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Bursitis, Tendonitis

Tendonitis or bursitis disorders are inflammations of the shoulder, elbow, wrist, knee, hip and ankle. Inflammation usually occurs over a long period of time. However, in some cases sudden inflammation problems can also be seen. For example, some people may have a heavy burden on their shoulders due to their profession. This can lead to inflammation of the shoulder bones. People with very heavy burdens can have inflammation on their elbows and wrists. Persons standing continuously are at higher risk of developing inflammation on their knees and feet. Inflammation can also occur in the heart of people who are constantly sitting and working.

Tendonitis: In tendinitis, tendons and muscles are cut and easily damaged. This may cause inflammation. Tendinitis can lead to severe soreness.

Bursitis: Between the bone and muscle inflammation of the small incisions between the tendon or skin. This inflammation can cause serious soreness.

What are the causes of tendinotis and bursitis?
Repetition of the same movements can lead to tendonitis and bursitis. For example, typing on the keyboard for a long time, walking, cutting and chopping operations can be counted.
     Failure to choose the right shoes can also result in tendonitis and bursitis. Shoes that disturb feet cause tendonitis and bursitis.
     Blood and kidney diseases can also cause tendinitis and bursitis.
     In old age, tendonitis and bursitis are more common in the legs, hips and elbows.
     The use of certain antibiotics and medicines also causes tearing of the fibers leading to tendonitis and bursitis.

How is tendonitis and bursitis diagnosed?
In the case of tendinitis and bursitis, physical examination of the patient is performed first. The cause, the severity and the story of the disease are learned. Imaging techniques such as x-ray and MR can be used for this. Blood tests may be needed to measure the inflammation.

How is tendonitis and bursitis treated?
Tendonite and bursitis; It is a discomfort that seriously affects bone and muscle structure. The methods used in the treatment of these conditions are:

    Rest is recommended first in all bone and muscle diseases. At this point, the muscle and bone should not be overloaded, should not be lifted heavily, and should be careful not to be hit.
    Ice application is a very effective treatment method for relieving pain. Ice compressing the painful area 3 or 4 times a day for about 15 minutes helps reduce pain.
    Medication may be prescribed to relieve pain and inflammation in patients with tendinitis and bursitis.
    Repetition of movements leading to tendinitis and bursitis may interfere with the treatment of the disease. For this reason, it may be necessary to use supporting devices and apparatus in the region where the pain occurs. For example, the use of a walking stick helps to relieve the pain caused by the pain and prevent recurrence of the illness.
    Physical therapy can treat tendinitis and bursitis. Intelligent exercise programs, massage, cold hot application can be done in person by specialist therapists in the field.
    Physical therapy techniques may require surgical intervention as a result of the disease being unable to be treated. However, surgical intervention in the treatment of tendinitis and bursitis is the last stage. In some cases it may suffice to inject cortisone. If cortisone does not help, surgical intervention may be required.

How are measures against the risk of tendonitis and bursitis?

The precautions against the risk of developing tendonitis and bursitis are:

    The risk of tendonitis and bursitis is very high in people who exercise extensively. You should take care to do warm-up and stretching movements before doing sports or exercising. In this case, the risk of tendonitis and bursitis is minimized.
    Sports or exercise can be done very quickly, causing tendonitis and bursitis. For this, the exhaust should start slowly and accelerate as it gets warmer.
    Excessive breaks in the exfoliants lead to tendonitis and bursitis. For this reason, it is much more beneficial to exercise regularly for 25-30 minutes every day instead of doing intensive exercise one day a week.
    Using the right equipment and sporting equipment will help to minimize the risk of trauma that can occur.
    Constantly standing at the same position also causes tendonitis and bursitis. The position of standing should be changed, 

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Obesity Rehabilitation

Obesity Rehabilitation

Obesity is the accumulation of excess fat in the body that will limit the daily life of the person and cause comorbid illnesses. There are several different ways to identify excess fat tissue. The most common is Body Mass Index (BMI). The fat cell is an endocrine cell and the fat tissue is an endocrine organelle. Therefore, it secretes a number of substances including fatty tissue metabolites, cytokines, lipids and, among others, coagulation factors. Over-fat or obesity at significant levels causes increased levels of circulating fatty acids and inflammation. This can lead to insulin resistance and cause type 2 diabetes in the patient. What are the types of obesity? Body mass index ratio is very important in defining obesity. Those with body mass index between 30 and 34.90 are overweight, those between 35 and 39.90 are overweight, those with body mass index greater than 40 are included in the morbid obesity class. And along with many complaints lead to discomfort What diseases are caused by obesity? Obesity itself is a very serious disease that affects one's entire life. However, it also causes comorbid diseases. Obesity-triggered diseases are:      Obesity can cause type 2 diabetes in people by causing insulin resistance.      Blood pressure disorders are among the disorders caused by obesity. Complaints such as palpitations and shortness of breath affect one's quality of life in the negative.      Heart and vascular diseases can put a person's life at risk seriously.      Muscle and skeletal system can be seriously damaged.      Obesity can also lead to uterine, pelvic and intestinal diseases.      Sleep apnea, the problem of respiratory arrest in sleep, is at the head of the most serious disturbances caused by obesity What are the causes of obesity? Obesity can have more than one cause. These include:      Calorie and fat product high nutrition habits are the most important cause of obesity. Food should be avoided from fast food foods, fried foods and foods with high sugar content.      Inactivity and regular exercise are among the causes of obesity. It is of great importance that the calories taken from the body are burned with exercise and motion so that they are not stored in the oil.      Obesity does not originate only from malnutrition and inadequate behavior. Genetic factors and slow metabolism can also cause excessive fat accumulation in one's body. How to prevent obesity? In order to prevent obesity, metabolic disorders must be treated, if at all. Then healthy eating and regular exercise should be made an indispensable part of the lifestyle. Here are ways to prevent obesity:     Healthy and regular eating habits are very important for the prevention of obesity. Low fat and calorie content, high protein and vitamin content should be consumed. You also need to reduce the amount of portions your body can consume and overdose disorder. The amount of calories consumed daily should be calculated on a regular basis. At this point you have taken the most important step to reduce the risk of obesity.     It is very important to exercise regularly. You should take care to do the most appropriate thing on a regular basis, such as walking, cycling, swimming or other activities. You should be the first goal of your exercise plan, if you will ever build more of the calories you receive from the grapes. How is obesity treated? In the treatment of obesity, a specialist dietitian and exercise specialist are provided to give more weight. The dietician allows the patient to adjust the dietary habits completely. The calorie is low, nutritional feature is high, balanced eating habit is obtained. Most importantly, the portions are reduced. Exercise specialist prepares an exercise program for the general body structure and health of the person. Helps to give excessive weight by ensuring that the exercises are carried out regularly and steadily. How is obesity rehabilitation applied? Obesity rehabilitation is a last-seen effective treatment program implemented by physical therapists. The patient is initially assessed by a private team and a personalized treatment program is issued. With obesity rehabilitation, not only can one get rid of excess weight, but also the treatment of comorbid diseases is provided. Muscle and skeletal system disorders, especially smart exercise, massage and so on. It is aimed to improve the general health of the person with the applications. In obesity rehabilitation, treatment is planned considering the age, weight and general health status of the person. A full-scale therapy program is introduced, including diet and exercise specialists. Intelligent exercise tools allow the patient to exercise more easily and consistently. With the patient's full compliance with the diet and exercise program, an average of 4 or 5 pounds per month can be achieved. Obesity rehabilitation is completed by withdrawing the body mass index of the patient to normal level. The patient is more eager to participate in the program with the advantage of having healthy muscles to lose weight in the first light of the day.

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Injections are a form of treatment aimed at applying certain medicines directly to the troubled area, rather than by mouth. It is used in the treatment of many painful syndromes, especially movement system diseases and rheumatic diseases. At present, the most important of regional injectable drugs Local Anesthetics These are the most debated cortisone medicines of the two types of drugs. Cortisone drugs can be used alone or in combination with local anesthetics to treat a wide variety of painful conditions. For example, hand and foot pain syndromes, fibromyalgia, conditions associated with movement limitations, such as frozen shoulder, tendinitis, carpal tunnel syndrome, lower back and disc herniations in the neck, muscle spasms, fibromyalgia and cortisone possible to benefit from the drug in some joint discomfort. Cortisone injections can also be made into the joints during acute periods of rheumatic diseases. However, there are some indispensable conditions in this treatment method.     This work should be done by a specialist and an experienced physician.     Sterile conditions should be observed.     It is absolutely known that the disease in the joint is not microbial.     If it is made 1 or 2 times and the desired result can not be obtained, it should not be repeated.     The most common knee pain should not occur early in the knee arthroplasty, ie calcification, of the causes.     It should not be done if there is a doubt in the joint or around the structures. Such conditions are complied with, if the intra-articular or periarticular made cortisone injections are very effective method of treatment can be administered with other drugs and physical therapy. In the last years, another injection method has been developed for arthrosis joints. As is known, arthrosis, arthritis, is a discomfort that arises as a result of the wear of the cartilage between the bones. The surface of the post-abrasion cartilage deteriorates and the amount of joint fluid that feeds the cartilage is reduced. In order to compensate for these losses, it is possible to inject medicines which are the active substance Hyaluronic acid into the joint by injection and partially repair the damage to the cartilage. These drugs, usually made from rooster buds or synthetic pathways, are administered three times a week at intervals and can be repeated every 6 months. It is a form preferred by patients as it can be applied together with other treatment methods. There is also a need to pay attention to the conditions in cortisone injections. It should definitely be done by an experienced specialist in this regard, and be sure that there is no inflammation in the joints. Sometimes, injections can be made only to get excessively increased joint fluid without giving any medication. Joint puncture the purpose of this treatment method called, trauma or relieve rheumatic joint diseases synovial fluid emptied as a result of increasing and removing the harmful substances accumulating in the liquid medium. This procedure must be performed under sterile conditions by an experienced physician and the patient must be followed up after the injection. In case of suspicion, the joint fluid is sent to the investigation and it is checked whether it has inflammation. Under normal conditions, this procedure should not be done without an excessive increase in joint fluid, which is a vital factor for the joint. Otherwise, there is a lot of damage from benefit. Therefore, the knowledge and experience of my physician who will decide this method is very important. In addition to drug injection methods, there is another treatment method that is done by injecting needle only without giving any medication. In this method called "dry needle treatment", the painful region is immersed and removed from the needle without giving the medicine. The aim is to reduce the sensitivity of painful nerve endings in that area and prevent pain transmission. This treatment method, which is similar to acupuncture treatment successfully applied in the Far East for thousands of years, has become widespread in Western countries in recent years. There are no side effects associated with drugs that you are not injecting. There is no harm in using it with other therapies and physical therapy methods. It is a treatment modality that is effective in the treatment of fibromyalgia, especially in the lumbar and neck hernias, painful muscle spasms, painful joint diseases. Another similar treatment is "Mesotherapy". It is a method of treatment by injecting small amount of local anesthetic materials from small points into the body with small-tip injectors. Since the amount of medication used is very small, there are no side effects. Sterile conditions must be observed during application, close to inflamed areas and open wounds. Another injection treatment that is applied similar to mesotherapy, but using dextrose solution instead of local anesthetics is "Prolotherapy". This treatment made around the painful region with small-tip injectors needs to be performed by experienced physicians. The most common cases are chronic rheumatic diseases, painful neck and neck pain, muscle spasms and fibromyalgia.

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