Primary Care Solutions

Common Cold

Introduction | Anatomy | Causes | Symptoms | Diagnosis | Treatment | Prevention | Am I at Risk | Complications Introduction Colds are a very common medical condition.  There are over two hundred viruses that can cause the common cold.  The viruses are easily transmitted from person to person.  Coughing, sneezing, a sore throat, and a runny nose are typical cold symptoms.  There is no cure for the common cold.  Symptoms may be relieved with rest, over-the-counter medications, and by drinking plenty of fluids. Anatomy A cold virus can affect your upper respiratory system.  Your upper respiratory system includes your ears, nose, and throat.  A mucus membrane lines your nose and secretes mucus that filters germs and dust when you breathe. Your sinuses are behind your nose and in the bones of your head and face.  Sinuses are filled with air and are also lined with a mucus membrane. Causes Colds are very common.  A cold is contagious; meaning it can pass from one person to another.  A cold develops when a cold virus comes in contact with the lining inside of the nose.  The cold virus multiplies in the warm moist environment.  In turn, your body produces white blood cells to fight the cold virus.  Not only do white blood cells combat the virus, but they also cause the symptoms of a cold.  The cold virus can spread from person to person.  When a person sneezes or coughs, mucus drops containing the virus float in the air.  You can catch a cold by breathing in the virus.  However, colds are most frequently transmitted by hand to hand contact or by touching a surface that the virus is on and then touching your nose or eyes. Symptoms A runny nose, nasal congestion, and sneezing are classic symptoms of the common cold.  Colds can cause coughing, headache, sinus congestion, and a sore throat.  A common cold usually lasts from seven to ten days. Diagnosis You usually do not need to contact a doctor if your cold symptoms are mild to moderate.  If you experience severe symptoms or if your cold lasts a long time, you should contact your doctor.  Your doctor will examine your ears, nose, and throat and determine if your symptoms are the result of other conditions. Treatment There is no cure for the common cold.  You should drink plenty of fluids and get plenty of rest.  You can ease your symptoms with over-the-counter cold medications.  Prescription antibiotic medications do not work on cold viruses. Prevention You can prevent colds with thorough frequent hand washing.  Avoid touching your eyes or nose when you are around people that have colds.  Disinfect shared surfaces, such as telephones, keyboards, counter tops, doorknobs, and faucet handles.  Use disposable paper towels instead of shared fabric hand towels.  Wear gloves during the winter and when on public transportation. Am I at Risk Certain situations may place you at a higher risk for contracting a cold.  Essentially, the more people you are around the more likely you are to catch a cold.  Being near people with colds that cough, sneeze, and blow their noses increases your risk.  Cold incidences increase during the winter months or rainy season when people spend more time indoors.  You are at a higher risk of contracting colds if you touch public items, such as grocery carts, office phones, keyboards, and bus or subway railings.  Shaking hands with a person that has a cold increases your risk of catching a cold. Complications You should contact your doctor if your cold symptoms do not improve after seven to ten days.  One exception is a dry cough which may last up to a month after symptoms begin.  You should contact your doctor if you experience difficulty breathing or severe symptoms.  The elderly and people with serious medical conditions may need to be monitored by their doctors if they get a cold.

Arthritis

Introduction | Anatomy | Causes | Symptoms | Diagnosis | Treatment | Surgery | Recovery | Complications Introduction Arthritis is a common disease that causes joint pain, stiffness, immobility, and swelling.  Arthritis is actually a term for a group of over 100 diseases that affect the muscle and skeletal system, particularly the joints.  Arthritis alters the cartilage in joints.  Cartilage is a very tough, shock absorbing material that covers the ends of many of our bones.  The cartilage forms a smooth surface and allows the bones in our joints to glide easily during motion.  Arthritis can cause the cartilage to wear away.  Loss of the protective lining can cause painful bone on bone rubbing.  Arthritis can be quite painful and disabling.  While this may be tolerated with medications, therapy, other modalities, and lifestyle adjustments, there may come a time when surgical treatment is necessary. Anatomy Bones are the hardest tissues in our body.  They support our body structure and meet to form joints.  Cartilage covers the ends of many of our bones and forms a smooth surface for our bones to glide on during motion.  A membrane called synovium lines the joint.  The synovium secretes a thick liquid called synovial fluid.  The synovial fluid acts as a cushion and lubricant between the joints.  It reduces friction between the bones and prevents “wear and tear.” Ligaments are strong tissues that connect our bones together and provide stability.  Our ligaments are also lined with synovium.  The synovial fluid allows the ligaments to glide easily during movement.  Tendons are strong fibers that attach our muscles to our bones.  The tendons and muscles power the joint and enable us to move. Causes There are over 100 different types of arthritis.  Arthritis can occur for many reasons, including aging, “wear and tear,” autoimmune disease, trauma, and inflammatory disease.  Arthritis usually affects the bones and the joints; however, it can affect other parts of the body, such as muscles, ligaments, tendons, and some internal organs.  Two of the more common types of arthritis, Osteoarthritis and Rheumatoid Arthritis are discussed below. Osteoarthritis is the most common type of arthritis, affecting some 21 million Americans alone.  It causes the cartilage covering the end of the bones to gradually wear away, resulting in painful bone on bone rubbing.  Abnormal bone growths, called spurs or osteophytes can grow in the joint.  The bone spurs add to the pain and swelling, while disrupting movement.  All of the joints may be affected by Osteoarthritis. Osteoarthritis is often more painful in the weight bearing joints, including the spine, hip, and knee.  It tends to develop as people grow older.  Osteoarthritis can occur in young people as the result of an injury or from overuse of a joint during sports or work. Rheumatoid Arthritis is one of the most serious and disabling types of arthritis.  It is a long-lasting autoimmune disease that causes the synovium to become inflamed and painful.  It also causes joint swelling and deterioration.  Pain, stiffness, and swelling are usually ongoing symptoms, even during rest. Rheumatoid Arthritis most commonly occurs in the hand and foot joints.  It can also develop in the larger joints, including the hip, knees, and elbows.  Many joints may be involved at the same time.  Further, tissues surrounding the joint may also be affected.  Rheumatoid Arthritis can affect people of all ages, but most frequently occurs in women and those over the age of 30. Symptoms Inflammation is the main finding of arthritis.  Inflammation can cause your joints to feel painful, swollen, and stiff.  These symptoms are most likely continuous, even when you are resting.  Your joints may feel weak or unstable.  You may have difficulty moving and performing common activities, such as walking or climbing stairs. Diagnosis Your health care provider can diagnose arthritis by conducting a physical examination.  You will be asked about your symptoms and level of pain.  Your provider will assess your muscle strength, joint motion, and joint stability.  Blood tests and other laboratory tests may identify what type of arthritis you have.  Imaging tests provide more information about the condition of your joint. X-rays are used to see the condition of your bones and joints, and to identify areas of arthritis or bone spurs.  The tissues that surround the joint do not show up on an X-ray.  In this case, a Magnetic Resonance Imaging (MRI) scan may be requested to get a better view of the soft tissue structures, such as ligaments, tendons, and cartilage. A bone scan may be ordered to identify the location of abnormal growths in a bone, such as bone spurs, cysts, or arthritis.  It is a sensitive test that can indicate joint degeneration in early stages that may not yet be visible on plain x-rays.  A bone scan requires that you receive a small harmless injection of a radioactive substance several hours before your test.  The substance collects in your bones in areas where the bone is breaking down or repairing itself.  These imaging tests are painless. Treatment Most cases of arthritis can be treated with non-surgical methods.  Temporary joint rest and pain relievers are sometimes all that are needed.  Over-the-counter medication or prescription medication may be used to reduce pain and swelling.  If your symptoms do not improve significantly with these medications a cortisone injection may be successful in reducing inflammation and pain. Viscosupplementation is another injection option for arthritis, but currently is FDA approved for use only in the knee.  Studies are underway to test its usefulness in other joints.  Several products are on the market that when injected in a series into the knee can reduce pain by temporarily improving the health of the joint. Occupational or physical therapists can help you strengthen the muscles surrounding your joint.  The resulting added joint stability can help relieve pain.  Aquatic therapy in a heated pool can be especially soothing.  In addition, the buoyancy of the water takes stress off the joints while exercising, and the resistance of the water can help strengthening efforts.  Your therapists may…

My dental office need a blog area care to ailing dear.

Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Mauris in erat justo. Nullam ac urna eu felis dapibus condimentum sit amet a augue. Sed non neque elit. Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad miniostrud exerci tation ulm hedi corper Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra.

We are amongst the most qualified dental implant providers

Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Mauris in erat justo. Nullam ac urna eu felis dapibus condimentum sit amet a augue. Sed non neque elit. Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad miniostrud exerci tation ulm hedi corper Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra.

Dental office need a blog area galley care to ailing dear.

Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Mauris in erat justo. Nullam ac urna eu felis dapibus condimentum sit amet a augue. Sed non neque elit. Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad miniostrud exerci tation ulm hedi corper Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra. Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit.

Printingdern dental office need a blog area galley printingdern care to ailing dear.

Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Mauris in erat justo. Nullam ac urna eu felis dapibus condimentum sit amet a augue. Sed non neque elit. Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad miniostrud exerci tation ulm hedi corper Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra. Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit.

Your Medical Records are Safe now a days.

Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Mauris in erat justo. Nullam ac urna eu felis dapibus condimentum sit amet a augue. Sed non neque elit. Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad miniostrud exerci tation ulm hedi corper Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra. Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit.

Medical Records are Safe Your now a days

Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Mauris in erat justo. Nullam ac urna eu felis dapibus condimentum sit amet a augue. Sed non neque elit. Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad miniostrud exerci tation ulm hedi corper Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra. Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit.

Dental office printingdern care to ailing dear.

Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Mauris in erat justo. Nullam ac urna eu felis dapibus condimentum sit amet a augue. Sed non neque elit. Fummy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad miniostrud exerci tation ulm hedi corper Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit. Nam nec tellus a odio tincidunt auctor a ornare odio. Sed non mauris vitae erat consequat auctor eu in elit. Class aptent taciti sociosqu ad litora torquent per conubia nostra. Etmmy text of the prnting and type news seting industrs standard known prin aretertook a printing and typenews galley type.Ut wisi enim ad minim veniam, quis laore nostrud exerci tation ulm hedi corper turet ipsum Morbi accumsan ipsum velit.