what we’ve done in our laboratory here which we call the histotripsy laboratory is to develop a new surgical modality which is uh. noninvasive and it has real time image guidance in the form of ultrasound. uh. imaging. The modality itself is a knifeless surgical approach which the idea here is to generate some very energetic microbubbles ultrasonically. The generation of these bubbles is called cavitation.
And these bubbles oscillate very rapidly and create a lot of mechanical stress on all the tissues and cells around it. And essentially mechanically fractionate these cells, so that at the end of the treatment if you look even under electron microscope microscope you don’t see any recognizable tissue fragments.
So basically what we do is generate what you might call micro or nano blenders. week can generate these in a very confined, precise volume. That ultrasonic focus acts like essentially a scalpel. The range of application for this technology is anyplace where we want to remove tissue at a tissue fluid interface we can actually either remove the tissue or drill a very precise hole through the tissue.
one of the applications that we’ve been developing is to treat newborn infants who don’t have a left ventricle. These infants only survive if you can create a flow channel in the septum between the lefthand and uh. right atrium.
The way that people do that now is to thread a very small catheter up into the heart and essentially punch a hole in this atrial septum and this is a very dangerous procedure with about fifty percent mortality and so we’ve developed an approach where these uh. newborn infants will uh. we actually generator a hole in the atrial septum We’ve done over a hundred dogs innumerable piglets and so we’re now in the development of this technology where we want to take it into the clinic so that the pediatric surgeons can employ it.
another application where we’ve founded a pany called Histosonics is the treatment of uh. enlarged prostate. BPH and in this application we actually go in and homogenize the tissue around the urethra and this homogenized tissue is actually urinated out by the patient uh. the whole thing is noninvasive the alternative technology is called TURP which a rotating blade is actually inserted.
Which if you think about it, it’s a procedure that no one relishes and uh. it’s also rather bloody and at least in the animal models that we’ve used ah.
there’s minimal bleeding and we get very good results. there are many other applications for example breast cancer is one that we will be developing fairly soon also uterine fibroids which is a big problem in women’s health and we’re even working on ways of treating liver metastasis.
Shoulder Pain All About Tendonitis, Frozen Shoulder, Bursitis, and Rotator Cuff Tear
Shoulder pain affects everyone. Some people get tendonitis. Other folks get bursitis. Frozen shoulder is also quitemon. Personally, my shoulder paines from shoulder impingement syndrome.
Sometimes I have right shoulder pain and other shoulder pain symptoms. Other days I suffer from left shoulder pain and then do shoulder pain exercises and go get shoulder pain treatment.
I always have shoulder pain when to see a doctor. This is why I made a tutorial about shoulder pain.
Remove Muscle Knots Yourself Tennis Ball Release
rtf1ansiansicpg1252deff0deflang2057fonttblf0fnilfcharset0 Calibri generator Msftedit 126.96.36.1999viewkind4uc1pardsa200sl276slmult1qjlang9f0fs28 Hi, I’m Paula Moore The Chiropractor and I am here to talk to you today about how to use a tennis ball for your lower back trouble. Now I probably didn’t invent this but I feel as if I have because my patients absolutely love it and they tell me it’s the best thing they have ever learned.par I don’t know how long it has been around, but I found it one day after I had injured my back and I haven’t looked back since. It is one of the most popular exercises I give my clients. I use it to get rid of knots in the low back. It can be used all over the body but it is particularly great for the low back, in those hard to reach places.par I’m going to show you where you are going to be using this. This is you facing the spine, looking from behind. The tennis ball is to be used in your low back, between the crest of your pelvic bone and the lower margin of the ribs, either side of the lumbar spine. Those are the areas you are going to be looking for your muscular knots.par When you are lying on your back you are going to be placing it along the lumbar margins.
In particular, there is a sweet spot where you get on a muscle called your quadratus lumborum the QL. On most people I can find a trigger point a muscular knot on the QL. Certainly found on people with lower back pain.par This is so effective, because you can travel with a tennis ball so you are never stuck in pain, not knowing what to do. So this is great for muscle spasms and knotted muscles.
A knot in a muscle you can think of as a build up of lactic acid where a muscle has been over working. So athletes get these and people with back trouble get these, where the lactic acid has formed a knot. par Pressure can either be applied with my thumb, as a chiropractor, or my elbow when I’m feeling particularly mean or a tennis ball. So you can apply pressure to your own trigger points and help melt them away. So take a look at me lying on my back now.par So just before you lie back, you’ve got your tennis ball in the same hand as the side you’ll apply it to. You’re going to lie on your back and roll your knees to the side. Have a feel with your own fingers for the tender points, the areas that feel knotted. Move the tennis ball around until you find a particularly tender point. Remember the spots between the crest of the pelvis and where the ribs end and close to the bony spine but not on the bone. par So you put the ball in and you roll your knees back. Move the ball around until you find a tender point. For some people this is enough weight to get the tension onto the ball and feeling the tenderness. If you can’t find a tender point, you can increase the weight on the tennis ball. I do this by taking my foot onto my opposite knee and tipping. Sometimes I use my hands, cupping them over my knee and tipping right onto the ball, putting a little more weight onto the point. par The key with these tender points is that you need to stay on the point until the difortpletely fades. If youe off the ball before they have faded you can actually switch the points on and cause aggravation. If you feel the tenderness travel down your leg, that’s ok, just remember that that is a more chronic point that has been there longer. Stay on it until itpletely fades. On average that will take from 20 seconds to two or three minutes for the more chronic points. par When the pain haspletely gone, slowly roll off the tennis ball and move the tennis ball to another tender point. Find two or three tender points each side and remember to stay on them until they fadepletely.par Toe off the ball, roll your knees away ande up onto all fours, don’t just sit straight up. This can be done every single day. This exercise is best to be done once you have been up a couple of hours. My preference is to do it after a hot bath or after a little exercise or at the end of the day when you will get a lot more out of it. You may be a little sore after the exercise.par Be careful not to push down too hard on the tennis ball as you can bruise your muscle.
Brain Tumors part 3 of 5
You’re watching Brainstorm on ABC27, presented by Hershey Medical Center. Wee back, we’re just continuing to talk to Dr. Jonah Sean from Penn State Hershey Medical Center. He is here to answer your questions about brain tumors and brain cancer, we’ve got doctors in our conference room ready to talk to you about Alzheimer’s Disease, any questions you may have, we should show them the phone number from time to time just so folks can call in and ask their questions, but we’re going to continue to deal with some other issues here.
Whenever you have a brain tumor, do you know that you have to have an operation, or not necessarily No, many patients with brain tumors don’t have an operation, they can be definitely treated often with radiation or chemotherapy or abination of the two. Sometimes an operation is necessary for certain types of a tumor, it can be curative, it can be a benefit in terms of quality of life, it can extend survival, so not everyone needs an operation but many patients benefit from an operation for a variety of reasons.
Now one of our viewers was on ABC27 and she submitted the question that her mother had a brain tumor does that make her more likely to have a brain tumor. Now, we get that question all the time, there are a few rare hereditary syndromes in which brain tumors aremon. Those are fairly rare situations. Typically, if a loved one or family member has a brain tumor that doesn’t increase your risk substantially of having a brain tumor yourself.
Someone else wrote in and said their friend had a brain tumor and decided to go into some sort of experimental, like a clinical trial. Do you suggest that, is that something for a last resort, what do you say Well there are a variety of types of clinical trials. Some are only for last resort patients, some are a randomization between two treatments that we think are very good and we’re trying to find out which is the better of the two. In general clinical trials are safe, they are federally regulated, and no clinical trial can be conducted without some reasonable security or safety.
Okay, you know, people get headaches, we all know people who have persistent, strong headaches. How often is that a serious sign Headaches can be a problem, but they’re rarely from brain tumors. Most patients with brain tumors have a headache associated with a tumor, but very few patients with headaches have a tumor associated with them. Okay. And again, we just wanna remind folks that the phone number you can call is 3463333, and we’re gonna show you right now, where your phone call goes. Valerie Purchase standing here with five doctors answering your questions. Val! That’s right, and they’re very busy here, we had audio problems earlier, but I’m telling you even with those, I was sitting here and the phones kept ringing and ringing and you can see, all of the doctors are taking calls at this hour. Now, the number that we give you, that 3463333 will put you in touch with a doctor, now some of the questions thate in, we’re not going to put your name out there or personalrmation about you, but some of the questions we might wanna share with our audience, we just wanna let you know that, but we will respect your privacy and again as you can see the doctors are busy at this hour very few times do I see a phone down, so, there we go, phone’s picked up again, Alicia, I know we’re going to be checking in a little later and we’re going to be introducing you to a family who, their daughter had a brain tumor and worked through that, we’re going to be talking about those issues as well, so we’ll get back to you in a little bit.
Alright, Val, thanks very much, and it’s nice to see people calling in, it doesn’t surprise me, people concerned about these kinds of issues. We wanna run another story now. The research behind brain tumors is constantly changing, and important work is being done right here at home. Amanda Barton tells us about some recent breakthroughs. Two big discoveries have been made here in in the Neurosurgery lab of Penn State Hershey Medical Center.
Leading the charge Dr. James Connor. The goal of his team to find a cure for brain tumors. We have been able to find a bit of a magic bullet if you will, so that we can take cells that we call lyphosomes really sort of smart little fat cells, and we can put drugs in those smart little fat cells that will kill tumors. The direct delivery of drugs targets the tumor and minimizes side effects. The drug is confined just to the tumor cells here, so this is the excitement that we were talking about that we don’t damage the normal healthy cells in the brain.
The other recent discovery researchers have pinpointed a gic mutation that could be a risk factor for certain aggressive tumors. Looks like we discovered a new drug that by using these tumors and screening a whole range of drugs we found a new drug that might be effective against not only tumors that are resistant but a broad range of tumors. All of this means a big advantage for patients. Researchers work closely with brain surgeons to keep them up to date on treatment options. Both teams meet twice a month in a conference room like this to discuss breakthroughs and sharermation.
At the end of the day, we can sit down and they can see, these are the problems we’re facing, this is what we need we need a better target for the tumor cells, we need another drug, what can we do together to move this forward All aimed at improving patient care. At Penn State Hershey Medical Center, Amanda Barton for ABC27. Alright, and still toe tonight, more questions to answered, and brain cancer survival stories from some very young patients, we’ll be right back.
Headache and Neck Pain Symptoms Resolved DavisSpineInstitute
When you originally presented to the office, you presented with chronic neck pain and headaches due to degenerative discs, stenosis in the cervical spine. How have you done with the program here at Davis Clinic, and how are you doing today with those symptoms I started out with, like you said, the bad headaches and always the neck pain and my head not feeling clear. Since I’ve been here and with this, is it D.D. DRS treatment my neck right through there is feeling great and I would rmend it to anybody that has this type of problem. Also I want toment, the staff has really been great and helpful. You’ve got a really good staff here. Everybody has just been really nice and I appreciate all of you. Well we appreciate you as a patient, and we’re very very proud to have you here as a patient. Thank you it’s been a pleasure being here and getting the help I’ve needed.