If your kid is affected by Duchenne muscular dystrophy (DMD), it is important for you to know about the best ways of dealing with the condition. Muscular dystrophy consists of group of diseases, which result in the weakening of muscles along with reduced flexibility. DMD accounts for being the most common type of muscular dystrophy. It occurs because of flaws in the gene, which controls how your body keeps the muscles healthy. This disease affects boys and the symptoms start appearing from early childhood.

Treatment
There is no specific treatment for DMD. However, there are several ways, including medicines and therapy, to deal with the symptoms and to protect the muscles.

Several steroids such as prednisone help in slowing down muscle damage. Children taking this medicine are able to walk for two to five years longer than they would usually do. Lung and heart functions are also improved.
DMD leads to heart problems and hence, you should take your child to a heart doctor for regular checkups until the age of 10.
In some cases, a surgery may be required to fix their shortened muscles, for straightening the spine, or for treating a heart or lung problem.
Taking care of your child
If your child has DMD, it does not mean that he will have to refrain from activities such as school, sports and spending time with friends. By sticking to the right treatment plan, you will be able to make your child active.

Stand and walk: Being in an upright position will keep your child s bones strong and the spine straight. You can get your child braces or standing walkers, which will help him in terms of balance and mobility.
Eat right: Although there is no special diet for DMD, several food items should be taken for preventing problems related to weight. Your child should eat the proper amount of food with a proper balance of nutrients and calories regularly.
Stay active: You should ensure that your child exercises regularly. Regular stretching exercises help in keeping the muscles and joints limber, which makes him feel better. You can avail the help of a physical therapist for an exercise schedule.
You can look for and join local support groups associated with DMD, as other families living with DMD can be a source of good advice and understanding about life with DMD.

Muscular Dystrophy -  How To Deal With It?

Frozen shoulder is a condition where the patient encounters continuous shoulder stiffness and pain. It could last for several weeks. Inflammation around the shoulder increases the inability to move or stretch properly. This happens when somebody is recovering from an injury. Frozen shoulder can also occur when somebody is wearing a sling or a cast. It also occurs if someone is recovering from surgery or experiencing joint pain. It may also be experienced as a symptom of thyroid, joint disorders or diabetes.

Some of the causes and risk factors for creating a frozen shoulder are as follows:

    If you are 40 years or older, your chances of a frozen shoulder are higher than others
    Recovering from a damage or surgery
    Hormonal imbalance
    Ladies are more prone to a frozen shoulder
    Cervical disc infection that influences the nerves around the shoulder
    Not moving your arm because of other pain or wounds
    Having a previous medical condition like diabetes or other heart diseases
    Open-heart surgery or spinal surgeries
    Poor diet and unhealthy lifestyle

The most widely recognized symptoms of a frozen shoulder include:

    Stiffness around the shoulder usually happens in one shoulder at a time (not both) and will probably return in the same shoulder. Muscle, joint and bone agony in and around the shoulders or arms may be experienced.
    Restricted scope of movement
    Having difficulty moving and using the shoulders or arms ordinarily, (for example, experiencing difficulty in getting dressed, driving, holding objects before you, and gestures.)

Treatment:

    Stretch the Shoulder: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder by doing a few warm up exercises. This will improve the blood supply in the affected area and avoid future injuries by making your body more comfortable with the motion. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.
    Non-intrusive treatment: While these activities mentioned above can be easily performed at home, if pain continues and makes it difficult to move around or work ordinarily, see a physiotherapist who can appoint particular activities and can enhance your scope of movement, flexibility and strength.
    Acupuncture: Acupuncture is considered one of the best treatment choices for any joint and nerve related problem. The treatment is based on focusing on the trigger points of the pain and putting pressure on them via needles. The treatment is not painful and is known to produce good results in the long run.
    Dietary Supplements: Various supplements can be taken with the recommendation of a doctor, in order to improve recovery. Alfalfa (horse feed) and turmeric are two of the most regularly recommended elements that relieve swelling and repair the tissue in the shoulder.

Best Remedies for a Frozen Shoulder

Your thyroid glands are important to the body because it produces essential hormones. However, if you suffer from hypothyroidism, your thyroid glands will not be able to produce these hormones sufficiently.

In the early stages of hypothyroidism, you will not detect any noticeable changes in your body or health. However, if you do not start treatment for the condition, you will soon start to experience symptoms, such as obesity and infertility. Joint pain is another serious symptom of hypothyroidism.

Symptoms of musculoskeletal pain related to hypothyroidism-

Hypothyroidism can lead to a range of muscular and skeletal disorders in your body. Here are some musculoskeletal symptoms you are likely to experience if you suffer from hypothyroidism.

Painful and stiff muscles, which mainly affect your hip and shoulder region

Swelling across the joints of feet and hands

Carpal tunnel syndrome, where pressure on a nerve in your wrist causes pain and tingling across the entire arm

Stiffness and pain in the joints

Treating hypothyroidism related muscle and joint pain-

Over-the-counter pain medications help deal with the pain and the swelling. However, they are a temporary solution for the discomfort. Treating hypothyroidism is the best way to reduce your pain and discomfort.

Your doctor will prescribe a levothyroxine supplement, which is a synthetic hormone. This medicine will rectify the imbalance in your hormone levels, which in turn will reduce pain in your muscles and joints. Apart from the joint pain, the medication will also lower your elevated cholesterol levels from hypothyroidism.

How to get the best results from the medication-

If you consume certain foods, supplements and medication while being on levothyroxine, the drug may not work effectively. Here is a look at some things to avoid when you are on the medication.

Excessive soy products

Excessive high-fibre diet

Foods with high iron content

Antacids that contain Aluminium hydroxide

Calcium supplements

For the best effects, you need to consume the hypothyroidism medication on an empty stomach. Your doctor will likely advise you to take the medicine first thing in the morning and then wait about an hour before having your meal. In some cases, you may need to take the drug before going to bed. However, ensure you consume the medicine at least 4 hours after the last meal for the day.

Hypothyroidism And Musculoskeletal Pain - Know More About Its Link!

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

Your shoulders are one of the most important parts of your body, but sadly it is also one of the most neglected parts. People use their shoulders for day to day activities. Without shoulders it would be very difficult to even do a simple activity like lifting a fallen paper from the ground. Like your other body-parts, shoulders also need proper attention and care.

Why is shoulder mobility so important?
Whether it is about moving a growing child, lifting a barbeque table or about moving heavy luggage, actions require shoulder mobility. If you find it difficult to do these activities it is highly probable that you have shoulder impingement syndrome. This syndrome occurs when the rotator cuff muscles become inflamed and irritated and result in severe pain and difficulty while moving one s shoulder. Weak shoulders also make your posture look bad, it can cause grave strains in your neck and back and make you look hunched which is not at all attractive for your appearance.

Different kinds of shoulder injuries and causes of shoulder immobility:

Rotator cuff injury

Frozen shoulder

Onset of arthritis

Shoulder instability

Injury to the tendons and ligaments

Shoulder dislocation

Torn rotator cuff

Impingement   It refers to the excessive friction of the shoulder muscles against the top part of the shoulder blade.

How can you improve shoulder mobility?

You can improve your shoulder mobility with the help of some exercises. For example, stand straight with your hip and feet apart. Move your hands behind your back and try to interlock your fingers, if you face difficulty in doing so, use a towel instead. Hold this position for a minute or so.
Sit and keep your feet and knees straight pointing towards the direction of your eyes. Touch your shoulder blade by bringing your hands backward, touch your elbow with your other hand and bring it upwards. Sit straight, hold your head up and breathe slowly. Hold this position for a minute and then repeat again.
You can also improve your shoulder mobility with the help of yoga. Yoga is all about relieving your tension and stress, hence it is very beneficial to loosen up tight shoulders and it makes you much healthier by improving shoulder mobility. Stand straight with your feet at least four feet apart and then bend your left foot slightly towards to the right. Make your right foot bend 90 degrees. Raise your right arm towards the left and bend your body. Inhale and exhale. Switch sides after taking five breaths.
Physiotherapy For Shoulder Mobility-

Physical Therapy is not just scientific; it is also very thorough and very methodical in its way of healing and remedying clients with many aches and pains. A therapist is well trained and very careful in massaging and handling delicate parts of the body such as the vertebrae, extremities and in cases of temporomandibular joint neuromusculoskeletal dysfunction. Physical Therapy is a distinct specialization in the practice of physiotherapy.

Before patients are treated with the therapy, it is very important that they undergo a preliminary assessment of what ails them. Their dysfunctions are determined and their biochemical systems are assessed as well. The body's posture as well as the placement is analyzed and almost all areas of the entire body in terms of the position and functioning of the musculoskeletal system is considered just to make sure that the root cause of the problem is discovered and treated. 

The aim of the therapy is to alleviate pain, strengthen the body, and improve movement and usability of the limbs as well as the other areas of the body through the use of the hands. The therapy also utilizes various work-out regimens as well as a home carry over system to make sure that the intervention plan will work as expected. More than just treatment, physical therapy is a means of assisting a patient to recover body movement, strength and function, therefore the need to have a strong determination to improve from the patient is definitely required. Here are some physical exercises to improve shoulder mobility-

First step is to provide adequate rest to the shoulder. Avoid using the affected arm too much. Keep it in a comfortable position. Do not strain the arm.

Cold compressions can help to ease pain and swelling. Alternate applications of hot and cold compressions help to reduce inflammation and provide quicker relief.

Keeping the arm elevated in a swing is recommended. It helps to drain the fluid or oedema and reduce pain.

Other exercises recommended are basic shoulder strengthening exercises. Example of one such exercise is gently pulling an elastic tubing attached to a door knob, towards your body. These can be performed twice daily, starting five times with each arm.

Wall push exercises are those that strengthen shoulders, forearms, biceps and triceps. You must stand at least a feet away from the wall and push against the wall, for a count of 5 to 10.

Shoulder press ups are exercises that can be comfortably done while sitting on a chair. Keep your arms on the armrest of the chair. Instead of putting the weight on your feet, rise up slowly by putting the weight on your hands. Repeat this 5 times twice or thrice daily.

There are isometric shoulder mobility exercises that involve muscle contraction and movement of limbs. It involves strengthening the muscles through extension, contraction, rotation and flexion of shoulder joint.

There are lateral rotation abduction exercises, lateral shoulder raises, lateral shoulder pull down.

There s a range of scapula squeeze exercises that involve strengthening and stabilising the shoulder blades.

Medicine balls and lightweight dumbbells can be used as props to exercise the shoulders.

A bad shoulder not only results in a bad posture but also prevents you from doing day to day activities. Hence it is necessary to take care of your shoulders and exercise daily to improve the mobility.

Shoulder Mobility - How You Can Improve it?

Sarcopenia refers to the loss of muscle mass caused by the natural process of ageing. Over time, the loss of muscle mass may reduce a person s strength and affect his or her balance and the ability to walk. Sarcopenia can make it difficult for one to carry on with their routine activities, such as walking, lifting objects, or climbing stairs.

The reduction in muscle mass involves both a decrease in their size and the loss of muscle fibres. Sarcopenia becomes noticeable by age 40   and the loss of muscle tissues progress more rapidly by the time you reach the 60s or 70s. Doctors believe that certain hormonal changes due to ageing are the main reason for this condition. 

Apart from that, poor nutrition and a sedentary lifestyle also contribute to muscle loss. Health experts and doctors suggest that following a proper, nutritious diet can help treat or delay sarcopenia.

Diet recommended for sarcopenia patients 

If you are diagnosed with sarcopenia, your dietician or healthcare provider will likely recommend a diet that has an abundance of proteins, omega-3 fatty acids, and vitamins to prevent further muscle loss and boost their growth.

Here is a close look at the nutrients  

Proteins

The protein in your diet signals the muscle tissues to strengthen and build. As your muscles become more resistant to this signal with age, it is important that you consume more protein to increase muscle growth. A study found that people over age 70, who consumed a wholesome meal containing 35gms of protein, saw significant growth in the muscle mass. Leucine, an amino acid, is especially essential for regulating muscle growth. Some of the best sources of leucine include meat, eggs, fish, soy, and whey protein. 

Research has shown that the optimal intake of dietary protein should be somewhere between 0.6-0.9g/pound/d of protein in older adults with chronic or acute diseases. Besides eating more protein with meals, health experts recommend adding other protein-rich foods to their daily diet, including peanuts, almonds, edamame, and chickpeas. 

Vitamin D

Vitamin D is important for maintaining and building healthy bones. This is because the main component responsible for bone health, calcium can be absorbed only when your body has sufficient vitamin D. Milk, soymilk, cheese and other dairy products, egg yolks, and fatty fish like salmon, tuna, and mackerel are some of the foods offering sufficient amounts of vital vitamin D. While natural food sources are the best way to get your daily dose of vitamin D, you can also opt for supplements to increase muscle endurance and lower the risk of falling. However, be sure to discuss with your doctor before taking vitamin supplements. 

Omega-3 fatty acids

Fish oil extracted from fatty fish contains high amounts of omega-3 fatty acids, DHA, and EPA. Due to its anti-inflammatory properties, fish oil is known to boost muscle sensitivity to resistance training and protein, allowing for growth in strength, size, and muscle mass as you age. A study conducted over 16 weeks revealed taking omega-3 supplements regularly witnessed a significant increase in muscle growth. 

Sarcopenia becomes more apparent with age and may affect your quality of life. Eating high-quality protein and enough calories can delay the rate of muscle loss. Consult a dietician and ask for a diet plan comprising these nutrients to improve muscle strength and deter sarcopenia.

What Type Of Diet Should Be Taken In Sarcopenia?

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