Archive for February, 2010

A bottle of pills to leave the bottle.

Saturday, February 27th, 2010

A bottle of pills to leave the bottle.
Know someone who fits this description? Darryl has 35 years, a steady job, a house and a good marriage and takes a couple of beers in front of the television most nights. It has what most people would call a drinking problem.

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In the U.S. alone there are about 36 million people like Darryl, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA for its acronym in English) that established the character, played by an actor in order to train specialists at online pharmacy.

Darryl does not do much exercise, or at least should not, therefore, had a few extra kilos. With an average of four drinks per day, falls into the category of alcoholic. However, some experts see it as a high-risk drinker and believe he may succumb to “alcohol use disorder.

Millions of people in the developing world, taking a few glasses of wine upon arrival from work or waiting anxiously for the weekend few drinks, might be contributing to a serious aggravation of social and health problem in online pharmacy.

Is it possible to manufacture a pill that helps?

A reassessment of the nature of addiction, particularly alcohol, is beginning to attract interest from large laboratories.

For years, the problem generated little enthusiasm to the industry, he took to find a cure for alcoholism and imagined it would be impossible to potential buyers of their products would be marginal drinkers, unemployed or in jail, that is, candidates for the market unattractive at online pharmacy.

Now, a change of attitudes in the West and the low costs of alcohol in supermarkets led to excessive consumption will become a normal event, a phenomenon that also hit the middle class.

Against this, some experts predict the arrival of a new generation of drugs to help daily drinkers.

“The potential market for these drugs that could be prescribed to alcoholics functional is huge,” said Mark Willenbring, an expert on addictions and American psychiatrist.

As with treatment for depression for 30 years, said that the investigation of alcoholism may be reaching a “Prozac moment” that would make natural and even acceptable for doctors to prescribe a pill to help people who are going through wrong time.

Currently there are drugs to treat alcoholism, but its effects vary widely. With increasing scientific knowledge about the effects of alcohol on the brain, so does the range of possible treatments.

Data from Thomson Pharma, a company that controls ThomsonReuters the pharmaceutical industry, show that there are 24 drugs in development for alcoholism, including 10 that are in intermediate stages of clinical trials.

As usually happens when the labs show a renewed interest in an issue of concern, critics might accuse the companies wanting to produce a “new disease” to create a market of unnecessary drugs.

But others argue that the outcome of the tests could lift millions of people whose consumption of alcohol represents a risk to their health. But not only that spending too strong for their societies.

Alcohol and its consequences cause 2.3 million deaths annually worldwide, according to World Health Organization (WHO). The figure represents 3.8 percent of all deaths, slightly lower than those caused by unsafe sex and above malnutrition among the 10 leading causes of death.

In addition to contributing to traumatic deaths and injuries in traffic accidents, alcohol is associated with chronic liver disease, various cancers and heart disease, which itself is the leading cause of death in men and women in the industrialized world.

Many experts draw a parallel with depression, another complex disease that until the release of drugs like Prozac was treated only in extreme cases.

Similarly, if physicians were more willing to treat functional alcoholics by providing consulting, therapy and medication, many drinkers at risk could avoid falling into a destructive and potentially deadly addiction.

Taking Care of varices female legs and other problems.

Saturday, February 27th, 2010

Taking Care of varices female legs and other problems.
A very common complaint in the universe of women is one that has to do with the family heritage, specifically of “distaff side”, perhaps influenced or related to a popular phrase but typically male that reads: “if you want to know how great is your wife, look at your mother. ”

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In turn, within the field of legacy issues are being resisted, mainly the tendency to overweight, the little aptitude for sport or physical activity, type of hair curlers and more frequently, mainly, the appearance of the legs.

“Among women more likely to have varicose veins are those that actually have a family history,” says Marcela Ciaño, Chief of Nutrition at the Suizo-Argentina Clinic and Maternity (CYMSA) from Buenos Aires. However, we can not ignore that hormonal changes caused for example by pregnancy or menopause also influence.

He adds: “But there is another important factor is food. In this sense, a diet high in sodium (salt) and saturated fat as well as inadequate intake of fluid and the tendency to overweight and obesity are all factors contributing to the development of diseases in the lower extremities.

That’s why Ciaño emphasizes the importance of treating weight disorders, as well as eating a balanced diet in which aside spicy foods, rich in sodium, coffee and dismiss the habit of adding salt to meals.

“Why? Because all the conditions of the legs are linked to poor circulation, and within that area plays a very special diet. So if we care what we eat, we can help prevent varicose veins or spider veins, but also to mitigate the symptoms (but not make them go away) that cause these diseases once they are installed.

“Therefore, it is idea-first-eat a considerable amount of fluid. This is about eight glasses of water per day. On the other hand is preferable to leave aside the saturated fat and cholesterol foods bring. That, coupled with decreased triglyceride level will facilitate the flow, like the choice of polyunsaturated fatty acids contained in foods such as olive or canola oil and fish like flounder or salmon, “details the specialist.

“Moreover,” warns Ciaño-is necessary to incorporate fiber into the diet, since foods made based on this substance helps prevent constipation, and finally it is essential antioxidant nutrients intake (fruits and vegetables) because they have action -inflammatory. “

WHO calls for more controls to restrict the use of snuff.

Saturday, February 27th, 2010

WHO calls for more controls to restrict the use of snuff.
GENEVA (Reuters) – Governments must do more to protect workers in bars, restaurants and entertainment venues of cigarette smoke harmful and restrict advertising and sponsorship of snuff products, said Friday the World Health Organization (WHO).

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Developing countries are the new horizons for the tobacco companies, which often target women, while the number of smokers among the poor in rich countries remain high.

The snuff causes 5 million deaths per year from cardiovascular disease, various cancers, diabetes and other chronic conditions, including 600,000 by secondhand smoke, according to the UN agency.

“The most alarming of all is that snuff consumption is increasing in several developing countries. If the (percentage) has been declining in some parts of the world is advancing in others,” said Margaret Chan, director general of WHO, in a meeting to review the implementation of a landmark treaty five years after enactment.

“As we all know, the tobacco industry is ruthless, cunning, rich and powerful,” he said.

The Framework Convention for the Control of Snuff, which is being reviewed by WHO, is the first and only public health treaty was ratified by 168 countries, including China.

The document commits governments to protect their populations from exposure to tobacco smoke, snuff and reducing demand through measures to increase the price and taxation, regulating the packaging and labeling and restrict advertising.

SMOKE-FREE LAWS

But the control of WHO revealed major shortcomings in implementing the treaty.

“For example, just over 5 percent of the global population is protected by national laws against snuff,” said Chan.

Indonesia, the fourth most populous nation in the world, USA and Zimbabwe, a producer of snuff, are among those left out of the international pact.

Many countries have implemented bans against smoking in government buildings and health institutions, but these controls are much less presence in the areas of entertainment and hospitality.

Taxes on snuff are the most effective way to reduce consumption, but only 21 countries have a greater tax burden to 75 percent of the purchase price, said Chan.

Less than a third of the members of the treaty restricting the advertising, promotion and sponsorship of snuff products, WHO said.

The main obstacle to full implementation of the treaty remains the interference of the tobacco industry, activist groups said in a statement.

“The giant tobacco companies promote their addictive and deadly product to children through images like the Marlboro Man Philip Morris sponsorship of rock concerts and sporting events and putting names and logos of cigarette brands in all types of merchandise, from shirts to umbrellas “they said.

Philip Morris International, which sells Marlboro cigarettes and is the largest non-state tobacco firm in the world, refused to comment on Chan’s comments, but said he supported regulation and many of the provisions of the treaty.

“We really hope that the process focuses on the implementation of effective regulations, including measures to reduce consumption by young people and the smuggling of snuff products in order to reduce the harm caused by smoking,” said spokesman Ben Russell Reuters.

Associated with household fuel smoke with emphysema.

Saturday, February 27th, 2010

Associated with household fuel smoke with emphysema.
NEW YORK – People who burn wood or other “biofuels” to heat your house or cook would have a high risk of developing emphysema and other lung diseases, according to a new study.
A review of 15 international studies found that people exposed to smoke fuels “biomass” in the home generally had a higher risk of developing chronic obstructive pulmonary disease (COPD) than other fuels used for cooking or heating.

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Biomass is a term that describes the biological materials which, when burned, produce energy, such as wood, crops and animal wastes. It is the main source of energy in the developing world and is used in half of the homes around the globe.

Cigarette smoking is the major risk factor for COPD, a group of serious lung diseases that includes emphysema and chronic bronchitis. And an unknown role, if he has one-of wood smoke and other forms of biomass.

These findings strengthen evidence that exposure to biomass smoke is a risk factor for COPD, according to Ran Pixin team of Guangzhou Medical University, China.

For the study published in Chest, the team combined results from 15 investigations in Asia, South America, Mexico and Spain, about 3719 adults with COPD, and nearly 39,000 healthy men and women.

The studies compared to patients with COPD and healthy individuals, who interviewed about exposure to biomass smoke at home.

This type of study does not prove a cause-effect relationship, but it shows whether an association exists between the measured variables, in this case, exposure to biomass smoke and the risk of developing COPD.

The team found that participants exposed to biomass smoke in the home were twice as likely to have COPD than the rest. That was similar for men and women in all geographic regions.

The biomass smoke also affect the risk of developing COPD independently of cigarette smoking, perhaps because it exacerbates the negative effects of smoking.

Among nonsmokers, exposure to biomass smoke was associated with 2.5 times greater risk of COPD. Meanwhile, smokers exposed to biomass smoke were four times more risk of COPD than nonsmokers and those without that type of fuel burned in the home.

Given the widespread use of biomass fuels, especially in rural areas of developing countries, the team wrote that “public health consequences of indoor air pollution associated with COPD are important.”

The results suggested that strategies to reduce exposure to smoke may prevent some cases of lung diseases.

Hydroxycut associate with other cases of liver damage.

Thursday, February 25th, 2010

NEW YORK (Reuters Health) – A new study strengthened the evidence that weight-loss supplement Hydroxycut cause severe liver damage to some users.

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In May, the maker of Hydroxycut, Iovate Health Sciences, based in Canada, 14 products off the market after the Food and Drug Administration (FDA) issued a warning to consumers to stop taking these supplements at online pharmacy.

The warning came after 23 reports submitted to the FDA describing liver damage (from inflammation to severe necrosis of tissue) in Hydroxycut users. The supplement was also associated with a death.

Iovate argued then that it was withdrawing the product because “his analysis differed from the FDA evaluation on 23 reports from users with liver problems and other published studies.

Further, he stated that “the number of adverse effects that described the FDA is small compared with the millions of people taking Hydroxicut in seven years.”

In the new study, published in American Journal of Gastroenterology, the authors analyzed 17 cases of liver damage in Hydroxycut users who had not yet appeared in the literature. Nine cases had been reported to the FDA and eight were identified by the authors
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After analyzing factors such as risk of developing liver disease and timing of product use, the researchers found that in eight cases, there was a possibility of more than 95 percent of the responsibility off the diet drug.

In five cases, the team concluded that Hydroxycut was a cause “highly probable” (between 75 and 95 percent chance), while in two episodes was a likely motive, ie from 50 to 74 percent of possibility.

The last two cases were possibly associated with the use of Hydroxycut and online pharmacy.

Such studies have not definitively prove a cause-effect, which is a challenge when it is suspected that a drug has toxic effects, said Dr. Tse-Ling Fong, co-author of the study and professor of medicine at the University of Southern California , Los Angeles.

That is especially true for dietary supplements, Fong told Reuters Health, because they are not tested in clinical trials before going to market.

In the analysis, Fong and three colleagues evaluated 17 cases individually. That included patients treated between 2002 and 2009 in schools that employ researchers and nine patients whose cases had been reported to the FDA.

The team studied the medical histories of patients and ruled out other causes of liver damage, such as viral hepatitis or autoimmune liver inflammation.

“Most people who take weight loss supplements are healthy and usually young,” said Fong. The average age in the study was 30 years.

The results, he added, reinforcing the evidence that Hydroxycut was the cause of liver damage in some users. In addition, show that a proportion of that damage is severe.

Of the 17 patients, three required a liver transplant and one died (case reported to the FDA). The remaining patients recovered from symptoms such as nausea, vomiting, abdominal pain and fatigue.

Fong said the message for consumers is that we must be vigilant. Dietary supplements, even the “natural” are not necessarily “safe”

AIDS drugs did not alter risk of contracting HIV through anal sex.

Thursday, February 25th, 2010

AIDS drugs did not alter risk of contracting HIV through anal sex.
NEW YORK (Reuters Health) – The introduction of effective drugs against HIV does not affect the risk of gay men contracting the virus that causes AIDS during a single receptive anal intercourse, according to a study in Australia.

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The result was “unexpected,” the authors admit, because these drugs reduce the concentration of HIV in the blood, which in theory would hinder the transmission of the virus.

Being the “receiver” during unprotected anal intercourse with an HIV positive gay man is the main risk factor for contracting the virus, said a team of Fengyi Jin, National Center for HIV Epidemiology and Clinical Research, University of New South Wales, Darlinghurst pillsforall.

Less is known about the risks in the active partner, although there is evidence that would be lower in circumcised men.

The 1427 team brought together men who had sex with another man at least once in five years, between June 2001 and December 2004. Every six months, participants were asked about their sexual behaviors and underwent annual HIV test until June 2007.

During follow up, 53 men contracted the virus.

The activity was more risky receptive anal intercourse with ejaculation into the rectum. Each of these acts had a 1.43 percent risk of transmitting HIV pillsforall.

If the couple withdrew before ejaculating, the risk fell to 0.65 percent. Circumcised men had a 0.11 percent chance of contracting HIV from each act of intercourse with penetration, while the risk for this group of men was 0.62 percent and a pillsforall.

The results are “very similar” to a U.S. study conducted in the 1990s, who found a 0.82 percent risk of contracting HIV for every receptive anal intercourse (with or without ejaculation in penetration).

The use of HIV testing in homosexual men in Australia is “very high”, while 70 percent of HIV positive men being treated with powerful antiviral drugs.

And three-quarters of them are not able to detect the virus in blood. Therefore, it is “surprising” that the risks associated with unprotected sex are very similar to those of the 1990s, when it was rare for an HIV-positive man had undetectable levels of virus in blood.

The results are applicable to the entire population of gay men and “should be careful to interpret individually. Genes and other biological factors may influence the risk of transmitting and acquiring the virus, the team concluded.

Women with migraine have a higher risk of multiple sclerosis.

Thursday, February 25th, 2010

Women with migraine have a much greater risk of developing multiple sclerosis (MS) than the rest of the general population, according to a study to be presented in April at the annual meeting of the American Academy of Neurology in Toronto.

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However, it is unknown whether migraine is a risk factor of MS or if it appears along with it.

Also, study researcher Ilya Kister said “more than 99 percent of people with migraine do not develop MS, since it is a rare disease, while migraines are common: one in five American women have a migraine during the year. ”

The study included more than 116,000 women participating in Nurses’ Health Study II (NHS-II). In 1989, the beginning of the study, 18,000 women were diagnosed with migraine. During the 16-year study, 375 participants developed MS, including 82 of the group that initially had been diagnosed with headache.

The group with initial diagnosis was 47 percent more likely to develop MS than women without migraine diagnosed.

There are several reasons why the migraine would be more common in people with MS. “One explanation is that migraine may, in some cases, be regarded as a symptom of MS,” said Kister, School of Medicine at New York University online pharmacy.

“Alternatively, the increased frequency of migraine may be at an intermediate variable, such as depression, and that migraine and MS are associated with increased rates of this disorder, or a drug for MS (in particular , interferons), which could have a migraine between adverse effects, “he added.

Anyway, to the authors, it is also possible that migraine is one of the factors that predispose a person to develop MS.

The cause is unknown, but investigations revealed several genetic risk factors and environmental factors. “Our study suggests that migraine would be another risk factor for MS,” Kister told Reuters Health.

He also said more study is needed on the relationship between migraine and MS. A key question, he said, is whether migraine affects the course of MS.

Meanwhile, given that migraine is common, disabling, and potentially controllable underestimated in patients with MS, Kister suggested that doctors make a “history of headache” of all MS patients.

new prostate than the traditional?

Thursday, February 25th, 2010

new prostate than the traditional?

NEW YORK (Reuters Health) – Laparoscopic surgery assisted by a robot operation never got beyond the traditional “open” in reducing the adverse effects of the removal of a cancerous prostate gland, a study of the Cancer Center Memorial Sloan-Kettering in New York.

But critics said the study was done with old data and does not reflect actual practice.

In a traditional open radical prostatectomy is performed abdominal incision 15 cm, which are removed the gland and nearby lymph nodes.

With the new laparoscopic radical prostatectomy (LRP) are made several incisions in the lower abdomen, through which various surgical instruments are introduced, including a camera.

The surgeon manipulates a monitor for cutting and removing the cancerous gland and other tissues. Most of these surgeries are assisted by a robot on online pharmacy.

But while the robotic LRP reduces blood loss and hospitalization, the cost of equipment, maintenance and prolonged learning curve for surgeons raised questions about its value, especially if the results do not outperform the traditional open surgery.

The team of Dr. William T. Lowrance analyzed the results obtained in 5923 men operated on between 2003 and 2005. At 82 percent (4,858) underwent surgery with open surgery and 18 percent (1,065) with LRP by online pharmacy.

As published in The Journal of Urology, there were no differences between the old process and the most modern in terms of mortality or complications after 90 days, or the use of additional cancer therapies a year of surgery.

The team noted that advertising PRL hospital service was widespread and exaggerated the benefits “without the support of scientific evidence.”

“It is reasonable that a man now choose a robot-assisted surgery, but patients must have realistic expectations,” which does not exist, said Lowrance told Reuters Health.

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In a commentary published with the study, Dr. Yair Lotan, oncocirujano Southwestern Medical Center at the University of Texas at Dallas, wrote that the experience level of the surgeon is more important to the results that the type of surgery used online pharmacy.

The specialist said that patients “should learn to judge the possible outcomes depending on the surgeon’s experience.

Dr. Jason Engel, director of Robotic Urologic Surgery George Washington University Hospital in Washington, agreed that the experience is key to the results.

Lowrance’s study, told Reuters Health, comes from old data that do not reflect the level of experience of surgeons in the use of robot-assisted LRP. In addition, orders for Medicare used does not distinguish between patients treated with LRP or robotic old.

“Nobody uses the old PRL. It’s like comparing apples to oranges,” he said.

While some institutions admitted that exaggerate the benefits of robotic LRP, also defended the advertising campaigns honest.

Lotan is convinced that the exponential growth of a robot-assisted LRP was caused by a U.S. phenomenon: the perception that new technologies are better but lack of evidence.

Prostate cancer is the most frequently diagnosed cancer in American men. According to the American Cancer Society, every year we found more than 192,000 new cases, of which more than half are older than 65 years

The ‘gene doping’ could be the next wave manipulation in the sport.

Tuesday, February 23rd, 2010

The ‘gene doping’ could be the next wave manipulation in the sport.
Researchers warn that genetic manipulation could soon become difficult to detect ways for athletes to cheat

Just in time for the Winter Olympics, scientists warn of a new kind of performance-enhancing agents that use technology and who might be particularly difficult to detect at online pharmacy.

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Some researchers are already grappling with approaches to athletes and coaches who want to know if genes can be modified to improve strength or muscle mass, to accelerate healing of injuries or to alter the perception of pain, according to an article that appears in the edition February 5 issue of Science.

“If the investigator says he is not ready for human use and must first pass through clinical trials, the coach’s response is that maybe you can use your athlete as a human subject,” said co-author of Mark Frankel, director program of scientific freedom, responsibility and law of the American Association for the Advancement of Science, a nonprofit organization in Washington, DC

The “gene doping” is not only cheating, but could be dangerous, Frankel said. The genetic alteration is considered highly risky and experimental, and nobody knows what are the consequences if the desired effect out of control on online pharmacy.

“We are worried,” said Frankel. “We think that the kinds of developments that happen at the doctor face to treat various diseases or injuries will be adopted and tested by athletes and their coaches looking for the next competitive advantage.”

WADA is well aware of the potential of genetically modified athletes, said Dr. Theodore Friedmann, director of gene therapy program at the University of California at San Diego and chairman of gene doping panel of that agency in Montreal online pharmacy.

Gene therapy is among the most promising new strategies for treating the disease, said Friedmann. Therapists gene in hundreds of laboratories around the world investigating, especially in animal models, how genes or their expression could be altered to treat diseases. Among the techniques is the introduction of new genes into cells using a virus as a vector or even the use of drugs to change the way genes work.

The athletes might use gene therapy to enhance performance through increased production of red blood cells, increase muscle mass, manipulating the production or use of metabolic energy, or alter the metabolism of fat or the perception of pain, said Friedmann .

“We suspect that potentially would use gene doping are being kept abreast of gene technology, learning a lot from how it is done lawfully and preparing to use similar techniques in sports,” said Friedmann, who authored the article with Frankel Olivier Rabin and WADA.

The 2010 Winter Olympics begin Feb. 12. Should the fans wonder if that skater or skier to win using gene manipulation to cheat?

Probably still be difficult for athletes to obtain substances or the technology for genetic modification today, said Frankel. But on the Internet, companies are already saying things perhaps dubious about products that promise to “alter the genes of muscle … by turning on their genetic machinery,” or make “any bodybuilder … is genetically gifted.”

And the traditional forms of performance-enhancing drugs still abound. Among the substances banned in the Olympics are stimulants, anabolic steroids, human growth hormone and erythropoietin, a synthetic hormone that acts on stem cells in the bone marrow to increase production of red blood cells and endurance.

The parade of elite athletes who were found using banned substances continues. Erythropoietin has been implicated in scandals of doping among cyclists in the Tour de France and long distance runners. Steroid use has caused the downfall of several players from major league baseball. The professional tennis player Andre Agassi admitted using methamphetamines.

Although these substances can be detected through blood or urine tests, “do not yet have any evidence for genetic manipulation,” said Frankel. “We must seek the physiological changes that could occur only if these artificial interventions are performed.

Frankel urged athletes and coaches not to take the risk first. In a real life example, researchers used gene therapy in a small number of infants suffering from severe combined immunodeficiency (SCID), the disease known as “bubble boy”. Although some children were much improved, several developed leukemia.

“Basically, we know what steroids do to the body. But right now, we’re not sure what can be triggered if you start to make changes in the genetic makeup,” said Frankel. “It may be inert and not make or what you wanted. Or maybe you have unforeseen consequences for health”

Pubic pain, a problem of the amateur athlete.

Tuesday, February 23rd, 2010

Pubic pain, a problem of the amateur athlete.
The groin injury primarily affects those practicing football because significantly develop the muscles of the lower extremities, and less abdominal
The unbalanced development of muscles can take its toll. A possible consequence is the groin strain or pain in the pubis. Mainly affected by this physical problem are amateur sports, especially soccer practitioners, as they develop significantly the lower limb muscles rather than your abs. Fortunately, this decompensation is preventable. And if the problem becomes chronic, can be corrected in the operating room.
Uncommon among professionals at online pharmacy.

The pubis pain is a common health problem among sports fans and uncommon among professionals. It affects mainly those in contact sports and shock as a team, like football, volleyball, handball or basketball, and some individual athletes in fencing and riding. However, since football is the favorite sport in Spain, the greatest number of people affected is among the amateur players, explains Jose Aragon, Chief of Traumatology and Orthopedics Hospital Foundation of the Holy Spirit (FHES), Santa Coloma de Gramanet (Barcelona), and the group of footballers Mutual Catalonia online pharmacy.

“It affects more fans because the professionals have a physical preparation and follow-up by specialists it very difficult this type of injury,” says Aragon. It has been found that amateur soccer players are often affected, with between 20 and 25 years, playing in the regional league “but not 100% professional, but young people who work and also play football.” They train a couple of days and play one game a week.

This expert has participated in the VI Conference of Physio-Cot, organized in Barcelona by FHES, Mutual Footballers of Catalonia and the collaboration of other institutions. In this event, which has assisted over 250 professionals, physiotherapists and orthopedic surgeons, has been used to make an update on the groin injury. This injury is one of the most frequent pathologies in the consultation of specialists in sports medicine. “Regarding the anterior cruciate ligament injuries, which take place more frequently in soccer players, representing two out of ten,” says Aragon. However, it is little known to both the population at risk for osteoporosis and for orthopedic surgeons who do not engage in sports medicine.
The cause: muscle imbalance online pharmacy.

People have a higher risk of short stature, with a strong muscular legs and a very powerful

Also known as dynamic osteopathy of pubis or adductor syndrome in the front of the pelvis, groin injury develops in decompensation of the musculature as a result of sport that reinforces the work with legs so your thighs and legs are very powerful and strong, while the abdominal muscles, on occasions is flaccid. The abdominal muscles, which start in the chest, and adductors, which play a static role and form the content of the thigh attach to the pubis. A muscular imbalance between the upper and lower trunk generates pain in the pelvic area, reports Aragon.

Lluís Puig, practitioner of the Service of Orthopedic Surgery and Traumatology FHES and organizer of the conference, explains that “the origin of the groin injury is unclear” but acknowledged that “many authors” agree that it is due to a muscle imbalance. Furthermore, the antagonistic action between adductors and abs can affect adjacent joints.

The abdominal muscles are phasic or dynamic and, to an injury or inactivity, tend to hypotonia and weakness. Meanwhile in the online pharmacy, the adductor muscles are tonic or static, or inaction with pathology, tend to hypertonic and retraction. This means that “the rest is not indicated in the groin strain but should be made active rest, because otherwise, the flaccidity of some and the retraction of others is accentuated and aggravated the table,” added the specialist.
From prevention to treatment
To prevent this problem, physical trainers, whether football or any team sport in the running jumps reception-volleyball, handball or basketball, must seek harmonious development plans of the musculature. First should be on the biotype of the athlete, as people of low stature, with a strong muscle and a very powerful legs could be more at risk for osteoporosis.

After studying the structure of each player, you should implement a program of stretching exercises with guidance appropriate to each one, in order to avoid decompensation muscles during sports, says Aragon. This orthopedic stresses that efforts should be made to the tracks where they practice the highest-risk sports are suitable, since the hard surfaces, muddy and with irregularities favoring the injury.

With physical therapy can also prevent groin injury. According to Puig accurate in this case, treatment goals are the same for both prevention, and for conservative treatment or after surgery (after the healing period), “always at the time and the status of the athlete”. This consists of doing dynamic work and cardio, toning the abdominal muscles and work flexibility and stretching of the adductor muscles, among others.
Pubalgia SURGERY

The groin injury is very difficult to reverse, hence the importance of prevention. In cases where it becomes chronic, there is only undergo surgery. The surgery involves suturing the tendon practice (tenorrafia) from the anterior wall of the abdominal muscles and transection of the tendon (tenotomy) of the adductors, ie to a reinforcement of the abdominal wall and get the adductor longus tendon of the pubis inch down and stick the rest of the muscle planes in the thigh, to lower the tension on the pubic area, detailing Jose Aragon.

This operation is performed under epidural anesthesia, so that just goes to sleep the body from the waist, the lower half. The patient can resume their normal two weeks later and return to sport after two or three months. In a transaction of this type assist an orthopedist, an anesthesiologist, nurses and, occasionally, a physiotherapist, who is entering the operating room to hear the patient’s injury, the section made by the surgeon and how they have been sutured the muscles. It is he who should be involved throughout the preoperative and the postoperative patients with groin injury. Only if you know all the details of the cases, apply a specific treatment for each defends Aragon.