will be needed to take supplements such as omega-3, vitamins and fatty acid. It is also needful for saturated fat to be replaced with polyunsaturated fat as doing so improves the condition of the heart. It is also important for salt intake to be reduced.
  • Habits such as smoking and drinking have to be done away with. This is because alcohol and nicotine causes vasoconstriction, which further limits blood circulation.
  • Frequent exercising helps improve the condition of the heart suffering from LAFB. Jogging, walking and some physical activities is enough provided the patient’s health can tolerate it.
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Cellulitis Of The Nose Symptoms: Causes And How To Treat It?

Cellulitis is a skin condition which occurs when subcutaneous tissues beneath the skin layer suffers inflammation due to bacterial infection. This is quite a common problem suffered by children and adults alike.

It mostly affects the frontal part of the nose. When it happens, the nose reddens, gets swollen and becomes soft.

Streptococcal and staphylococcal bacteria are the two major bacteria responsible for this problem. It affects both genders and can develop at any age. The skin and the underlying tissues become infected as a result of cuts or bruises around the nose. This bacteria multiplies exponentially when they find their way into the skin around the nose.

This is why it is important for the treatment to commence immediately the problem is noticed to avoid it from spreading to the brain. Treatment can be done using anti-inflammatory drugs and some antibiotics.

Causes of Cellulitis developing on the nose

Streptococcus and staphylococcus which are both responsible for cellulitis developing on the nose are transmitted via insect bite or injury. The chances of getting infected is higher when one swims with an injured nose in fresh or sea water. Games like boxing and wrestling which exposes one nose injury, is also responsible for cellulitis developing on the nose. Leaving an injured nose uncovered after an injury increases the chances of being affected by bacteria.

This condition is prevalent in ladies as they are the ones that piece their nose the most. When the nasal skin suffers cut, there is every possibility that the bacteria responsible for impetigo will penetrate the injured skin. Diabetic patients and those with low immunes system are at a high risk of contracting cellulitis.

When the nose becomes affected, it gets swollen, developing an orange color. Touching it creates a burning sensation. Headache often accompanies the condition. If left unchecked, it often spreads to the periorbital area. Other symptoms that accompany cellulitis include high pulse rate, fever and chill. Pain and severe irritation are also some very common symptoms. If left unattended to, cellulitis will eventually spread to the sinuses and eventually the brain, eventually leading to meningitis.

Treatment for cellulitis on the nose

There are lots of quick and effective treatments for cellulitis. The infection has a high spread rate and if left unchecked reaches the sinuses and the brain quickly further complicating the problem. The infection is spreads through the body via the blood stream.

Antibiotic medication is often the recommended form of treatment for the condition. This is because antibiotics can effective hinders further spread of the infection. Anti-inflammatory medication is prescribed alongside antibiotics so as to ease the pain caused by cellulitis.

Cold fomentation can also be used to mitigate the pain and irritation caused by cellulitis. Cold fomentation should be sought the moment cellulitis is observed on the nose. Get a clean piece of cloth and soak in cold water. Squeeze water out of the cloth and then place it on the nose. Take away the cloth once it dries. This should be repeated daily until some tangible result is noticed.

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Finding the Right Doctor

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Finding a doctor may seem simple at first but there is a certain process of research and evaluation you should go through in order to find the right doctor to fit your personal needs.

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References

Talk to your family and ask them for references. You can also talk to co-workers and close friends. If they come highly recommended from one of these individuals, then most likely they are worth looking into. Also call medical schools and hospitals and ask for referrals.

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Even if your doctor refers you to them, check them out

Your doctor may refer you to specialist for whatever reason. It is still crucial that you still do your research and check them out. Go online and check how they rate with other patients. Also check and see if they are under your current insurance plan.

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Credentials

Ask the doctor about their credentials and is currently licensed. It is also a reasonable request to ask for a background check on this physician. Make sure that they are board certified.

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Bedside Manner

Make sure your doctor has good bedside manner. Do they thoroughly listen to your concerns and ailments? If they seem like they are rushing you out the door this is a bad sign. If they give you all of the information you came there seeking as well as treat with you and kindness, then they are definitely someone that you would like to consider as your physician.

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