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mcatmemoranda · 2 years

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Algorithm 1: Nmet: normetanephrine; Met: metanephrine; MRI: magnetic resonance imaging; CT: computed tomography; 68-Ga DOTATATE PET: gallium 68 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid-octreotate; FDG: fluorodeoxyglucose; PET: positron emission tomography.

Table 1: Medications that may increase measured levels of catecholamines and metanephrines: tricyclic antidepressants, levodopa, drugs containing adrenergic receptor agonists (e.g., decongestants), buspirone and most psychoactive agents, amphetamines, prochlorperazine, reserpine, withdrawal from clonidine and other drugs, ethanol.

The diagnosis of pheochromocytoma is made based upon biochemical confirmation of catecholamine hypersecretion, followed by identifying the tumor with imaging studies. Many patients are tested for possible sporadic pheochromocytoma, but few will ultimately be diagnosed with the disorder (approximately 1 in 300).

Biochemical evaluation – We suggest initial biochemical testing based upon the index of suspicion that the patient has a pheochromocytoma. If there is a low index of suspicion, we suggest 24-hour urinary fractionated catecholamines and metanephrines; if there is a high index of suspicion, we suggest plasma fractionated metanephrines (algorithm 1). Medications that can interfere with results are reviewed above (table 1). Indications for testing — Pheochromocytoma should be suspected in patients who have one or more of the following:

●The classic triad of headache, sweating, and tachycardia, whether or not they have hypertension.

●Hyperadrenergic spells (e.g., self-limited episodes of nonexertional palpitations, diaphoresis, headache, tremor, or pallor). However, most patients with spells do not have pheochromocytoma.

●Onset of hypertension at a young age (e.g., less than 20 years), resistant hypertension, or hypertension with new-onset or atypical diabetes mellitus (e.g., new onset of apparent type 2 diabetes in a slender person).

●A familial syndrome that predisposes to catecholamine-secreting tumors (e.g., multiple endocrine neoplasia type 2 [MEN2], neurofibromatosis type 1 [NF1], or von Hippel-Lindau [VHL]).

●A family history of pheochromocytoma.

●Lipid-poor (unenhanced computed tomography [CT] attenuation >10 HU) adrenal incidentaloma with or without hypertension.

●Pressor response during anesthesia, surgery, or angiography.

●Idiopathic dilated cardiomyopathy.

●A history of gastric stromal tumor or pulmonary chondromas (Carney triad).

Discontinue interfering medications — Although it is preferred that patients not receive any medication during the diagnostic evaluation, treatment with all antihypertensive medications may be continued. Tricyclic antidepressants interfere most frequently with the interpretation of plasma fractionated metanephrines and 24-hour urinary catecholamines and metabolites. To effectively screen for catecholamine-secreting tumors, treatment with tricyclic antidepressants (including the muscle relaxant cyclobenzaprine) and other psychoactive agents (but not selective serotonin reuptake inhibitors [SSRIs]) listed in the table (table 1) should be tapered and discontinued at least two weeks before any hormonal assessments.

There are certainly clinical situations for which it is contraindicated to discontinue certain medications (e.g., antipsychotics), and if biochemical testing is positive, then computed imaging (e.g., CT scan of the abdomen and pelvis) would be needed to exclude a catecholamine-secreting tumor. Furthermore, catecholamine secretion may be appropriately increased in situations of physical stress or illness (e.g., any significant illness requiring hospitalization, stroke, myocardial infarction, congestive heart failure, obstructive sleep apnea). Therefore, the clinical circumstances under which catecholamines and metanephrines are measured must be assessed in each case.

Levodopa is the most common and only pharmacotherapeutic agent that causes markedly abnormal levels of dopamine.

For patients with biochemical confirmation of the diagnosis, the next step is radiologic evaluation to locate the tumor.

•Imaging – Biochemical confirmation of the diagnosis should be followed by radiologic evaluation to locate the tumor [57,59], not the other way around (algorithm 1). In sporadic pheochromocytoma, computed tomography (CT) or magnetic resonance imaging (MRI) of the abdomen and pelvis is usually performed first. Either test detects almost all sporadic tumors because most are 3 cm or larger in diameter. (See 'CT and MRI' above.)

If CT or MRI is negative in the presence of clinical and biochemical evidence of pheochromocytoma, one ought first to reconsider the diagnosis. If it is still considered likely, then iobenguane I-123 (also known as metaiodobenzylguanidine [MIBG]) scintigraphy may be done; this scan can detect tumors not detected by CT or MRI. (See 'Iobenguane I-123' above.)

Other imaging studies are more sensitive than iobenguane I-123 and CT/MRI for detection of metastatic disease. (See 'FDG-PET' above and '68-Ga DOTATATE PET' above.)

•Genetic testing – Genetic testing should be considered in all patients with pheochromocytoma or paraganglioma. (See 'Genetic testing' above.) (table 3)

●Pheochromocytoma in pregnancy – Pheochromocytoma is a rare cause of hypertension during pregnancy, with clinical features similar to those in the general population. The approach to diagnosis is the same as for nonpregnant women. Maternal and fetal mortality rates are high, particularly in those who are not diagnosed until delivery. Optimal medical therapy for pheochromocytoma in pregnancy is not clearly defined. (See 'Pheochromocytoma in pregnancy' above.)

In sporadic pheochromocytoma, both CT and MRI are quite sensitive (98 to 100 percent) but are only approximately 70 percent specific because of the higher prevalence of adrenal "incidentalomas." The choice between CT and MRI depends upon the cost and certain other factors described below.

●With CT, there is some exposure to radiation but no risk of exacerbation of hypertension if current radiographic contrast agents are given. CT with low-osmolar contrast is safe for patients with pheochromocytoma even without alpha- or beta-adrenergic blocker pretreatment, as illustrated in a report of 22 such patients [74]. After intravenous (IV) low-osmolar contrast administration for CT scan, there was a significant increase in diastolic blood pressure but no increase in plasma catecholamine levels or episodes of hypertensive crises.

●With MRI, there is neither radiation nor dye. This more expensive test can distinguish pheochromocytoma from other adrenal masses; on T2-weighted images, pheochromocytomas appear hyperintense and other adrenal tumors isointense, as compared with the liver. However, MRI lacks the superior spatial resolution of CT.

●Familial pheochromocytoma – In patients with the multiple endocrine neoplasia type 2 (MEN2) syndrome, computing imaging may miss approximately one-quarter of the tumors. In a selected group of patients with a 40 percent incidence of pheochromocytoma, the respective positive and negative predictive values of CT were 69 and 98 percent.

●Imaging phenotype of pheochromocytoma/paragangliomas:

-Increased attenuation on nonenhanced CT (most are greater than 20 Hounsfield units [HU]) -Increased mass vascularity -Delay in contrast medium washout (10 minutes after administration of contrast, an absolute contrast medium washout of less than 50 percent) -High signal intensity on T2-weighted MRI -Cystic and hemorrhagic changes -Variable size and may be bilateral

Additional imaging Iobenguane I-123

●If abdominal and pelvic CT or MRI is negative in the presence of clinical and biochemical evidence of pheochromocytoma, one ought first to reconsider the diagnosis. If it is still considered likely, then iobenguane I-123 (diagnostic) (also known as metaiodobenzylguanidine [MIBG]) scintigraphy may be done. Iobenguane I-123 (diagnostic) is a compound resembling norepinephrine that is taken up by adrenergic tissue. This scan can detect tumors not detected by CT or MRI or multiple tumors when CT or MRI is positive.

●Iobenguane I-123 scintigraphy is superfluous in patients with sporadic solitary adrenal pheochromocytoma identified on CT/MRI.

●Iobenguane I-123 scintigraphy is indicated in patients with large (eg, greater than 10 cm) adrenal pheochromocytomas (increased risk of metastatic disease) or paraganglioma (increased risk of multiple tumors and malignancy).

●Surgery is never indicated based on iobenguane I-123 findings alone; MIBG findings should always be corroborated by findings on computed imaging. Normal adrenal glands take up iobenguane I-123, and the uptake may be asymmetric.

#renal #pheo #pheochromocytoma

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alusa12 · 2 months

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Journey to Serenity: The Benefits of Mayan Abdominal Massage

In the quest for holistic wellness and inner balance, many individuals are turning to ancient healing practices that offer a unique blend of physical and spiritual benefits. One such practice gaining popularity is Mayan abdominal massage, a therapeutic technique rooted in ancient Mayan traditions that focuses on the abdomen as the center of physical and emotional health. In this article, we will explore the origins, techniques, and benefits of Mayan abdominal massage, as well as how it can promote serenity and well-being in today's modern world.서귀포출장안마

Origins of Mayan Abdominal Massage

Mayan abdominal massage, also known as Mayan abdominal therapy or Arvigo Techniques of Maya Abdominal Therapy® (ATMAT), traces its roots back to the ancient Mayan civilization of Central America. The Maya believed that the abdomen was the center of health and vitality, and that imbalances in this area could lead to various physical and emotional ailments. They developed massage techniques to address these imbalances and promote overall well-being.

In the early 20th century, Dr. Rosita Arvigo, an American naprapathic physician, learned about these ancient Mayan healing practices from traditional healers in Belize. She studied and adapted these techniques into what is now known as Mayan abdominal massage, blending traditional Mayan wisdom with modern anatomical knowledge. 서귀포출장마사지

Techniques of Mayan Abdominal Massage

Mayan abdominal massage involves a series of gentle, non-invasive techniques applied to the abdomen, lower back, and sacrum. The practitioner uses a combination of massage, acupressure, and energy work to release tension, improve circulation, and restore balance to the abdominal organs.

The massage typically begins with the practitioner assessing the client's abdominal area to identify any areas of tension, congestion, or misalignment. They then apply gentle pressure and rhythmic strokes to massage the abdomen, encouraging the release of built-up tension and promoting the flow of energy and fluids throughout the body.

Specific techniques may include:

Mayan abdominal massage: Gentle manipulation of the abdominal organs to improve digestion, relieve constipation, and promote detoxification.

Sacral work: Massage and manipulation of the sacrum to release tension and realign the pelvis.

Uterine positioning: Techniques to gently guide the uterus into its optimal position, which may help alleviate menstrual cramps, pelvic pain, and fertility issues.

Diaphragm release: Gentle stretching and manipulation of the diaphragm to improve breathing and release emotional tension stored in the chest and abdomen.

Throughout the session, the practitioner may also incorporate breathing techniques, visualization, and guided relaxation to enhance the therapeutic effects of the massage.

Benefits of Mayan Abdominal Massage

Mayan abdominal massage offers a wide range of physical, emotional, and spiritual benefits. Some of the potential benefits include:

Improved digestion: By addressing abdominal tension and promoting healthy organ function, Mayan abdominal massage can help improve digestion, relieve bloating, and alleviate symptoms of gastrointestinal disorders such as irritable bowel syndrome (IBS) and acid reflux.

Relief from pelvic pain: The gentle manipulation of the pelvic organs and sacrum can help alleviate pelvic pain, menstrual cramps, and discomfort associated with conditions such as endometriosis and uterine fibroids.

Hormonal balance: Mayan abdominal massage is believed to support hormonal balance by improving blood flow to the reproductive organs and promoting optimal function of the endocrine system.

Emotional release: The abdomen is often referred to as the "seat of emotions," and tension in this area can be linked to unresolved emotional issues. Mayan abdominal massage can help release emotional blockages stored in the abdomen, promoting feelings of relaxation, balance, and emotional well-being.

Fertility support: By improving circulation to the reproductive organs and addressing pelvic misalignments, Mayan abdominal massage may enhance fertility and support reproductive health in both men and women.

Overall relaxation and well-being: Beyond its physical benefits, Mayan abdominal massage induces a deep state of relaxation, reduces stress, and promotes a sense of inner peace and serenity.

Conclusion

Mayan abdominal massage offers a holistic approach to health and well-being, addressing the physical, emotional, and spiritual aspects of wellness. By incorporating gentle massage techniques, energy work, and ancient wisdom, this therapeutic practice can help individuals reconnect with their bodies, release tension, and restore balance to the abdomen and beyond. Whether seeking relief from digestive issues, pelvic pain, or emotional stress, Mayan abdominal massage offers a journey to serenity and profound healing for body, mind, and spirit.

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kingdomanama · 2 months

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Journey to Serenity: The Benefits of Mayan Abdominal Massage

Origins of Mayan Abdominal Massage

Techniques of Mayan Abdominal Massage

Specific techniques may include:

Mayan abdominal massage: Gentle manipulation of the abdominal organs to improve digestion, relieve constipation, and promote detoxification.

Sacral work: Massage and manipulation of the sacrum to release tension and realign the pelvis.

Uterine positioning: Techniques to gently guide the uterus into its optimal position, which may help alleviate menstrual cramps, pelvic pain, and fertility issues.

Diaphragm release: Gentle stretching and manipulation of the diaphragm to improve breathing and release emotional tension stored in the chest and abdomen.

Throughout the session, the practitioner may also incorporate breathing techniques, visualization, and guided relaxation to enhance the therapeutic effects of the massage.

Benefits of Mayan Abdominal Massage

Mayan abdominal massage offers a wide range of physical, emotional, and spiritual benefits. Some of the potential benefits include:

Hormonal balance: Mayan abdominal massage is believed to support hormonal balance by improving blood flow to the reproductive organs and promoting optimal function of the endocrine system.

Overall relaxation and well-being: Beyond its physical benefits, Mayan abdominal massage induces a deep state of relaxation, reduces stress, and promotes a sense of inner peace and serenity.

Conclusion

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cmr-insights · 7 months

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Transcatheter Embolization And Occlusion Devices Market Statistics and Global Analysis Report 2030

The Global Transcatheter Embolization and Occlusion Devices Market was valued at US$ 3,198.3 Million in 2022 and is anticipated to reach US$ 6,306.2 Million by the end of 2030 with a CAGR of 8.9% from 2023 to 2030.

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These procedures also aid in removing improper connections between the arterial and venous systems and preventing or controlling abnormal bleeding. Moreover, they aid in the management of aneurysms. Unlike open and invasive surgical techniques, transcatheter embolization is particularly effective at controlling bleeding without being invasive. The use of TEO devices is another area where this technology is becoming more widely adopted. Non-coil products like embolization particles and liquid embolic aid minimally invasive surgery. Therefore, using these devices helps prevent issues like catheter entrapment, inaccurate installation, and balloon deflation brought on by coiling. Surgeons are increasingly moving towards non-coil devices to take advantage of these benefits, which is expected to increase revenue for TEO devices.

Transcatheter embolization is a useful therapeutic option for several gynecological and obstetric problems. It is feasible to skip surgery with minimally invasive transcatheter embolization procedures, which minimize mortality and morbidity while preserving a patient’s possibility for future conception. Under the direction of knowledgeable interventional radiologists and with the help of essential technological support, transcatheter embolization is utilized to cure an array of ulcerations in the female pelvis, like ectopic pregnancy, arteriovenous malformation, and advanced-stage cancer. It is also used to treat pelvic congestion syndrome and uterine fibroids symptoms after women have undergone the requisite examination. Embolization to treat uterine polyps has recorded 85% and higher global success rates for women.

Transcatheter Embolization and Occlusion Devices Market Amid COVID-19 Pandemic

Due to the COVID-19 outbreak, Transcatheter Embolization and Occlusion Devices have become increasingly important. In an effort to contain the spread of the disease, government-imposed lockdowns restricted movement and limited regular check-ups. Elective procedures were postponed, but patients infected with the virus were given priority. This has resulted in reduced demand for Transcatheter Embolization and Occlusion Devices. However, as the number of COVID-19 cases decreases and vaccination rates increase, there will likely be a surge in demand for these devices.

The healthcare sector is slowly returning to normal as patient visits resume, production facilities reactivate, and lockdown restrictions are lifted. The market for transcatheter embolization and occlusion devices was significantly affected by COVID-19, but there has been a sharp rise in sales of medical products in response to the pandemic. The medical industry continues to require more medical supplies due to the increase in COVID-19 cases worldwide, which has had an impact on every market. Despite stricter regulations, the medical supply and catheter sectors were able to meet demands for medical procedures. The pandemic resulted in a greater need for respiratory support equipment and life-supporting machines, but producers of this safety gear were able to keep up with demand.

It is projected that the demand for Transcatheter Embolization and Occlusion Devices will increase during the projection period. Despite the impact of the pandemic, the industry’s overall growth remains strong.

Increasing Prevalence of cardiovascular disorders respiratory disorders, and Cancer, the growing geriatric population, the surge in the need for treatment, patient awareness, technological advancements & increased healthcare expenditure to Boost the Transcatheter Embolization and Occlusion Devices Market

The demand for transcatheter embolization and occlusion devices is projected to rise due to several key factors in the healthcare landscape. These factors include an increasing incidence of cancer, respiratory illnesses, and cardiovascular diseases, a growing aging population, a higher demand for medical treatments, greater patient awareness, advancements in technology, and increased healthcare spending over the forecast period.

Transcatheter embolization and occlusion (TEO) is a minimally invasive treatment method. It involves the insertion of a synthetic embolus into a blood vessel via a catheter to reduce blood flow to a tumor or other targeted areas of the body. The market for these devices is expanding due to the rising demand for minimally invasive surgeries (MISs), a higher prevalence of specific diseases, technological innovations in more efficient systems, a shift from traditional clipping methods to coiling, and increased adoption of Transcatheter Embolization and Occlusion devices.

The use of transcatheter has seen significant growth in recent years, particularly with the transition from clipping to coiling and increased acceptance of transcatheter embolization and occlusion techniques. This growth is further boosted using minimally invasive procedures and the introduction of non-coil products like liquid embolic and embolization particles. The global increase in the prevalence of chronic diseases is another significant factor contributing to the expansion of the transcatheter embolization and occlusion market.

One of the primary drivers for the market is the aging global population. With improvements in healthcare infrastructure and available resources, people are living longer, and the average lifespan has increased. According to UN projections, by 2022, there will be over 727 million people aged 65 and older worldwide, with this elderly population expected to double in the next three decades to over 1.5 billion individuals. As the senior population grows, so will the demand for Transcatheter Embolization and Occlusion Devices.

Additionally, the market is expected to experience growth due to the increased introduction of new products and commercialization partnerships between major manufacturers and other businesses. For instance, Abbott’s Amplatzer steerable delivery sheath received CE mark and Health Canada certification. This innovative sheath is designed specifically for noninvasive left atrial appendage (LAA) occlusion procedures. Such developments are anticipated to drive the market for Transcatheter Embolization and Occlusion Devices further.

North America to spearhead the Transcatheter Embolization and Occlusion Devices Market.

The market in North America is propelled by the region’s highly developed healthcare system, rising provider awareness about transcatheter embolization and occlusion devices, and ongoing advancements in these technologies. In 2022, North America and Europe collectively represented the majority of revenue. Some of the factors driving the need for TEO devices in these areas include the presence of a modern well-defined regulatory framework, healthcare infrastructure, and skilled healthcare personnel to perform the operations. Throughout the predicted period, it is expected that both regions will continue to dominate.

North America is leading the transcatheter embolization and occlusion devices market due to the increasing prevalence of various chronic diseases. Due to this industry in North America is investing more and more in this sector. Moreover, the regulatory climate in North America is improving. Pharmaceutical businesses are finding it simpler to launch new drugs and products since regulatory agencies are creating clearer policies and procedures for the clearance of these therapies. The increasing elderly population in the country is one of the causes that is boosting the market. Increasing investments in R&D by the leading companies to develop new and advanced technologies are driving the market in the North America region. The markets in North America are being supported by rising patient awareness of the therapies, goods, and services available in the market for the treatment of different ailments including liver cancer, kidney cancer, venous blood clots, etc. Well-established infrastructure and medical services support the expansion of the local Transcatheter Embolization and Occlusion Devices market.

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Companies operating in the Transcatheter Embolization and Occlusion Devices market include BTG plc, Boston Scientific Corporation, Medtronic plc, Penumbra, Inc., Cook Medical, Edwards Lifesciences Corporation, Merit Medical Systems, Johnson & Johnson Services, Inc., Pfizer, Inc., Stryker Corporation, Terumo Corporation, Sirtex Medical Limited, and Abbott Laboratories. These companies play a significant role in the development and distribution of devices used in minimally invasive procedures to treat vascular conditions.

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abdominalpaintreatment · 8 months

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What Causes Pain In the Female Pelvic Area?

Although all regardless of gender may experience pelvic pain this condition is commonly linked to females. Most of the females after reaching puberty complain about severe pelvic pain at different phases of life. The worrisome issue is that many fail to understand the cause behind this.

Through this blog, we will try to address some everyday things individuals should know about pelvic pain. Moreover, the cause of the discomforting situation of female pelvic pain is going to be addressed. Additionally, this blog is also detailed about the effective treatments for female pelvic pain treatment in New Jersey provided by medical experts.

What is Female Pelvic Pain?

Female pelvic pain refers to discomfort or pain that occurs in the lower part of a woman's abdomen or pelvis. This type of pain can vary in intensity, duration, and location, and it can have numerous potential causes.

Common Causes of Female Pelvic Pain

Fibroids, trauma, pressure, or inflammation can cause nerve discomfort or inflammation.

Contraction of skeletal muscles, fallopian tubes, uterine smooth muscles, and other smooth muscles.

Difficulties with the female reproductive system, such as malignancies, endometriosis, endometrial polyps, miscarriages, ruptured fallopian tubes, ovarian cysts, and pelvic inflammatory disorders.

The pelvis's internal organs are separated by scar tissue.

Male pelvic pain conditions such varicocele, hydrocele, prostatitis, and testicular torsion.

Cause of Chronic Female Pelvic Pain

Endometriosis

Adenomyosis

Radiation treatment

Cancers of pelvic organs

Levator syndrome

Pudendal neuralgia

Pelvic support problems causing prolapse

Irritable bowel syndrome

Pelvic congestion syndrome

Interstitial cystitis

Sacroiliitis

Treatment for Female Pelvic Pain

Medical Evaluation: The first step in treating pelvic pain is to determine the cause. Your healthcare provider will take a detailed medical history, conduct a physical examination, and may order imaging or diagnostic tests like ultrasounds, CT scans, or MRI to identify any abnormalities.

Medication: Depending on the diagnosis, your healthcare provider may prescribe medication to alleviate the pain. This can include non-steroidal anti-inflammatory drugs (NSAIDs) for inflammation, antibiotics for infections, hormonal therapy for conditions like endometriosis or fibroids, or pain relievers for general discomfort.

Physical Therapy: Pelvic floor physical therapy is often recommended for women with musculoskeletal or pelvic floor dysfunction. Specially trained physical therapists can provide exercises and techniques to improve pelvic muscle function and reduce pain.

Lifestyle Modifications: In some cases, lifestyle changes can help manage pelvic pain. These may include dietary adjustments for gastrointestinal issues, weight management, stress reduction techniques, and regular exercise to improve overall health.

Minimally Invasive Procedures: If conservative treatments are ineffective, some conditions may require minimally invasive procedures or surgery. Laparoscopic surgery is commonly used to treat conditions like endometriosis, ovarian cysts, or fibroids.

Psychological Support: Chronic pelvic pain can be emotionally challenging. Psychotherapy, counselling, or support groups may be beneficial for managing the emotional aspects of chronic pain.

Alternative Therapies: Some individuals find relief from complementary therapies such as acupuncture, chiropractic care, or herbal remedies. It's essential to discuss these options with your healthcare provider before pursuing them.

Pain Management Techniques: Techniques like nerve blocks or neuromodulation may be considered for severe and chronic pelvic pain cases.

It's crucial to remember that the success of treatment depends on an accurate diagnosis and a tailored approach to address the specific cause of pelvic pain. In case of finding effective chronic pain treatment in New Jersey, individuals may visit Mainland Pain Management. The facility is handled by a renowned pain management specialist, Dr. Dipty Mangla, who thoroughly analyzes the causes to provide the best-suited option.

#Pelvic Pain Treatment #Chronic pain Treatment #Pelvic Pain Treatment in New Jersey #Chronic pain Treatment in New Jersey

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vipinterventional · 8 months

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Reasons Why Your May Be Referred to an Endovascular Specialist

The veins are the road system in our bodies, transporting oxygen from the lungs to all of the cells through blood. Whenever there is a “roadblock” in any vein or artery, you feel the negative symptoms in the affected areas. Sometimes, these conditions can be very serious, and you may need to see a recommended vascular surgeon Mesa AZ area specialist. Here are just a few conditions that require a specialist in vascular diseases: 1. Your Legs Hurt When Walking Leg pain can be caused by several conditions, including trauma. But if you feel constant pain in your leg while walking, you may suffer from peripheral arterial disease. This means that the smaller veins in your legs do not work properly. Thus, the muscles in your legs do not receive sufficient oxygen. 2. You Have Many Protruding Varicose Veins Varicose veins are not just unpleasant, but also dangerous. They are the place where blood clots can form. If one of these clots becomes loose, it can travel carried by blood to your lungs, causing an embolism. This is a potentially fatal health issue, so you must see an endovascular specialist as soon as possible if you suffer from varicose veins. 3. Pelvic Congestion Syndrome (PCS) PCS is a condition specific to women. The veins in a woman’s pelvis can become varicose. The condition becomes even more obvious and painful during menstruation. The main symptoms include pain or aching in the pelvis, feeling of fullness in the leg and a dragging sensation in the pelvic area. The post Reasons Why Your May Be Referred to an Endovascular Specialist appeared first on blog.vipinterventional.com. Originally published here: https://blog.vipinterventional.com/reasons-why-your-may-be-referred-to-an-endovascular-specialist/

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azccp123 · 2 years

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Pelvic Congestion Syndrome | What conditions are associated with Pelvic Congestion Syndrome?

Varicose Veins or Vein Engorgement

When blood pools in the pelvic vein or ovarian vein, it may result in enlarged veins, causing pain, tenderness, and redness. Varicose veins usually develop in the legs, calves, and feet, but can also occur in the pelvic region, leading to pelvic congestion syndrome.

Deep Vein Thrombosis (DVT)

DVT occurs when a blood clot forms in a deep vein, and this can occur in the pelvis. The clot then restricts blood flow, which in turn causes pain, swelling, and often varicose veins, such as in the left ovarian vein.

Hydro-nephrosis

Compression on the renal vein can affect urine flow and backing up of urine into the left kidney, causing pelvic congestion syndrome symptom. As a result, affected individuals may report chronic pain and frequent urination.

Peripheral Artery Disease (PAD)

Cholesterol and fat can build up in the arteries forming plaque that blocks blood flow. This leads to peripheral artery disease, wherein the reduction of blood flow affects the iliac arteries in the pelvis. Those affected may suffer from pain and cramps. Men may also experience erectile dysfunction.

Who is at Risk for Pelvic Congestion Syndrome?

Since studies have shown a link between pregnancy and pelvic congestion syndrome, women who have given birth are at risk for developing this condition. Women who have had multiple pregnancies (carrying more than one baby, e.g. twins) are even more at risk than those who have had a singleton pregnancy (carrying one baby), as they are more likely to develop pelvic varices or enlarged veins in the pelvic region.

In addition, those who have a history of pelvic congestion syndrome in the family are also at risk. If you are suffering from chronic pelvic pain and believe you might have this condition, get in touch with a qualified healthcare provider like AZCCPP.

Can I manage Pelvic Congestion Syndrome on my own?

While this condition is not fatal, if left undiagnosed or untreated, pelvic congestion syndrome can lead to further health complications like chronic pelvic pain and permanently damaged vein. Only qualified healthcare professionals like our team at AZCCPP can help you manage it properly through treatments such as interventional radiology and ovarian vein embolization.

We strongly advise you to get in touch with us so we can make the right diagnosis and provide the best pelvic congestion syndrome treatment option for your case.

What are Pelvic Varicosities?

Pelvic congestion syndrome is a condition where pelvic veins become engorged and form pelvic varicosities. Pelvic varicosities usually occur during pregnancy and disappear after. In some patients, they remain, causing pelvic congestion syndrome. It may occur after a full-term pregnancy, but also after preterm birth, miscarriage, or even after ectopic pregnancy. The mechanism in which varicosities cause pain is not well understood, but it may be due to stretching of the vein wall, pressure on the surrounding nerves, or changes in tissue pH. Some varicosities occur in the ovarian veins and veins around the uterus but some patients have varicosities in the vulvar area pressing against the nerves innervating the clitoris, urethra, and labia.

Depending on the location of congested veins patients will experience different symptoms. Congestion of ovarian and uterine veins leads to the sensation of heaviness in the pelvis which is worse with sitting and standing for a prolonged time and better with laying down. On top of the sensation of heaviness, there is occasional sharp shooting pain in the lower abdomen usually on the left side lasting several seconds at a time which may occur a few times a day to a few times per week.

Pelvic congestion may be diagnosed on pelvic MRI or ultrasound but the gold standard test for diagnosis is transfundal venogram.

Typical appearance of pelvic congestion syndrome on transfundal venography

Treatment of pelvic congestion may be done by an interventional radiologist who obliterates the congested veins in an attempt to decrease pain. Congested veins may also be closed off surgically by isolating them from the surrounding structures such as nerves and arteries and sealing with a vessel sealing device. An additional benefit of surgical treatment using da Vinci robot over radiological treatment is that surgical treatment of pelvic congestion allows to precisely survey the pelvis and address any other cause of pelvic pain.

Congestion of the veins around the clitoral or perineal branch of the pudendal nerve can only be seen during a special ultrasound examination. This congestion will lead to pain in the clitoris, urethra, and labia and it is worse with sitting and standing. Patients may also experience the sensation of persistent sexual arousal. This type of congestion may be treated by injecting a sclerosing agent into the congested vein in a similar manner as it is done into varicosities in the legs.

Doppler ultrasound demonstrating congestion in the clitoral vein

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What are the Signs and Symptoms of Pelvic Congestion Syndrome?

Again, pelvic congestion syndrome affects everyone differently. It will depend on which pelvic structure the varicose veins are affecting. Here are some signs and symptoms of this condition:

Your vulva is swollen or you have varicose veins in your genital area.

This happens when pelvis varicose veins go out into the vulva or vagina.

You have an irritable or painful bladder.

When the pelvic varicose veins push on the bladder, you may feel discomfort or pain when urinating.

You have hemorrhoids.

Pelvic varicose veins that go into the anus and around the back of the passage may result in bleeding, discomfort, or pain in this area, especially when passing stool.

You have an irritable bowel.

When the pelvic varicose veins push on the bowel, you may experience symptoms similar to irritable bowel syndrome (IBS): bloating, gas, abdominal pain, cramping, diarrhea, and constipation.

You experience discomfort or pain during and after sexual intercourse.

This is due to the pelvic varicose veins pushing on the gynecological organs.

Your pelvic pain worsens during your menstrual cycle.

When the weight of the blood in the veins pushes down on the pelvic floor, you may feel an unusual level of discomfort during your period. You may also experience abnormal bleeding.

Your pelvic pain worsens throughout the day, especially after physical activities.

Usually, the pain intensifies after sitting or standing for too long, or after physical exercise such as walking, jogging, and lifting weights.

You feel exhausted.

PCS can be just as draining emotionally as it is physically due to the accompanying

discomfort or pain. Hence, many women claim they also suffer from fatigue and even

mood swings.

Since various conditions exhibit the same signs and symptoms as pelvic congestion syndrome, it is important to consult with a trusted physician for accurate diagnosis and proper treatment.

What Causes Pelvic Congestion Syndrome?

Normally, the arteries send blood from the heart to the rest of the body. Then, the veins send blood from the body back to the heart. This flow is made possible by valves within the veins, which keep the blood from going into reflux or flowing backward.

When the veins become dilated, the valves do not close properly. Reflux then occurs, which leads to pooling of blood within the affected organ--in this case, the pelvis. This results in varicose veins and pelvic congestion syndrome.

While the reason for this condition is unknown, most people who suffer from it are women between the ages 20 and 45 who have had previous pregnancies. One theory suggests that the following can cause pressure within the ovarian veins, leading to vein dilatation:

Age (particularly during childbearing years)

Genetics

Polycystic ovaries

Retroverted uterus

Anatomic changes in the pelvic structure due to pregnancy

Hormonal changes due to pregnancy

Hormonal dysfunction due to pregnancy

Weight gain due to pregnancy

Fluid buildup due to pregnancy

Increase of blood volume due to pregnancy

Increase of estrogen due to pregnancy

How Can You Avoid Pelvic Congestion Syndrome?

Since the cause of pelvic congestion syndrome remains unclear, it is not always possible to avoid this condition. However, the risk may be reduced by doing the following:

Eat a healthy diet

Exercise regularly

Quit smoking

Maintain a healthy weight

Maintain a healthy body mass index (BMI)

Wear compression garments during pregnancy

Wear compression garments on a routine basis after pregnancy

Pelvic Congestion Syndrome in Pregnancy

When a pregnant woman suffers from pelvic congestion syndrome, symptoms usually worsen as the baby grows. The baby’s weight and size exert pressure on the varicose veins of the pelvis, causing great discomfort or pain. The pain may be a dull ache, throbbing, or sharp.

Sitting or standing for a long time can cause the pain to worsen at the end of the day. The best way to relieve it is by lying down. Additionally, every subsequent pregnancy may also worsen the pain.

Outlook

Pelvic Congestion Syndrome may not be fatal, but it can greatly affect your quality of life. For instance, symptoms like hemorrhoids, pelvic pain, and fatigue can take a toll on your physical, mental, and emotional wellbeing.

Fortunately, the symptoms can be minimized and managed with treatments. Your physician might also recommend counseling to help you cope with chronic pain associated with this condition.

To know your treatment options, consult with your doctor.

If you or someone you know has pain that started after pregnancy and has symptoms of pelvic congestion, call our office at 480-599-9682 or email [email protected] to learn more about available treatments.

Keywords:

Pain with urination

Pelvic floor muscle spasm

Chronic pelvic pain

Pudendal nerve neuralgia

Rectovaginal fistula

Pudendal neuralgia

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pranalipawarshinde · 2 years

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Transcatheter Embolization and Occlusion Devices Marketto expand at a CAGR of 7.8 % from 2019 to 2027

Transcatheter Embolization and Occlusion Devices Market: Overview

According to Transparency Market Research’s latest report on the global transcatheter embolization and occlusion devices market for the historical period 2017–2018 and forecast period 2019–2027. Rise in prevalence of chronic diseases, technological advancements, increase in patient awareness and health care expenditure, and surge in need of treatment of complex diseases drive the global market during the forecast period.

According to the report, the global transcatheter embolization and occlusion devices market was valued at US$ 2,957.4 Mn in 2018 and is anticipated to expand at a CAGR of 7.8 % from 2019 to 2027. In terms of volume, the global transcatheter embolization devices were accounted at 73,92,954 units in 2018.

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Increase in Spectrum of Transcatheter Embolization in Gynecologic and Obstetric Indications: Key Drivers

Transcatheter embolization is a useful therapeutic option for a wide range of gynecologic and obstetric abnormalities. Transcatheter embolization procedures performed with the use of radiologic imaging for guidance are minimally invasive and could prevent surgery, thereby decreasing morbidity and mortality and conserving a patient’s future fertility potential.

Under experienced interventional radiologists and essential technical support, transcatheter embolization can be performed for the treatment of numerous lesions in the female pelvis, including obstetric-gynecologic hemorrhage, advanced-stage malignancy, ectopic pregnancy, and arteriovenous malformation. It can also be used to treat pelvic congestion syndrome and symptomatic uterine fibroids in women who have undergone appropriate screening. Global success rate of 85% and higher have been reported in women treated with embolization for uterine fibroids.

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Development of New Materials for Catheterization and Embolization Boost Market Growth

As new materials for catheterization and embolization are developed, to provide greater vascular occlusion with regard to clinical performance and lower the complication rates. Many new agents have appeared on the market in the past several years.

Liquid embolic agents under investigation are primarily targeted toward the treatment of aneurysms, AVMs, and HCC. The administration of currently available liquid embolic polymers, NBCA, Onyx, and PHIL are associated with the introduction of toxic compounds. Hence, several groups are investigating new in situ gelling polymer systems that avoid the use of toxic byproducts or solvents.

The number of flow-directed embolic materials is expanding. The microspheres are prepared using a suspension polymerization process of poly(lactide-co-glycolide)-block-poly(ethylene glycol) crosslinker and PEGMA monomer. Co-monomers methacrylic acid (MA) and 2-methylene-1,3-dioxepane (MDO) were integrated to refine its properties.

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Post Embolization Syndrome to Hamper Market

Embolization is a useful technique in the therapeutic management of patients with vascular injuries caused by trauma, liver surgery, or percutaneous procedures. Such injuries are unusual; however, the presence of hemobilia or hemoperitoneum resulting from pseudoaneurysm or laceration of a blood vessel could put a patient critically at risk. Selective embolization of the injury provides excellent results as far as hemostasis is concerned (86%), although an associated morbidity of 58% has been described, which is basically connected with bile leakage, liver abscesses, and/or necrosis. Such lesions should, therefore, be treated on an individual basis, with full awareness of the possible consequences of a technique that is not risk-free.

The most common complication after embolization, the cause of which is still not properly understood, is the occurrence of fever, pain in the right hypochondrium, and a rise in transaminases. High temperature (< 38.5°C) may occur between 41% and 74% of cases and seems to be related to the presence of necrosis of the tumor and healthy tissue. Cytolysis (increase in transaminases), which has been observed in up to 93% of cases, is related to damage to healthy (noncancerous) hepatocytes.

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Global Transcatheter Embolization and Occlusion Devices Market: Competitive Landscape

BTG plc

Boston Scientific Corporation

Medtronic plc

Penumbra, Inc.

Cook Medical

Edwards Lifesciences Corporation

Merit Medical Systems

Johnson & Johnson Services, Inc.

Pfizer, Inc.

Stryker Corporation

Terumo Corporation

Sirtex Medical Limited

Abbott Laboratories.

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your-dietician · 2 years

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Help For That Pain in Your Butt - Acupuncture For Piriformis Syndrome

New Post has been published on https://backtherapyhealth.com/help-for-that-pain-in-your-butt-acupuncture-for-piriformis-syndrome/

Help For That Pain in Your Butt - Acupuncture For Piriformis Syndrome

It happened to me about three days into a week long kayaking trip in the middle of nowhere. I woke up one morning and tried to walk down the beach to wash my face, but my leg, or more accurately, my butt wouldn’t cooperate. I could walk, but just barely, because a nagging pain on the right side of my low back and butt was causing my leg to give out.

It wasn’t until a week or two later that I learned that I had something called Piriformis Syndrome that was crippling me. I managed to get through the kayaking trip-surprisingly; I was able to paddle without much pain. However, once I got out of my kayak, I was pretty well hobbled.

Piriformis Syndrome is literally a pain in the butt. Your piriformis is a core stabilizing muscle that runs deep from your sacrum (at the base of your spine) to your hip (the bone on the outside top of your thigh). Your sciatic nerve runs under, and for some people, through the piriformis muscle. When your piriformis is injured, it can compress the sciatic nerve where it passes through the pelvis. Beyond pain deep in your butt, Piriformis Syndrome usually causes pain that radiates down the back or side of your leg, and can travel through your knee and into your foot. The pain can be achy and dull, sharp, nagging, and even cause numbness and tingling.

The symptoms of Piriformis Syndrome tend to mimic those of Sciatica, but for a different reason. Sciatica, which also causes pain that radiates down your leg, occurs as the result of a lumbar disc pressing on your sciatic nerve.

Overuse is a common cause of Piriformis Syndrome, and can be a common injury that sidelines athletes. Prolonged sitting and trauma can also aggravate the piriformis muscle, causing it to swell or go into spasms, which causes the sciatic nerve to be pinched. People with a Type A personality may also be more prone to Piriformis Syndrome, as tension and stress can restrict the flow of blood to muscle and nerve tissues, triggering this painful condition.

There are a number of ways to relieve the pain, but the first order of business is to calm the muscle if it’s in spasm and reduce swelling. Stretching, massage, ice and heat are all in order to tend to this injured muscle.

Typical Western medical treatments for Piriformis Syndrome include rest, physical therapy, local anesthetics injected into the muscle, and prescription pain medications or muscle relaxants. For difficult or chronic cases, your doctor may recommend a cortisone shot into the muscle, and even surgery to relieve the impingement.

Acupuncture can be a very effective treatment for Piriformis Syndrome. This ancient healing medicine from China is based on the idea that your energy, which is produced in every cell, flows in pathways throughout your body. Any kind of congestion or blockage of a pathway can create a variety of symptoms, but most notably, pain. In most cases of Piriformis Syndrome the blockage is usually in the Gall Bladder pathway. This does not mean that your Gall Bladder is sick. The Gall Bladder pathway runs along the side of your body, through your butt and down the side of your leg-right where the pain from your piriformis travels.

An acupuncturist uses hair-thin needles inserted into various points on your body, which can help in a number of ways.

-It can calm the spasm in your muscle.

-An acupuncture treatment promotes circulation to the area of injury, which speeds the healing process.

-Research has shown that acupuncture increases pain-relieving chemicals in the brain.

-Acupuncture is extremely relaxing. Anyone who has experienced a muscle in spasm knows that stress and tension only aggravate the problem.

Your acupuncturist may enlist a number of healing tools to obtain the best results. Besides acupuncture, he or she may combine electric stimulation, heat, and a kind of bodywork similar to massage, called Tui Na to relieve your pain and help you heal.

As for my own injury, once I was out of the wilderness, I enlisted the help of an acupuncturist to help relieve my pain. I was lucky; it took a couple of weeks before I stopped limping, and a few more before I was completely pain-free. Combined with some daily stretching and strengthening exercises from a physical therapist, I haven’t had a recurrence, and I plan to keep it that way.

Source by Lynn Jaffee

#sciatic nerve pain relief

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yieldingcontronyms · 2 years

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Why does alcohol legitimately make my body feel better?? So uncool. No pain killers work otherwise. So every time I am fed up and start having some for some actual relief I have to be like well this sucks I'm damaging my liver ugh. I assume it has to be it's effect on my veins? My last set of mris which finally included the pelvis and the cysts and vein problems shown there and which the MRI tech flat out wrote pelvic congestion syndrome, the tech also noted for the first time in the multiple times all my cysts have appeared and been shown since appearing on my kidneys and back that my various cysts are veinous related

#spoonie #chronic illness #disability #invisible illness #symptoms #chronic fatigue

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thecvascularglenlove · 4 years

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What is Pelvic Congestion Syndrome (PCS)?

Pelvic Congestion Syndrome is a condition associated with varicose veins in the pelvis, lower abdomen and thighs, often accompanied by chronic pelvic pain. PCS is the result of venous insufficiency – essentially the pooling of blood - in the pelvis and may affect as many as 1/3 of all women. Women with PCS are typically between the ages of 20 and 50 and have had one or more pregnancies - PCS is rarely diagnosed in women who have never given birth.

Center for Vascular Medicine - Glen Burnie 1600 Crain Highway South #410Glen Burnie, MD 21061United States (301) 486-4690

https://www.cvmus.com/location/glen-burnie

https://www.google.com/maps?cid=1832955228983688024

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magnificentfurydreamland · 4 years

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Pelvic Congestion Syndrome

Who requires this procedure ?

This procedure is indicated in female patients who had repeated chilbirths and complain of heaviness and severe pain before periods.

What is the underlying problem?

The underlying disease is abnormal proliferation of venous channels in the pelvis adjacent to uterus and ovaries.

What are the consequences of postponing / worst complication if left untreated?

Persistent pain and worsening of the heaviness in lower abdomen.

How is it diagnosed?

Internal Scan followed by a MRI Pelvis

What are the steps of procedure?

The arterial feeders and venous channels are identified on Angiogram can be blocked by drugs/coils/vascular plugs using thin wires and catheters.

Why endovascular approach?

Interventional radiology offers percutaneous embolization done through a 3mm hole under local anesthesia as a day care procedure.

#Pelvic Congestion Syndrome

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alusa12 · 2 months

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Journey to Serenity: The Benefits of Mayan Abdominal Massage

Origins of Mayan Abdominal Massage

Techniques of Mayan Abdominal Massage

Specific techniques may include:

Mayan abdominal massage: Gentle manipulation of the abdominal organs to improve digestion, relieve constipation, and promote detoxification.

Sacral work: Massage and manipulation of the sacrum to release tension and realign the pelvis.

Uterine positioning: Techniques to gently guide the uterus into its optimal position, which may help alleviate menstrual cramps, pelvic pain, and fertility issues.

Diaphragm release: Gentle stretching and manipulation of the diaphragm to improve breathing and release emotional tension stored in the chest and abdomen.

Throughout the session, the practitioner may also incorporate breathing techniques, visualization, and guided relaxation to enhance the therapeutic effects of the massage.

Benefits of Mayan Abdominal Massage

Mayan abdominal massage offers a wide range of physical, emotional, and spiritual benefits. Some of the potential benefits include:

Hormonal balance: Mayan abdominal massage is believed to support hormonal balance by improving blood flow to the reproductive organs and promoting optimal function of the endocrine system.

Overall relaxation and well-being: Beyond its physical benefits, Mayan abdominal massage induces a deep state of relaxation, reduces stress, and promotes a sense of inner peace and serenity.

Conclusion

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