Pau D'Arco root - Possesses immune-enhancing properties and may be destructive to certain harmful microorganisms. Eleuthero - an adaptogen which balances body functions and supports the body's resistance to stress. Green Tea Extract - Contains polyphenols and flavones that may inhibit the formation of nitrosamines, which are known carcinogens (cancer-causing chemicals). Hawthorn Berries - Rich in phytochemicals that benefit the heart and circulation; a harmonizing herb. Burdock Root - Blood purifier, breaks down carbohydrates; supports the liver, kidneys and skin.
Chickweed Leaf - Supports the blood, stomach, bowels, and skin; traditionally used for fevers and inflammation. Mullein Leaf - Traditionally used to support lung function, to loosen mucus and move it out of the body. Black Cohosh Root - Traditionally used for the central nervous system and as a woman's tonic. Cayenne Fruit - Carminative, stimulates digestion, and as a catalyst, carries other herbs quickly to the part of the body where they are needed most.
Yellow Dock Root - One of the best "blood builders" in the herb kingdom; supports the liver and bile production.
Echinacea Angustifolia Leaf Extract - Traditionally used as an anti-bacterial, stimulates the immune system and is reported to support the lymphatic system.
A: While our researchers are not aware of any adverse interactions between Dual-Action Cleanse and drugs or other supplements, it is always best to consult with your doctor or health professional regarding such questions. A: The product contains Cascara sagrada which belongs to a family of plants containing compounds that have laxative effects.
Hernia is a condition that occurs when the contents of the abdomen, generally a part of the small intestine, is pushed down from a weak point in the muscular wall or tear in the thin muscular wall of the abdomen that is responsible for holding the abdominal organs to keep them in their place.
Femoral hernia is a condition that occurs when the contents of the abdomen are pushed down from the femoral canal resulting in formation of bulge in the upper thigh which is located near the groin.
Some of the femoral hernias may be congenital or are present at birth, but may go unnoticed until later in life. Reducible Femoral Hernia: Reducible femoral hernia is a condition in which the hernia can be manipulated manually back into the abdominal cavity. Irreducible Femoral Hernia: An irreducible femoral hernia is a condition in which external manipulation does not help in correction of hernia.
Strangulated Irreducible Femoral Hernia: A strangulated irreducible femoral hernia is a condition in which the herniated segment of the intestine has twisted, compromising the blood flow and function of the intestine. Incarcerated Femoral Hernia: Incarcerated femoral hernia is a condition where a piece of intestine may be stuck in the hernia. Although in many cases femoral hernia does not exhibit any symptoms, but there are some reasons and experiences that help in indicating the symptoms.
Femoral hernias are more commonly found to be incarcerated when compared to other types of hernias hence they need to be addressed surgically to avoid any medical emergency, as if left untreated this incarcerated tissue may die off. This surgery is a minor surgery and does not involve lot of risks, however it may carry the risks, as is the case with other surgeries, of infection and reaction to pain medications.
Generally a complete subjective, objective and physical examination is performed to diagnose femoral hernia. Vertebral column has 33 vertebrae and the discs separate each vertebra in cervical, thoracic and lumbar segment. Disc herniates either into inter-vertebral foramina (figure 1) or spinal foramina (figure 2). Auto or Car Accident- Whiplash injury caused by car accident changes pressure within disc and shears outer fibrous annulus membrane resulting in disc herniation. Improper Weight Transmission- Causes pressure changes in disc and results in herniation of disc e.g. Work Accident- Repetitive lifting, bending, standing, and driving results in abnormal movements of vertebral column causing disc herniation. Contact Sport- Participation in contact sports causes rapid acceleration and deceleration of the body as well as change of direction of shear force results in disc herniation. Osteoarthritis- Causes disc and cartilage degeneration results in tear of outer annulus fibrosus layer.
Chronic smoking is associated with disc degeneration secondary to weak annulus fibrosis, which is often followed by herniation of nucleus pulposus.
Pain Radiates to Lower Leg- Dermatomal distribution of pain depends on level of disc herniation causing irritation of one of the following lumbar nerve L1, L2, L3, L4, L5 or S1. Causes severe pressure on lower segment of spinal cord and bundle of spinal nerve from L2 to S1 known as cauda equina. L2 Radiculopathy- Pain, numbness and weakness felt over anterior mid thigh and lateral thigh.
L3 Radiculopathy-Pain, numbness and weakness felt over inner thigh and anterior lower thigh.
L4 Radiculopathy- Pain, numbness and weakness is felt over lower leg mostly on inside of the leg on anterior and posterior side of feet. L5 Radiculopathy-Pain, numbness and weakness is felt over anterior lateral side of lower leg and dorsal skin of feet of middle three toes. Tingling is felt along the dermatome of L1 to S2 nerve as described in dermatomal distribution of radiculopathy.
Muscle spasm is often reflex spasm of paravertebral muscles secondary to irritation or pinch of spinal nerve mostly within inter-vertebral foramina. Change of Posture- Change of posture is observed following unilateral contraction of paravertebral muscles. L5 motor nerve lesion results in difficulties to perform hallux extension, planter extension, unable to raise big toe upward. Ankle Reflex (Tendo-Achillis Reflex) - Diminished or absent reflexes when L4, 5 and S1 nerve is damaged. MRI pictures show details of disc, annulus, nucleus pulposus, spinal canal and intervertebral foramina. MRI is useful in diagnosis ofDisc herniation, foraminal stenosis caused by disc herniation in foramina, spinal stenosis caused by disc herniation in spinal canal and degenerative disc disease.
CAT scan study provides sufficient quality images to diagnose disc herniation and other disc pathology.
Foraminal or spinal canal encroachment of herniated disc is also observed with better quality comparable to MRI.
CAT scan is also useful following myelogram to diagnose lumbar disc herniation and spinal cord compression. Myelogram study is performed to rule out disc fragments in spinal canal causing pain in addition to disk herniation. Myelogram study involves injection of dye in CSF followed by multiple X-ray pictures to visualize internal structures within spinal canal and CSF. Bone scan measures calcium concentration in bones and helps in diagnosis of bone tumor, compression fracture, and osteoporosis. Trans-laminar Epidural Corticosteroid Injection-Epidural needle is inserted between two vertebral spines and advanced into epidural space with loss of resistance technique.
Caudal Corticosteroid Injection-Caudal epidural injection is an alternative choice of technique of injecting corticosteroid in epidural space. Trans-foraminal Epidural Injection-Needle tip is placed within the intervertebral trans-foramina. Chiropractic Treatment- Spinal manipulation may aggravate pain if herniated disc is large and causing severe pressure on nerve. Massage Therapy- Massage therapy is recommended for associated pain caused by muscle spasm and not responding to muscle relaxants. Laser Discectomy- Microscopic surgery, instead of blunt instrument laser beam is used to evaporate edges of the disc herniating in to foramina. Explorative Discectomy -Skin incision is extended through subcutaneous tissue, muscles and tendon to visualized disc. Spinal Fusion Surgery-Spinal Fusion Surgery is performed when multiple attempts of nerve decompression surgery fails.
Sports Hernia or Athletic Pubalgia is also called as gilmores groin, sportsman's hernia, slap shot gut and groin disruption. Sports Hernia or Athletic Pubalgia is a condition in which the junction of the leg and the torso gets injured.
Sports Hernia or Athletic Pubalgia is a chronic condition which often results from overuse of groin area and repeated trauma.
Repeated trauma and overuse of groin area associated with repeated turning and twisting movements are often responsible to promote force imbalances of pubic symphysis and pubic bones that pressurize the posterior wall of inguinal canal.
Males are ten times more prone to Sports Hernia or Athletic Pubalgia when compared to females. Sports Hernia or Athletic Pubalgia is caused by a muscular injury that affects the region where abdominal muscles join to form the inguinal ring. Apart from this age-related weaknesses resulting from degeneration in muscles and bones, obesity, defects in groin area from birth and previous surgery could also be responsible for Sports Hernia.
The initial treatment for any kind of muscle injury often involves rest, ice, and compression. Rest: Resting is obviously required to avoid any further damage or aggravate the condition.
Ice Therapy: Application of ice to the affected area for about 10 to 15 minutes every four hours all over the day also helps in reducing the swelling and pain caused by injury in Sports Hernia. Compression: Compression shorts and warm pants also help in controlling the symptoms of athletes who still have time for surgical intervention.
Medications Sports Hernia or Athletic Pubalgia: Anti-inflammatory medications like ibuprofen may also help in reducing the swelling and pain. Physical Therapy for Sports Hernia or Athletic Pubalgia: Physical therapy is required for all the patients to speed up the healing process and restore normal functioning. Surgery: Surgery is performed only when conservative treatments fail to work appropriately. This exercise is performed with a wide posture and bending one knee in order to lean sidewards until a pain-free stretch is felt on the inner side of the straight leg. This exercise is performed by sitting straight on floor by keeping the soles joined together. This exercise is performed by lying down in a straight position and bringing the knees up towards the chest. A complete history and thorough physical examination is necessary to diagnose Sports Hernia or Athletic Pubalgia.
Typical test involves inverting the scrotum and placing the examining little finger in each of the superficial inguinal rings.


Hernia is a condition which occurs due to bulging of a part of the inner tissue such as muscle, intestines, fat, etc caused by weak abdominal wall resulting in discomfort, pain and many other complications. An inguinal hernia is a condition which occurs due to protrusion of soft tissue, specifically intestinal part, from a weaker point that tears off in the lower abdominal wall.
An inguinal hernia is a disorder which does not have the quality of getting healed on its own. Direct Inguinal Hernia: Direct inguinal hernia is a condition which often occurs due to protrusion of intestinal part from weaker abdominal muscles or weak point within the wall of the inguinal canal.
Indirect Inguinal Hernia: Indirect inguinal hernia is a condition which occurs due to inguinal canal being left in an open state that otherwise gets closed around the time of birth.
In adults, the projection and experience of direct and indirect inguinal hernias are usually similar to each other.
A combination of increased stress in the abdomen along with a pre-existing weak spot present in the abdominal wall.
History of hernias meaning if a person develops inguinal hernia on one side, that person is likely to develop another on the opposite side at a later date. Discomfort and pain could also be experienced in groin, particularly while coughing, lifting and bending over.
Open Surgery: Many cases of inguinal hernias are often repaired by open surgery which is performed under local or general anesthesia. Laparoscopic Surgery: Laparoscopic hernia repair is performed by making three small incisions in the wall of abdomen in order to inflate the abdomen with a gas. This condition (also known as enteromerocele, crural hernia, femorocele) occurs when the tissue bulges from the lower abdomen into the upper thigh. To know more in detail, refer to "Femoral Hernia" under PELVIC, GROIN and BUTTOCK PAIN on the left side of the menu. Also known as ischial bursitis is a condition where there is inflammation and damage to the tissue to the ischiogluteal bursa resulting in pain in the buttocks. This is a condition where if excessive stress is placed on the groin and thigh muscles, it results in strained or pulled groin muscles. This is a condition which occurs when there is a break or tearing away of a part of a bone in the pelvis. We provide free patient education materials on urologic health to patients, caregivers, community organizations, healthcare providers, students and the general public, pending availability. Hydroceles occur when fluid fills a sac in the scrotum of the penis (in the "inguinal canal").
An inguinal hernia occurs if a small part of the intestine drops into the scrotum with the testes.
The idea behind a colon cleanse process is to eliminate the toxins which have built up in your digestive system.
Colon Clear contains a proprietary blend of 22 fibers and herbs to enhance peristaltic action and support your digestive function (promoting 2-3 bowel movements per day). Water-soluble fiber is able to bind with water and bile, increasing bulk and promoting peristalsis. Among these powerful herbs are Milk Thistle to support the liver, Red Clover and Beet Root to purify your blood, Hawthorne Berry to enhance blood flow, Licorice to support digestion of other herbs, along with 24 other nutrients to stimulate cleansing. Since the formula affects the digestive system, make sure that you consult with your physician if you are currently taking medications or are being treated for a medical condition, especially any digestive disorders.
Most people observe that their stool may have a different color or change in shape and consistency during the cleanse.
Because of this, it is important to follow all package instructions and warnings regarding this product. Femoral hernia often results from being overweight or obese, lifting heavy objects related to daily tasks and exercise, chronic constipation and frequent and chronic coughing.
The intestine can be pushed back inside the cavity so that the opening heals on its own and creates no more problems. A strangulated irreducible femoral hernia is a serious condition and needs to be addressed immediately.
Incarcerated femoral hernia is also a serious condition and needs to be addressed immediately. All the femoral hernias present as a bulge roughly in the mid-thigh or just below the inguinal fold. Exercises that help in emphasizing the abdominal muscles are specifically bad as they are often responsible for straining a hernia. Inter-vertebral foramina is a lateral bony tunnel meant to pass the spinal nerve and lumbar spinal canal accommodates lower end of spinal cord and quada equina.
Disc herniation may follow with minimum pressure changes within disc since outer fibrous layer is extremely weak secondary to degeneration.
Tear of outer annulus fibrous layer causes inflammation of the disc and secretion of prostaglandin. Muscle contraction on one side of vertebral column causes scoliosis or scoliotic bend of vertebral column.
Gait change follows postural abnormality, muscle weakness and atrophy of lower leg muscles. Sensory nerve carries sensation of temperature, pain and touch, while motor nerve carries impulses to muscles to contract and coordinate the movements. Epidural space is identified confirming satisfactory dye spread in epidural space using X-ray (image intensifier) images. Chiropractic treatment may be beneficial in small disc herniation with only radicular pain and no other symptoms like tingling, numbness and weakness in leg. For most low back pain treatments, active exercise is the focus of the physical therapy program. Herniated disc is identified and peripheral disc is carefully removed with blunt instruments.
Microscope may be used, otherwise visual impression of disc is limited.Advantages- Minimum tissue and muscle trauma. Aponeurosis is a region where the muscles of the abdomen such as transversus abdominus, internal obliques and external obliques join to develop the inguinal ligament. Inflexible, tight, damaged and weakened hip flexor muscles and inner thigh and groin muscles that stretch the lower abdominal muscles and bend pelvis forward often lead to the gradual development of Sports Hernia.
This causes disruption of inguinal canal resulting in tearing and weakness of abdominal tissues and muscles which also pulls away tendons, ligaments and muscles from pubic bone. The groin area is at extreme risk of chronic overuse injury caused during sports activities specifically while playing hockey, soccer, football and rugby. However, these may not reduce the symptoms of Sports Hernia, but help in preventing worsening of tear till the time of surgical intervention. However, anti-inflammatory medications are often considered to be a short-term treatment in Gilmores Groin as they do not treat the problem.
Physical therapy routine often concentrates on strengthening the muscles of the pelvic area and specifically the core muscles, lower extremity muscles and tendons and stretching the lower abdominal muscles. Place the elbow on knees in order to apply pressure in the downwards direction until a mild to moderate pain-free stretch is felt on the inner groin.
Now keep the back in a straight position and push the hips in a forward direction in order to stretch the front side of the hip. Lean forwards from the hips in order to stretch the hamstrings present at the back of the thigh. Pull the knee towards the head and across the body toward the opposite shoulder until a pain-free stretch is felt in the buttock. The ring is seen to be usually dilated on the affected side and also a cough impulse may be seen along with tenderness.
This often results in painful bulge, particularly while coughing, bending and lifting heavy weights.
Inguinal hernia if left untreated can force the contents present in the abdomen such as intestines to protrude into the hernia resulting in rapid progression.
Direct inguinal hernia is very frequent in adults when compared to children and is very rare in children. Both the procedures need about an hour to be performed and can be done in an outpatient setting. Open surgery is performed by making an incision in the groin in order to push the herniated tissue back in its original place and repairing the opening of hernia with stitches. Then a laparoscope is inserted through the incisions in order to push the herniated intestine back into its original place and repairing the opening of the hernia with the help of surgical staples. A physical examination of groin area exhibits the activities of bulge and exacerbation of symptoms. Most of the times, patients don't experience any symptoms and thus don't seek any treatment.
This is commonly caused by repetitive and prolonged activities such as jumping, kicking and running, which puts a lot of stress and force on the ischiogluteal bursa via the hamstring tendon.
It is caused by forceful and sudden contraction of the groin muscles resulting in them getting over-stretched or torn. Pelvic avulsion fracture commonly occurs in those individuals who are involved in activities with high speed and sudden stops e.g.
In both Chinese and Western medicine, there are many causes of erectile dysfunction, also known as ED.
In fact, UTIs are the second most common type of infection in the body and are the reason for more than 8 million visits to the doctor each year.
It continues to thrive today with over 600 total awards and scholarships provided since 1975.
This natural action tones and cleanses the colon while eliminating unnecessary toxic build-up. Soluble fibers have been shown to help balance blood-lipid levels because of their ability to bind with bile and promote its excretion. Do not use if you have or develop diarrhea, loose stools, or abdominal pain because Cascara Sagrada may worsen these conditions and may be harmful to your health. If your stool is wellformed and tends to float, then you know that the formula is beginning to work. With continual longterm use of more than 30 days at one time, Cascara sagrada may lead to dependence or could interfere with diagnostic imaging procedures of the colon.
Eight to ten glasses a day helps to keep toxins moving through the body, making them less likely to collect in the bowels. Skipping meals can lead to excessive hunger, which then results in overeating and stress to your digestive system. Large meals may overburden digestion, since your body has a limited capacity to produce digestive enzymes. When you're calm, you tend to chew your food more completely and your digestive muscles contract and relax normally.


Nicotine from cigarettes, pipes, cigars and smokeless tobacco can increase acidity in your stomach, causing digestive discomfort. Hernias can be classified or sorted according to its anatomical location, which means that early hernia symptoms can vary.
Certain diseases can affect the lymph nodes, the spleen, or the collections of lymphoid tissue in certain areas of the body. A hernia can occur when a part of the intestine pushes out from the abdomen and into the groin or scrotum (the sac of skin that the testicles hang in).
Information from Bupa about how you get type 2 diabetes, symptoms, treatments and the need to control blood glucose levels. Ask a question, join a conversation, share experiences: medical conditions, general health, and management.
Performing exercises in femoral hernia not only results in pain that largely depends upon the movements, but also aggravates the condition by worsening it. Femoral hernia often does not exhibit any symptoms however bulge near the groin is noticeable. Thorough examination needs to be done to check if the femoral hernia can be manipulated externally to relocate it back into its correct place or if it needs to be corrected surgically. Surgical repair involves placing back the herniated content into place and repairing the defect in the abdominal wall.
Prostaglandin causes irritation of nerves lying along the disc and results in severe discogenic pain. Pinch or irritation of motor nerve fibers causes weakness in muscles that is receiving these motor fibers. Trans-foraminal injection is more specific targeted cortisone injection at the bulged disc and irritated nerve pinched at the foramina. Large herniated disc often occupies spinal canal and intervertebral foramina resulting in pinch nerve within spinal canal or foramina.
Spinal fusion surgery involves total removal of spine and lamina and upper and lower vertebrae then fused using metallic plates in different design and sizes.
According to him Sports Hernia or Athletic Pubalgia is caused due to the longstanding groin pain. Many vessels and nerves pass through the archway of the muscle called external oblique muscle.
Safety measures such as using protective sports gear, while playing sports and training helps in preventing such type of chronic injuries.
The estimated rate of population of patients suffering with inguinal hernia is found to be five percent. Direct inguinal hernias occur due to herniation of the abdominal part from a weak point present in the inguinal canal and the abdominal wall. Although indirect inguinal hernia is often diagnosed within the beginning year of life but in some cases it does not show up until the time of adulthood. However, treatment procedure for both direct and indirect inguinal hernias is also similar.
A truss, which is a device worn around the groin to put pressure on the hernia helping to keep it under control, is used temporarily until the surgery can be performed. In several cases, a small piece of synthetic mesh material is used for reinforcing the region for prevention of recurrent hernia. Although this surgery has impressed many patients, it is less affective when compared to open surgery.
Patient is also asked to stand in order to strain or cough which also helps in determining inguinal hernia.
We have briefly outlined some injuries which cause pelvic, groin and buttock pain, such as femoral hernia, pelvic inflammatory disease (PID), ischiogluteal bursitis, pulled groin muscles or groin strain and pelvic avulsion fracture. Symptoms include pain, tenderness, worsening pain with activities, and sometimes weakness in the lower limb. Colon Clear delivers such ingredients as Psyllium, Alfalfa, Pau D'Arco, Oat Bran, and Lactobacillus Acidophilus in a proprietary blend to enhance elimination of built up toxins and waste matter. Do not take this product before consulting a physician if you have frequent diarrhea or if you are pregnant, nursing, taking medication, or have a medical condition. When used as directed, Dual-Action Cleanse is designed to naturally support the detoxification and elimination pathways of the body. Sustained physical activity stimulates your intestinal muscles, helping push waste through more efficiently. Narcotic painkillers (like codeine, Vicodin® and similar drugs) can cause nausea and constipation, as can many blood pressure drugs. If you are complaining of upper leg pain you can expect your chiropractor to do a very thorough examination.
The testes (singular, testis) are located in the scrotum (a sac of skin between the upper thighs).
A hernia is a relatively common condition that can affect people of all ages, genders and races. Total intestinal blockage and strangulation may result in nausea, vomiting and abdominal pain in which case the patient needs to be shifted to emergency room immediately. The area is either stitched or a piece of plastic mesh known as hernia patch is placed surgically in order to repair the defect present in the abdominal wall to prevent recurrence of hernia. Exercises are not a safe option however walking and swimming are kind of exercises that carry less issues. Large disk herniation into spinal canal causes narrowing of spinal canal or spinal stenosis (figure 2). Discogenic pain is felt on lower back along the dermatomal spread of lumbar nerves as shown in figure 1. Severe pressure or squeeze can cause permanent damage and permanent weakness in the muscles followed by atrophy of the muscle.
In some cases Sports Hernia or Athletic Pubalgia is also known as the sportsman's hernia, however, symptoms of such a hernia often result in misdiagnosis as there is no presence of actual hernia.
In case of Sports Hernia or Athletic Pubalgia, tearing of a groin muscle often results in wide opening of this archway. Indirect hernias often result due to bulging of the part of the abdomen because of the deep inguinal ring.
In case of women, the inguinal canal carries a ligament that keeps the uterus in its place.
Indirect inguinal hernia is usually seen in about 1 to 5 percent of normal newborns and about 10 percent in premature infants. People with advanced age or poor health who do not qualify for surgery may need to use this device permanently. To know more about the causes, symptoms and treatment of these conditions, please visit the complete PELVIC, GROIN and BUTTOCK PAIN topics listed on the left side menu. Causes include: Tight or tense muscles, not warming up or stretching properly before exercising, high speed activities, car accidents, muscle overuse and cancer or infection of the bone.
Generally speaking, Chinese medicine puts an emphasis on health maintenance rather than healing disease, though it certainly does that quite well. Indirect inguinal hernias occur in about 1 in 100 baby boys and the rate is higher in premature infants.
Follow your doctor's directions if you are taking medications, and talk to your doctor about the best ways to avoid these side effects. Spinal stenosis causes pressure on spinal cord or quada equina resulting in quada equina syndrome.
Sports Hernia or Athletic Pubalgia is very common in sports in which large amounts of stress is often placed on the groin and pelvic region through kicking and twisting movements. Later the tears in the obliques also force them to lift up and away from inguinal ligament due to which transversus abdominus muscle becomes unstable.
In some cases the hernia may affect the place where connective tissue from uterus connects to tissue that surrounds the pubic bone. Therefore surgical intervention is often required for repairing inguinal hernia that becomes large and painful.
Physical therapy is very important, as it boosts the healing process and reduces the chances of recurrences in the future.
Patient experiences pain, tenderness, swelling and a popping is felt at the time of injury. Central nucleus pulposus expands with pressure and helps to absorb the shocks during weight transmission and movements of vertebral column. Sports Hernia is more common in sports like tennis, hockey, football, distance running, rugby and soccer which involve repeated turning and twisting.
During the recovery period, exercises such as Hamstring Stretch and Gluteal Stretch should be done to enhance flexibility, strength and core stability. Treatment includes, ice therapy, compression, NSAIDs and stretching and strengthening exercises after recovery.
Accelerated pressure changes within disc and horizontal expansion of nucleus pulposus secondary to pressure results in disc bulge into annulus fibrosus. Frequent participation in these sporting activities may overload the tendons and bones present in the pubic symphysis and may also result in injuring more than a single groin at a time such as adductor tendinopathy or osteitis pubis associated with Sports Hernia.
Symptoms include, pain in lower abdomen and pelvis, copious vaginal discharge with foul odor, pain during intercourse, fever, painful urination etc.
For more information, refer to "Ischiogluteal Bursitis" under the PELVIC, GROIN and BUTTOCK PAIN section on the left side menu.
The brain releases chemicals to tell the nerves to relax the muscles that control the blood vessels leading into the penis. Complications of pelvic inflammatory disease include: Infertility, ectopic pregnancy and chronic pelvic pain. Illness such as disk degeneration weakens the fibrous annulus and disk bulge herniate through the torn or broken annulus fibrosus known as herniated disc. Usually, a physical exam and an interview about sexual and medical history are enough to diagnose erectile dysfunction. I am going to look at your tongue, take your pulse, and palpate your abdomen.By finding out when you experience ED, what else is happening at that time, your stress level, how the quality of your erection differs from what your ideal erection is and the presence of other symptoms, I can diagnose the ED as one of the patterns of disharmony we expect to see with these symptoms. In the case of erectile dysfunction, we’re also going to talk about diet and exercise. Typically, I also teach my patients some short Qigong exercises and self-massage techniques for you to do at home (you can also do this kind of massage with an intimate partner).To make an appointment with me for treatment, please go to the Appointments page.



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