Dr. Aravind G N

PCOS or polycystic ovary syndrome is an endocrine disorder in women, in which the female hormones, progesterone and estrogen, are imbalanced. This imbalance leads to the formation of cysts (benign masses) in the ovaries. PCOS tends to affect your heart functions, fertility, menstrual cycle and appearance.

There are certain symptoms, which can be indicative of PCOS; these symptoms tend to begin as a woman's menstrual cycle starts. In certain cases, however, PCOS may also affect a woman in her mid age. PCOS can also cause excessive hair growth in unwanted places like above the upper lip,chin,arms and chest like a male.

The symptoms are:

• Increase in the production of male hormone, leads to development of male characteristics
• The size of the breasts may reduce
• The tone and the texture of the voice may change and become similar to a man's voice
• Hair may start to fall
• You may suffer from acne and pimple breakouts on your face
• It can lead to sudden weight gain
• It may affect a woman's fertility
• It may lead to pain in the pelvis

Other symptoms: Apart from these symptoms, a woman may also experience other health complications such as high levels of bad cholesterol, high blood pressure and diabetes.

Causes: The causes of PCOS are not well known, however, the likely causes are genetics and hormonal complications. If someone in the family has PCOS, then the risk of being affected by PCOS rises significantly. The other likely cause is the overproduction of the male hormone androgen in the female body. Although androgen is a male hormone, the female body also produces it in trace amounts. However, in some cases, when it is overproduced, it might impair the ovulation process.

Diagnosis and Treatment: Once the condition is diagnosed, there are certain treatments, which are recommended for the patient. The condition in itself does not have a cure, but the symptoms can only be controlled. Medications to control the androgen levels in the female body may be administered if you have androgen hormone complication. A balanced diet and an exercise regimen can be chalked out to control body weight and regulate blood sugar levels. If PCOS leads to ovulation problems, then medications to facilitate ovulation may be advised. If you wish to discuss about any specific problem, you can consult a gynaecologist.

Hi this is Dr. Amit. I am MPT in neuro. I have my clinic physio-health plus. So today I am going to discuss about Stroke. Today, these days the stroke patients are more common. For stroke what is the main cause, is stress. Because of hypertension patients got stroke. They have blood clot in their brain. It closes the blood brain barrier and reach to the brain and they damage the part of the brain. So most of the people get paralysis attacks, right hemi, left hemi, and for these patients we have a complete rehabilitation center here.

So for the hand rehabilitation, leg is recovered earlier and arm is not recovered. Because the main reason for that why arm is not recovering? Because we people, the patient mostly, they are not using their arm while working. They just concentrate on their working. The first need of the patient is the working. They need to go to the bathroom, they need to go to the other area, and they need to work first, then everybody is going working on the arm rehabilitation. So what are the limitations on the arm? There is an internal rotation of the shoulder, flexion of the elbow, the wrist is going in the flexion, so need to correct that posture. So if the patient is not first involved in the movement we won’t get any better treatment. So first of all the patient should need to involve in the treatment, involve in the therapy then only we can cure that. So first of all there is a movement of the shoulder. Shoulder movements? What are the lacking movements?

There is shoulder flexion first of all. There is lack of shoulder flexion in the movement. The patient, if we ask the patient to flex the shoulder they will raise outside. There is more abduction on the shoulder. Second is elbow extension. So elbow extension won’t be there. Most of the cases there are elbow extension but mostly their elbow is in the flexion portion. Then wrist extension is lacking, finger extension is lacking and thumb abduction is lacking. So we are working on these movements only. There are some misconceptions that the patients of hemi they are not recovered mainly the arm is not recovered completely. But it is not like that, so we can recover the patient with the arm, hand rehabilitation also, we are working on that.

So please contact me on lybrate.com. You can contact at any time.