The most common presentation is symmetrical polyarthritis affecting the small joints of the hands (metacarpo-phalangeal, proximal interphalangeal joints) and wrists ). The feet (subtalar and metatarsophalangeal joints) are frequently involved early in the disease. Other features at presentation include diffuse joint stiffness, worse upon rising in the morning and after rest (gelling phenomenon). The onset may be explosive or insidious and may lead to reduced manual dexterity and mobility. The well-described palindromic onset involves synovitis that flits from joint to joint. Occasionally rheumatoid disease may present with a polymyalgia rheumatica type onset, especially in older patients where myalgia is prominent. My next visit to Doctor Hodges was on March 31, 2005 in which we set up the appointment with the Spine Specialist and talked about my disability a little more. I was also diagnosed with “work-related stress.” On April 21 st , 2005 I saw a Doctor Ryan at a local Orthopedic Clinic. Dr. Ryan was a Spinal Specialist and gave it to me straight. I brought my MRI film into the office and he slapped them up on the viewer. For a minute he looked at him and looks at me and said “what do you do for a living?” The spleen is a small organ the size of your fist that lies behind your rib cage on the left side composed of white and red pulp tissues. It plays an important role in immune functions. The spleen removes abnormal cells and microorganisms from the blood. There are basically two types of spleen disorders. Splenomegaly is the enlargement of the spleen. A ruptured spleen is a serious medical disorder that requires emergency care. Blood pours out of a ruptured spleen into the abdomen, and the patient bleeds to death without treatment. Fingernails provide a degree of protection to the soft, sensitive tissues underneath them. The National Library of Medicine reports that the nails are made up of hardened layers of a protein called keratin. Healthy nails are smooth and have a uniform color. Fingernail infection is caused by bacteria or fungus that gets underneath the nail. There are several symptoms that you may see when you have this condition. Water retention is caused by excess fluid building up in the tissues of your body. This fluid buildup, known as edema, may cause swelling in the area affected. Severe water retention may cause blisters when the fluid becomes trapped under your skin. The connection between celiac disease and the joint pain of rheumatoid arthritis is not widely understood. While both are autoimmune disorders, their symptoms are so different that a connection is rarely suspected. Additionally, treating one and not the other can result in little or no relief. How treatment of one condition affects the symptoms of the other is vital to consider when both conditions are present. Shingles is a viral infection that can cause a number of complications. Pain in the feet and other parts of the body might occur. You can treat this pain in a number of ways and it tends to go away over time. Pelvic floor training has become an increasingly popular way to treat a variety of medical conditions or just spice up your sex life. Whether your doctor prescribed a regime of pelvic floor exercises to treat a specific condition or you simply read an intriguing article online or in a magazine, you will naturally want to know what to expect from your time invested in strengthening the pelvic floor. What follows are some of the common experiences had by individuals performing pelvic floor exercises. WIDE SHANK, LIGHTWEIGHT OUTSOLE provides a ball-of-foot base for stability and great fit, and a mild “Rocker Bottom” to move the foot forward during walking. Laminectomy, also referred to as a decompression, is the surgical removal of the lamina (hard covering of the spinal canal). Laminectomy is typically preformed on individuals who have been diagnosed with spinal stenosis. In some cases, a laminectomy might be performed during a repair of disk herniation. Removal of the lamina enlarges the spinal canal area, relieving pressure on nearby nerves. A six- to 12-week recovery period is typical after a laminectomy. Compartment syndrome of the lower legs, or chronic exertional compartment syndrome, is a condition that causes pain in the lower leg muscles during exercise. Several tests are used to diagnose compartment syndrome. The conditions podiatrists treat include those caused by bone and joint disorders such as arthritis and soft-tissue and muscular pathologies as well as neurological and circulatory conditions. Podiatrists can also identify and treat almost any issues of the above which impact the lower limb, such as skin and nail disorders, corns, calluses and ingrown toenails. Foot injuries and infections gained via sport or any other activities are also identified and treated by podiatrists. Podiatrists own particular instrumentation for painless and effective treatment of these problems. For instance the surgical correction of chronically ingrown toe nails under local anaesthesia is a very common podiatric treatment. Orthoses are custom-made shoe inserts produced specifically to help reduce a foot pathology. The prescription and manufacturing of orthoses is an important part of podiatric practice. Podiatrists are trained in the manufacturing methods for a range of shoe inserts. Most inserts fit into two principal classes - functional orthoses or palliative orthoses. A person with a flatfoot has lost the normal medial longitudinal arch (the "highest" longitudinal arch of the foot). People with flatfoot usually have normal looking feet and the foot flexibility of people with "normal" feet. Flatfoot actually is very common.