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Traumatic experiences occur on a daily basis in our world. These moments can leave either physical or emotional scars on the life of the individual involved. Scars are permanent, and these marks have the potential to affect our lives in many ways. The process of recovering from a scar occurs in our minds; not having the right mindset can prevent us from moving forward. Cody Byrns shares his story of recovery and talks about his faith while going deeper into a study of scars and understanding the importance of not allowing scars to prevent us from achieving a life of freedom and abundance.
This text book is open access under a CC BY 4.0 license. Written by a group of international experts in the field and the result of over ten years of collaboration, it allows students and readers to gain to gain a detailed understanding of scar and wound treatment – a topic still dispersed among various disciplines. The content is divided into three parts for easy reference. The first part focuses on the fundamentals of scar management, including assessment and evaluation procedures, classification, tools for accurate measurement of all scar-related elements (volume density, color, vascularization), descriptions of the different evaluation scales. It also features chapters on the best practices in electronic-file storage for clinical reevaluation and telemedicine procedures for safe remote evaluation. The second section offers a comprehensive review of treatment and evidence-based technologies, presenting a consensus of the various available guidelines (silicone, surgery, chemical injections, mechanical tools for scar stabilization, lasers). The third part evaluates the full range of emerging technologies offered to physicians as alternative or complementary solutions for wound healing (mechanical, chemical, anti-proliferation). Textbook on Scar Management will appeal to trainees, fellows, residents and physicians dealing with scar management in plastic surgery, dermatology, surgery and oncology, as well as to nurses and general practitioners
In this "vivid and inspiring" New York Times bestseller (Newsweek), the Red Hot Chili Peppers' lead singer and songwriter shares a searingly honest account of life in the rock scene's fast lane—from the darkness into the light. In 1983, four self-described "knuckleheads" burst out of the mosh-pitted mosaic of the neo-punk rock scene in L.A. with their own unique brand of cosmic hardcore mayhem funk. Over twenty years later, the Red Hot Chili Peppers, against all odds, have become one of the most successful bands in the world. Though the band has gone through many incarnations, Anthony Kiedis, the group's lyricist and dynamic lead singer, has been there for the whole roller-coaster ride. In Scar Tissue, Kiedis delivers a compelling life story from a man "in love with everything"—the darkness, the death, the disease. Even his descent into drug addiction was a part of that journey, another element transformed into art. Whether he's honoring the influence of the beautiful, strong women who have been his muses or remembering the roaring crowds of Woodstock and the Dalai Lama's humble compound, Kiedis shares a compelling story about the price of success and excess. Scar Tissue is a story of dedication and debauchery, of intrigue and integrity, of recklessness and redemption—a story that could only have come out of the world of rock.
Musculoskeletal Pain - Assessment, Prediction and Treatment presents a common sense approach to interpreting and applying existing clinical knowledge and new research to help clinicians make sense of the complex phenomena of acute and chronic post-traumatic musculoskeletal pain. Built upon the Assess, Predict, Treat framework, the authors offer a method to help clinicians better understand their patients' pain. They present evidence-based decision tools to predict the natural and clinical course of common conditions, such as neck and low back pain, and they then synthesize that information into a logical, integrated treatment approach, which respects the individuality of the patient, the experiences of the clinician, and the value of evidence-informed practice. David Walton and James Elliott are leaders in the field of post-traumatic pain and recovery. Their work provides a valuable framework to facilitate novice clinicians in their transition towards experts and helps mid- and late-stage clinicians better interpret, synthesize, and discuss complex information on pain with the goal of optimised outcomes for patients.
Pain is a health issue that warrants significant attention and has an immense impact on global healthcare systems. This book focuses on pain, particularly on its management, by providing fresh perspectives and novel insights, while at the same time examining related topics that have often been overlooked. Given that there is no permanent cure for pain, the book primarily serves as an update to the existing knowledge. Topics covered include the biochemical pathways of pain as well as pharmaceutical and clinical management of pain to ensure health and wellbeing.
Apply cutting-edge expertise to manage your patients’ scarring issues! Scarring and fibrosis affect millions of people worldwide, and can be devastating both physically and psychologically, whether they result from major trauma such as burns or common conditions such as acne. Put today’s most advanced clinical approaches to work for your patients with The Scar Book: Formation, Mitigation, Rehabilitation, and Prevention! A multidisciplinary team of leading world experts presents the state of the art in scar pathophysiology and treatment, breaking down the barriers between medical disciplines to provide unprecedented holistic guidance.
Poetry. Memoir. Latino/Latina Studies. In SCAR TISSUE, Gustavo Perez Firmat's most revealing and courageous book to date, the widely acclaimed author tells his story of enduring illness and loss between two cultures. More than a recovery journal, this collection of poetry and prose is a reflection on the resources for healing and renewal available to those whose lives are divided between countries, cultures, and languages.
Humans exhibit biotensegrity, whereby the whole body is a three-dimensional visco-elastic vehicle whatever position it adopts: bones form non-contact compression struts embedded in a networked and tensioned myofascial matrix; each part of the organism combines with the mechanical system to create an integrated functional movement unit and contributes to the stability of the whole system. When tissue at/below the dermis is breached by surgery/injury, healing leads to scar tissue formation. Scars can cause local and distant effects that are not purely cutaneous. Restriction of normal movement of underlying tissues from defective fascial sliding generates anomalous tension that affects the fascial continuum leading to distorted biomechanics, altered biotensegrity and chronic pain. Scars are common in children and significant contributors to chronic pain presentations. Scars can be released (soft tissue mobilization and/or needling) to sustainably improve pain, flexibility and range of motion. This chapter outlines the importance of skin and fascia in the biotensegrity model. Emphasis is placed on the fundamental need to assess scar history and scar characteristics to determine if scars should be treated as a component of multidisciplinary chronic pain management. Case studies outline some key clinical observations. Appropriately controlled research studies are required to fully demonstrate the highlighted benefits.
Therapeutic Stretching focuses on the use of both active and passive stretching as part of the rehabilitation of common musculoskeletal conditions and injuries. Covering all forms of stretches for the able-bodied, injured, and selected special populations, Therapeutic Stretching is a comprehensive resource for practitioners and students working in massage therapy, osteopathy, physical therapy, occupational therapy, rehabilitation, and personal and athletic training. With both active and passive stretches outlined for a range of musculoskeletal conditions and injuries, Therapeutic Stretching offers a range of rehabilitative stretches for the foot and ankle, knee and leg, hip and thigh, upper limb, shoulder, elbow, wrist, hand and fingers, and back and neck. Author Jane Johnson, a practicing physiotherapist, sport massage therapist, and body work instructor, provides information on incorporating passive stretching as a treatment option and selecting appropriate active stretches for clients to practice at home. Heavily illustrated with more than 230 color photos, Therapeutic Stretching provides excellent visual instruction on client positioning and the most effective handholds for the application of passive stretches to various joints and soft tissues. A user-friendly format, clear explanations of stretching techniques, and visual guidance from photos help students and practitioners readily incorporate these stretches into their practice. Therapeutic Stretching outlines the rationale for stretching after musculoskeletal injury along with general safety guidelines and an overview of the musculoskeletal conditions addressed in the text. Also included is a discussion of the differences between and applications of passive, active, and advanced forms of stretching such as muscle energy technique (MET) and soft tissue release (STR). Readers of Therapeutic Stretching will find a 10-step process for designing, implementing, and assessing a stretching program. The text discusses applications of therapeutic stretching for three special populations: elderly clients, pregnant women, and athletes. For each, a listing of common physiological factors or characteristics that might affect a stretching program is included, along with tips on modifications to employ when working with these individuals. Following this foundational information are three chapters with photos and descriptions of active and passive stretches for musculoskeletal injuries and conditions of the lower limbs, upper limbs, and trunk. Here readers will find stretches useful for treating injuries and conditions such as sprained ankles, shin splints, runner’s knee, tight calves or hamstrings, adhesive capsulitis, lateral epicondylitis, stiff wrists, kyphosis, low back pain, stiff neck, and whiplash. Special Tip boxes throughout the text offer guidance on modifying the stretches and techniques to meet the needs of individual clients. Tables detail the passive and active stretches covered in each chapter and indicate whether a stretch is contraindicated for a particular injury or condition. Following most chapters are five Quick Questions that assist readers in gauging their understanding of the content. In addition, Therapeutic Stretching includes a visual guide to stretching routines that could be performed in the prone, supine, and seated positions. These suggested routines assist students and practitioners new to therapeutic stretching in learning to apply these stretches in an efficient manner and without excessive repositioning of the client. Therapeutic Stretching offers a range of stretches to assist both current and future practitioners in safely treating clients rehabilitating from musculoskeletal conditions and injuries. Delivering the most up-to-date stretching techniques, this guide is a valuable resource for professionals in health care, rehabilitation, fitness, and body work seeking tools to assist their clients in alleviating muscular pain, reducing joint stiffness, and speeding recovery from injury. Therapeutic Stretching is part of the Hands-On Guides for Therapists series, providing tools of assessment and treatment that fall well within the realm of massage therapists but may be useful for other body workers, such as osteopaths and fitness instructors. The guides include full-color instructional photographs, Tips sections that provide advice on adjusting massage techniques, Client Talk boxes that present ideas for creatively applying techniques for various types of clients, and questions that test knowledge and skill.
A number of scar revision techniques can be utilized to treat specific types of scars, in combination with each other or with adjunctive therapies to achieve optimal results. Pathological conditions like hypertrophic scars and keloids are still challenging. Though a number of therapies exist to treat keloids, such as intralesional steroids and anti-metabolites, cryosurgery, to name a few, none are definitive in treatment. Understanding the molecular basis of keloids may lead to development of new therapies. Striae, also known as ‘stretch marks’, are extremely common, disfiguring and a real challenge to treat. Management of striae is a neglected field of research. Except for topical retinoids, the efficacy satisfactorily. Current treatment options include chemical peels, lasers and collagen induction therapy, with a tendency towards active intervention. However, studies are necessary to determine treatment strategies which produce results that are effective with minimal adverse effects. Post-acne scarring is one of the most common causes of facial scars, causing considerable cosmetic disability. Acne is a common skin disorder, unfortunately affecting a large number of teenagers. Usually patients have a combination of different types of scars; hence no single modality is useful. A combination of procedures is generally required for a satisfactory cosmetic outcome. The use of fractional lasers is gaining importance, as it is a minimally invasive procedure as compared to aggressive resurfacing procedures of the past. Collagen induction therapy is another promising technique. Today, patients are also getting up-to-date information about the various modalities available for scar treatment through media, such as magazines, advertisements and internet. However, exaggerated advertisements and information from nonprofessional sources, particularly with regard to lasers can influence patient expectations and result in unrealistic expectations. Patients need to understand that deep scars cannot be eliminated fully and can only be improved. They usually have high expectations from procedural techniques. Proper counseling is extremely important for a happy and satisfactory outcome. Current innovations and techniques in scar prevention and management and increasing use of minimally invasive surgeries are paving the way toward smoother, less noticeable scars. Every surgeon practicing aesthetics should be well versed with modalities of scar management and this is the aim of this clinical update.