Untitled

The Obalon gastric Balloon System is followed to assist weight loss by partially filling the stomach. The System consists of up to 3 intragastric balloons placed during a 6-month period. This balloon system indicated for temporary use to facilitate weight loss in adults with obesity (BMI of 30 – 40 kg/m2) who has failed to lose weight through diet and exercise .While surgical procedures like gastric bypass are typically reserved for people with a body mass index (BMI) of 35 or higher.

The treatment itself takes six months, but the entire program should take 12 months. You must follow a dietary and exercise program during the entire period of 12 months.

Procedure for obalon gastric balloon

         The procedure is the same for each balloon, the doctor advances a thin tube loaded with the intragastric balloon down your throat into your stomach. The balloon is inserted via a pill that is swallowed with a glass of water. It is inflated with gas. The gas may reduce the risk of acute pancreatitis that can occur with saline-filled balloons.

A total of 3 balloons are inserted. The second balloon is added a month after the first one, and the third is added during the second month.

Eligibility of treatment  

You can take the Obalon Balloon System means, if you have a body mass index (BMI) between 30 to 40 kg/m2 and are 22 years or older. You should not use this treatment if you have had prior stomach surgeries, such as gastric bypass, and if you are extremely obese with a BMI much higher than 40.

You're willing to commit to healthy lifestyle changes, get regular medical follow-up and participate in behavioral therapy. The amount of weight lost in the long-term will be determined by the patient’s willingness and ability to carry what they learned over once the six-month period is finished

How its work

With this system, patients swallow a capsule that contains the balloon. The balloon is inflated with a nitrogen gas mixture by the physician using a thin tube during an in-office procedure.

The Obalon Balloon System uses three intragastric balloons that occupy space in your stomach to make you feel full faster. Placement of the Obalon Balloon System typically takes less than 10 minutes per balloon and does not require sedation. Obalon is folded and compressed in a 6-g dissolvable gelatin capsule connected to a very thin catheter, which is required for inflation of the balloon after it has reached the gastric funds. They will place the second balloon approximately one month later.

The last balloon is placed approximately 2-3 months into your treatment. After placement, most patients returned to normal activities with no downtime. All three balloons are removed by a brief, approximately 15 minute, outpatient endoscopic procedure which is performed under light, conscious sedation

What to expect after treatment

After the Obalon Balloons are removed from your stomach, you should follow the customized diet and exercise program and consult with your dietitian or nutritionist for the next six months. Your physician will work closely with you to help develop healthy eating and exercise habits, such as making the right food choices and limiting yourself to appropriate portion sizes.

The amount of weight you lose also depends on how much you can change your lifestyle habits including diet and exercise. Although the gastric balloon is temporary and is removed after six months, patients experienced continued weight loss six months after removal.  That benefit also continued in a small fraction of patients who have been followed for over five years after balloon removal.

Risks or side effects

            The majority of the peoples reported as mild and consisted of abdominal pain and nausea.  However these symptoms usually for a few days after balloon placement. These symptoms can usually be managed with oral medications at home.

           Overall 4.2% of patients had the gastric balloon removed early for intolerance.  Rare serious side effects such as migration and bowel obstruction or perforation occurred in 0.1-0.8% of cases respectively.

           Difficulty sleeping may occur. Sleep disturbances may be related to an uncomfortable stomach or acid reflux while lying down. Serious side effects were less than 0.3%. Your physician will discuss more details on the potential side effects.

Colon cancer is a disease which is abnormal cells form in the colon or rectum divide uncontrollably. Colon Cancer cells forming at the age of 50 to 75 are screened for colorectal cancer. People ignore it to increased risk of getting colon cancer.

Colon Cancer screening is the process of looking for cancer in people who have no symptoms. Tests that can be used to screen a person for specific types of cancer before signs or symptoms appear.

Screening test for colon cancer

Several screening tests can be used to find polyps or colon cancer. You might be able to choose from various colon cancer screening tests. Doctors generally recommend that people with an average risk of colon cancer begin screening around age 50.

Stool test

           This method checks your stool for blood. Cancers can form small amounts of bleeding that no one seen with eye. Three types of stool tests are approved by the Food and Drug Administration

Sigmoidoscopy test

         In this test followed by a flexible lighted tube with a lens for viewing at the inside of the colon and rectum for any abnormal areas that might be cancer or polyps and a tool for removing tissue.

Risk for colorectal cancer

         A risk factor is anything that raises your chance of getting a disease such as cancer. Although risk factors often influence the development of cancer, most do not directly cause cancer. Healthy cells grow and divide in an orderly way to keep your body functioning normally. High-risk groups are such as patients with a family history or personal history. About 90% of cases occur in people who are 50 years old or older. The cancer cells can grow to invade and destroy normal tissue nearby. And cancerous cells can travel to other parts of the body to form deposits there. And some of the following things including to increased colon cancer.

·         Older age

·         history of Colon Cancer or polyp

·         Inflammatory intestinal condition

·         Inherited syndromes that increase colon cancer risk

·         Family history of colon cancer

·         Low-fiber and high-fat diet

·         A sedentary lifestyle

·         Diabetes

·         Obesity

·         Smoking

·         Alcohol

·         Radiation therapy for cancer

Who need for Colon Cancer treatment?

Most groups generally recommend that people at average risk of Colon Cancer get screened at regular intervals beginning at age 50 years. Recommended starting screening at age 45 because of the increasing incidence of Colon Cancer in younger people. Black people should start receiving screening at age 45 because they are more often diagnosed at a younger age.  However, you may need to be tested earlier than 50.

Colonoscopy is a procedure is performed by a doctor experienced to see the entire large intestine to find the cause of problems in a part of the intestine it is take approximately 30-60 minutes. During this procedure your doctor uses tiny camera and the flexible tube to check for abnormalities. Also your doctor checks for colorectal cancer in this procedure.

Why you will need colonoscopy

To use colonoscopy procedure doctors easily find out the following symptoms. he benefits of detecting problems and beginning treatment far outweigh the risks of complications from a colonoscopy That as

Abdomen pain  

changes in your bowel activity,     (e.g.)diarrhea

bleeding from your anus

unexplained weight loss

look for signs of cancers and other problems

The technology for colonoscopy has evolved to provide a very clear image of the mucosa through a video camera attached to the end of the scope. The camera connects to a computer, which can store and print color images selected during the procedure.

Who are participated for colonoscopy?

Colonoscopy done for a variety of reasons The People age between 45-50, and high risks of colorectal cancer should need a colonoscopy procedure. And some of the following criteria are including these colonoscopy procedures. Previous history of polyps or colon cancer and certain individuals with a family history 

Doing before colonoscopy

You should talk with your doctor about any health problems, Tell your doctor about all the medications you take, including any vitamins, herbs, or supplements also allergies or medical conditions you have. Most medications should be continued as usual, but some may interfere with the examination and you may need to follow a clear liquid diet for 1 to 3 days before the procedure.

During the colonoscopy

This procedure to take about 30 to 60 minutes on time you’ll lie on a table while the doctor inserts a colonoscopy through your anus and into your rectum and colon. And the doctors move the tables step by step while adjusting the table to clear view.

To start the procedure, the doctor blows some air through the small tube into your colon. so the doctor can move it around the curves of your colon. and remove polyps and will send them to a lab for testing. You will not feel the polyp removal.

After the colonoscopy

You’ll stay at the hospital or outpatient center for 1 to 2 hours after the procedure. You may feel some cramping or a sensation of having gas, but this usually passes quickly. And you can resume your normal food diet.

Contact your doctor immediately if any of the following problems

§  Fever

§  Dizziness

§  Weakness

§  Belly pain 

Expectation or result of colonoscopy

§  You may feel cramping in your abdomen

§  Follow instructions on how to care for yourself after the procedure

§  Feel Better

§  Return to your normal diet by the next day

                      Sometimes Doctors recommend surgery to reduce weight, and there are many surgeries to Decrease your excess weight, most commonly some peoples taking diet or exercise and getting failed to loss their weight. Finally he or she decides to decrease their weight by the way of taking surgery.

                      Gastric Sleeve surgery is the best way to reduce the body weight A gastric sleeve procedure surgically decreases the size of the stomach A surgeon removes part of the stomach it is a bariatric procedure that removes 75-80% of the stomach. A person must follow a strict diet that allows the body to recover and adjust to a smaller stomach capacity.

Diet role in GSS

                      Diet plays a major role in Gastric sleeve surgery; doctors prefer to take a diet for at least one month before taking a Gastric Sleeve surgery that’s gives a better result. Keep in mind that you have to change the way you eat forever. After that first month, you'll switch to eating soft solid foods very slowly, Avoiding high calories food and snacks. This diet is not only before taking ESS, also you will continue your diet for 2 or 3 months, is also very important.

Before Diet Gastric Sleeve surgery

                 The people, who are overweight, are also you having a larger liver. It is very risky, however the large liver is increases your surgical risk. Reduce your intake of saturated fats, including whole milk products, fatty meat, and fried foods.

                      The pre-op diet helps reduce fatty deposits around the liver, which improves surgical access to the stomach. Protein also helps to strong your which also speed up recovery. Breads and pasta are not bad in and of themselves, but limiting their intake can have a positive effect on your weight. 

                      This makes your surgery safer, you healthier, and prepares you for your diet the first few weeks after few weeks after surgery.

·        protein consumption gives good result

          Eat balanced meals with small portions. Diet low in calories, fats and sweets. Avoid hardy foods like rice, bread, raw vegetables and fresh fruits, as well as meats that are not easily chewed, such as pork and steak. Ground meats are usually better tolerated. You can eat High-protein foods include eggs, meats, fish, seafood, tuna, poultry, soy milk, tofu, cottage cheese, yogurt and milk products. You can take minimum of 65 to 75 grams of protein per day. That’s enough is died gives a better result.

After Diet Gastric Sleeve surgery

Before diet is common for all weight loss surgeries, but after surgery you can control your diet and follow some liquid diet it is very important to recover quickly. This diet is consist of some stages, by the way to increase your diet intake stage by stage.

·        Stage 1

As very first stage you can only consume or take liquid food only, better for sugar free liquid like Water, Jell-O, sugar free Popsicles, Decaf tea, Decaf coffee, Broth and whatever food contained low sugars. Continue to this diet for one week

 ·        Stage 2

In this stage you can take a pureed or mashed foods like soups, Non fat yogurt, low fat cottage cheese,  creamed soups With no chunks, Sugar free juice, skim milk with protein powder, Sugar free, nonfat ice cream. Continue to this diet for 7 days.

·        Finally getting result from GSS

                      Finally you can take some less sugar added foods, some fruits and veggies. Small meals each day and hydrate in-between meals, you may need a small healthy snack. If your surgeon approves this, Gastric sleeve surgery is a life-changing procedure. Weight loss may be slow at first after gastric sleeve surgery, but over a year or two, it is possible to attain a moderate weight. Over the next several months, you can slowly build up to strength training and cardio workouts.

Now a days some peoples struggle with over body weight and higher cholesterol level, and also, they are need to take some dieting or surgery to reduce their weight. But the endoscopic sleeve gastroplasty is a useful tool for reducing your weight. The procedure recreates what would occur at a surgical sleeve gastrectomy though without the need for any surgery. although it's not designed to be a temporary procedure, endoscopic sleeve gastroplasty can be converted to other bariatric surgery.

How the Endoscopic sleeve gastroplasty works

             This procedure is done by using a camera combined with the flexible tube and an endoscopic device. That camera allows to see what is inside of your stomach and safest way to operate. Using the endoscope, the doctor places approximately 12 sutures in the stomach. The sutures change the structure of your stomach This restricts the number of calories your body absorbs and the amount of food you can eat. This procedure takes approximately 90 minutes. Some peoples go home for the same day.

Who Are Participate to ESG

    Endoscopic sleeve gastroplasty have some restrictions that are

1. Age above 18

2. This procedure is for those who are significantly overweight with a BMI of 30-32 or even BMI of 28 

3. Willing to take endoscopic sleeve gastroplasty treatment.

 Diet measures for before ESG

Not only ESG commonly every patient taking a weight loss procedure has to follow to taking a liquid diet routine for 6 to 7 days before the surgery.  Every patient has to follow a transitional diet process which spans from a liquid diet to a semi-solid diet to a complete solid diet over a span of 30 days post surgery.

Diet measures for after ESG

Normally peoples taking sugar free or low sugar clear liquids for 4 hours After ESG. And slowly increasing your diet, you can take soups, sugar free Popsicles, low calorie sport drinks, iced tea, and sugar free Jell-O. No limits for taking liquids after the ESG its allowed but you can take slowly that is very imported one. Continue for this diet at least 2 or 3 weeks, after you can take low fat foods. This diet helps to get a better result.    

Getting Risk of ESG

                   Endoscopic sleeve gastroplasty is a safest profile and risks, however, such outcomes cannot be guaranteed but they are easily manageable with medication and follow up gastroscopy After this procedure may pain is occur your stomach for few days. These symptoms are usually managed with pain and nausea medications. And the pain is relive after few days. It’s not a temporary procedure; endoscopic sleeve gastroplasty can be converted to other bariatric surgery. Endoscopic sleeve gastroplasty results in about 15% to 20% total body weight loss takes 12 to 24 months.

Expecting Results for ESG

Using endoscopic sleeve gastroplasty procedure and getting to reduce weight 29% to 60% Of their excess weight within between 5 to 6 months. It gives some more benefits, the candidates having such as reduced the high blood pressure and increase the sleeping time. In a study of people with an average BMI of about 45, the procedure resulted in an average weight loss of about 73 pounds (33 kilograms) during the first six months.

 Colonoscopy in Dallas, TX is a procedure whereby a physician inserts a viewing tube colonoscope into the rectum for the purpose of inspecting the colon. Colonoscopy find ulcers, colon polyps, tumors, and areas of inflammation or bleeding. During a colonoscopy, tissue samples can be collected and abnormal growths can be taken out.

Colonoscopy is one of the tests that may be used to screen colon cancer. The decision to perform colonoscopy should take into account the indication and contraindication for the procedure, the risks of the procedure, and the cost. A key quality measure of colonoscopy is the indication for the procedure, because as high as 20-50% of colonoscopies are performed for inappropriate indications.

Performing colonoscopy for inappropriate indications not only exposes patients to procedure-related complications such as bowel perforation, bleeding, infection, and cardiovascular events, but also increases on the health-care-related cost.

Types of Colonoscopies in Dallas, TX

The types of colonoscopy procedures include:

Screening Colonoscopy

Screening colonoscopy is a preventative procedure for patients who have no symptoms of colon cancer. If a patient has related symptoms or has a polyp removed during a screening colonoscopy procedure, it automatically becomes a diagnostic colonoscopy. A screening colonoscopy is recommended at age 50. If you are under age 50 and you may not be eligible for a screening colonoscopy.

Diagnostic Colonoscopy

Diagnostic colonoscopy, while basically the same procedure, is used in different situations than a screening colonoscopy. Diagnostic colonoscopies are used when a patient exhibits specific symptoms that may indicate colon cancer or other issues. This procedure helps the physician further diagnose the patient’s condition. Diagnostic colonoscopies may also involve biopsies, lesion removals, and the like. Unlike screening colonoscopies, diagnostic colonoscopies are not performed when a patient reaches a certain age, but rather when they begin exhibiting certain symptoms.

Procedure of Colonoscopy

Colonoscopy the insertion of a flexible scope through the anal canal into the rectum and colon.

A colonoscopy allows visualization of the colon structure as well as the removal of any suspicious growths that may suggest a developing malignancy.

Colonoscopy is considered the gold standard tool for visualizing the colon, far better than either flexible sigmoidoscopy or barium enema. While computerized tomography scans are emerging as an effective means to detect colorectal cancer.

The procedure will elect to be anesthetized; a skilled clinician can perform one without sedation if the person would rather avoid the after-effects of anaesthesia.

The frequency may be increased for persons at higher risk or those who have been previously treated for colon cancer.

About 30-60 minutes prior to the colonoscopy, the patient changes into a gown, and a nurse will get an IV started. The doctor or a nurse will go over what will happen during the procedure and any risks associated with it. 

The patient is usually administered light sedation via pill or IV. Due to the sedation, it is unlikely the patient will remember the colonoscopy itself. 

Once the procedure is over, the patient will need about 30-60 minutes to recover from the sedation before getting dressed and leaving the building. As a last step before leaving, the doctor will review what he or she found during the colonoscopy and discuss next steps, if there are any.

Side effect of Colonoscopy in Dallas, TX

Occasionally, important lesions may not be seen, and treatment attempts may be unsuccessful.

The medicines may make you sick. You may have nausea, vomiting, hives, dry mouth, or a reddened face and neck. A tender lump may form where the IV was placed. Call your doctor if redness, pain or swelling appears to be spreading.

Severe complications of colonoscopy and treatments are rare. These can include bleeding, which is usually minor and self-limiting. In rare cases, blood transfusions or even surgery may be required.

Rarely, bleeding may occur up to a week or two after colonoscopy treatment. Tearing of the colon is a rare complication which usually requires surgical treatment, possibly including a temporary colostomy.

Candidate for Colonoscopy in Dallas, TX

·         Heavy abdominal cramps and bleeding.

·         Blood in stools.

·         Bloated abdomen, smelly flatulence.

·         Ulcerative colitis.

·         You have been diagnosed with inflammatory bowel syndrome.

·         Your ultrasound shows a single small or multiple small in your bowel.

·         You have been under suspicion for developing colon cancer/adenoma/neoplasia.

Colon cancer in Dallas, TX is the uncontrolled growth of abnormal cells within the layers of tissue that line the colon. The colon is part of the digestive tract. It is five feet long and makes up the majority of the large intestine, also called the large bowel. In the path that food takes through the body, the colon follows the small intestine and comes before the rectum. The colon absorbs water and salts, forms stools, and rids the body of waste.

Colon Cancer Screening Tests in Dallas, TX

Screening tests can be used to find polyps or colorectal cancer. The Task Force outlines the following colorectal cancer screening strategies

Colonoscopy

Colonoscopy is a test in which a thin, flexible tube with a light and a video camera on its tip is placed in your colon to search for polyps. It’s the most effective way to find them. Your care team will prescribe a clear-liquid diet and medication to clear out your bowel during the 24 hours before the test. You’ll be sedated during the exam. Your doctor can usually remove any polyps that are detected, which then go to a pathologist for examination and analysis.

Computed Tomography (CT) Colonography

Computed Tomography colonography, also called virtual colonography, uses Computed Tomography technology to produce multiple cross-sectional images of the intestinal tract. These images are combined on a computer to produce detailed images of the entire length of the colon. Your doctor uses these images to identify polyps or abnormal tissue that could be precancerous or cancerous.

In order to capture small defects in wall, the colon is slightly inflated with air. This is done by inserting a small tube slightly into the rectum. This exam is strictly diagnostic and not therapeutic meaning it can find lesions such as polyps or cancers but cannot remove them. Any abnormal appearing lesions will require a colonoscopy exam for removal or tissue sampling.

This test is done in a special room with a Computed Tomography scanner. It takes about 10 minutes. You may be asked to drink a contrast solution before the test to help identify any stool left in the colon or rectum, which helps the doctor when looking at the images. You will be asked to lie on a narrow table that’s part of the Computed Tomography scanner, and will have a small, flexible tube put into your rectum.

Air is pumped through the tube into the colon and rectum to expand them to provide better pictures. The table then slides into the Computed Tomography scanner, and you’ll be asked to hold your breath for about 15 seconds while the scan is done. You will likely have 2 scans: one while you’re lying on your back and one while you’re on your stomach or side.

Flexible Sigmoidoscopy

Flexible Sigmoidoscopy is an internal exam of the lower part of the large intestine using a short, thin, flexible lighted tube. The tube, called a flexible sigmoidoscope, has a tiny camera at the tip allowing the doctor to view the inside of the rectum and the sigmoid colon about the last two feet of the large intestine. A flexible sigmoidoscopy can help your doctor determine the cause of abdominal pain, rectal bleeding, changes in bowel habits, chronic diarrhea and other intestinal problems.

Fecal Occult Blood Test (FOBT)

Fecal occult blood test checks stool samples for traces of blood that cannot be seen with the naked eye. This test is also called a stool guaiac or Hemoccult test. It is a simple chemical test of a stool sample that involves about five minutes of preparation time. Because the fecal occult blood test can detect bleeding from almost anywhere along the length of the digestive tract, several conditions can cause the result to be positive.

They include esophagitis, gastritis, peptic ulcer disease, stomach cancer, ulcerative colitis, colorectal cancer or polyps, and hemorrhoids. The result also can be positive when someone has been taking aspirin or other medications that irritate the digestive tract.

DNA stool test

One newer method of detection is a stool DNA test called Cologuard. This test offers people 50 and older who are at average risk for colorectal cancer an easy-to-use screening test that they can complete in the privacy of their own home. A sample of your stool will be taken to look for blood or DNA changes in cells that suggest the presence of colorectal cancer or precancerous conditions.

This test is safe and poses no risk. It is less sensitive than colonoscopy at finding precancerous polyps. One or 2 of every 20 people who undergo stool DNA testing will have a positive result, but no cancer or polyps will be found during a follow-up colonoscopy.

Guaiac-based fecal occult blood test (gFOBT)

The FIT test, the guaiac-based fecal occult blood test also looks for hidden blood in the stool. The specimen for this test is also collected at home and sent to a lab. In this test, a chemical reaction is used to screen for any hidden blood. gFOBT is unable to determine where in the digestive tract the blood is coming from. Additional testing will be needed to determine the exact location of the blood.

Colon Cancer in Dallas, TX forms inside the large intestine, which is roughly five and a half feet long. The first five feet of the large intestine is called the colon. The rectum makes up the last six inches of the large intestine. Cancers found in the two organs are often grouped together as colorectal cancer. Colorectal cancer is very treatable when it is discovered early.

Even if it spreads into nearby lymph nodes, surgical treatment followed by chemotherapy is very effective. In the most advanced cases when the cancer has spread to the liver, lungs, or other sites treatment can often make surgery an option, and can prolong and add to quality of life. Research is constantly being done to learn more and provide hope for people in all colorectal cancer stages.

Causes of Colon Cancer in Dallas, TX

Colon Cancer in Dallas, TX begin as precancerous polyps in the colon or rectum. If discovered early, precancerous polyps can be removed surgically before they turn into cancer.

·         colon cancer is more common in those who eat lots of fat and meat, but little fiber

·         colon cancer is very rare in some countries where the population eats a low-meat, high-fiber diet

·         having an inherited disease such as familial adenomatous polyposis (FAP) may be a factor in the development of colon cancer

·         having a close relative with colon cancer increases the risk of also developing it

·         patients with ulcerative colitis or Crohn's disease have a greater chance of developing colon cancer compared with the normal population.

Symptoms Colon Cancer in Dallas, TX

Colon cancer grows slowly and does not cause symptoms for a long time. Symptoms depend on the type, location, and extent of the cancer. Fatigue and weakness resulting from occult bleeding may be the person’s only symptoms. A tumor in the left colon is likely to cause obstruction at an earlier stage, because the left colon has a smaller diameter and the stool is semisolid. The person may seek medical treatment because of crampy abdominal pain or severe abdominal pain and constipation. A tumor in the right colon does not cause obstruction until later in the course of the cancer, because the ascending colon has a large diameter and the contents flowing through it are liquid. By the time the tumor is discovered, therefore, it may be larger than a tumor on the left.

·         bleeding from the back passage or any sign of blood after a bowel motion.

·         a change in usual bowel habit, such as straining to go to the toilet or loose motions.

·         abdominal pain or bloating.

·         weight loss for no obvious reason, or loss of appetite.

·         symptoms of anaemia, including unexplained tiredness, weakness or breathlessness.

Bleeding

There are several possible causes of bleeding from your bottom or blood in your bowel movements. Bright red blood may come from swollen blood vessels in your back passage. It may also be caused by colon cancer. Dark red or black blood may come from your bowel or stomach. Tell your doctor about any bleeding so they can find out what is causing it.

Change in bowel habit

Tell your GP if you have noticed any persistent and unexplained changes in your bowel habit, especially if you also have bleeding from your back passage. You may have looser poo and you may need to poo more often than normal. Or you may feel as though you’re not going to the toilet often enough or you might not feel as though you’re not fully emptying your bowels.

Tiredness

Colon cancer may lead to a lack of iron in the body, which can cause anaemia. If you have anaemia, you are likely to feel very tired and your skin may look pale.

Weight loss

This is less common than some of the other symptoms. Speak to your GP if you have lost weight and you don’t know why. You may not feel like eating if you feel sick, bloated or if you just don’t feel hungry.

Pain 

You may have pain or a lump in your stomach area back passage. See your GP if these symptoms don’t go away or if they’re affecting how you sleep or eat.

Treatment of Colon Cancer in Dallas, TX

Depending on the size and extent of spread of the cancer, patients may need to undergo a surgery, removing part or all of the colon, in order to remove the tumor. The three primary treatment options available for colon cancer are:

Surgery

The surgical option, a partial colectomy, is the main treatment and includes removing the affected portion of the colon. How much of the colon is removed and whether it is done in conjunction with other treatments will depend on the location of the cancer, how deep it has penetrated the wall of the bowel and if it has spread to the lymph nodes or other parts of the body.

Chemotherapy

Chemotherapy can be used after surgery to destroy any remaining cancer cells and may be recommended by the doctor if the cancer has spread beyond the colon. Chemotherapy can be used in conjunction with radiation.

Radiation

Radiation therapy uses powerful energy sources to kill any cancer cells that may remain after surgery or to shrink large tumours before an operation. This option is rarely used in early stages of colon cancer.

Colon Cancer in Dallas, TX is cancer that starts in the large intestine or the rectum. Other types of cancer can affect the colon. These include lymphoma, carcinoid tumors, melanoma, and sarcomas. The term colorectal describes this area that begins at the colon and ends at the anus. Typically, the first or right portion of the colon which is called the ascending colon moves up from the lower right portion of the abdomen.

The next portion, or transverse colon, moves across from the right to the left side of the upper abdomen. Next, the third region or descending colon moves down the left side of your abdomen. Then an S shaped or sigmoid colon portion of the large intestine connects the rest of the colon to the rectum.

Colon Cancer in Dallas, TX may not be talked about as often as other cancers, like breast cancer, prostate or lung cancer, but it's actually one of the leading causes of cancer deaths. It is for this reason it's very important to stay on top of your colon health. The colon is your large intestine, the long, upside-down U-shaped tube that is toward the end of the line for getting rid of waste in your body.

Symptoms of Colon Cancer in Dallas, TX

Colon cancer may not cause any signs or symptoms in its early stages because the cancer is very small. Symptoms often appear once a tumour grows into surrounding tissues and organs. Other health conditions can cause the same symptoms as colorectal cancer.

·         Blood either bright red or very dark in bowel movements.

·         Changes in bowel habits, such as frequent diarrhea or constipation.

·         Feeling very tired.

·         Vomiting.

·         Frequent gas pains, swelling or cramps.

·         Stools that are narrower than usual.

·         Losing weight without trying.

Treatment of Colon Cancer in Dallas, TX

Treatment for colon cancer is surgical removal of the tumor by removing a section of the colon or rectum that includes the tumor and healthy bowel on either side.

Treatment of rectal cancer can be more complex and may involve the use of chemotherapy and radiation in combination with surgery to give the best chance of cure.

In the many operations involved the formation of a colostomy, which meant wearing a bag on the abdominal wall to collect bowel movements.

Fortunately, surgery has progressed significantly over the past 40 years or so, and now only rarely involves the creation of a colostomy.

Most operations are now performed minimally invasively using laparoscopy or a surgical robot.

These approaches use small incisions in the abdomen to introduce a camera and surgical instruments to conduct the operation without the need for a large incision.

Minimally invasive techniques have been shown to help patients recover more quickly and with less pain.

Risk factor of Colon Cancer in Dallas, TX

Risk factors for Colon Cancer in Dallas, TX include:

Age

The risk of colorectal cancer increases after age 50. Most cases of colorectal cancer are diagnosed after age 50.

Family history

There are some rare inherited conditions or syndromes associated with certain gene changes. Family members have an increased risk of bowel cancer if they inherit these gene changes. Familial adenomatous polyposis is one of these conditions. FAP is responsible for less than 1 in 100 cases (less than 1%) of all bowel cancers.  If left untreated, all individuals with this syndrome will almost certainly develop bowel cancer by their 40s.

Obesity

Obesity is linked to an increased risk of colon cancer and death from colorectal cancer.

Personal history

Having a personal history of the following conditions increases the risk of colorectal cancer:

·         Previous colorectal cancer.

·         High-risk adenomas colorectal polyps that are 1 centimeter or larger in size or that have cells that look abnormal under a microscope.

·         Ovarian cancer.

·         Inflammatory bowel disease.

·         Inherited risk

·         The risk of colorectal cancer is increased when certain gene changes linked to familial adenomatous polyposis or hereditary nonpolyposis colon cancer are inherited.

Alcohol

Drinking 3 or more alcoholic beverages per day increases the risk of colorectal cancer. Drinking alcohol is also linked to the risk of forming large colorectal adenomas.

Cigarette smoking

Cigarette smoking is linked to an increased risk of colorectal cancer and death from colorectal cancer. Smoking cigarettes is also linked to an increased risk of forming colorectal adenomas. Cigarette smokers who have had surgery to remove colorectal adenomas are at an increased risk for the adenomas to recur.

Radiation

Around 2 in 100 cases of  cancer in the Tx are linked to radiation exposure. Some of these cases are due to radiotherapy treatment for previous cancer. The rest are linked to radiation used in tests such as x-rays and CT scans and background radiation. 

Cracked heels are a very common affliction. At best they are annoying, at worst they are unsightly and painful. Up to a quarter of the population will experience cracked heels at some point in their lives, and statistically, women have a greater level of sufferance than men. All too often your feet are neglected as part of your overall health. Your feet take more punishment than probably any other part of your body, and are more open to an immeasurable number of health threats.

Cracked skin results from tiny splits that occur in dry, damaged skin. If left untreated, these tears can grow into deeper cracks also known as fissures. A common area for cracks to appear is the heel, since it carries the weight of the body whenever you stand and is a prime location for dry skin to build up. Without regular removal of dry skin, compounded by lack of moisture, cracked heels may appear more often.

Causes of Cracked heels treatment in Dallas, Plano & Prosper

Dehydrated skin is one of the biggest causes of cracked skin. Once moisture is lost, the heel starts to produce thick areas of rough skin as a form of protection. As a result, the skin is prevented from healing sufficiently. At the beginning cracked skin may only feel like a light bother, but over time it will become more painful to walk on if not treated immediately. In more advanced stages, cracked heels can feel itchy and, painful, and may also begin to bleed from pressure. 

An additional cause of cracked heels may come from wearing sandals that have an open back and these types of shoes may lack the support that is needed for healthy feet. If you have noticed that you have cracked skin on your heels, it’s suggested to wash the feet thoroughly followed by utilizing a good moisturizer, which may be more effective when used on damp skin. Please schedule a consultation with a podiatrist for a complete diagnosis in addition to discussing the best treatment options for you. Common cause of cracked heel,

Pressure

Standing on your feet all day at work or home, especially on hard floors, can put unnecessary pressure on your heels and cause them to dry out. Furthermore, it’s crucial to take into account how much pressure we place on our feet throughout the day by standing and walking. The soles of the feet bear the brunt of our entire body weight, to be dry and hard.

Nutrient deficiencies

Without enough vitamins, minerals, zinc and other nutrients, your skin can’t function as well as it needs to, to remain soft and supple.

Weight gain

Extra weight can put increased pressure on your heels which can cause calluses that can go on to crack. The heel is also forced expand more when it has to support a heavier weight and is more prone to cracking.

Genes

If your parents’ heels are particularly prone to drying out and cracking, your skin is likely to be similar.

Inappropriate footwear

Walking without shoes or in footwear that offers very little protection, such as thongs can make you more prone to cracked heels.

Unhygienic conditions

Fungal infections, like tinea, can cause your skin to dry out and crack more than usual.

Symptoms of Cracked heels treatment in Dallas, Plano & Prosper

One of the first signs of dry, cracked heels is formation of thick, discolored callus tissue that may cause pain with everyday pressure-related activities like walking or running. If the callus goes untreated and continuous pressure is applied, then you may eventually notice small or even deep breaks that may cause bleeding to occur.

If not properly cared for, this may cause an infection. The skin to the heels may begin to redden or become severely inflamed. Diabetics must check their feet daily because these changes can go unnoticed due to a decreased ability to feel their feet.some of the symptoms have been listed below:

·         One of the biggest symptoms of cracked heels is the formation of callus, which is dry and forms hard skin around the heels.

·         Callus may be brown or yellow in colour and may often lead to discolouration of skin.

·         Redness or inflammation of the skin around our heels

·         Continuous itching

·         Bleeding

Metabolic Testing Dallas, TX Testing is designed to identify patients with metabolic disorders also known as inborn errors of metabolism. Metabolism is the process your body uses to make energy from the food you eat. Food is made up of proteins, carbohydrates, and fats. Enzymes in your digestive system break the food down into compounds such as sugars and acids. These act as fuel for your body.

The Metabolic analyser accurately determines the basal metabolic rate, or the number of calories burned at rest. This testing is offered to patients who are surgical candidates at no charge. Patients who are not surgical candidates may request metabolic analysis for a small fee. A metabolic disorder usually occurs when a single enzyme involved in the breakdown of food is either not produced or is not working properly. This leads to a build-up of chemicals in the blood or urine. This can be toxic and can affect normal development.

Types of Metabolic Testing Dallas, TX

There are a few different ways to approach metabolic testing. These are the most common metabolic tests and what they involve:

Direct calorimetry

This measures your body heat to determine the number of calories you burn. Typically, you would sit inside a special chamber for about an hour while the machine does its thing. It is basically considered the gold standard for RMR testing in terms of accuracy but it’s so expensive and high-tech that it’s very rarely used outside of a research or laboratory setting.

Indirect calorimetry

This measure how much oxygen you consume compared with the amount of carbon dioxide you breathe out. It’s more portable, affordable and accessible than its counterpart, meaning this is likely the option you’ll be given if you are signing up for testing through your gym. You simply wear a mask or lie down under a hood while a machine takes your oxygen and carbon dioxide measurements for about 15 to 20 minutes.

VO2 max test

If you are an athlete who wants to optimize caloric intake or lose weight, you may also benefit from something called a VO2 max test, which measures your body’s ability to consume oxygen. For this test, you wear a breathing mask while running on a treadmill to determine how much oxygen you consume when you’re running at your hardest.

Works of Metabolic tests

To perform a RMR test, the individual sits in a comfortable chair and breathes into a mouthpiece, connected by a hose to a metabolic cart. The metabolic cart measures the amount of oxygen inhaled and carbon dioxide exhaled over a period of 10-20 minutes. The goal for the individual is to relax and focus on breathing normally for the duration of the test.

Things that Change the Metabolic Testing Dallas, TX

There are some things you can do that can help increase your metabolism. These include:

Metabolic Rate

Metabolic Dallas, TX rate is the total number of calories your body is capable of burning while at rest. It represents the baseline number of calories you require to perform normal, everyday and subconscious processes such as metabolic processes and breathing. It is also commonly known as the number of calories you need to maintain your lean muscle mass.

Activity

By determining your RMR, we are able to estimate the number of calories you burn while performing your daily tasks and activities such as working, engaging in your hobbies, walking, climbing stairs, etc. Your lifestyle and activity factors account for a considerable portion of the calories you burn daily.

Not engaging in any activity can slow down your metabolism. Sitting on a chair or lying down for a long period of time can slow down your metabolism. You don’t necessarily have to engage in exercises to boost your metabolism, you can simply engage in different forms of activities such as talking a walk, standing, jogging, or doing things around the house. Staying active at work can also help to boost your metabolism.

Exercise Calories

Another estimation and projection we can assume based on your resting metabolic rate is the approximate number of calories you burn during exercise. Please keep in mind, this is considerably different for each person and depends on the type of exercises you do. In general, we estimate this based on the calories you would burn during 30 minutes of moderate exercise.

The more vigorous exercises you engage in, the higher your metabolism Dallas, TX and the more you burn calories. The type of exercise you do may also affect your metabolic rate. Aerobic and anaerobic exercise can affect your metabolic rate positively. Talk to your trainer or doctor to know the best exercise for you.

Metabolism Comparison

RMR report enables to see how your metabolic rate compares to a typical person of similar sex, age, height, and weight. you have a slow, normal or fast metabolism

Caloric

Everyone sets different goals and require different plans to get there. Either way, your metabolic rate report can also enable you to set targets and goals so you can better understand how to maintain your current weight, lose weight or be within a medically supervised zone. Keep in mind, these targets and zones are different for everyone. Get your RMR test and see what yours look like!

Endoscopic Sleeve Gastroplasty Dallas, Tx

Endoscopic sleeve gastroplasty (ESG) Dallas, Tx also called the accordion procedure, is a relatively new weight loss procedure that reduces the size of your stomach. ESG is a weight loss procedure that uses an endoscopic suturing device to reduce the size of the stomach by 70-80%. With reduced stomach size, patients will feel full sooner and the stomach will not be able to secrete as many hunger-inducing hormones.

The highlight of this procedure is that it is non-surgical. It is a new and excellent alternative to the traditional gastric bypass surgery. This equates to no incisions, no scars, and little or no pain after the procedure which usually lasts under two hours. In essence, the ESG is an even less invasive version of the minimally-invasive laparoscopic sleeve gastrectomy. Endoscopic sleeve gastroplasty may be an option for people who are obese and have not been able to lose weight through diet and exercise.

Endoscopic sleeve gastroplasty reduces the size of the stomach without surgery. The physician uses an endoscopic device with a tiny lighted camera to create a smaller, tube-shaped stomach. This nonsurgical, reversible procedure limits both the amount of food a person can eat and the calories that can be absorbed. 

Benefits of Endoscopic Sleeve Gastroplasty Dallas, Tx

ESG doesn’t require any surgery, there are numerous benefits including a reduced risk of complications, no incisions or scars, and a quicker recovery time.

·         Non-Surgical and minimally invasive.

·         Quicker recovery with less pain or downtime than traditional weight loss surgery.

·         Reduced stomach size makes you feel full sooner.

·         Normal functions of the stomach are retained.

·         Simpler than other bariatric surgeries.

·         Can be performed through the mouth thereby an incisionless surgery

·         Shorter hospitalization stays.

·         Less operative time.

·         No implant used as in lap band surgery.

·         Minimal post-operative pain and discomfort.

·         Shorter recovery time.

·         Does not preclude further weight loss intervention including surgery if needed later.

·         Not only does a patient see a decrease in body weight, but often related comorbidities such as high blood pressure, diabetes and sleep apnoea can improve after having this procedure.

·        General health and wellbeing are improved, higher self-esteem, better quality of life and

ORBERA Gastric Balloon Dallas, Tx

ORBERA Gastric Balloon Dallas, Tx is a single inflatable device made of soft silicone designed for weight loss for people who are moderately overweight. Together with the diet and lifestyle recommendations from the team, you can meet your weight loss goals for the long term. This nonsurgical and minimally invasive procedure is ideal for people looking to lose up to 40 lbs.

ORBERA weight loss system features an expandable balloon that is inserted into the stomach through an endoscopic procedure. Your weight loss surgeon will direct the ORBERA intragastric balloon device through the mouth. This procedure is done in an outpatient setting that typically lasts 20-30 minutes. Once the balloon is placed in the stomach it is inflated with a saline solution, creating a ball about the size of a grapefruit.

This occupies space in your stomach, thereby reducing hunger. The appetite suppressant benefits of ORBERA take effect immediately after its insertion. After about six months the ORBERA device is removed through a second endoscopic procedure with your weight loss doctor.

Procedure of ORBERA Gastric Balloon Dallas, Tx

·         Non-surgical procedure done under a mild sedative, the thin and deflated ORBERA balloon is placed into the stomach.

·         In a non-surgical, minimally invasive procedure, typically done under a mild sedative, the surgeon places a thin and deflated ORBERA balloon into the stomach through the mouth. The balloon is then filled with saline until it’s about the size of a grapefruit. The procedure normally takes about 20 to 30 minutes and patients typically go home the same day.

·         Once the balloon is in place, the 12-month coaching program begins with the objective of developing a lifetime of healthy habits as patients lose the weight, then keep it off.

·         At six months, the balloon is removed in the same way it was placed. Through a non-surgical procedure done under a mild sedative, the surgeon first deflates it then removes it through the mouth

Benefit of ORBERA Gastric Balloon Dallas, Tx

The intragastric balloon typically triples weight loss that diet and exercise alone couldn’t offer. Some other important things to know are that,

·         There are no incisions or alterations to your body.

·         The weight loss balloons are in place in the stomach for up to six months.

·         No permanent changes are made to the digestive tract.

·         Weight-loss benefits begin right away.

·         ORBERA results in greater weight loss than diet and exercise alone.

·         Patients are able to return to normal activities as soon as they feel ready, usually within two days.

·         On average, patients lose 3x more weight than people who tried diet & exercise alone.

·         ORBERA has been shown to improve obesity-related co-morbidities such as metabolic syndrome, type 2 diabetes, hypertension, obstructive sleep apnea, hypercholesterolemia and hypertriglyceridemia.

Peripheral Neuropathies Podiatrist in Dallas, Tx are a diverse group of disorders, all of which affect the nerve fibres of the body outside of the brain and spinal cord. These disorders can cause a combination of neurologic symptoms including weakness, numbness and pain in the arms, hands, legs and feet.

There is a typical sensory change that is a symmetrical glove and stocking loss to all modalities. This pattern of sensory loss is unlike that of individual nerve or nerve root disease. In the latter cases the sensory loss is asymmetrical or confined to one limb. In demyelinating peripheral neuropathies, such as Guillain Barre Syndrome, the weakness may be proximal and thus simulates myopathic disease.

Causes of Peripheral Neuropathies Podiatrist in Dallas, Tx

Major causes of neuropathy are certain prescription drugs. Most drugs that lower cholesterol will cause neuropathy, many blood pressure medications and even a few antibiotics will also cause neuropathy. There are several ways that cancer and its treatments can cause peripheral neuropathy Podiatrist in Dallas, Tx

Anti-cancer drugs

Infusion of anti-cancer drugs is still today a mainstay of therapy, whereby most of the drugs applied are exerting their effects as cytostatics or cytotoxics. Typically, these drugs are given as disease- and stage specific regimes. Some anti-cancer drugs can cause nerve damage. This is the most common cause of peripheral neuropathy in people with cancer.

Paraneoplastic syndrome

Paraneoplastic syndromes refer to the remote effects associated with malignancy which are unrelated to direct tumour invasion or metastases. These may occur before the cancer is diagnosed and can be independent in their severity to the stage of the primary tumor. Paraneoplastic syndromes are most commonly associated with lung cancer. Paraneoplastic syndrome is where the body makes substances that damage peripheral nerves. This can happen with types of cancer such as lung cancer, myeloma or lymphoma.

Tumour growing close to a nerve

The nerve sheath is a layer of myelin and connective tissue that surrounds and insulates nerve fibers. A nerve sheath tumor is a growth within the cells of this covering. Cancer can cause peripheral neuropathy in one area of the body if the tumour is growing close to a nerve and presses on it.

Radiotherapy

Radiation therapy is the treatment of cancer using beams of high-energy waves called radiation. The radiation used for cancer treatment comes from special machines or from radioactive substances. Rarely, radiotherapy may damage nerves in the treated area. This can cause symptoms such as numbness and weakness. These may develop months or years after treatment.

Surgery

Surgery may damage nerves and cause symptoms in the affected area. For example, numbness or tingling and pain in the arm may be caused by breast cancer surgery.

Symptoms of Peripheral Neuropathies Podiatrist in Dallas, Tx

Symptoms of Peripheral Neuropathies Podiatrist in Dallas, Tx vary depending on which nerves are involved. Peripheral refers to all the nerves in your body other than the brain and spinal cord. Peripheral neuropathy can cause pain and make it difficult to walk or do things with your hands. The most common symptoms are:

·         Sensory symptoms include distal dysesthesias, pain and numbness. A characteristic pattern of numbness is one in which the distal portions of the nerves are first affected, the so-called stocking glove pattern. This pattern occurs because nerve fibres are affected according to length of axon, without regard to root or nerve trunk distribution.

·         Motor symptoms include weakness, which once again is distal, and typically involves extensor

·         Autonomic dysfunction is common and includes orthostasis, impotence in males and gastroparesis.

Types of Peripheral Neuropathies Podiatrist in Dallas, Tx

There are more types of peripheral neuropathy, each with its own set of symptoms and prognosis. To help doctors classify them, they are often broken down into the following categories:

Motor neuropathy

Motor neuropathy is a rare neuropathy characterized by progressive, asymmetric muscle weakness and atrophy. This is damage to the nerves that control muscles and movement in the body, such as moving your hands and arms or talking.

Sensory neuropathy

Sensory neuropathy occurs if the body’s sensory nerves become damaged. People with diabetes have an increased risk of neuropathy as high blood glucose levels over long periods of time can damage the nerves. Sensory neuropathy may also be called Fergus as it affects a number of different nerve centres. Sensory nerves control what you feel, such as pain or a light touch. Sensory neuropathy affects these groups of nerves.

Autonomic nerve neuropathy

Autonomic neuropathy in diabetics can be detected by demonstrating the presence of abnormal cardiovascular reflexes. In recent years instantaneous heart rate monitoring has provided a convenient and simple technique for doing this by measuring the degree of autonomic denervation of the heart. Autonomic nerves control biological functions that you are not conscious of, such as breathing and heartbeat. Damage to these nerves can be serious.

Combination neuropathies

 You may have a combination of two or three of these other types of neuropathies, such as a predominantly motor neuropathy or a sensory-motor neuropathy.

Bunions Podiatrist Dallas, Texas are a common foot deformity. They cause inflammation of the metatarsophalangeal joint, which connects the big toe to the foot. Bunions are bony bumps that grow on the joint at the base of your big toe. This protruding bone can change the shape of your foot and cause your big toe to tilt toward the other toes.

Over time, your toes may begin to overlap and rub together, causing corns, calluses, bursitis, or hammertoe. You may have trouble bending your foot or fitting it into shoes. For some people, wearing flat shoes with wide toe boxes instead of high heels is enough to prevent bunions or keep them from growing. This inflammation can cause toe positioning deformities and a great deal of pain while walking or even wearing shoes.

Causes of Bunions Podiatrist Dallas, Texas

Bunions may develop rapidly or slowly. They may occur in your teen years or you may develop a bunion later in life. They come in a variety of sizes and severity. Your bunion may be corrected with conservative treatment or you may require surgery. Bunions Podiatrist Dallas, Texas is a painful bump that develops at the joint of the base of your big toe. It is also possible to develop smaller bunions, known as bentonites, on the joints of the little toes.

Gait

Podiatrist Dallas, Texas may determine that an abnormal gait is to blame for uneven pressure on your foot that has led to bunions. Your gait is your typical walking pattern. If you have improper foot mechanics, you may be prone to developing bunions. Many people develop bunions because they have a pronated foot, or a foot that rolls excessively toward the outside while walking.

Abnormalities

Your foot and ankle specialist may diagnose you with foot abnormalities. Some of the abnormalities that could be the cause of your bunions can include congenital deformities, or deformities that were present at birth, and abnormalities caused by foot injuries.

You might also develop bunions as a result of having excessively low arches or flat feet. Sometimes, an underlying medical condition such as rheumatoid arthritis or other inflammatory types of arthritis could be to blame for bunion development.

Problems of Shoe

Podiatrist Dallas, Texas treat many patients with bunions who wear improper footwear, such as shoes that are too tight in the toe area. These types of shoes compress the toes together, leading to improper pressure distribution. Foot doctors note that this may be one reason why women in particular are prone to developing bunions. Fashionable shoes such as high heels tend to have a very narrow toe area.

Treatments of Bunions Podiatrist Dallas, Texas

The initial treatment of Bunions Podiatrist Dallas, Texas is normally conservative and focuses on relieving symptoms.

Nonsurgical Treatment of Bunions Podiatrist Dallas, Texas

Bunions that aren’t large or painful, your doctor likely will recommend conservative treatments such as choosing roomier shoes, using padded shoe inserts, wearing special socks, splinting or taping your big toe at night, and taking medications to relieve pain and inflammation. If these don’t help or your bunion becomes larger and more painful, your doctor may recommend surgery.

Traditional Surgery of Bunions Podiatrist Dallas, Texas

During traditional bunion surgery, your surgeon removes the bony bump and, if necessary, realigns the bones, tendons, ligaments, or nerves. Sometimes the affected bone must be held in place with permanent screws or pins. Depending on the type of open procedure, you may be placed in a cast for four to six weeks, or in a walking shoe for six to eight weeks.

Minimally Invasive Surgery of Bunions Podiatrist Dallas, Texas

This new technique involves several small incisions about one-tenth of an inch long through which your surgeon shaves away the bunion and realigns the bone. The small incisions may help reduce pain, swelling, and recovery time while also lowering the risk of infection.

Physical Therapy of Bunions Podiatrist Dallas, Texas

Physical therapy helps strengthen your foot and improve your mobility after any type of bunion surgery.

Recovery of Bunions Podiatrist Dallas, Texas

Bunion surgery recovery time varies greatly depending on the type of surgery, general health of the patient and many other factors. In general, recovery time from an osteotomy is about 4-6 weeks. This means returning to wearing a regular shoe, however it may be longer until you are able to return to running or other high impact activities.

Recovery time for a bunion surgery is longer compared to an osteotomy. There is usually a non-weight-bearing period for several weeks followed by protected weight bearing for an additional 4-6 weeks. Full recovery is on average 3 months. Our experienced surgical podiatrists will do everything possible to minimize the appearance of scars from bunion surgery. You can look forward to wearing your favourite sandals again without worrying about drawing unwanted attention to your feet.

Side effect of Bunions Podiatrist Dallas, Texas

All surgery has risks. Risks of this kind of surgery include:

·         Infection in the soft tissue or bone of the foot.

·         Side effects from aesthetic medicines or other medicines used to control pain and swelling.

·         Recurrence of the bunion.

·         Persistent pain and swelling.

·         Degenerative joint disease or avascular necrosis after surgery.

·         Development of a callus on the bottom of the foot.

·         An outward or upward bend in the big toe.

·         Decreased feeling or sensation, numbness or tingling, or burning in the toe from damage to nerves.

·         Damage to the tendons that pull the big toe up or down.

·         A shorter big toe, if bone is removed.

·         Restricted movement or stiffness of the big toe joint.

Hallux Valgus Podiatrist Dallas, Texas is a common structural foot deformity in which the angular deviation of the hallux with respect to the first metatarsal bones, and it appears as a medial bony enlargement of the first metatarsal head. Hallux Valgus is the result of a deformity of the big toe. The long bone in the middle of the foot becomes deviated towards the other foot, whilst the big toe pushes to towards the smaller toes.

Result the joint becomes prominent on the inside of the foot. This prominence is termed the bunion and it can often become inflamed if it rubs on shoes. The first ray is an inherently unstable axial array that relies on a fine balance between its static and dynamic stabilizers to maintain its alignment.

Symptoms of Hallux Valgus Podiatrist Dallas, Texas

Hallux Valgus Podiatrist Dallas, Texas treatment depends entirely on the discomfort that you experience as a patient. As the pain at the level of the Hallux Valgus worsens wearing inappropriate footwear, the symptoms will also be directly linked to the type and size of the shoes you wear. The perception of pain varies greatly from person to person. Some patients only have a small deviation, with a lot of inconvenience and pain during daily tasks, while others have major malformations, with few symptoms.

·         The most common problem is finding appropriate footwear and thus the shortage of space for the medial protrusion of the big toe. This creates friction, inflammation and sometimes wounds.

·         In the beginning of the hallux valgus position, the big toe still performs its function during normal gait.

·         The deviation increases, the flexor tendon has less power and increasingly deviates from its normal route. Because of this, the big toe will push off less while walking, creating an increased pressure under the rest of the forefoot.

·         If the hallux valgus is little painful, but the rest of the front part of the foot shows more and more symptoms, an indication for surgical intervention might actually exist.

Nonsurgical Treatment of Hallux Valgus Podiatrist Dallas, Texas

Sometimes observation of the bunion is all that’s needed. To reduce the chance of damage to the joint, periodic evaluation and x-rays by your surgeon are advised. Treatment of hallux valgus nearly always starts with adapting shoe wear to fit the foot. In the early stages of hallux valgus, converting from a shoe with a pointed toe to a shoe with a wide forefoot may arrest the progression of the deformity.

Since the pain that arises from the bunion is due to pressure from the shoe, treatment focuses on removing the pressure that the shoe exerts on the deformity. Wider shoes reduce the pressure on the bunion. Bunion pads may reduce pressure and rubbing from the shoe. There are also numerous devices, such as toe spacers, that attempt to splint the big toe and reverse the deforming forces. These include:

Changes Footwear

Wearing the right kind of shoes is very important. Choose shoes that have a wide toe box and forgo those with pointed toes or high heels which may aggravate the condition.

Padding

Pads placed over the area of the bunion can help minimize pain. These can be obtained from your surgeon or purchased at a drug store.

Activity modifications

Avoid activity that causes bunion pain, including standing for long periods of time.

Medications

Oral nonsteroidal anti-inflammatory drugs, such as ibuprofen, may be recommended to reduce pain and inflammation.

Applying Icing

Applying an ice pack several times a day helps reduce inflammation and pain.

Injection therapy

Although rarely used in bunion treatment, injections of corticosteroids may be useful in treating the inflamed bursa sometimes seen with bunions.

Orthotic devices

In some cases, custom orthotic devices may be provided by the foot and ankle surgeon.

Surgical Treatment of Hallux Valgus Podiatrist Dallas, Texas

Podiatrist is considered if all appropriate non-operative therapies have failed. Surgical correction of the deformity involves cutting and shifting bone or fusing bones.  Determining the most appropriate Hallux Valgus correction surgery depends on many factors and is individualized for each patient. Common surgical procedures include:

Distal chevron osteotomy 

It involves cutting and moving the end of the bone to change the angle between the first and second metatarsal bone. Pins or screws hold the moved bone in place until it heals.

Proximal metatarsal osteotomy 

Frequently selected for a more severe deformity, this procedure involves cutting and moving the base of the bone to change the angle between the first and second metatarsal bone. Pins or screws hold the moved bone in place until it heals.

Lapidus procedure 

If neither of the above osteotomy procedures is sufficient in relation to the severity of the deformity, the joint between the first two toes can be fused using screws. This provides stability and realignment to the first two metatarsals.

First metatarsophalangeal joint fusion 

These with arthritis in addition to severe deformity, fusing the great toe joint immobilizes and aligns the joint. While this surgery eliminates pain, it also impedes mobility.

Hallux Valgus Podiatrist Dallas, Texas is a deformity caused by the base joint of the big toe developing sideways. Hallux is the Latin word for the big toe and valgus means turned outwards. This pushes the bones of the big toe towards the smaller toes. So, the big toe points away from the body, towards the other toes. This deformity is painful and requires treatment or surgery.

It is related to a combination of genetic factors, activities and inheritance.  Some patients who have this condition do not have symptoms.  Sometimes symptoms can be relieved just by modifying the shoe to have enough room in the forefoot to accommodate the changed shape.

Diagnosis of Hallux Valgus Podiatrist Dallas, Texas

Examination by a qualified Podiatrist Dallas, Texas is important if the problem hurts or is worsening. Diagnostic tests may include:

·         Physical examination to determine if there are tendons such as the Achilles that are too tight or if there is instability in a joint or joints that contribute to the problem.

·         X-ray of two views of the foot while you are standing on it.

·         Specialty studies may be involved if there are unique aspects to the problem.

Causes of Hallux Valgus Podiatrist Dallas, Texas

Hallux Valgus Podiatrist Dallas, Texas are a common condition, affecting around one in three people over the age of 65. Women are more likely to be affected than men because they often wear tight, high-heeled shoes that squeeze the toes together. While experts can’t agree on whether wearing tight shoes actually causes bunions in the first place, they are known to make the problem worse. There are many factors that may cause the appearance of a Hallux Valgus.

·         There may be a genetic predisposition to hallux valgus.

·         The shape of the foot plays a role. The “Greek Foot", the name given to a foot whose big toe is shorter than the second toe, is most often affected. A wide forefoot or flat foot can also contribute to this condition.

·         The wearing of high heels, an excess of weight or shoes that are too narrow have also been implicated in the appearance of this foot deformity.

·         It seems that hallux valgus becomes more frequent after menopause, a period when the tissues are relaxing, favouring the widening of the foot.

Symptoms of Hallux Valgus Podiatrist Dallas, Texas

The visible bump on the inside of the foot, symptoms of a Hallux Valgus Podiatrist Dallas, Texas

may include:

·         Redness and inflammation.

·         A bulging bump on the outside of the base of your big toe.

·         Swelling, redness or soreness around your big toe joint.

·         Corns or calluses these often develop where the first and second toes overlap.

·         Persistent or intermittent pain.

·         Stiffness and restricted motion in the big toe, which may lead to difficulty in walking.

Nonsurgical Treatment of Hallux Valgus Podiatrist Dallas, Texas

Mostly Hallux Valgus are treated without surgery. Although nonsurgical treatment cannot actually reverse a Hallux Valgus, it can help reduce pain and keep the bunion from worsening.

Medications

Nonsteroidal anti-inflammatory medications such as ibuprofen and naproxen can help relieve pain and reduce swelling. Other medications can be prescribed to help pain and swelling in patients whose bunions are caused by arthritis.

Footwear

Most majority of cases, Hallux Valgus pain can be managed successfully by switching to shoes that fit properly and do not compress the toes. Some shoes can be modified by using a stretcher to stretch out the areas that put pressure on your toes. Your doctor can give you information about proper shoe fit and the type of shoes that would be best for you.

Icing

Applying ice several times a day for 20 minutes at a time can help reduce swelling. Do not apply ice directly on your skin.

Padding

Protective Hallux Valgus -shield pads can help cushion the painful area over the bunion. Pads can be purchased at a drugstore or pharmacy. Be sure to test the pads for a short time period first, the size of the pad may increase the pressure on the bump. This could worsen your pain rather than reduce it.

Orthotics

To take pressure off your Hallux Valgus, your Podiatrist may recommend that you wear custom-made shoe inserts. Toe spacers can be placed between your toes. In some cases, a splint worn at night that places your big toe in a straighter position may help relieve pain.

A GP may refer you to a surgeon if your bunions are very painful or having a big effect on your life.

Surgery of Hallux Valgus Podiatrist Dallas, Texas

Non-surgical treatment steps don't work, and you are still experiencing significant pain that interferes with daily activities, you may need to consider surgery to restore the toe to its normal position.

Surgery is a major step that does not always eliminate all symptoms and will require you to stay off your foot for six to 12 weeks. If your Podiatrist recommends surgery, the specific procedure will depend on the severity of your condition. Several procedures are available.

Mild Hallux Valgus

The modified procedure shaves the enlarged portion of the bone and realigns the muscles, tendons, and ligaments. Recovery from this type of surgery typically takes at least six weeks.

Moderate Hallux Valgus

Chevron procedure cuts the bone close to the metatarsal head and then shifts it back into its proper position. Recovery takes about six to 12 weeks, during which you may be advised not to walk on your foot.

Severe Hallux Valgus

               A cut is made further down the metatarsal bone. The surgeon may keep the bones in position with pins, screws, or plates. Recovery from this procedure, known as a proximal osteotomy, takes at least three months.

Foot Surgery Podiatrist Dallas, Texas is a common strategy podiatrist use to correct health problems with the feet. Because recovery time from foot surgery can be lengthy, most foot specialists recommend it after conservative treatments have failed. Despite the recovery time, surgery is sometimes the best way to alleviate foot pain and prevent further damage to the feet from happening. Here is a look at some of the types of foot surgery your podiatrist in Sugar Land may discuss with you.

While many foot problems can be treated non-surgically, not all problems will improve and some will require an operation.  We have a compiled a list of common conditions which can be successfully treated by an operation. If you are considering whether or not to have a foot operation, your podiatric surgeon will usually provide you with advice leaflets tailored to your specific operation.

Types of Foot surgery

Fusions Foot surgery

Fusions are usually performed to treat arthritic or painful conditions of the foot and ankle. A fusion involves removing all cartilage from a joint and then joining two or more bones together so that they do not move. Fusions can be done with screws, plates, or pins, or a combination of these. 

Metatarsal Foot Surgery

The metatarsal bones are a group of five long bones in the foot. You find them between the tarsal bones and the phalanges of the toes. The details of metatarsal Foot Surgery Podiatrist Dallas, Texas depend upon the severity of the injury.

There is a chance that other treatments will control the pain, but surgery is a distinct option. We want to make it comfortable for you to walk and remove that pebbly feeling. When surgery is necessary, a common scenario is the removal of the heads of the MTPJ and surgery to the big toe.

Tendon Surgery

Podiatrist Dallas, Texas on the tendons can be performed for acute injuries such as ruptures and can also be performed for chronic conditions to lengthen or shorten the tendon, depending on the problem. In some cases, tendons may be re-routed to improve foot and ankle function.

Reconstructive Foot Surgery

 Reconstructive surgery of the foot and ankle consists of complex surgical repair that may be necessary to regain function or stability, reduce pain, and prevent further deformity or disease. Unfortunately, there are many conditions or diseases that range from trauma to congenital defects that necessitate surgery of the foot and ankle. Bone screws, pins, wires, staples, and other fixation devices and casts may be utilized to stabilize and repair bone in reconstructive procedures.

Heel Spur Foot Surgery

 Based on the condition and the nature of the disease, heel surgery can provide relief of pain and restore mobility in many cases. The type of procedure is based on examination and usually consists of plantar fascia release, with or without heel spur excision. There have been various modifications and surgical enhancements regarding surgery Podiatrist Dallas, Texas of the heel. Your podiatrist will determine which method is best suited for you.

Bunions Foot Surgery

Bunions occur at the base of the big toe, and they are bony lumps resulting from hallux valgus. Hallux valgus causes the big toe joint to become deformed when it bends towards the other toes. This, in turn, causes the bunions. Surgery for bunions is not all that complicated. We perform an osteotomy, which is a straightening of the big toe and the metatarsals. Recovery time for bunion surgery is about 6 weeks.

Hammer Toe Foot Surgery

Bunions aren't the only condition caused by hallux valgus. Nasty result it can have is to cause the toes become clawed and deformed. We call this hammer toe. It can be quite painful when walking. We can repair hammertoe by either performing an arthroplasty or an arthrodesis.

An arthroplasty is when we restore your joint flexibility. We do this by removing the deformed joint between the toes. These foot surgeries are usually outpatient and only take around an hour to perform. Limit your walking for the first couple of days. You should be back to normal in six weeks, max.

Nail Surgery

 Toenails can become deformed, damaged, or infected. It may be determined that the best treatment may involve surgery. Surgery Podiatrist Dallas, Texas is typically performed in the office under local anaesthetic, and many patients can walk out and return to activities. Surgery involves either partial or total removal of the nail. An avulsion is a non-permanent type of surgery that allows relief, but the nail will grow back. A mastoidectomy is a permanent type of surgery, which involves destroying and removing the nail root so that no new nail grows. 

Plantar Fasciitis Foot Surgery

Plantar fasciitis is when the tissue from the heel to the toe becomes inflamed where it joins your heel. We actually don't need to do surgery for plantar fasciitis very often. But with bad cases of the condition, we release the plantar fascia from the heel bone. It's a simple foot surgery. After, you need to have it bandaged up following surgery. No big deal. Ankle surgeries

Morton’s Neuroma Foot Surgery

This is a condition that affects the nerves of the toes, near the balls of the feet. It can be quite painful. Morton's neuroma occurs when the tissue around the nerves of the toes becomes overly thickened. 

Morton's neuroma is yet another irritating condition that can arise from excessive wearing of high-heeled shoes. Surgery for Morton's neuroma involves removing the nerve that is causing your pain. This surgery is an outpatient procedure, and after you will have to wear bandages for a couple of weeks.

Recovery

Your physical therapist or your doctor will give you certain exercises you can do at home. Post-surgical care may include rest, ice, compression, and elevation. Depending on your surgery, you may have special care for bandages, dressings, staples, or stitches.  A full recovery can take several days or months, depending on your age, overall health, and specific procedure. 

The goals of surgery focus on relieving pain and improving flexibility in the ankle or foot. Your doctor will provide you with special instructions that explain when it will be safe to resume normal activities.