Friday, February 21, 2020

Aging and The Prostate: What Every Man Should Know


For Flowmentum

As a man, you know you have one, but until you reach a certain age you probably never think about your prostate. That’s because when other parts of the body stop growing by the age of 25, the prostate is likely to gradually enlarge, beginning around age 40. And eventually, this prostate enlargement can lead to more frequent trips to the bathroom. (published site)

Tuesday, December 3, 2019

Liver cancer rates on the rise

Rising obesity may be contributing
to a rise in liver cancer ratesFo
For Cancer Digest

Liver cancer death rates have increased by around 50% in the last decade and have tripled since records began, according to the latest calculations* by Cancer Research UK.

There were 3,200 liver cancer deaths in the UK in 2007, and the mortality rate has steadily climbed since then with 5,700 deaths due to the disease in 2017, researchers at Cancer Research UK say. 

Is The SI Joint A Pain Generator That Can Be Addressed By Fusion?


Often overlooked in a diagnostic workup for lower back pain, the sacroiliac joints are estimated to be the pain generator in 15% to 25% of patients1.
Causes
Causes of sacroiliac (SI) joint pain range from trauma to ankylosing spondylitis. Other causes include mechanical stress, prior spinal fusion, pregnancy, gout, obesity, and aging. Once a SI joint is identified as a pain generator, the question turns to treatment options. (published site)
Treatment
Conservative treatments include physical therapy, chiropractic treatment, and stretching exercises can alleviate the pain in many patients. Anti-inflammatory medications, heat, and braces may also be used. For those whose paint persists, fluoroscopy-guided injections of corticosteroids or analgesics may be helpful. Nerve ablation may also be an option.

When conservative treatment is ineffective, surgery had been rarely considered until the introduction of minimally invasive fusion in 2004.2 Since then a number of studies, and reviews have concluded that MIS SI joint fusion appears to be a safe and effective procedure for the treatment of pain generating from the sacroiliac joint.

Research
A retrospective 2012 study3 of 50 consecutive patients treated with minimally invasive SI joint fusion using triangular titanium implants by a single surgeon resulted in no change from baseline scores for lifting ability, with patient-reported satisfaction scores above 90% at 3 months, and above 80% at 6- and 12-months post-surgery.

In a 2013 prospective study4 involving 94 patients treated with SI joint fusion at 23 sites in the US, the visual analog scale (VAS) scores improved from a baseline of 76 to 29 at six months post-surgery, and the Oswestry Disability Index (ODI) scores improved from 55.3 to 38.9, leading the researchers to conclude that MIS joint fusion produced high rates of pain improvement, function and patient satisfaction.

Several types of devices have been used in these procedures including triangular titanium cages, titanium plasma coated implants, hollow modular screws, allograft dowels, autograft iliac bone plugs.

The consistent success of MIS SI joint fusion in multiple studies led the International Society for the Advancement of Spine Surgery (ISASS) to issue a policy statement in 2014.5 The policy concluded in part that not only is the prevalence of SI Joint pain high but is most likely under diagnosed. In reviewing the literature, the ISASS concluded that MIS for SI joint pain should be considered in eligible patients.

“Minimally invasive SI joint fusion is a safe and effective procedure for patients with unremitting pain due to SI joint disorders,” the reviewers wrote. “Published literature consistently reports a low re-operation rate (<5%) along with highly favorable patient outcomes; 88% average reported rate of clinically significant reduction in pain. Furthermore, these outcomes are consistent, replicable and durable across surgeons and geographic regions.”

With the goal of achieving superior surgical outcomes for patients, Omnia Medical's PsiF (Posterior SI Fusion System) offers innovative instrumentation for reproducible results. PsiF allows for a familiar prone patient position and identifiable landmarks for initial incision and has a well-designed implant made of structural allograft bone for easy posterior insertion into the SI joint.

Omnia Medical’s mission is to develop novel products that reduce operative time through safe and reproducible instrumentation, while achieving superior surgical outcomes. Our ongoing collaborations with surgeons help us achieve that by providing continuous insight into developments for surgical needs and patient outcomes. For more information contact us by email at customerservice@omniamedical.com, or by phone at 304-413-4851.

  1. 1.Pain Physician. 2012 May-Jun;15(3):E305-44
  2. 2.Eur Spine J. 2004 May; 13(3): 253–256
  3. 3.Open Orthop J. 2012; 6: 495–502
  4. 4.Med Devices (Auckl). 2013; 6: 219–229.
  5. 5.Int J Spine Surg. 2014; 8: 25.

Wednesday, October 30, 2019

Realizing The Promise Of Telemedicine

For Percuvision

The idea of doctors making house calls has been a persistent idyllic dream that resonates with many people’s desire to return to simpler times when the town’s doctor knew everyone.

While such times are never going to return, at least part of the promise of telehealth, or telemedicine is that patients can receive care from the comfort of their own homes. No more driving through traffic or over long distances, parking and waiting rooms, just a click of the mouse at the appointed time and your doctor appears on screen. (published site)

Monday, July 22, 2019

Physician Tips: What is the Future of Wearables in Healthcare?

Fourth in a series on wearable healthcare devices for Fibronostics


The future of medical wearables is bright by all counts, the market is expected to reach $100 billion by 2027, according to market research and business intelligence firm IDTechEX. What is less certain is what impact these devices will have on healthcare. (published site)

Monday, July 15, 2019

Physician Tips: What Wearables Are Being Used Now For Healthcare

For Fibronostics

Third in a series about the development of wearable medical devices

One of the challenges of making wearable medical devices clinically useful is making sense of the deluge of data these devices can generate and more importantly extracting relevant and actionable information for clinical decision-making. (published site)

Decompression of Lumbar Spinal Stenosis Using iO-Flex® MBS Device

Patients with severe lower back pain due to narrowed passages for spinal nerves obtained sustained significant relief with a new, minimally invasive procedure, a new study shows.[1]

The new procedure uses a flexible rasp-like device to remove bone and tissue to enlarge the opening, called the foramen, where nerves exit the spinal canal and extend to the limbs. The new device, called iO-Flex® allows the surgeon to remove just enough bone to open up the passageway and take the pressure off the nerve without removing so much bone that the spine becomes unstable.
(published site)