Osteoporosis is a skeletal disorder, which causes fragility of bones. In the absence of proper prevention and treatment modalities, osteoporosis can cause a painless progression and subsequent fractures. Such fractures (broken bones) mostly occur in the hip, spine, or wrist. As per several past data-driven studies conducted in the United States of America, 1.5 million new fractures are witnessed in people with osteoporosis every year. Of these, spine fractures are seen in 700,000; hip fractures in 300,000; wrist fractures in 250,000; and fractures of other bones in 250,000 people.

Possible Causes of Osteoporosis

Hormonal imbalances Pregnancy
Metabolic diseases Cancer
Age beyond 60-65 years
Symptoms of Osteoporosis-Induced Compression Fractures 
Significant upper or lower back pain
Changes in posture
Difficulty with breathing and digestion 
Decreased ability to walk 
An overall decrease in the quality of life Increased tendency for fracture of adjacent vertebrae
Treatment

Compression fractures are usually managed with pain medications; narcotic pain medicines are administered for a few months until the pain decreases. Also, few available medications are known to increase the bone density. It is hoped that by building the bone density, future fractures can be prevented. Another method is immobilization of the spine with a brace that helps decrease pain from a broken vertebra; however, such braces are helpful only for the fractures of the lower back.

Role of Kyphoplasty in the Management of Osteoporosis

Kyphoplasty is a procedure that involves a new technology whereby an osteoporotic compression fracture can be treated with relief in pain, restoration of the lost bone height, and immediate stabilization of the fracture with the injection of bone cement. 

How is kyphoplasty done?

The procedure is carried out via two A  incisions on each side of the affected vertebra. The technique utilizes X-ray equipment to place working tools into the collapsed vertebra. This step is followed by an insertion of an inflatable bone tamp or expander into the fractured vertebra on each side, after which, the balloons are slowly inflated, lifting up the fractured portion of the vertebra to a more normal height. The balloons are then deflated, and cement is slowly injected. Excellent restoration of fractures, which are less than 4-6 months old and better than 90% success at reducing pain associated with the broken vertebra, is seen with kyphoplasty. 

Which patients can benefit from kyphoplasty? 

Patients with a recent vertebral compression fracture due to osteoporosis 
Patients with fractures which are less than 4 months old
Patients with fractures who are on chronic prednisone or steroids 
Complications from this procedure have been primarily related to patients who have been on blood thinner medications. 
Potential complications also include cement leaking out of the vertebra and into inappropriate areas. 

Kyphoplasty In The Management Of Osteporosis!

Benefits of eating sprouts early in the morning

Sprouts can be home-made and they make one of the healthiest breakfasts to begin the day with. 

Top 4 reasons to start your day with a bowl of sprouts.

1. Sprouts are high in fiber content and hence beneficial in weight loss because they help in breaking down the fat in our bodies and flushing them out.

2. Most of your required dose of vitamins can be fulfilled by sprouts since they have vitamins a, b-complex, c and d.

3. Sprouts are also known to be rejuvenating foods and add vigor to our bodies.

4. They are easy to digest and can be eaten by the young and the old too.

If you would like to consult with me privately, please click on consult.


Why SPROUTS are world's best breakfast?

How To Control Nerve Pain?
Nerve pain or peripheral neuropathy, as it is medically known, is characterized by pain, numbness and weakness that arise out of nerve damage. This pain is usually restricted to the feet and the hands.
What are the common causes?
Diabetes is the most common cause for this condition. However, other causes, such as injuries, infections and prolonged exposure to certain toxins can also trigger nerve pain.
How can you control nerve pain?
Nerve pain can be managed and taken care of at home taking into consideration the points that have been mentioned below:
Topical Painkillers: Certain over the counter ointments and creams can help relieve nerve pain. These medications act as local anesthetics; that is they numb the area of the pain. Capsaicin, a derivative of chili peppers, is one of the major ingredients used in these medicines. Others use botanical oils as the major ingredients.
Painkillers: There are painkillers available OTC which can curb nerve pain. However, painkillers such as ibuprofen, aspirin and acetaminophen do not really work well for severe pain of the nerves.
Supplements: The lack of Vitamin B12 is considered to be a very important cause, and at times, a catalyst for nerve pain. In a case such as this, Vitamin B12 supplements or injections might be administered. Although more research needs to go into this, but certain supplements, especially gamma-linolenic and alpha-lipoic acid can help soothe nerve pain caused by diabetes.
Acupuncture: This time honored Chinese approach is a proven alleviator of nerve pain. Acupuncture releases chemicals which numb the pain, or prevent the pain signals from travelling to the brain.
Physical Therapy and Massages: Physical Therapy can especially heal and strengthen weak muscles that can stem from acute nerve damage and pain. Though more evidence is needed, according to a few sufferers of this condition, massages can be helpful with the tremendously painful muscle spasms that can so often result from nerve pain.
Relaxation Techniques: In combination with the above mentioned approaches, relaxation techniques can go a long way in relieving debilitating neural pain. Besides being helpful with dealing and reducing a few stress phases of life which can cause nerve pain, these techniques might actually root out the actual pain itself.
Lifestyle Modifications: This one s always a winner! Eating a well-balanced diet that guarantees all nutrients in uniform amounts can never go wrong. Regular exercises for about 30-45 minutes can remedy different types of pain; nerve pain being one of them. Try and limit alcohol intake (a peg once a week won t harm one, but binge drinking can play the ultimate spoilsport and make all health plans go topsy-turvy!). Abstain from smoking or chewing tobacco as this is usually the primary contributor towards any medical condition or disorder.

Nerve Pain - 7 Ways You Can Control it 

Obesity doesn't happen overnight. It develops gradually over time, as a result of poor diet and lifestyle choices.

Obesity occurs when a person has too much fat stored in his/her body. This extra weight can come from body water, fat, bone and muscle. Obesity usually occurs when you consume more calories than you can burn. It is caused due to a variety of factors such as being physically inactive, eating foods containing a high fat content, overeating and genetic makeup. Obesity can have a lot of complications such as cancer, arthritis, stroke, heart diseases and diabetes.

How do people become obese?

Consuming too much calories: Nowadays people are consuming more food than they did in the previous generations. Consuming too much unhealthy calories can make people obese which may lead to a lot of complications in the future.
Leading a sedentary and unhealthy lifestyle: With the growth of technology, people have become more inactive and are leading a more sedentary lifestyle as compared to their past generations. With the advent of shopping malls and grocery outlets people don t have to walk miles for food. This also leads to an inactive lifestyle which later results in obesity.
Not getting enough sleep: According to studies, sleep deprivation may also lead to obesity. This happens due to an increased appetite because of hormonal changes. Sleep deprivation leads your body to produce less amounts of a hormone (leptin) which increases appetite.
Medications: Certain medications can also lead to rapid weight gain. In such cases, alternate therapy should be opted especially for those people who are predisposed to obesity and weight gain.
Obesity gene: According to statistics people who have the FTO gene variant in their bloodstream tend to eat more than usual. They also prefer fatty and high energy foods.
It is very difficult for obese people to reduce their weight. By changing in lifestyle like Diet, Physical activity level, water intake and sleeping pattern, if changed under supervision of specialist with dedication, discipline and faith in their dietitian, can give wonderful results for lifetime.

World Obesity Day - Why People Become Overweight?

Caffeine is said to be good for the body if it is consumed in limited quantity. It is also to be kept in mind that the form in which it is consumed is also important, and green tea is said to be very good. But what about having green tea very soon after a meal is finished?

There are a lot of health benefits of green tea and as a drink, it has a reputation for being a wonder drink, and quite rightly so, it is to be kept in mind that having the right time to drink green tea is a must. You must avoid consuming just after the meal as there are chemicals, which exist in green tea which are known as phenols. What happens with these phenols if the green tea is taken not long after a meal, is that they can interfere with the absorption of the iron present in the food.

In addition to not drinking green tea at mealtime, or post mealtime, it is perhaps also a good idea to stay away from drinking it when milk and items which are made from milk such as cheese are being consumed. There is a reason why this is the case is that the proteins which exist in milk do not let green tea have its normal effect on the metabolism of the person i.e. raising the metabolism and making the challenge of losing weight a bit easier.

If it is still the case that drinking green tea with or after a meal is a habit, which has no chance at all of being shaken off, then what can be done is that the meals should be changed to an extent to contain a greater amount of iron-rich food. This will go some way in counteracting the effect the phenols have. Apart from just iron-rich food, food that is rich in vitamin C is also to be consumed.

However, that being said, people who are anyway deficient in iron are better off steering clear of green tea consumed after a meal. Instead, what they can do if have it between meals and also at the start of a day. What this will accomplish is that all the benefits of the green tea can be imbibed by the body and none of the nutrition value of the food is lost either. Furthermore, green tea drunk between meals can also reduce the appetite and help weight loss. What could be better? If you wish to discuss any specific problem, you can consult a doctor.

Related Content: Auric mind rejuvenation drink, the magical beverage that calm and energises the mind.

There are a lot of health benefits of green tea and as a drink, it has a reputation for being a wonder drink, and quite rightly so, it is to be kept in mind that having the right time to take green tea is a must. You must avoid consuming just after the meal as there are chemicals, which exist in green tea which are known as phenols. What happens with these phenols if the green tea is taken not long after a meal, is that they can interfere with the absorption of the iron present in the food.

Green Tea - How Having it Right after Your Meal Affects You?

Knee replacement can be extremely painful. Previously, opioids or narcotics were administered for pain relief. But excessive addition of opioids is not exactly effective for controlling pain. 

Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many different protocols have shown clinical benefit. The goal of this review is to provide a concise overview of the principles and results of multimodal pain management regimens as a practical guide for the management of joint arthroplasty patients.

Multimodal denotes administering two or more than two types of medications that work with different mechanisms. The following are the techniques used:

Pre-operative Femoral Nerve Block: Prior to the surgery, a catheter is placed beside the femoral nerve for blocking it. This nerve is located in the upper thigh. Medication is delivered through the catheter for the nerve to be numbed for 24 hours. Thus, pain signals to the brain are blocked. This method reduces the use of narcotics and the consequent side effects.

Patient Controlled Analgesia (PCA): This method is also known as  Pain Pump . An intravenous pump is used to administer pain relief medications, such as oxymorphone or morphine, after the surgery. The control button of the machine could be pressed, by the patient for 6 to 10 times per hour. The machine is used for two post-operative days.

Oral Medications: The oral medications include Non-Steroidal Anti-Inflammatory drugs or NSAID; such as Celebrex which is similar to aspirin, structurally. Alternatively, acetaminophen, such as Tylenol or its equivalent composition, can also be used.

Acetaminophen: It acts on the Central Prostaglandin Synthesis and relieves the patient of pain through multiple mechanisms.

Epidural Analgesia: It produces lower pain scores and involves less time for achieving physical therapy goals. However, this is subject to side effects such as dizziness, urinary retention and itchiness.

Gabapentinoids: These medications include membrane stabilizers such as Gabapentin and Pregabalin.

The objective of multimodal treatments is to provide quick relief to the patient and immediately so. Earlier the rehabilitation, more successful will be the knee replacement surgery.

Multimodal Pain Relief After Total Knee Replacement

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