The term Sciatica is used to describe leg pain, tingling, numbness or weakness that travels down the low back via the sciatic nerve to the back of leg. Sciatic nerve arises from each side of lower spine and passes deep in the buttock along the back of thigh and legs. The pain of Sciatica may be irregular/ infrequent or persistent causing severe agony to the patients. The pain of Sciatica may be confined to low back or hips or may extend up to toes. The pain of Sciatica can be excruciating and "not relieved by painkillers".

What causes Sciatica?

Pain in Sciatica is due to irritation or pinching of Sciatic nerve within the spine. This occurs most commonly due to prolapsed intervertebral disc (slip disc) causing nerve compression resulting in pain.

Is surgery the only treatment for Sciatica?

Most patients can be managed with medication/exercises. So surgery is not the only way out. Patients who have severe pain can also benefit from "Epidural Steroid Injection". This treatment has proven to be effective in avoiding spine surgery in such patients.

What is Epidural Steroid Injection?

Epidural Steroid Injection is a procedure done by a Specialist (Interventional Pain) in an Operation Theatre using X-Ray (Image Intensifier) to locate exact level of injection. A drug mixture consisting of Steroid with Local Anaesthetic is injected at the epidural space of affected nerve root. The steroid washes away inflammatory mediators from the epidural space which decreases the pain. Steroid also decreases the inflammatory response of body to the prolapsed disc. As a result the pain arising from nerve inflammation is decreased. This is a day care procedure i.e. the patients are discharged the same day.

How is the possibility of surgery ruled out?

Epidural Steroid Injection is a proven, safe and an effective treatment that works on the concept of Interventional pain management - to provide relief from persistent and chronic pain of Sciatica. Generally, a single injection is sufficient to relieve patients of the pain. The procedure can be repeated for a maximum 3 times in a year, depending on the patient's response. With effective pain relief, surgery is negated.

Non-Surgical Treatment For Sciatica

Our survival is solely reliant on the working of the heart. It is this that makes the prospect of a heart failure so fatal and so terrifying. Notwithstanding what the heart evokes, a heart failure is not indicative of a defunct heart; but only a situation when the heart pumps weaker than what is generally deemed as natural. Consequently, the blood flows at a slower rate to the heart and the body that in turn increases pressure in the heart. The oxygen that is produced by the heart in such a scenario is scanty and insufficient for the body. 

body responds with its own defense mechanism, as the heart, in an attempt to hold more blood, stretches its chambers. Though this strenuous effort may keep the blood moving, it would gradually and inevitably weary the heart with all the effort. Subsequently, the kidney responds by retaining more salt and fluid in the body. These fluids may accumulate in different parts of the body, mainly in the legs, feet, ankles leading to congestion in the body. This very condition in medical terminology is referred to as congestive heart failure. 

Different causes can contribute to the onset of such a fatal condition. Some of them are

Coronary artery disease: In such a condition, the arteries supply insufficient amount of oxygen and blood to the heart. Subsequently, the heart receives scanty amount of nutrients and oxygen.
Heart attack: The sudden, unanticipated blockage of the coronary artery and the ensuing stoppage of the flow of the blood lead to a heart attack. The heart muscles are damaged in such a case and prevent the proper functioning.
Diseases: Though the term may be generic and over expansive, most of the ailments which people suffer from tend to manifest themselves by posing a potential threat to the functioning of the heart. A high blood pressure, kidney disease, even a thyroid disease can cause congestive heart failure.
Every disorder is preceded by certain symptoms, and congestive heart failure is no different. Some of them are

Fatigue: This is one of the most perceptible symptoms of congestive heart failure. One of the earliest premonitions of an impending heart failure is a nagging sense of weariness and lethargy.
Swelling: As the condition is characterized by accumulation and build-up of fluids in various part of the body, swelling is an inevitable symptom of this condition and a clear indication of the ailment.

Congestive Heart Failure - Factors that Make it Fatal

4 ways to gain weight

A very low body mass index can be due to many causes including genetic, developmental and hormonal disorders and other issues with absorbing nutrients in the body. A low body mass index may also be owing to a high metabolism rate. Here are a few healthy ways to gain weight according to different requirements:

Know your calorie needs

- Calculate your resting metabolic rate with the formula - RMR = 10* weight (kg) + 6.25* height (cm) - 5* age (yr) + x [For men; x=5, for women; x = -161] Your BMR tells you how much minimum calories you will burn if you rested an entire day.

- Account for your activity by using your RMR as BMR (Base metabolic rate) and calculate your daily calorie needs by the following formulae:

-BMR * 1.2 - If you are sedentary
-BMR * 1.375 - For light exercise
-BMR * 1.55 - Moderate activity
-BMR * 1.725 - High activity
-BMR * 1.9 - Intense activity

Diet to follow

- Gradually increase your calorie intake

- Eat healthy and timely

- Have a balanced diet with heavy foods like - starchy vegetables, dense fruits, added oils and creamy soups

- Have foods rich in protein, avoid watery fruits and veggies

- Avoid trans-fats

- Do not binge, pace yourself through your diet regime

- Have dietary supplements and protein shakes

Build muscle to increase body weight

- Include weight training in your daily regime

- Compensate for extra calorie lost in training

- Do not over do it, rest is equally important in building muscle

Things to remember

- Stop eating junk food, eat healthily

- Hydrate yourself well

- Rapid weight gain may cause stretch marks

- Be careful when choosing fatty foods as overindulging in them can lead to heart diseases and type 2 diabetes

- Overeating may cause bloating, stomach aches and cramps

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

4 ways to gain weight

As people grow older, they age physically as well as mentally. Just as they become more susceptible to conditions such as arthritis, their risk of mental illnesses also increases. It is also important to note that physical ailments influence mental ailments. Thus, arthritis may not only be a problem in itself but may cause mental disorders as well. 

Some of the most common psychological problems that affect the elderly are:

Depression: Depression can affect people of all ages but the elderly have a higher risk of suffering from it. The symptoms and effects of this condition vary from person to person. These include feeling sad constantly, tiredness and lack of energy, lack of self-worth, unexplained weight loss or weight gain, insomnia and reduced appetite. This may be caused as a side effect of certain medications or treatment, as a result of frustrations caused by other physical ailments or just an effect of age.
Memory Problems: As people get older, their memory weakens. Many lose their long-term memory skills. They may also lose their short-term memory. This is not the same as being forgetful. Characteristic symptoms of amnesia include confusion, memory loss, inability to recognize people, etc. Amnesia may be caused by a number of factors including trauma to the head, brain damage or psychological factors such as PTSD.
Dementia: Dementia is characterized by the person s mental inability to function normally. This could be in the form of random mood swings, apathy, confusion, changes in short-term memory or failed sense of direction. Dementia is typically caused by the death of brain cells due to tumors, infections, lack of oxygen, lack of nutrition etc. Parkinson s disease, Huntington s disease, vascular dementia and frontotemporal dementia are all forms of dementia.
Alzheimer s Disease: This is a kind of dementia as well. In such cases, the patient loses memory of where they are and believe themselves to be in another place and time zone. The patient may not be able to rationalize things happening around him and may be unable to recognize their own family members. This is a neurodegenerative disease that involves shrinkage of the brain cells. It may be genetic. Alzheimer s can be treated and managed but it cannot be cured.
Insomnia: Insomnia can be classified as a physical and mental ailment. It is characterized by the inability to sleep well at night. Some of the noticeable symptoms include tossing and turning for hours in bed before going to sleep, waking up frequently at night, waking up earlier than planned and falling asleep during the day. Insomnia in the elderly is typically caused by stress and anxiety. It may also be the result of certain types of medication.

5 Common Psychological Problems That Affect People In Old Age!

Every person suffering from migraine will agree that -  although medications can control the head-piercing pain that each attack brings with it, preventing the onset of the pain altogether is the best way to deal with it. Follow these three simple strategies and based on the reaction of your body to these, mould your lifestyle to effectively prevent the occurrence of migraine to a good extent.

1. Get adequate amount of exercise
A large majority of people who suffer from migraine steer clear of any highly intensive or strenuous exercise as it is known to be the prime trigger for a severe attack. Having said that, avoiding physical activity altogether can worsen your migraines and thus you should focus on indulging in some light exercises. Activities such as jogging, walking and yoga can reduce the duration of your migraines and also bring down its severity and frequency. Moreover, regular exercise brings down stress levels which are also a major factor for triggering migraine attacks.

2.  Take note of your meal schedule and type of food that precipitates headache
For most patients migraine is triggerred by irregular meal schedule and some foods acts as triggers for migraine like cheese, chocolate, chinese foods. It is very imprtant to maintain a regular meal schedule, avoid skipping meals and take note of the items that precipitate your headache. Items that can precipitate headache is different for every individual and maitaining a headache diary can help you to identify these triggers. Also, note down the occurrence of your migraines, their duration and severity. Having adequate data makes it extremely simple to recognize a recurring pattern and leads you to the main cause behind your migraine attacks.

3. Maintain a stable sleep schedule
Sleep plays a great role in triggering migraine attacks and irregular sleep patterns, not getting adequate sleep, or sleeping more than required – all these habits can lead to a severe attack. Thus, try and create a sleep schedule for yourself keeping your daily routines in mind and follow it without fail.

Top 3 Strategies To Keep Migraine At Bay

Non-inflammatory pain and tenderness in joints, muscles and ligaments can lead to a chronic condition called Fibromyalgia. It is estimated that it affects 5 % of the population annually. Though there are many conventional medications available to address this situation, none of them focuses on healing the disease from the root. This is precisely where Ayurvedic techniques differ. Let us look at a time tested way to address Fibromyalgia through ancient Ayurveda.

Ayurveda for Fibromyalgia
There are some common symptoms of Fibromyalgia. These include aches and stiffness of the body, generalized fatigue, chronic headaches and migraines, swelling and numbing sensations in the joints. Ayurveda treats a particular disease on the basis of the  vata  imbalance. The condition also affects the central nervous system thus leading to pain and tenderness. Accumulation of Ama or toxins is also the other major factor for Fibromyalgia.

Ayurveda focuses mainly on these two factors and creates a balance in suppressing them. The famed panchakarma therapy and the herbal oil massage can help in reducing the toxin levels. They also work additionally as a detox thus helping in eradicating the harmful by-products. Along with it, a diet plan should also be followed for stimulating the growth naturally. These include vegetables, fibers, and juices of carrot, cucumber, beetroot, spices like cumin, coriander, ginger asafetida and coconut milk.

Also, some limitations are needed, and a person should avoid spicy foods and reduce the intake of caffeine products. Alcohol should be curbed when a person is under the treatment plan. Few herbs like "Dashamula quath" and 'Triphala choorna' are recommended for cleansing the colon. Mental stress is also one of the major factors, and hence a relaxed attitude should be followed along with certain lifestyle changes. Ayurveda wants the body to get the necessary sleep and rest in its treatment plan. In the treatment of Fibromyalgia too, it is no different. The Ayurvedic physician would lay out the entire cycle of the treatment procedure, and they have to be followed religiously. A person can see the reduction in the pain within a few weeks of following the treatment.

Ayurveda is safe
The biggest advantage of an Ayurvedic treatment is that it is extremely safe and that there are no side effects. They effectively act as a detox thus getting rid of the harmful substances from the body along with curing of the symptoms. Ayurveda not only takes care of the pain but identifies the problem from the root. Hence it effectively curbs the chances of Fibromyalgia from reoccurring.

Fibromyalgia - How Ayurveda Is Safe For It?

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