Carpal Tunnel Syndrome (CTS) is the most widely recognized form of Repetitive Strain Injury (RSI), but Trigger Finger is catching up fast, becoming all too common among society and affecting the youth and elderly in ever-increasing numbers. If the rising numbers keep on track, Trigger Finger may be recognized along with Carpal Tunnel Syndrome as having achieved epidemic proportions.Trigger Finger On The RisePrior to the 1990's, Trigger Finger seemed to affect a small number of the elderly that had experienced some form of direct trauma or excessive strain to one or possibly several fingers. Trigger Finger was more prevalent in those that were already suffering with Osteoarthritis in the affected hand, making many healthcare professionals to believe that Trigger Finger was a byproduct of Osteoarthritis. But within the past 5-years, the age of those suffering from Trigger Finger became much younger while the overall number of individuals with the disorder increased. The belief of a direct correlation between those suffering with Osteoarthritis and Trigger Finger seems to be reducing in popularity as many of those suffering with Trigger Finger do not have Osteoarthritis, but instead, are involved in high-risk tasks that are already associated as the causative factor in many types of Repetitive Strain Injuries.Injuries resulting from repeated motion (repetitive / cumulative trauma disorders -- CTD's) are growing. According to recent annual statistics from the U.S. Survey of Occupational Injuries and Illnesses, over 302,000 CTD's account for nearly two-thirds all of workplace-related illnesses.Ergonomic disorders are the fastest growing category of work-related illness. According to the most recent statistics from the U.S. Bureau of Labor Statistics, they account for 56 percent of illnesses reported to the Occupational Safety and Health Administration.Trigger Finger Recognized as a Repetitive Strain InjuryNow that Trigger Finger is rearing its head in the workplace with increased intensity, it has been added to the growing list of debilitating Repetitive strain Injuries. Trigger Finger now joins the ranks of Tendonitis, Carpal Tunnel Syndrome, Epicondylitis, Cubital Tunnel Syndrome, DeQuervain's and the many other debilitating workplace disorders affecting the upper extremity. So, what is Trigger Finger, how is it recognized and what are its symptoms?Trigger Finger ExplainedTrigger Finger is a form of overuse injury affecting any of the fingers (1-5) with symptoms ranging from a painless annoyance with occasional snapping/jerking of the finger(s), to severe dysfunction and pain with continuous locking of the finger(s) in a flexed downward / forward position into the palm of the hand.The occurrence of this injury usually results from overuse of the flexor muscles/tendons and the formation of an adhesion or fibrotic nodule on the tendon. If left untreated, the adhesion/nodule becomes larger, therefore creating a conflicting ratio between the size of the tendon and the size of the entrance of the tendon sheath. In most cases, if the adhesion/nodule is not treated, it can continue to increase in size (Depending on activity/use of the affected finger) to the point where it still has the ability to pass into and through the tendon sheath when flexing the finger, but becomes stuck and cannot move back through the tendon sheath when trying to extend/straighten the finger, thus causing the finger to lock in the flexed forward / downward position.The Trigger Finger SolutionBecause Trigger Finger consists of an adhesion, nodule, and scar tissue buildup on the tendon due to excess strain, overuse, or direct trauma to that specific location on the tendon, it should be treated with stretching and strengthening exercises in order to break down the adhesion on the affected tendon. By breaking down the adhesion on the affected tendon, it reduces in size and slides through the pulley system in a normal manner, no longer catching and locking into the downward flexed position. (There is also a thinning of the tendon, which helps reduce the overall size of the tendon and nodule, therefore allowing it to pass through the tendon sheath with greater ease.) Creating strength in the opposing finger extensor tendons is very important as it allows the finger to return to an extended position in a more appropriate manner. This is where muscle balancing comes into play. By creating equality of tendon length and strength on both sides of the finger joint, individuals can help prevent the onset of Trigger Finger and/or keep it from re-occurring in the future.Conservative therapy utilizing stretches and exercises has been highly effective, providing long-term and permanent relief. For those wanting to avoid surgery and for those where surgery was not effective in eliminating the condition, stretch and exercise therapy is the solution to both preventing and rehabilitating the devastating symptoms associated with Trigger finger.
Reishi mushroom is also know as Ganoderma Lucidum, it is one of the olders herbal mushrooms used in todays medicine. It has been used for centuries in China as it has been thought to aid patients with a large variety of medical conditions. As the mushroom was rare and expensive treatments were reserved for royalty. Through tecnological advancements growing Reishi Mushrooms has now become a reality thus lowering the cost of this mushroom making it available to the everyday person.The Reishi mushroom is thought to improve the body's immune system and aid in rehabilitating the immune system if needed. While some of todays western medicine actually don't work as well after a period with Reishi Mushroom the body nevers seems to fully get used to the effects that is has , thus promoting a stronger immune systemPeople who have allergies may find some relief when using Reishi Mushroom. In addition people who suffer from simple mental problems such as stress, concentration problems, fatigue and sleep deprivation have also found the mushroom to be of tremendous aid.Reishi Mushroom has also been known to prevent health problems that may lead to more serious problems such as heart attack or other heart conditions. It is cliamed that it can also help people with liver disorders, blood circulation , lung disorders and even help with symptoms of HIV.The Reishi Mushroom aslo is known to have wonderful effects on the skin as it helps to increase the delivery of nutrients to the skin. It may also help control acne and minimze fine lines and age spots which can only make you look younger!As with all types of treatment one should always consult with the medical practitioner before starting any type of therapy, we suggest youi check with your doctor should you want to try alternative remedies.
One of the easiest ways to deal with muscle spasm is to have a hot bath or shower. You can also do some simple stretch exercises. This will improve blood circulation and help the connective tissue around the muscles. Before you pump up those muscles, hit the showers, it would prevent any occurrence of muscle spasm.Muscle spasm mainly happens due to calcium deficiency, so include calcium in your diet. You can find good source of calcium in low-fat dairy products such as yoghurt, skim milk and ricotta cheese. Before eating and drinking calcium rich diet, consult your doctor.If you are prone to muscle spasms it may be because of the acids that interfere with the body's ability to absorb calcium. Lessen the intake of acidic foods like tomatoes and vinegar. Inadequate supply of potassium to your body is another reason for muscle spasms. Increase your intake of potassium, eat good amount of bananas, potatoes, soya flour, bran wheat, ready-to-eat apricots, tomato puree and such.Do not exert yourself by overusing your muscles. Take it easy for while and relax. Too much of physical exertion takes its toll on the body. Frequent muscle spasms could be the manifestation of this over exertion. If while doing some activity you get a muscle spasm, take a 15 minute break. This prevents muscle spasm in the long run.Celery seeds have anti-inflammatory properties. It can reduce arthritic pain and relieve muscle spasms. Cramp bark (Viburnum opulus) can be used to treat muscle spasms. Hot and moist herbal packs are very useful in increasing blood circulation. It can treat painful areas by consuming tea or juices to soothe muscles and nerves.If you get a muscle spasm while you are lying in bed, stretch your leg straight out, bend the toes back towards the head. Hold this position for 30 seconds, relax and continue till the cramp is gone. This stretches your calf muscle. This can also be done while you are standing.Spasms usually occur when your body is exerted, mainly in the gym. Keep yourself hydrated as you tend to lose valuable electrolytes, which is required to prevent cramps. Before exercising you can take calcium, magnesium and potassium supplements daily.Chamomile tea helps in relieving muscle spasms. Glycine, an amino acid present in the tea, help relax the muscles. Magnesium deficiency is usually caused due to alcohol, renal disease and diabetes mellitus.To stop muscle spasms use this ayurvedic solution. Soak your feet in a large tub of hot water, steeped with homemade tea bag of black or brown mustard seeds, for 15- 20 minutes.You can use an herbal oil massage by using 1 cup extra-virgin oil or almond oil, add herbs in tincture form like 1 ounce Cramp bark, 1/2 ounce Lobelia, 11/4 ounce of Willow bark or Wintergreen ( wintergreen tincture is not available you can use 30 drops of wintergreen oil). You can store all these in a jar or bottle and use it as massage oil.Warning: The reader of this article should exercise all precautionary measures while following instructions on the home remedies from this article. Avoid using any of these products if you are allergic to it. The responsibility lies with the reader and not with the site or the writer.
Hospital credentialing is the most intensive credentialing process for medical providers, repeated more frequently than other credentialing standards and involving more organization contacts and supporting documents. The amount of staff time and the expense of researching every medical provider can be heavy, draining resources from other administrative functions, and requiring experienced staff and access to research resources. Yet hospitals have been slower than other medical organizations to outsource the "credentialing process" , despite potential benefits: faster turnaround time, cost-effectiveness, and savings in staff time and training. Hospital credentialing covers the most detailed questions of any credentialing standard, from medical school through the providers complete career. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) creates manuals outlining the credentialing processes for all different medical providers within an institution. The proscribed areas have to be verified in ways that meet JCAHO standards. This entails direct contact with organizations associated with the provider, as well as receiving copies of all certificates and licenses. All of these areas must be verified:
- DEA certificates
- All state licenses and sanctions
- Malpractice insurance and claim history
- Training, internships, and residencies
- Board certifications
- Medical education
- All past and current hospital privileges
- Work history (verified through direct contact)
- Medicare sanctions or opt-outs
- Peer references
- Compliance with JCAHO standards.
- Minimum number of contact attempts to and organization.
- Adapting processes to incorporate hospital requests and specialized information requirements.
- Completed profiles with no sections left unverified.
- Improved turnaround time, usually within 60 days.
- Quick committee notification for problematic files.
- Fast response to questions or problems.
- Web access to profile reports and verification documentation, as well as hard copies.
- Surveillance between an initial credentialing process and the first re credentialing process for any disciplinary actions or sanctions.
- Routine notification for recredentialing and expirable deadlines.
- Assistance during internal or external audits.
- Training and consulting for in-house credentialing.
There was a time when mankind used to roam this earth barefoot. But now thinking about doing the same may be considered preposterous. When we say we need to pamper ourselves the last thing we think about is our foot. Even though it is as important as any other part of our body, we tend to give it a step motherly treatment. Like your face and hands, your feet should also be taken care of.By following some good tips you can take care of your feet too. The first mistake many of us do to harm our feet is to buy one of the most uncomfortable shoes. If you are a working person you have to consider that you would be in these shoes for excess part of the day. Buying a good shoe is always very important. Whenever you go to buy shoes check your foot size, because the sizes of your feet may differ. Considering that, you should buy shoe for the biggest foot. It is better to go shopping for shoes in late afternoons as our feet swell the most during this time of the day. Yoga has been spreading like a wild fire and you can try some yoga asanas which would be useful for your feet. There was time when walking was the only mode of transport in our lives and due to which our feet used to get the proper exercise. Nowadays, there is less walking and more of sitting in the car, waiting to reach our destination. So exercising is a good way to help your feet. Proper personal hygiene would help your feet from getting infected by any of the skin diseases or other foot problems. Change your socks daily and see to it that is of good material which would help in the breathing process of your feet. Some simple and easy ways to take care of your feet-Scrubbing your feet with pumice stone will help remove the dead and dry skin -Apply foot cream before going to bed to prevent any cracked heels problems-If your feet smell, use talcum powder or foot sprays this would keep your feet dry and clean-Soak your feet for 10 minutes in warm water which is mixed with salt and add drops of lavender oil to relax your feet-Hot and cold treatment also works very well for your feet. To improve blood circulation, dip your feet in hot water then in cold water alternatively-Soaking your feet in warm water mixed with shampoo, helps your toe nails immensely-To fight cracked heels. Mix few drops of lemon juice in Vaseline and apply it at the required area-Almond Oil is very good for your skin. Applying it regularly to your feet after bath will get you a smooth result- Regular pedicure is also very essential to have clean and good feet