How You Can Effectively Deal With Skin Cancer

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Skin cancer usually develops as a result of a condition known as Psoriasis. This is where the skin cells multiply at a rate that is much higher than normal, sometimes up to 10 times more. The skin reacts by building up into red bumpy patches that cause irritation. With time the red patches dry up and leave white scales, which are further regenerated back into the red patches. Whereas they can occur on any part of the skin, they are normally common on the knees, elbows, the scalp, and lower back. In most cases, this condition appears in adulthood and affects just a few parts. However, in severe cases more than half of the body can be covered.

The good news is psoriasis can actually be eliminated thanks to Mohs Surgery. The procedure is named after Frederic E. Mohs who developed it in the late 1930s. It was further developed by Perry Robins in the mid-1960s into what is today identified as Mohs micrographic surgery. It is so successful that it can cure skin cancer with a 98% to 99% success rate. The dermatology specialist conducts this procedure in stages that involve lab work. All the stages can be completed in one visit to the skin doctor with the patient waiting in between the stages.

What to Expect During Mohs Surgery

For optimal results of this procedure, you have to ensure that the Mohs procedure is conducted by a well-qualified dermatology specialist in the first place. He begins by removing a layer of skin tissue and then examining it under a microscope in the lab. He is then able to identify the exact location of the cancer cells. The layer of the affected tissue is removed while attempting as much as possible to spare the healthy tissue. The dermatology specialist keeps on repeating this procedure until all the cancerous cells are eliminated.

This process is the most ideal form of cancer treatment as it can even be done on the most sensitive parts of the skin such as the areas around the eyes, ears, lips, nose, fingers, scalp, and even genitalia. Moreover, it can effectively control the cancer cells that grow rapidly or have the tendency to recur after previous treatment.

How to Prepare For the Procedure

After the dermatology specialist has scheduled you for Mohs surgery, you need to begin getting ready for the procedure. The first thing is to take note of any health conditions you may be having and discuss it with a skin care specialist for a recommendation on the best way forward. For instance, if you have an artificial joint or a heart murmur, your doctor will have to determine whether preoperative antibiotics are necessary. In addition, having a preexisting cardiovascular disease may prompt the doctor to discontinue the use of blood thinners.

Even those with no preexisting conditions need to take note of a few cautionary aspects. For example, nonsteroidal anti-inflammatory drugs such as aspirin should be avoided at least for a week before the surgery. Alcohol and vitamin E should also be avoided. Before the day of the procedure ensure that you have a good night’s sleep followed by a normal breakfast in the morning. Anesthesia is administered during the surgery and therefore there is no need to fast. It is also important to have a loved one accompanying you for the appointment with the dermatology specialist.

Early Detection for Prevention

For those without the condition, detecting psoriasis early enough is the best way of preventing skin cancer in the first place. This can be done privately through self-examination as often as possible. The Skin Cancer Foundation actually recommends a monthly head-to-toe skin self-examination and to be on the lookout for any new or changing lesions because there is a chance that they could be either precancerous or cancerous. Most types of skin cancers are curable if they are discovered and removed early enough. In case you notice anything suspicious on your skin, you should see a dermatology specialist as soon as possible. Usually, a self-examination can last less 10 minutes, a period that can give life-saving insights.

7 Ways to Choosing Outpatient Medical Facility

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Did you know that more 600,000 people die every year in the United States due to heart disease? That is a considerable number of people who do not get to experience a prolonged period of illness but die immediately after a heart attack, stroke, and issues related to coronary blood vessels. Most of these illnesses need emergency care services because they happen within a short period.

The best way to deal with heart disease is through outpatient care services. You have to identify an outpatient care facility where you will quickly receive medical attention. But how do you choose an outpatient care facility?

1. Specialization

Any time you are choosing an outpatient care service, you need to check on the specialty of the facility. Most of the facilities around the country offer primary health care services with all forms of treatment being offered at the facility. However, you will still come across some medical centers that specifically concentrate on particular care. You intend to get a medical facility that will be providing general health care services so that you can be sure that everything will be covered.

2. Medical Experts

Do you want to get attention from a nurse? Do you need a specialist to see you? Do you need a general practitioner? Those are some of the questions you should ask before selecting the outpatient care center. Most of the medical centers have general practitioners, but you will also come across a specialist in some facilities. Depending on your medical need, it would be a bonus if you can get services from a specialist.

3. Medical Facilities

The general state of outpatient care centers has significantly improved over the last few years. Trends show that considerable amounts of money have already been spent on buying medical facilities in most of the care centers around the country. However, you should check the types of the medical instruments before deciding on the medical facility you will be seeking medical attention. You can check for advanced medical equipment such as MRI imaging and other useful tools.

4. Emergency Services

Your outpatient care center is the most convenient place where you can get assistance in case of medical emergencies. Do they offer critical medical emergency services? What is their response time? You should get answers to these questions. Some outpatient clinics do not have intensive care unit centers, which mean that they cannot handle emergency surgery services when needed. These facilities would not have qualified on your list by the virtue that they do not have advanced medical equipment.

5. Operational Hours

As a norm, clinical centers open at 9:00 AM and close at 5:00 PM. It is clear that these facilities are only interested in mainstream individuals who are looking for non-emergency medical attention. How about looking for an outpatient clinic that operates deep into the night and during weekends? You will be able to access emergency services at night. Although there are very few medical centers that operate this late, it will be a bonus if you choose a clinic that is ready to offer medical services at any time of the day and night.

6. Proximity

An outpatient medical facility is not structured to cater for in-house medical services. Patients are required to get medical attention from an expert and then go back home after medication. Therefore, the facility must be close to your residential facility. Several blocks away could be better so that you can access emergency medical attention easily. However, you can sacrifice and chose a facility some few miles away for extra medical care and advanced equipment.

7. Payment Methods

Medicaid, Medicare, and personal insurance are some of the payment options that are available in most medical facilities around the country. Outpatient care must be willing to accept the payment option that you are using. Don’t accept clinics that force you to pay out of pocket. It is cheap in the short-term, but it could be costly in the long term.

Choosing outpatient care is a personal decision. It is highly influenced by individual tastes and preferences. However, these are some of the factors that you should evaluate before deciding on the medical care center where you will be seeking non-emergence medical services.

Why Does My Acne Get Worse In Winter?

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Winter may seem like a magical season, but when it comes to skin care the weather outside really is frightful. It turns out the dry, chilly air does not more than just dry out your skin. It also causes acne.

Sounds weird, right? Shouldn’t your acne be worse in the summer?

As it turns out, seasonal changes can make you break out more. And winter, especially, can have a big impact.

What about winter makes me break out so much?

Cold air holds less moisture than warm/hot air. This is why summer is really humid and winter is really dry. You might notice winter dryness affects your hands the most, but it also affects your face.

What happens is that cold wind can strip your skin of its natural surface lipids. These are your skin’s natural barriers to keep out dirt and keep in moisture.

So although summer might make your face sweat, winter gets rid of the oils protecting your pores from bacteria that cause acne.

How do I get help with acne caused by dry skin?

It can be tricky fight back against acne that’s caused by skin problems that are different from what you’re used to. Your daily skin care routine might not work.

But don’t give up hope just yet. The first thing you want to do is increase your moisturization protection. Introduce moisturizing face masks into your routine instead of only using moisturizer.

The second thing you want to do is be careful about which cleansers you’re using. The dry, winter air is already stripping your natural lipids. Cleansers can worsen your dry skin by removing more of your skin’s protective oils.

Use gentle cleansers that remove dirt, sweat, and grime from your face but don’t remove your protective oils. Follow it up with a deep moisturizer and you’re well on your way to better skin care.

Need help with acne or other skin problems?

Acne can be a major confidence killer, especially in the winter when dry skin makes it worse. Uneven skin tone caused by hyperpigmentation, sun spots, hormones, and discoloration can also be a problem.

The good news is the skin experts at Dr. Amy Vaughan’s medical spa can help. To learn more about scar treatments and other professional help with acne, contact Dr. Amy Vaughan to schedule a consultation today.

5 Common Causes of Adult Acne

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Although nearly 85% of people have experienced acne at some point in their lives, many of us wrongly assume that this skin condition affects only those in their teens. The harsh reality is that people in their 20s, 30s, 40s, 50s, and beyond can experience adult acne. Even worse, these skin problems can feel even more embarrassing when you’re past puberty. You may wonder what you’re doing wrong or why you’re plagued with zits when your peers seem to have a handle on their skin care routine. Don’t worry: you aren’t alone — and there are ways to cure what ails you.


Understanding the causes of acne can be tough. There are numerous factors that can put someone at risk for developing acne or that could cause someone to suddenly start breaking out later in life. If you’re currently struggling with adult acne, you and your local dermatologist may want to focus on at least one of the following common causes.

  1. Fluctuating Hormones: Hormones can play a huge role in skin issues like acne, which is why many people start to develop pimples during puberty. But that’s not the only time when blackheads, whiteheads, and pustules may occur. Many women find that they experience particularly bad bouts of acne at certain points in their menstrual cycle, during pregnancy, and/or during menopause. Other women also report that starting or discontinuing birth control pills may have a substantial effect on their skin. This isn’t to say that men can’t experience adult acne related to hormones, but it’s often a more common cause for women.
  2. Stress Levels: Skin experts will tell you that this point is actually related to the first cause of acne, as the amount of stress we feel correlates to certain hormones released in our bodies. When we’re stressed, our adrenal gland produces more cortisol. While this hormone helps us deal with the stress, it also stimulates our oil glands — and that can result in acne development. Physical stress to the skin from dehydration, pollution, irritants, illness, lack of sleep, or harsh weather can also cause acne flare-ups. Although you may not be able to eliminate stress entirely from your life, you can learn to recognize your triggers and take steps to mediate your stress levels (in addition to any topical or pharmaceutical treatments your dermatologist may recommend) for the sake of your skin.
  3. Personal Care Products: You may love the smell of that new shampoo or might like the feel of your new facial cleanser. But unfortunately, your choice in care products could be doing you dirty. In fact, many products supposedly formulated for fighting acne can be immensely irritating for people and can make matters worse! When you purchase personal care items, you should always check the label to ensure the product is non-comedogenic and oil-free (water-based is best). It should not clog pores and you may want to steer clear of strongly fragranced products, as this can irritate sensitive skin. Your dermatologist can probably recommend some excellent alternatives for any products you’ll have to stop using.
  4. Certain Medications: Every medication comes with a set of side effects. There are, unfortunately, some medications that may cause adult acne in patients. Antidepressants, epilepsy medications, and other necessary pharmaceuticals can lead to breakouts. Talk with your doctor to assess whether your current medication can cause acne and whether there might be an alternative that could be just as effective without causing skin issues. If there’s no other option, your dermatologist can likely help to treat your adult acne while you stay on your current medication.
  5. Genetics: Finally, the cause of your adult acne could come down to simple genetics. Some people are more likely to have acne than others. If others in your family have experienced it, you may be predisposed to this skin condition. That doesn’t mean it can’t be treated, however. Your dermatologist can come up with a strategy that will tackle your acne, even if it’s not linked to any easily identifiable cause.

Struggling with acne as an adult can make you feel self-conscious, but there’s no reason to be embarrassed. By talking to your dermatologist about treating your acne, you can gain an amazing amount of self-confidence. For more information, contact us today.

Some Clues on How to Avoid the Flu

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Winter is approaching and the holidays are right around the corner. You’re in the holiday spirit, but suddenly a fever hits and you’re out of commission for a week. Your best friends are a box of tissues and a good decongestant. You’d do ANYTHING to gain your energy back and feel your normal self again.

The flu is no joke, and it can even be a serious threat to your health. It’s not impossible to avoid this seasonal illness, even when it seems like everyone is infected with it. If you outsmart the flu with these easy tips, you can dodge the dreadful virus this winter.

Here are some vital tips to naturally avoid the flu:


Germs are everywhere, literally. We never know where the bad ones might be hanging out. Wash your hands after touching anything, and even just sporadically throughout the day.


The easiest way for germs to access our inner bodies is through our mouth and nose. We commonly touch our faces without even realizing it, and this is the perfect opportunity for germs to infest.


Even if someone seems perfectly healthy, that doesn’t mean they aren’t infected with the flu. After the virus enters the body, symptoms don’t come on instantly. It takes anywhere from one to four days after infection to even notice the symptoms.


Many think they can disregard precautionary steps because they got the flu shot, so they “can’t get the flu.” Wrong. The flu shot reduces the chance of contracting the virus, but many people have still contracted the flu. With that being said, keep your distance from those who are already infected, and continue to wash your hands.


When our loved-ones, especially a child, comes down with an illness, parents’ first instinct is to be their personal nurse and attend to them at all times. Then, soon enough they come down with the flu as well and no one can cater to them because they’re all sick as well. Don’t touch, hug, or share any personal belongings with those who are sick with the flu, especially during the first week of their illness. Since the infection is at its peak during the first three to four days following the start of the virus, this is when others are most susceptible to contracting the illness from those who have it.

Common illnesses can be just as dangerous as serious childrens injuries, which parents never ignore, and many other serious illnesses. Don’t ignore the flu, either. If you or a loved-one start feeling under the weather, don’t hesitate to take a trip to an urgent care center. You don’t need an appointment, as they are almost always walk-in clinics. They treat patients of any age, so don’t worry about finding an alternative option that offers urgent care for kids. These are the best option for childrens injuries, illnesses, or any condition that doesn’t require a whole day in the emergency room. Stop on your way home from work, or before going grocery shopping to get the necessary treatment to minimize the symptoms during the worst of it.

Minor childrens injuries, illnesses that aren’t considered a medical emergency, and even a mysterious ache or pain can be treated at an urgent care center.

Even though the flu is common, it’s not always the same strand of the virus. This means it can be more threatening to your health than it was last year. The flu always poses the possibility of complications, being the reason for an average of 200,000 hospitalizations of patients each year in America. Children and the elderly are especially susceptible to complications, and if your child gets the flu you should not pay any less attention to it than you would for severe childrens injuries.

Your health is crucial, and these simple tips can save you from misery!

Ensure Accuracy and Comfort With IV Infusion Pumps

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The average hospital needs a lot of equipment to run effectively. In fact, at any one time, your typical hospital will either own or rent over 35,000 SKUs of equipment. One vital piece of equipment to hospitals are IV pumps — and more recently, IV infusion pumps. If you need to get fluids or medication to a person quickly, IVs are the best way to do so and can help stabilize a patient and save their lives. Indeed, the Material Services department at the University of Michigan Health Systems reports that over 85% of patients in hospital beds need an infusion pump. That’s a high percentage, which is why IVs and IV infusion pumps are such crucial pieces of equipment in any hospital. We’ll discuss how they work, why it’s important to have them on hand, and what you should look for in a company when acquiring IV infusion pumps.

Tell Me More About IVs and IV Infusion Pumps 

IV stands for intravenous therapy and overall is touted as the quickest method of getting fluids or medications into the body. The bioavailability absorption rate is 100%. It can be administered either through a syringe injection (using a needle) or via infusion (usually referred to as drips). IV fluid is needed to pass other fluids or medication through and the most common type is saline solution (0.9% sodium chloride).

Infusion pumps have been used since the late 1960s and it’s predicted that the market globally for them will be over $5,000 million by 2024. There are two main types of infusion pumps — large volume pumps and small-volume pumps. Large volume pumps are typically used to give nutrient solutions that can feed a patient, whereas small-volume pumps provide medicines or hormones to the patient.

What are the Benefits of Using Infusion Pumps? 

We know that there are two ways of ensuring that a person is getting the right amount of IV fluids at the right time — either adjusting and monitoring by hand or using an electric pump. More and more hospitals are opting to use a smart infusion pump, according to the American Society of Health-System Pharmacists’ report. They showed that in 2013, almost 73% of all hospitals in the United States used smart infusion pumps, compared to just 44% in 2007.

Infusion pumps are wonderful because the margin of error is reduced and nurses don’t need to program things manually (taking human error out of the equation). They have a greater accuracy rate and are also optimal for higher fluid flows. Alternately, because of their precision, they’re also quite useful if only a small volume is needed.

They can be programmed to release fluids either at one continuous rate or in smaller, set intervals, but without the need for a nurse to come reset or adjust it each time. It frees up already busy nurses to attend to other concerns and issues with the patient and ensures that the patient is getting what they need when they need it.

What Should I Look For When Trying to Get Infusion Pumps? 

You want a company with a good reputation and who offers a range of products, from new to gently used. Bonus points if they’re versatile in the way that they offer the equipment, like with MedOne, that offers the options to rent, lease, or sell equipment. If your hospital is working with limited funds or you don’t want to make the commitment to one type of infusion model, a lease or a rental agreement can be the perfect option for you.

There are also increasing functions and features for pumps on the market now, so you’ll want to do your research and see what’s the best fit for your needs and what seems to be working at other hospitals.

In short, having reliable IV infusion pumps can make your patients more comfortable, lift one duty off the medical staff, and ensure that accuracy and reliability are a given. They’re worthwhile equipment to invest in.

Walk-In Urgent Care Centers: Are They Better than Emergency Rooms?

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Both urgent care and emergency rooms have their benefits and challenges, though there are likely times that would be best to visit either one. So, the question exists as to when the best time to visit a center versus the best time to visit the emergency room. It is often presented that the benefits of these centers include reduced wait times, cost savings, proper treatment, and doctor referrals as needed.

Which Symptoms Require the Intensity of the Emergency Room?

Considering the fact that emergency rooms tend to life-threatening, chronic or catastrophic events first. These include heart attacks, strokes, poisoning, suicidal or homicidal emotions, severe wounds, and amputations, coughing or vomiting blood and more. These conditions and symptoms indicate the immediate loss of life or danger to society and for that reason, they are handled immediately in the ER.
One of the easiest things to determine this choice is on the basis of whether 9-1-1 has been called or would be called for the issue. This means that most likely an ambulance will take a patient to the emergency room based on the fact that the condition is presumed to be of a threat to their life.

Which Conditions are More Suited for the Immediacy of Urgent Care?

Urgent care is more likely the proper treatment for illnesses before they become life-threatening. These include conditions like the cold or flu; ear, nose and throat infections; sprains and strains; broken bones and others are at least given immediate attention in urgent care centers. This is intended to provide controlling care with referrals to either stronger treatment at the emergency room or to a physician who can provide complete, long-term treatment as needed. In this manner, these conditions at least do not sit for long periods of time and progress to a more serious or catastrophic level.
Some of the positive factors to consider when choosing a center over the ER include the following:

  • It is recorded that 85% of centers are open daily to handle medical issues.
  • Roughly 80% of centers treat fractures on site.
  • An estimated 5% to 20% of Americans suffer from the flu annually.
  • About one billion colds are diagnosed and treated in America each year.

With this immediate availability, there would be no reason for any of these issues or illnesses to reach a more damaging or life-threatening level. Additionally, this brings along the question of whether or not to call 9-1-1 for these matters that may not be handled within a suitable time frame at the ER.

Worried About Regaining Weight After Weight Loss Surgery? These Preventative Tips Can Help

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Health problems associated with obesity are the second leading cause of preventable death, behind smoking. While many people are undergoing doctor supervised weight loss to help achieve their long-term health goals, it can be easy to slip back into old habits and regain weight if you’re not careful. Fortunately, there are ways to prevent regaining weight after undergoing medical weight loss in Delaware. Here are just a few tips to keep in mind after your weight loss surgery to live a healthy lifestyle and avoid regaining weight.

Completely change the way you think about food.

Before undergoing weight loss surgery, many patients think of food as an emotional comfort or ‘vice.’ Experts say it’s essential to rethink this relationship entirely if you want to be able to control your cravings for the long term. It isn’t easy, but it’s necessary for emotional growth and peace of mind.

“For many patients who undergo bariatric surgery, the relationship with food is a complicated one. Rewiring yourself to think of food as fuel, instead of as an emotional comfort, is an essential part of the process…With the help of your healthcare team, identify the emotional connections you have with food and work to change those patterns before and after surgery for the best chance at success,” writes Erin Palinski-Wade on EverydayHealth.

Stay focused on physical fitness.

Many patients don’t realize it, but developing a healthy exercise regimen after your weight loss surgery is just as integral to your success as your diet itself. Make it a point to get up and walking for at least 30 minutes two to three days per week when your doctor gives you clearance. From there, continue to increase your fitness goals as they align with your weight loss and overall recovery, and watch your focus on food fade away.

Stay mindful of negative habits.

Finally, it’s important to understand that slip-ups happen, so forgive yourself for them. But try to always stay mindful of your lifestyle habits as they relate to your weight loss goals. Recognize if you may be slipping back into a bad habit, and make small daily changes to improve your physical and mental health.

Ultimately, these tips can help you lose weight and keep it off after undergoing medical weight loss in Delaware.

What Exactly Is a Maternity Center?

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Fortunately for today’s expecting mothers, there are more options for giving birth than ever. While many women still choose a standard hospital for their place to give birth, maternity centers are becoming increasingly popular. Maternity centers, also known as birthing centers, offer expecting mothers a comfortable birthing experience but many women still don’t know what exactly maternity centers are. So let’s take a look at what maternity centers can offer expecting mothers.

What is a maternity center?

A birthing center is somewhere in between a hospital and a home, offering women a comfortable, home-like place to give birth. Generally, maternity centers are low-tech and offer more natural approaches to giving birth. But while the birth will be more natural and homelike, maternity centers are equipped with emergency care services, like IVs, oxygen, and medications. When women find a maternity center they think is right for them, they’ll still have access to licensed professionals before, during, and after giving birth. Women who choose a maternity center will usually work with a midwife throughout their pregnancy. Overall, birthing centers can offer a relaxing, natural environment for women to give birth in.

What benefits can maternity centers offer?

One of the main reasons women choose to find a maternity center is because they have more control over their birthing options. Expecting mothers won’t be hooked up to an IV if they don’t want to be and they can leave with their newborn any time they want. Additionally, the staff at maternity centers are trained to help women through a drug-free birthing experience if they choose to do so. While recent research from the Pew Research Center shows that 86% of American women had given birth before they reached their early 40s as of 2016, women of all ages, and needs, have the right to find a maternity center that works for them. Maternity centers can offer more flexibility, especially when it comes to choosing who gets to be present during the birth. Choosing a birthing center can help women feel more comfortable with being able to choose the birth experience they desire.

As you can see, there are several benefits of choosing a maternity center. If you or someone you know is expecting a baby, keep these benefits in mind when choosing a birthing place. But in the end, always choose what you’re most comfortable with.

Injuries Plaguing Star Players Throughout 2018 World Cup

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When an average person or even an athlete gets injured while being active, they can schedule a few appointments with a sports injury doctor and engage in physical therapy. That being said, only 35% of all physical therapy patients adhere to their plans of care, despite their immense importance. For the best athletes in the world, since any injury can keep them off the field and jeopardize their entire livelihood, they need to ensure that they are sticking to their pain alleviation and physical therapy plans.

The 2018 World Cup is underway and there are dozens of all-star players battling injuries that could potentially ruin their country’s chances of winning the most coveted title in soccer. Here are some of the key players who are struggling with various injuries throughout the 2018 World Cup:

    • Mohamed Salah – Liverpool F.C.’s star player Mo Salah is virtually the only chance Egypt has to make a statement in this year’s World Cup. Salah has been dealing with a shoulder injury he sustained in the Champions League final against Real Madrid. His absence resulted in Egypt losing 1-0 against Uruguay in the country’s first match. Despite missing the first match, Salah seems poised to make his return against Russia, coming off their 5-0 victory over Saudi Arabia.


    • Neymar – The most expensive player in the world has been battling a foot and ankle injury for a while, but the Brazilian star looks to make his mark on this World Cup. As Neymar battled back from his injuries, he’s worked alongside some of the best and brightest sports injury doctors in the world. Brazil’s first match against Switzerland resumed in a 1-1 dray. Neymar played despite his injury and was actually fouled more than any other World Cup player in over 20 years.


    • Youssef Msakni – Tunisia’s 27-year-old star has been ruled out of the entire tournament. Youssef Msakni, a midfielder for Qatari club, Al-Duhail, suffered a knee ligament in April. Tunisia will have to rely on Msakni’s replacement, Wabi Khazri for the rest of the Cup.

If you’re in need of pain alleviation and want to speak with a qualified sports injury doctor at a trusted pain management center, contact us right away.