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What You Must Know when Hiring a Attorney in Temple ?

Divorce is not always easy because there are so many legalities involved in the process. Child custody, property settlements and parental responsibilities are some of the legal issues that come into the picture when getting a divorce. It can be mentally and emotionally taxing and the last thing you want to do is struggle with the process. A divorce lawyer comes in handy during this trying phase of your life. The divorce attorney represents and guides you through the process, making it easier for you to handle. But to enjoy a smooth process, you must find yourself a reliable attorney.

1. Talk to friends and relatives

2. Know what your needs are

3. Do your research

4. Create a budget

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So, you think you are a victim of medical malpractice. It has been done and what you need to do is to act the right way in order to get a just compensation for the casualty or injury incurred. What you do right after a malpractice case is important so make sure that you read this entire article about what medical malpractice is all about and what you should do in order to deal with it properly.

Before we delve into what things a victim should do, let us first know what medical malpractice is all about. Medical malpractice is one of the leading causes of death in the US. This is next to cancer and heart-related disease. This is defined using the prism of law as an act of negligence on the part of medical personnel or health care provider that resulted in the injury or casualty of a patient. Medical malpractice often involves simple misdiagnosis of cancer, dental malpractice, errors in administering drugs or anesthesia and birth injury. Nursing home abuse falls under this type of malpractice.

To give you a good example of documentation, the victim or his relative should take note of specific deviations from what is accepted as medical standard. For instance, take note if the nurse or physician forgets to administer drugs to the patient. Wrong dose of medication should also be noted.

These are just few examples how to deal with medical malpractice. If you think you have a valid claim for personal injury compensation, hiring an experience personal injury lawyer is very important.

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The Anatomy of the RSI Epidemic

Repetitive Strain Injury (RSI) is fast becoming one of the most common forms of disability in the workplace. In some industries it is already the number one cause of a temporary and permanent disability. In this article I will explain why and how we develop the elusive RSI.

The definition of RSI:

Repetitive strain injury is a medical term used to describe a pain or discomfort of the upper limb. Although a 'repetitive strain' can occur in any area of the body, physicians typically apply the term to a pain of the arm unit including the neck, shoulder upper back, arm, forearm and hand, that is related to repetitive tasks. RSI is really an umbrella term used to catch any and all pains of the arm, but the most common forms include tennis and golfer's elbow, carpal tunnel syndrome, ulnar neuritis, metacarpalgia, rotator cuff of the shoulder, chronic neck and upper back pain and limb numbness.

The signs and symptoms of RSI:

The signs and symptoms of RSI vary depending on the exact areas of the arm and neck involved in the pain syndrome; however, the most common RSI complaints include the following:

Numbness and tingling of the arm and / or hand
Pain and / or weakness of the upper arm and / or forearm, and / or wrist, and / or hand
Reduced range of motion and / or stiffness of the shoulder, elbow, wrist or fingers
Difficulty lifting of objects and / or tendency to drop objects (dropsy)
The tendency of pain and / or numbness to increase with repetitive activity and at rest
Background of RSI:

RSI is considered a soft tissue pain syndrome whereby the pain is derived from a disorder of the muscles and tendons of the neck and limb. To fully understand how muscles can cause disease, it is important to understand the current principles of myofascial pain (MFP) and myofascial dysfunction (MFD).

Muscles shorten and can potentially scar in a shortened position as a result of injury or exercise. This process of shortening is often exaggerated at rest. Therefore, muscles that work repeatedly in a particular action eventually shorten and over time, will develop some form of scar formation in areas of the muscle. These scars can be described as microinfarcts, or more popularly, as trigger points. In traumatic cases, muscles will shorten and scar in a much more accelerated period of time and often more severely.

Muscles shorten persistently if nerve conduction to that muscle is interrupted. This is known as Cannon's Law, and is very important in understanding how we can develop repetitive strain injury. Walter Cannon was able to clearly demonstrate that muscles become super-sensitive and ultimately persistently shortened with eventual scarring when their nerve conduction is partially interrupted. For example, if the nerve supply to the forearm extensors is interrupted by a disk compressing the C4 or C5 nerve root, the forearm extensors will persistently shorten and cause chronic tennis elbow.

Shortened muscles around a joint will often change the static position of normal movement of the joint.

Furthermore, persistent compression of the joint may occur and contribute to an abnormal and accelerated wear pattern of cartilage and eventually the joint. Joint pain, stiffness and decreased range of motion are common side effects. Over time, destruction of the joint and osteoarthritis are predictable complications. The spine is also affected by these principles of persistent compression when the deep intrinsic spinal muscles are injured and develop shortening and contractures. The vertebral compression will cause disk herniation and spinal stenosis. The vertebrae, disks, nerve roots and the spinal cord can be affected by herniated disks and swollen facet joints.

Furthermore, the computer-related RSI often affects the upper back area (thoracic spine); an area which has secondary nerve supply to the arm. The thoracic spine can be extraordinary to treat particularly in the presence of kyphosis. The end result of computer-related RSI is a person with a hump back, forward neck, forward shoulders, compressed disks, suffering diffuse muscle shortening and multiple entrapped nerves, and typically affecting both arms.

The Treatment of RSI:

*The treatment of a complicated/chronic RSI begins with a detailed history and examination often indicating far more disease than initially thought.

*Detailed patient education of the mechanism and exercise physiology is important such that they ca be aware of aggravating factors and to succeed with personal exercises.

*Physicians and nurses need be more aware of the various patterns of RSI for their early recognition and proper treatment.

*The key part of actual therapy must include the implementation of spine and limb "neuropathic" stretching and resistance training (the Lamb Program) that allows for all muscle groups affected to be treated, and for spinal and limb segments to be properly repositioned.

*It is important to recognize the limitations of imaging technology, i.e. MRI fails to detect an estimated 40% of disk disease.

*The Implementation of injury avoidance and education of RSI-injury factors for the patient helps to reduce re-injury and progression of disease.

*The use of specialized injection technologies-surgical dry needling, the Patented Lamb Method of Spinal Botox, injectable NSAIDS can drastically reverse the compressive effect within the spinal anatomy and help most RSI's and other pain syndromes.

*Specialized relaxation training systems help to reduce RSI-related muscle tension (i.e. ASeRT Systems).

*Positional education for sitting, standing and sleeping, as well as proper sleep education help to reduce the progressive pattern of bad sleep and bad pain.

*The implementation of laser/magnetic combination therapy and MET has demonstrated effectiveness as an adjunct to various pain syndromes including RSI.

*MET or micro-current therapy is the latest in electronic or electro-medicine that properly addresses the abnormal electrical potential concerns in chronic pain and RSI versus TENS or EMS which are demonstrating oxidizing potential of soft tissue with repeated use.

*Obviously the addition of medications can be a major adjunct to RSI and other chronic pains, and I will quickly comment on two medications.

*Anti-inflammatories have a beneficial effect in RSI, but must be tapered when stopping, otherwise reactive inflammation and spasm can occur. Lyrica, a new "anti-neuropathic" agent has been helpful in chronic pain. I have found improvement in deep spinal muscle pathology in many patients indicating that cessation of transmission of pain information has a relaxing effect upon spinal and skeletal muscles.


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