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By Joshua Lindsey, MD |
As people live longer, more knees are wearing out, and more people are feeling the pain. If you’re one of those with severe knee pain, there’s some really great news as to share with you as well as some confusing news out there to clear up. Let’s sort through it.
First of all, you should know there’s no perfect solution to knee pain, including knee replacements. I’m hopeful that one day research will give us a new, more perfect tool, such as a way to replace worn out arthritic cartilage with healthy new smooth cartilage. That’s the holy grail of orthopedic medicine, but it’s far from a reality yet.
For long-term proven treatments that get you back to doing the things you love, knee replacement is the most effective remedy for the majority of people with severe debilitating pain. Millions of Americans, in fact, have new knees that have transformed their lives by reducing pain and increasing their mobility. That said, the procedure comes with two big challenges for orthopedic surgeons.
The first of those is correctly aligning the knee replacement. Because every person is truly unique, every knee requires unique alignment, and this is one of the main challenges with traditional knee replacement surgery. When it comes to aligning a knee implant in surgery, taking out the guesswork makes a big difference for a great number of patients.
The second challenge for surgeons is the level of complexity of the knee joint itself. The human knee joint does not act like a simple hinge as is natural to believe. As it flexes and bends, the knee actually rotates as it moves, making the motion a complex one. And the knee does the same thing in reverse as it straightens out again. Also crucial is that, again, knees come in just as many shapes and sizes as there are knees in the world. Each is unique. Even in the same patient, the right knee is different from the left.
One way to help solve the alignment issue is robotic assistance. To understand the importance of the robot, we have to consider how knee replacements are traditionally performed. The original way to align a new knee is using visual ques that aid a highly skilled surgeon. An alignment rod is the simplest surgical aid, and it’s still used today with good accuracy by some surgeons. Newer technology also currently in wide use are “custom cutting blocks” which is what all the major knee replacement companies offer if a surgeon wants to use them. These blocks are guides designed to fit the patient’s arthritic bone to help aid a highly skilled surgeon in properly aligning the implant. The blocks simply snap onto the patient’s arthritis bone and assist the surgeon in aligning cuts of the bone onto which the new hardware is fixed. This technique is similar to a traditional alignment rod in that both require a degree of improvising on the part of the surgeon. What this means is the surgeon has decisions to make during surgery regarding how to align the implant.
Enter the robot. Today, robots with very high price tags are available to assist surgeons with knee alignment. Robots are essentially replacing the old alignment rod. What robots are not doing, however, is adding any value to any patient’s surgery beyond being an alignment aid. And they are definitely NOT performing the surgery.
Regarding the second of the two main challenges faced by surgeons—the complexity of the joint and the uniqueness of each human knee—I have some exciting news. Until very recently, the available solution has been to make a symmetric implant of several varying sizes that will fit closely enough to satisfy the majority of patients. The surgeon chooses the closest size to the patient’s original knee before shaping the patient’s bone to make it fit. In other words, a surgeon may accurately measure you to be a size 5.3. However, the only options available are a size 5 or a size 6. Using the cutting blocks then, a surgeon will fashion a patient’s 5.3 knee to fit a Size 5 implant. If another patient’s knee is a 5.8, then that knee is shaped to fit a size 6.
To be clear, using a robot does not change this problem of fit. The machine is simply an expensive alignment aid and does not affect the selection or design of the implant.
The good news is you no longer have to accept an off-the-shelf knee and the 5 vs 6 sizing problem in my example. The knee replacements I use are the most advanced technology available, and they solve both the alignment and the fit problems in one, giving you a new knee that fits you and only you. I use the ConforMIS knee which is manufactured individually for each patient, one knee at a time. It’s the only knee that combines the best options available for both alignment and fit of the implant.
The ConforMIS knee comes in its own individual kit along with precision alignment aids specifically customized for each patient. More importantly yet is that the implant itself is computer designed to fit the unique anatomy of only one patient’s knee – yours. Because it’s a completely custom part, each one comes with a unique serial number, and there is only one like it in the world.
The curves of every ConforMIS implant will always EXACTLY match my patient’s natural knee. This is achieved thanks to an original multistep process that includes a CT scan of the patient and a sophisticated computer assisted design (CAD) program prior to the knee being manufactured. Each unique knee also comes complete with an entirely unique system of custom jigs created to fit my patient’s bone. The jigs are so precise, that when it comes to properly aligning the implant the procedure is an exact one with no estimating necessary in the operating room. We know what the optimal alignment is because the plan is set in place when the implant is made and the guides allow me to flawlessly achieve that alignment every time. The result is that each custom knee fits exactly as it should.
Custom ConforMIS implants cannot be used with robots. Instead they are always accurately placed by a skilled surgeon using the custom jigs that perfectly fit the patient’s bone.
In the future, we may find a solution to replace worn out cartilage with new cartilage. Until that is possible, we will continually be working to perfect the total knee replacement. I believe that the ConforMIS knee is currently the best available solution for knee replacement. My personal rule of thumb is to always do for all my patients what I would want for myself or my family. The ConforMIS knee meets that high standard.
It’s not easy for patients to learn about the many technologies that may impact their surgical outcomes. The use of a robot to assist in surgery might sound like something from a science fiction dream, yet the basic reality is it’s simply acting as an aid to alignment. And it unfortunately does nothing to address the issue of the complexity of the human knee. The other good news is that greater than 50,000 of these Custom Knees have been implanted world wide, so although this technology is new, it has been vetted.
The ConforMIS knee combines the best of both worlds with advancements for both alignment and implant sizing and shape. And that’s why I’m delighted to be bringing this technology to the Tri-State area of southwest Wisconsin.


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Cranberry is another unique source of protein that also includes antioxidants and immune support. The cranberry in a Total Vegan Protein Shake is a special concentrate of high-quality protein that is processed at a low temperature to preserve all of its healthful benefits. Cranberry is well known for its urinary health benefits due to its anti-bacterial agents. It is also a good source of soluble and insoluble fiber and omega-3, omega-6, and omega-9 fatty acids. In addition, cranberry contains carotenes, flavonoids, tocopherols, tocotrienols and anthocyanins.
Total Vegan Protein Plant Protein Benefits
People feel good about enjoying NuMedica Total Vegan Protein because the plant proteins have been subject to clinical studies that reflect these health benefits:
- Improved muscle mass
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The addition of ingredients like suma root provides health benefits such as protection from physical and emotional stressors while the addition of ocean algae (AlgaeCal) adds extra calcium and magnesium to your diet.
NuMedica Total Vegan Protein Provides Powerful Phase II Detoxification Support
NuMedica's patented BrocColinate, offering high amounts of sulforaphane glucosinolate, along with Calcium D-Glucarate, have been added for powerful Phase II detoxification support. Therapeutic doses of suma root and arabinogalactans are provided for digestive and immune system support. Suma root has powerful adaptogenic qualities that aid the body's ability to resist physical, biological and emotional stressors. For optimal weight management, Medium Chain Triglycerides (MCTs) are included for their ability to promote thermogenesis in the body and thereby contribute to an enhanced metabolism.
|Total Vegan Protein (6-Pack)||1 Plastic Bottle||6||Add chilled water and shake.|
Each Pack Contains:
|Total Vegan Vanilla Single Serving Bottles||6|
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Summer is here, which means it’s time for shorts, tank tops, and swimsuits. With all of that exposed skin comes the battle with body hair. The average woman spends about 72 days of her life shaving her legs. Furthermore, surveys show that it’s their most dreaded beauty task. Men aren’t immune either as they struggle to tame their facial hair or wax their chests and backs. If you hate shaving, waxing, and plucking, you have options. Laser hair removal is one of the most safe, and efficient methods for removing unwanted hair. It’s also much more cost-effective than other hair removal options.
Laser hair removal might seem a little scary if you have never had it done before. Maybe you worry about how it feels or how much it costs, but it actually saves you time, discomfort, and money.
It’s time to get rid of those unwanted hairs for good. Let’s discuss what laser hair removal is, how it works, and five reasons why you should try laser hair removal today.
Laser hair removal is a form of hair removal that uses a laser to remove unwanted body hair. During the procedure, the light from the laser is absorbed by the pigment (melanin). It converts the light to heat which damages the hair follicles to inhibit hair growth.
Since each hair has a lifespan of about 6 weeks, it may take several treatments before the laser can completely shut down the hair follicles. Plan to receive anywhere from 2 to 6 separate treatments scheduled at least 4-6 weeks apart.
The hair does not immediately fall out. But as it grows and falls out, the damaged hair follicle fails to grow a replacement. Your results won’t be instant but they will be long-lasting.
In the past laser hair removal was recommended only for individuals with lighter skin tones. Thanks to advances in technology, it can now be performed on almost anyone. But the best results are achieved on dark hair.
Laser hair removal can be performed on most areas of the body. Popular removal areas include the:
Laser hair removal should not be performed on eyelids, tattooed skin, or on women who are pregnant. Discuss any medications you are taking with your dermatologist before beginning treatments.
It all depends on how sensitive your skin is and which area of your body is being treated. Laser hair removal is generally a very comfortable procedure, but each person is different.
You will feel a bit of warmth and stinging when the laser is applied to your skin. The good news is that the pain level is usually manageable. Some people say it feels like snapping a small rubber band against your skin.
If you’re worried about the discomfort, you can take an over-the-counter painkiller 30-45 minutes before your laser hair removal appointment. If you’re very sensitive, your practitioner may advise you to take an anti-inflammatory medication such as ibuprofen. This is to reduce the swelling and redness after your treatment.
You can also apply a cooling gel or an ice pack to the treated areas to help reduce any pain, swelling and redness.
After a laser hair removal session you may experience some mild redness or swelling for a few hours. An ice pack and some over the counter pain reliever can usually take care of the discomfort.
Some people may experience pigment changes, a lightening or darkening of the skin in the area that was treated. This is usually temporary but it can be permanent in some individuals. The best way to lower your risk is to avoid sun exposure for a couple of weeks before your treatment and at least 6 weeks afterward. It’s best to apply sunscreen daily.
There are several devices marketed as laser hair removal systems that you can use at home. These pricey products are not FDA approved for hair removal and they can be ineffective and even dangerous. Laser hair removal is a delicate procedure that should be left to a licensed professionals.
Now that you understand how laser hair removal works, you may be wondering if it’s something that could benefit you. Here are 5 reasons laser hair removal can improve your life:
Think about how often you shave, wax, or pluck the unwanted hair on your body. For women, this can include areas like legs, underarms, bikini lines, eyebrows, and upperlip while men might focus on their faces, backs and chests. An average shaving session takes 10 minutes. Think what you could do with an extra 10 minutes every morning after you have all that unwanted hair lasered away.
People often express concern about how painful laser hair removal might be. Meanwhile, they while they are nicking themselves daily with razors and ripping hair out by the roots through waxing or plucking. A few mildly uncomfortable sessions with the laser and you can be free from the pain of shaving, waxing and plucking forever.
Shaving causes painful and unsightly cuts, razor burn, and ingrown hairs. Waxes and depilatories can leave you with burns and rashes. Imagine not having to hide your skin after hair removal. With laser hair removal your might have slight redness for a few hours after the procedure, but then your skin is smooth and clear forever. Definitely worth it.
If your concerned about the cost of laser hair removal, you should be more concerned about the cost of not doing it. The average woman spends $10,000 on hair removal products over the course of their lifetime. This is far, far more than you would spend on laser hair removal. Razors are expensive and professional waxing treatments can add up to hundreds of dollars a month. An upfront investment in laser hair removal can save you big bucks over the course of your life.
Ever overpluck your eyebrows or accidentally make your sideburns crooked? Laser hair removal is precise. It targets only the hairs that you want removed so you never have to stress about overgrooming.
Laser hair removal is an investment in your time, health and beauty. While the initial cost is significantly more than a pack of razors, the amount of money it will save you over the course of your life more than makes up for it.
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Of the 11 million people who suffer with some form of hearing loss in the UK around just 2 million use hearing aids.
That is 9 million people who are not making use of the hearing solutions available. Perhaps this is in part because wearing a hearing aid for the first time can cause some anxiety, but the improvements to your hearing will make the effort worthwhile.
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While hearing aids are available in a wide range of models, the basic performance is the same with just about all of them. Sound is received into a microphone which then transmits the sound to an amplifier. Through a speaker, you will then be able to hear more clearly.
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If you book a hearing test and are advised that you need a hearing aid, you will be given information on how best to clean it. As with all aids, keeping it free of debris will help to maintain the highest levels of performance in the months and years to come. As always, feel free to ask us for guidance if you’re not sure.
3. Which hearing aid will be best for me?
There are several types of hearing aid available nowadays, and your advisor will be able to help you to make the right choice. Among the more common models are BTE (Behind the Ear), ITE (In the Ear), RITE (Receiver in the Ear) and ITC (In the Canal). Your type of hearing loss will have an influence on which model is most appropriate.
4. How much do hearing aids cost?
With so many types of hearing aid on the market, it comes as no surprise to discover a wide range of prices. A few hundred pounds will get you an excellent model that will bring a dramatic improvement to your hearing levels, while the top of the range models can cost in excess of £1,500. As always, your advisor can provide further information.
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Many of the best chains of commercial gyms, such as 24 Hour Fitness, offer their clients medicine balls or exercise balls. These are among the lightest exercise equipment so these can easily be used by men and women of all ages and fitness levels. These may even be considered as the most fun, too, because there are so many things that can be done with them.
But not too many gym-goers use medicine balls because of the perception that these are too lightweight, literally and figuratively, in comparison with barbells and dumbbells. This is such a shame considering that these specialized balls are great for cardio and strength training exercises, too.
Here are a few reasons why commercial gyms encourage their clients to use medicine balls.
Wide Range of Exercises Possible
A single medicine ball can be used for a wide variety of strength training exercises for the upper and lower body. You can even get a whole-body workout just by using an exercise ball, said workout of which will only take an hour. Your personal trainer can design a medicine ball-centric whole-body workout that will address your age and fitness level.
Among the exercises possible with a medicine ball include squats, push-ups, supine bridges, and birddogs, to name a few. These exercises will tone and strengthen different areas of the body from the legs to the shoulders, as well as the core muscles. This is possible because the use of a medicine ball demands keeping your stability and balance while on it, as well as using the right balance to stay on top of it.
Low-impact Exercises Are on the Agenda
Medicine balls are great pieces of exercise equipment for people who will benefit more from low-impact exercises. These include individuals returning to exercise after an illness or an injury, elderly people with joint issues, and adults who need low-impact workouts as an alternative to running and the like.
But if you want a high-impact exercise program using a medicine ball, your personal trainer can also design it. Indeed, you and your personal trainer can take it easy or bring it hard with a medicine ball-centric workout program.
Medicine balls are also great for improving your balance and posture. You can use an exercise ball as your chair so that you can adopt a better posture while at work, as well as learn body awareness and control while sitting on it.
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No clue also. I was a strong advocate of working with Intel CPUs for gaming for years, but picking G4560, a twin Main with HT for most inexpensive gaming in 2018 is beyond my knowledge.
This may be because I’m looking to eliminate the sugar in my diet plan also. Planning to hold getting it right until I've made use of The complete bottle. Not going to trouble with returning it. Will abide by up if I see any difference or see outcomes.
This health supplement is taken orally and it gets absorbed to start out working quickly. It really works in different ways to come up with the final effects of wholesome fat reduction*. It'll reduce* urge for food, So controlling the intake of calories and carbohydrates.
Never consider PhenQ bodyweight-reduction supplements in the evening or ahead of bed due to the caffeine contents.
To really make it uncomplicated for you to pick Among the many weightloss products that do the job speedy without exercise, I've designed the next summary desk.
Chewing way too rapidly can result in the brain not getting signals through the abdomen that it is total. Hence it cannot give the sign telling you to prevent taking in, generating you overeat and their website obtain bodyweight.


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Curly hair possesses its unique charm, radiating personality and flair. However, maintaining its vibrancy and health can be a challenge due to its tendency to become dry, frizzy, and prone to breakage. In the pursuit of nourishing and enhancing the curls, natural oils stand as timeless allies, offering a plethora of benefits that extend from the roots to the tips.
Among the various grooming products available, the use of curly hair cream enriched with these natural oils has gained prominence, promising hydration, definition, and overall hair wellness.
Understanding Curly Hair
Before delving into the benefits of natural oils, it’s crucial to comprehend the distinct characteristics of curly hair. Curly hair tends to be drier compared to straight hair due to the spiral structure that hinders the distribution of natural oils from the scalp to the ends. Consequently, moisture retention becomes a critical concern, leading to frizz, tangles, and lack of shine.
The Role of Natural Oils
Natural oils have emerged as potent solutions for curly hair care, primarily due to their molecular structure, which allows them to penetrate the hair shaft, providing moisture and nourishment. These oils are rich in essential fatty acids, vitamins, and antioxidants, offering a range of benefits:
- Moisture Retention: Oils such as argan, coconut, and jojoba are renowned for their moisturizing properties. They form a protective barrier, preventing moisture loss and keeping the curls hydrated and supple.
- Enhanced Definition: For those seeking well-defined curls, oils like almond and castor aid in defining and shaping curls, reducing frizz and providing natural hold.
- Scalp Health: Natural oils promote scalp health by balancing oil production, soothing inflammation, and combating issues like dandruff and itchiness.
- Strength and Protection: Oils such as avocado and olive oil contain nutrients that strengthen the hair shaft, reducing breakage and protecting against environmental damage.
Curly Hair Cream with Natural Oils
Curly hair creams infused with natural oils have gained popularity for their ability to combine the benefits of hydration, styling, and hair health in a single product. These creams are formulated to cater specifically to the needs of curly hair, offering a balanced blend of moisturizing oils, along with additional ingredients like shea butter, aloe vera, or silk proteins.
The incorporation of oils within these creams amplifies their efficacy. They provide a longer-lasting moisturizing effect, aiding in detangling, defining curls, and controlling frizz without weighing the hair down. Moreover, these creams often contain botanical extracts that nourish and protect the hair from environmental stressors.
Choosing the Right Curly Hair Cream
Choosing the right curly hair cream can be a game-changer in the quest for luscious, defined curls. With a multitude of products flooding the market, each claiming to be the ultimate solution, navigating the choices can feel overwhelming. However, armed with a bit of knowledge about your hair type, specific needs, and the ingredients that work best, finding the perfect curly hair cream becomes an exciting journey rather than a daunting task.
Curly hair comes in various textures, from loose waves to tight coils, and each type demands different levels of hydration, control, and definition. Understanding your hair’s unique needs is the first step in narrowing down the options. For instance, if your curls tend to be dry and frizzy, you’ll want a cream that deeply moisturizes and tames unruly strands. On the other hand, if your curls lack definition, a cream with lightweight hold can help shape and enhance your natural pattern without weighing it down.
When delving into the world of curly hair creams, the ingredient list becomes your best friend. Opt for products rich in moisturizing agents like shea butter, coconut oil, or argan oil. These ingredients penetrate the hair shaft, nourishing and hydrating your curls from within. Avoid products containing sulfates and silicones as they can strip away natural oils and build up on your curls, leaving them dry and lifeless.
One crucial aspect often overlooked is the density and porosity of your hair. High porosity hair absorbs moisture quickly but struggles to retain it, while low porosity hair has a harder time absorbing moisture. Choosing a cream tailored to your hair’s porosity ensures maximum effectiveness. Lightweight, water-based creams work wonders for low porosity hair, while thicker, creamier formulas seal moisture into high porosity strands.
The market offers a spectrum of options ranging from creams specifically designed for enhancing curls to multi-purpose creams that cater to a variety of styling needs. It’s essential to decide whether you want a product solely for defining curls or one versatile enough for styling and nourishing your hair.
Considering individual preferences and lifestyle can also influence your choice. Some curly hair creams offer heat protection, which is beneficial if you frequently use heat styling tools. Others might have UV protection, guarding your curls against sun damage. Additionally, scented or unscented options cater to those with sensitivities or particular scent preferences.
Moreover, don’t underestimate the power of reviews and recommendations. Hearing about other curly-haired individuals’ experiences with a product can offer invaluable insights. Online forums, social media groups, or beauty influencers often share detailed reviews and tips that can aid in decision-making.
Lastly, the application technique can significantly impact the effectiveness of the chosen cream. Applying the product to damp hair, sectioning it for even distribution, and scrunching curls to encourage their formation can make a substantial difference in the final result.
Incorporating Natural Oils into Hair Care Routine
Integrating natural oils into a regular hair care routine can yield significant benefits. Pre-shampoo treatments with oils like coconut or olive oil can deeply condition the hair, while applying a small amount of oil to the ends after styling can seal in moisture and add a healthy sheen.
Additionally, mixing a few drops of oil into the curly hair cream can amplify its nourishing effects, providing an extra layer of hydration and protection. However, moderation is key to prevent the hair from feeling greasy or weighed down.
Curly hair, with its distinctive beauty, demands thoughtful care and attention. Natural oils, renowned for their moisturizing, strengthening, and protective properties, offer a holistic solution for maintaining healthy and vibrant curls. When incorporated into specialized curly hair creams, these oils become indispensable allies, providing nourishment from the root to the tip, ensuring that each curl exudes its natural allure. Embracing these natural remedies not only enhances the beauty of curls but also celebrates the diversity of hair textures, fostering confidence and self-expression.


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Country Kitchen 15 North Street Horncastle LN9 5EB Telephone: 01507 526578. Country Kitchen Copyright 2015
For natural health & well-being
Natural Health ~ Natural Beauty ~ Organic ~ Fairtrade ~ Eco ~ Vegetarian & Vegan ~ Special Diets
The whey protein in Nutrisport 90+ Protein is absorbed quickly, having a very high biological value and an anabolic effect that lasts a couple of hours.
The Micellar Casein in 90+ Protein is absorbed much more slowly, giving a sustained anti-catabolic action. It has therefore been recommended to take Whey Protein Isolate in the morning, and Micellar Casein but not any denatured casein last thing at night. Nutrisport 90+ provides the best of both for muscle growth at any time of the day or night.
Add 4 heaped dessertspoons (50g) to 1 pint of water. For best results use a blender or shaker. 2 scoop (53g)
Undenatured Cross Flow Mircofiltered Whey Protein Isolate 65%, Isolated Undernatured Micellar casein 33%, stabiliser - pea fibre, sweetener – cyclamate & saccharin, natural flavour
Please Note: Nutritional facts and ingredients may vary slightly between flavours
Pack Size: 908g


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Finnish company Biohit Oyj develops, manufactures and markets liquid handling products and diagnostic test systems for use in research, health care and industrial laboratories.
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