Bell s Palsy is a form of facial paralysis that can leave the features or one side of the face completely frozen. This can also affect the patient s ability to eat and talk on a normal basis. As per medical science reports, this kind of a condition is brought on by the inflammation of the delicate facial nerves when a viral infection from the past comes back and gets reactivated. It can also happen due to sudden and debilitating change of air from hot to extremely cold without any proper acclimatization, as well as other factors like stress, anxiety, trauma and similar factors. 

There are many homoeopathic medicines that can be used for dealing with these conditions. These medicines are preferred as they are natural and do not usually have any side effects. So let us look at a few medicines that can be used in Homeopathy for treating Bell s Palsy.

Aconite: This is one of the most widely prescribed medicines for this condition. It is usually prescribed when the patient is facing symptoms like trauma due to sudden exposure to extremely cold and icy air without any kind of warning or a subtle change in temperature first. Also, those who have been suffering from chronic facial paralysis due to a variety of reasons can be given this medicine for some amount of relief in the long run. If the patient has had a history of complications when it comes to dealing with icy temperatures and cold air, then this medicine can also help.
Ignatia: This medicine is usually prescribed when the facial paralysis is brought on due to stress and grief. Ignatia is also a well-known medicine that is usually prescribed for any kind of grief and trauma besides being known as an effective treatment when it comes to depression, as well. Other symptoms treated by this condition include a constant biting sensation that one may feel in the cheeks as well as problems while swallowing and talking.
Cadmium Sulph: This medicine is used when there is some amount of haemorrhage at play when it comes to Bell s Palsy. When the facial paralysis happens suddenly due to such a condition, then this medicine is usually prescribed for the patient. Also, this medicine is prescribed in order to treat symptoms like a distorted face and problems when it comes swallowing food and water. The patient will also find that he or she cannot close the eye on the affected side of the face.
Bacillinium: This medicine is usually prescribed when the patient has suppressed the facial eruptions, which has then manifested itself as facial paralysis. This can happen when expressions and eruptions are suppressed by the constant use of certain medicated treatments and ointments. 

5 Homeopathic Medicines For Treating Bell's Palsy!

The human spine has 33 vertebrae. However, some conditions can fuse these vertebrae. Ankylosing Spondylitis is one such condition. This disease may also be known as AS or Bechterew's disease. It is an inflammatory disease that can make the spine less flexible by fusing the vertebrae of the lower back together. In some cases, it can also affect the rib cage and make it difficult to breathe. This disease typically affects more men as compared to women. Most patients begin showing symptoms in early adulthood.

Ankylosing Spondylitis affects the sacroiliac joints. These joints are located just above the tailbone. It causes inflammation of the spinal bones that in turn cause pain and stiffness. With time, this inflammation spreads to the entire spine and the vertebrae begin fusing together. This can make movement difficult and painful. In severe cases, it can also lead to the development of a hunchback. This disease also affects the other tissues of the body. For example, it can affect other joints and aggravate arthritis or affect organs such as the kidney, heart, lungs, and eyes.

A specific cause has not yet been identified for Ankylosing Spondylitis. However, studies show that genetic factors can be a trigger. In particular, the presence of the HLA-B27 gene increases a person s risk of developing symptoms pertaining to this condition. However, it is important to note that merely the presence of this gene does not make Ankylosing Spondylitis inevitable. Other genes that are associated with this disease are ARTS1 and IL23R. These genes influence the functioning of the immune system. While it can affect people of all ages, adults are at a higher risk of suffering from this condition.

In many cases, the initial inflammation of the spine is due to a bacterial infection of microbial infection. Though the infection itself may be treated and cured, it may cause the immune system to react and trigger inflammation. Once activated, if the immune system cannot be turned off, this inflammation will continue and can trigger Ankylosing Spondylitis. In each case, the disease presents a unique pattern of progression.

There is presently no cure for this condition, but with an early diagnosis and treatment, the symptoms can be managed and progression can be slowed. This treatment usually takes the form of medication to relieve pain, inflammation and discomfort and physical therapy. Surgery cannot be used to treat Ankylosing Spondylitis but in cases where it has caused severe joint damage, surgery may be advised to replace the damaged joint.

Ankylosing Spondylitis - What Are The Causes?

CEREBRAL PALSY (CP) Group of disorder of movement and posture because of defects and disease of brain, the damage may occur in Uterus during gestation, during birth process, or during he first few years of life. Cerebral Palsy is most common motor disorder in infants and children and is the commonest cause of physical disabilities in childhood.

The word cerebral means having to do with the brain The word palsy means a weakness or problem in the way a person moves or how he positions his body. A Child with CP might have trouble controlling the muscles in his body. Normally, the brain tells the rest of the body exactly what to do and when to do it. But because CP affects the brain, depending on what part of the brain is affected, a child might not be able to walk, talk, eat, or play the same way most children do.

Classification of Cerebral Palsy:

There are five types of cerebral palsy: spastic, athetoid, ataxic, Hypotonic and mixed (combination of any), and further catagorised according to topographic distribution: Quadriplegia, Diplegia and Hemiplegia

Signs and Symptoms: 

The most common type of CP is spastic. A kid with spasticity can't relax his muscles or his muscles may be stiff. Athetoid CP affects a kid's ability to control his muscles. This means that the arms or legs that are affected by athetoid CP may flutter and move suddenly. A kid with ataxic CP has problems with balance and coordination. Some kids with CP use wheelchairs and others walk with the help of crutches or braces. In some cases, a kid's speech may be affected or he might not be able to speak at all. To learn more about CP, what causes it, and what living with CP is like, keep reading.

Cerebral palsy is very difficult and challenging to all sciences of healing. Allopathic system has no effective medicine to help except physiotherapy, surgical corrections, Botox or Botulinum Toxins and many psychological aids. But it has helped very little. In cerebral palsy, the motor area of cerebral cortex is damaged along with other areas of brain.

The commonest causes are birth injuries, obstetrical complications, high-grade fevers, and prolonged jaundice at birth, head injury, Chronic Infections to mother and genetically aberrations. So, the doctor's job is to repair the damaged area maximum possible. The exact extent of damage caused is difficult to assess, but CAT scan, MRI, PET, Psychological tests, I.Q. tests, clinical sensory motor developmental milestones and other tests can give rough idea about the damage.

The brain development normally completes within 5 years of age. CP child has damaged brain, so it develops very slowly. It is mostly; motor area damaged, so motor mile stone comes alter. Depending upon the severity of damage, the development will occur. Apart from the brain damage, the poor management and spasticity adds to orthopedic disabilities. These children have low resistant power, so gets frequent infections of URI (cold, cough and fever), diarrhea, malaria etc.

Now, How homeopathy can help these children?

Homeopathy helps these children in many ways. Firstly, it improves I.Q., which no other system can do. It improves neuromuscular abilities, so motor milestones start appearing faster. It improves in swallowing, neck handling, sitting, standing and walking. It improves in understanding of the child and calculating capacity, schooling capacity. 

Secondly, it completely stops recurrent infections. So deterioration of the child stops and regains immunity to fight diseases.

Thirdly it improves cognitive ability of children also helps to improve associate psychiatric disorders such as anxiety, depression, conduct disorders and hyperkinesis.

It helps in improving flaccidity, spasticity of limb muscles, squint deglutition. (Hence, food taking) Fortunately, severely damaged children are statistically less. So, mostly children with mild and moderate damage are the best helped by homeopathy.

Cerebral Palsy - Types, Symptoms & Homeopathic Treatment Of It!

One of the most common diseases that afflict a large section of the population is arthritis. It is common among people who are above 40 years of age. Acute joint pain, difficulties in movement and weakened bones are among the most common symptoms of arthritis. Given the fact that it is a condition that has permeated into modern life so deeply is what makes arthritis one of the most feared illnesses of this time. Although there are multiple forms of arthritis, there are primarily two types, which are:

Osteoarthritis: This is characterized by a breakdown of the cartilage between the bones. It is mostly known to affect a person s joints.
Rheumatoid Arthritis: This is a form of auto immune disease that severely affects the lining within the joints of bones.
Causes
The causes of arthritis might vary from person to person. Some of them are discussed below:

Diet and nutrition habits: Some food items, especially red meat and products derived from animals can cause a rise in the level of uric acid thus, increasing the risks of arthritis as well as gout. Smoking also has been known to worsen this condition.
Genetic predisposition: Some people are more prone to develop arthritis as they are genetically predisposed to it.
Problem in the immune system: Rheumatoid arthritis is one condition which is caused by the attack of immune system on the lining of the joints within the body.
Risk factors for arthritis include:

Obesity: The joints are subject to excess stress because of the excess weight. This results in a higher risk of arthritis in obese people.
Age: The risk of arthritis increases with age.
Family history: It is possible for you to be vulnerable to this disorder if arthritis runs in the family.
Previous injury: People who have had a previous joint injury are more susceptible to arthritis.
Typical symptoms of both forms of arthritis are:

Redness in the affected areas
Stiffness in the joints
Pain in the joints of the body
Swelling in particular joints or most joints of the body
Decreased mobility either due to pain or stiffness

Can Poor Diet and Nutrition be a Cause of Arthritis?

The medical term  spina bifida  or spinal bifida refers to a congenital defect in the spine. In simpler terms, spina bifida is a defect in the neural tube. Based on the severity of this disease, spina bifida can be divided into three different types:

Myelomeningocele
Meningocele
Occulta
The symptoms of spina bifida vary depending on each of these three types. Let's take a closer look at its symptoms here:

Myelomeningocele

Myelomeningocele is the most severe form of spina bifida. In this type of neural defect, spinal canal of the baby remains open in the middle or lower back along a few vertebrae. Due to this opening, a sac is formed at the back of the baby at birth, which exposes the baby to several life-threatening infections.

Some of the common symptoms of this type of spina bifida are:

Seizures
Presence of uneven hips
Deformed feet
Curved spine or scoliosis
Bladder and bowel problems
Muscle weakness
Paralyzed leg muscles.
Physical deformities from moderate to severe levels are also very common in this type of spina bifida.

Meningocele

Meningocele is a ratherrare form of spinal bifida in which a sack of fluid stays in open at the back of the baby. Here the protective membranes that usually stay around the spinal cord push out through the vertebrae s opening. Though this sack contains no part of the spinal cord, it may cause minor disabilities.

Some common symptoms of this kind of spina bifida are:

Membranes forming a visible sack on the back at birth
Presence of a small opening in the baby's back
The good news is that this sack can be removed through surgery without hampering the normal development of the spinal cord.

Occulta
Spina bifida occulta is the mildest form of spina bifida, which, in majority of the cases, often stays hidden as its symptoms are rarely visible. As it doesn t even cause any form of disabilities, it generally goes unnoticed. It doesn t cause any damages to the nerves or the spinal cord.

Some common symptoms of occulta are:

Presence of a gap between the vertebrae
An area on the back formed with extra fat
Acluster or small group of hair on the back
A dimple or birthmark on the back.
In this kind of spina bifida, neither any sack of fluid is formed, nor are there any visible opening in the back. Sometimes, people who have spina bifida are not aware of it due to its minimal symptoms.
Spina bifida usually affects a child before birth, when the brain or the cord or the protective covering over them fails to develop completely. Knowing about the symptoms can be one of the best ways to identify and diagnose this disease and opt for proper treatment solutions. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

Spinal Bifida - Know The Signs That Indicate It!

As life expectancy is increasing so is the incidence of vertebral body (VB) fractures now being the commonest fracture of the body. PVP is an established interventional technique in which bone cement is injected under local anaesthesia via a needle into a fractured VB with imaging guidance providing instant pain relief, increased bone strength, stability, decreasing analgesic medicines, increased mobility with improved quality of life and early return to work in days.

In this era of minimally access surgery replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression fracture spine.

Morbidity & consequences of spinal fracture:

Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly
Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory & GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
High risk of primary or consequential damage to neural, bony or disc element
Increased wedging, deformity & increase incidence of adjacent VB
Chronic pain of altered spine mechanics
Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.
Cost of surgery and hospital treatment
Cost of implants
Phobia of surgery
Prolonged recovery period & Extensive rehabilitation
Changed spinal mechanics & transition syndrome
Major surgery & anesthesia with its own complications
Results / Outcome

PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral.
Different studies show an immediate pain relief in (85   90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
PVP does augment height of VB but ideal would be kyphoplasty
Patient is either off medicine or on reduced doses.
Patient feels so well that he almost forgets if he had VB

Percutaneous Vertebroplasty (PVP) is an emerging interventional technique in which surgical polymethyl methacrylate bone cement is injected under local anaesthesia via a large bore needle into a vertebral body (VB) under imaging guidance providing increased bone strength, stability, pain relief, decreased analgesics, increased mobility with improved QOL and early return to work. Started in 1984 by Galibert PVP is done in host of indications.

Senile osteoporotic compression remains the commonest Indication. Other indications are Metastatic VB, Multiple myeloma VB, VB haemangioma, Vertebral osteonecrosis & for strengthening VB before major spinal surgery. The benefit has been extended to the traumatic stable uncomplicated VB compression (VCF) which is commoner in younger age group with active life profile and prime of their career where strict bed rest and acute or chronic pain are unacceptable and they are more demanding for proactive treatment approach so as to be back to work ASAP.

Discovering the fact that VB is the commonest of body, its incidence >the hip, it becomes imperative to take it more seriously. With increasing life-span there is more of aged osteoporotic population, more so due to sedentary indoor lifestyle and post menopausal osteoporosis. Diabetics, smokers & alcoholics are at higher risk of developing osteoporosis. I have seen such alcoholic patient developing six spine fractures in just three months time from a single fracture being on complete bed rest.

Quick fix of fracture spine makes patient walk back same day instead of bed rest of months together avoiding morbidity & mortality of prolonged bed rest, making bedridden patient walk, in a way bringing patient back to normal life.

In this era of MAS replacing open surgeries, PVP is a novel procedure & should be in the first line of management in place of conservatism or major spine surgery for painful uncomplicated compression.

Morbidity & consequenses of spinal 

Traumatic VB is a painful condition requiring bed rest restricting daily activities markedly.
Left untreated it can cause DVT, increase osteoporosis, loss of VB height, respiratory &
GI disturbances, emotional & social problems secondary to unremitting pain, loss of independence with high cost of rehabilitation.
High risk of primary or consequential damage to neural, bony or disc elements.
Increased wedging, deformity & increase incidence of adjacent VB
Chronic pain of altered spine mechanics.
Uncomfortable braces & sleep disturbance because of pain & discomfort with its sequels.
Morbidity and complication of spinal surgery 

Cost of surgery and hospital treatment
Cost of implants
Phobia of surgery
Prolonged recovery period & Extensive rehabilitation
Changed spinal mechanics & transition syndrome
Major surgery & anesthesia with its own complications
Preparation & Procedure:
X-ray spine in a/p & lat view. CT is more informative of bone & morphology. MRI is good for soft tissue injuries. Ask for pedicle size in all dimensions and construct a 3D image aiming needle placement and cement filling in scan room itself as rehearsal of PVP. This reduces operative time & gives better results. Conventionally PVP is done by hammering the vertebroplasty needle through the bone. Here we use light weight drill to bore through the vertebra. It is important to set the needle at exact entry site & side with right trajectory aiming the defects.

In lateral view needle should go through middle of the pedicle going up to anterior 1/3 of VB. In P/A view the needle can be in midline or paramedian depending upon & if uni/bipedicular approach is planned. Approach varies as per location of vertebra, anterolateral in cervical, costotransverse/parapedicular in thoracic & transpedicular in lumbar vertebra.

Do bone biopsy if there is any doubt about lession. Do dye test (vertebral venography). Make cement more radiopaque by adding barium /or tungsten. Inject cement with 1or2 ml luerlock syringes strictly under fluoroscope in lateral view & cross checking in P/A view. Stop injecting either there is adequate filling or at the first sight of ectopic cement leak. Keep sample cement to see for hardening. Remove needle with rotational movement before cement hardens.

Pain relief is by virtue of different mechanisms postulated :

Cementing of fragments.
Thermal neurolysis of VB nerve ending due to heat of polymerization.
Washing away of nociceptor chemicals.
Neurolytic action of liquid monomer.
By allowing early ambulation decreasing pains of immobility & bed rest.
Complications 

PVP is generally safe with low risk.
Ectopic cement leak is frequent but generally inconsequential.
Outcome 

PVP is a novel procedure with high benefit to risk ratio, which is highly underutilized in relation to the high prevalence of the vertebral
Different studies show an immediate pain relief in (85   90)% of patients with low complication rate ranging from (1-5)% depending upon the type of lesion.
PVP does augment height of VB but ideal would be kyphoplasty.
Patient is either off medicine or on reduced doses.
Patient feels so well that he almost forgets if he had VB

Vertebroplasty (PVP) / Kyphoplasty - Approach To Management Of Vertebral Body Fractures!

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