Vertebroplasty means shaping the backbone i.e. vertebra for backbone and plasty is related to shape. This is an outpatient procedure done to treat compression fractures of the spinal cord. The backbone is made up of multiple small bones which are stacked one on top of the other with a filling material in between that is known as vertebrae. The stack of bones are held in place by the soft, elastic vertebral material. 

Vertebroplasty & similar procedure called kyphoplasty is a non-surgical procedure where collapsed vertebrae is brought back to shape by injecting medical bone cement under fluroscopy / image intensifier in OT, thereby relieving pressure on the spinal cord or spinal nerves with special canula directed to the core of vertebral body. Indicated in osteoporotic vertebrae, spinal fracture, metastatic tumour or primary tumour of spine. This technique has replaced major surgery done earlier to reshape & fix vertabrae.

Technique: Bone cement, in a semisolid state, is injected into the weakened or fractured bone space. Once this solidifies, it provides additional support to the spine, enabling normal movement. It also helps in reducing the pain significantly and improves the overall mobility.

Procedure:

In what takes about an hour, the following steps are done. Earlier, a few decades ago, this would be an open surgical procedure. However, with advance technology, now it is done using a small incision

Local anesthesia is given in the area that needs to be operated
A biopsy needle is inserted into the fractured space with the help of an X-ray
The acrylic bone cement is injected into the bone space with a needle to fill up the space, once it solidifies, it stabilizes the vertebral space
The needle is removed and the incision is covered with a bandage
Usually the patient is sent home in an hour s time unless the overall condition is really bad
There could be some soreness at the site where injection is given, but one can notice a significant reduction in pain from the day of the procedure
There is also improvement in mobility while doing daily chores
The pain relief can last up to 3 years after the procedure
Returning back to normal activities takes about 3 to 4 days after the procedure
When to use this procedure?

Vertebroplasty is usually done in case of non-radicular pain that is intractable. In most cases, they do not respond to traditional therapies including physiotherapy, pain medications and even surgery. The pain could be due to:

Osteoporosis
Cancer metastasis
Myeloma
Spinal hemangiomas
Traumatic fractures
Benefits of using vertebroplasty for managing pain 

Minimally invasive
Effective way to get relief
Improves mobility
Cost-effective
Reduces need for long-term use of painkillers
Stabilizes the spine and prevents further collapse

Vertebroplasty - How It Can Help Manage Pain?

The feeling of instability is the crux of borderline personality disorder. This condition usually begins in early adulthood and is worst at its onset. As a person ages, borderline personality disorder usually improves and becomes easier to handle. For a person with borderline personality disorder, everything from their relationships to their moods, thinking and behaviour is unstable and constantly changing. This can be frightening but thankfully, this condition can be treated.

As with any other personality disorder or health issue, the earlier a condition is diagnosed, the easier it is to treat. Hence, it is important to understand the signs and symptoms of this disorder. This disease manifests itself in different ways in each person but some symptoms are commonly experienced. These include:

Fear of abandonment: No one likes to be alone, but people suffering from borderline personality disorder are terrified of being abandoned. Even something as simple as being stood up at a meeting, can make such a person extremely anxious. It can also lead to relationship problems by making the person seem clingy and jealous about their partner.
Unstable relationships: For a person suffering from this disorder, relationships are either perfect or failures. Hence their relationships are extremely passionate but very short lived and they often feel disappointed by their partners.
Unstable self-image: People suffering from this disorder may feel very confident one day and feel the opposite on the next. Though everyone has shifting views of their identity form time to time, for people suffering from this personality disorder, theses shifts are extreme. It can often lead to frequent changes in jobs, friend circles, relationships, goals and values. It can also cause changes in their understanding of sexual orientation.
Impulsive behaviour: People who display self-destructing and attention seeking behaviour may suffer from this condition. This disorder has been often associated with alcoholism, drug abuse and recklessness.
Suicidal behavior: People suffering from this disorder may often be associated with behaviour that physically harms them. They are also capable of following through on suicidal threats.
Mood swings: Extreme fluctuations in emotions and moods are a common experience or people suffering from borderline personality disorder. These mood swings usually start only a few minutes of a few hours unlike depression and other anxiety disorders.
Suspicion about everyone around: Borderline personality disorder can make a person struggle with suspicious thoughts about everyone around them and make them paranoid. They often feel out of touch with reality and can feel spaced out when under stress.

Borderline Personality Disorder - Signs and Symptoms!


Here are some well advertised and well-loved foods that most youngsters cherish. These foods cause far more damage in even small quantities. 

Try to avoid these foods now, to prevent from further damage as you grow older.

1) Frosting- The creamy layer that you lick off from the top of a cake is one of the most unhealthy foods ever. It contains trans-fat, which lowers your good cholesterol and can raise heart rate, increase belly fat and lead to heart diseases or diabetes. Plus, frosting has just too much of sugar.

2) Packaged Fruit Juices- ‘But juices are good for you!’ is something that most people say to defend why they drink packaged fruit juices. It is true that juices are great, but the ones that are packaged aren’t any good. Firstly, the ones available in packed forms have a limited amount of real content (look at the concentrate, which is sometimes lesser than 10% of the total packaging). At the same time, most of these are filled with artificial flavours and a lot of sugar. Do yourself a favour and drink only fresh juices.

3) Artificial Sweeteners- Artificial sweeteners can actually cause diabetes and are as harmful as natural sugar. In fact, they are also responsible for a number of allergies, cancers, seizures, weight gain and obesity.

4) Soda Beverages-   They are the worst! There is absolutely no reason why you should be popping out that bottle of soda or fizzy drinks with so much of caffeine every time. These bottles contain 10 packets of sugar, highly synthetic flavors and have absolutely zero nutritional value. In fact, they promote the ugly fat deposits on all the wrong places. High content of phosphoric acid in sodas can lead to heart and kidney problems, muscle loss, and osteoporosis, as well as trigger accelerated aging.

If you have any further questions on issues related to nutrition or diet, ask me by clicking on 'consult'.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Avoid These 4 Foods to Stay Healthy

Yearly flu vaccination is the best tool currently available to protect against influenza (flu).

While how well the flu vaccine works can vary, the Centers for Disease Control and Prevention (CDC) recommends a yearly flu vaccination as the first and most important step in protecting against flu and its potentially serious complications. Millions of people have safely received flu vaccines for decades. Flu vaccination can reduce flu illnesses, doctors' visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations.

A flu vaccination does not guarantee protection against the flu. Some people who get vaccinated might still get sick. However, people who get a flu vaccine are less likely to get sick with flu or hospitalized from flu than someone who does not get vaccinated.

Why do I need to get vaccinated every year?

New flu vaccines are released every year to keep up with rapidly adapting flu viruses. Because flu viruses evolve so quickly, last year's vaccine may not protect you from this year's viruses.

After vaccination, your immune system produces antibodies that will protect you from the vaccine viruses. In general, though, antibody levels start to decline over time   another reason to get a flu shot every year.

Flu vaccines bring down the risks of suffering from flu. However, its effectiveness is based on different factors.

Age: Usually, the flu vaccine happens to work the best for healthy adults. However, these vaccines cannot work as well with children, especially infants (below the age of 2-3 years). Nevertheless, the efficacy improves with age. Since older people are more prone to contracting the flu virus, it is essential that they get themselves vaccinated. Even if the vaccine is not able to ward off the flu entirely, it can still help reduce the risks to some extent.

General Health: Vaccine spurs immunity into action. It helps your body in identifying and fighting the virus. The efficacy of the flu vaccine solely depends on the capability of your body s immunity system and how well it responds to the virus. Chronic illnesses weaken your body s defense mechanism and with a poor immunity system, the vaccine may not work properly.

The time of the vaccination: For optimal protection, it is advised to go for the vaccination every year right before the  flu  season starts. This is because after the flu season gets done with, old vaccines may not work as effectively.

The flu vaccine needs to be updated every season to guard you against the kind of flu dominant in that particular year. Getting yourself vaccinated is also not a guaranteed foolproof protection, however, it does render partial immunity and helps reduce the severity of the symptoms. However, it should be noted that flu vaccine cannot shield one from cold viruses.

Flu Vaccine Effectiveness: How Well Does It Work?

Piles or haemorrhoids refer to a condition when the veins of the rectum or the anus get abnormally enlarged and causing significant bleeding and inflammation. Generally, there are two types of piles that are found in the human body. One is internal haemorrhoid which is generally painless and occurs in the inner layer of the anal region. The other is external haemorrhoid which occurs in the external layers of the rectum making it easily visible and extremely painful.

The causes of Haemorrhoids are obesity, a desk-bound lifestyle, untreated chronic gastric conditions like dysentery, diarrhoea, constipation, hereditary factors, pelvic tumours and significant increase in the weight of the uterus at the time of pregnancy.

The symptoms of piles include severe pain in the anal region followed by blood discharge with the faecal materials along with extreme irritability in the particular region and abnormal enlargement around the anal region.
In Ayurvedic treatments, piles are referred to as Arsha Shoola which means extreme painful conditions that resemble needle piercing. However, this intense sensation of pain can be eradicated by Ayurvedic treatments as it concentrates on the elimination of the symptoms. 

Some essential Ayurvedic remedies for piles are as follows:

Haemorrhoid is a medical condition that largely occurs due to a bad digestive system. A prescribed dosage of haritaki and jimikand might help in the overall improvement of your digestive system.
According to the Ayurvedic scriptures, piles can be treated, if you can maintain a healthy dietary regime that should include amalaki, papaya and jamrul, but not excessive starch-containing foods like potato and pumpkin.
A mixture containing radish and milk can be applied in the entrance of the anus twice a day to cure piles.
A juicy extract of mint leaves and ginger along with a pinch of lemon juice and honey can be consumed twice a day to get rid of piles.
If the bleeding is continuous a prescribed dosage of the herb nagakesara might provide adequate relief.

Piles - 5 Ways Ayurveda Can Treat It!

A heart attack can wreak havoc, throwing a person's life completely off balance. The condition, also known as Myocardial Infarction, often catches a person unawares. As per a survey, close to 7.35 lakhs people (both men and women) suffer from a cardiac arrest and associated disorders in the US every year. Early diagnosis and preventive measures can make a world of difference. Unfortunately, many people ignore or tend to miss out on the early symptoms characteristic of a heart attack.

A heart attack can be very much averted. All you need to do is, listen to your body and pay attention to the following warning signs. Act before it is too late.

Indigestion, nausea: Nausea, vomiting or indigestion is important, yet most commonly ignored early symptoms of a heart attack. More common in women than their male counterparts, the symptoms are often mistaken for over exhaustion or stomach upset. Nausea, in particular, can be triggered by many conditions and hence the negligence. A person may also complain of stomach ache or heart burns.Though the symptoms may appear to be nothing serious, seeking an immediate medical assistance will not hurt either. A little alertness will only help you in the long run.
Pain and discomfort in the chest: This is a warning that should be taken seriously by all means. The symptom can be an indication of a condition as serious as a blocked artery, an important trigger for a heart attack.
Dizziness: Seldom will you find people losing their sleep over something as common as dizziness. While the lack of a sound sleep can make a person feel dizzy and light headed, the symptom (often accompanied by chest pain) could also be an outcome of a low BP (triggered by improper functioning of the heart). Look for the symptoms carefully and act accordingly.
Sharp pain episodes: Many people experience a sharp pain that originates in the chest and gradually spreads outward towards the arms. The symptom is a clear indication of a heart problem, ignoring which will only spell doom. Sometimes the pain can also spread to the jaw or the throat.The symptom is a strong warning that your heart needs immediate care and attention.
Sudden and unexplained sweating: Sweating due to hot and scorching summer is understood but unexplained sweating can be dangerous.
Over exhaustion: If small or regular chores that you could do in the wink of an eye are suddenly leaving you tired and exhausted (climbing the stairs for instance), it is time for you to consult a doctor.
Irregular heartbeat: The irregular beating of the heart can also be an indication of a heart problem.
Swollen feet: A heart problem can interfere with the ability of the heart to pump blood. As a result, the affected person may have swollen feet, ankles, and legs.
Cough: A cough that lingers for long (often accompanied with a pink mucus) is an important indication of a damaged or diseased heart.

Heart Attack - Did You Know Your Body Starts Giving You Signs A Month Before?

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