Gone are the days when bone ailments and damages were detected based on the experience and superficial conversations made by the physicians. These days with the advent of radio waves, medical science has made significant progress that has enabled a detailed overview of what exactly is going on inside your body and what should be the most relevant treatment in that regard. Magnetic Resonance Imaging or more commonly known as MRIs are a boon when it comes to diagnosing orthopedic and musculoskeletal complaints.

Common Uses of the Procedure:

MR imaging is usually the best choice for examining the:

body s major joints.
spine for back pain
soft tissues (muscles, tendons and ligaments) and bones of the extremities.
MR imaging is typically performed to diagnose or evaluate:

degenerative joint disorders such as arthritis.
tears of the menisci, ligaments and tendons (knee) or rotator cuff and labrum (shoulder and hip).
fractures (in selected patients).
spinal disk abnormalities (such as a herniated disk).
the integrity of the spinal cord after trauma.
sports-related injuries and work-related disorders caused by repeated strain, vibration or forceful impact.
infections (such as osteomyelitis).
tumors (primary tumors and metastases) involving soft tissues around the joints and extremities (such as muscles, bones and joints).
pain, swelling or bleeding in the tissues in and around the joints and extremities.
congenital malformations of the extremities in children and infants.
developmental abnormalities of the extremities in children and infants.
congenital and idiopathic (developing during adolescence) scoliosis prior to surgery.
tethered spinal cord (abnormal stretching in the spinal cord) in infants and children.
The Process:

In this process, X-rays and radio waves are subjected upon the affected region to examine the conditions of the bones, tissues, muscles and also detect the presence of tumours. This is majorly a non-invasive test and is painless. It does not use ionizing rays and therefore does not harm the body in any which way. The MRIs capture a detailed picture of the organs and the internal body structures and then transmit them onto a computer screen for the physician to monitor the inside story.

The Benefits: 

MRI is an imaging technique that does not require exposure to radiation.
MR images of the soft-tissue structures of the body (particularly muscles, bones and joints) are often clearer and more detailed than with other imaging methods. This detail makes MRI an invaluable tool in early diagnosis and evaluation of many conditions, including tumors.
MRI can distinguish abnormal tissues from normal tissues much more accurately than most other imaging tests (x-ray, CT, etc.).
MRI enables the discovery of abnormalities that might be obscured by bone with other imaging methods.
The contrast material used in MRI exams is less likely to produce an allergic reaction than the iodine-based contrast materials used for conventional x-rays and CT scanning.
MR images allow the physician to clearly see even very small tears and injuries to tendons, ligaments and muscles and some fractures that cannot be seen on x-rays and CT.

Orthopedic and Musculoskeletal MRI

Torn cartilages are quite a common form of injury occurring in the human body. While one can t always be too cautious of injuries, one can still try to be conscious of their muscles and do not move about in an abrupt manner to cause injury to themselves. Further, even though torn cartilages are very common, they are quite painful and most often they occur in the knee. Here are some tips to ensure that your torn cartilage heals well and you are exposed to less pain during the healing period:

Rest: You must take rest. While it is advised to take bed rest, humanly it is impossible to spend all day in bed. Thus one can move about a little but avoid walking and straining their legs and knee too much. At times crutches can be taken while taking a few steps in the room.

Ice Therapy: Putting ice bags in the affected area helps in relaxing the muscles and reducing the pain quite a lot. Though previously people adhered to putting hot water bags, the scenario is slowly changing to ice therapy.

Compress: When you are suffering from a torn cartilage, the doctor often puts a bandage on the knee to compress the area. This is done so that the muscles are brought together and they can heal on their own with time and rest.

Elevate the Knee: Often it is seen that during such cases, the knee or the hands are rested in an elevated platform. This platform is created with the help of a pillow mostly. This lets the cartilage get time to rest and heal on its own.

Avoid Strenuous Activities: This includes jumping, running, jogging, kicking etc, when it comes to the legs and writing, lifting weight etc. when it comes to the hands. These activities require a lot of strength and power and most of all the use of the cartilages. Since the cartilages are torn and in their healing mode, it is best to avoid such activities for a certain amount of time to not put pressure on the cartilages and damage them further.

Painkillers: It has been already mentioned that the healing period can be painful. Thus, the doctor may prescribe some painkillers to ease the pain during this time.

Thus, these are some of the easiest ways to deal with a torn cartilage. The recovery period may be painful, but it happens to many people and is completely healable in nature.

How To Deal With Torn Cartilages?

Do you know you can suffer from a torn bicep accidentally? A bicep is a muscle which begins from your upper arm and is attached to the shoulder via bones and to the elbows by tendons. If you do heavy lifting in the gym or somehow put excessive pressure on that area, chances are you may suffer from torn biceps.

There are two kinds of bicep tears you may encounter:

Complete Tears where the tendons are split into two parts resulting in tremendous pain.
Partial Tears result when the biceps are hurt but the tendon is not completely severed.
Among the various types of torn biceps, the muscle that is attached to the shoulder experiences the maximum number of bicep ruptures. Suddenly, the bicep tendons get detached from the bone resulting in pain and numbness. You will find a number of sportspersons suffering from this kind of torn biceps.

But why do your biceps get torn?

One of the reasons why you suffer torn biceps is a prolonged period of ignorance. If you have been putting continuous pressure on your shoulder, the biceps muscle can weaken over time. Overuse of the muscles can give rise to conditions of tendinitis (inflammation of the bone to muscle connecting tissue) and injuries in rotator cuff which, in future, might result in torn biceps.
A sudden injury like falling over your arms or hurting your shoulder can result in torn biceps.
Aging is another reason why you can have this complication. Added to this are unusually heavy tasks and overuse of shoulder which can result in this problem.
Some steroids such as Corticosteroids are directly related to the weakening of muscles and tendons.
When you suffer from torn biceps, you encounter symptoms such as:

Weakening of the elbow and the shoulder. You will find it troublesome to move your hand.
Swelling of the elbow with bruises visible on the elbow and the forearm.
You find trouble in twisting your forearm
You will experience spasms in the muscles.
You can also hear a snapping sound of the muscles.
What should you do if you face this problem?

Continuous applications of ice packs are a must. Repeat the activity 4 times a day with a duration of 20 minutes. You may need to do it for 2 or 3 days.
Avoid activities which put pressure on your hands and shoulders.
Consult a doctor immediately and get some painkillers as recommended.
If you have complete tears, you may need to undergo surgery. Talk to your doctor regarding that.

How to Treat Torn Biceps - Types, Causes, Symptoms

A problem in the nervous system which causes individuals to make sudden sounds or movements called tic is Tourette s syndrome. These movements cannot be controlled by the patient. This syndrome usually starts in childhood and often stays in milder form for many even after they have reached adulthood. Many people can live without taking any kind of treatment for these tics, unless it really bothers them. Patients are often observed to start coughing or blinking their eyes uncontrollably when affected by this syndrome. They may be associated with obsessive compulsive disorder.

Symptoms of Tourette s syndrome Tourette s syndrome often affects children but get better as they grow up. The symptoms of this syndrome are usually so mild that often they go unnoticed. Some of the common symptoms which are observed in patients are stress, excitement and getting tired and sick which can make the problem worse. The motor tics can make the patient blink continuously, twitch their mouth, shrug their shoulder or jerk their head and arm continuously. The symptoms of vocal tics often include yelping and barking, coughing, grunting or repeating something someone else has said, continuously. Shouting, swearing,and sniffing are also some of the vocal tics which may be caused by the Tourette s syndrome.

What Causes the Problem? This syndrome usually affects certain parts of the brain like the basal ganglia which control every other movement of the body. A trouble in the brain network is often suggested as the reason behind Tourette s syndrome. A definite answer to why the problem occurs has not been established by experts yet, however, genes are believed to play a vital role in causing Tourette s syndrome. People who have family members suffering from this problem are often at risk of being affected by the syndrome. However, the symptoms may vary from one person to another.

Treatment for Tourette s syndrome If you suspect your child of having Tourette s syndrome, then a neurologist should be seen immediately. No special tests are held for the condition; however, imaging tests of your brain may be carried out by your doctor. CT scan and MRI are often suggested. Doctors may often recommend medications like Haloperidol, fluphenazine and pimozide among others to control these tics. However, very often the tics are very mild and do not need any medication at all.

A talk therapy along with ongoing medications might also be required for some patients as the psychologist may help your child in dealing with social issues which can be caused by these uncontrollable tics. Along with that, behavior therapy may also come in use for many.

Tourette's Syndrome - Best Treatment Options For It! 

Development disabilities can be defined as chronic conditions which develop when the brain of a child is still forming. Developmental disabilities may occur during pregnancy or early childhood or they may occur anytime till a person attains the age of twenty two. They are birth defects which may hamper the proper functioning of a body part or a body system. Most of the developmental disabilities cannot be medically treated, however with therapy their symptoms can definitely be controlled.

Nervous System Disabilities:-

As the name suggests, nervous system disabilities affect the functioning of the nervous system, spinal cord as well as the brain. A child with nervous system disabilities is most likely to suffer from speech disorders, behavioral disorders, movement disorders and may experience convulsions. His learning, understanding and intelligence, might all be affected due to nervous system disabilities.

Attention Deficit Hyperactivity Disorder (ADHD):-

Attention Deficit Hyperactivity Disorder can be identified in children by their inability to concentrate, being forgetful and feeling hyperactive all the time. There are a number of ADHD causes such as changes or malfunctioning of certain brain structures, parents suffering from hypertension or a psychiatric disturbance, chemical poisoning, alcoholism, smoking or drug abuse by the woman when she is pregnant and lastly, exposure of the child to certain environmental toxins like lead, polychlorinated biphenyls, etc.

Autism:-

Another example of nervous system disabilities is autism. Various behavioral and speech disorders may be caused in a child due to autism. Although exact cause of autism is not known, still some researchers are of the opinion that it may be caused due to certain genetic, environmental and neural development factors. Differences in the brain chemicals, known as neurotransmitters are the main cause behind autism. Environmental factors such as exposure to certain chemicals, exposure to drugs, eating certain kind of foods can exacerbate this condition.

Cerebral Palsy:-

Most cases of cerebral palsy develop even before the child is born. Very rarely does it occur during childbirth, although if the baby is premature or is under weight and suffers from intraventricular hemorrhages, it can lead to development of this condition in him. But mostly this condition develops when the brain development of the unborn child is affected when the mother is alcoholic, smokes, takes drugs, is malnourished, is exposed to certain chemicals or suffers any mental of physical trauma when she is pregnant. Some other reasons for a child to develop cerebral palsy are any injury to the brain due to accident, asphyxia, bacterial infections such as encephalitis or exposure to certain chemicals and allergies.

Bipolar Disorder:-

The reason why this disorder develops in a person is not known, still studies have shown that it is hereditary and runs in families. A person suffering from bipolar disorder experiences four kinds of mood cycles - mania, hypomania, depression and a mixed episode. Typical symptoms range from a person feeling highly energetic to falling into deep depression, leading to development of suicidal thoughts.

Dyslexia:-

Dyslexia is a neurological disorder that makes a child incapable to understand language, differentiate between right and left, solve mathematical problems and lastly, organize and plan anything. This condition is caused when the brain is unable to transfer images it receives from the eyes and ears into comprehensible language.

Dyscalculia:-

This is another disability that is closely associated with dyslexia. In this condition, a child is unable to recognize numbers and thus can't solve mathematical problems. This condition is caused due to an injury to the brain or a deficit in the working memory. Inability to read maps and follow directions are some other consequences of dyscalculia. 

Dysgraphia:-

A child suffering from Dysgraphia is unable to write alphabets or sentences in order. Dysgraphia symptoms develop in a child when his motor development does not take place properly.

Fragile X Syndrome:-

Fragile X syndrome occurs when FMR-1 gene/protein is unable to participate as required for the healthy and normal development of the offspring, resulting in numerous changes in his emotional, mental, physical and behavioral features.

Down Syndrome:-

Down syndrome is a chromosomal disorder caused due to an extra 21st chromosome, resulting in mental retardation as well as malformation in a newly born child.

Metabolic Disorders:-

These birth defects affect the body's metabolism i.e. the processes involved in building up, breaking and assimilating the materials required by the body to function properly. Phenylketonuria and hypothyroidism are examples of a metabolic disorder which can cause intellectual and developmental disabilities.

Phenylketonuria:-

Phenylketonuria, a genetic disorder, occurs when the body is unable to process the phenylalanine (Phe) protein found in almost all kinds of foods. If the Phe level becomes very high, the brain of the child can get damaged and he may even suffer from mental retardation.

Hypothyroidism:-

Another example of metabolic disorders is a hormonal condition known as Hypothyroidism. In this condition, the thyroid gland is unable to produce some very important hormones. If this disorder is not treated in time, it can lead to obesity, infertility, joint pain and even heart disease.

Sensory-related Disabilities:-

Sensory-related disabilities, a major part of the development disabilities list, are those which can cause problems related to sight and hearing. Some examples of sensory related disabilities are Williams syndrome and congenital rubella syndrome.

Congenital Rubella Syndrome:-

Congenital rubella syndrome is caused when the rubella virus negatively affects the fetus, mostly during the first trimester of pregnancy. A child who has congenital rubella might be deaf and may even have cataracts in the eye.

Williams Syndrome:-

Williams syndrome is a condition which occurs when some of the genes might be missing in a newborn child. Some of the symptoms of this rare condition are learning disorders, sensitivity to loud music, attention deficit disorder, sunken chest and feeding problems such as vomiting or reflux.

Degenerative Disorders:-

Degenerative disorders usually develop at an older age and the newborns who suffer from such disorders may show no signs at all. Degenerative disorders are known to cause physical, sensory and mental defects in a person. An example of degenerative disorder is Rett syndrome.

Rett Syndrome:-

Mostly girls suffer from this disorder. In the initial stages, the sufferer displays normal growth patterns but later there will be slowing down of brain growth, inability to use hands properly, problems in walking, slow mental growth and the sufferer may experience seizures.

Developmental Disabilities In Children - What Should You Know?

A neurological disorder is 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 injury. For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
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.

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and wellbeing 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, helps keep the 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 resulted 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. 

Role Of Physiotherapy In Treating Epilepsy!

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