The North American Spine Society and the Society of Interventional Radiology have pointed to flaws in both studies. And earlier studies, published over 15 years, found major benefits to kyphoplasty and a related procedure called vertebroplasty.
"We're missing opportunities for patients to receive a safe and effective treatment that can significantly reduce their pain and disability," said Malamis, an interventional radiologist.
The procedures are used to treat vertebral compression fractures in patients with osteoporosis and other conditions that result in brittle bones. In a vertebroplasty, an acrylic cement is injected into a fractured vertebra. In a kyphoplasty, a balloon-tipped catheter first is inserted into the fracture. The balloon is inflated to restore the height and shape of the vertebra before the cement is injected.
Neva Nelson, 74, of Naperville, Ill., said a kyphoplasty that Malamis performed in October, 2009, has greatly reduced her pain in a vertebra in her lower back that she fractured after falling on ice. Before her kyphoplasty, Nelson had to sit on cushions. Walking, and especially standing, were painful. "I had to do something," she said. "I could not go on like that."
Nelson said that since undergoing her kyphoplasty, "I don't have to worry about my back any more."
In the controversial studies, patients were randomly assigned to receive a vertebroplasty or a placebo-like "sham" procedure. In the sham procedure, patients received an injection of anesthetic, but no cement.
However, patients in severe pain are reluctant to enroll in a trial where there's a 50 percent chance of receiving a sham treatment. In one of the studies, researchers had to screen 1,813 patients to enroll just 131 subjects. In the other study, only 78 of 219 eligible patients were enrolled. This low enrollment rate raises the possibility that the patients who did enroll were not representative.
Patients experience the greatest pain during the first three months after a compression fracture. Thereafter, pain gradually subsides. Thus, a vertebroplasty or kyphoplasty provides the greatest benefit when performed within a week or two of the fracture. But the studies enrolled patients up to 12 months after fractures.
In addition to reducing pain and disability, a kyphoplasty can reduce the risk of subsequent fractures by improving the angle and height of the spine. The studies evaluated vertebroplasty alone, and did not include the more innovative and very different kyphoplasty procedure.
Malamis suggests the medical community wait for the results of additional studies now underway before passing final judgment on vertebroplasty or kyphoplasty. In the mean time, he notes that Medicare still covers the procedures.
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Basic Wheelchair For Sale - 0 views
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A Basic wheelchair incorporates a seat, foot rests and four wheels ,two caster wheels at the front and two large wheels at the back. The two larger wheels in the back usually have handrims; two metal or plastic circles approximately 3/4" thick. The handrims have a diameter normally only slightly smaller than the wheels they are attached to. Most wheelchairs have two push handles at the top of the back to allow for manual propulsion by a second person. Price starts from 4900 INR,80 usd
Basic Wheelchair For Sale - 0 views
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A Basic wheelchair incorporates a seat, foot rests and four wheels ,two caster wheels at the front and two large wheels at the back. The two larger wheels in the back usually have handrims; two metal or plastic circles approximately 3/4" thick. The handrims have a diameter normally only slightly smaller than the wheels they are attached to. Most wheelchairs have two push handles at the top of the back to allow for manual propulsion by a second person. Price starts from 4900 INR,80 usd
Wheelchair : Handicap Products: History : A Basic Wheelchair - 0 views
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A basic manual wheelchair incorporates a seat, foot rests and four wheels: two, caster wheels at the front and two large wheels at the back. The two larger wheels in the back usually have handrims; two metal or plastic circles approximately 3/4" thick. The handrims have a diameter normally only slightly smaller than the wheels they are attached to. Most wheelchairs have two push handles at the top of the back to allow for manual propulsion by a second person. Other varieties of wheelchair are often variations on this basic design, but can be highly customised for the user's needs. Such customisations may encompass the seat dimensions, height, seat angle (also called seat dump or squeeze), footrests, leg rests, front caster outriggers, adjustable backrests and controls.
Electric Wheelchair For Increased Independence - 0 views
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Electric wheelchair is a chair fitted with wheels. The device comes in variations allowing either manual propulsion by the seated occupant turning the rear wheels by hand, or electric propulsion by motors. There are often handles behind the seat to allow for different individuals to push. Electric Wheelchairs are used by people for whom walking is difficult or impossible due to illness, injury, or disability. Disabled People who have difficulty sitting and walking often make use of a wheelbench. A basic manual wheelchair incorporates a seat, foot rests and four wheels: two, caster wheels at the front and two large wheels at the back. The two larger wheels in the back usually have handrims; two metal or plastic circles. Electric wheelchairs are propelled by a motor and battery. They are very sophisticated. They are operated with a joy stick or push buttons. Some electric wheelchairs use advanced technology and can climb up stairs, move across gravel and even raise up to give access to high shelves. Electric wheelchairs need strong frames to support the motor and battery so they are very heavy and also quite expensive. People with spinal cord injuries face similar decisions. Often a person with a spinal cord injury will use a motorized wheelchair, even though they are physically capable of using a manual chair. They don't do this because they are lazy. They do this to be more efficient with their energy reserves. People with spinal cord injuries often choose motorized wheelchairs to preserve their physical energy, so that they can complete the work. Sometimes need to save on physical energy so that have some allowance left over for intellectual or emotional pursuits. Karma KP 10.2 Power Wheelchair: Features: Seat, base & battery quickly detach for easy storage and transportation Come with captain seat With seat platform, the captain seat can be moved forward or backward using tools which is included Adjustable armrest width and height Footrests can b
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Go on a diet for two days a week or referred to two day diet is far more effective way to lose weight.
Wheelchair : Handicap Products: History Of Tricycle - 0 views
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A three-wheeled wheelchair was built in 1655 or 1680 by a disabled German man, Stephan Farffler, who wanted to be able to maintain his mobility. Since he was a watch-maker, he was able to create a vehicle that was powered by hand cranks. In 1789, two French inventors developed a three wheeled vehicle, powered by pedals; They called it the tricycle. 19th century tricycle used in Iran In 1818, British inventor Denis Johnson patented his approach to designing tricycles.[clarification needed] In 1876, James Starley developed the Coventry Lever Tricycle, which used two small wheels on the right side and a large drive wheel on the left side; power was supplied by hand levers. In 1877, Starley developed a new vehicle he called the Coventry Rotary, which was "one of the first rotary chain drive tricycles." Starley's inventions started a tricycling craze in Britain; by 1879, there were " twenty types of tricycles and multi-wheel cycles ... produced in Coventry, England, and by 1884, there were over 120 different models produced by 20 manufacturers." The first front steering tricycle was manufactured by The Leicester Safety Tricycle Company of Leicester, England in 1881 which was brought to the market in 1882 costing £18. They also developed a folding tricycle at the same time.Buy online Tricycle for handicapped and disabled at lowest price and cheap cost in india from wheelchair india online shopping store of Tricycle manufacturer, distributor, dealer and supplier of variety of Tricycles at low price in india for handicapped and disability product like Disabled Tricycle Deluxe Double Hand Drive, Tricycle Deluxe Single Hand Drive, Tricycle Standard Double Hand Drive, Tricycle Regular Single Hand Drive, Standard Single Hand Drive Tricycle, along with that we offer huge discount. Tricycles were used by riders who did not feel comfortable on the high wheelers, such as women who wore long, flowing dresses. In the UK, upright tricycles are sometimes referred to as "ba
Wheelchair : Handicap Products: Types Of Wheelchair And Commode Wheelchair - 0 views
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A wheelchair is a type of chair with wheels designed for those persons who cannot walk due to illness, injury, or disability. It comes in variations some are propelled by motors and some propelled by the seated occupant turning the rear wheels by hands. The first wheelchair was invented by two friends Harry Jennings and Herbert Everest in 1933 which is used by Herbert Everest because his back was broken in an accident. Some different types of wheelchairs which are available in market are:
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A commode wheelchair is used by that person who can't walk due to disability and they used these wheelchairs as for bathroom commode. These chairs are consists of a seat, foot rests, four wheels: two caster wheels at the front and two large wheels at the back, a toilet seat and lid, a pair of arms for support, a bucket for waste and a splash guard. These wheelchairs are usually made from steel materials and very lightweight.
Wheelchair : Handicap Products: History Of Tricycle - 0 views
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A three-wheeled wheelchair was built in 1655 or 1680 by a disabled German man, Stephan Farffler, who wanted to be able to maintain his mobility. Since he was a watch-maker, he was able to create a vehicle that was powered by hand cranks. In 1789, two French inventors developed a three wheeled vehicle, powered by pedals; They called it the tricycle. 19th century tricycle used in Iran In 1818, British inventor Denis Johnson patented his approach to designing tricycles.[clarification needed] In 1876, James Starley developed the Coventry Lever Tricycle, which used two small wheels on the right side and a large drive wheel on the left side; power was supplied by hand levers. In 1877, Starley developed a new vehicle he called the Coventry Rotary, which was "one of the first rotary chain drive tricycles." Starley's inventions started a tricycling craze in Britain; by 1879, there were " twenty types of tricycles and multi-wheel cycles ... produced in Coventry, England, and by 1884, there were over 120 different models produced by 20 manufacturers." The first front steering tricycle was manufactured by The Leicester Safety Tricycle Company of Leicester, England in 1881 which was brought to the market in 1882 costing £18. They also developed a folding tricycle at the same time. Tricycles were used by riders who did not feel comfortable on the high wheelers, such as women who wore long, flowing dresses. In the UK, upright tricycles are sometimes referred to as "barrows". Many trike enthusiasts ("trikies") in the UK belong to the Tricycle Association, formed in 1929. They participate in day rides, tours and time trials. Massed start racing of upright tricycles is limited to one or two criteriums such as in Bungay, Suffolk each year.
Portable Wheelchair Provides Stage Accessibility - 0 views
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Portable chair frames can be constructed of either steel or aluminum and have weights anywhere from 15 lbs. and 45 lbs. depending on the model. All chairs will fold from side to side and some have folding back the make transporting and storage easier. Most chairs have weight capacity of 250 lbs. But the heavy duty models will hold up to about 450 lbs. Of course, a chair which will hold 450 lbs. Will be a much more heavily constructed and will push the weight towards the 45 lb. weight. The most common wheel configuration for portable chairs is four 8\" casters with solid tires. The front two casters will swivel to enable turning. On some models the rear two wheels may be 12\" in diameter instead of 8\" and have air tires insted of solid tires. The larger wheels will give a little bit softer ride and traverse rough terrain a little better. They fold up in interesting ways to collapse to the size of a suitcase when not in use and are usually large enough to cover one or two stairs when extended. It is important to consider their weight and the person who would most often be carrying the ramp and setting it up. Karma KM 2500 L Big Wheel Wheelchair Karma KM 2500 L Wheelchair Specifications Width 18" Front/Rear Wheels 6" to 22" Seat Width 47cm Seat Depth 40cm Overall Width 66cm Overall Collapsed Width 36cm Armrest Height 21cm Overall Length 90cm Seat Height 47cm Backrest Height 38cm Overall Height 86cm Weight 11.kg Karma KM 2500 L Wheelchair Seat and Back AEGIS Microbe Shield Approved by the FDA, EPA, EU, etc., bonded anti-microbial barrier upholstery protects from odor, staining and deterioration from bacteria, fungus and other microorganisms. It is a shield for your health. Karma KM 2500 L Wheelchair Extended Armrest By simulating the natural position of arms, the extended armrest design is ergonomic and creates bigger seating space. An Ultra lightweight wheelchair (11 kg) with a compact design for either attendant assisted or
MATERNITY CLOTHING - THE ULTIMATE GUIDE - 0 views
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Pregnancy comes with lots of changes, and that that includes wardrobe changes! As the female body undergoes significant physical and physiological changes, many find it difficult to get themselves organized. Many pregnant women seek a guide to maternity clothing, especially when the baby bump starts showing up. You don't have to wait until the baby bump shows up before you start shopping for your maternity outfits. The moment you find out you are pregnant is a good time to start thinking of your maternity outfits. Knowing that it might be difficult for you to shop for items or picture what you would look like in maternity clothing, this article has been created as your ultimate guide to maternity clothing shopping. WHY YOU NEED TO SHOP FOR MATERNITY CLOTHING If you are pregnant, especially if you are a first-time mom, the chances are high that you have asked several questions about maternity and maternity clothing, such as, "Do I really need maternity apparel? Isn't it a waste of money buying maternity apparel?" The fact is that shopping for maternity outfits is not a must, but you'd hardly get past your third trimester without needing certain maternity clothing items. You might be tempted to improvise, but the question you have to ask yourself is, "Is improving safety for my baby and me?" SHOPPING MATERNITY OUTFITS IS A NECESSARY STEP FOR EVERY EXPECTING MOM You need to shop for some basic maternity outfits because, as much as possible, you need comfort when you are pregnant. Pregnancy makes you gain additional weight. Pregnancy is one of the reasons it is easier for women to gain weight and harder for them to lose weight. Expect that your clothes will start getting tight, especially around the abdominal area. This will make you feel restricted. The tight outfit can obstruct the free circulation of blood to all parts of the body and can cause body pain. You already have many pregnancy symptoms like nausea, fatigue and baby kicks to deal with and won
Tynor Anklet Pair - 0 views
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Tynor Anklet (Pair) Anklets are tubular supports widely used in orthopedic practice to provide mild compression, warmth & support to the ankle joint, to allay pain and inflammation generally associated with old age, arthritis, sports etc. Four way stretch Two layered fabric Hypoallergenic Uniform compression Simple pull on application Tynor Anklet (Pair) Features Bilayered , cotton on the inside Dermophillic interpahse with the skin Better sweat absorption Better comfort Better patient compliance. No allergies or rash Bilayered, nylon on the outside Ensures long life Excellent aesthetics Color fastness. Two layers enclose air space retains body heat effectively Provides therapeutic warmth and assuring support to the knee. Four-way stretchable seamless tubular fabric Effective compression Enhanced comfort. No vaso constriction. Adjusts compression even on uneven diameters Simple pull on application improves patient compliance. Tynor Anklet (Pair) Measurements Measure circumference approx 2 inches above the ankle joint. Size Chart - Size Inches CM Small 7.2-8.4 18-21 Medium 8.4-9.6 21-24 Large 9.6-10.8 24-27 XL 10.8-12 27-30
Controversial Studies Trigger Dropoff in Osteoporosis Treatment - 0 views
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Dr. Angelo Malamis says that 90 percent of his patients who have undergone a treatment called balloon kyphoplasty for vertebral fractures report significant reductions in pain and disability. But the number of kyphoplasty referrals Malamis has received from primary care doctors has dropped sharply since two controversial studies were published last year in the New England Journal of Medicine. In findings that have been disputed by two medical societies, researchers reported that a procedure related to kyphoplasty was not significantly better than a placebo-like procedure in reducing pain and disability.
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How To Lose Love Handles Fat Quickly In the event that you ask any wellness proficient how to lose your cushy layers, they will reveal to both of you things: No measure of stomach crunches will ha...
Karma KM 2500 Wheelchair - 0 views
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Karma KM 2500 Small Wheel Wheelchair: Karma KM 2500 Small Wheel Wheelchair Specifications: Width 18" Front/Rear Wheels 6" to 14" Seat Width 47cm Seat Depth 40cm Overall Width 66cm Overall Collapsed Width 36cm Armrest Height 21cm Overall Length 90cm Seat Height 47cm Backrest Height 38cm Overall Height 86cm Weight 9.2 k.g. Karma KM 2500 Small Wheel Wheelchair Seat and Back: AEGIS Microbe Shield Approved by the FDA, EPA, EU, etc., bonded anti-microbial barrier upholstery protects from odor, staining and deterioration from bacteria, fungus and other microorganisms. It is a shield for your health. Karma KM 2500 Small Wheel Wheelchair Extended Armrest: By simulating the natural position of arms, the extended armrest design is ergonomic and creates bigger seating space. An Ultra lightweight wheelchair (9.2 kg) with a compact design for either attendant assisted or self propelling users. The use of aircraft-grade aluminium alloy and double cross brace provide this model with outstanding strength and durability. Karma Healthcare KM-2500 Premium Wheelchair is amazingly light and compact transit wheelchair which is ideal for outings and travelers. It folds down to take up virtually no space in the boot of a car and weighs just over 9.2 kg making it easy for anyone to lift into a vehicle. Backrest folds-down for easy transportation. Maximum user weight: 100 K.g. Aluminium frame. Fixed armrest/fixed footrest. Foldable frame via double cross bars. Comfortable & durable upholstery. Swing-away foot plates. Puncture proof tyres. Attendant cable brake. 14" flat-free rear wheels. Detachable and washable cushion. One Year Warranty. It folds down to take up virtually no space in the boot of a car. This amazingly light and compact transit wheelchair is ideal for outings and travelling. It comes with detachable and washable cushion. The wheel chair has attendant cable brake. It is made from aircraft-grade aluminium alloy fra
FAQ for Colonic Irrigation Hydrotherapy at La Spa Therapie Malahide - Part Two - 0 views
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Colonic Irrigation Hydrotherapy at La Spa FAQ part two describes - Is a colonic irrigation treatment expensive, what is actually involved in a colonic cleanse,Is colonic irrigation painful,how colonic hydrotherapy is effective then Detox diets and what you need to do to before colonics irrigation hydrotherapy.
Three Quarters of Metal-on-Metal Hip Failures Occur in first Two Years, Study - DePuy H... - 0 views
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Published on the heels of the U.S. Food and Drug Administration's (FDA's) advisory committee meeting concerning all-metal hip replacements, a new study once again shows the devices cause serious problems. The authors determined that most metal-on-metal hip failures occur within the first two years after they are implanted. The study also discussed the reasons the implants fail, finding some problems more common than others.
The ABC's of Skin Cancer | Pure Edge Nutrition - 0 views
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I decided to write about skin cancer this week for two reasons. One, because we are only a few weeks away from the summer months and two
Handicapped Two Wheeler - 0 views
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Heavy duty mobility scooters are strong enough to accommodate almost any user. When compared with lighter units, mobility scooters models tend to feature bigger motors, wider bases, and larger tires. While a lighter model may be difficult to maneuver through rougher landscapes, mobility scooter is designed to tackle even the most challenging terrain.An excellent selection of scooters for sale. An extensive scooter accessories section, where find plenty of customization options to help ensure that the model select is a perfect fit. Side Wheels For Hero Pleasure: Side Wheel Attachment for Hero Pleasure or Side Wheels For Hero Pleasure or Three wheeler Hero Pleasure for handicapped is product, designed for use with bikes meant for the open road. Instead of shifting with a foot, a rider can drive easily their bike on road using his or her hand. This piece of equipment has been tested at well-known motorcycle tracks. This provides assembly and installation for all products at all facilities. Side Wheel Attachment For Hero Pleasure to fit the widest array of motorcycles and all-terrain vehicles possible. Side Wheel Attachment For Hero Pleasure Measurements: Frame : 38 mm 16 Gauge CR Pipe With Powder Coated Wheel Hub : Alloys Molded 2 Piece Tyre Size : 3.50 x 10 Inches 2 Piece Tube Size : 3.50 x 10 inches 2 Piece Shocks Up Heavy Duty 4 Piece ball baring 2 Piece pin bush 2 Piece mudguard chrome plated 2 Piece Disk with 4 Hole Wheel Type: Alloy Wheel Width: 40" to 48" inch Carrying Capacity: 100 -150 kg Side Wheels For Hero Pleasure Features: Independent Mobility Minimal Cost Heavy Duty International quality standards Comfort High level of performance Carrying Capacity: 100 -150 kg Sturdy design Provides excellent balance Provides excellent support High durability Side Wheels For CD Deluxe: Side Wheel Attachment for CD Deluxe or Side Wheels For CD Deluxe or Three wheeler CD Deluxe for handicapped is product, designed for u
A Friendly Tricycle For Disabled People - 0 views
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A tricycle for special needs is made so can go along for the ride in wheelchair or sitting in a special seat, both of which are attached right in front of another adult's trike. Tricycles to accommodate a vast array of special needs. Hand-pedaled recumbent tricycles are available for those without the use of their legs. Children, teens and adults with cerebral palsy and similar disorders can select tricycles specially designed to increase strength and coordination. Caregivers to autistic children can ride with their child on tandem special needs tricycles built to accommodate one adult and one child rider. Accessories are also available to convert standard trikes to suit specific needs. The objective of tricycle design is to produce wheelchairs that perform well and can provide appropriate seating and postural support without compromising strength, durability and safety. A Hand Driven Tricycle, abbreviated to trike is a three-wheeled passenger vehicle, usually carrying a single rider. The tricycle consists of a motorbike and an attached passenger sidecar and should not be confused with the tricycle. The trike is a motorized three-wheeled pedicab. Human-powered trikes are powered by pedals or hand cranks. Motorized trikes use motorcycle or scooter,or electric motors. Tricycles tend to be used for commercial purposes: such as "pedicabs" for transport passengers, and freight trikes for making deliveries. In the adult-sized tricycles are used primarily for recreation, shopping, and exercise. Tricycles are favoured by children and senior adults alike for their apparent stability versus a bicycle; but a conventional trike has poor dynamic lateral stability, and the rider must take care when cornering to avoid tipping the trike over. Standard Single Hand Driven Tricycle: Frame : Made by E.R.W. Tubes 22.22 mm- 18 G. Seat & Back : MS, CRC Sheet Seat Size 18"x 16" Wheel Size : Wheel Diameter 28"x 1 1/2" Tyre and Tube Standard Company. Parts : Standard Quality
wheels at the front and two large wheels at the back. The two larger wheels in the
back usually have handrims; two metal or plastic circles approximately 3/4" thick.
The handrims have a diameter normally only slightly smaller than the wheels they
are attached to. Most wheelchairs have two push handles at the top of the back to
allow for manual propulsion by a second person.
Other varieties of wheelchair are often variations on this basic design, but can be
highly customised for the user's needs. Such customisations may encompass the seat
dimensions, height, seat angle (also called seat dump or squeeze), footrests, leg
rests, front caster outriggers, adjustable backrests and controls.
Description
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