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(Foot Health- A bunion or arthritis- Women often get the painful conditions confused)
(Benzo Addiction A Growing Concern For Health Experts « CBS Denver)
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By Dr. Sarah Voelkel<br>
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Affordable Care Act Updates:
KyForward columnist<br>
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Women 鈥?are you confusing a bunion with arthritis?<br>
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No woman wants to hear that she has arthritis, especially in her feet.聽 But with the average person taking thousands of steps each day, it鈥檚 no wonder arthritis affects us.聽<br>
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Unfortunately, some women confuse what they think is pain from a bunion with arthritis in the big toe joint. This condition is called Hallux limitus and most commonly affects females. We usually see its onset in a patient鈥檚 30s, and it progresses over time.<br>
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Hallux rigidus (Photo from Wikimedia Commons)
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The reason women may confuse Hallux limitus with a bunion is the fact that this condition also causes a bump and enlargement at your big toe joint that may appear similar to a bunion. As the condition progresses, more degenerative changes to the joint occur. More spurs develop, the range of motion gradually decreases and the joint can become very stiff. When the pain increases and the function decreases, we then refer to this as Hallux rigidus.聽<br>
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How do you get arthritis in your feet?<br>
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Arthritis in the big toe joint can be hereditary but also due [url=http://www.louisvuitton-pascher.com]Sac Louis vuitton[/url] to structural abnormalities of the foot.聽 Most patients notice a gradual enlargement of the big toe joint with bumps on the top and side of the joint.聽 However, many times it鈥檚 only with increased exercise or activity levels that they may notice increased pain, achiness and sometimes swelling of the joint.聽<br>
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The condition can easily be diagnosed in a physical exam by your podiatrist and with X-rays of the foot.聽聽The X-rays are needed to determine the extent of the issue and help guide treatment.<br>
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How do you treat it?<br>
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Non-surgical: Hallux limitus is initially treated conservatively.聽 Depending on your pain level you may need steroid injections to decrease inflammation in the area, oral anti-inflammatory medication or ice/heat therapy.聽 Changing shoe gear is important as well as adding custom orthotic devices to your shoes to help offload the stress at the big toe joint.<br>
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If the condition continues to progress, causing pain and decreased function, despite the conservative treatment, surgery is then recommended.聽 The severity of the condition at that time will determine which surgical procedure to do.聽<br>
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For more minor conditions we can perform a cheilectomy where the spurs are resected from the joint area.聽 This can help improve the joint motion and decrease pain.聽 It is known as a joint-salvaging procedure so the joint is preserved.<br>
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For more advanced conditions where the joint is significantly degenerated, the joint-salvaging procedures are not [url=http://www.louisvuitton-pascher.com]LOUIS VUITTON Site Officiel[/url] the best option.聽 We then need to look at replacing or fusing the joint surfaces.聽<br>
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Depending on your foot structure and the level of joint involvement you may be a candidate for joint replacement where one or both surfaces are replaced with a joint implant.聽 This allows for continued joint range of motion, decreased effect on activity level and improved patient satisfaction.聽<br>
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There are risks of the implant loosening or failing over time, possibly requiring future [url=http://www.louisvuitton-pascher.com]LOUIS VUITTON Homme[/url] surgical revision.聽<br>
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If you are not a candidate for joint replacement, the next option is joint fusion.聽 This is done by removing the damaged cartilage and fixating the area with screws and possibly a plate.聽 This is a permanent correction of the condition with elimination of the arthritis and improved pain.聽<br>
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Most patients do very well with this despite having a fused joint and most are able to resume some type of physical activity.聽 Recovery from surgery is quicker for the cheilectomy and joint implant-approximately four to six weeks, but a little longer for the fusion so as to allow adequate time for the bones to fuse-up to eight to 10 weeks.聽<br>
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Again, conservative treatment is the best option, but if left unchecked, surgery may be the only option left. If you are unsure if you have arthritis in your feet, contact your podiatrist and have a full examination.<br>
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Dr. Sarah Voelkel is a foot and ankle surgeon at . <br>
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Health News Information:
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For more Foot Health columns, click .<br>
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DENVER (CBS4)- Prescription  drugs called Benzos are a class of one of the most widely prescribed medications in the U.S., but there is new concern in Colorado that they are being overused.
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Benzodiazepines include a variety of sedative-like medications used to treat ailments like anxiety and insomnia.
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Clonazepam, the generic of Klonopin. (credit: CBS)
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Benzos are becoming very controversial in the medical community because of the dangers of tolerance and addiction.
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I wish I had explored every other option for relief of my symptoms, said Kelley McMillian.
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She started taking the Benzodiazepine Klonopin in 2008 when she complained to her doctor about anxiety and problems sleeping.
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I didn t even know what they were, said McMillian.
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The then 29-year-old was prescribed a daily 1.5 milligram dose of Clonazepam, the generic version of Klonopin, a high dose but within normal parameters.
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I grew up kind of believing that psychiatric medications were normal, said McMillian.
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Over the next few months she said the drug worked wonders. But those months turned into years and that s when she started noticing other problems.
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If I didn t have my medication or if I ran out, I wouldn t be able to sleep, said McMillian.
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And she started to notice other side effects; her good memory was faltering and her mood and anxiety actually started to get worse.
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At one point McMillian stopped taking the pills cold turkey, I couldn t sleep and I just fell into a massive depression, I was crying for days.
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It was at this time that a different doctor told her that she was worried McMillian developed a dependency and needed  to ease herself off the drug slowly.
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When they are taken for a very long time, the body builds a resistance to the medication, said University of Colorado Hospital Addiction Specialist Dr. Patrick Fehling.
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Fehling said Benzo s do serve a helpful purpose in treating short term anxiety, Where Benzodiazepines are dangerous really involves their addictive potential and their overdose potential.
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According to the Centers for Disease Control and Prevention, drug overdose deaths surpassed motor vehicle deaths in 2011, with Benzo-related fatalities responsible for more than cocaine or heroin.
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There are risks with these medications, they are control substances for a reason, said Fehling.
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Specifically in Colorado, Benzo-related deaths have risen  sharply. According to a recent report from the National Institute of Drug Abuse Colorado, death rates have nearly doubled from the years 2003 to 2012.
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It s most dangerous when it s mixed with other substances such as alcohol or prescription pain killers, said Fehling.
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Getting off them has been really difficult, said McMillian.
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McMillian is almost completely off of her medication. Now she s using other coping methods such as not drinking alcohol, exercising and using her profession as a writer to document her experience.
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Benzos are not a cure, they are a Band-Aid, said McMillian.
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She advises those with similar issues to do research before turning to prescription drugs, I never knew that these drugs had the potential for chemical dependency.
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Fehling said medical offices nationwide have put an emphasis on the potential dangers of Benzodazipines.
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Anyone who believes they may be developing a dependency or addiction is urged to talk to their health care provider.
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RELATED:

Revision as of 06:22, 13 August 2014

@@@ Affordable Care Act Updates:

Health News Information:

DENVER (CBS4)- Prescription drugs called Benzos are a class of one of the most widely prescribed medications in the U.S., but there is new concern in Colorado that they are being overused. Benzodiazepines include a variety of sedative-like medications used to treat ailments like anxiety and insomnia. Clonazepam, the generic of Klonopin. (credit: CBS) Benzos are becoming very controversial in the medical community because of the dangers of tolerance and addiction.

I wish I had explored every other option for relief of my symptoms, said Kelley McMillian.

She started taking the Benzodiazepine Klonopin in 2008 when she complained to her doctor about anxiety and problems sleeping.

I didn t even know what they were, said McMillian.

The then 29-year-old was prescribed a daily 1.5 milligram dose of Clonazepam, the generic version of Klonopin, a high dose but within normal parameters.

I grew up kind of believing that psychiatric medications were normal, said McMillian.

Over the next few months she said the drug worked wonders. But those months turned into years and that s when she started noticing other problems.

If I didn t have my medication or if I ran out, I wouldn t be able to sleep, said McMillian.

And she started to notice other side effects; her good memory was faltering and her mood and anxiety actually started to get worse. At one point McMillian stopped taking the pills cold turkey, I couldn t sleep and I just fell into a massive depression, I was crying for days. It was at this time that a different doctor told her that she was worried McMillian developed a dependency and needed to ease herself off the drug slowly.

When they are taken for a very long time, the body builds a resistance to the medication, said University of Colorado Hospital Addiction Specialist Dr. Patrick Fehling.

Fehling said Benzo s do serve a helpful purpose in treating short term anxiety, Where Benzodiazepines are dangerous really involves their addictive potential and their overdose potential. According to the Centers for Disease Control and Prevention, drug overdose deaths surpassed motor vehicle deaths in 2011, with Benzo-related fatalities responsible for more than cocaine or heroin.

There are risks with these medications, they are control substances for a reason, said Fehling.

Specifically in Colorado, Benzo-related deaths have risen sharply. According to a recent report from the National Institute of Drug Abuse Colorado, death rates have nearly doubled from the years 2003 to 2012.

It s most dangerous when it s mixed with other substances such as alcohol or prescription pain killers, said Fehling.
Getting off them has been really difficult, said McMillian.

McMillian is almost completely off of her medication. Now she s using other coping methods such as not drinking alcohol, exercising and using her profession as a writer to document her experience.

Benzos are not a cure, they are a Band-Aid, said McMillian.

She advises those with similar issues to do research before turning to prescription drugs, I never knew that these drugs had the potential for chemical dependency. Fehling said medical offices nationwide have put an emphasis on the potential dangers of Benzodazipines. Anyone who believes they may be developing a dependency or addiction is urged to talk to their health care provider. RELATED:

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