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?

Headache is a pain in any part of the head, including the scalp, upper neck, face (including the eye area).

A primary headache is caused by problems with or overactivity of pain-sensitive structures in your head. A primary headache isn't a symptom of an underlying disease.

What are the causes and triggers?

The three most common causes of a primary headache are:

Cluster headache
Tension-type headache
Migraine
Some primary headaches can be triggered by lifestyle factors, including:

Alcohol, particularly red wine
Certain foods, such as processed meats that contain nitrates
Changes in sleep or lack of sleep
Poor posture
Skipped meals
Stress
Doctors focus on determining whether a headache has another cause. They also check for symptoms suggesting that a headache is caused by a serious disorder. If no cause is identified, they focus on identifying which type of a headache is present.

Tips that could help before seeking consultation:

Try to keep stress in check. Stay organized and prepared to minimize stressful situations. Have some fun, and don't overdo it at work.
Try incorporating meditation or yoga in your daily regime
Apply a heating pad, hot water bottle or warm compress to aching muscles. Or take a hot shower.
Apply an ice pack wrapped in a towel to the neck.
Practice good posture to ease muscle strain. While standing, keep shoulders back and head level, buttocks and abdomen pulled in. While sitting, keep your head straight and thighs parallel to the floor.
When to seek consultation?

In people with headaches, certain characteristics are cause for concern; these people should immediately seek medical consultation:

It occurs more frequently than usual
Are more severe than usual
Worsen or don't improve with appropriate use of over-the-counter drugs
Prevent you from working, sleeping or participating in normal activities
Headaches that cause you distress, and you would like to find treatment options that enable you to control them better
Tenderness at the temple (as when combing hair) or jaw pain when chewing
The presence of cancer or a disorder that weakens the immune system
Use of a drug that suppresses the immune system
Red eyes and halos seen around lights
If you are experiencing certain other symptoms like- headaches that increase in frequency or severity, headaches that begin after age 50, worsening vision, weight loss
A headache can be a symptom of a serious condition, such as a stroke, meningitis or encephalitis. Go to a hospital emergency room or your local emergency number if you have the worst headache of your life, a sudden, severe headache or a headache accompanied by:   

Confusion or trouble understanding speech
Fainting, drowsiness, confusion
High fever, greater than 102 f to 104 f (39 c to 40 c)
Numbness, weakness or paralysis on one side of your body
Stiff neck
Trouble seeing, speaking or walking
Nausea or vomiting (if not clearly related to the flu or a hangover)
If people with none of the above symptoms or characteristics start having headaches that are different from any they have had before or if their usual headaches become unusually severe, they should call their doctor.

Doctors can usually determine the type or cause of headaches based on the medical history, symptoms, and results of a physical examination. Depending on their other symptoms, the doctor may advise taking an analgesic or ask them to come for an evaluation.

Headache - Certain facts one should know

Post-traumatic stress disorder (PTSD) is an anxiety disorder which develops due to a terrifying traumatic incident. Traumatic events like violent personal assaults, man-made disasters, accidents, military combat etc. can trigger PTSD. 

What are the symptoms of PTSD?
People with PTSD mostly re-experience the whole incident repeatedly in the form of flashback episodes and nightmares. This happens more when they are exposed to the events or objects which are reminiscent of the trauma. The other symptoms are emotional numbness, sleep disturbances, depression, anxiety and irritability leading to outbursts of anger on others. People with PTSD feel intense guilt mostly. Anniversaries of such an event can also trigger symptoms of PTSD. When these symptoms last for more than a month, the person is diagnosed with PTSD.

Who will most likely develop PTSD?
You do not need to be in the military to suffer from PTSD. People who have suffered child abuse during school, who have had traumatic experiences are more likely to develop the condition. Other factors that may cause PTSD are still under research.

When does PTSD occur?
PTSD can occur at any age, given the intensity and frequency of symptoms. The symptoms typically are seen within 3 months post a traumatic event, although it may not begin until next year. Once the PTSD symptoms appear, the severity and duration of the illness may vary.

What are the treatments available for PTSD?
Cognitive-behavioral therapy, group therapy, and exposure therapy have been very effective in treating PTSD where the patient gradually and repeatedly relives the frightening experience under controlled surroundings which helps him/her work through the trauma. Medicines also help ease associated symptoms such as depression and anxiety.

Do other illnesses accompany PTSD?
PTSD can present with many associated conditions like depression, alcohol or substance abuse, anxiety disorder etc. Certain symptoms like headaches, gastrointestinal ailments, immune system issues, dizziness, chest pain or discomfort in other parts of the body are common. To treat PTSD entirely, it is necessary to take these symptoms into consideration as well.

PTSD is a difficult condition to deal with. If you or someone you know happens to suffer from PTSD, the first thing is to seek help. Having PTSD does not make you weak. All you need is a little help and support from your family and friends, to make you feel better. Happy Mind, Healthy You!

5 Interesting Facts About Post Traumatic Stress Disorder!

Coughing is a common problem of the respiratory tract and often indicates a deeper problem. It can be very irritating and can affect eating habits and socialization. A cough which persists for more than 4 weeks is believed to be chronic in nature. Tuberculosis (TB) is the most common cause of chronic cough in India. TB is an airborne bacterial infection caused by the organism - 'Mycobacterium tuberculosis', that primarily affects the lungs, although other organs and tissues may be involved. Cardinal features are: 

Chronic cough with or without sputum.
Fever more in the night time. 
Poor appetite. 
Unintentional weight loss. 
Read on to know about other common causes of chronic cough and how to manage them.

Allergies: People with allergies usually have a chronic cough, which gets aggravated when exposed to the allergens such as pollen or environmental dust. Staying away from allergen provides relief. Antihistamines are also useful, which most people detected with allergies keep in handy. Inhalers might be required, if there is associated congestion or shortness of breath.
Asthma: This is a very common chronic condition, caused by inflammation and swelling of the lungs, in addition to wheezing and shortness of breath. Asthma patients often suffer from a chronic cough. An asthma attack usually happens during the night or early morning, and is triggered by colds, cigarette smoke, air pollutants or allergens, which can even include certain foods. Most asthmatics usually carry their steroids, inhalers, and bronchodilators, as the onset of attack can be unpredictable.
Bronchitis: This condition of inflammation of the bronchial region is very common among smokers and among the elderly. There is excessive mucus accumulation, which the body tries to clear via coughing. The lungs are weakened and therefore, the coughing is painful.
Gastroesophageal reflux disease (GERD): This is a problem of the digestive system, but regurgitation of food into the airway induces cough. GERD is a chronic issue and so most people also end up with a chronic cough. It is worse with sitting up than with sitting down. Treatment includes H2 blockers to suppress acid production and dietary changes including small, frequent meals and avoiding spicy food items.
Upper airway cough syndrome: There could be multiple problems in the upper airway, which leads to a constant postnasal drip. Here, there is constant dripping of the sputum into the air passage, which can lead to a chronic cough whenever there is impaired air flow. This can be caused by various forms of chronic sinusitis and rhinitis. People diagnosed with this condition usually resort to antihistamines and decongestants for relief.
Other causes: There are a number of other causes as noted below. Smoking, tuberculosis, congestive heart failure, pertussis or whooping cough, foreign body in the airway, cancer in the airway passage, chronic aspiration of foods, etc. can all lead to chronic cough.
The key is to identify the reason that is causing the chronic cough. Most people who are diagnosed are educated to handle it and carry the required medications including steroids, bronchodilators, and inhalers.

Suffering from Chronic Cough - How to Manage it?

People suffering from lactose intolerance find it difficult to digest the lactose or sugar in milk, which results in gas, bloating or even diarrhea. An inadequacy of an enzyme called lactase, produced in the small intestine, is the root of lactose intolerance, a condition also known as lactose malabsorption.

How to deal with lactose intolerance in your child?

Cutting out on dairy products does not mean you would be deprived of sufficient amount of calcium. Find alternate sources of calcium in your food apart from dairy products, for instance, spinach, rhubarb, pinto beans oranges, milk substitutes such as rice milk or soy milk, canned salmon, juices, breads and broccoli.  Do give your child foods rich in vitamin D such as liver, eggs and yogurt. Asking your child to spend some time out in the sun can be a great idea in this regard, as well.  Your physician will prescribe you with calcium and vitamin D supplements.
Limit your child s intake of dairy products. Opt for small servings of milk so as to reduce the chances of gastrointestinal troubles. Your child should consume milk with other foods to delay the digestive process. Try out a variety of dairy products as not all of them possess the same amount of lactose. Buy lactose free products or use lactase enzyme drops or tablets that may aid your child in digesting different dairy products.
Probiotics are living organisms that exist in your intestine and help you in maintaining a healthy digestive system. Yoghurt and other supplement capsules are rich in probiotics. Hence, they can be perfect choices for your child. 

Lactose Intolerance -  How to Deal With It?

Eye Strain is an umbrella term that denotes a number of symptoms that relate to the extended use of eyes as well as discomfort that may come from excessive smartphone and computer use. This condition may or may not lead to significant eye damage and is usually characterised by blurry vision, headaches and a feeling of dryness in the eye as you blink less which creates less tears. This may happen due to the extended use of the eye when you are following objects on a screen or staring at a screen for too long. So, is eye strain the cause of your headaches? 

Find out more in this article.

Causes: Eye Strain or Asthenopia is caused by concentrating on visually intense tasks like reading from texts that have a fine print, the use of computers and other screens for prolonged periods, and trying to focus on objects in the dark. This can lead to distress of the muscles in this area which can also cause eye strain leading to a variety of symptoms including double imagery and even headaches and mild migraine like conditions.

Eye Muscle Imbalance: When there is eye strain which leads to headaches, it can also give rise to eye muscle imbalance which makes it difficult to concentrate with both eyes at the same time. In such cases, one may need bifocal glasses so as to fix the issue and prevent such debilitating headaches to remain on a persistent basis.

Diagnosis: Digital eye fatigue and ocular eye strain leading to headaches can be diagnosed by a doctor with the help of regular eye examinations. In any case, one should have the eyes checked at least once a year. This is especially important if your job involves sitting in front of the computer screen for prolonged hours.

Symptoms: There are a variety of symptoms of these headaches that are caused by eye strain. Apart from blurry vision which does not allow the patient to see properly and clearly without glasses, it can also cause headaches with symptoms like nausea and sensitivity to light. Retinal or eye migraines do not necessarily have to come with headaches, but the pressure can be painful enough.

Treatment: To begin with, the best form of treatment for headaches born from eye strain includes prevention which can be done by getting plenty of rest and sleep even as we limit the hours spent in front of the screen. One can also lower the resolution of the screen and make it more ambient. Also, the screen should be placed at a considerable distance from the eyes. The doctor can also prescribe glasses and eye drops for better eye lubrication.

Headache - Can Eyestrain Be the Reason Behind it?

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