Pain causes a lot of discomfort in the body no matter whether the pain is in the back, legs or in the head. Almost all people experience lower-back pain at some point in their lives, which can be extremely painful and can cause considerable annoyance. The first medical specialty that comes to mind for relief of lower-back pain is Orthopedics. The other two specialists that play a vital role in treating lower-back pain are the neurosurgeons and the physiatrists.

Pain in the Back
It is very difficult for the body to source the pain when it is deep and this pain could be due to infection, disease or injuries in the back, stomach and heart. It is even possible that the pain radiates to different places in the body. Often back pain is accompanied by body changes like redness, fever, neurological problems, heat, and changes in body functions and for that diagnosis of the back pain may be very severe. Patients suffering from lower-back pain and with symptoms that comprise of weakness in the foot or other symptoms of a neurologic insufficiency must definitely see a neurosurgeon.

Back pain that occurs due to reversible problems is known to vanish in a few hours or in a day. However, if it continues longer and is accompanied by body changes, then there are chances that the condition can become worse. Visiting a doctor becomes a must for back pain if any of such characteristics are witnessed. It is always better to get evaluated by a physician.

When to Consult a Doctor Immediately

    Back pain that is followed by a shock like a car accident.
    The pain in the back worsens and is constant
    Back pain continues for more than 4-6 weeks
    The pain does not improve even after taking typical remedies such as taking pain relievers or after resting.
    Severe pain in the back in the night and that is alleviated by rest
    The back pain is accompanied by abdominal pain
    Numbness in the upper thighs, buttocks, groin or in the genital area
    Weakness or tingling sensation in the arm or legs

Role of a Neurosurgeon
The neurosurgeon provides non-surgical as well surgical care depending upon the nature of the illness or the injury, and he does not just operate. The neurosurgeons are experts and offer treatment to patients suffering from any injury or disease in the spine, brain or peripheral nerves that deal with arms, hands, feet and legs. But there are many other neurosurgeons that confine their practice to treating back pain.

Lower Back Pain - 8 Signs When You Must Visit Your Doctor

Cerebral palsy and occupational therapy

In order to recover the skills that are required for leading an independent and a satisfying life after any injury or disease, an occupational therapist is required. The word occupation refers to the tasks which one has to perform everyday not to one s profession. Muscle and joint coordination issues can be fixed with the help of occupational therapy in case if kids .These include the daily activities like eating, brushing using the toilet. With the help of OT your cognitive and social abilities and even your motor skills will improve at a very good rate.

How is this beneficial for children with cerebral palsy?

Occupational therapy will be helpful to the children who are specially suffering from cerebral palsy. These benefits includes:

- It will increase the chances of making your child more independent.
- It will boost their ability to play as well as to learn.
- The self esteem and the confidence of your child will readily increase.
- They ll have a sense of accomplishment.
- Their quality of life will improve as well.
- This is also beneficial for the parents as well. It will reduce your stress and will provide you with a sense of security.

What to expect?

Occupational therapy is different for different children who have cerebral palsy. It depends on one s physical, intellectual and social emotional abilities .The first session is basically done for evaluation where your child s fine motor and will be observed how your child responds to touch or any kind of movement. The parents are also interviewed in order to find out about the strengths and the weaknesses of your child. For children with cerebral palsy, a revaluation should be done in every 7-8 months in order to see the progress and change the treatment plan accordingly as per the improvement .The operational therapist will use some specific techniques which will help your child to improve very quickly and reach their destination.

These techniques are :

Paediatric constraint induced Movement therapy: This therapy helps your child to move the weaker parts of the body by restraining the stronger counterpart. If you child has a difficulty in moving one of the arms then the stronger arm will be restrained and the weaker arm will be trained in order to gain the strength.

Sensory integration therapy: This type of therapy will help your child to improve the ability bro receive , interpret and act on the information and situations that comes in your child s brain with the help of sensory receptors .

Occupational therapy has been a very important part in improving the physical and the mental discomfort faced by your child when he or she is suffering from cerebral palsy. The therapist may even provide your child with some gadgets in order to make his /her daily life easier and more independent. This helps your child to improve and gradually get better at it without any sort of negativity. While you re looking for a OT make sure the person has enough experience and knowledge, just to ensure that your child gets the right treatment.



Cerebral Palsy And Occupational Therapy

Liver transplant in the only curative option available for patient who develop cirrhosis of liver due to any cause ( Chronic Hepatitis B , Chronic Hepatitis C, Alcoholic Cirrhosis, NASH etc). Once patient has been diagnosed with cirrhosis it can not be reversed with any non-surgical treatment . Over a period of time patient may develop worsening in liver function resulting in complications of cirrhosis (bloody vomitus, black stools, jaundice , altered sensorium, renal dysfunction, abdominal swelling etc) labeled as  decompensated cirrhosis . These patients require Liver transplant at the earliest and should be reffered to a liver transplant centre immediately. Ideally all patient diagnosed with cirrhosis should be under the follow-up of a gastroenterologist/Hepatologist. The source of graft liver can be from two sources namely from a deceased brain-dead donor or a Living-related donor and termed respectively as DDLT ( Deceased donor liver transplant) and LDLT ( Living Donor Liver Transplant) . However both DDLT and LDLT have nearly 90% success rate and both the procedures have their own benefits and lacunaes. Also the decision to go for DDLT and LDLT may vary for any particular patient. 

Before the Liver transplant 

All recipient and Living donor go thorough evaluation before the transplant process that includes blood investigations, Imaging studies, Cardiac and pulmonary fitness tests, multidisciplinary consultation before the clearance for liver transplant is achieved. The healthcare provider will explain the entire procedure. The healthcare provider is also supposed to answer all your questions. You would be needed to sign a consent form that allows the doctor to do the surgery. Eating food is not allowed at least 8 hours before the surgery. If you cannot stay relaxed before the surgery, a sedative will be given. 

After the Liver Tranplsant 
The recipient surgery lasts for anywhere between 12-16 hrs and donor surgery for 8-12 hrs. After the surgical procedure is complete, you will be taken to the intensive care unit (ICU)and will be closely watched for several days. 

Immediately After the Surgery 
You will most likely have a tube in your throat. This is so that you can breathe with the help of a machine (a ventilator) until you can breathe on your own. The ventilator tube will be removed on next morning when all parameters are found to be satisfactory. All parameters are monitored by round the clock critical care doctors and staff for a few days. The recipient has to stay in the hospital for three weeks and the donor is discharged in one week. 

Blood samples will be collected on a regular basis to check the functioning of the new liver. Antibiotics will be infused via IV channels to prevent you from infections. The area where the operation was done should always be kept clean after you have reached home. Any stitches or surgical sutures will be removed at a follow-up visit.

Complications that may arise 
Blocked blood vessels to the new liver, bleeding, an infection, leakage of bile or blocked bile ducts, or the new liver not working for a short time right after surgery are a few complications that may arise. Not to aggravate the condition, in the case of a complication, it is imperative to visit your doctor.

Liver Transplant - What To Expect Before & After The Procedure?

Migraine is a type of headache and is characterized by headache on one side of the head. In many cases of migraine, the pain is experienced all over the head and not just on one side. The pain is throbbing in nature. Migraine is mostly caused due to excess stress. Going out in the sun, improper sleep, exposure to loud noise and disruption in eating patterns are other common causes, which lead to migraine.

Homeopathic medicines are widely used for treating migraine headaches and provide an effective remedy. Here are some homeopathic medicines used for curing migraines of different types.

Belladonna
This is the best homeopathic medicine for migraine which is accompanied by intense throbbing headache. A sense of fullness is also felt in the head, and the headache worsens when exposed to sunlight. Belladonna is also used for migraines developed due to exposure to cold air or catching a cold.

Glonoinum
This form of homeopathic medicine is used for migraines where there is an excessive congestion in the head. The patient might feel that the head would burst, and it seems to be bigger. Heat is felt around the head, and the eyeballs get protruded. Glonoinum is also used to treat migraines, which occur because of long exposure to the sun.

Spigelia
This medicine is very effective for curing migraines felt on the left side of the head or left-sided migraine. The headache is usually located over the left temporal area of the head, forehead and eyes. The patient may have the sensation of a tight band being tied around their head.

Sanguinaria canadensis
This is a perfect homeopathic medicine for treating right sided migraines where the pain and throbbing are felt on the right side of the head. The pain usually starts from the back of the head and settles over the right eye, affecting the entire right side of the head. The medicine is also prescribed in case of headaches, which occur during the morning and increase during the day. Migraines in women after menopause are also cured by this medicine.

Iris versicolor
This is an effective homeopathic medicine for treating migraine where intense nausea, vomiting and acidity are observed. The vomiting is acidic, sour and bitter in taste and a burning sensation in the alimentary canal is also felt.

Nux vomica
In case of migraines characterized by gastric problems, this medicine is used. It provides an effective cure for migraines, which occur due to indigestion, constipation and piles. When the migraine worsens after intake of spicy food or alcohol, this medicine provides quick treatment.
Homeopathic medicines are very efficient for curing migraine headaches and there are medicines for all types of migraines occurring due to different causes.

Migraine and Its Homeopathic Management!

Hematuria is the medical name of what is commonly known as bloody urine. It s an unpleasant and particularly painful feeling where the discharge of urine from your system is either cola coloured with blood clots or just a light shade of pink. It varies in visibility, that is, it can either appear to the naked eye or it may only appear under a microscope when a sample is examined. If it isn t easily visible then it can only be detected as a part of your regular check-up as the symptoms are more often than not invisible. Which is why it is very important to get a full body check-up done as often as possible.

Hematuria is an indicator of other serious conditions that could be underlying and not easily apparent. You should not sit on it and definitely visit your doctor if you notice something similar or if you feel any sort of discomfort while urinating. The number of reasons that can cause bloody urine are:

UTI: Urinary tract infection is one of the reigning causes of most renal and gynaecological problems. It is when your urethra and bladder are affected and it causes a perineal urge to urinate which is also a painful experience. Along with this your urine might carry a strong stench. Bloody urine, in this case, is not visible to the naked eye so you have to go in for a check-up as soon as the other symptoms arise.
Stones: Stones in your bladder or kidneys are caused due to the accumulation of minerals from highly concentrated urine. These harden over time and become stone-like. Kidney stones are extremely painful and can cause bleeding both microscopic and visible.
Exercise: Exercise should be practised in moderation. If you are not used to regular exercise then the first time you start, take it slow and gradually build up from that point onwards. Even then, if after a workout you see blood in your urine, then visit your doctor immediately. It is rare for exercise to cause bleeding but it can be the trigger to other problems that might be the actual culprits behind the bleeding. If you have any injuries in your kidney from working out or from contact sports then you are likely to see blood in your urine.
Prostrate: This is a problem aging males are likely to face no matter how active and healthy a lifestyle they lead. The prostate gland can sometimes get enlarged and cause obstruction in the flow of urine by pushing the urethra into a compressed corner, as the prostrate takes up more space than is allotted to it. The signs include microscopic bleeding but also a painful need to urinate perpetually. There may also be a visible bloody discharge of urine.
Thus, hematuria can be sneaky or it can come with ringing bells. Either way, it is best to not avoid going to the doctor and most importantly get regular check-ups done for your own health and safety.

4 Underlying Causes Of Hematuria!

Testosterone is the most important hormone that drives most of the male characteristics from their physique, stamina, energy, vigor, voice, to sexual performance. Higher the testosterone level, greater the masculine characteristics. It is no wonder then that most men want more testosterone flowing in their system. There are simple ways to increase testosterone flowing in your system; read on to know more.

Eat more fat: While staying away from fat is the most common thing to do when body building, remember that testosterone is mainly made of cholesterol. So, a diet rich in fat directly translates to more testosterone. Mono-saturated and saturated fats are proven to be extremely beneficial for good testosterone production. Red meat, eggs, coconut oil, dark chocolate, cheese, peanut butter, fish, avocados, almonds, olive oil are all proven to be highly beneficial in improving testosterone levels.
Include ingredients for testosterone: Include foods that are rich in zinc, vitamin D, D-aspartic acid, Di-indolyl-methane (DIM). Foods rich in zinc promote higher levels of testosterone production and so are advisable. Vitamin D is the most important vitamin in the production and availability of free testosterone in the body and is highly recommended for people wanting to have higher testosterone levels. D-aspartic acid is an amino acid that is essential for proper functioning of the neurotransmitters that control testosterone synthesis and release into the system.
Modified gym routine: Contrary to what most people may think, long hours in the gym does not help you stay in better shape. Regular, drawn-out workouts with long rest periods and too many exercises aimed at building endurance are not necessarily good for testosterone levels. Optimal duration is about an hour, after which cortisol levels (stress hormones) go up and testosterone levels go down. Shorter rest periods between sets are also shown to be more effective. Also, there are specific exercises and workouts which are aimed at improving the testosterone levels. These workouts could be aimed at the legs, arms, back, chest, or shoulders. These moderate to high-intensity protocols stress large muscle masses, which stimulate testosterone production.
Beat the stress: None of our lives are free of stress, but the trick lies in managing them well. Whether you have physical or mental stress, try and work on reducing it, by meditation, music, or any relaxation technique that works for you. Even cardio exercises, if not overdone, are a good way to relax. Try not to fatigue yourself during your workout. Have a well-balanced meal and a good sleep to manage stress better.
Talk to your instructor to know more about ways to improve testosterone production. Higher levels of testosterone take the quality of life to a different level.

4 Ways to Boost Your Testosterone Levels!

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