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Muscle Injuries and Treatments

Muscle Injuries and Treatments

As a result of muscle and tendon tears, the muscle structure can sometimes break from the bone tissue and sometimes from its own muscle tissue. Immobility occurs because the muscles that move the bone are torn. Immobility as a result of the pain felt also causes pain. During the examination, it can be understood where the tear is and how much the muscle has been torn. In early diagnosis; Pain can be relieved with PRP, medication and needle therapy. For this reason, it is very important to consult a specialist as soon as the pain is felt.

Be careful when lifting heavy loads

Muscle tearing is popularly known as fiber rupture or muscle pulling. It is a partial or complete loss of the integrity of the muscle tissue. Muscle tears occur after the muscle tissue is stretched beyond its capacity and is subjected to sudden or ongoing excessively demanding activities. Lifting heavy loads, reducing the resistance of the muscle by being exposed to the load for a long time, trauma and accidents are the main reasons for the formation of muscle tears.

Importance of warming up before sports

Although advanced age seems to be an important cause of muscle rupture, the majority of patients admitted to the hospital due to muscle rupture are young people. Challenging sports branches that require endurance and continuity such as football, basketball and athletics carry a risk in terms of muscle tear. In addition, muscle tears can be seen frequently in athletes who are interested in branches that require sudden-explosive effort such as weightlifting and weight sports. The possibility of injury increases significantly in sports activities without adequate warming up. Although the amount and duration of the warm-up exercises differ from person to person, they should not be less than 15 minutes.

Symptoms of muscle tearing are as follows;

1. Pain

2. Hypersensitivity to touch

3. Bruising and swelling on the skin

4. Limitation in movement

5. Cramping in the injured area

6. Collapse in the torn area

Early diagnosis and treatment

The treatment to be applied in muscle tear may differ according to the region of the muscle tear and the degree of tearing. Among the treatments applied in mild tears; rest, edema and pain relieving medication are given. Applying ice, massage and bandaging can be done. It is possible to treat the majority of mild tears with only rest, exercise restriction, drug therapy, PRP and needle therapy. If there is intramuscular bleeding in more advanced injuries, measures and treatments to stop or reduce bleeding may be required. In the treatment of some muscle tears, surgical procedures may be required.

Simple treatments are sufficient in the vast majority of muscle tears. Tears that may require surgical procedure are most commonly required in the rotator cuff muscles in the shoulder region, Achilles muscle tears in the heel region, and rarely in the biceps muscle tears in the arm. Muscle tear does not go away on its own. On the contrary, as the torn muscle is strained, the patient may be more difficult to treat. As soon as the muscle tear is noticed, treatment with non-surgical procedures can be planned. However, if it is neglected, surgery may be necessary.

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What is Back Lift?

What is Back Lift?

Back stretching, excessive weight gain and aging may cause you to need this operation. Problems in the skin and subcutaneous tissues cause your back aesthetics to deteriorate.

What Are The Main Causes Of Deformities İn The Back?

Experiencing relaxation and sagging in the muscles,

Form deterioration in skin elasticity,

A decrease in skin volume,

Rapid weight changes,

Inability to recover regional muscles,

It is in the form of completely separating the elastic fibers from each other.

Why Is Back Lift Aesthetics Performed?

Although it is not as prominent as other aesthetic operations, back aesthetics is a very important operation in terms of providing body aesthetics. The fact that the back area has a wide and rough appearance often disturbs people.

People who want to get rid of this appearance can easily get help from this operation. Excessive fat in the back area is the main cause of aesthetic disorders in the back area. Removing fat from this area is very important in terms of body shaping.

The back region, which is the region where both shoulder blades are located, has very important effects on the external appearance of people. All operations performed in the back area are included in the field of back aesthetics. Surgery and treatment methods are very effective in achieving the desired appearance of this area.

Especially women are very uncomfortable with this appearance in their back areas. They cannot freely choose their clothes. Having fullness in the back significantly affects people's clothing preferences.

Who Is Back Lift Aesthetics Suitable For?

Patients with dense fat accumulation in the back area are considered the most suitable candidates for back lift aesthetic operations.

The operation performed at the level of your armpits and shoulder blades ensures that your external appearance becomes smooth. The fat in the area towards the sides of the breast and under it is removed with the liposuction method.

This method is suitable for both men and women. The aim is to reduce the size of the back area and to bring people to their ideal form. We can apply this operation to people who have lost excess weight and have sagging skin.

We use laser and vaser methods for liposuction in the back area. Different technologies make degreasing easier. The skin texture of this region is particularly soft. Thanks to the back stretching operation, this area gets the desired taut appearance.

What are the Types of Back Lift Aesthetics?

Excessive lubrication in the back area negatively affects the physical appearance of people. There are different problems in the back area due to reasons such as being overweight or old age. You can also benefit from this operation in order to minimize these problems in the back area.

In back aesthetic operations, we perform some procedures under the armpit, scapula and breast. In this way, your back area will have an ideal appearance.

As a result of this process, we aim to eliminate the excess tissues in your back area. Lubrication in the bra line area negatively affects your appearance. In order to have a better appearance, we also remove the fat in this area within the back aesthetic operation.

When overweight people lose weight quickly, deformities occur in the breast and back regions. These disorders are minimized with appropriate aesthetic operations.

Back aesthetic operations are also included in this scope. The methods preferred by your physician ensure that this area has a more pleasant appearance.

Loose skin around the back causes your tissues to be inadequate. In such cases, we often perform back lift surgery.

The incisions made during the operation are usually made horizontally. In this way, the muscles become much tighter. One of the most important points during the operation is not to damage the nerves in the back area.

After the procedure, patients not only have a healthy physical appearance, but also feel better in terms of self-confidence. This area gains an aesthetically pleasing appearance after the procedure.

Our back area is slightly different from other parts of our body. It is a region that is more affected by frequent weight gain and loss and aging. With the effect of gravity, you can see common sagging in the back area. The sagging in your back area varies depending on your fat tissue.

We use different surgical techniques in operations. We often use the liposuction method for the fat in your back area.

However, if there is sagging of the skin, we collect the skin and guide the process accordingly. Although it varies, there is an operation time of about 3 hours. You must be kept under observation in the hospital for 1 day.

What are the Benefits of Back Aesthetics?

Reduces excess skin and fat on the upper back

Eliminates upper body fat layers

Improves the contour of the upper body

What are the Risks of Back Aesthetics?

Bruising

Bleeding

Infection

Inflatable

Excess fluid

Nerve damage

Pain

Numbness

Scar

Local fat accumulation on the back causes people to appear overweight. It is difficult to hide the fat deposit with clothes. Even though too much fat is not removed during the applications on the back area, a thinner appearance is immediately noticeable.

The back region has a more resistant fat structure compared to other regions. This does not respond to exercise and diets. The liposuction method is very successful in shaping this area, but it can also cause sagging.

Fat tissue can be broken with an ultrasound device called a vaser. The liposelection device helps you to have a slimmer and aesthetic appearance by removing excess fat from all parts of the body.

This method melts the fats in the body and your fats get a consistency like olive oil. This system, which is a method that combines a new patented technology with surgical techniques to distribute and remove adipose tissue, is now preferred by all women around the world.

With this method, unwanted fat deposits in all parts of the body that need to be tightened, such as arms, legs, neck, chest area, knees, hips and back, can be effectively removed without any diet program or exercise.

With the help of ultrasound energy technology, Vaser breaks up the fat tissue with sound waves and corrugated wave design and absorbs it with a special channel system. During this procedure, connective tissue, blood vessels and nerves are not damaged under any circumstances.

How to Decide on Back Lift Surgery?

Back lift surgery; It is applied to people who often gain weight due to health problems. It is a useful operation to get rid of unpleasant cracks and sagging. However, those who want to have this surgery should have realistic expectations first of all. We can say that a patient who knows which parts of the back are uncomfortable in terms of aesthetics and transfers them to the doctor will achieve much more productive results.

In the preparation phase for back lift surgery, the patient should inform whether he/she is allergic to any drug or substance. It is imperative that a patient who constantly uses a drug and also has alcohol and cigarette addiction should tell his doctor about these conditions.

In addition, the doctor should be informed about previous surgical operations. As in other aesthetic operations, some examinations are performed on the patient before the back lift surgery. Plastic surgery doctor; After the examinations, the patient decides whether or not to have surgery.

The patient who wants to have back lift surgery should first of all quit smoking. Otherwise, post-operative wounds will close late. After the surgery, exercises and dietary recommendations should be taken into account.

What İs Back Lift Surgery? How İs İt Done?

The operation performed to eliminate sagging in the back area is called back stretching surgery. It is done by stretching the skin that causes sagging with specified techniques.

For back lift surgery, it is very important for the patient to lose a sufficient amount of weight and the fat ratio in the operation area. If the fat ratio in the operation area is high, liposuction may be required before the back lift surgery. It is possible to perform back lift surgery only 6 months after liposuction is applied.

There are two different approaches that develop depending on the area where the sagging occurs in the back area and the techniques used. In the upper back stretching process, the excess skin is removed with an incision from the bra area and the excess skin is removed upwards. This procedure, which is performed with general anesthesia, is completed in approximately 2 hours.

In the lower back stretching process, the upper layer of the tissue in that area is taken to coincide with the upper part of the butt area and the fat layer under the skin is left. This left tissue is placed downwards in order to plump the buttock, and the lower buttock skin is pulled up.

It is aimed to plump the butt area, lift it and stretch the lower back area. This procedure, which is performed with general anesthesia, is completed in approximately 2 to 2.5 hours.

What Should Be Considered After Back Lift Surgery?

After back fat removal and back stretching, the patient should pay attention to his health. In other words, it has to protect itself. As in other aesthetic operations, a corset should be used after back stretching. Also, taking a shower during the first three is never recommended.

After the third day, it is possible to take a shower, provided that you do not stay for a long time. After the back lift surgery, some swelling and bruises will be encountered in the back area. However, it is not an issue to be taken seriously. Because the bruising and swelling on the back will go away in ten days at the latest.

It is also wondered when the patient will return to his normal life after the back stretching operation. At this point, there will be no problem in returning to normal life with the second day of the operation. However, as might be expected, the patient needs to protect himself or herself from certain activities.

It is not recommended to do active sports, especially during the first four weeks. In addition, lifting weights that may injure the back should never be allowed.

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What is a Stomach Balloon?

Gastric balloon (gastric balloon) is one of the obesity treatments made of silicone or polyurethane material, placed in the stomach before being inflated and inflated with sterile liquid. The application is not a surgical intervention, but depending on the type of balloon, some intragastric balloons are placed and removed by endoscopy under anesthesia.

The mechanism of action of the gastric balloon is to create a constant feeling of satiety by occupying space in the stomach, thus enabling the patient to lose weight with less food consumption at each meal. Studies on this subject started in the 1980s. Swallowable gastric balloons, which do not require endoscopy and anesthesia, are also used.

When we consider obesity as a common disease of the modern age, gastric balloon applications are a frequently preferred treatment method in the treatment of overweight and obesity, especially by individuals who are inconvenient to take anesthesia or do not want a surgical procedure.

According to the types of gastric balloon, it stays in the stomach for 4-12 months. With the feeling of satiety and satiety it gives during this period, it makes it easier for the person to comply with his diet by limiting food intake. Dietary style and eating habits change, and after the balloon comes out of the stomach, the person maintains these habits and maintains his ideal weight.

What is Elipse (Swallowable Gastric Balloon)?

The Elipse gastric balloon is also known as a swallowable gastric balloon. Unlike the other application, endoscopy is not performed in this procedure. During the procedure, the patient swallows a pill-shaped object. In the meantime, it is checked whether the object has reached the stomach with X-ray control. When the object reaches the stomach, it is inflated and becomes a balloon. Then its connection with the cable at the end is broken.

Who is the Gastric Balloon Suitable for?

Gastric balloon is an obesity treatment method that has been used for a long time, in which 10 to 15% of their weight can be lost in 4-6 months. It can be applied to individuals with a body mass index of 27 and above, between the ages of 18-70, who have not had bariatric surgery before.

In addition, stomach balloon is an alternative treatment method for those who do not want to have a surgical operation (such as tube stomach surgery) for those who have an inconvenient disease (swallowable gastric balloon).

However, it is very important to change and protect the nutrition and lifestyle that the person will continue with the balloon in the future so that the weight lost with the gastric balloon is not regained in the future.

Who Is The Gastric Balloon Not Suitable For?

Those with a body mass index below 30: While this limit applies in the USA, over 27 in Canada, Australia and the UK are eligible cases. In short, this method should not be used for cosmetic purposes only in overweight individuals whose body mass index is not suitable.

Those with digestive system disorders such as esophagitis, stomach ulcer, duodenal ulcer, Crohn's disease

Those at risk of upper digestive system bleeding, such as esophageal or gastric varices

Congenital or acquired digestive system problems such as atresia or stenosis

Mentally retarded, emotionally unstable patients with significant psychological problems

Alcohol and substance addicts

Those with a poor health profile that cannot receive even mild anesthesia

People with large gastric hernia

Those who have had open abdominal surgery before

How is the Gastric Balloon Inserted?

The gastric balloon is placed in the stomach with the endoscopic method under general anesthesia. The balloon placed in the stomach is inflated with serum using a special extension line and the procedure is completed. Processing time takes around 30 minutes on average. After the patient wakes up, he is kept under observation for a while and can return home within the same day.

After the gastric balloon is inserted, it is removed within 6 months to 1 year. During this period, if the person follows the doctor's recommendations and pays attention to their eating habits and lifestyle, they reach the desired weight.

How to Remove Gastric Balloon?

At the end of the 6-month period, the balloon is removed with the endoscopic method. First, the liquid in the balloon is emptied with a special apparatus, then the balloon is caught and removed with a special holder. The reason we mention this is to state that the instruments found in a standard endoscopy unit will not work for balloon removal.

In our personal practice, we have a patient whose balloon was punctured in another endoscopy center, but because it could not be removed, it caused intestinal obstruction. Therefore, balloon placement and removal should be performed by bariatric surgeons with experience in endoscopy.

What are the Advantages of Gastric Balloon?

It can be attached in a very short time under hospital conditions.

After the gastric balloon application, the person can return to his normal life without the need for hospitalization.

It is very easy and painless to apply.

The patient can be removed at any time.

What are the Disadvantages of Gastric Balloon?

Reflux can be seen after gastric balloon.

Nausea and vomiting may occur in the first 3-7 days.

Stomach cramps may be experienced in the early period.

The application is temporary. After removal, you need to maintain the nutritional habits and lifestyle that you gained life. If you do not follow your diet, it is likely to gain weight again.

The amount of weight lost is less than surgical methods (such as tube stomach surgery).

Although very rarely, it can cause stomach ulcers.

What are the Results of Gastric Balloon Application?

The main mechanism of action of the balloon is to create a feeling of fullness with its partial space-occupying effect and to restrict food intake. Correct patient selection, appropriate dietetic and behavioral therapy are key points in the success of the balloon.

However, there is no guarantee that any patient will lose weight. Those who have a gastric balloon should know that success can only be achieved with dietary and lifestyle changes. The most effective period of the balloon is the first 3-4 months. During this period, a decrease in appetite and discomfort with excessive food intake are evident.

Strict adherence to the nutrition program is essential. On average, 15-20 pounds of weight loss can be expected. This limit can range from 0 to 80. Successful results have been reported in many studies conducted on hundreds of patients in different countries such as Italy and the Netherlands.

The most important thing here is that the patient can maintain his eating habits after the balloon is removed. Avoid high-calorie, sugar-containing foods.Weight regain is possible after removal of the balloon.

 Since it has no long-term or permanent effect, it has not found use in some countries. In cases where the patient does not change his eating habits, problems such as insufficient weight loss or inability to maintain weight may be encountered. In compatible patients, weight loss can continue even if the balloon comes out.

After Gastric Balloon

The purpose of the nutritional changes that should be made after the gastric balloon application is to facilitate the adaptation of the body to this new situation as long as the balloon remains in the stomach.

Nutrition After Gastric Balloon

You should eat very slowly and chew well.

It will be beneficial to eat the food by cutting it into small pieces and serving it on small plates.

You should stop eating as soon as you feel acid reflux or bloating.

You should not exceed three main meals and three snacks a day.

You should avoid snacking

You should drink at least 1.5 liters of water a day.

You should not take water or liquids at the same time as meals. You should make it a habit to drink before or after meals

Avoid carbonated drinks and strong coffees

Never smoke before eating.

Do not eat very late

Stop eating and drinking at least 2 hours before going to bed

If you feel pain in your stomach, first change your lying position.

Try to exercise at least 40 minutes a day.

What are Gastric Balloon Damages?

Gastric balloon application was investigated and started to be applied in the 1980s. Until today, materials and application technology have been developed and the damages that may occur during and after the application have been tried to be eliminated.

Of course, as in many medical operations, some complications may occur in this application, although it is very rare. For example, during the application of the endoscopic gastric balloon, the esophagus or stomach may be damaged, which may cause discomfort such as ulcers. Or, if the balloon rarely deflates, intestinal obstruction may occur.

What are the Risks of Gastric Balloon Application?

All surgical procedures have a minimal risk of complications. The risks that we may encounter after this operation are bleeding, leakage of the balloon, sensitivity to anesthesia, abdominal pain, nausea, vomiting and infection. The risk of complications is very low.

The use of quality products and the high success rate of the surgeon are important details that affect these complications.

In liquid balloon models, leakage is understood by the patient, while in air models it is not. Infiltration can be detected with the tests performed during the doctor's control.

For this reason, controls should never be interrupted. Risks such as infection and bleeding occur as a result of holding the balloon longer than it should. It is normal to experience nausea and vomiting as a side effect of the procedure. However, a doctor's control is recommended for persistent symptoms.

What Should A Person Who Has A Gastric Balloon Be Careful About?

Symptoms such as stomach cramps, nausea or vomiting may occur shortly after the gastric balloon is inserted. These symptoms are natural as long as they are not too severe. Because an unfamiliar foreign body has entered the stomach.

 In order to alleviate the possible symptoms that may occur in the patient, various gastric protective or pain relievers may be recommended to the person. Generally, these side effects disappear about 3-4 days after the balloon is inserted into the stomach.

If the symptoms do not disappear for a long time after the procedure and continue at the same severity without any tendency to alleviate, the gastric balloon may need to be removed from the person. However, this is not a very common situation.