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Sharon

FAT AND WATER RETENTION

Fluids, fat and heaviness in the legs

With the arrival of summer, and therefore the heat, not only do we experience the so-called "swimsuit test", but we also experience a feeling of heaviness in the legs that could even cause some pain.
This happens because the increased temperature of body fluids predisposes to vasodilation, which increases their stagnation in the spaces between cells. Circulation slows, and due to the force of gravity, fluids accumulate in the legs. Pain results from the edema compressing nerve endings.

 

The usefulness of massage

The massage It is useful for counteracting water retention through a manual mechanical action.
But be careful, massage doesn't make you lose weight, at least not directly.
If you have fat and water retention, you can first use massage to eliminate the edema and simultaneously lose weight with diet and physical activity.
After a massage you feel a sense of well-being and lightness, precisely because this pressure is manually released.

Massage promotes the elimination of fluids and toxins, stimulates biological processes, and draws greater blood and oxygen to the treated area.
Blood and oxygen are drawn to the more superficial areas and cause visible skin redness.
Biological processes are thus activated, forcing cells to increase their local metabolism. The body thus requires increased energy, stimulated by cellular movement.
The effect of oxygen allows the lipolytic action of fatty acids to be activated, resulting in a reduction in fat.

Massage is therefore an important support to a weight loss program and above all contributes to the health of our body.
Our well-being is a choice!

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WATER THERAPY FOR BACK PAIN

Water therapy for back pain: benefits

Water is an extraordinary element, with multiple positive effects, and is often used in rehabilitation and orthopedic practices through hydrokinesitherapy. In a pool or in the sea, our body's actual weight is eliminated because gravity is absent. This phenomenon eliminates the load on the joints. By following this principle, reducing the load and stress, patients with back pain will be free of negative stimuli that could worsen the symptom.

 

Water therapy for back pain: contraindications

Recent studies on disc pathologies have highlighted contradictions with the multiple medical indications regarding water therapy.

One of the most common causes of lumbago Discogenic pain, caused by the intervertebral disc, is a spinal problem that can lead to multiple consequences. Several observational studies are unclear as to whether unloading or loading the disc is more appropriate, but they do provide some very interesting answers.

From the studies of Andrew J Teichtahl et al. on the relationship between physical activity and mean intervertebral disc height, it was seen that some stimulations had a positive effect, while the absence of them had a negative effect. Therefore, the possibility that low levels of physical activity could have detrimental effects on maintaining disc integrity is high. This analysis makes us consider whether there are useful exercises for patients with disc problems, and above all, which ones can benefit the disc.

 

Lack of weight bearing and back pain

A very interesting study conducted by Treffel Loïc et al. evaluated the consequences of weightlessness for astronauts. It was observed that upon their return from space missions, numerous astronauts had developed symptoms of back pain (LBP), and many had also developed herniated discs. It is therefore fair to ask how much weightlessness (and therefore the absence of stimuli to the spine) may have played a key role in the onset of herniated discs or low back pain.

Absence of weight bearing is a negative factor. Patients should not be advised to avoid weight bearing at all costs, such as walking, standing, or avoiding daily activities simply because they have back pain. Instead, it is important, starting with a careful assessment, to understand the amount of weight bearing they can tolerate, or better yet, reduce the symptoms.

 

Negative effects on the back due to the absence of gravity

Other studies on astronauts have documented three negative phenomena in particular linked to prolonged absence of gravity:

– lengthening of the spine on the longitudinal axis; in a postural context it was found not to be correlated with a state of well-being;
– decrease in lumbar lordosis
– herniated disc
– muscle atrophy

Furthermore, once the astronauts returned to normal gravity, recovery was anything but quick, requiring long courses of physiotherapy and muscle trophism recovery.

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THE POSTURE

POSTURE IS “THE POSITION OF THE HUMAN BODY IN SPACE”

Static and dynamic posture

Two types of posture can be defined:

– Static Posture, that is, the one assumed for example while sitting in front of a computer.

– Dynamic Posture, an activity where various factors come into play (neurophysiological, biomechanical, emotional, psychological and relational).

 

Having good posture is therefore important not only because it makes you feel better but it is also healthy for your muscles, joints, blood circulation and the mind.

There are three useful elements for analyzing posture:
1 spatiality : that is, the relationship of the body in the three axes of space
2 antigravity: that is, the most correct position and with the least energy expenditure that our body assumes under the force of gravity
3 balance : the body in static and dynamic positions assumes a position of equilibrium depending on the environmental stimuli it receives from the outside.

 

Posture and psychology

A key point is the relationship between psychology and posture.
Our language is both verbal and nonverbal, and in this regard, our posture is a clear consequence of emotional states, stressful situations, trauma, and antalgic positions in the presence of pain. For example, a very closed and introverted person, perhaps with visceral issues, will certainly have hunched shoulders and a pronounced dorsal kyphosis.

 

There is no ideal correct posture; each of us has our own posture, which must be as suitable and functional as possible on a static and dynamic level of movement.
Therefore, those who have very sedentary jobs are advised not to prolong the same posture for many hours and to take short breaks by changing positions frequently to avoid experiencing pain caused by a prolonged altered position.

 

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SMART WORKING AND ITS CONSEQUENCES

COVID-19

 

March 10, 2020, a date forever etched in our memories: Covid-19 entered our homes, causing significant repercussions on our lives and habits. It was an unprecedented time of fear and uncertainty; humanity was completely unprepared to face such a pandemic.

 

Anxiety and fears

We were forced to stay indoors to prevent the spread of the virus, creating anxiety and fear in many people, and avoiding all social contact. There was a sense of impending doom. Leaving the house had become difficult, shopping for groceries created a mix of anxiety and relaxation along those endless lines, and buying the necessities seemed indispensable to get through the days at home. Somehow, society responded, dictating both life and work rules.

 

Smart working

Indeed, although it was already a widespread practice in some companies, working from home was an integral part of that historical period. Hours and hours spent at home working in front of the computer, without having had the time to transform our homes into offices. Kitchen chairs and tables were converted into work tools because humanity cannot stop, even in the face of disaster or war. Our instinct is to keep going, and society will increasingly push us to do so.

 

 

Psychophysical discomfort

All of this creates enormous feelings of stress; the Covid-19 pandemic itself has made us more uncertain about the future. Hours and hours of working from home, fixated on the future, sitting on a couch or in bed. Your boss calls and emails you as if they'd never looked out the window: the important thing is the business, even in these situations, and the context becomes less relevant.

So, as we know, at the end of the lockdown, many people were left suffering from various aches and pains or feelings of physical discomfort, which required the intervention of specialists such as physiotherapists, manual therapists, and psychologists.

 

Negative aspects of smart working

Researchers have observed a significant increase in back pain after working for days at home. This can only be explained by looking at things from a holistic perspective on medicine and health, which considers multiple aspects of the problem. Humans are greatly influenced by their environment. Stress, fear, anxiety, prolonged incorrect postures, and furniture used as workstations are all factors that can lead a person to suffer from specific pain, which can worsen and become debilitating.

 

Incorrect posture

Many patients think they can work for hours on end on chairs that are typically used in the dining room: rigid, small, with low backs and often unsuitable for the table, which is either too high or too low.

Therefore, when working from home, it becomes essential to consider the height of the table, to find a position that does not force the body to bend forward, thus avoiding prolonged joint stress over time.

 

It's also very important to sit in a comfortable, soft chair with a high backrest that can rest your back during breaks or that can help maintain correct posture, preventing strain on other musculoskeletal structures.

During the initial assessment, patients may mention working remotely, even sitting or lying on the sofa or bed, which appears comfortable and pleasant, but which can be very dangerous for their back health if continued over time.

 

Positive aspects of smart working

However, it's also important to consider the positives, not just the negatives, of working remotely: for example, avoiding traffic, setting your alarm later, or staying in a comfortable environment. Families themselves have been able to spend more time together thanks to smart working.

But think about what would happen if work were completely structured from home! People would become socially isolated, and relationships with colleagues would be rarer. Perhaps a middle ground would be the best option, allowing workers to better organize their time and tasks during the week.

 

Therefore, it's important to organize your work from home so as to maintain proper posture, also to avoid back pain and discomfort and prevent harmful consequences. The body is fragile, and we must protect it from all external forces, both physical and emotional, that undermine our balance and, therefore, our well-being.

 

In conclusion, smart working today makes us reflect on what the future of work could be. We must therefore understand and share with our patients the best advice for performing it correctly, in order to prevent any future pain and discomfort.

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LIP FILLERS

Lip fillers

Lip Filler is a procedure of aesthetic medicine Used to correct lip imperfections and restore tone and volume. Fully absorbable and biocompatible hyaluronic acid-based products are used, with varying levels of cross-linking depending on the individual case being treated. They are injected using very fine needles. Pain is minimal and is excellently controlled using only anesthetic cream.

 

Filling treatment

This procedure safely increases lip volume and smoothes out fine lines around the lips, as hyaluronic acid exerts what is known as a filling effect (the term "filler" actually means "filler"). This procedure also reshapes the contour of the lip, giving the lips greater definition.

 

 

Rapid treatment

Hyaluronic acid is a highly hydrophilic molecule, therefore capable of providing the lips with deep and long-lasting hydration, also improving the quality of the tissues.
This is a non-invasive procedure, so normal activities can be resumed immediately after treatment (the so-called “lunch break” treatment).

The goal for the plastic surgeon is always the same: to perfect, and not distort, the facial features with naturalness and harmony.

Treatment duration: 15 minutes.
Recovery: immediate
Duration of results: 1 year

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RHINOFILLER

Rhinofiller

The Rhinofiller or Non-surgical rhinoplasty, is a procedure of aesthetic medicine which allows you to shape the nasal profile without resorting to rhinoplasty surgery, but using only hyaluronic acid.

 

It is a painless, safe procedure with very long-lasting results.
It is indicated for the improvement of mild to moderate defects of the nasal pyramid, in particular for the reshaping and raising of the tip of the nose and for the correction of humps on the bridge.

 

 

 

Rhinofiller is a minimally invasive procedure that allows you to return to your daily activities immediately after the procedure, without leaving any marks or bruises.

Treatment duration: 15 minutes.
Recovery: immediate
Duration of results: 1 year

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PHYSIOTHERAPY AND MANUAL THERAPY

Manual therapy 

Physiotherapy involves two different treatments: manual or instrumental.

There manual therapy It's a technique used by a specialized professional, not just anyone. The term "manual therapy" is often used improperly. Today, physiotherapy worldwide has firmly established this definition within its specialties, creating a new profession in the field of rehabilitation. An international organization defines clear and precise guidelines, aimed at helping patients resolve problems that until now have been treated with machines or drugs, without truly understanding their cause.

Physiotherapy, like all medicine, has the duty to continually improve, update itself and question what was previously absolute, allowing the professional to have many more tools and broaden their range of therapeutic choices.

The manual therapist

The IFOMT (International Federation of Orthopaedic Manipulative Physical Therapists) is the organization that regulates and clarifies the requirements universities must meet to accredit the title of OMT manual therapist. Therefore, manual therapy is performed by a professional who, in addition to a university education, has completed a master's degree and obtained the certification as a "manual therapist."
Manual therapists have been trained to assess the patient holistically, thus aiming to understand the bio-psycho-social aspects of the person.

Patient assessment

For the manual therapist, the patient's clinical picture takes into account feelings and emotions that can influence their health. Therefore, they use a methodology capable of recognizing and collecting clinical data through rigorous, evidence-based reasoning. The goal is to achieve high-quality therapeutic solutions and greater clinical appropriateness. 

 

Manual techniques

Following the collection of the clinical data obtained, the therapist can develop hypotheses, implementing a series of intervention strategies that apply what are the "manual techniques”: MASSAGE THERAPY, AESTHETIC LYMPHATIC DRAINAGE, MEZIERES POSTURAL GYMNASTICS, SOUCHARD POSTURAL GYMNASTICS, KINESIO, TAPING, PILATES, YOGA, THERAPEUTIC LYMPHATIC DRAINAGE, FUNCTIONAL BANDAGES, KINESIOTHERAPY, REIKI, ATHLETIC TRAINING. Through mobilizations, manipulations, or even specific physical exercises, the manual therapist manages the problem that afflicts the person.

In the complexity of medicine and the human body, the manual therapist is able to develop a decision-making process, following a careful personal evaluation that other professionals do not implement.

Manual therapy has the task of acquiring a professional and above all unequivocal vision of the problem. The manual therapist has very serious guidelines, which must lead to a responsible assessment of the patient and the problem afflicting them. A method must be researched and found that can help them in the long term, in the most natural way possible. It aims to solve the problem and not just reduce the symptom.

If medicine aimed to listen and understand patients' true needs, it would be easier to find cures and help people as a whole.

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FACIAL REJUVENATION

Rejuvenation of the face and gaze

How often do we look in the mirror and feel tired, dull, and heavy-eyed? Well, today there are several techniques to refresh your face and eyes. Let's take a closer look.
First of all we need to distinguish between aesthetic medicine techniques, simple, quick, also called lunch break treatments, and cosmetic surgery techniques, more demanding for both the patient and the surgeon, but more effective in the long term. Facial and eye rejuvenation

Botox

Ringiovanimento dello sguardoBotox is the leading aesthetic medicine treatment for rejuvenating the eyes and the entire upper third of the face (forehead, glabellar region, crow's feet, etc.).
Botox is one of those procedures that has completely revolutionized the field of aesthetic medicine. Botulinum toxin is a neurotoxin produced by the Gram-positive bacterium Clostridium botulinum, which works by inhibiting the release of acetylcholine, a neurotransmitter responsible for muscle contraction. According to the American Society of Plastic Surgeons (ASPS), it is the most commonly performed aesthetic medicine treatment. It relaxes the forehead, glabella, and eye contour areas (known as "crow's feet"), giving the face a more relaxed and youthful appearance. This treatment can also be performed as a preventative treatment in young patients before the signs of aging appear, such as preventing the formation of expression lines.

Procedure duration: 10 minutes.
Recovery: immediate
Duration of effect: approximately 6 months

Biorevitalization

La Biorivitalizzazione per il ringiovanimento del voltoBiorevitalization or biostimulation, on the other hand, is a real “Instagram filter” for your skin!This is a anti-aging aesthetic medicine treatment, capable of toning the deep dermis, restoring brightness to the face and smoothing out expression lines of the mouth, of the glabellar region and to reduce dark circles.

This innovative, non-invasive aesthetic medicine treatment involves the injection of a series of biostimulating drugs (such as non-cross-linked hyaluronic acid), mineral salts, and vitamins (A, B3, B5, B6, B12, C, and E) to promote collagen synthesis and deeply hydrate the skin, restoring its natural balance and giving the face a fresh, youthful appearance.It is therefore considered a real non-surgical facelift that restores elasticity and tone to the skin tissues.

Procedure duration: 10 minutes.
Recovery: immediate
Treatment protocol: varies with the product used (from 1 every 2-3 weeks to 1 every 6 months)

Blepharoplasty

La Blefaroplastica per il ringiovanimento del voltoLet's now move on to cosmetic surgery with the gold standard surgical treatment for refreshing the look: blepharoplasty.

Blepharoplasty is a cosmetic surgery treatment that allows you to eliminate annoying bags of skin that weigh down the upper eyelid (upper blepharoplasty) or wrinkles on the lower eyelid (lower blepharoplasty). Specifically, upper blepharoplasty removes excess skin that pulls the upper eyelid downward, giving the face a more open, relaxed, and less tired look. It can also raise the outer corner of the eye (canthopexy), with an effect similar to a brow lift. The scar will sit within the eyelid crease, becoming virtually invisible.

Procedure duration: 1 hour.
Recovery: 5-7 days

THE GOAL IS ALWAYS TO PERFECT, AND NOT DISTORT, YOUR FEATURES WITH NATURALNESS AND HARMONY

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THE BENEFITS OF PILATES

The Pilates It is certainly beneficial for sedentary people and for various pathologies. It is a discipline that takes care of the whole bodyIt's a workout suitable for everyone, even those with arthritis. To reap these benefits, Pilates, matwork, or reformer classes must be done consistently.

 

 

The benefits of Pilates

Regularly attending Pilates classes, organized by competent professionals, will bring excellent benefits because:

  • STRENGTHENS and DEFINES the MUSCLES, especially those of the core
  • IMPROVE your POSTURE by combating back pain
  • INCREASE STRENGTH
  • Improves control and coordination of movement
  • IMPROVES FLEXIBILITY AND MOBILITY of the spine

 

No contraindications

Pilates has no contraindications for any pathology and in particular it is an excellent ally for all pathologies affecting the spine such as lumbago, protrusions and herniated discsFor these conditions, strengthening the core muscles (abdominals, obliques, and lumbar), paravertebral muscles, and glutes is essential. In Pilates, strengthening these muscles is essential and helps alleviate back pain.

 

The results 

Each Pilates class will help you:

– TONE THE DEEP MUSCLES i.e. the back and deep abdominal muscles (rectus and transversus abdominis) which are responsible for correct posture
– STRENGTHEN THE SUPERFICIAL MUSCLES OF THE ABDOMEN, LEGS, BUTTOCKS and ARMS
– Strengthen, therefore, the NATURAL CORSET that protects your lumbar area
– ALIGN THE SPINE by working in axial elongation
– STRETCH THE BACK MUSCLES which will avoid crushing the intervertebral discs.

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COSMETIC INTERVENTIONS

The debate over cosmetic surgery has always been heated. Often, cosmetic procedures that are unnatural or performed without proper attention to the patient's physicality lead to results that appear excessive or tend to verge on vulgarity. Some professionals have argued against "excesses," advocating these procedures exclusively by specialists in reconstructive and cosmetic plastic surgery. Therefore, the rule of thumb is to seek guidance from those who have undergone extensive professional and educational training; but it's also important to always listen to the advice of professionals, allowing yourself to be guided toward a result that appears as natural as possible.

The debate on the excesses of cosmetic surgery is being addressed by several professionals in the sector.

Dr. Gennaro D'Orsi

Gennaro D'Orsi. Estetica, l'importanza di un intervento a misura di paziente

Gennaro D'orsi, Doctor-Surgeon

the Dr. Gennaro D'Orsi  specialized in Plastic, Reconstructive and Aesthetic Surgery, with a predilection in cosmetic surgery of the breast, the doctor currently works both in Rome and Pozzuoli (Naples) and is particularly interested in correctly informing his patients on the correct use of cosmetic surgery.

 

 

 

 

The specialist must be able to guide towards a natural and suitable job for the person

In this regard, it is very common for patients to present themselves to a professional with excessive, unrealistic, or unachievable requests. The specialist's role, in this case, is to listen to the patient's requests, allowing for any concerns and needs, and then guiding the patient toward the most appropriate and correct option for their individual needs.

 

 

Psychological support

Particular attention should also be paid to patients who fall into specific psychological spectrums of obsessive-compulsive disorder, such as those suffering from "body dysmorphic disorder." In this particular case, the disorder presents as excessive preoccupation with physical defects, sometimes imaginary or significantly less serious than the patient's own experience. The focus of the pathology in this case is precisely related to aesthetic appearance and is often characterized by intrusive thoughts that cause distress related to one or more physical defects. In these particular cases, the advice of the Dr. D'Orsi is to address, first of all, a psychological therapy, trying to support the patient through careful and delicate treatment.

 

Natural aesthetic interventions

Beyond the more specific psychological distortions, Dr. D'Orsi seeks, in his work, to highlight the potentially horrific results of improper cosmetic or plastic surgery. The so-called "monster" results of surgery must be contrasted with more natural, harmonious interventions. The result of cosmetic surgery, in fact, must never be noticed and never be visually recognizable. The approach of many professionals, including Dr. Gennaro D'Orsi, is therefore to never accept exaggerated requests, trying instead to guide the patient towards the choice best suited to their physical condition.

 

Breast reconstruction

Particular reflection, in this context, must be attributed to the breast reconstruction. An excessively unnatural result, for example, with an overly full upper chest, creates an extremely unnatural effect. Breast augmentation, on the other hand, must be performed in an almost "tailored" manner, respecting the patient's physique and choosing the most suitable technique for each individual case. Surgical excess can never be the choice; each procedure must always be different, adapted to the individual patient and aimed at a specific goal. elegant and harmonious result.

 

Highlight the different possibilities

A final focus, according to Dr. Gennaro D'Orsi, is to be dedicated to the difference between medicine and cosmetic surgery. Patients often ask which of the various intervention modalities is best without truly understanding the two approaches. There is no single approach that is preferable to another; rather, it is important to inform patients about the advantages and limitations of both disciplines.

 

 

Aesthetic medicine and cosmetic surgery

Aesthetic medicineIf performed with a rigorous scientific approach, it can yield extremely satisfying results. However, if it goes beyond its limits, it risks unnatural results due to a harsher procedure. Beyond this stage, it is the professional's responsibility to direct the patient to surgery when medical treatment is no longer able to provide the desired results. Typically, we tend to start with aesthetic medicine interventions, such as skin rejuvenation with injections or fillers., and then move on – after having made the patient familiar with the changes in his body – to surgery.

Surgical interventions are generally more complex than medical ones and offer more decisive and long-lasting results. In conclusion, Dr. Gennaro D'Orsi's advice is to rely on highly specialized professionals, capable of guiding the outcome of the intervention towards the effect most suited to the physicality of the person undergoing it.