Treatment of Headaches
Back Pain Treatment
Treatment of Neck Pain
Treatment of Forgetfulness
Spinal Surgery Disorders
Treatment of Epilepsy
Treatment of Nerve Pain
Treatment of Pain in Ribs
Treatment of Slip Disc
Treatment of Tremors
Treatment of Brain Hemorrhage
Treatment of Neurological Problems
Treatment of Schizophrenia
Treatment of Frozen Shoulder
Treatment of Brain Injury
Treatment of Knee replacement
Treatment of Buttock Pain
Treatment of Spasmodic Torticollis
Treatment of Nerve And Muscle Disorders
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Metabolic Bone Disease is a term used for various conditions of the bones that can be caused by a number of different disorders. Most of these disorders are developed due to nutritional deficiencies, defects in the bone metabolism procedure or due to hereditary defects in the skeletal structure. Conditions that fall under the category are osteoporosis, osteomalacia, rickets, Paget's disease, parathyroid conditions, chemotherapy induced bone loss and menopause induced bone loss.
Causes of Metabolic Bone Diseases
- Imbalance in the level of calcium: Too much calcium or too little calcium can cause bone diseases. While the overabundance of calcium (hypercalcemia) in the body will lead to calculi formation, which can be harmul for the body, the lack of calcium (hypocalcemia) causes weakness, bone pain and restricted growth.
- Deficiency of phosphorus: Low phosphorus in blood (hypophosphatemia) leads to softening of the bone tissue and bone loss. Osteomalacia is commonly caused by phosphorus deficiencies.
- Deficiency of Vitamin D: Vitamin D is essential for the body to absorb calcium. Cells called osteoblasts need vitamin D in order to absorb calcium and secrete the bone tissue proteins. A deficiency of vitamin D can lead to a number of metabolic bone diseases like rickets and osteoporosis.
- Over or under secretion of the parathyroid hormone: The parathyroid hormone (PTH) stimulates the secretion of an enzyme which converts the inactive circulatory form of vitamin D into its active usable form. The hormone can also increase the circulation of free or ionized calcium (Ca2+) which is not attached to proteins. Both underproduction and overproduction of the hormone causes skeletal problems.
Symptoms of Metabolic Bone Diseases
The symptoms of most of the Metabolic Bone Diseases are similar. They are:
- A dull, throbbing pain in the bones is the most common symptom. The pain is frequent and lasts for a long amount of time but, unlike muscular pain, the exact region of bone pain cannot be specified.
- Severe joint pains accompanied by stiffness and swelling of the joints. The patient experience pain during regular physical activities, especially during cold weather conditions.
- Frequent fractures are caused by most bone diseases because the bone mineral density decreases drastically. Severe bone injury may be caused by mild trauma.
- Defects in the bones can cause bowed out legs and a bent backbone.
- A general feeling of exhaustion is often caused by bone diseases.
- Kidney stones are an associated complication of metabolic bone diseases.
Alzheimer’s disease is a neurological, irreversible, progressive brain disorder. It is a chronic neurodegenerative dementia that causes the death of brain cells, causing memory loss and cognitive decline. It affects a person’s thinking and behavior. The symptoms develop slowly and get worse as time passes.
As it is a kind of dementia, Alzheimer’s is caused by the death of brain cells. Over a course of time, brain cells die progressively and at the end, the tissue is left with fewer nerve cells and connections. As a result, the total brain size shrinks. Tiny inclusions called plaques and tangles can be seen in the postmortem. These cannot be seen or tested in a living Alzheimer’s affected brain. These plaques are given the name “amyloid plaques” because they are found among the dying cells of the brain when a protein called beta-amyloid builds. The tangles stay in the neurons; they are formed from a protein called tau.
There are several reasons behind all this, some of which are listed below-
- Anti-anxiety medications
- Hitting on the head too many times
- Regularly sleep-deprived
- Diabetes in the brain
- Old age
- Genetic line
- Down’s syndrome
- Cardiovascular diseases
Alzheimer’s disease damages the brain, so the clinical signs and symptoms begin to show very early. The symptoms are-
- Memory loss
- Agitation and mood swings
- Poor judgment
- The trouble with money calculations
- Difficulty doing familiar tasks
- Trouble in planning or solving a problem
- Confusion with time and place
- Difficulty in communicating
- Loss of motivation
- Inappropriate behavior
- Aggressive personality
- Childlike behavior
Preventing Alzheimer’s disease:
Alzheimer’s disease ultimately results in death. Even if there are treatments, they cannot fully cure it. So it’s better to try to prevent it before it happens. Ways to prevent Alzheimer’s disease are-
- Eating more fruits and vegetables.
- Eating berries every day.
- Increasing omega-3 fatty acids.
- Taking folic acid supplements.
- Drinking grape juice or red wine with evening meal.
- Doing the Mediterranean style diet.
- Controlling the blood pressure.
- Having strong social support.
Treatment of Alzheimer’s disease:
- Treatment of Alzheimer’s disease is a long time process.
- First of all, doctors perform a physical exam to check the overall neurological health. By this, they check muscle strength, reflexes, walking ability, sense of sight and hearing, coordination and balance.
- Then comes the blood test to find the cause of confusion and memory loss by checking the thyroid disorder and vitamin deficiency.
- Then they perform the neuropsychological test and check the mental status.
- Then there are other tests, like MRI, CT, and PET.
- After all this, drugs are given and a safe and supportive environment is created with proper exercise and nutrition.
Alzheimer’s disease is undoubtedly the worst kind of disease. Hence, it is highly recommended to contact a doctor as soon as any symptom is noticed.
A lot of things can be done to cope with the initial stages of dementia. A person goes through a wide range of emotions such as fear, denial, frustration, and anger, post the diagnosis. Here is a list of tips that will help a patient with dementia to cope better:
- Physical health: For a dementia patient, it is very important to take care of one’s health. A good diet along with regular exercise and adequate rest is a prerequisite to manage this disorder.
- Regular check-ups: Regular medical check-ups with the doctor are necessary in this condition. Depression and other mental health problems should be discussed with a professional.
- Quit alcohol: Alcohol might give momentary pleasure from the misery, but it has long-standing implications. It reacts with the medicine and creates additional health and memory-related complications.
- Allocate time for difficult tasks: With time, it can become difficult to perform even the simplest of tasks. The patient should accordingly schedule the time to perform the tasks which may be difficult to carry out. Adequate breaks should be taken while performing a task to avoid getting fatigued.
- Redefine work: If a patient is suffering from dementia is still working, it should be ensured that the work is more manageable from a desk. Planning an early retirement may be a good idea in order to cope with dementia.
- Be organised: Keeping track of things can get difficult with time. It, therefore, makes sense to organise all belongings systematically. Putting labels on doors and drawers also help.
- Continue pursuing your hobbies: Amidst the difficulty and the depression, it is a good idea to continue doing things that are fun. While such activities might require some assistance from the doctor and family members, this helps the patient to be cheerful and healthy.
- Maintain notes: Since dementia is involved with forgetfulness, it makes sense to maintain a diary and keep records of phone numbers, people, appointments, etc.
- Communication channel: Maintaining a direct communication channel with family, friends, and relatives is a good idea. Sharing feelings will go a long way in maintaining relations with loved ones.
- Support group: Joining a dementia support group can be highly beneficial for the patient. It will not only give the patient company but also make sure that the patient gets a lot of useful information about the disorder. It also helps in keeping the morale up.
- Getting ready for the future: Things need to be meticulously planned well in advance to ensure that when the disease progresses, the patient has enough people to look after him. Things such as medical arrangements, financial assets, and property details should be carefully handed over as per the patient's wish. This will ensure a smooth run of the patients’ life when they can no longer take care of themselves.
Doctor I am suffering left side solder pain past 1 month, I feel it's muscle pain when do Anything with left hand its pain very badly. Please suggest.
My age is 22 can I stay without surgery for ACL complete tear for life time because my knee slips not so much and the pain is little bit and while folding my leg I feel pain that's all.
My 90 year old grandma had a Inter Trochanteric Fracture (hip). She has to undergo surgery. Is surgery advisable or any chances of recovering without surgery.
Sir mai chalte-chalte gir gyi thi ek mahina ho gya but thik nhi hua hai. Ankle me bahut pain hai, chal nhi pati hu, bahut dard hota hai. X-ray me koi fracture nhi hua hai. Please advise
I have been having lower back spasm for more than 3 months. I am taking myoril and fomentations 2 times a day. How long should I be following this to get rid of muscle spasm completely?
Parkinson's disease was first described as shaking palsy in 1817 by a London physician named James Parkinson. Parkinson's disease is a progressive disorder of the nervous system that affects movement. It develops gradually, sometimes starting with a barely noticeable tremor in just one hand. But while a tremor may be the most well-known sign of Parkinson's disease, the disorder also commonly causes stiffness or slowing of movement.It is a disorder of the central nervous system that affects movement, often including tremors.More than i million people are diagnosed with Parkinsonism in India.Nerve cell damage in the brain causes dopamine levels to drop, leading to the symptoms of Parkinson's.Parkinson's often starts with a tremor in one hand. Other symptoms are slow movement, stiffness and loss of balance.Acupuncture along with medication can help control the symptoms of Parkinson's.Acupuncture can be considered as a combination treatment with conventional treatment for patients with Parkinsonism.
I have severe Shoulder pain since many years. I have taken lot of physiotherapy session but no help. Please advise.
Any mild fracture in the hip can give a tough time to people. A hipbone fracture or broken hip is mostly common in the elderly people, especially in women. Mostly, the reason is underlying thinning of bones. In addition, in any hospital hip fracture is considered to be the most common bone treatment in the orthopaedic department.
A hipbone fracture can be intracapsular (within the joint capsule), or it can be extracapsular (outside the joint capsule).
What causes the hipbone fracture?
As discussed before, the leading cause of hipbone fracture is thinning of bones. So if you develop osteoporosis, you end up getting a fracture in your hip, mostly when you fall. Osteoporosis generally means your bone density has decreased, and your bones have become honeycombed. This makes the bone more fragile.
Generally, if you have a fracture in your hip, then you will feel pain around the injured portion, you will face difficulty in walking or moving. These are the most common symptoms that can be felt during a broken hip. Mostly the intensity of the fracture is determined clinically via different tests like X-ray, MRI, CT scan etc. The treatment may vary and depends upon the intensity of the injury. Now if we talk about the treatment of hipbone fracture, it's mostly surgery.
Well, it will be smart enough to take prevention regarding the hipbone fracture. There are various kinds of guidelines, which can help elders to prevent a hipbone fracture.
How to prevent hipbone fracture
- First and foremost, it is advised to adopt a healthy lifestyle in young age in order to build a healthy bone, which decreases the chance of bone fractures in older age.
- Always remember to maintain a healthy bone.
- Calcium and vitamin D both are very important for healthy bones. Health experts advise, when you attain the age of 50 or above, you should daily intake 1,200 milligrams of calcium per day and 600 international units of vitamin D per day.
- Exercise can help you to maintain peak bone density for longer periods, and it also increases the strength of your body and bones. Balance training also plays a pivotal role since it reduces the chance of falling.
- Avoid consuming of tobacco and alcohols as it can reduce bone density.
- Get your eyes checked every year so that you do not face any problem while seeing. This is because poor view increases the chance of falling.
- Keep an eye on every medicine you are taking. As dizziness or weakness can be side effects of many medicines, these can lead you to fall often. So it is advised to discuss your medication with doctors.
As you get older, the chance of high or low blood pressure doubles up. So you should be extra careful while standing up. If you don't feel steady enough, then to avoid falling, it is safe to use a walker or walking stick in the old age.
The ankle, despite being one of the smaller joints, plays a crucial role as it bears the brunt of a person’s weight. Due to improper gait or injuries, the ankle often gets sprained. This can be a recurring problem in older people. Therefore, over a period of time, the ankle gets unstable and can cause chronic symptoms including pain, imbalance resulting in recurrent falls. Read on to know more about some causes, symptoms, and management techniques for ankle instability.
Causes: The ankle has ligaments which stretch to allow for ankle movement. When this ligament stretches beyond the limit, then it can tear or stretch. Therefore, sportspersons like basketball and football players, gymnasts who tend to use their ankle a lot are at a much higher risk of developing ankle instability over a period of time.
Symptoms: The most common symptom of ankle instability is when a person is unable to stand firm. This pain is worse in people wearing heels or walking on uneven ground. Patients may experience swelling, stiffness, and excruciating pain.
Management: Ankle instability is an acute problem but the recovery time is limited too, so the symptoms disappear over a period of time. However, in some people, especially sportspersons, it may lead to a chronic condition which needs immediate attention. Few remedies for getting relief from ankle pain are mentioned below:
- Ice: For pain relief, icing the ankle is an excellent option. Applying a cold pack for about 10 to 15 minutes about 2 to 4 times per day is an effective way to relieve the pain, stiffness, and swelling.
- Rest: Ligament injuries often heal on their own, and sportspersons may be advised to stay off of the game for about a week or two, to give it time for self-repair.
- Compresses: Using an elastic wrap or compression ice wrap for a few hours can help in relieving ankle instability.
- Pain killers: Non-steroidal anti-inflammatory drugs like ibuprofen can help in reducing both the inflammation and pain from the ankle injury.
- Exercise: Increasing the strength and flexibility of the ankle via exercise is a great way to reduce chances of further sprain. Rotating the ankles, standing on one leg, etc., are some effective ways to do this.
- Surgery: If none of the above-mentioned remedies work, a surgery may be required which is only in severe and/or chronic cases.
Ankle instability is quite common but is equally easy to manage.
Is there any permanent treatment for slip disc problem or surgery is the ultimate treatment? Please advise me
Right leg do not get full strength n right hand finger vibrate and thigh back pain. Kindly do needful.
The primary aim of the treatment in patients suffering from seizure is leasing a seizure-free life without giving way to any adverse effects. This goal can be accomplished in over 60 percent people with the help of anticonvulsants. Some patients also experience adverse effects since they suffer from a seizure which is refractory to medical therapy. Here are some of the common treatment options for seizures:
- Monotherapy: Sometimes, monotherapy is given as it reduces the chance of all sorts of adverse effects and even avoids drug interactions. Moreover, this type of treatment approach is much less expensive than polytherapy since many older generation of the anticonvulsant agent comprises of hepatic enzyme which is responsible for reducing the serum level of the concomitant drug which leads to an increase in the dosage level of such medicines.
- Social And vocational rehabilitation: People suffering from problems in psychosocial adjustments after the diagnosis may also need social and vocational rehabilitation. Many physicians do not pay enough attention to the consequences that an epilepsy diagnosis may leave on the patient. For instance, people with epilepsy may have a fear of experiencing next attack of seizure and they may be unable to work at heights or drive.
- Consulting an expert: It is important to refer patients with intractable spells to epileptologist or neurologist for subsequent workup. A neurosurgical consultation may also be needed when the patient has to be treated surgically.
Importance of anticonvulsant therapy
Patients who have had already suffered from recurrent attacks of unprovoked seizure may need treatment with an anticonvulsant. This treatment is not recommended until the person has risk factors for suffering from the problem yet again. The primary means of treating seizure is anticonvulsant therapy where the most suitable drug is chosen based on accurate diagnosis of the syndrome as a response to specific anticonvulsants may vary from one patient to another. The difference in response may reflect the various pathophysiologic mechanisms in different types of seizures.
Types of anticonvulsant therapy
Some of the anticonvulsant therapy medication may have multiple action mechanism while some have an only single mechanism of action. Some of the most common variants of the therapy include:
- Neuronal potassium channel referred to as KCNQ opener
- Blockers of unique binding sites such as perampanel, gabapentin, and levetiracetam
- H-current modulators such as lamotrigine and gabapentin
- Carbonic anhydrase inhibitors such as zonisamide and topiramate
- Alpha-amino 3-hydroxy 5-methyl 4-isoxazole propionic acid receptor blockers like topiramate and perampanel.
- N and L-calcium channel blockers like zonisamide, valproate, topiramate, and lamotrigine
Even though there are so many types of drugs available, all of them cannot be used for the treatment of seizures. Doctors would evaluate the condition thoroughly before prescribing a medication that can be helpful in reducing the severity of the condition.
Lumbago or Lower back pain is a condition that is characterized by mild to serious pain or uneasiness in the lower back region. Lower back pain is more prevalent among the youth whose work includes physical exertion or sitting for long hours and is also common in individuals belonging to the 'retirement age' because of their sedentary lifestyles. The pain might be acute (sudden and extreme) or chronic if it has been endured over a span of three months.
The most common causes of lower back pain are:
- Overuse of the muscles and includes strains or sprains of soft tissues such as muscles, ligaments and vertebral compression fractures.
- Pressure on the roots of nerves due to conditions such as spinal canal stenosis (narrowing down of the spaces within the spine) or herniated disc (a condition of the rubbery disc present between the spine bones (vertebrae)).
- Osteoarthritis is a condition wherein the shock absorbers, found in the joints, progressively break down.
When it affects the spine, the condition causes back pain by stiffening the spinal joints. Symptoms of Lumbago (Low back pain) include:
- Stiff back
- Numbness in the legs
- Loss of weight
- Difficulty in urinating
- Sciatica, which is the pain running down the lower back to hips, legs and thighs. This occurs due to a compression by an intervertebral disc in the back, which leads to a pinched nerve.
How to diagnose lower back pain or a slip disc?
Some methods that can be utilized for diagnosing back include Xray, CT Scans, Myelogram and MRI scans.
Treatment options available -
Exercises along with correction of bad posture for relieving back pain are a common component of any treatment plan. Factors such as type and severity of the pain as well as the patient?s history can help in determining the type of treatment that can be administered. In most cases, the recovery time is usually six weeks without surgery. Typical treatment of back pain includes use of muscle relaxants, painkillers and physiotherapy. Surgery is suggested in severe cases. Some other treatments are discussed below:
- Rest: A period of rest and inactivity would help the injured tissues to recuperate and relieve back pain. However, extended periods of rest lead to weakening of muscles and hence might prolong the existing back pain.
- Heat and ice packs: Both heat and ice therapies are used according to the patient's preference to reduce inflammation.
- Medications: A large variety of prescription and over-the-counter medicines are available. Some reduce back pain caused by inflammation and others prevent the pain signals from travelling to the brain. Examples would include acetaminophen, celecoxib and diclofenac.