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Soledad Andrade (@soledadandrade) posted · Fri, Mar 27 12:09pm · View  

El tratamiento de la escoliosis en adultos se basa en la gravedad de los síntomas

ESTIMADA MAYO CLINIC:
¿Qué implica y cuán eficaz es la cirugía para el tratamiento de la escoliosis en los adultos?

Ilustración de la columna vertebral de un adulto con escoliosis

La columna vertebral de un adulto con escoliosis

RESPUESTA:
Afortunadamente, en la mayoría de adultos con escoliosis, la afección puede tratarse con éxito sin ninguna cirugía. No obstante, en quienes tienen artritis o muy desviada la columna, la cirugía puede ser muy eficaz para aliviar los síntomas. La cirugía es un procedimiento complejo que abarca la extirpación de algunas articulaciones de la columna y la fusión de dos o más huesos para equilibrar bien la columna y mejorar la calidad de vida.

La escoliosis es una alteración tridimensional en la forma normal de la columna que conduce a una desviación excesiva o una curvatura lateral. A pesar de que la escoliosis generalmente se presenta en los niños durante la época del estirón, algunos adultos también pueden padecerla.

En los adultos afectados por escoliosis, la curvatura puede ser el remanente de la escoliosis desarrollada durante la infancia, aunque lo más común es que sea el resultado del desgaste natural de la columna que ocurre con la edad y que suele presentarse en combinación con otra afección que también afecta la columna, como la artritis o la osteoporosis. De hecho, son los síntomas de la artritis o de la osteoporosis los que normalmente producen las molestias y discapacidad que llevan a las personas a buscar atención médica.

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lizatorborg (@lizatorborg) posted · Tue, Mar 24 1:00am · View  

Mayo Clinic Q and A: Genetic, environmental factors appear to play a role in risk for RA

DEAR MAYO CLINIC: My daughter, 31, was recently diagnosed with rheumatoid arthritis. Do doctors know what causes the disease, especially at a young age? Will she need to be on medication for the rest of her life?close up of hands with rheumatoid arthritis

ANSWER: The precise cause of rheumatoid arthritis, or RA, remains unclear. However, both genetic and environmental factors appear to play a role in raising a person’s RA risk. Because we do not know the exact cause, we do not have a cure for RA. Most people with this disease do need long-term treatment.

Rheumatoid arthritis is a kind of disease known as an autoimmune disorder. These disorders happen when your immune system mistakenly attacks your body’s own tissues. In RA, the immune system attacks the lining of the membranes that surround your joints, called the synovium. That causes inflammation. The inflammation, in turn, thickens the synovium, which can eventually destroy the cartilage and bone within the joint. The tendons and ligaments that hold the joint together weaken and stretch. Gradually, the joint loses its shape and alignment. [...]

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lizatorborg (@lizatorborg) posted · Sat, Mar 21 10:00am · View  

Mayo Clinic Q & A: Effects of corticosteroid injection dependent on health, symptoms

illustration of spine injection, corticosteroid injection DEAR MAYO CLINIC: I have osteoarthritis in my spine. About a month ago, I got a steroid shot in my lower back because my doctor said it might help with stiffness and pain in my back and legs. It worked wonderfully, and my symptoms are gone now. How does this medicine work? If the pain comes back, could another one of these shots take care of it again? Or is my arthritis gone?

ANSWER: The injection you received likely contained a corticosteroid medication. These powerful drugs can be very useful in treating many conditions that cause joint pain, including osteoarthritis.

How long the effects of a corticosteroid injection last can vary quite a bit, depending on your health and the severity of your symptoms. If your pain returns, you may be able to get another injection. Because of the possibility of serious side effects, though, the number of injections and how often you can receive them is limited. Unfortunately your arthritis is not gone, even if you are not currently having any symptoms. [...]

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lizatorborg (@lizatorborg) posted · Tue, Mar 10 4:00am · View  

Mayo Clinic Q and A: For adults with scoliosis, treatment based on severity of symptoms

scoliosis of the adult spine - illustrationDEAR MAYO CLINIC: How effective is surgery to treat scoliosis in adults? What does the surgery involve?

ANSWER: Fortunately for most adults who have scoliosis, the condition can be successfully managed without surgery. For some who suffer from an overly tilted or arthritic spine, though, surgery can be very effective at relieving symptoms. The surgery is a complex procedure and can include removing some spinal joints and connecting two or more of the bones in the spine together to properly balance the spine and improve quality of life.

Scoliosis is a three-dimensional change in the normal shape of the spine that leads to excessive sideways or forward curves. It most often develops in children during the growth spurt just before puberty. But some adults can suffer from scoliosis, too. [...]

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lizatorborg (@lizatorborg) posted · Tue, Feb 24 6:00am · View  

Mayo Clinic Q and A: Ongoing insomnia? Variety of factors could be at play

DEAR MAYO CLINIC: My mother-in-law has had insomnia ever since her husband died (just over one year ago). She regularly takes over-the-counter sleep aids, but I am concerned she is also depressed. Is it true that the two conditions are related? Should I encourage her to see a therapist?

mature woman wide awake in the middle of the nightANSWER: Insomnia can be a reflection of ongoing distress, and it is often associated with episodes of clinical depression following a period of grieving. But it is possible that your mother-in-law’s insomnia and the loss of her husband are not connected. It would be a good idea for her to make an appointment to see her primary care physician. That physician can assess your mother-in-law’s medical condition and, if needed, provide a referral to a mental health professional.

Insomnia is generally defined as the inability to fall asleep, stay asleep or both, despite the opportunity for adequate sleep. Occasional insomnia is a nuisance, but it usually does not present significant health concerns. When insomnia persists, however, it can become a clinical problem. [...]

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Soledad Andrade (@soledadandrade) posted · Tue, Feb 17 2:14pm · View  

Diferencias entre hombres y mujeres pueden repercutir sobre el riesgo para enfermedades cardíacas

ESTIMADA MAYO CLINIC:
Sé que la enfermedad cardíaca es la principal causa de muerte entre hombres y mujeres, pero quiero saber si es verdad que existen diferencias entre los factores de riesgo de ambos sexos.

Corazón rojo en las manos de un hombre y una mujerRESPUESTA:
Usted está en lo correcto respecto a que la enfermedad cardíaca es la causa principal de muerte entre hombres y mujeres en Estados Unidos. Muchos factores de riesgo son iguales para ambos sexos, pero existen algunas diferencias entre los hombres y las mujeres que pueden repercutir sobre el riesgo personal para sufrir una enfermedad del corazón.   

Uno de los factores de riesgo más importantes para padecer una enfermedad cardíaca, tanto entre hombres como entre mujeres, es el hábito de fumar. La nicotina es capaz de estrechar las arterias y el monóxido de carbono puede dañar el revestimiento interno de éstas, haciendo a los vasos sanguíneos más proclives a engrosarse y ponerse rígidos, afección conocida como arterioesclerosis. La arterioesclerosis termina restringiendo la circulación sanguínea, lo que aumenta el riesgo de padecer una enfermedad del corazón. Por ello, los ataques cardíacos son más comunes entre los fumadores que entre los no fumadores.

Los estudios han demostrado que en las mujeres, el hábito de fumar es un factor de riesgo más peligroso que en los hombres. La mujer fumadora es doblemente proclive a sufrir un ataque cardíaco que quien no fuma. Dejar de fumar es una de las mejores maneras de reducir el riesgo para enfermedades del corazón.

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lizatorborg (@lizatorborg) posted · Tue, Feb 10 10:30am · View  

Tuesday Q and A: Differences between men and women can impact risk of heart disease

DEAR MAYO CLINIC: I know that heart disease is the leading killer among men and women, but is it true that men and women have different risk factors for heart disease?red heart in woman and man hands

ANSWER: You are correct that heart disease is the leading cause of death in men and women in the United States. Many risk factors are the same for both genders. But there are some differences between men and women that can have an impact on an individual’s risk of heart disease.

One of most significant heart disease risk factors for both men and women is smoking. Nicotine can narrow your arteries, and carbon monoxide can damage their inner lining. That makes the vessels more likely to become thick and stiff, a condition known as arteriosclerosis. Eventually arteriosclerosis limits blood flow, increasing the risk of a heart attack. Because of this, heart attacks are more common in smokers than in nonsmokers. [...]

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Brian Kilen (@briankilen) posted · Tue, Feb 10 9:06am · View  

Mayo Clinic Supports Google Effort to Provide Quick, Accurate Health Information

ROCHESTER, Minn. — When people have health questions, many turn to the Internet, and Google in particular, as the first stop for finding health information. Now, when users ask Google about common health conditions, they will get relevant medical facts up front. For example, a search for arthritis will show, up front, a few basic facts about arthritis and a definition.Google image of medical conditions on mobile phone To ensure quality and accuracy, teams of doctors including expert clinicians at Mayo Clinic have reviewed the facts, and have written succinct definitions for the conditions.

The goal of this new feature is to provide medical information in a digestible way and get basic answers quickly. Google will provide information about symptoms and treatments, and details about how common a condition is, whether it’s critical, if it’s contagious, what ages it affects, and more. It will also provide high-quality illustrations and a streamlined design that makes it easier to tap or click through to more in depth information on other sites.

MEDIA CONTACT: Brian Kilen, Mayo Clinic Public Affairs, 507-284-5005, newsbureau@mayo.edu [...]

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