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Namaste! I am Sachin Goyal and I welcome you to this program for public welfare.

Friends, Do this exercise and use this home remedy to cure frozen shoulder, shoulder pain forever permanently.

Exercise for shoulder pain is that place your index and middle finger on wall in front of you.

Now crawl your fingers upward like this so that your arm moves up slowly.

Move it to the highest point you can.

Now move fingers downwards back to the starting position.

This exercise is known as wall climbing exercise.

You should do up and down movement 4-5 times.

Try to move hand higher than previous with every repetition.

You can do this exercise 2 times a day.

It cures frozen shoulder, shoulder pain very quickly.

I saw that people get cured their pain within a week completely,

their hand started to move up like a normal person and yes they also became able to turn the hand back.

You must do this exercise. It will cure frozen shoulder, shoulder pain forever, permanently.

To prepare home remedy for shoulder pain you will need aloe vera, turmeric powder and ginger.

Take 2 tsp aloe vera gel in a bowl.

Add 1 tsp turmeric powder and 1 tsp ginger powder to it and mix it well.

A powerful ointment for frozen shoulder pain is ready to use.

Apply this natural ointment over shoulder and leave it for at least 2 to 3 hours.

Then remove it by washing with plain water.

Friends, aloe vera not only improve digestion but also it is a natural painkiller.

Application of aloe vera gel or juice over painful muscles, joints gives instant relief in pain.

Turmeric and ginger also improves blood circulation in painful areas

which in turn reduce muscle stiffness and make them soft and normal and cures pain.

Friends, using this home remedy will give quick relief in shoulder pain

and it cures frozen shoulder and shoulder pain within a week.

People who are unable to move hand up due to shoulder pain,

they can move their hand up like a normal healthy person by using this.

They can turn their hand back also.

If you have very severe pain, then you can apply this remedy and can leave it overnight.

It will cure shoulder pain of people all age groups.

Just use this natural home remedy and forget you shoulder pain.

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For more infomation >> Frozen Shoulder Treated in One Minute (Hindi, English CC) by Sachin Goyal-फ्रोजन शोल्डर कंधे का दर्द - Duration: 2:20.

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Rectal Cancer: Preoperative Staging Principles to Select Best Treatment (5) - Duration: 2:55.

- Preoperative staging [determination of precise extent of tumor growth] of rectal cancer tumors

is important. Dr. Anton Titov MD

Because correct staging allows the surgeon to select the right patient for the right

type of surgery and correct combination of radiotherapy or chemotherapy.

How do you stage patients with rectal cancer before you take them to the operating room?

We also have to think about the history.

because there were times, maybe 10 or 15 years ago, when there was no preoperative staging

for rectal cancer.

The surgeon just palpated the tumor, maybe took a biopsy, and then brought the patient

for surgery directly.

Surgeons had no idea of how colorectal tumor was growing outside the bowel.

Then people started to do ultrasonography.

Ultrasound is good for the superficial tumors, but rectal cancer very difficult to detect

by ultrasound if cancer is more extensive, if tumor is growing outside the bowel wall

into the mesorectum and maybe even into other body organs.

We were the first in the world at the Karolinska Institute, with Professor Lennart Blomquist,

to start doing MRI, first, for locally recurrent rectal cancer treatment planning, and then

to stage all colorectal cancer patients before surgical operation.

I remember still the first lecture we had at the first rectal cancer surgical treatment

course with Professor Heald.

We showed him MRI of the rectal cancer patient he was going to operate on.

He was completely enthusiastic about MRI, he had never seen anything like that.

Since then MRI use for rectal cancer staging has spread around the world.

So today the golden standard for preoperative staging of rectal cancer is an MRI.

No patient with rectal cancer should have an operation unless they have had an MRI.

Because MRI allows local staging of rectal cancer, it is the road map for the surgeon

how to do the rectal cancer operation.

You can see on the MRI if the tumor is extending somewhere, you see if there are lymph nodes

that you have to remove during surgery.

MRI is very crucial, but also, of course, for staging you need a good CT scan of the

chest and the abdomen to see if there are any metastases.

So a combination of MRI and CT scans is the preoperative staging method of choice for

rectal cancer.

So MRI is the primary method of assessing rectal cancer tumor...

- Yes.

For more infomation >> Rectal Cancer: Preoperative Staging Principles to Select Best Treatment (5) - Duration: 2:55.

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Glioblastoma / High-grade Glioma How treatment options improved? (10) - Duration: 3:00.

- High-grade glioma brain tumor, glioblastoma multiforme, GBM, is the most aggressive primary

tumor of the brain. Dr. Anton Titov MD

It's also one of the most frequent.

What are the treatment options today for patients with glioblastoma?

First, we do surgery if the brain tumor is in such a location that we think it's easily

reachable.

It doesn't mean that we operate all of high- grade gliomas.

Sometimes, if glioblastoma multifocal, very central, close to some very eloquent areas,

we may take only a biopsy, followed by chemotherapy or radiotherapy.

Usually, we start first with radiotherapy and then chemotherapy.

But nowadays more glioblastomas can be operated on straight away.

We don't take biopsy first and then operate.

If we think brain tumor is operable, we operate and try to remove as much as possible, using

all the modern technology, neuronavigation, of course, modern neuroanaesthesia, modern

techniques in surgery as well as gliolan.

It's a dye that is given to the patient, so we can see, looking at the microscope, the

brain tumor looks pink.

And then we can see more of the borders, because high-grade gliomas and glioblastomas are not

sharply circumscribed.

We use ultrasonic aspirator, of course, this is the standard way to remove many of these

brain tumors.

And then we do post-operative MRI to check the results.

Intraoperative MRI is something we will get in our new building, but these modern dyes

that can be used together with the microscope with different wavelengths of the light have

been replacing a little bit of need for intraoperative MRI.

First, surgery, then radiation, and then chemotherapy depending on the exact brain tumor pathology

and potential genetic defects that are found in the brain tumor tissue that may be more

reactive to chemotherapy, for instance.

Then the patients are followed thoroughly with MRIs and clinical checkups And patients

are doing better and better.

We see more and more 5-year surviving patients.

Of course, the malignant high-grade glioma or glioblastoma often recur, unfortunately,

at the surgical resection site, so repeat resections are also possible, it's something

that you are doing.

- Exactly, we do repeat surgery for glioblastomas when indicated and needed.

For more infomation >> Glioblastoma / High-grade Glioma How treatment options improved? (10) - Duration: 3:00.

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State of Addiction: Drug treatment relieves symptoms of withdrawal from opioids - Duration: 2:47.

For more infomation >> State of Addiction: Drug treatment relieves symptoms of withdrawal from opioids - Duration: 2:47.

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Rectal Cancer Surgical Treatment: Important Factors in Surgical Cure (2) - Duration: 2:45.

- Surgical treatment remains the major treatment for colorectal cancer.

Multimodality therapy for rectal cancer is very important. Dr. Anton Titov MD

But surgical treatment for rectal cancer is the first and foremost treatment method.

You have a lot of experience with rectal cancer surgical treatment in Sweden and elsewhere.

What are the principles of surgical treatment for colorectal cancer?

What is state of the art treatment for colorectal cancer right now?

We have to remember that there has been a very interesting historical development in

the surgery for colorectal cancer.

20 years ago treatment results, especially for rectal cancer, were significantly worse.

There was higher risk of local recurrence of rectal cancer at about 25 to 30%, and poor

survival.

But then Professor Heald introduced the Total Mesorectal Excision for rectal cancer treatment.

He started doing Total Mesorectal Excisionalready in early 1980s.

But it was not accepted until mid-90s or even late 1990s.

Total Mesorectal Excision technique is a precise surgery in the correct anatomical plane, outside

of mesorectal fascia.

You should see exactly where you're going, you should save autonomic nerves and save

mesorectal fascia.

Surgeon should take out the rectum with a complete mesorectum.

This is called Total Mesorectal Excision, TME.

It is the method of choice today, the golden standard.

Every surgeon who operates on rectal cancer has to be able to do a good Total Mesorectal

Excision.

Whether it's an open technique or laparoscopic technique - it does not matter, the specimen

[of the rectum with cancer tumor] should be perfect, with the intact fascia all the way

down to the pelvic floor.

This is extremely important.

For colon cancer, Prof. Hohenberger developed the same concept.

It is called Complete Mesocolic Excision.

Again, you follow the correct and well-defined anatomical planes outside the mesocolic fascia,

and you remove the whole mesocolon with all lymph nodes, all the way up to the superior

mesenteric artery and vein or to the aorta, if it's a left-sided tumor.

So again, good surgical practice in the correct plane to remove the whole mesorectum or the

whole mesocolon, close to the tumor - that is the gold standard.

This is something that has to be required from all colorectal cancer surgeons.

If you cannot achieve that, you should stop doing colorectal cancer surgery.

And you have to have quality control of surgery by the pathologists.

This is why the collaboration between surgeons and the pathologists is so important.

The pathologist should be a quality assessor of surgical specimen [removed tumor], they

should look at it, they should take photographs of it, and they should say: this is a good

specimen or this is a bad specimen.

If you have a bad specimen, you have to learn how to get a good specimen, or you have to

quit doing the surgery.

It's important for patients to seek the surgeon with the most experience in that particular

type of surgery.

Not necessarily the most experienced surgeon, because there is a problem that some surgeons

are very experienced, but they do the operation in the wrong way.

Experience is not everything.

Knowledge is the most important thing, being able, knowing how to do it [surgery].

Then, of course, experience helps, But if you don't know how to do surgery, it doesn't

matter how many patients you operate on.

Because if you do it wrong every time, the results of surgery will not be good.

So you have to find a well-educated surgeon and preferably with a long experience.

The knowledge of surgeon is much more important that the experience.

This is very important point.

You could do the same operation very well, but it's not the right operation for the patient.

- Exactly!

Exactly!

And also you have to tailor the operation to the patient.

For example, the Total Mesorectal Excision technique is good for most patients, but not

for all.

If you have an advanced case, the tumor may be growing into the prostate, or the urinary

bladder, or the sacrum, Total Mesorectal Excision surgery alone is not sufficient to treat such

rectal cancer patient.

It's not only that you should be able to do a TME, or CME, Complete Mesocolic Excision,

but you also have to tailor the extent of the operation to the tumor AND to the patient.

So we must not forget the patient!

TME for rectal cancer, or Complete Mesocolic Excision for colon cancer is the standard

operation for normal patient with rectal cancer or colon cancer.

But if you have a very sick patient or very old patient, maybe you could do a little less

extensive operation to keep the surgery time down, and it's not necessary to do extensive

surgical operation.

On the other hand, if you have a more extensive tumor, you may need to do more than only CME

or TME.

You may have to take out the urinary bladder, to do pelvic exenteration, or to take the

sacrum out.

If it's a colon cancer, you may have to remove the tail of the pancreas or the spleen, or

part of the abdominal wall, or the kidney...

So you have to tailor the operation according to the stage of the tumor.

Surgical strategy should be assessed, for rectal cancer - on MRI, and for colon cancer

- on a good CT scan.

This is extremely important.

So again, the collaboration with a radiologist is very important to tell the surgeons how

the tumor is growing.

Using radiology as a roadmap for planning your surgery is important.

When the surgery is done, it is important to have the pathologist assess the quality

of the surgical specimen.

Pathologist must give feedback to the surgeon whether the surgeon has done a good job.

Had the surgeon removed a tumor with good margins?

Had surgeon achieved what we call the R0 resection. [with negative tumor involvement at edges

of resection] This is extremely important for cancer surgery.

It is obvious that multidisciplinary teamsetup is extremely important [to treat cancer properly],

because the radiologist should do a good and proper preoperative evaluation with CT scan

or MRI.

The surgeon should use that evaluation ["staging"] as a roadmap for the surgery.

Because then surgeon can know what to take out or what to leave in.

And the pathologist should assess if the tumor has been completely removed, with free circumferential

margins, which implicates that the patient has a greater chance to be cured.

Of course, the radicality of the cancer surgery is crucial.

If you have an R0 resection, which means there is no tumor on the surfaces of the specimen,

then the chance of cancer cure is much higher than if there is "R1 margin" after cancer

resection, which means that there are tumor cells on the surface of the surgical specimen.

R2 margin is worst, because it means that the surgeon left the tumor inside the patient.

Then cancer prognosis is very poor.

So the quality of the surgery is extremely important for curing the patient with colorectal

cancer.

For more infomation >> Rectal Cancer Surgical Treatment: Important Factors in Surgical Cure (2) - Duration: 2:45.

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Coxsackie Virus Prevention and Treatment - Duration: 8:15.

Coxsackie Virus Prevention and Treatment

The Coxsackie Virus has been on the rise for many years.

Unfortunately, this virus affects children and adults alike.

Its name comes from New York Citym where it was first isolated and officially investigated.

The Coxsackie virus is found on all the continents of the world.

In places with a more tropical climate, the Coxsackie Virus can show up at virtually anytime of the year.

And, in places with the normal four seasons of the year, the virus is most likely to appear during Spring and Autumn.

What is the Coxsackie Virus?.

The Coxsackie Virus is also known as the hand-foot-mouth disease.

The main symptoms of the virus usually oocur in the extremities and throat of those it affects.

The nasty virus belongs to the enterovirus gene.

This gene infects humans and causes a wide variety of diseases such as poliomyelitis, or Hepatitis A and many more.

Even though it exists among demographics of all ages, the hand-foot-mouth disease mainly affects children younger than twelve.

Two different types of the virus exist.

The first is virus type A, and the second, virus type B.

These two types exhibit symptoms that are practically identical to the symptoms of the other.

What are the main symptoms of the Coxsackie Virus?.

Many of the children infected with this virus do not show any kinds of superficial or outward symptoms.

The following is a list of the general symptoms or problems that a child may be dealing with due to the virus:.

Head aches. Throat pain and irritation.

Fevers higher than 100.

4 degrees Fahrenheit. Nausea.

Abdominal pain. Loss of apetite.

Other symptoms exist that are due entirely to the Coxsackie Virus such as:.

The formation of small blisters on the feet, and hands that in general are very sensitive to touch.

The formation of blisters in the throat, the roof of the mouth, and inside of the cheeks.

There will also be a redness that spreads just around the blisters.

How can you get the Coxsackie Virus?.

We can come into contact with the virus in almost any environment.

We can contract it through inhalation into anyone of our respiratory airways.

However, there are also other ways we can contract the virus:.

Touching our mucous membranes (eyes, nose, or mouth), after being in contact with a contaminated surface.

Having direct contact with the mucous membranes of an infected person.

Having direct contact with the feces of an infected person.

Direct contact with the secreted fluids of the blisters of an infected person.

This virus is capable of remaining in the form of blisters on the skin for up to three days.

A child is more likely to be exposed to the virus in a daycare or in school.

Furthermore, the incubation period of the virus in our bodies can take anywhere from 3-7 days.

We will not know if we are infected with the virus until after a sufficient amount of incubation time.

Treatment of the virus to counteract its symptoms.

There is no cure, or specific treatment for the sickness.

With time, our bodies will naturally defend themselves and fight it off.

Even though all of the symptoms should disappear within 7 days, there are some medicines and homemade remedies that we can use to reduce their potency.

Pharmaceutical treatments for the Coxsackie Virus.

To reduce the fever we can use pharmaceutics like paracetamol or ibuprofen.

We can freely obtain any of these medications at our nearest pharmacy.

We should only administer aspirin as a form of treatment if the patient is an adult.

This method of treatment will help to combat the symptoms.

Homemade treatments for the Coxsackie Virus.

To bring down the fever, we can use can soak a towel in lukewarm water and lay it over the head, hands, and/or feet.

Refreshing the body with alcohol is an excellent idea.

However, be careful to avoid contact of the alcohol with cuts, or skin injuries.

Taking chamomile baths will help to diminish hives and blisters on the skin.

Drinking alcoholic drinks can help the body to stay hydrated and effectively fight the virus.

Basil is a great supplement we can use in infusions.

Ingredients:. 6 basil leaves.

1 cup of water (250 ml). Preparation:.

Heat up the water until boiling, and the add the basil leaves.

Let the basil leaves dissolve into the water for about 15 minutes, and then turn off the heat completely.

Filter the water, and drink it.

How to protect yourself from the Coxsackie Virus.

Really, there is no extremely effective manner of preventing the contraction of the virus.

We can unfortunately come into contact with the virus anytime, anywhere.

Despite this fact, the best way to reduce the risk of contracting the virus is hygiene.

We must teach our children the basic rules and appropriate form of hygiene.

For more infomation >> Coxsackie Virus Prevention and Treatment - Duration: 8:15.

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Spain sweating over Pique who has treatment on ankle knock in training - Duration: 2:50.

Gerard Pique is at risk of missing 's tie with on Sunday after a collision with goalkeeper Pepe Reina

were going through the motions as they completed their final training session before they face the hosts at the Luzhniki Stadium

However, concern has arisen over the fitness of Barcelona centre-back Pique as he was forced to receive treatment midway through the session

that the 31-year-old, who has played all 270 minutes of 's campaign thus far, collided with Reina and suffered a knock to his ankle

He was pulled aside to receive treatment on the injury and was able to rejoin the session, but he must now prove his fitness ahead of the crucial match on Sunday

Fernando Hierro led the session but refused to comment on Pique or the side he will field against

Only confirming the David de Gea will start in goal, while Koke and Diego Costa are expected to feature in the starting line-up

 Cesar Azpilicueta and Nacho Fernandez will be on standby, awaiting to see if either of them will be required to take Pique's place should he not be able to feature against the hosts

The Spanish are potential semi-final opponents for England - should both nations make it that far - but will need to beat either Croatia or Denmark in the quarter-finals

England face Colombia on Tuesday in their last-16 fixture, and will need to beat either Sweden or Switzerland in the following round to make the final four