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My daughter is 8 years fell in floor from standing condition suddenly and was hurt at her back of head. She became unconscious for couple of minutes. Advised by her paediatrician we got her Brain MRI. The report tells" shows features suggestive of small signal abnormalities in bilateral periventricular white matter - likely due to encephalomalacic lesions" Other reports such as EEG, Echo, ECG, CBC (blood) are normal. TSH is slightly elevated 4.7 and Vit D is slightly less. What is it exactly? In case there has been any damage to her brain tissue, is it irreversible? Any remedy?
hi my son age 11 has absent seizures since last several years ,currently he is being given sodium valproate and clonabazam , but absent seizures do continue occassionaly ,in the past dosage was increased but this led to increased level of valporic acid in blood , dosage had to be reduced. plz suggest what to do
Two years back she was having pain in knees. After sitting she the pain was worst. After seeing a physician we went to a neurologist. He said that certain nerves were pinched after an x ray. She was prescribed pregabalin and some other medicines. After two months she got a fit lasting for a minute only. We stopped that medicine and went to another neurologist. He said that there is no problem with nervous system and that knee pain is due to weight. He advised for a CT scan which was normal. However he prescribed Oxetol 300 mg and 450 mg for 3 years. After one month she was tired with the medicine and stopped. Everything was normal for two years. Then again she was having severe pain in leg. We went to another physician and he gave medicines for neuropathic pain of which pregabalin was a medicine. After using for one month she got a fit during night. This time the duration was even shorter. Both times it happened when she awoke in night and fainted. She told a feeling of anxiety that night before sleeping and told her head went numb or cold. We went to physician. He checked history stopped all medicines only giving oxetol 300mg in the morning and 450mg in the evening. Two months passed and she is fine. Very slight pain in knees also. But the doctor says she had to take this medicine for 5 years. Please advice us. We do not know whether she is having epilepsy or it was side effect of the medicines given for neuropathic pain.
Today morning I did some squat exercises bit after doing it I couldn't even walk properly today while walking today I fell down many times when I sat down I couldn't stand up on my foot for a long time I got two people to lift me up what may be the problem?
Sometime I trouble with headache it decrease sometime and sometime it decrease I don't understand what I do about problem. Rather it is migraine.
Respected Sir, I am feeling migration pain in my left side brain please suggest me best medicine for this problem.
I am 26 year old man I have numbness and burning sensation in my right part of the body. I am business man so lot tense in my daily life. Due this problem my sleep get disturb .i feel tired all day. From last 2 years. So please tell me how to get relief.
I have a severe acidity problem every day I need to consume 2-3 sachets of eno or would not be able to sleep at night what should I do?
My mom was affected with SAH and later got affected by vasospasm. Right side is paralysed. Latest CT report shows that there is a hydrocephalus formation. Doctor is advising for a surgery. My Question is that we do not have a reclining bed at home and we are giving food through a rayls tube and she is always lying down even when we are feeding her. Does this affect in any way?
My Mother Is having migraine as well as improper digestion problem. What should I do so that she gets relief?
I'm suffering from migraine and anemia inspire of taking good diet and healthy amount of iron. My haemoglobin level I just 5 inspite of good iron intake. Can you help me with this.
I'm 19 years old female. I'm suffering from postrual tremor, last attack occurred almost two years ago. Till then I use medication. I wants to know that how long I have to continue medication. Is there any permanent cure for this? or i'll suffer in future if i'll stop medication now?
My father suffering from brain stroke paralysis of left side (dt. 27.12. 2014). Leg some how working and he can walk but hand remain non- functional. He is complaining of pain when any movement of hand. He also can't put more pressure in the hand. He also develop a fear psychosis and got irritated and lose temper. What to do please anybody help me.
Since from a month am suffering from severe headache. How to conform whether it is a migraine or something else?
I am 32 years old female having a huge amount of hair fall and migraine problems with joint pain can you suggest some remedies which can be easily made at home.
If migraine pain starts then pain killer at that should be taken immediately or should wait it to be slow down automatically.
Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.
Reversal of cervical lordosis explained
The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.
When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.
Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.
In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.
Reversal of cervical lordosis causes
The spinal curvature in the neck is constantly in flux to some degree.
Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:
Scoliosis can affect the normal lordotic curvature in the neck.
Cervical spondylolisthesis is a major source of reversed lordotic curvature.
Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.
Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.
Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.
Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.
Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.
Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.
In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.
Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.
While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.
The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post head injury
Poor sitting/working postures
Congenital spinal curvatures
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine
Anatomy: straight vs. Curved
I've always heard that it was good to stand up straight.
stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.
Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.
When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.
Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.
In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.
Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:
Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.