A neurological disorder characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of physiotherapy in epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.

It helps improve sensory awareness, response, balance, and coordination.

It helps to improve quality of movement and physical performance.

The goals of physiotherapy

To develop strength enough to support one s head upright

To have balance and motor control to maintain their trunk at midline

To use many different muscle groups

To assist necessary motion in their trunk and extremities

The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals

To understand what the patient is good at and does well

To focus on what he or she capable of doing rather than on what they can t do

To educate and provide awareness with a view to prevent injuries

For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool

Padding out sharp corners in the house to prevent damage if fallen on

Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

How can physical exercise help with seizures?

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and well-being in this way can help reduce seizures. 

It can also help people feel more in control of their health. 
It also helps release  feel good  hormones into the brain, keeps muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. 
It can also increase the bone density. 
A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks can result in a significant reduction in the number of seizures they had.
Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.
Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. 
Making new friends may help with any feelings of isolation. 
Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk.


Epilepsy - Understanding The Role Of Physiotherapy In It!

The word epilepsy brings to mind visions of people frothing at the mouth and rolling on the ground. However, epilepsy affects each patient in a different way. This can make it hard to recognize at times. In the more serious cases of epilepsy, an epileptic attack can make a patient injure himself or develop other life threatening conditions. In rare cases, epilepsy can even cause death. Thus it becomes imperative to understand how to deal with epilepsy.

Treatment options for epilepsy can be categorized as medication, surgical procedures and dietary changes.

Medication
Medication for epilepsy is prescribed on the basis of the symptoms presented and the type of epilepsy the patient is suffering from. In most cases, seizures can be controlled with a single type of medication, but in others, the doctor may need to prescribe a combination of medicines to control epilepsy. These forms of medication do have side effects and hence any reactions to the medication must be immediately brought to the doctor's notice. The dosage for epilepsy medication may need to be varied with time. An epileptic patient should never discontinue medication on their own.

Surgery
Depending on the type of seizures and the area of the brain affected, a doctor may advise surgery in cases of severe epilepsy. Surgery can help reduce the number of seizures experienced or completely stop them. Surgery to treat epilepsy is of many types. Some of the common procedures are:

1. Surgery to remove tumor of any such conditions that may be triggering the epileptic attacks
2. Surgery to remove a small section of the brain from where a seizure originates. This may also be referred to as a lobectomy.
3. Multiple subpial transaction or a surgery that involves making a series of cuts in the brain to prevent the seizures from spreading to other parts of the brain.
4. Surgery to sever the neural connections between the right and left hemispheres of the brain.
5. Surgery to remove half the brain's cortex or outer layer

Dietary changes
A diet rich in fats and low in carbohydrates can help reduce seizures. This is known as a ketogenic diet and aims at making the body break down fats instead of carbohydrates. It can cause a buildup of uric acid in the body and thus should be practiced only under the guidance of a dietician. In cases where epileptic attacks are triggered by malnutrition and birth defects, taking vitamin supplements can help lower the frequency of seizures.

How to Deal with Severe Epilepsy

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

Migraine is a type of headache which can occur in varied intensities; the pain resulting from a migraine is pulsating and throbbing. This sort of a headache is usually accompanied by extreme sensitivity to sounds and light as well as severe nausea. One feature that significantly differentiates between migraine and any other type of headache is that the headache resulting from migraines usually develops on any one side of the head.

Causes of Migraine

The exact cause behind migraine is yet to be fully understood. Migraines are thought to be a result of combination of genetic and environmental factors.In majority of cases, migraines tend to run in families . There are few well known trigger factors for migraine. These are   stress, exertion, gastric disturbances, eating heavy food stuff, taking alcoholic drinks, coffee intake, hormone changes in females.

Symptoms of Migraine

The most characteristic symptom of migraine is one sided headache mostly of violent, throbbing and pulsating in nature. The accompanying symptoms include nausea, vomiting, blurring of vision, flashes of light before eyes, double vision, light/sound sensitivity, confusion and weakness.

Homeopathy is not in the favour of using temporary treatments like popping a painkiller to alleviate the throbbing, pulsating and often intolerable pain caused from migraine. Homeopathy aims at going deep down into the root of the problem and entirely removes the tendency of any patient to be shot with migraine headaches every now and then. That is why homeopathic medications may take some time in showing results. They do not offer any temporary relief like most allopathic treatments do. On the other hand, homeopathic medicines offer a long term relief and can cure the migraine problem permanently.

Though homeopathic treatments vary from person to person, there are a few homeopathic medicines, which are very effective in relieving migraine headaches.

Belladona for throbbing migraine attack: Belladonna is one of the most effective homeopathic medicines for treating migraine headache that is throbbing and violent in the temporal region of the head. If pain gets triggered without any prior prodromal symptoms and worsens by noise, touching and light, then Belladona is potent in removing the pain. This medicine is also good if you are unable to lie down because of pain and if your face turns red and hot when you are struck with excruciating pain. Have a few drops of Belladona and apply a mild pressure to feel better.
Glonoine for migraine with congestive headache: When you are struck with congestive headache, a rush of blood reaches the head region causing redness in face and head area with intolerable throbbing pain. You may even feel shocks around the head which get aggravated when exposed to heat or sunlight. It becomes impossible to tolerate any kind of warmth, and you may feel a bit relieved when you uncover the head. If you are affected with congestive headache, then consuming Glonoine can be of immense help.
Natrum Mur for migraine from grief and stress: This medicine is widely used for alleviating migraine caused from stress and grief. Natrum Mur is also effective in alleviating anaemic headaches, which mostly affect young women. It often leads to temporary sightlessness, and the pain feels as if thousands of small hammers are being throbbed within the brain. The pain tends to rise up after through the day, and the patient may feel better after sunset. If the pain gets triggered when the eye is strained, then Natrum Mur is the medication for you.
As you see, homeopathic treatments are great for reducing migraine attacks and your doctor will be able to guide you better on this matter. Homoeopathy treats each patient of Migraine by individualization and thus treats the root cause of migraine which could be Sun, stress, exertion etc.

How Homeopathy Helps In Handling Migraine!

There are two primary factors that are more likely to cause a stroke in a person i.e age and a family history. While both are inevitable, this necessarily doesn t have to be the fate of a person. Brain stroke is entirely preventable as with the case of other diseases. By working on the potential health risk factors, a stroke can be prevented. Here is a list of few such steps which, when followed can pay rich dividends to a person facing the risk of a brain stroke:

Blood Pressure: Blood pressure is the single most important factor that can increase the chance of a brain stroke. If a perfect blood pressure reading seems too difficult to achieve, a more realistic blood pressure target of 140/190 should be aimed for. Some of the common steps in order to achieve an acceptable blood pressure figure include reducing salt in the diet, exercising on a daily basis, regular intake of fresh fruits & vegetables and fast processed food containing processed fats. Finally, quitting drinking and smoking goes a long way in ensuring that a person is safe from strokes.

Losing Weight: Obesity increases the risk of diabetes and blood pressure subsequently increasing the risk of a stroke. Being overweight, therefore greatly increases the odds of a stroke. A BMI of 25 should be maintained by engaging in activities such as walking, running and playing on a daily basis.

Regular Exercise: Exercise is a clear mandate for people facing an increased risk of brain strokes. A moderate intensity exercise schedule for a minimum of 5 days per week is necessary. Some simple steps in order to achieve this include taking the stairs while climbing, joining a fitness club, 30 minutes of daily walk in a day etc.

Moderate Drink: Surprising as it may sound, moderate drinking on a daily basis can dramatically reduce the risk of a brain stroke. Red wine should be the choice of preference in this case. It should be ensured that the level of drinking does not surpass more than a glass. Regular drinking in excessive quantity can increase the chance of brain stroke.

Check For Atrial Fibrillation: This is a disease that is related to the heart due to an irregular heartbeat. There is a possibility of the clots travelling to the brain causing a brain stroke. Certain possible symptoms of this disease such as palpitation of heart and shortness of breath should be checked with a doctor to negate the chance of brain stroke. Certain blood thinners like warfarin and aspirin can shield against atrial fibrillation. A doctor has to be consulted before starting any medication related to the heart.

Top Ways To Prevent A Brain Stroke

A lot of things can be done to cope with the initial stages of dementia. A person goes through a wide range of emotions such as fear, denial, frustration, and anger, post the diagnosis. Here is a list of tips that will help a patient with dementia to cope better:

Physical health: For a dementia patient, it is very important to take care of one s health. A good diet along with regular exercise and adequate rest is a prerequisite to manage this disorder.
Regular check-ups: Regular medical check-ups with the doctor are necessary in this condition. Depression and other mental health problems should be discussed with a professional.
Quit alcohol: Alcohol might give momentary pleasure from the misery, but it has long-standing implications. It reacts with the medicine and creates additional health and memory-related complications.
Allocate time for difficult tasks: With time, it can become difficult to perform even the simplest of tasks. The patient should accordingly schedule the time to perform the tasks which may be difficult to carry out. Adequate breaks should be taken while performing a task to avoid getting fatigued.
Redefine work: If a patient is suffering from dementia is still working, it should be ensured that the work is more manageable from a desk. Planning an early retirement may be a good idea in order to cope with dementia.
Be organised: Keeping track of things can get difficult with time. It, therefore, makes sense to organise all belongings systematically. Putting labels on doors and drawers also help.
Continue pursuing your hobbies: Amidst the difficulty and the depression, it is a good idea to continue doing things that are fun. While such activities might require some assistance from the doctor and family members, this helps the patient to be cheerful and healthy.
Maintain notes: Since dementia is involved with forgetfulness, it makes sense to maintain a diary and keep records of phone numbers, people, appointments, etc.
Communication channel: Maintaining a direct communication channel with family, friends, and relatives is a good idea. Sharing feelings will go a long way in maintaining relations with loved ones.
Support group: Joining a dementia support group can be highly beneficial for the patient. It will not only give the patient company but also make sure that the patient gets a lot of useful information about the disorder. It also helps in keeping the morale up.
Getting ready for the future: Things need to be meticulously planned well in advance to ensure that when the disease progresses, the patient has enough people to look after him. Things such as medical arrangements, financial assets, and property details should be carefully handed over as per the patient's wish. This will ensure a smooth run of the patients  life when they can no longer take care of themselves.

Dementia - Easy Tips To Help You Cope With It!

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