A neurological disorder characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of physiotherapy in epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.

It helps improve sensory awareness, response, balance, and coordination.

It helps to improve quality of movement and physical performance.

The goals of physiotherapy

To develop strength enough to support one s head upright

To have balance and motor control to maintain their trunk at midline

To use many different muscle groups

To assist necessary motion in their trunk and extremities

The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals

To understand what the patient is good at and does well

To focus on what he or she capable of doing rather than on what they can t do

To educate and provide awareness with a view to prevent injuries

For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool

Padding out sharp corners in the house to prevent damage if fallen on

Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

How can physical exercise help with seizures?

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and well-being in this way can help reduce seizures. 

It can also help people feel more in control of their health. 
It also helps release  feel good  hormones into the brain, keeps muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. 
It can also increase the bone density. 
A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks can result in a significant reduction in the number of seizures they had.
Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.
Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. 
Making new friends may help with any feelings of isolation. 
Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk.


Epilepsy - Understanding The Role Of Physiotherapy In It!

How Serious Are Seizures in Children

During a febrile seizure, the body of a child may convulse, shake and contract, the eyes may roll, and he or she may moan or become unconscious. This type of seizure is usually for a few minutes, but in rare cases can last up to 15 minutes.

Febrile seizures stop on their own while the fever persists until treated. While some children may feel sleepy afterwards, others do not have lasting effects.

Seizures in toddlers may be caused due to the following factors

Epilepsy

Epilepsy is defined categorically as two or more seizures without any acute cause. Epilepsy can occur at any age, but it is usually diagnosed in infants and young children.

Body temperature

Body temperature may indicate a crisis in small children. High body temperatures or low body temperature can cause seizures in a toddler. These types of seizures occur only once or twice in children two years or younger, often after an illness. This type of seizure due to the fortification of the body temperature is considered a febrile convulsion.

Dehydration

Febrile seizures can also occur due to dehydration. Dehydration is a direct result of a previous illness that included sweating and fever.

Physical condition

A child who is in poor physical condition can also be prone to seizures. Malnutrition or a body weakened by disease or illness makes small children more susceptible to crises.

Family History

Family history can play a role in toddlers or children with seizures. If a family member suffered from the tendency or had convulsions, particularly febrile seizures as a child, this trait can be inherited.

Treating febrile seizures

If your child has a febrile seizure, stay calm and:

Make sure your child is in a safe place and does not fall or hit something hard
Place your child on his side to prevent choking
Watch for signs of breathing difficulties, including any colour change in the face of your child
If the seizure lasts more than a few minutes or your child turns blue, it may be a more serious type of seizure; connect with doctors immediately

Febrile seizures can be frightening to witness, but remember they are fairly common and are not usually a symptom of a serious disease, and in most cases does not lead to other health problems.

How Serious Are Seizures in Children

Spondylolisthesis refers to the condition which affects your spinal bones or lower vertebrae. Due to this condition one of the lower vertebrae overlaps the bone directly beneath it. Although a painful condition, it can certainly be treated with both surgical and therapeutic methods.

People with spondylolisthesis often find it difficult to perform routine activities. They usually encounter symptoms such as- persistent pain in the pelvic region, lower back; stiffness in the legs, hamstrings and hip muscles.

What causes spondylolisthesis?
The causes of spondylolisthesis can vary with lifestyle, heredity and age. Children may develop this condition due to an injury or birth defect. Nevertheless, people belonging to all age groups are susceptible to spondylolisthesis if the condition is genetic.

Over exercise or strenuous physical activities can cause spondylolisthesis because over stretching and carrying heavy weight or strain puts too much stress on the lower back.

Participating in sports like football, gymnastics, weightlifting are likely to trigger spondylolisthesis.

Spondylolisthesis can also be triggered due to sondylolysis. The vertebrae safeguard the spinal cord and work with tendons, ligaments, joints and muscles to provide flexibility, structure and support to the neck. Any sort of damage or wear and tear in the protective cartilage and bones in the neck can lead to cervical spondylosis, which in turn leads to spondylolisthesis.

What is the treatment for spondylolisthesis?
Treatment of spondylolisthesis depends on the severity of the pain. While non-surgical methods help ease the pain, a surgery is recommended when the bone has slipped to such an extent that your spine doesn t respond to medications.

Non-surgical treatment includes the following-

Taking anti-inflammatory drugs like ibuprofen to ease pain.
Practicing a few physiotherapy exercises to reduce lower back pain.
Use of minimally invasive Epidural Steroid Injections (EPIs) to get relief from lower back pain and pelvic pain caused by inflamed spinal nerves. When over-the-counter medications fail to treat tSpondylolysthesishe condition or ease the symptoms, then a surgery is inevitable.
Discectomy- It is a surgical procedure that makes small incisions to remove a part of the damaged disc to relieve pressure from the surrounding spinal cord or nerve root.
Laminotomy- This refers to a minimally invasive procedure that removes a part of the lamina which is the upper surface of the vertebra. This process is used to create more space within the spinal canal.
Foraminotomy- With this method excess bone tissues are removed so that they don t make the foramen narrow and compress the nerve root. Removing these extra tissues reduce back pain and ease symptoms triggered by nerve compression.
Medical attention is crucial for countering symptoms of spondylolisthesis. Although this condition may not seem life-threatening, if left untreated, it can lead to chronic, persistent pain and permanent nerve damage.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Spondylolysthesis - A Condition Which Affects Your Spinal Bones!

The chronic disorder that causes recurrent and unprovoked seizures is referred to as Epilepsy. A seizure is an impulsive and unexpected rush of activity in the brain. The reasons for the cause of epilepsy include head trauma, high fever, low blood sugar, and alcohol withdrawal. It is a neurological disorder and more than 3 million people in the United States have been affected by epilepsy. The chronic disorder is common not only in adults but even in young children and it has been observed that it occurs more in males. The disorder can merely be controlled by the use of various strategies as there is no cure for it till date.

Causes of epilepsy
Any illness that disturbs the usual form of neuron activity can lead to seizures. There are many possible causes of epilepsy. The 2 main types of seizures include partial/focal seizure and generalized seizure. The partial seizure would affect only one part of the brain. It is difficult to identify mild seizures. Further, stronger seizures are known to cause uncontrollable muscle twitches and spasms. At the time of a strong seizure, a patient can lose his consciousness. On the other hand, generalized seizures affect both parts (cerebral hemispheres) of the brain so their onset is not easily identifiable. Types of generalized seizures include tonic-clonic, absence or atonic etc. The other important fact is that epilepsy progresses because of imbalance of neurotransmitters which are nerve-signaling chemicals and also due to an abnormality in the brain wiring.

Drugs used to treat epileptic seizures
Anticonvulsant drugs are mainly used to treat epileptic seizures. The type of treatment provided to patients mainly depends on factors like severity and frequency of the seizures. The other factors that are also taken into consideration for the type of treatment provided include medical history, overall health and the age of a person. A patient can feel better with a seizure medication, an implant that works on the nerves, a special diet, and surgery.
To control epileptic seizures medications are the best option and to treat the brain disorder the right medication needs to be used. There are nearly 20 drugs available that are used for treating different types of epileptic seizures. The doctors provide medication only after proper review of the patient s medical history and their lifestyle. Some of the medications that are made include the use of antiepileptic drugs and anti-seizure drugs. The faulty signaling of the brain is suppressed with these medications.

Important precautions you must take

It is very important that the medication is taken as directed by the doctor. The main reason behind the use of these drugs is that they reduce the number of seizures and there are no side-effects. 
Care should be taken that the drugs provided to the children to treat epilepsy are FDA approved and are safe for use by children. 
The epilepsy drugs that can be taken for partial seizures include carbamazepine, phenytoin, valproic acid, valproate, and brivaracetam.
Natural treatments can also be made use of for epilepsy as at times medications do not work well on some patients. Acupuncture, use of natural herbs and vitamins can also be used for treating the brain disorder.

Epilepsy - Things You Must Take Care Of!

Cyclic vomiting syndrome (cvs) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes: there is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmic (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to cvs. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And cvs is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation - a host of factors have been shown to induce cvs. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms: the syndrome (a group of symptoms) usually has 4 phases:

1. Symptom-free interval phase: the child is completely normal in this phase, which happens in between bouts.

2. Prodromal phase: prodrome is an indication that a disease or a condition is about to happen. In cvs, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

3. Vomiting phase: repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

4. Recovery phase: as the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment: treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

1. If the causative agent has been identified, for instance, infection or migraine, then managing that takes care of the cvs also.

2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required. Adequate hydration with electrolyte replenishment and sedatives can provide additional support.
However, in most cases of childhood csv, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

Cyclic Vomiting Syndrome in Children - Causes, Symptoms, Treatment

Nails are an important part of your physiology, although they are mostly used for either utilitarian purposes such as gripping or for beauty purposes such as nail decorations. Nails themselves can go through infections which need not have underlying causes and thus can cause damage to that part of the tissue. One such disorder of the nail is onycholysis.

What is onycholysis?
This is a disorder where the nail on the finger or the toes starts to separate from the skin below. This happens little by little and usually starts at the tip and then progresses backward. The further back it progresses, the more nail tissue it destroys. While the entire nail may not be detached from the nail bed, parts of it may chip off, showing the tissue underneath.

Symptoms of onycholysis:

Jagged border between the pink flesh of the nail bed and the yellow edge of the nail
Detached nails become opaque, yellow or may turn green in color
Nail may become irregular in shape and size
Bits and chunks of nails can break off easily
Primary causes for onycholysis:

Let's look at some of the primary causes of onycholysis:

Frequent trauma - if you have a profession or work at home where you constantly require tapping away, it might cause minute injuries to build up within the nails and the fingers. Tapping on keyboards is one area where you could get repetitive trauma like this.
Manicure problems - many salons may aggressively try to clean the underside of the nails and in the process, slowly dislodge the nail form the nail bed and cause onycholysis. This has known to be the case with many people.
Water immersion - if you have work where your nails are immersed in water for long periods of time, this could also affect the development of onycholysis.
Skin diseases - certain skin conditions can also end up giving onycholysis. Psoriasis and contact dermatitis are other conditions that may lead to onycholysis as a consequence.
Allergy to nail glue - many makeup artists and customers have complained that certain brands of nail glue can also cause allergies resulting in onycholysis.
Medications - medications meant for the treatment of other ailments within the body can have the unintended consequences of causing onycholysis.
Treatment-
The underlying problems need to be corrected which may cause onycholysis. Once the underlying problem is corrected, onycholysis usually corrects itself. The nail may take some time to re-grow but will grow back on its own eventually and may take 4 to 6 months to cover the entire affected area again.


All About Onycholysis

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