Hosmat Hospital

When a blow or a fall causes an injury, where the top of your arm bone pops out from your shoulder socket, it’s called shoulder dislocation. It is a very painful condition and you need to get this relocated to its position immediately. The tissues and bone related to that particular joint get damaged. 

If you ignore this situation or keep the shoulder like this, it will be more harmful and painful for you. There may appear a bump in front or at the back of your shoulder that hurts. 

What can lead to a dislocated shoulder injury? 

• Sharp or a very fast twist of your arm. 
• Falling down on a hard surface. 
• A sudden hurt or hit. 
• It may also happen when you fall down and try to save yourself using your hand. The force of the hit indirectly gets into the shoulder and your shoulder joint may slip from its place. 

In some of the outdoor games, there are high chances to get hurt in the shoulder. Hockey, football, rugby, rock climbing, volleyball etc. bring in high probabilities of injuring the shoulder, thereby resulting in a shoulder dislocation. 

What is the treatment or therapy of a dislocated shoulder? 

The dislocated shoulder should be very urgently treated. As this injury of the shoulder is very painful, you should go to a specialized orthopaedist as fast as possible to fix up the shoulder to its proper joint. As it is very painful and swollen, the faster the treatment, the better it is. When your doctor fixes your shoulder in its actual place or the bone of your arm comes back to the socket, most of your pain will go away and you get huge relief from pain. After the shoulder bone is relocated, you can use further conservative treatment to reduce the pain and swelling of that place. Dislocated shoulder may take 3 to 12 weeks to recover. But this is the approximate time and it depends on the seriousness of the injury. 

After the treatment, when all the symptoms are gone, the doctor will suggest some exercises for better results and normal shoulder movement and to prevent future shoulder injury. Ones the shoulder is dislocated, the chances of dislocation in future is further increased as the tissue supporting the head of humerus into its socket is torn. Such patients may land up with recurrent dislocation of shoulder wherein shoulder dislocates easily on specific movement and patients are afraid to do over-head activities. The problem is best diagnosed by MRI Scan. 

The best treatment for this is Arthroscopic (Key-Hole Surgery) Bankart's Repair. Following operation shoulder is kept at rest for 2 weeks then Physiotherapy is started. Day to day activities are started after 2 weeks and sports activity is started after 3 to 5 months.

Rheumatoid arthritis is an autoimmune disorder in which the body recognizes the body's own system as foreign and produces an inflammatory reaction. The synovium which is the space between the bones and the joints and contains a lubricating fluid which allows easy movement of the joints.

Inflammation of this space leads to painful, swollen joints that can also turn red and become stiff over a period of time. The joint surfaces can gradually progresses to produce deformities (the swan-neck deformity of the hand for instance) and disability.

Because it is an autoimmune disorder, the exact etiology is not known but lifestyle, stress, cold weather are supposedly predisposing factors. That being the case, it is not surprising that Ayurveda has a variety of options, both in terms of do's and don't's to manage rheumatoid arthritis - both the severity of symptoms and further progression of the disease.

Do's: A well-planned diet will help by supporting optimal functioning of the immune system and nourish the affected joints.

1. People diagnosed with RA should follow a diet that is rich in fruits and vegetables. Drumsticks, bitter gourd, carrot, papaya, green leafy vegetables, cabbage, etc., reduce inflammation and hyperactivity of the immune system. The antioxidant properties in these neutralize the free radicals circulating in the body (responsible for increasing inflammation). This helps control the longstanding inflammation of the joints.
2. It is also advisable to eat them as whole fruits and not as juices. The fiber in the whole fruits helps digestion.
3. Sprinkle pepper powder over cooling food items like cucumber and radish.
4. Include garlic which is an excellent remedy for RA, can be mixed with buttermilk.
5. Whole grains such as wheat, brown rice, millet, barley are beneficial for RA, their high fiber content helps in proper digestion and promotes regular bowel movements.
6. Honey mixed with water.
7. Drink boiled milk to which dry ginger powder is added; this can replace tea and coffee.
8. Milk mixed with turmeric powder is also helpful in controlling inflammation.
9. Work at reducing weight.

Don'ts: In addition to adding the above to your diet, there are some things to avoid, which can worsen symptoms of inflammation.

1. Avoid overall unhealthy and irregular diet habits which affects the immune system and aggravates symptoms
2. Avoid sleeping during daytime and staying awake at nights
3. Avoid deep fried foods and fermented food items
4. Given its autoimmune nature, it is better to avoid regular allergy-inducing foods like dairy products, soy, peanuts, processed foods, artificial additives, etc. These could trigger an enhanced allergic reaction.
5. Avoid alcohol, tobacco
6. Avoid tea and coffee and other caffeinated drinks
7. With simple daily food habit and lifestyle changes, the severity of RA can be managed effectively.

The body’s reacts to anything suspicious by developing an allergic reaction. Some of the common substances inducing this reaction include certain food substances, pollen, insect bites and certain metals. This body recognises these suspicious substances as antigens and produces what is known as antibodies. These produce various allergic reactions in the body ranging from something as minor as a skin rash to something drastically fatal as respiratory distress and even death.

Features:

1. Angioedema is one of the most severe forms of allergic reactions.
2. Translated literally as swelling of the blood vessels, angioedema causes swelling of the blood vessels in the underlying layers and this can lead to the formation of giant hives.
3. The hives or rashes are extremely itchy, reddish, and can vary in shape (oval or circular). The hives also are warm and painful when touched.
4. Angioedema usually affects the skin but can have more severe effects like blocking the airway and leading to respiratory distress

Causes: Angioedema is usually caused by one of the following:

1. Insect bites or stings
2. People with allergies to foods like peanuts, eggs, milk, shellfish, chocolates, tree nuts, etc.
3. Pollen, animal dander, latex, poison ivy, and other common allergens
4. Medicines like penicillin, aspirin, ibuprofen, and some anti-hypertensives
5. Autoimmune skin disorders like lupus
6. Reaction to incompatible blood transfusions
7. Weather conditions like extremes of cold, heat, or pressure
8. Infections like hepatitis, cytomegalovirus infections, Epstein-Barr infections, etc.
9. Conditions like leukaemia and thyroid disorders
10. Extreme emotional stress
11. Genetic angioedema, inherited from parents by children, which can last forever

Risk factors: Though hives usually develop without any warning signs, the following are some risk factors for developing angioedema.

1. Previous history of allergies
2. Predisposition to develop allergic reactions (overactive immune system)
3. Genetic history of allergies, especially of angioedema

Diagnosis:

1. In first-time patients, a detailed history with deep dive into similar instances in the past will be done
2. A physical exam to check for missed hives (like the back) is then done
3. Allergy testing may also be required to test if a person has a high predisposition to allergies
4. Blood testing to check for eosinophils, which is usually high in patients with allergies, is done.
5. Allergy testing to identify the trigger agent may be done if trigger is not known. This will help in preventing further attacks.
6. If genetic angioedema is suspected, C1 esterase inhibitor test and complement particles are also checked.

Treatment:
Non-medical treatment including loose clothing, cool compresses, and copiously moisturizing to reduce dryness and itching. This is usually sufficient in majority of the cases.
Medical: Antihistamines like cetirizine and loratadine are the next line of treatment. Very severe cases may require steroids like prednisone. In case you have a concern or query you can always consult an expert & get answers to your questions!

Knock knee and bow legs is a condition in which your legs appear bowed out that means that your knees stay wide apart and your ankles are together and knock-knee is the condition in which the knees angle touch to one another, commonly called valgus and varus deformities. 

Causes of bow legs and knock-knee genetic are due to rickets and arthritis deficiency of vit D and other nutritions, abnormalities, muscle imbalances, which can cause these deformities which results in excessive hip-knee-ankles. These deformities can affect various joints of the body including the knee, ankle, hip and spine. We take different treatments to prevent this, like painkillers, knee brace, exercise splint and finally surgery. If you want to correct this deformity without any surgery with laser treatment and other specific exercises then you can contact us.

Frozen shoulder (also known as adhesive capsulitis) is a condition in which the shoulder is stiff, painful, and has limited motion in all directions. A person suffering from a frozen shoulder can be pretty uncomfortable.

Frozen shoulder treatment should be done immediately once it has been detected. Stretching exercises are considered as the best-frozen shoulder treatment exercises. A proper warm up becomes very necessary before any exercise. Making the area warm by using a heating pad is one of the warm-up methods. However, a warm shower covers it all. Physiotherapy for frozen shoulder includes various exercises that should be first confirmed by a doctor. There are a number of exercises for frozen shoulder.

Some very important frozen shoulder exercises are listed below:

1. Pendulum Stretch: To start with, you can do the pendulum stretch. This dictates that the shoulders should be in a state of relaxation, initially, following which the arm which is affected should be allowed to hang down slightly. Once this is done, the arm is to be swung in a small circle i.e. about a foot in diameter. This is to be done consistently so that there can be a gradual improvement in the condition. As there is an improvement, the size of the circle can be increased and once the shoulder can take sufficient weight again, minor weights (up to five pounds) can be used.
2. Finger Walk: A simple exercise which can be done almost anywhere is the finger walk. What this exercise entails is that the person stands about three-fourths of an arm’s length away from a wall and then places his or her fingers on the wall itself, at around the level of the waist. The fingers are to crawl or walk up the wall till the point that it becomes a little uncomfortable. While this is just one repetition, after the fingers have been lowered, it is to be done again. In order to have the best results in combating frozen shoulder, the finger walk exercise is to be repeated about twenty times in a day.
3. Towel Stretches: Towels do not serve a greater role apart from drying up post a bath or over the course of a visit to the spa, right? Well, this is not really true due to the fact that they can be used to even help with frozen shoulder! Indeed, towel stretches done by holding the towel with each hand across one’s back. The arm which is normal should then pull the affected arm so it is stretched. As is the case with the finger walk, about 20 repetitions a day is ideal for good results.

If one goes a step forward and follows a regime of with all these exercises, the person suffering due to frozen shoulder will be back to normal in almost no time at all!