INPUT ARTICLE: Article: If your tendonitis isn't going away and hasn't responded very well to rest and basic home care, then see your doctor for a physical examination. Your doctor will assess the severity of your tendonitis, sometimes using diagnostic equipment such as ultrasound or MRI, and give you recommendations. If the tendon has torn away from the bone (ruptured), then a referral to an orthopedic surgeon for surgical repair will be necessary. For less serious situations, rehabilitation and/or steroid injections are often more appropriate. Most surgeries for severe tendonitis is performed arthroscopically, by inserting a small camera and miniature instruments through small incisions close to joints. For chronic tendonitis, focused aspiration of scar tissue (FAST) is a minimally invasive surgery that removes scar tissue from the tendon without irritating the healthy tissue. If your tendonitis is a chronic condition, but not particularly serious, then your doctor will likely refer you for rehabilitation, such as physiotherapy. A physical therapist will show you specific and tailored stretches and strengthening exercises for your affected tendon and surrounding musculature. For example, eccentric strengthening which involves contraction of a muscle/tendon while it's lengthening is effective in treating chronic tendonitis.. Physical therapy is usually required two to three per week for four to eight weeks to positively impact chronic tendonitis. Physical therapists can also treat inflamed tendons with therapeutic ultrasound or micro-current, both proven to help relieve inflammation and stimulate healing. Some physical therapists (and other medical professionals) use low-energy light waves (infrared) to decrease inflammation and pain in mild-to-moderate musculoskeletal injuries. If your doctor thinks it's warranted, he may recommend a steroid injection into or near your inflamed tendon. Steroids such as cortisone are very effective at reducing inflammation in a short period of time, which can eliminate pain and restore mobility (at least short-term), but there are risks to be aware of. In rare cases, corticosteroid injections can further weaken the injured tendon and cause it to tear. As such, corticosteroid injections are not recommended repeatedly for tendinitis lasting over three months because it increases the risk of tendon ruptures. Steroid injections provide short-term pain relief, but may not have long-term success. In addition to tendon weakening, other side effects associated with steroid injections include infection, local muscle atrophy, nerve damage and reduced immune function. If steroid injections fail to resolve the tendonitis, particularly if it's in conjunction with physical therapy, then some form of surgery should be considered. PRP treatment is relatively new and still being studied, but it involves taking a sample of your blood and spinning it to separate out the platelets and various healing factors from the red blood cells. The plasma mixture is then injected into chronically inflamed tendon(s), which is reported to reduce inflammation and boost tissue healing. If effective, PRP would be a much better alternative to corticosteroid injections due to the lack of side effects. As with any invasive procedure, there always exists risks of infection, excessive bleeding and/or the build-up of scar tissue.

SUMMARY: Consult with your doctor. Get a referral for rehabilitation. Get an steroid injection. Ask your doctor about platelet-rich plasma (PRP) therapy.

INPUT ARTICLE: Article: Both LED and low-pressure sodium bulbs are very energy efficient for the light they produce. Low-pressure sodium bulbs produce a very warm light that does not heavily affect the atmosphere. It's vital when choosing LEDs that they are reduced in brightness/lumens, fully shielded, and are a warm (yellow or amber) correlated color temperature (CCT) of 3000K or less (2700K is preferable). The key is to limit blue and green light emissions. Use reflectors outside to help light any pathways. This saves you from purchasing a whole row of lights to brighten the same pathway.Always opt for the more directed, lower light options where possible to avoid excess glare. Bulb caps and shields ensure the light does not emit straight into the sky. These range from "non cutoff" all the way to "full cutoff" lights. Full cutoff shields prevent the largest amount of light "bleeding" among the shields. This helps prevent stray light from entering the atmosphere. Light reflecting off of the ground, even at night, provides plentiful light for night activities. These lights only turn on when they sense movement in their field of view. These can be placed on garden paths, near garages, around dark spaces and even in hallways. By turning on only when useful to someone, the lights pay for the investment rather quickly. If you have family members who need to use the bathroom frequently, these lights are more energy efficient than leaving one on all night.

SUMMARY: Install LED or low-pressure sodium bulbs. Direct light to where it is needed. Purchase lights with bulb caps and shields. Aim your outdoor lights downward. Install motion detector lights.

INPUT ARTICLE: Article: When your rabbit's ears are standing straight up in the air or are twitching, they are listening attentively for something. This generally means that they are alert and aware of something in their surroundings. When your rabbit has one ear standing straight up and the other lying down, it is listening for sounds, but also trying to relax. This is common for a bunny that is enjoying some sun. When rabbits are interested in something, they will often stand on all fours and stretch their tail and their head out. Their nose and ears will be stretched out forward to inspect what is in front of them.

SUMMARY: Watch for alert ears that stand up and/or twitch. Watch for a semi-alert rabbit to keep one ear up and one down. Look for an inquisitive bunny to put its ears forward.

INPUT ARTICLE: Article: " This literally translates to "You are beautiful." The first part, "tu es" means "you are," and the word "belle" translates as "beautiful." "Tu es belle" is pronounced as "Two eh bell." "Vous" is the formal version of "tu," and is used in "proper" conversation. Though there is no hard and fast rule for when to use "vous," a good rule of thumb is to use it for anyone you would refer to as "Ms." or "Mrs." in English. Pronounce this as "vooz eht bell." Note how there is no "s" at the end of belle when speaking to one person. " This is the plural form of the equation, but the translation is the same. Note how you cannot just add an "s" to belles, you need to use the plural form of "you are" as well -- "Vous etes." Pronounce this as "vooz eht bell." If you want to spice up your romantic vocabulary, there are a lot of words that you can substitute for "belle." Try out these, adding them in the phrases "Tu es _____" or "Vous etes ____:" Jolie: Pretty Mignonne: Cute Superbe, Splendide: Gorgeous Seduisante: Alluring or attractive Une jolie femme:A beautiful woman. Tu es la plus belle fille que j'ai jamais vue: You are the most beautiful girl I have ever seen.

SUMMARY:
Tell a woman she is beautiful with "Tu es belle. Use the formal "vous etes belle" when talking to superiors, the elderly, or distinguished people. Tell multiple women they are beautiful by saying "Vous etes belles. Learn synonyms for the word "beautiful" in French.