Doctors in Aveksha Hospital
Treatment of Red Eyes
Back Pain Treatment
Treatment of Pregnancy and related Disorder
Treatment of Joint Pain
Treatment of Leg Pain
Treatment of Knee Pain
Treatment of Bronchiectasis
Treatment of Irregular Periods
Treatment of Dark Circle
Treatment of Eye Pain
Treatment of Hand Pain
Treatment of Neck Pain
Treatment of Abdominal Pain
Treatment of Swelling
Treatment of Asthma
Treatment & Management of Stress
Treatment of Hemorrhoids
Management of Pregnancy
Treatment of Shoulder Pain
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Colon polyps are growths that are typically found in the large intestine. Although the causes behind the occurrence of colon polyps are not known, this condition is usually seen to affect adults.
Colon polyps are usually symptomless; hence it becomes difficult to diagnose the condition. They are commonly found as additional results of screening tests for colon cancers. Screening tests are conducted when there is a suspicion of a disease but it displays no significant symptoms. The symptoms can only be visible if the polyps are enlarged.
Typical symptoms include:
Change in appearance of stool.
As the presence of most polyps becomes evident only during colon cancer tests, it is recommended that regular tests for colon cancer be conducted for adults over the age of 50.
Some of these tests include:
Colonoscopy: This is highly recommended for detecting colon polyps. A small tube used for viewing is inserted into the colon by the doctor.
Flexible Sigmoidoscopy: This test is similar to colonoscopy but only a part of colon i.e sigmoid colon is screened.
Computed Tomographic Colonography (CTC): Also known as virtual colonoscopy, various computer systems and X-rays are used to create a detailed picture of the colon so that the doctor can search for polyps.
The size of the colon polyps helps to identify if the polyp is cancerous or not. Chances of the polyp being cancerous are high if the size of the polyp is higher than 1 cm or 0.4 inches. Hyperplastic polyps (smaller polyps) do not become cancerous and hence, do not need to undergo a colonoscopy. Another form of polyp is the sessile polyp which is usually a flat growth without a stalk and grows on the inner wall of the colon. Similar to other polyps, these polyps can be found and removed using a colonoscopy or a sigmoidoscopy.
Hives, also known as urticaria, is a kind of skin rash with red, raised, itchy bumps. They may also burn or sting. Often the patches of rash move around. Typically they last a few days and do not leave any long-lasting skin changes. Fewer than 5% of cases last for more than six weeks. the condition frequently recurs.
Hives frequently occur following an infection or as a result of an allergic reaction such as to medication, insect bites, or food. Psychological stress, cold temperature, or vibration may also be a trigger. In half of cases the cause remains unknown. risk factors include having conditions such as hay fever or asthma.diagnosis is typically based on the appearance. Patch testing may be useful to determine the allergy
Prevention is by avoiding whatever it is that causes the condition. treatment is typically with antihistamines such as diphenhydramine and ranitidine. in severe cases, corticosteroids or leukotriene inhibitors may also be used. keeping the environmental temperature cool is also useful. for cases that last more than six weeks immunosuppressants such as ciclosporin may be used.
About 20% of people are affected. cases of short duration occur equally in males and females while cases of long duration are more common in females. cases of short duration are more common among children while cases of long duration are more common among those who are middle aged. hives have been described at least since the time of hippocrates. the term urticaria is from the latin urtica meaning" nettle.
Sign n symptoms
Welts (raised areas surrounded by a red base) from hives can appear anywhere on the surface of the skin. Whether the trigger is allergic or not, a complex release of inflammatory mediators, including histamine from cutaneous mast cells, results in fluid leakage from superficial blood vessels. Welts may be pinpoint in size, or several inches in diameter.
Angioedema is a related condition (also from allergic and nonallergic causes), though fluid leakage is from much deeper blood vessels in the subcutaneous or submucosal layers. Individual hives that are painful, last more than 24 hours, or leave a bruise as they heal are more likely to be a more serious condition called urticarial vasculitis. Hives caused by stroking the skin (often linear in appearance) are due to a benign condition called dermatographic urticaria.
Hives can also be classified by the purported causative agent. Many different substances in the environment may cause hives, including medications, food and physical agents. In perhaps more than 50% of people with chronic hives of unknown cause, it is due to an autoimmune reaction.
Medications- Drugs that have caused allergic reactions evidenced as hives include codeine, sulphate of morphia, dextroamphetamine, aspirin, ibuprofen, penicillin, clotrimazole, trichazole, sulfonamides, anticonvulsants, cefaclor, piracetam, vaccines, and antidiabetic drugs. The antidiabetic sulphonylurea glimepiride, in particular, has been documented to induce allergic reactions manifesting as hives. Drug-induced hives has been known to have an effect on severe cardiorespiratory failure.[medical citation needed]
Food- The most common food allergies in adults are shellfish and nuts. The most common food allergies in children are shellfish, nuts, eggs, wheat, and soy. One study showed balsam of peru, which is in many processed foods, to be the most common cause of immediate contact urticaria. A less common cause is exposure to certain bacteria, such as streptococcus species or possibly helicobacter pylori. Infection or environmental agent
Hives including chronic spontaneous hives can be a complication and symptom of a parasitic infection, such as blastocystosis and strongyloidiasis among others.The rash that develops from poison ivy, poison oak, and poison sumac contact is commonly mistaken for urticaria. This rash is caused by contact with urushiol and results in a form of contact dermatitis called urushiol-induced contact dermatitis. Urushiol is spread by contact, but can be washed off with a strong grease- or oil-dissolving detergent and cool water and rubbing ointments.
Dermatographic urticaria (also known as dermatographism or" skin writing") is marked by the appearance of weals or welts on the skin as a result of scratching or firm stroking of the skin. Seen in 4–5% of the population, it is one of the most common types of urticaria, in which the skin becomes raised and inflamed when stroked, scratched, rubbed, and sometimes even slapped.
The skin reaction usually becomes evident soon after the scratching, and disappears within 30 minutes. Dermatographism is the most common form of a subset of chronic hives, acknowledged as" physical hives.
It stands in contrast to the linear reddening that does not itch seen in healthy people who are scratched. In most cases, the cause is unknown, although it may be preceded by a viral infection, antibiotic therapy, or emotional upset. Dermographism is diagnosed by taking a tongue blade and drawing it over the skin of the arm or back. The hives should develop within a few minutes. Unless the skin is highly sensitive and reacts continually, treatment is not needed. Taking antihistamines can reduce the response in cases that are annoying to the patient.
Pressure or delayed pressure
This type of hives can occur right away, precisely after a pressure stimulus or as a deferred response to sustained pressure being enforced to the skin. In the deferred form, the hives only appear after about six hours from the initial application of pressure to the skin. Under normal circumstances, these hives are not the same as those witnessed with most urticariae. Instead, the protrusion in the affected areas is typically more spread out. The hives may last from eight hours to three days. The source of the pressure on the skin can happen from tight fitted clothing, belts, clothing with tough straps, walking, leaning against an object, standing, sitting on a hard surface, etc. The areas of the body most commonly affected are the hands, feet, trunk, abdomen, buttocks, legs and face. Although this appears to be very similar to dermatographism, the cardinal difference is that the swelled skin areas do not become visible quickly and tend to last much longer. This form of the skin disease is, however, rare.
Cholinergic or stress
Main article: cholinergic urticaria
Cholinergic urticaria (cu) is one of the physical urticaria which is provoked during sweating events such as exercise, bathing, staying in a heated environment, or emotional stress. The hives produced are typically smaller than classic hives and are generally shorter-lasting.
Multiple subtypes have been elucidated, each of which require distinct treatment.
Further information: chronic cold urticaria
The cold type of urticaria is caused by exposure of the skin to extreme cold, damp and windy conditions; it occurs in two forms. The rare form is hereditary and becomes evident as hives all over the body 9 to 18 hours after cold exposure. The common form of cold urticaria demonstrates itself with the rapid onset of hives on the face, neck, or hands after exposure to cold. Cold urticaria is common and lasts for an average of five to six years. The population most affected is young adults, between 18 and 25 years old. Many people with the condition also suffer from dermographism and cholinergic hives.
Severe reactions can be seen with exposure to cold water; swimming in cold water is the most common cause of a severe reaction. This can cause a massive discharge of histamine, resulting in low blood pressure, fainting, shock and even loss of life. Cold urticaria is diagnosed by dabbing an ice cube against the skin of the forearm for 1 to 5 minutes. A distinct hive should develop if a patient suffers cold urticaria. This is different from the normal redness that can be seen in people without cold urticaria. Patients with cold urticaria need to learn to protect themselves from a hasty drop in body temperature. Regular antihistamines are not generally efficacious. One particular antihistamine, cyproheptadine (periactin), has been found to be useful. The tricyclic antidepressant doxepin has also been found to be an effective blocking agent of histamine discharge. Finally, a medication named ketotifen, which keeps mast cells from discharging histamine, has also been employed with widespread success.Solar urticaria
This form of the disease occurs on areas of the skin exposed to the sun; the condition becomes evident within minutes of exposure.
This type of urticaria is also termed rare, and occurs upon contact with water. The response is not temperature-dependent and the skin appears similar to cholinergic form of the disease. The appearance of hives is within one to 15 minutes of contact with the water, and can last from 10 minutes to two hours. This kind of hives do not seem to be stimulated by histamine discharge like the other physical hives. Most researchers believe this condition is actually skin sensitivity to additives in the water, such as chlorine. Water urticaria is diagnosed by dabbing tap water and distilled water to the skin and observing the gradual response. Aquagenic urticaria is treated with capsaicin (zostrix) administered to the chafed skin. This is the same treatment used for shingles. Antihistamines are of questionable benefit in this instance, since histamine is not the causative factor.
Chizzola maculae is a very specific skin lesion due to fluoride exposure. The size of a coin, these lesions may resemble small blue bruises or be wholly pink. Doctors george waldbott and v. A. Cecilioni named the lesions after a town in italy, where they were common in young women and children. According to waldbott, chizzola maculae are early symptoms of fluoride intoxication.
The condition was first distinguished in 1980. People with exercise urticaria (eu) experience hives, itchiness, shortness of breath and low blood pressure five to 30 minutes after beginning exercise. These symptoms can progress to shock and even sudden death. Jogging is the most common exercise to cause eu, but it is not induced by a hot shower, fever, or with fretfulness. This differentiates eu from cholinergic urticaria.
Eu sometimes occurs only when someone exercises within 30 minutes of eating particular foods, such as wheat or shellfish. For these individuals, exercising alone or eating the injuring food without exercising produces no symptoms. Eu can be diagnosed by having the patient exercise and then observing the symptoms. This method must be used with caution and only with the appropriate resuscitative measures at hand. Eu can be differentiated from cholinergic urticaria by the hot water immersion test. In this test, the patient is immersed in water at 43 °c (109.4 °f). Someone with eu will not develop hives, while a person with cholinergic urticaria will develop the characteristic small hives, especially on the neck and chest.
The immediate symptoms of this type are treated with antihistamines, epinephrine and airway support. Taking antihistamines prior to exercise may be effective. Ketotifen is acknowledged to stabilise mast cells and prevent histamine release, and has been effective in treating this hives disorder. Avoiding exercise or foods that cause the mentioned symptoms is very important. In particular circumstances, tolerance can be brought on by regular exercise, but this must be under medical supervision
The cause of chronic hives can rarely be determined. In some cases regular extensive allergy testing over a long period of time is requested in hopes of getting new insight. No evidence shows regular allergy testing results in identification of a problem or relief for people with chronic hives. regular allergy testing for people with chronic hives is not recommended.
Acute versus chronic
Acute urticaria is defined as the presence of evanescent wheals which completely resolve within six weeks. Acute urticaria becomes evident a few minutes after the person has been exposed to an allergen. The outbreak may last several weeks, but usually the hives are gone in six weeks. Typically, the hives are a reaction to food, but in about half the cases, the trigger is unknown. Common foods may be the cause, as well as bee or wasp stings, or skin contact with certain fragrances. Acute viral infection is another common cause of acute urticaria (viral exanthem). Less common causes of hives include friction, pressure, temperature extremes, exercise, and sunlight.
Chronic urticaria (ordinary urticaria) is defined as the presence of evanescent wheals which persist for greater than six weeks. Some of the more severe chronic cases have lasted more than 20 years. A survey indicated chronic urticaria lasted a year or more in more than 50% of sufferers and 20 years or more in 20% of them.
Acute and chronic hives are visually indistinguishable.
- Apis mell: The hives consist of isolated patches that are painful, tender, itch at night, feel like bee stings, become purple. There is burning pain, slight fever, and warmth of the surrounding skin. It is worsened by changing weather and exercise, causing severe itching and burning. The patient may already have asthma.
- Arsenic album: The urticaria is caused by eating shellfish and causes burning and restlessness. The condition gets worse being at the seaside and by getting into sea water. Arsenic is also useful to treat urticarial symptoms during the recession of the lesions. The person also could be down emotionally with depression, despair, indifference and irritability. If the lesions are more severe, the restlessness is also severe. It is worse after midnight, from 1 to 2 a. M.
- Rhus toxicodendron: Prepared from the leaves and bark of the plant poison ivy, rhus works on multiple body systems including skin, joints, eyes, extremities, and overall vitality. In addition to urticaria, it is also used in cellulitis, arthritis, fevers, etc. It is effective if the urticaria has a burning sensation, inflamed reddened rash that is worsened by cold and improved by warmth.
- Urtica urens: Made from a plant called stinging nettle, which itself has a tendency to produce urticaria, it is used when there is urticaria from bee stings or after eating shellfish. The lesions are red with severe burning and itching, recurring every year, could be associated with weather changes.
- Natrum muriaticum: The common salt sodium chloride is potentized, and its inner healing power activated. It is used for chronic urticaria, where the lesions develop after severe irritation
- Dulcamara: The lesions develop followed a general prickly sensation setting in and at night when it is cold and damp. The hives are irregular white patches surrounded by a red area that itch badly. The hives are associated with violent cough, swelling of the lymph nodes, fever, restlessness, sleeplessness, decreased appetite, nausea, vomiting, bitter taste, and intense aching in pit of stomach.
With approaching winter the infants are most vulnerable section of the society that can develop complications related to extreme cold weather. Here are some tips for new mothers to keep the baby cozy and free of problems :
1. Protecting from Cold :Winter means cold temperature. Babies especially newborn have larger exposed surface area and immature mechanism to generate heat in their body. Hence, they need to be protected with an extra layer of cloth . This should be preferably be a woollen or thick cotton. The more layers will protect against cold conditions. Also , their peripheries need to be covered with mittens/gloves and socks to keep them warm. Caps are a must especially when they get exposed to cold breeze as head is a significant part of their body . Swaddling and maintaining a room temperature of 24-28 o C is also a recommended way to keep babies warm.
2. Maintaining safe sleeping: While sleeping the babies are at a risk of choking at times and hence they should not be overcovered with layers of heavy and bulky blankets. Also the crib in which the baby is placed should not be overstuffed . This causes poor air circulation , makes baby uncomfortable and may cause suffocation in the baby also. Babies should always sleep on their back and never on their tummy.
3.Skin Protection: With winter there is onset of many dry and irritant skin conditions. To protect the newly born from these problems one should moisturise the baby’s skin well after bath. Bathing daily can denude the natural oils of the skin and hence should be avoided. TO avoid allergy to the skin, hypoallergenic products only should be applied on the neonates skin and best oils to be used for massage is coconut or olive oil. The mustard oil and practices like LOI with flour can cause sever irritation on the tiny babies skin.
4. Protection from common infections and cold:With winter many adults too catch cold and cough and they can pass their infections to the neonate. TO protect them use hand sanitizer, use more breast feeding, wash hands frequently before touching the babies and do not allow for kissing and touching the face of the baby with unclean hands. Mothers who have common cold or fever can continue to breastfeed their babies using handkerchief or mask to prevent the babies from catching their infection.
5. Tackling common problems of winter : Common problems like nose block still happens due to winter and hence it is best to use saline drops and good quality nasal aspirators to keep the nose less stuffy. Also use oil heaters which do not let the humidity decrease while giving heat and hence do not aggravate the problem of stuffy nose. Some new items like vaporises and humidifiers can also be used to maintain humidity in the room in which baby is spending most of their time.
6 .Red flag signs in winter: If during winter the baby has any signs like irritability, poor feeding, excessive cry, pulling ears, cough, breathing difficulty, icy cold body , bluish lips or tongue or fever more than 100 degree F then consult your paediatrician immediately as this indicates serious infections too. Do not use home remedies for such small infants.
Understand the history and implications of the crip walk. The crip walk is a controversial dance move which originated in the 1970s in South Central Los Angeles, among members of the Crip gang.
Originally, the foot movement used in crip walking was meant to spell out the letters "C-R-I-P" and was used to display gang affiliation at parties and other gatherings.
- Later, the dance was used as a signature by Crip gang members after they had committed a crime, as the foot movement would leave distinctive shuffle marks on the ground.
- As a result of these associations, crip walking was banned from a large number of schools in certain L.A. neighborhoods, while MTV refused to play any rap or hip-hop videos (such as those by Snoop Dogg, Xzibit, and Kurupt) containing the crip walk.
- More recently, the crip walk has been appropriated by American culture and, in general, is no longer intended to display gang affiliation.
- However, it is important to be aware of the history and implications of the crip walk, as performing it could still potentially cause offense in certain situations.
Learn the shuffle. The shuffle is the most basic part of the c-walk. To shuffle, stand with your right foot planted firmly on the ground and your left leg extended out in front of you, balanced on the ball of your left foot.
- Now, reverse this position by standing firmly on your left foot while your right leg is extended in front of you, balanced on the ball of your right foot. Jump as you switch your feet, so the switch is completed in one fluid movement.
- Now keep jumping and switching your feet -- this is the basic shuffle movement. You can make it more interesting by moving sideways or around in a circle as you jump, or by keeping the same foot forward in a double jump.
- Variation: A common variation on the shuffle step is the shuffle kick. To do the shuffle kick, balance your front foot on the heel rather than the toe and give it a flick to the side.
- Alternating between the basic shuffle step and the shuffle kick will add more flavor to your crip-walk.
Learn the heel-toe. The heel to toe is perhaps the hardest part of the crip walk and will require some practice.
- Type one: Turn so that your body is facing diagonally towards the right, then put your left foot forward, balancing on the heel. Swivel on your left heel and the ball of your right foot until your body is facing diagonally towards the left.
- Now jump and switch feet so your right foot is in front, balanced on the heel, and your left foot is behind. Keep practicing this movement until you get it fast and smooth.
- You can add some variation to the movement by doing a double heel-toe -- do the heel-toe as normal but instead of switching feet try to swivel in the same direction twice, keeping the same foot in front.
- Type two: The second type of heel-toe is pretty much the same as the first, except for one major difference. Instead of balancing on the ball of your back foot, try to balance on your toe. Then instead of swiveling on your toe, drag it across the ground as you change directions.
- Type three: The third type of heel-toe involves the same movement as the first, except that you keep repeating the heel-toe with the same foot in front while moving in one direction. So, starting with your body facing diagonally towards the right and your left heel in front, swivel so that your body is facing diagonally towards the left. Now instead of switching feet, jump back to the starting position (facing the right, left heel in front) and repeat the movement again.
Put it all together. A good crip walk will involve a combination of the movements described above, with as many variations and as much personal style thrown in as possible.
- Just try to get the movements as smooth and fluid as possible -- crip walking is supposed to look effortless and loose, not tight and exact.
- Practice as you listen to your favorite hip-hop or rap tunes and try to dance in time with the beat.
- What you do with your arms is up to you -- some people leave them loose at their sides, while others put their hands on their hips.
- Remember that everyone's c-walk is unique, so just do what feels good for you.
Joint stiffness is a feeling that the movement of a particular joint is getting restricted. The stiffness is generally accompanied by pain and occurs mainly due to arthritis or as a result of an injury to joint. Appropriate and regular exercises can help reduce stiffness and pain, increase flexibility, improve endurance, develop muscle strength and keep bone and cartilage in healthy condition.
What physiotherapy is all about? How it can be helpful in treating joint stiffness?
One of the allied health professions is physiotherapy, which by using mechanical force and movements, exercise therapy and electrotherapy, acts as a remedy for impairments and promotes a person’s mobility and joint function. The kind of physical therapy treatment which people receive for their joint stiffness mainly depends on the exact cause for the condition and other symptoms such as pain and inflammation.
Procedure for treating joint stiffness through physiotherapy-
- When you go for physiotherapy, the first thing a physical therapist would do is to ask you about the exact condition with respect to the symptoms, which you might be experiencing along with the joint stiffness. You should clearly state to the physiotherapist since when have you been experiencing stiffness. The very next thing which a therapist would ask is, your medical history if you have been suffering from arthritis.
- After all the preliminary diagnosis through the question-answer session, the physiotherapist would conduct a thorough physical examination and look to evaluate the joint and other structures associated with it to find out what exactly is causing joint stiffness and other symptoms like, pain, inflammation etc.
Now, after the completion of his questioning and physical examination, the comprehensive physical therapy treatment plan would be prepared as per the exact of your stiffness, symptoms and your needs.
First, by determining the exact cause of joint pain and then treating it with highly effective therapies, physiotherapy acts as a preventive mechanism for reducing joint stiffness and the pain associated with it.
The treatment options which physiotherapists generally go for are as follows:
- Manual therapy: this manual therapy generally involves soft tissue and joint mobilization to provide relief from joint restriction and muscle tension.
- Soft tissue massage: soft tissue massage involves therapists only using their hands o reduce back muscle tension and restore mobility to stiff joints, as an effort to allow the patient more flexibility.
- Acupuncture: the physical therapy of acupuncture helps in restoring the balance of energy in the body and thus provides relief from pain, inflammation and proceeds with the healing process. This is done through single-use fine needles, which are used at different ‘trigger’ points on the body, as per your symptoms, thus helping to stimulate the flow of energy.
- Ultrasound: while conducting an ultrasound, physiotherapist uses a transducer to send a stream of high-frequency sound waves into one’s body. These waves bounce off one’s organs, muscles, and tissues.
- Exercises: physiotherapist would instruct you to do some stretching exercises where you would require moving your limbs without support and muscle strengthening exercises which would make you kneel, stand and sit to maintain your own balance.
If you’re a woman trying to have a baby, you probably know that there are many parts of your body that have to work just right. Your ovaries need to produce an egg every month, called ovulation, your uterus has to be in good shape, and your fallopian tubes have to be open. If anyone of these important parts isn’t functioning correctly, you might have trouble getting pregnant.
If your fallopian tubes are blocked, sperm won’t be able to reach your egg or the fertilized egg won’t be able to get into your uterus. Blocked tubes can happen for several different reasons, but no matter the cause, your doctor will diagnose it with a test called a hysterosalpingogram.
Hysterosalpingogram (hsg) - A hysterosalpingogram or hsg is an x-ray procedure performed to determine whether the fallopian tubes are open and to see if the shape of the uterine cavity is normal. An hsg is an outpatient procedure that takes less than one half-hour to perform. It is usually done after menses have ended, but before ovulation, to prevent interference with an early pregnancy.
Hysterosalpingography can help diagnose the following causes of infertility.
- Structural abnormalities in the uterus, which may be congenital (genetic) or acquired
- Blockage of the fallopian tubes
- Scar tissue in the uterus
- Uterine fibroids
- Uterine tumors or polyps
How is a hysterosalpingogram done?
A patient is positioned under a fluoroscope (a real-time x-ray imager) on a table. The gynecologist or radiologist then examines her uterus and places a speculum in her vagina. Her cervix is cleaned, and a device (cannula) is placed into the opening of the cervix. The physician then gently fills the uterus with a liquid containing iodine (contrast) through the cannula. The contrast then enters the tubes, outlines the length of the tubes, and spills out their ends if they are open. Any abnormalities in the uterine cavity or fallopian tubes will be
Visible on a monitor. The hsg is not designed to evaluate the ovaries or diagnose endometriosis. Frequently, side views of the uterus and tubes are obtained by having the patient change her position on the table. After the hsg, a patient can immediately resume normal activities, although some physicians ask that the woman refrains from intercourse for a few days.
Risks and side effects-
- Mild pain during or after the procedure.
- Light bleeding for two to three days following the procedure.
- Feeling of light-headedness or faintness during or after the procedure.
- Exposure to a small amount of radiation
A radiologist will look at the x-ray images and send a report to your doctor. Your doctor will talk about the results with you and explain if more tests are needed. It may show a complete normal report suggesting bilateral tubal patency and a good uterine cavity. In case, if a pathology is suspected like blocked single tube/ both tubes, an irregular filling defect in the uterine cavity necessary management can be advised accordingly. It's relatively a safe and cheap alternative to laparoscopy surgery. However, a hystero-laparoscopy is the gold standard for evaluation of the entire female genital tract as it is not only diagnostic but also corrective in case if pathology is diagnosed in the same sitting.
If the report shows that your fallopian tubes are blocked, you might need a procedure called a laparoscopy. It lets your doctor look directly at the fallopian tubes. She may also recommend in vitro fertilization (IVF. Your doctor will talk to you about your options and help you make the decision that is best for you.
Heel pain is a common problem in the body where the affected person experiences pain radiating from the heel bone. Heel pain usually progresses slowly over time, it is recommended to consult a medical professional, if heel pain turns severe. The pain tends to most severe after one has been inactive for some time such as after waking up in the morning.
Heel pain is usually caused when tissues present in the bottom of the heel (plantar fascia) is damaged. These tissues connect the heel bone with the bones of the feet and help in absorbing shocks. Tears are formed in these tissues when they are damaged or when they get thicker. These tissues are at an increased risk of wear and tear for those who are over 45 years old. The risks also tend to increase if the person is obese or whose occupation requires standing for lengthy periods of time.
Among other causes of heel pain are heel bone fractures, fat pad atrophy (a condition where a layer of fat present under the heel bone is reduced) and bursitis (inflammation of the fluid-filled sacs present around the joints). Peripheral neuropathy is a condition where damage occurs in the peripheral nerves (that transmits signals between the central nervous system and the rest of the body), this can cause pain in the heel.
The symptoms of heel pain include:
1. Experiencing pain while jogging or walking
2. A feeling of pins pricking the heels after waking up in the morning
3. Inability to bend the heel
4. Painful swelling
5. Pain in the heel accompanied by fever
Prevention and treatment-
Heel pain can be prevented by taking certain preventive measures such as restricting usage of high heeled shoes without proper support and stretching the heel regularly. Medications such as painkillers are used to treat symptoms of heel pain
Physiotherapy treatment -
1. Some instructions have to follow
2. Manual therapy
3. Ift +ultrasound therapy
4. Calf stretching
5. Contras bath