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  • Covid-19: should all children be vaccinated?

    Vaccination of children is routine and widely accepted - measles, mumps, polio, diphtheria, rotavirus, several types of meningitis, whooping cough ... the list goes on. It all starts in just a few weeks. What about Covid-19? Some countries are making rapid progress - the United States has already vaccinated 600,000 children between the ages of 12 and 15. He expects to have enough safety data to be even younger next year. The UK is turning to adults who should have given the first dose by the end of July, but have yet to make a decision about the children. There is a scientific question - will vaccinating children save lives? - The answer is complex because it can differ from country to country. There is also a moral and ethical dimension if doses for children save more lives if given to health workers and vulnerable adults in other countries. Very low risk of Covid in children One of the arguments for not vaccinating children against Covid is that they see relatively little benefit from it. "Fortunately, one of the few good things about this pandemic is that children are very rarely seriously affected by this infection," said Prof. Adam Finn, member of the United Kingdom Committee on Immunization and Immunization. Infections in children are almost always mild or asymptomatic; this is in stark contrast to older groups for whom vaccination campaigns are a priority. A study in seven countries published in The Lancet estimates that less than two out of every million children die with Covid during an epidemic. Even children with medical conditions that would increase the risk of Covid infection in adults are not currently vaccinated in the UK. Vaccination is only advised for those with a “very high risk of exposure and serious consequences” - which may include older children with severe disabilities in residential care. Vaccines are incredibly safe, but the risks and benefits still need to be carefully weighed. Some countries may benefit from vaccinating children There is another potential benefit of vaccinating children - it can save the lives of others. This is already the approach used for the flu. British children between the ages of two and 12 receive a nasal spray every year, mainly to protect their grandparents. One of the arguments is that the same treatment with Covid vaccines could contribute to increasing the immunity of the herd - the point at which the virus tries to spread because so many people are protected. Covid vaccines appear to prevent the spread of the virus very well. Just one dose seems to reduce the chance of infecting the virus by at least half, and even those who are still half infected are less likely to transmit it. It seems that children are not the main spreaders of the coronavirus, but older teenagers can still play a role. Coronavirus, schools and children - what are the risks? "There is conclusive evidence of transmission potential in high school, so vaccination can have an impact on overall transmission," said Dr. Adam Kucharski of the London School of Hygiene and Tropical Medicine. But there is no universal answer to whether it pays off. The UK immunization program is advancing rapidly and there have been major epidemics that have left immunity that can play a role. More than a quarter of 16-year-olds in the UK have antibodies to coronavirus in their blood, despite few vaccinations. Thus, the United Kingdom and similar countries may find that they have enough immunity to stop the spread of the virus without vaccinating children. "The situation is very different in countries where there are not many epidemics and there is not so much adult coverage, and it is also very difficult without vaccinating young groups," said Dr. Kučarski. Australia is a country struggling with vaccine hesitation, and places like New Zealand and Taiwan have covered the virus so well that there is virtually no immunity to the infection. Is that morally acceptable? It should be borne in mind who will not be vaccinated if a child is vaccinated for him. The World Health Organization says rich countries should postpone plans to vaccinate children and donate them to the rest of the world. Professor Andrew Pollard, who led clinical trials of the Oxford-AstraZeneca vaccine, said it was "morally wrong" to give preference to children. Professor Eleanor Riley, an immunologist at the University of Edinburgh, said: “There is a case of this and if there was an unlimited amount of vaccines we could go with those over 12, but that is not the case. "Ultimately, it is a political decision to decide whether to give our children an advantage over adults who die in their herds elsewhere in the world." https://www.bbc.com/news/health-57203521

  • If you are in your 40s and 50s, you will be able to do a lot of work, you will be able to enjoy your

    Researchers say that people who watch more television in middle age have a higher risk of brain damage in later years. Their research shows that excessive television viewing can lead to cognitive depletion and depletion of gray matter. Experts recommend choosing an activity that you will enjoy and stay true to instead of watching television. The more you watch television in your 40s, 50s and 60s, the more brain problems you will have in the years to come. According to researchers who presented three new papers at the American Heart Association conference on epidemiology, prevention, lifestyle and cardiometabolic health 2021 last week. Studies have used television viewing as a measure of sedentary behavior (i.e., time spent in a sitting position). The brain health was then measured by participants who answered questions about imaging habits, completed cognitive tests, and passed an MRI scan of the brain. Watching television is measured by how much content is spent in your spare time: A little TV watching (never or rarely) medium (sometimes) High (often / too much) The researchers ’findings show that people who report watching moderate or excessive amounts of television together have a greater cognitive decline and a decrease in gray matter in the brain during their lifetime. Gray matter is involved in decision making, hearing and vision and muscle control. Researchers have also found that the positive effects of physical activity are not necessarily sufficient to combat the negative effects of watching television. That doesn’t mean we should give up training. From their data, they calculated that an increase in the average daily TV time per person per hour was associated with a 0.5 percent decrease in the amount of gray matter. According to the American Heart Association website, the researchers linked sedentary and excessive sitting to a higher risk of heart disease, type 2 diabetes, colon and lung cancer, and premature death. Although this new research helps in this regard, Dr. Heather Snyder, vice president of the Alzheimer’s Society for Medicine and Science, suggests that we should not forget the difference between attribute and cause. “This study adds to similar studies that suggest a link between watching television and a subsequent cognitive decline in life, but do not prove the cause,” Snyder told Healthline. "More research is needed to understand this connection," he said. "For example, is it related to watching television or watching more TV shows shows you're less active?" Snyder says the most important thing to stay away from research is to think about what you can do besides watching television. It recommends choosing activities that we know are beneficial for heart, brain and body health. “A growing research team shows that more frequent exercise (if possible), a balanced diet, and engaging in social and cognitive activities can reduce the risk of cognitive decline,” he said. In other words, activities that support your overall health today may be the key to maintaining the health of your brain for years to come. What can you do today? When it comes to lifestyle changes, in the end it is your way of achieving the best results. You know what to stick to and what not to do. Synder recommends, "Instead of taking a remote, take an interesting book or take a walk." At the same time, personal commitment is important. This means that if you are not a book reader, don’t decide to turn all your TV hours into reading a novel. Not because it's a bad idea. It doesn’t just cause constant change. Instead, choose activities that you enjoy, so you are more likely to continue to choose on TV. These may include moderate aerobic activities recommended by the AHA: brisk walking (at least 2.5 miles per hour) water aerobics dance (ballroom or social) Horticulture tennis (pair) ride a bike slower than 10 miles per hour These may include stronger and more intensive activities recommended by the AHA: climb or hike with a heavy backpack run swimming tours aerobic dance heavy gardening work, such as continuous drilling or anchoring tennis (singles) ride a bike 10 miles or more per hour skipping rope You can also select multiple inactive activities that stimulate brain activity, such as knitting, solving puzzles, or playing an instrument. No matter what you do, the next time you travel long distances, think about your brain health after 20 years and ask yourself, is this a healthy way to waste time for me?

  • FDA approves first drug with hope for Alzheimer's

    A controversial drug from Cambridge-based Biogen that aims to slow the progression of the deadly disease in people with early symptoms. Seven months after an advisory panel of medical professionals concluded that Biogen did not provide enough evidence to recommend approval, the Food and Drug Administration rejected that recommendation and approved the drug, called aducanumab. When launched, it will enter under the Aduhelm brand and is expected to generate billions of dollars in annual revenue. The company was not told how much it would cost. But FDA approval required Biogen to run a larger clinical trial that showed that its ability to remove a substance called amyloid, which builds up in the brains of Alzheimer's patients, has cognitive benefits. Without this approval, Biogen will eventually have to stop marketing the drug. Director of the FDA Center for Drug Evaluation and Research, Dr. "Aduhelm is the first new treatment approved for Alzheimer's disease since 2003," Patricia Cavazzoni said in a statement. "Perhaps more importantly, Aduhelm is the first treatment to address the underlying pathophysiology of Alzheimer's disease, the presence of amyloid beta plaques in the brain." The decision will be applauded by Alzheimer's patients, their families and advocates, who are hungry for a drug more effective than the five previously approved drugs. Alzheimer's affects an estimated 5.8 million Americans and is the sixth leading cause of death in the United States. It was also a victory for Biogen, which has the largest headcount of any domestic pharmaceutical company in Massachusetts; About 2,400 of its 9,100 employees worldwide work in the state. “This historic moment is the culmination of more than a decade of groundbreaking research in the complex field of Alzheimer's disease,” said Michel Vounatsos, CEO of Biogen. We believe this world-class drug will transform the treatment of people living with Alzheimer's disease and trigger continuous innovation for years to come.” Specializing in the treatment of neurological disorders such as multiple sclerosis, Biogen had made aducanumab a key component in its long-term business strategy. The biotech added 1,700 employees to its global workforce in 2020, at least in part in anticipation of aducanumab approval. It also established a $1 billion facility in Switzerland to assist in the manufacture of the drug. The drug is designed to treat patients in the early stages of the disease, and some experts estimate that about 2 million people in the United States may be eligible to take the drug. Maria Carrillo, chief science officer for the Alzheimer's Association, a Chicago-based advocacy group, said recently that aducanumab isn't perfect, but families are desperate for a treatment that will keep their loved ones' minds intact longer early in the disease. The association commissioned celebrities such as Samuel L. Jackson to lobby for approval in a campaign called "More Time." Jackson lost several members of his family to the disease, including his mother, who died in 2012. Some, however, opposed approval. They said they wouldn't prescribe the drug because they weren't convinced it worked, given the conflicting results of two late-stage clinical trials. Also, aducanumab is not without risk for patients. Three out of 10 patients who received high doses in clinical studies had brain swelling detectable on an MRI scan. This did not usually cause serious symptoms, but did cause confusion and falls in some patients. Aducanumab is a monoclonal antibody made from immune cells of elderly people with little or no cognitive decline. The researchers designed it to remove a sticky substance called beta amyloid that builds up in the brains of Alzheimer's patients. Research shows it does this well. But it's unclear whether reducing amyloid plaques, whose role in Alzheimer's has been fiercely debated for decades, slows the disease process that kills brain cells and affects memory and thinking. The drug's adventure has been marked by rising hopes and discouraging setbacks that have rattled Biogen's stock valuation by billions of dollars in recent years. After aducanumab showed promise in 2015, Biogen launched two late-stage trials, but they were discontinued in March 2019 after an independent monitoring panel concluded that the drug didn't work. In a stunning comeback in October 2019, Biogen announced that analysis of additional data has led to a resurgence of the drug. In one of the trials, people given aducanumab fell 22 percent slower than those given a placebo. The other trial failed. Still, Biogen concluded that aducanumab slows cognitive decline and that the key to effectiveness is to give patients high enough doses. The FDA typically requires two convincing studies for a drug to be approved, but has made exceptions, especially for deadly or devastating diseases for which there are no effective treatments. Biogen, a Japanese drug on aducanumab. https://www.bostonglobe.com/2021/06/07/business/fda-oks-biogens-alzheimers-drug-first-new-medicine-disease-18-years/

  • Empty Sella Syndrome

    Empty sella syndrome occurs in two different conditions as primary and secondary. Primary empty sella syndrome This situation occurs as a result of the overflow of the arachnoid membrane (brain membrane) into the anatomical structure called sella turcica. It can be caused by recurrent cerebrospinal fluid (CSF) pulsations or mass effect. The sella enlarges and the pituitary gland may become compressed. Its incidence in the general population is 8-35%. It is 5 times more common in women than men. Most such patients are middle-aged, obese, and hypertensive women. It is more common in patients with pituitary tumors. Patients most often complain of headache. Later symptoms are dizziness, epileptic seizures, visual disturbances, menstrual irregularities, milk coming from the breasts; Rarely, nasal CSF can be observed. The diagnosis can be made by the presence of deterioration in the pituitary hormone profile and by brain MRI. In its treatment, it usually does not require surgery unless there is no nasal CSF. Secondary empty sella syndrome It is the occurrence of visual disturbances after a successful pituitary tumor surgery. It occurs due to the prolapse of the optic chiasm (the anatomical structure formed by the optic nerve) into the sella. Dr.Tamer Tekin

  • What Are the Types of Spinal Cord Tumors?

    Your spinal cord is a tube-shaped space that runs from the base of your brain to the bottom of your spine. It houses nerves that send messages between your brain and body. Tumors can grow along the spinal cord, as in other parts of your body, such as the lungs or liver. A tumor forms in the spinal cord when cells grow too quickly. They can hurt you because they can compress and damage the spinal cord. They can cause symptoms such as weakness, numbness, and even paralysis on both sides of the body. Tumor Basics You may hear your doctor talk about "grades" of tumors. The lower its grade, the slower it grows. Grade 1 and 2 tumors grow more slowly than grade 3 and 4. If you hear your doctor or nurse talk about a "malignant" tumor, it means it's cancer. It is not a "benign" tumor. The type of treatment you get depends on this important difference, among many other things. Here are some types of tumors and brief information about each: Astrocytomas These grow in star-shaped cells called astrocytes in the brain and spinal cord. They belong to a group of tumors called gliomas. All gliomas grow from "glial cells" that support and protect your nerve fibers. Some astrocytomas grow very slowly. Others grow faster. When the tumor presses on the nerves of the spine, it can cause symptoms such as weakness in the arms or legs, difficulty walking or problems controlling when you go to the toilet. What symptoms you have depends on where the tumor is and how large it has grown. Ependymomas These are tumors that may have fluid-filled growths in them. They are also a type of glioma. They grow in the middle of the spinal cord. Ependymomas themselves come in several different types. Some grow in the brain. Others are in the spinal cord. Myxopapillary ependymoma is a rare type that grows in the lower part of the spinal cord. The symptoms you have depend on the size of the tumor and its location. Symptoms include nausea, vomiting, headache, drowsiness, and difficulty controlling when you go to the toilet. This type of tumor usually grows slowly. It rarely spreads to other organs. Doctors treat them with surgery followed by radiation. Hemangioblastomas This rare type of tumor starts in the outer wall of the blood vessels in your brain and spinal cord. It's not usually cancerous, but if it grows and presses on your spinal cord, it can cause symptoms such as weakness in your legs and problems with balance. Hemangioblastomas are more common in people with "von Hippel-Lindau syndrome." VHL is an inherited disease that causes tumors and cysts to form in many different parts of the body. Meningiomas About 25% of spinal cord tumors are of this type. They are more common in women than men and usually start in middle age or later. They grow in the meninges, the three membranes that cover and protect your brain and spinal cord. They are not usually cancerous, but those that can spread. These tumors usually form in the spine in the middle of your back. When they press on nerves, they can cause symptoms such as pain, weakness, or numbness in the arms or legs. You may have trouble controlling your bladder or bowels. These symptoms may get worse as the tumor grows. neurofibromas This is a type of tumor that grows in the nerves of the spine. It is more common in people with a condition called neurofibromatosis type 1 or NF1. NF1 causes clusters of tumors to grow around the body, usually on or just below the skin. These tumors are not cancerous. Neurofibromas grow slowly. Most people who have them on their spine do not have any symptoms. Rarely, there may be back pain, weakness, or numbness in an arm or leg with this type of tumor. Schwannomas They grow from Schwann cells. These cells form the myelin sheath that protects your nerve cells. You may be more likely to have this type of tumor if any of your family members have had spinal cancer or if you have NF2, another type of neurofibromatosis. Schwannomas are almost never cancerous. They can still grow and put pressure on the spinal cord. This pressure can damage nerves and cause pain, numbness, and weakness in your legs.

  • Low Back Pain We Often Encounter in Daily Life

    Most of us have experienced back pain at least once in our lives. Studies have shown that 80% of people around the world experience moderate to long-term pain periods at certain times in their lives. The main causes of back pain are: Postural disorder compulsive movements Posture disorders Weaknesses in the abdominal region Weaknesses in the back and waist area Traffic accident, trauma, fall Scoliosis Heavy workers (hilti and drill users, exposed to vibration) Those involved in sports such as American football, rugby, tennis, football stay the same without breaking the position being overweight Trying to live without exercise Living an unhappy, depressed, stressful life Complaints related to mechanical low back pain: Limitation in movements difficulty walking Difficulty going up and down stairs Increased pain due to prolonged inactivity Causes of mechanical low back pain: Overstrain of muscles and ligaments Wear of discs as a result of repetitive movements Age-related Spondolysis (Calcification) Spondylolisthesis (Slipped vertebra) wrong sport heavy lifting Challenging exercises Spinal stenosis (narrowing of the spinal canal) Scoliosis (curvature of the spine) Postural, posture and sitting disorders Other factors that cause mechanical low back pain are: Osteoporosis (Bone loss) soft tissue rheumatism Vascular problems Infection and tumors ankylosing spondolitis Tips for those with low back pain: They should rest for a minimum of two days and a maximum of one week. Medications to be taken in consultation with the doctor during this period provide some relief from the pain and make your life a bit more comfortable. In cases where the drugs are insufficient, the doctor's injecting you into the sensitive points for your low back pain is also among the treatment options. In the early stages of low back pain, corsets and elastic bands can also be used to relieve pain and support the waist area. However, these supportive materials should be used for a short time because in long-term use, it causes atrophy (muscle shrinkage and muscle weakness). Another option is the use of physical therapy and rehabilitation facilities. Methods such as hot/cold massage, use of stimulation devices, traction, ultrasound, thermal regulation are additional measures to relieve low back pain. Despite all this, if you have suffered from low back pain with increasing complaints such as loss of strength in the legs, pain that does not go away despite interventions, urinary and fecal incontinence, as there is no reduction in pain, then there is a situation that you cannot avoid: surgery. It should not be forgotten that surgery is a last resort. In fact, one of the most effective and most important ways to ensure that all these are not needed is to exercise. The incidence of low back pain is very low in those who have a strong abdomen and developed lower back muscles. Back pain and discomfort are inevitable for those whose abdominal muscles are weakened, those who do not do these exercises enough, those who have recently gained weight, pregnant women, and mothers who have given birth.

  • Exercise recommendations for back pain

    Spine specialists agree that physical activity is important for people with low back pain. Most people are surprised to learn that carefully selected exercises can reduce pain. Some exercises can provide quick and significant relief from low back pain by accelerating recovery. Once the pain subsides or disappears, other exercises can help to restore and restore back movement and back muscle strength. These will help you achieve a full recovery and prevent pain from reappearing. Most doctors do not consider the increase in pain during activity significant unless it continues after activity. So try to stay active. Please note that the information I provide here is only a guide. Not all exercises are suitable for everyone. If your pain becomes much worse while exercising, stop exercising and notify your healthcare provider. Good low back treatment consists of pain-relieving exercises and moderate strengthening exercises followed by proper stretching. Taking care of yourself using these techniques is a good defense to prevent symptoms later on, but can also help you heal. Some of the exercises against back pain are as follows; Walking: Start with 10 minutes and work your way up to 30 minutes or more. Increase the distance and walking speed as much as you can. Standing Stretch: Place your hands with your fingers behind your waist. Bend back as far as you can, pressing inward with your fingers. Hold that for a second or two. Repeat 10 times, trying to bend more each time. Repeat every 2 hours unless your pain gets worse. Prone, Elbows Stand: Get up on your elbows and hollow your lower back. Stay like this for 10 seconds. Repeat 3 times. Repeat every 2 hours unless pain worsens. Prone, Hands-On Stance: Get up on your hands and hollow your lower back. Hold this position for 1-2 seconds. Return to the prone position. Repeat 10 times, hollowing your waist a little more each time. Repeat every 2 hours unless pain worsens. Standing Posture: Keeping the chin in, pull the head back, ears and shoulders should be in line with the hips and balanced on the feet (good posture shown on the left, poor posture shown on the right). Posture While Sitting: Ears and shoulders should stay aligned and on the hips, the dimple formed in the lower back when standing should also be present when sitting (poor posture shown on the left, good posture on the right). Supine, Single Knee Pull: Pull a series of pulls to the ribcage and continue to pull gently for 10 seconds without breaking the position. Repeat 3 times. Do this for each leg. Supine, Two Knees Pull: Pull both knees to the ribcage and continue to pull gently for 10 seconds without breaking the position. Repeat 3 times. Do this 2-3 times a day, unless the pain gets worse. Prone, Head and Shoulders Raise: Bring hands together at back and lift head and shoulders off ground. Hold this position for 5 to 10 seconds. Repeat 3 times. Prone, Topile Exercise: Bring hands together on back and raise head and shoulders up. Hold this position for 5 to 10 seconds. Repeat 3 times.

  • What is Full Endoscopic Lumbar Hernia Surgery?

    Endoscopic lumbar hernia surgery is called full endoscopic lumbar hernia surgery. In other words, during the operation, the surgeon uses camera devices and video imaging equipment, which we call endoscopes. Its technological superiority is that it provides a great advantage over the classical surgical procedure by giving less harm to the patient. The same procedure is performed with an incision that is only 1 cm in diameter, that is, the diameter of a 25-cent coin. It is a known fact that it recurs at a rate of 5% in herniated disc surgeries. That's why; It is very important to reduce the formation of scar tissue around the nerve. The advantage of this surgical technique is that there is less bleeding, it can be entered through the muscles without trauma, and the bones and ligaments are largely preserved. The fact that it can be performed with local anesthesia, that is, the patient does not need to be put to sleep during surgery, provides an advantage, especially in elderly and risky patients with additional diseases. It is also very comfortable after surgery. The patient can be discharged within hours. According to scientific studies, the postoperative pain score of the herniated disc surgeries performed as fully closed is lower than the microsurgical disc herniation surgeries. The recurrence rate is 5%. That's why I say the smaller the incision, the more comfort. Dr. Tamer Tekin

  • Burst Fracture (Explosion Spine Fracture)

    The spine is made up of 33 bones called vertebrae that protect the spinal cord. The spaces between the vertebrae allow nerves to travel from the spinal cord to various parts of the body. A compression fracture is a condition in which a vertebra is crushed only at the front of the spine, causing a wedge shape. If each region of a vertebra is crushed, the condition is called a burst fracture. Burst fractures are much more severe than compression fractures. Bones spread in all directions and can damage the spinal cord. This damage can cause paralysis or injury to the nerves that control the body's ability to move or feel sensations. Burst fracture symptoms include: Moderate to severe back pain that increases with movement Numbness, tingling and weakness Failure to properly empty the bowel or bladder if spinal cord injury is involved Causes and Risk Factors Burst fractures are usually the result of a motor vehicle accident or fall from a height. Diagnosis A doctor usually bases the diagnosis on: How the injury occurred A physical exam to check for swelling, bruising, or injury to the head, chest, stomach, and back, and to evaluate the strength, movement, and coordination of the arms and legs Testing the tone and feel of the muscles that allow the movement of solid waste through the rectum Nerve testing to assess movement, ability to sense sensations, and reflex movements x-ray Computed tomography (CT) scans magnetic resonance imaging (MRI) Treatment Treatment depends on how bad the burst fracture is. Options may include non-surgical approaches or surgery. Surgical treatment is usually recommended if there is pressure on the spinal cord, nerve roots, or both. The surgeon performs a spinal fusion to stabilize the spine with grafts and other implants, as well as to relieve pressure on the vertebrae and nerves. Spinal fusion is to fix the spine with titanium screw and rod systems. Meanwhile, any bone that is in contact with the spinal cord or nerve roots is removed.

  • Endoskopik Bel Fıtığı Ameliyatı

    Low back pain constitutes a large part of the reasons for patients to apply to the outpatient clinic in the world. A disc herniation is diagnosed in some of the patients who have low back pain and additionally leg pain. Lumbar hernia is a disease that occurs when the discs that act as shock absorbers between our vertebrae are ruptured and the part that protrudes outwards presses on the nerve. This pressure on the nerve aggravates the pain as it gradually increases in the inflammatory process, stretches the lumbar muscles, and this leads to low back pain. In addition, pain radiating to the leg, which we call sciatica, towards nerve-related muscle groups, also occurs. In advanced levels, paralysis; Findings leading to urinary and stool incontinence can be detected. Technology makes important contributions to our lives. This was reflected in the field of medicine, especially in the 20th century, and it rapidly developed. These technologies have enabled the same procedures to be performed with small incisions, with less harm to patients, which we call minimally invasive, especially in surgical areas. Thus, endoscopic lumbar hernia surgeries have started to be applied in spinal surgery as well. In this way, patients regain their health in a more comfortable and faster way. In the field of neurosurgery, the use of both the microscope and the endoscope has provided great advantages in spinal surgery. Enlarging the nerve tissues to see them more clearly has made the complication rates extremely low. It was applied for the first time by a Japanese doctor, Hijikata, in 1975 and continues to be applied by developing today. This technique, which can be considered new, can be performed in a small number of centers due to the expensiveness of the devices and equipment and the fact that the doctors have not received training on this subject. The technique is applied by entering from the middle of the waist or from the side, as in the classical approach. A 1 cm incision is made and a 1 cm diameter tube is entered without damaging the muscles. In this tube, the operation is performed using an endoscope and small surgical instruments. The patient can stand up on the same day. After 2 weeks, he can return to his normal life. The advantage of this technique over other classical methods is that it causes little damage to the tissues. There is very little bleeding. You do not need to take the bone tissue to reach the hernia. The operation time is short. It is possible to perform this operation even with local anesthesia. The recurrence rate is equivalent to the microsurgical technique.

  • For chronic lower back pain, yoga may work as well as physical therapy

    Besides pain medicine, physical therapy is a common prescription for people with chronic back pain. Might yoga be a reasonable alternative? This study...DEVAMI Source : https://www.washingtonpost.com/national/health-science/for-chronic-lower-back-pain-yoga-may-work-as-well-as-physical-therapy/2017/06/16/acfbc116-51e5-11e7-be25-3a519335381c_story.html?utm_term=.6e623dc9521c http://annals.org/aim/article/2633222/yoga-physical-therapy-education-chronic-low-back-pain-randomized-noninferiority

  • A single radiation treatment sufficiently relieves spinal cord compression symptoms

    "Spinal cord compression is a debilitating condition that many patients with advanced cancer experience. ..DEVAMI Source: https://www.sciencedaily.com/releases/2017/06/170604143804.htm https://www.asco.org/about-asco/press-center/news-releases/single-radiation-treatment-sufficiently-relieves-spinal-cord

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