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A study of chronic refractory tibia osteomyelitis treated with surgery and adjuvant hyperbaric oxygen

Introduction Chronic tibial osteomyelitis is a difficult problem to eradicate and often fails to respond to surgical treatment. Orthopaedic surgeons find it difficult to treat these infections which reside as a nidus in dead bone. There is always a risk...

Non-hormonal treatment options during the menopause

The author gives a comprehensive overview of prescribed treatment alternatives to hormone replacement therapy (HRT), discussing lifestyle, diet, alternative therapies, patient support and nurse education. The author argues that treatments for the symptoms of menopause are complex and that nurse...

Delayed intraoral wound healing in patients on bisphosphonates

Since Marx first described bisphosphonate related osteonecrosis of the jaw (BRONJ), the literature is now replete with cases of BRONJ. There are no internationally accepted protocols. A three month cessation of drug treatment, a ‘drug holiday’ has been advocated. The...

Basics in Dermatological Laser Applications

As part of the Current Problems in Dermatology series this volume provides an excellent grounding in both the history and principles of laser development and laser physics. Subsequent sections on laser / tissue correction and laser safety are followed by...

Male facial aesthetics

The author shares experience of treating aesthetic male patients, with discussion surrounding components of effective treatment strategies. Discussion is underpinned by current statistics for a global increase in the number of male patients seeking aesthetic treatments, ranging from laser, chemical...

Management of keloid and hypertrophic scars

The management of keloid and hypertrophic scars is commonplace in all burns and plastic surgery outpatient clinics, and in this paper the authors review many of the current treatments available for this difficult problem. They start with an introduction about...

Laser in the management of burn scars

This article systematically reviews the use of laser therapy in burn scar management. A search of the literature revealed 51 relevant studies that were referenced in this review. It starts with a nice introduction outlining the effects of burns scars...

Focus on Plasma: Total rejuvenation of the face with plasma device

The use of plasma energy is a new concept in anti-ageing and aesthetic medicine. Since it has been introduced in the aesthetic field, many studies have been conducted to try and understand the effects on collagen synthesis which may explain...

How I Do It - Non-ablative laser treatment of surgical and acne-induced scars

Scars tell stories of life – almost everyone has at least one. The disappearance of postoperative scars is important to many of our patients. This is particularly indicated for aesthetically dominant areas such as the face, neck and décolleté, but...

The place of BoNT in TMD: review article and case report

This article has been verified for CPD. Click the button below to answer a few short questions and download a form to be included in your CPD folder. Over the last decade, there has been a great deal of interest...

Gross Negligence Manslaughter in Healthcare: The medico-legal dilemma (part 2)

In Volume 1, Issue 1 of this journal I wrote an article entitled: ‘From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield’. Little did I know or anticipate what a mess this was going to become: a medico-legal mess with ignorant lawyers and arrogant doctors demonstrating how stupidity and rapacious hypocrisy can twist and distort reality for the purposes of extracting a bizarre social revenge with little sense of justice.

IN RESPONSE TO: From PIP to DC-CIK to the Sorcerer’s Apprentice: a medico-political minefield

I am a consultant musculoskeletal physiotherapist of 20 years and I hold (2002) a masters accredited diploma in injection therapy (steroid and local anaesthetic injection techniques) as well as certificates to advanced level in cosmetic injection – dermal filler and...