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Consent✅ Another - possible - genicular nerve case Runner, bilateral lateral knee pain Treated as ITB overload; exhausted all non-surgical options so reasonably proceeded to targeted partial ITB release Unfortunately symptoms persisted but changed in nature - 'burning' now (L more than R), slightly more diffuse & symptoms with...

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James Noake

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19,381 просмотров • 6 месяцев назад •via X (Twitter)

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Consent ✅ Very interesting case!! 🤓🤓🤓 Young teenager - laparoscopic cholecystectomy months ago Persistent debilitating R upper quadrant pain around port scar site Burning, stabbing - provoked by minimal activity eg sitting up, bracing in car turning corners 4 weeks as in-patient in hospital, having further general surgical work up .... MRI, US, CT, bloods normal Off school Examination - +ive Carnett's sign, pain / inhibition on sit up, clearly abdo wall issue POCUS - can appreciate subtle port site hypoechoeic channel through rectus abdominus - this has injured the anterior cutaneous nerve at this level (T9 / T10 - see ACN schematic) Video - US guided nerve block / hydrodissection..... immediate pain relief 🥳 So at least the potential (harmful) hunt for a non MSK / gastroenterological cause can stop now Only one other case report of this in 2022 - but not a typical laparoscopic complication or tick box form. If the block fails to improve pain beyond short term, RF ablation might be helpful - then last resort surgical neurolysis.
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Consent ✅ Very interesting case!! 🤓🤓🤓 Young teenager - laparoscopic cholecystectomy months ago Persistent debilitating R upper quadrant pain around port scar site Burning, stabbing - provoked by minimal activity eg sitting up, bracing in car turning corners 4 weeks as in-patient in hospital, having further general surgical work up .... MRI, US, CT, bloods normal Off school Examination - +ive Carnett's sign, pain / inhibition on sit up, clearly abdo wall issue POCUS - can appreciate subtle port site hypoechoeic channel through rectus abdominus - this has injured the anterior cutaneous nerve at this level (T9 / T10 - see ACN schematic) Video - US guided nerve block / hydrodissection..... immediate pain relief 🥳 So at least the potential (harmful) hunt for a non MSK / gastroenterological cause can stop now Only one other case report of this in 2022 - but not a typical laparoscopic complication or tick box form. If the block fails to improve pain beyond short term, RF ablation might be helpful - then last resort surgical neurolysis.

James Noake

15,550 просмотров • 1 год назад

Consent✅ Runner, HIIT Deep left buttock pain Occasionally travels down posterior thigh with intermittent parasthesia & numbness lower leg & foot Brought on with pigeon stretching, yoga, as well 4 point kneeling core hip extension / adduction work 🤷‍♂️ Sitting main aggravating factor - isometric single leg bridging as well Clinical exam difficult to reproduce pain but discomfort on palpation through deep gluteal space MRI: Lumbar spine - normal Pelvis - mildly reduced ischiofemoral interval L side - subtle oedema in quadratus femoris (QF) POCUS video: With passive hip external rotation (closing down the ischiofemoral space) can see bunching of QF and tenting of sciatic nerve (SN) - 'Eruption Sign' - maintaining probe pressure on this soft tissue during the manoeuvre reproduces typical pain US guided injection (lateral to medial to avoid SN) to QF and ischiofemoral space - immediate reduction in sitting pain post procedure
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Consent✅ Runner, HIIT Deep left buttock pain Occasionally travels down posterior thigh with intermittent parasthesia & numbness lower leg & foot Brought on with pigeon stretching, yoga, as well 4 point kneeling core hip extension / adduction work 🤷‍♂️ Sitting main aggravating factor - isometric single leg bridging as well Clinical exam difficult to reproduce pain but discomfort on palpation through deep gluteal space MRI: Lumbar spine - normal Pelvis - mildly reduced ischiofemoral interval L side - subtle oedema in quadratus femoris (QF) POCUS video: With passive hip external rotation (closing down the ischiofemoral space) can see bunching of QF and tenting of sciatic nerve (SN) - 'Eruption Sign' - maintaining probe pressure on this soft tissue during the manoeuvre reproduces typical pain US guided injection (lateral to medial to avoid SN) to QF and ischiofemoral space - immediate reduction in sitting pain post procedure

James Noake

16,258 просмотров • 5 месяцев назад

Consent✅ Female, 20s L upper abdominal pain since lockdown - on back of increased home work outs including ab & core work Now pain lying supine, prone, trunk rotation, being hugged, deep inspiration.... Hugely impactful on QoL Seen multiple specialists - GI, gynae (!), respiratory - utterly frustrated Referred as possible ACNE syndrome - but not in the right place anatomically (ACNE is peri-umbilical semilunaris border) OE - hypermobile ? EDS Focal pain on gentle palpation into immediate L inferior costal margin EROM thoracic rotation painful, plus trunk flexion / extension POCUS video - L 'floating rib' - possibly 11th - seen subluxed superficially over adjacent rib, vs normal side sat 'flush' On deep inspiration, pain reproduced with probe pressure maintained as irritable over-lying soft tissue 'tents' Diagnosis - 'Floating rib' or 'rib tip' syndrome Outcome - symptoms validated - no more medical 'rabbit holes' - surgical resection
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Consent✅ Female, 20s L upper abdominal pain since lockdown - on back of increased home work outs including ab & core work Now pain lying supine, prone, trunk rotation, being hugged, deep inspiration.... Hugely impactful on QoL Seen multiple specialists - GI, gynae (!), respiratory - utterly frustrated Referred as possible ACNE syndrome - but not in the right place anatomically (ACNE is peri-umbilical semilunaris border) OE - hypermobile ? EDS Focal pain on gentle palpation into immediate L inferior costal margin EROM thoracic rotation painful, plus trunk flexion / extension POCUS video - L 'floating rib' - possibly 11th - seen subluxed superficially over adjacent rib, vs normal side sat 'flush' On deep inspiration, pain reproduced with probe pressure maintained as irritable over-lying soft tissue 'tents' Diagnosis - 'Floating rib' or 'rib tip' syndrome Outcome - symptoms validated - no more medical 'rabbit holes' - surgical resection

James Noake

24,669 просмотров • 6 месяцев назад

Consent ✅ Weight trainer Diffuse achy lateral elbow pain (through supinator region), vague symptoms radiating into forearm and dorsum thumb webspace worse on pronation - supination under load Tender ++ palpation through supinator & PIN Radial tunnel / supinator syndrome POCUS video - US guided hydrodissection of PIN just proximal to Arcade of Frohse
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Consent ✅ Weight trainer Diffuse achy lateral elbow pain (through supinator region), vague symptoms radiating into forearm and dorsum thumb webspace worse on pronation - supination under load Tender ++ palpation through supinator & PIN Radial tunnel / supinator syndrome POCUS video - US guided hydrodissection of PIN just proximal to Arcade of Frohse

James Noake

16,885 просмотров • 2 лет назад

Post-op pain management includes in-hospital care and at-home recovery. Cryo Nerve Block Therapy can make the transition to recovery easier with up to three months of numbing at the surgical site.
1:21

Post-op pain management includes in-hospital care and at-home recovery. Cryo Nerve Block Therapy can make the transition to recovery easier with up to three months of numbing at the surgical site.

AtriCure, Inc.

656,866 просмотров • 2 лет назад

Consent✅ "I’m at the Point of Breaking – Hang 10, take it thighs-an easy, I’m Hunting for a solution" Runner, surfer Massive ramp up in marathon training – rapid onset medial mid to lateral burning thigh pain (see pain map below) with low grade parasthesiae Exacerbated by deep knee flexion and running beyond 20 mins and a faster pace Struggled further on surfing holiday in prone on board and kneeling MRI excluded femoral bone stress injury and no adductor injury or knee intra-articular / ligamentous injury OE – Meniscal and ligamentous testing normal Lumbar spine and hip joint cleared POCUS video reel – Adductor magnus tendon & wider musculature normal Saphenous nerve swollen at mid Hunter’s canal point – almost same calibre as the adjacent femoral artery! (point of maximal tenderness with probe pressure - Tinel's positive) US guided hydrodissection (LS) – soft tissue planes around SN seen to open up effectively Post procedure – complete abolition of pain on treadmill running and deep squats for the first time in 8 months (excuse the language) Pearls - This area is diagnostic ‘No Man’s Land’ – ie, if there is no femur bony pathology, and in the absence of trauma, it can only really be neural ‘Adductor splint syndrome’ – a form of bone stress injury – is one of the key medial thigh pain differentials in runners Research links – ‘Surfer's neurapraxia - an uncommon surfing injury of the saphenous nerve’ ‘Adductor insertion avulsion syndrome (thigh splints): spectrum of MR imaging features’
2:19

Consent✅ "I’m at the Point of Breaking – Hang 10, take it thighs-an easy, I’m Hunting for a solution" Runner, surfer Massive ramp up in marathon training – rapid onset medial mid to lateral burning thigh pain (see pain map below) with low grade parasthesiae Exacerbated by deep knee flexion and running beyond 20 mins and a faster pace Struggled further on surfing holiday in prone on board and kneeling MRI excluded femoral bone stress injury and no adductor injury or knee intra-articular / ligamentous injury OE – Meniscal and ligamentous testing normal Lumbar spine and hip joint cleared POCUS video reel – Adductor magnus tendon & wider musculature normal Saphenous nerve swollen at mid Hunter’s canal point – almost same calibre as the adjacent femoral artery! (point of maximal tenderness with probe pressure - Tinel's positive) US guided hydrodissection (LS) – soft tissue planes around SN seen to open up effectively Post procedure – complete abolition of pain on treadmill running and deep squats for the first time in 8 months (excuse the language) Pearls - This area is diagnostic ‘No Man’s Land’ – ie, if there is no femur bony pathology, and in the absence of trauma, it can only really be neural ‘Adductor splint syndrome’ – a form of bone stress injury – is one of the key medial thigh pain differentials in runners Research links – ‘Surfer's neurapraxia - an uncommon surfing injury of the saphenous nerve’ ‘Adductor insertion avulsion syndrome (thigh splints): spectrum of MR imaging features’

James Noake

16,445 просмотров • 14 дней назад

Consent ✅ Middla aged Ironman Months of L inferior gluteal pain that radiates into posterior thigh to knee - burning / throbbing Recent 'pop' in gluteal region with sudden hip & lumbar flexion Worse on - running / fast walking, sitting, cough / sneeze +ive proximal hamstring tendinopathy tests +ive adductor magnus bias tests +ive SLR neural tension Pain LSp flexion, limited POCUS & MRI - interface tear (peel away lesion) of proximal hamstring but remaining tendons intact, so no retraction LSp MRI - L sided disc bulge irritating L S1 nerve root So - concurrent pain drivers? Or one injury mimicking the other? PHT pain can refer pain distally into hamstring. What next after 3 months rehab / load mods & no change? 🧐 Patient will return with symptoms provoked - then US guided LA only injection to proximal hamstring tendon - then re-test - easier & safer to rule out / in tendon driven symptoms first before considering spinal options.
0:29

Consent ✅ Middla aged Ironman Months of L inferior gluteal pain that radiates into posterior thigh to knee - burning / throbbing Recent 'pop' in gluteal region with sudden hip & lumbar flexion Worse on - running / fast walking, sitting, cough / sneeze +ive proximal hamstring tendinopathy tests +ive adductor magnus bias tests +ive SLR neural tension Pain LSp flexion, limited POCUS & MRI - interface tear (peel away lesion) of proximal hamstring but remaining tendons intact, so no retraction LSp MRI - L sided disc bulge irritating L S1 nerve root So - concurrent pain drivers? Or one injury mimicking the other? PHT pain can refer pain distally into hamstring. What next after 3 months rehab / load mods & no change? 🧐 Patient will return with symptoms provoked - then US guided LA only injection to proximal hamstring tendon - then re-test - easier & safer to rule out / in tendon driven symptoms first before considering spinal options.

James Noake

19,433 просмотров • 1 год назад

Consent ✅ Female early 20s - overweight Started running for weight loss Bilateral cramps medial gaiter area & ankle pain Complains of 'swelling' in the region Pain settles quickly post exercise after 30-60mins More recently P&N spreading into plantar aspect of foot Video slide show - MRI shows hypertrophied FHL muscle belly & very low lying, down to level of sub-talar joint Now causing tarsal tunnel symptoms - tibial nerve (with high signal / mild oedema) immediately adjacent to FHL muscle belly Low lying / accessory soleus can also behave like this Consider gait re-training, optimising triceps surae capacity to 'offset' FHL, botox, US guided targeted tarsal tunnel hydrodissection injection, de-bulking of muscle as last resort if conservative measures fail
0:29

Consent ✅ Female early 20s - overweight Started running for weight loss Bilateral cramps medial gaiter area & ankle pain Complains of 'swelling' in the region Pain settles quickly post exercise after 30-60mins More recently P&N spreading into plantar aspect of foot Video slide show - MRI shows hypertrophied FHL muscle belly & very low lying, down to level of sub-talar joint Now causing tarsal tunnel symptoms - tibial nerve (with high signal / mild oedema) immediately adjacent to FHL muscle belly Low lying / accessory soleus can also behave like this Consider gait re-training, optimising triceps surae capacity to 'offset' FHL, botox, US guided targeted tarsal tunnel hydrodissection injection, de-bulking of muscle as last resort if conservative measures fail

James Noake

12,853 просмотров • 1 год назад

Consent✅ Lots to think about here Male, 40s- super fit - skiing, running, weights Always had stiff hips and tight 'hip flexors' 👀 hmmmm Recalls aggressive breaststroke kick right side (ie minimal trauma) - sudden catching pain right groin Remained intrusive with mechanical symptoms - pain at rest, sitting, rolling over, deep squat Exam - both hips reduced ROM especially into FADDIR -right particularly irritable Video - AP Xray pelvis - bilateral dysplasia R > L, plus cam bumps.... a hip pain 'perfect storm' POCUS - extensive R sided delamination labral tear (use passive hip rotation to manipulate & 'milk' effusion fluid into tear to highlight it) MRI images (surrogate markers of dysplasia) 1. 'Saturn Sign' (I made this up) - anterior to posterior labral tear 2. Cystic change in ligaments teres 3. Hypertrophic cystic labral changes It's not just women that have dysplastic hips This needs experienced surgical input rather than 'kicking the can down the road'
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Consent✅ Lots to think about here Male, 40s- super fit - skiing, running, weights Always had stiff hips and tight 'hip flexors' 👀 hmmmm Recalls aggressive breaststroke kick right side (ie minimal trauma) - sudden catching pain right groin Remained intrusive with mechanical symptoms - pain at rest, sitting, rolling over, deep squat Exam - both hips reduced ROM especially into FADDIR -right particularly irritable Video - AP Xray pelvis - bilateral dysplasia R > L, plus cam bumps.... a hip pain 'perfect storm' POCUS - extensive R sided delamination labral tear (use passive hip rotation to manipulate & 'milk' effusion fluid into tear to highlight it) MRI images (surrogate markers of dysplasia) 1. 'Saturn Sign' (I made this up) - anterior to posterior labral tear 2. Cystic change in ligaments teres 3. Hypertrophic cystic labral changes It's not just women that have dysplastic hips This needs experienced surgical input rather than 'kicking the can down the road'

James Noake

14,275 просмотров • 5 месяцев назад

Get rid of your groin pain with these exercise to progress your way to a Copenhagen plank: 1️⃣Adductor side plank on bench 2️⃣Adductor side plank on ground 3️⃣Modified Copenhagen sideplank with knee on the bench 4️⃣ Work up from knee to foot on the bench 5️⃣ Add in the movement💪
0:40

Get rid of your groin pain with these exercise to progress your way to a Copenhagen plank: 1️⃣Adductor side plank on bench 2️⃣Adductor side plank on ground 3️⃣Modified Copenhagen sideplank with knee on the bench 4️⃣ Work up from knee to foot on the bench 5️⃣ Add in the movement💪

Prehab®️

33,913 просмотров • 2 лет назад

Consent✅ ACL reconstuction with lateral tenodesis 9 months ago Persistent lateral pain 'sliding / catching' sensation over tenodesis site on predictable knee flexion squat angle Tenodesis screw looks ok on x-ray POCUS - fluid / inflammation seen around graft as passes under LCL (graft = circle.... then narrow slip as US turns longitudinal) @orthotwitter - do you see graft / tenodesis soft tissue irritation - impingement? - in any of your cases?
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Consent✅ ACL reconstuction with lateral tenodesis 9 months ago Persistent lateral pain 'sliding / catching' sensation over tenodesis site on predictable knee flexion squat angle Tenodesis screw looks ok on x-ray POCUS - fluid / inflammation seen around graft as passes under LCL (graft = circle.... then narrow slip as US turns longitudinal) @orthotwitter - do you see graft / tenodesis soft tissue irritation - impingement? - in any of your cases?

James Noake

25,782 просмотров • 2 лет назад

“Biceps Tendonitis” is rarely a biceps problem - that’s just where the pain is around. STOP focusing on the site of symptoms to correctly fix!
0:58

“Biceps Tendonitis” is rarely a biceps problem - that’s just where the pain is around. STOP focusing on the site of symptoms to correctly fix!

Squat University

68,450 просмотров • 3 лет назад

Diferential diagnosis of insertional plantar fasciitis: part one A patient with plantar pain that had been going on for months was diagnosed with fasciitis, with no response to physiotherapy treatment, two corticosteroid infiltrations and three PRP infiltrations. She reports intermittent plantar and medial plantar pain, sometimes being more intense early in the day. Minimal non-painful thickening at the origin of the plantar fascia is identified sonographically. On clinical examination and ultrasound, there was pain along the posterior tibial tendon, with a positive double heel-rise test, so ultrasound-guided infiltration was performed with 1 cc of triamcinolone and 1 cc of 2% lidocaine in its sheath, with partial resolution of the symptomatology. Lumbar exploration was performed, with pain due to compression of the S1 sacral foramina that correlated with the dermatome of the sensitive area at the level of the heel (dependent on the branch of the tibial nerve), so transforaminal infiltration was performed with 1 cc of triamcinolone and 1 cc of 2% lidocaine, with complete resolution of symptoms.
0:25

Diferential diagnosis of insertional plantar fasciitis: part one A patient with plantar pain that had been going on for months was diagnosed with fasciitis, with no response to physiotherapy treatment, two corticosteroid infiltrations and three PRP infiltrations. She reports intermittent plantar and medial plantar pain, sometimes being more intense early in the day. Minimal non-painful thickening at the origin of the plantar fascia is identified sonographically. On clinical examination and ultrasound, there was pain along the posterior tibial tendon, with a positive double heel-rise test, so ultrasound-guided infiltration was performed with 1 cc of triamcinolone and 1 cc of 2% lidocaine in its sheath, with partial resolution of the symptomatology. Lumbar exploration was performed, with pain due to compression of the S1 sacral foramina that correlated with the dermatome of the sensitive area at the level of the heel (dependent on the branch of the tibial nerve), so transforaminal infiltration was performed with 1 cc of triamcinolone and 1 cc of 2% lidocaine, with complete resolution of symptoms.

sergio serrano belmar

36,354 просмотров • 2 лет назад

Abdominal wall pain: differential diagnosis A 28-year-old soccer player presented with right periumbilical pain of 2 months' duration. An MRI was performed, which showed no abnormalities in the abdominal wall. He was diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES), and perineural injection was performed, with no improvement in symptoms. He came to the clinic for a second opinion, presenting with tenderness on palpation of the middle third of the rectus abdominis muscle, which increased with trunk resistance flexion. The pain decreased after this test was performed after muscle inhibition. An ultrasound assessment was completed, revealing no abnormalities in the discomfort, but evidence of increased thickness and decreased echogenicity of the tendon at its origin in the pubic ramus, associated with significant pain on sonopalpation, related to tendinosis. An evaluation was completed with a thoracic spine examination, revealing significant pain at the level of the spinous process of T8 (the rectus abdominis muscle is innervated by the T7-T12 thoracoabdominal nerves). It was decided to treat the patient with ultrasound-guided injections around the rectus abdominis tendon with 1 cc of triamcinolone and 1 cc of 2% lidocaine, and periradicular injections of the right T8 muscle with 2 cc of betamethasone and 1 cc of 2% lidocaine. The symptoms resolved immediately, and the patient did not reappear during the following two months of follow-up.
0:39

Abdominal wall pain: differential diagnosis A 28-year-old soccer player presented with right periumbilical pain of 2 months' duration. An MRI was performed, which showed no abnormalities in the abdominal wall. He was diagnosed with anterior cutaneous nerve entrapment syndrome (ACNES), and perineural injection was performed, with no improvement in symptoms. He came to the clinic for a second opinion, presenting with tenderness on palpation of the middle third of the rectus abdominis muscle, which increased with trunk resistance flexion. The pain decreased after this test was performed after muscle inhibition. An ultrasound assessment was completed, revealing no abnormalities in the discomfort, but evidence of increased thickness and decreased echogenicity of the tendon at its origin in the pubic ramus, associated with significant pain on sonopalpation, related to tendinosis. An evaluation was completed with a thoracic spine examination, revealing significant pain at the level of the spinous process of T8 (the rectus abdominis muscle is innervated by the T7-T12 thoracoabdominal nerves). It was decided to treat the patient with ultrasound-guided injections around the rectus abdominis tendon with 1 cc of triamcinolone and 1 cc of 2% lidocaine, and periradicular injections of the right T8 muscle with 2 cc of betamethasone and 1 cc of 2% lidocaine. The symptoms resolved immediately, and the patient did not reappear during the following two months of follow-up.

sergio serrano belmar

18,960 просмотров • 1 год назад

Welcome to ITB Berlin! ITB Berlin 2023 is officially open! We are happy to welcome you all back live here in Berlin! Watch the official Ribbon Cutting Ceremony at the stand of #Georgia 🇬🇪 in our brand new Hub 27. Have a wonderful ITB Berlin 2023! #itbberlin #georgiatravel
0:28

Welcome to ITB Berlin! ITB Berlin 2023 is officially open! We are happy to welcome you all back live here in Berlin! Watch the official Ribbon Cutting Ceremony at the stand of #Georgia 🇬🇪 in our brand new Hub 27. Have a wonderful ITB Berlin 2023! #itbberlin #georgiatravel

ITB Berlin

16,029 просмотров • 3 лет назад

Consent ✅ Footballer - ACL recon & MCL tear 12 months ago Uneventful rehab process & RTP ...... but then developed focal pain over medial joint line & restricted flexion Sore on side passing & cutting / change of direction drills OE - Palpation pain at proximal MCL Stiff & painful into EROM flexion MRI - no medial pathology reported - but on closer inspection, subtle medium signal focal change in deep MCL on T1 & T2 (always check the scan yourself) POCUS - obvious large heterotopic calcific deposit in previously injured proximal MCL fibres - Pelligrini-Stieda lesion Video - needle barbotage / fenestration of deposit, finished with a soupçon of CSI 🫰 Post procedure, complete abolition of pain in gym & typical provocative movements ✅ Ultrasound is much better than MRI in identifying calcific pathology (as is plain x-ray)
0:33

Consent ✅ Footballer - ACL recon & MCL tear 12 months ago Uneventful rehab process & RTP ...... but then developed focal pain over medial joint line & restricted flexion Sore on side passing & cutting / change of direction drills OE - Palpation pain at proximal MCL Stiff & painful into EROM flexion MRI - no medial pathology reported - but on closer inspection, subtle medium signal focal change in deep MCL on T1 & T2 (always check the scan yourself) POCUS - obvious large heterotopic calcific deposit in previously injured proximal MCL fibres - Pelligrini-Stieda lesion Video - needle barbotage / fenestration of deposit, finished with a soupçon of CSI 🫰 Post procedure, complete abolition of pain in gym & typical provocative movements ✅ Ultrasound is much better than MRI in identifying calcific pathology (as is plain x-ray)

James Noake

20,118 просмотров • 7 месяцев назад

“It was devastating to just completely see the work that we’ve done,” said Wid Alsabah, who helped put up the display. “Not even just the work, but the symbol of Muslims being targeted this way.” Josh Kristianto has more on the vandalism of the Crescent Moon on "A" mountain.
1:25

“It was devastating to just completely see the work that we’ve done,” said Wid Alsabah, who helped put up the display. “Not even just the work, but the symbol of Muslims being targeted this way.” Josh Kristianto has more on the vandalism of the Crescent Moon on "A" mountain.

ABC15 Arizona

19,642 просмотров • 3 месяцев назад

‼️Dont ignore these early signs of Ovarian Cancer. It is possible to detect #ovariancancer if we are picking up the symptoms early by listening to women and investigating with a transvaginal USS and CA125 blood test **It’s important to know a CA125 and a ultrasound scan can come back normal. So if the tests are normal - STILL continue to track the symptoms and depending on the symptoms, risk factors etc a referral to gynaecologist might be needed for a further investigations such as CT, MRI or a Ovarian biopsy (a procedure where a small sample of tissue from the ovary is removed to check for abnormalities, most commonly to diagnose or stage ovarian cancer)** … thankfully my patient’s Ovarian Cancer was picked up early and now is doing well - post treatment Hope this helps
2:24

‼️Dont ignore these early signs of Ovarian Cancer. It is possible to detect #ovariancancer if we are picking up the symptoms early by listening to women and investigating with a transvaginal USS and CA125 blood test **It’s important to know a CA125 and a ultrasound scan can come back normal. So if the tests are normal - STILL continue to track the symptoms and depending on the symptoms, risk factors etc a referral to gynaecologist might be needed for a further investigations such as CT, MRI or a Ovarian biopsy (a procedure where a small sample of tissue from the ovary is removed to check for abnormalities, most commonly to diagnose or stage ovarian cancer)** … thankfully my patient’s Ovarian Cancer was picked up early and now is doing well - post treatment Hope this helps

𝑫𝒓 𝑵𝒊𝒈𝒉𝒂𝒕 𝑨𝒓𝒊𝒇

25,905 просмотров • 7 месяцев назад

I support pain management with caution. How stupid have we become to send patients home without pain medication post a surgical procedure ‼️ This has to end. Also, we under treat pain patients. There needs to be liability in place. This is post the purposeful OxyContin pandemic.
1:03

I support pain management with caution. How stupid have we become to send patients home without pain medication post a surgical procedure ‼️ This has to end. Also, we under treat pain patients. There needs to be liability in place. This is post the purposeful OxyContin pandemic.

Shannon 🇺🇸I stand with America

122,723 просмотров • 2 месяцев назад

The future of ITB is here. Please welcome, Samsung UK SSD, as our new sponsor across all titles. Read more: #UpTheKnights
0:40

The future of ITB is here. Please welcome, Samsung UK SSD, as our new sponsor across all titles. Read more: #UpTheKnights

Into The Breach

20,237 просмотров • 3 лет назад