Gout is a type of arthritis, which can affect your joints, though usually, it causes maximum harm to your big toe. Symptoms that you are having a bout of gout include having a stiffness and swelling of the joint in question. The pain is very sudden and also causes a burning sensation. Gout is basically a recurrent type of inflammatory arthritis. However, the pain associated with gout can be remedied by ayurveda. Here are some of the best ayurvedic remedies which can be used:

1. Panchatikta ghrita guggulu: panchatikta ghrita guggulu is the most common and most widely recommended treatment for gout. However, it needs to be taken on an empty stomach. It is also worth note that it works best when teaspoons of it are taken two times a day with warm milk.

2. Kaishore guggulu: kaishore guggulu is a type of medicine, which should be accompanying panchatikta ghrita guggulu. It is usually administered after some initial relief is felt from panchatikta ghrita guggulu. Its best to consume this medicine in tablet form thrice a day.

3. Shallaki: this ayurvedic remedy is great for decreasing the pain in the joints affected. It also decreases the swelling in those joints, which have been affected by the bout of gout. Shallaki is also crucial in making sure that cartilage forms and that the blood supply to the joint which is affected by gout is still stable.

4. Ashwagandha: ashwagandha is medically known as withania somnifera. In the west, ashwagandha is popularly known as winter cherry. Also, it has a lot of therapeutic properties, which include reducing joint pains and also inflammation of muscles. This herb can also work wonders on your blood circulation.

5. Pinda taila: this is a type of oil which needs to be applied externally. Pinda taila is a very rare class of medicines which treats gout externally. Pinda taila or guduchyadi taila is administered by rubbing it on the body part affected.

Ayurveda and Gout

Spinal trauma, also referred to as spinal cord injury, occurs when a section of your spinal cord or the nerves at the edge of your spinal canal is damaged. The spinal cord acts as a messenger between the brain and other parts of your body. If the spine sustains an injury, all or some of these impulses may not get through. This may result in complete loss of mobility and sensation below the site of injury. An injury closer to the neck can cause paralysis throughout a larger part of the body than in the lower back region.

How do such injuries occur?

Often, spinal trauma or injury results from a violent event or an unpredictable accident. The following may severely damage your spinal cord-

  A violent attack (a gunshot or a stabbing)
  A motor vehicle accident that may cause trauma to the neck, back or head
  Falling from a great height
  Spinal or head injuries during some sports activity
  Electrical accidents

What are the signs of a spinal cord injury?

The followings signs and symptoms can be observed after an injury to the spinal cord-

  Difficulty walking
  Restricted movement of the legs and arms
  Stiffness, pressure and intense pain in the neck/back
  Loss of sensation
  Muscle spasms
  Loss of bowel or bladder control
  A twisted neck or back
  Lack of coordination, weakness or paralysis in any of the body part

When should you see a doctor?

If you experience significant trauma to the neck or head, accompanied by the above symptoms, then visit a doctor immediately. Spinal trauma or injuries is a debilitating condition and can deteriorate further if you do not seek medical intervention. In fact, if such an injury is not detected on time, you may have to face more severe complications. For instance, paralysis or numbness may develop immediately or gradually as blood clots and swelling occur in the surrounding region of the spine.

The doctor can detect spinal injuries using any of the following methods-

  CT Scan
  MRI
  X-ray

What is the treatment for spinal trauma?

An orthopaedic will recommend the correct treatment for spinal trauma or spinal cord injuries, depending on the severity of the condition.

  Medications - Intravenous medications can help reduce the pain and symptoms of acute spinal cord injury
  Immobilization - Braces, corsets, or neck collar can help realign and stabilize the spine
  Surgery - Surgery may be performed to remove bone fragments, herniated disks, foreign objects, or fractured vertebrae that are compressing the spine. Surgery also prevents deformity and pain in the long run.

Recovery starts typically within a week after the treatment. If you undergo surgery, you will have to wait a little longer to get back to your day-to-day activities. It is advisable that you follow up with your doctor and carry on physiotherapy for the first six months at least.

Spinal Trauma - When Should You Consult A Doctor?

Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel. Let us look at ways that can help you deal with this pain.

Rest: taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.

Supportive footwear: using pads within your shoes with gel built into them, or using specific footwear that help in walking without feeling too much of pain is a good way of dealing with plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.

Exercise: indulging in mild muscle strengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.

Painkillers: use pain killers only when absolutely necessary and with due advice from the doctor or orthopaedic specialist. The use of ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.

Anti-inflammatory drugs: your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.

Surgery: heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.

Taking care of your feet is a matter of ensuring that you look into the slightest discomfort and report the same to a doctor.

Plantars Fasciitis: How To Deal With It

Spine deformity refers to an abnormality of the shape, alignment, or formation of the vertebral column. The spine in the human body is composed of small bones or vertebrae, stacked on top of another. A healthy spine, typically, has gentle curvatures. A displacement or exaggeration of the spine leads to deformities.

Types of spine deformities:

The three major forms of spine curvature deformity are-

  Lordosis - Causes the lower back to turn inward
  Kyphosis - Leads to forward rounding of the back
  Scoliosis - Causes the spine to curve sideways

What are the causes of spine deformity?

The following conditions may cause the spine to be misaligned-

  Achondroplasia - A disorder, which impedes the normal growth of the bones, thereby resulting in short stature or dwarfism
  Spondylolisthesis - When the vertebrae in the lower back slip forward
  Osteoporosis - When the vertebrae become fragile and prone to fractures
  Scheuermann s disease - A developmental disorder of the spine that leads to abnormal growth of the upper back
  Spina bifida - A congenital disorder where the spinal column does not close completely while inside the womb

Symptoms associated with deformed spine:

Signs and symptoms of a deformed spine include-

  Uneven/misalignment of the shoulder and hips
  Uneven shoulder blades (one side is slightly higher than the other)
  Slight bending of the head over the body
  Difficulty in movement
  Discomfort and back pain

How is the condition treated?

The treatment of the condition depends on the severity of your spine deformity. Anti-inflammatory medications and drugs are prescribed to manage pain and discomfort associated with spine deformity/curvature. However, these cannot correct the deformity completely.

Severe cases of spine deformity need another line of treatment.

  Bracing - Back braces are recommended for children and adults alike, depending on the degree of curvature. This can help prevent the condition of your back from worsening.
  Body casting - The doctor places a cast that starts from the shoulders and goes all the way down to the lower trunk. This provides adequate support to the spine and strengthens the back.
  Spinal instrumentation - The surgeon will attach instruments like rods, hooks, and wires to the spine to keep the bones aligned following a spinal fusion.
  Artificial disc replacement - The surgeon replaces degenerated discs in the spine with artificial devices.
  Kyphoplasty - The surgeon inserts a balloon into the spine to stabilize and realign the deformed spine and relieve you from the pain.

Following the treatment, patients with spine deformity are usually advised to go for physiotherapy sessions. Physical therapy and exercise can help you build muscle strength and increase flexibility.

Deformity of the spine is a difficult condition to live with. Not only does it restricts your normal movement but also places you at risk of other musculoskeletal disorders. Therefore, it is imperative that you get the condition treated by a specialist.

Spine Deformity - Everything You Should Know!

The body s reacts to anything suspicious by developing an allergic reaction. Some of the common substances inducing this reaction include certain food substances, pollen, insect bites and certain metals. This body recognises these suspicious substances as antigens and produces what is known as antibodies. These produce various allergic reactions in the body ranging from something as minor as a skin rash to something drastically fatal as respiratory distress and even death.

Features:

Angioedema is one of the most severe forms of allergic reactions.
Translated literally as swelling of the blood vessels, angioedema causes swelling of the blood vessels in the underlying layers and this can lead to the formation of giant hives.
The hives or rashes are extremely itchy, reddish, and can vary in shape (oval or circular). The hives also are warm and painful when touched.
Angioedema usually affects the skin but can have more severe effects like blocking the airway and leading to respiratory distress
Causes: Angioedema is usually caused by one of the following:

Insect bites or stings
People with allergies to foods like peanuts, eggs, milk, shellfish, chocolates, tree nuts, etc.
Pollen, animal dander, latex, poison ivy, and other common allergens
Medicines like penicillin, aspirin, ibuprofen, and some anti-hypertensives
Autoimmune skin disorders like lupus
Reaction to incompatible blood transfusions
Weather conditions like extremes of cold, heat, or pressure
Infections like hepatitis, cytomegalovirus infections, Epstein-Barr infections, etc.
Conditions like leukaemia and thyroid disorders
Extreme emotional stress
Genetic angioedema, inherited from parents by children, which can last forever
Risk factors: Though hives usually develop without any warning signs, the following are some risk factors for developing angioedema.

Previous history of allergies
Predisposition to develop allergic reactions (overactive immune system)
Genetic history of allergies, especially of angioedema
Diagnosis:

In first-time patients, a detailed history with deep dive into similar instances in the past will be done
A physical exam to check for missed hives (like the back) is then done
Allergy testing may also be required to test if a person has a high predisposition to allergies
Blood testing to check for eosinophils, which is usually high in patients with allergies, is done.
Allergy testing to identify the trigger agent may be done if trigger is not known. This will help in preventing further attacks.
If genetic angioedema is suspected, C1 esterase inhibitor test and complement particles are also checked.
Treatment:
Non-medical treatment including loose clothing, cool compresses, and copiously moisturizing to reduce dryness and itching. This is usually sufficient in majority of the cases.
Medical: Antihistamines like cetirizine and loratadine are the next line of treatment. Very severe cases may require steroids like prednisone.


Angioedema - 11 Reasons Why It Can Happen!

Unlike muscle aches, neuropathic pain or nerve pain is usually a lifelong condition. This usually affects the feet. In some cases, it can get better over the years but in most cases, nerve pain stays persistent or worsens with time. Neuropathic pain is caused by nerve damage and commonly triggered by conditions such as diabetes or is a result of the side effects of medication or chemotherapy.

Medication is usually the first line of treatment when it comes to dealing with neuropathic pain. Medication prescribed for such conditions can be categorized as:

Antidepressants
Anticonvulsants
Local anesthetics
These may be prescribed individually or in a combination of two or more types of drugs. additionally, topical creams may also be prescribed for pain relief. Conventional medicine can provide temporary relief from nerve pain. However, in the long run, making a few lifestyle changes can help control nerve pain. Here are a few tips.

Exercise: Nerve pain may tempt you to sit in one place, but you must force yourself to walk about and exercise a little on a regular basis. Exercising increases blood flow to the extremities of the body and releases endorphins that act as natural painkillers. It can also expand blood vessels and nourish damaged nerves.
Avoid alcohol: If you suffer from nerve damage, alcohol can aggravate the damage and increase pain. Hence it is best to skip alcohol and all other kinds of stimulants.
Heat therapy: Soaking your feet in a warm bath or using a heat pack can be very effective when it comes to dealing with nerve pain. The heat temporarily increase blood flow and reduces pressure on the nerves. However, be careful to avoid burning yourself.
Get a good night's sleep: Nerve pain is usually aggravated at night, thus disturbing your sleep. To get the required 8 hours of sleep a day, try maintaining a schedule of going to bed and waking up at the same time everyday. Drinking a cup of warm milk may also help you fall asleep faster. Ensure that the last cup of coffee you drink is in the afternoon.
Massage: As with muscle pains; a massage can help ease and reduce nerve pain. Your choice of oils also has a role to play in the effectiveness of the massage. While lavender oil helps people relax and takes their mind of the pain, geranium oil can help directly reduce nerve pain.

Ways to Control Nerve Pain

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