General (involves multiple body parts)

My brother and I are having an argument over our mother's health care. She wants to see a homeopathic physician so I take her once a week for her remedies. He wants her to see a real medical doctor, but she doesn't want to go. Does it really matter how she's treated if she feels better?

Homeopathy is a well-respected form of alternative care for chronic conditions like allergies, back pain, migraines, and arthritis. It is practiced around the world, including some countries where it is the first-line of treatment, not just used when traditional medicine fails to help.




I'm fairly young (32 years old) and need to have a spinal fusion for damage done to my spine in a car accident years ago. They told me I'll have to use my own bone harvested from the pelvic bone. Evidently, I'm not a candidate for bone graft substitutes because I could get pregnant. What does that have to do with anything?

Bone graft substitutes are made from animal collagen tissue. When used to help promote bone growth, these therapeutic proteins can help speed up the bone formation and healing process. But because they come from outside the body, the immune system may set up a defense against them. This means the body forms antibodies to the proteins.




My wife and I are both nurses planning to go to China with a volunteer medical aid group. We've been studying up on the types of problems that occur in that country. My special area of expertise is orthopedics. I see that the Chinese are more likely than Caucasians of developing a problem called giant cell tumor. What can you tell me about this?

Giant cell tumors of the sacrum are uncommon. They are usually benign but they can grow very large putting pressure on the nearby nerves and other soft tissues. Sometimes they do become malignant and metastasize to the lungs. Giant cell tumors occur more often in Chinese people (up to 20% of the population are affected) compared to Caucasians in Western countries. The reason for this is unknown.




I work in an office with three other women who are very into running and exercising. They look great but it seems like they always have something wrong with them -- back pain, knee problems, ankle sprains. Isn't exercise supposed to help you stay fit? Can you overdo it?

What's the ideal level of physical activity? The World Health Organization says that everyone should engage in physical activity and exercise for at least 30 minutes five days out of the week. This can be done in small segments (five or 10 minutes at a time) or it can be done all in one half hour period of time.




Every TV talk show, news report, and magazine is full of how we should exercise every day or else suffer the consequences. Well, I don't really like to exercise. What do you suggest for people like me?

The World Health Organization, the American Heart Association, and the American Cancer Society have all published guidelines for healthy living designed to reduce your risk of diabetes, heart disease, cancer, and many other adverse health conditions.




I'm a high school cross country coach. For the first time in 20 years of coaching, I've got almost an entire team out with leg injuries. Most of them are ankle or knee problems. Could it be the shoes these kids are wearing? I've gone over and over in my mind the training approach I use -- but it hasn't caused injuries in the past, so why would it now?

Studies show that running is one of the most common causes of leg injuries in all athletes. In fact, it's estimated that up to 70 per cent of distance runners experience an overuse running injury during any 12-month period of time. As you have discovered, the knee is affected most often. Injuries to the foot and ankle take a close second.




I've been working as an EMT in a fairly rural setting. Now I'm moving to a more urban (large) city. I'm brushing up on things like gunshot wounds and how they are treated. Can you direct me to any reading materials that might help?

Even in urban areas, gunshot wounds are not your everyday, ordinary problems. But they do occur with some regularity in the United States. In fact, there are a reported 80,000 nonfatal gunshot wounds every year. The average EMT, orthopedic surgeon, and other health care professionals won't see a steady flow of these patients, but still must be prepared for any that do show up.




Urban Surgeons Share Their Knowledge of Gunshot Wound Treatment

Gunshot wounds are not your everyday ordinary problems. But they do occur with some regularity in the United States. In fact, there are a reported 80,000 nonfatal gunshot wounds every year. The average orthopedic surgeon won't see a steady flow of these patients, but still must be prepared for any that do show up.




What happens to people with osteochondritis dissecans? I had this problem when I was a teenager. Now that I'm in my 30s, I'm old enough to take better care of myself. So I'm wondering if it will come back.

Osteochondritis dissecans (OCD) is a bone defect in a joint (usually the knee). A fragment of cartilage or cartilage with a piece of bone attached to it comes loose and can become a free-floating body inside the joint. The cause of OCD varies from patient to patient. The most common causes are repetitive microtrauma (most common in athletes), inflammation, loss of blood supply, and abnormalities in bone formation.




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