riding bikes steroids image
Lana
I was riding my bike and fell and scraped my knee pretty deep and when it as a scab I fell again and it broke and became a Keloid, it hurts too :(. I'm really freaked out right now and I want to know how to get rid of it without surgery. Can you please tell me ways I can get rid of it and how long it may take?
Answer
Keloids are tough to treat. Here is what I found about them. You may want to consider one of these options.
The best treatment is prevention in patients with a known predisposition. This includes preventing unnecessary trauma or surgery (including ear piercing, elective mole removal), whenever possible. Any skin problems in predisposed individuals (eg, acne, infections) should be treated as early as possible to minimize areas of inflammation.
lntra-lesional corticosteroids â Intra-lesional corticosteroids are first-line therapy for most keloids. A systematic review found that up to 70 percent of patients respond to intra-lesional corticosteroid injection with flattening of keloids, although the recurrence rate is high in some studies (up to 50 percent at five years)
Excision â Scalpel excision may be indicated if injection therapy alone is unsuccessful or unlikely to result in significant improvement. Excision should be combined with preoperative, intraoperative, or postoperative triamcinolone or interferon injections . Recurrence rates from 45 to 100 percent have been reported in patients treated with excision alone; this falls to below 50 percent in patients treated with combination therapy.
Silicone gel sheeting â Silicone gel sheeting sheeting has been used for the treatment of symptoms (eg, pain and itching) in patients with established keloids as well as for the management of evolving keloids and the prevention of keloids at the sites of new injuries. A systematic review of controlled trials found some evidence that silicone gel sheeting may reduce the incidence of abnormal scarring, but concluded that any estimate of effect was uncertain because the underlying trials were of poor quality and highly susceptible to bias. Treatment with silicone gel sheeting appeared in some studies to improve elasticity of established abnormal scars, but the evidence was again of poor quality and susceptible to bias.
Cryosurgery â Cryosurgery is most useful in combination with other treatments for keloids. The major side effect is permanent hypopigmentation, limiting its use in people with darker skin.
Radiation therapy â Most studies, but not all, have found radiation therapy to be highly effective in reducing keloid recurrence, with improvement rates of 70 to 90 percent when administered after surgical excision. A small randomized trial of treatments after surgery found recurrences in two of sixteen earlobe keloids (13 percent) treated with radiation therapy and in four of twelve earlobe keloids (33 percent) treated with steroid injections. However, concern regarding the potential long-term risks (eg, malignancy) associated with using radiation for an essentially benign disorder limits its utility in most patients. Only a few cases of malignancy that may have been associated with radiation therapy for keloids have been reported. Although causation cannot be confirmed in these cases, caution should still be used when prescribing radiation therapy for keloids, particularly when treating younger patients. Radiation therapy may occasionally be appropriate as treatment for keloids that are resistant to other therapies. In addition, radiation therapy may be indicated for lesions that are not amenable to resection.
Interferon alfa â Interferon alfa injections may reduce recurrence rates postoperatively. However, all currently available studies of interferon therapy suffer from methodologic problems, making an evidence-based recommendation regarding its use difficult.
Pulsed dye laser â Pulsed dye laser treatment can be beneficial for keloids, and appears to induce keloid regression through suppression of keloid fibroblast proliferation, and induction of apoptosis and enzyme activity. Combination treatment with pulsed dye laser plus intralesional therapy with corticosteroids and/or fluorouracil may be superior to either approach alone.
http://wiki.bmezine.com/index.php/Keloid
http://en.wikipedia.org/wiki/Keloid
http://www.livestrong.com/article/77520-treat-keloid-scar/
Keloids are tough to treat. Here is what I found about them. You may want to consider one of these options.
The best treatment is prevention in patients with a known predisposition. This includes preventing unnecessary trauma or surgery (including ear piercing, elective mole removal), whenever possible. Any skin problems in predisposed individuals (eg, acne, infections) should be treated as early as possible to minimize areas of inflammation.
lntra-lesional corticosteroids â Intra-lesional corticosteroids are first-line therapy for most keloids. A systematic review found that up to 70 percent of patients respond to intra-lesional corticosteroid injection with flattening of keloids, although the recurrence rate is high in some studies (up to 50 percent at five years)
Excision â Scalpel excision may be indicated if injection therapy alone is unsuccessful or unlikely to result in significant improvement. Excision should be combined with preoperative, intraoperative, or postoperative triamcinolone or interferon injections . Recurrence rates from 45 to 100 percent have been reported in patients treated with excision alone; this falls to below 50 percent in patients treated with combination therapy.
Silicone gel sheeting â Silicone gel sheeting sheeting has been used for the treatment of symptoms (eg, pain and itching) in patients with established keloids as well as for the management of evolving keloids and the prevention of keloids at the sites of new injuries. A systematic review of controlled trials found some evidence that silicone gel sheeting may reduce the incidence of abnormal scarring, but concluded that any estimate of effect was uncertain because the underlying trials were of poor quality and highly susceptible to bias. Treatment with silicone gel sheeting appeared in some studies to improve elasticity of established abnormal scars, but the evidence was again of poor quality and susceptible to bias.
Cryosurgery â Cryosurgery is most useful in combination with other treatments for keloids. The major side effect is permanent hypopigmentation, limiting its use in people with darker skin.
Radiation therapy â Most studies, but not all, have found radiation therapy to be highly effective in reducing keloid recurrence, with improvement rates of 70 to 90 percent when administered after surgical excision. A small randomized trial of treatments after surgery found recurrences in two of sixteen earlobe keloids (13 percent) treated with radiation therapy and in four of twelve earlobe keloids (33 percent) treated with steroid injections. However, concern regarding the potential long-term risks (eg, malignancy) associated with using radiation for an essentially benign disorder limits its utility in most patients. Only a few cases of malignancy that may have been associated with radiation therapy for keloids have been reported. Although causation cannot be confirmed in these cases, caution should still be used when prescribing radiation therapy for keloids, particularly when treating younger patients. Radiation therapy may occasionally be appropriate as treatment for keloids that are resistant to other therapies. In addition, radiation therapy may be indicated for lesions that are not amenable to resection.
Interferon alfa â Interferon alfa injections may reduce recurrence rates postoperatively. However, all currently available studies of interferon therapy suffer from methodologic problems, making an evidence-based recommendation regarding its use difficult.
Pulsed dye laser â Pulsed dye laser treatment can be beneficial for keloids, and appears to induce keloid regression through suppression of keloid fibroblast proliferation, and induction of apoptosis and enzyme activity. Combination treatment with pulsed dye laser plus intralesional therapy with corticosteroids and/or fluorouracil may be superior to either approach alone.
http://wiki.bmezine.com/index.php/Keloid
http://en.wikipedia.org/wiki/Keloid
http://www.livestrong.com/article/77520-treat-keloid-scar/
What is the best way to recover between workouts?
conundrum
Obviously getting enough rest is a factor, but I'v heard other theories on speeding recovery between workouts (not steroids).
1)I've heard that doing one or two light workouts in between your hard workouts using the same muscles that were taxed in the hard workout will help the muscles recover faster than if you just rested without doing light workouts on the days in between. For example, doing a hard workout using 85% of your one rep max on each lift, then a few days later doing a workout using 65% of your one rep max to aid in recovery.
2)I've also heard that just doing some aerobic exercise is effective in aiding recovery. For example going on long jogs or bike rides immediately after your workout and in the days following is supposed to aid in recovery.
Besides my main question, these are my corellate-questions:
Are either of those statements true?
If so, is just jogging enough for me to recover between hard workouts or is another light resistance workout necessary?
What I would like to do is: a low rep total body workout, then two days later a high rep lower body workout, then two days later a high rep upper body workout.
Then I am not sure if I shoud start the cycle over. I am wondering if after doing the high rep workouts(with calisthenics), if I should do a light non-challenging resistance workout in between. I jog though. Is jogging enough to recover between workouts? I don't plan on doing back to back days of strength training. I always seperate them by at least one day, sometimes 2-3 days.
Answer
Yes, you'll need rest, but also: avoid stress, get plenty of food (flip that RDA pyramid around so you get more protein and vegetables --you need them to recover), stretch your muscles. Cardio is great in between workouts, but like anything, don't over-do it. Depending on your age, how fast you recover, how hard you lifted, etc, it may take a day to recover or even a week per muscle group. Just watch it and see what happens, then you'll know what works best.
Yes, you'll need rest, but also: avoid stress, get plenty of food (flip that RDA pyramid around so you get more protein and vegetables --you need them to recover), stretch your muscles. Cardio is great in between workouts, but like anything, don't over-do it. Depending on your age, how fast you recover, how hard you lifted, etc, it may take a day to recover or even a week per muscle group. Just watch it and see what happens, then you'll know what works best.
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