Spine surgery is conventionally performed as  open surgery , which means the region being worked on is opened with a long entry point to permit the surgeon to view and access the area. Technical and scientific advances have permitted more back and neck conditions to be treated with a less obtrusive surgical technique. The minimal invasive spine surgery (MISS) does not include a long cut, and it prevents causing damage to the muscles around the spine. As a rule, this causes less pain after the surgery and a speedier and healthy recovery.

Spine surgery is normally suggested when non-surgical treatments like medicinal or exercise based methods have not helped in lessening the excruciating symptoms of your back problem. Moreover, surgery is just considered if your doctor can pinpoint the correct reason of your pain, for example, a herniated circle or spinal stenosis. 

MISS is also called less obtrusive spine surgery. In these procedures, surgeons utilise particular instruments to get to the spine through little cuts. The surgery process is as follows:

During the surgery, a little entry point is made and the tubular retractor is embedded through the skin.
It is also inserted into the delicate tissues down to the spinal cord.
This makes a passage to the little range where the problem exists in the spine.
The tubular retractor holds the muscles open and is set up all through the surgery.
The surgeon gets to the spine utilising the little instruments that fit through the focal point of the tubular retractor.
Any bone or disk material that is expelled goes out from the retractor.
Any gadgets needed for the fusion process, for example, screws or rods, are embedded through the retractor.
A few surgeries require more than one retractor.
Keeping in mind the end goal to see where to put the entry point and embed the retractor, the surgeon is guided by fluoroscopy.
This strategy shows ongoing X-ray pictures of the patient's spine on a screen throughout the surgery.
The surgeon additionally utilises a microscope to enlarge the view through the retractor.
Towards the end of the procedure, the tubular retractor is expelled and the muscles come back to their original position.
This restrains the muscle damage that is more ordinarily found in open surgeries.
It is very important to talk about these risks with your doctor before your surgery or procedure.

Infection: Antibiotics are consistently given to the patient some time before, during, and regularly after the surgery to reduce the danger of infections.
Bleeding: A specific measure of bleeding is normal; however, this is not commonly dangerous.
Pain in the grafted area: Some patients will encounter surgical pain at the bone joint site.
Recurring symptoms: A few patients may encounter a repeat of their side effects.
Pseudarthrosis: Patients who tend to smoke are more prone to pseudarthrosis. This is a condition wherein there is insufficient bone formation. In case that this happens, a minor surgery may be required.
Nerve damage: It is possible that the nerves or veins might be harmed during these operations. These complications are extremely uncommon.
Blood clots: Another complication is blood clots in the legs. This poses a threat because these clots can break off and settle in the lungs.

Minimally Invasive Spine Surgery - A Guide On What To Expect?

Smartphone Addiction is a Sign of Depression

There are some people who just never seem to get off the phone. They would be looking at their phones all the time, messaging, using social networking sites or simply clicking their pictures or playing games. A study suggests that addiction to the smartphone is linked to and serves as a sign of depression.

The study reveals that individuals who have been diagnosed with some form or degree of depression tend to use their phones more. In fact, smartphone addiction is correlated to clinical depression. So, if your teenage son or daughter or someone you know have been using their phones too often, then this might be a red signal towards depression.

Smartphone addiction can be seen as a compulsive behavior and is typically noticed among depressed people. At the same time, it can result in depression as well. People who are prone to developing depression symptoms may also use their phone more often. Their excessive usage and smartphone addiction may actually make them irritable and sad, looking at photos of others, noticing other people’s lives may make them feel that their lives aren’t perfect. This can in turn lead to feelings of extreme sadness, cause depression or even suicidal thoughts.

So, make sure that you keep a tab of how often people use smartphone in your family. If you suspect behavioral changes with smartphone addiction, consider getting a consultation with a psychologist or counsellor.

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

Your Addiction To Smart Phone Reveals Something Shocking About You!

The heart muscle is the central pumping machine that ensures that blood flow throughout the body is maintained and all other organs have a regular supply. One of the conditions that can cause this organ to malfunction is cardiomyopathy, wherein the heart is unable to pump the blood to all parts of the body. This condition can even lead to heart failure and is something that needs to be addressed and diagnosed quickly.

Symptoms of Cardiomyopathy
Early stages of cardiomyopathy may be difficult to detect externally, although it may be slowly reducing your heart s capacity. Symptoms that start showing in later stages may include:

Constant fatigue, even without physical activity
Fluid may build up and thus cause bloating within the body
Persistent coughing while lying down
You may have irregular heartbeats that may sometimes be quite rapid
Due to the lack of blood supply, you may feel lightheaded, dizzy and might even cause you to faint
Even the slightest of exertions will cause breathlessness and exhaustion and you may even feel this symptom while at rest
Intermittent chest pain
Causes of Cardiomyopathy
Causes of this condition may vary from patient to patient, although certain common factors include:

Genetic reasons where one or both parents are susceptible to this condition
Metabolic problems such as obesity, diabetes or thyroid problems
Substance abuse such as anabolic steroids, amphetamines cocaine or even the consumption of excessive alcohol
High blood pressure for prolonged periods
Nutritional deficiencies
Side effects of drug treatments such as the use of certain chemicals in chemotherapy
Types of Cardiomyopathy
Cardiomyopathy has multiple types; depending on what causes them and also certain specific symptoms. These are:

Restrictive cardiomyopathy
Dilated cardiomyopathy
Arrhythmogenic right ventricular dysplasia
Hypertrophic cardiomyopathy
Unclassified cardiomyopathies
Treatment for cardiomyopathy
The treatment of these various forms of cardiomyopathy will vary depending on the type and also the stage and condition of the heart. Some of these treatments include:

Medications
Lifestyle changes
Surgeries such as Septal myectomy, Septal ablation and Radiofrequency ablation
Implantable devices such as Implantable cardioverter-defibrillator or ICD
Ventricular assist devices
Heart transplant in the worst case scenarios

Cardiomyopathy -  Decoding the Types + Treatment

Are you aware of the number of people who suffer because of pneumonia? As the weather becomes cold and damp, chances of getting affected by pneumonia increases. Pneumonia can originate from virus, bacteria and a host of other factors. It is one of the most common ailment which affects the adults, all over the world. Hence, it is important for all of us to prevent  ourselves from pneumonia and for that we can follow the below mentioned steps:

Know about the symptoms of pneumonia first: It is difficult to detect or diagnose pneumonia, especially in people over the age of 65. In older patients, the common symptoms such as fever, chills, cough may not be experienced. You should watch out for non-respiratory symptoms like weakness, dizziness, delirium and confusion. It is even more difficult to diagnose pneumonia in people who are suffering from preexisting conditions.
Practice good hygiene: Common respiratory infections, influenza and cold may cause pneumonia. You should follow hygienic habits. Wash your hands regularly before meals and use hand sanitizers in order to prevent the illness from spreading. You should also maintain proper oral hygiene as several oral infections may also lead to pneumonia. You should also keep away from people who are affected by pneumonia or any other illness like flu, cold and serious diseases such as measles or chicken pox. All these factors may cause pneumonia.
Get vaccinated: It is recommended for people of all ages who may be at a risk of getting pneumonia to get vaccinated and immunised against pneumonia causing virus called pneumococcal pneumonia. This is a one-time vaccine, which prevents and reduces the severity of pneumonia. A booster vaccine after every five years may also be prescribed. Elderly people should be vaccinated against all diseases which cause pneumonia.
Quit smoking: Smoking accounts for being a major cause or risk factor for pneumonia. It increases a person s chance of getting pneumonia as the lungs  ability to defend themselves from the infection is reduced. By quitting smoking, you will be able to prevent pneumonia.
Maintain a good general health: Maintaining an overall good health and following healthy habits will help you in preventing pneumonia. This is because your immune system stays strong and is able to fight efficiently against pneumonia-causing infections. A proper diet with all essential nutrients is also recommended along with regular physical exercise and proper rest.
Severe cases of pneumonia are capable of making you suffer and you may be admitted to a hospital. According to studies, it has been estimated that more than 60% of people over the age of 65 need to be hospitalised because of pneumonia.

If you wish to discuss about any specific problem, you can consult a pulmonologist.

Pneumonia - 5 Ways You Can Prevent Yourself Against it

At present 3 out of the 5 people are suffering from diabetes and it is the 7th leading cause of death worldwide. Moreover, it is no more restricted just to adults and affects children as well. Diabetes is a metabolic disease resulting in increase in the level of glucose in the body. Glucose is a source of energy for the cells making up the muscles and other tissues in the body. But if the level of glucose goes up, it shows the sign of danger. Diabetes is of 2 types: 

1. Type 1: body fails to produce insulin.
2. Type 2: Body fails to produce enough insulin which is required by the body.

There are no definite signs of diabetes. It simply varies from person to person. In many of the cases it goes unnoticed. Such signs are as follows:

1. Sudden weight loss: You might experience a sudden weight loss of 5 to10 kgs within a month. This happens when sugar metabolism ceases very quickly.  Insufficient insulin prevents the body from taking in glucose in the body cells from the blood to use as energy. In such a scenario the body starts burning fat and muscle for energy. This results in weight loss.

2. Intense hunger: The cells in your body might not get enough energy either due to absence or improper functioning of insulin in your blood. This makes you hungry quite often.

3. Excessive urination and thirst: Due to diabetes, the glucose level in the body goes up. The kidneys are overloaded with the burden of working overtime for filtering and absorbing the excess glucose in your body. The excess sugar, which the kidney cannot store is excreted out of your body. This makes you urinate frequently.  Due to frequent urination the body gets dehydrated which makes you feel thirsty more often.

4. Blurred vision: Due to the high level of glucose in your body tissues gets pulled away from the lens of the eyes. This results in vision issues. If not treated on time, it may even lead to blindness.

5. Increased fatigue: The cells in your body might not get enough energy either due to absence or improper functioning of insulin in your blood. This makes you restless more often and you may even feel too weak to do your regular activities.

If you notice any of these signs, get the level of sugar in your checked and take the required remedies. It is good to get it treated as early as possible rather than facing immense trouble in future.

5 Common Signs of Diabetes That Often Go Unnoticed

An eating disorder, mostly appears when your food habits reach levels of extremity. Anorexia nervosa and Bulimia are two main and the most common eating disorders found in men and women. One is the lower extreme while the other is the higher extreme in terms of food intake.

1. Anorexia: People who are affected with anorexia think of themselves to be very overweight in spite of actually being very slim and thin. Anorexia inflicted people consume less than a thousand calories per day. They exercise rigorously and try to find more ways to lose weight. They vomit a lot due to the insufficient diet and suffer more. The treatment for anorexia nervosa generally includes a mix of mental treatment, and regulated weight gain program. An anorexia patient should seek treatment as early as possible. The best ways to deal with anorexia are:

Psychological Treatment: Various psychological treatments can be used to cure anorexia of different stages. They are cognitive analytic therapy, cognitive behavioral therapy, interpersonal therapy, focal psychodynamic therapy. A family's response is also an important psychological factor. Proper encouragement and effort should be given.

Weight gain program: This measure will guide an anorexic patient to improve his diet habits and slowly gain weight. A patient is monitored carefully, traits are recognized and a likewise diet pattern is given.

2. Bulimia: Bulimia nervosa is another category of eating disorder. The main characteristic of this disorder is  overeating in the highest level. Binge eating is observed, followed by attempts by the affected individual to lose weight. A bulimic patient is constantly trapped in the cycle of overeating and then thinking about losing weight.

Maybe you do not like the idea of binge eating and fear getting obese, but once affected by bulimia a patient cannot follow this and binge eats. Later, they adopt extreme measures for losing weight. The primary methods to deal with bulimia are:

a. Psychotherapy: Psychotherapy, or talk therapy includes examining your bulimia and related issues with an expert. It is proven that these sorts of psychotherapies restrict the symptoms of bulimia. The three modes of psychotherapy include- Cognitive-behavioral therapy, Family-based therapy and Interpersonal psychotherapy.

b. Medications: Medicines such as anti-depressants can be taken by bulimia patients along with psychotherapy. Prozac is a recommended and effective medicine.

c.Proper diet plan: For bulimia affected patients, having a proper balanced diet is very essential. A diet expert should be consulted, who will make the most essential food pattern for you. Undertaking a weight loss program is also recommended.

Eating disorders such as anorexia and bulimia should be avoided, and you should know the best ways to deal with them.

How to Deal With Anorexia and Bulimia

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