Radiology is a special branch of medical science that uses various techniques of imaging for the diagnosis and the treatment of several types of diseases in the body. The different types of imaging techniques used in radiology are X-rays, Computerised Tomographic scan (CT Scan), ultrasound, Magnetic Resonance Imaging (MRI) and nuclear medicine which includes Positron Emission Tomography(PET).

Role played in evaluating hip replacement
Hip replacement surgeries have become extremely common in the recent times, and radiological evaluation remains the mainstay of the overall hip replacement procedure. Thus, the role played by radiology is quite significant in such situations. All the specific anatomical landmarks and the measurements are used to make sure the placement is perfect during the hip replacement surgery. Radiological imaging helps in the assessment of the following conditions that are as discussed below.

The length of leg
The inequality in the length of the two legs is prevalent after a hip replacement surgery which can create a great deal of discomfort and inconvenience to the patients. A greater difference in the length of the two legs increases the chances of dislocation, and this is a situation where radiological evaluation plays a crucial role. With the help of radiological imaging, the length of the legs can be made almost equal.

The horizontal center of rotation
In this case, horizontal center of rotation helps in the assessment of the acetabular component of the prosthesis. This is calculated by the measurement of the distance between the center of the head of the femur and the acetabular teardrop. This distance should be bilaterally equal, and it is just not possible without the help of the imaging techniques of radiology.

Acetabular inclination
The acetabular inclination is the angle formed between the face of the cup and the transverse axis. If the angle is less, then it results in a stable hip, but the abduction is limited. On the other hand, if the angle increases then there are high chances of dislocation of the hip. Thus, with the help of radiological evaluation, proper and effective angular inclination is given which is optimum for the patient.

The stem positioning of the femur
The main aim of the stem positioning of the femur in a hip replacement surgery is placing the stem in a position which is neutral within the shaft. To get a proper idea of the positioning, the imaging techniques are of utmost importance which cannot be achieved perfectly without the imaging.

Thus, the crucial role the different techniques of radiological imaging plays during the overall procedure of a hip replacement surgery can be perceived. With the use of the different imaging techniques, the results obtained are closer to perfection.

How Radiological Evaluation Can Help In Case Of Hip Replacement?

The symptoms caused due to herniated disc can be very severe and can also cause a bit of disability. The disc of the spine is like a cushion and separates the set of bones on the backside. The discs are shock absorbers of the spine and are mainly composed of 2 parts, a soft jelly centre called the nucleus and a tough outer covering called the annulus.

Effects of Herniated Disk
A herniated or cracked disc is a severe condition and it seems to happen most commonly in the lower back.  It happens when a fraction of the soft centre gets pushed through the destabilized area due to degeneration, trauma or by putting pressure on the spinal cord. 

Nerves are located precisely at the back of every disc and are responsible for controlling everything in our body. While a disc gets herniated, the external covering of the disc tears and creates a bulge. The soft jelly gets shifted from the centre of the disk to the region where the damage has occurred on the disc. Most commonly, the bulge occurs in areas where the nerve is located and it causes strain on the affected nerve. It has been observed that individuals do not feel any painful sensations even if their disc gets damaged.

When is Surgery Recommended for Herniated Disc?
Surgery for herniated disc is recommended only after options like steroid injections, pain relievers, exercise and non-steroid anti-inflammatory drugs do not work. If the pain persists even after these options, then it becomes important to go for surgery. There are certain risks involved in this surgery like infection, bleeding or nerve damage. 

There are chances that the disc may get ruptured again if it is not removed. If you are a patient suffering from degenerative disc disease, then there are chances that problem occurs in other discs. It is very important that a patient maintains healthy weight to prevent any further complications.

The main factor that increases the risk of herniated disc is excess body weight, which causes a lot of stress on the lower back. A few people become heir to a tendency of developing this condition. Even individuals with physically demanding jobs are prone to this condition. 

Activities like bending sideways, pushing, twisting, repetitive lifting can increase the risk of a herniated disk. At times, emergency surgery is also required to avoid paralysis in a patient.

Herniated Disc - What are the Risks Involved in it?

What is Developmental Dysplasia of the Hip?

Developmental dysplasia of the hip or DDH, is a condition that affects the hip joint in newborns and young children. The hip is like a ball-and-cup, formed by the round top of the thigh bone - called the femur - and a cup-shaped socket in the pelvis. The hip joint is stable in spite of its large range of motion and is kept in place by ligaments and other soft tissue structures. The normal infant hip is not mature at birth but develops into a strong and stable joint as the child grows.

What happens in hip dysplasia?

In DDH, the hip does not develop normally as the cup and ball are either partially or completely out of alignment. DDH can vary from mild to severe depending on whether the cup is shallow, soft tissue structures are lax or a combination of all. These problems may cause the hip to become unstable, and even come out of the joint. This is known as a dislocated hip and is believed to occur in around one in 1000 infants. One or both hips can be affected. DDH isn't painful in babies and young children. Untreated DDH can result in limping in young children. This can progress to hip pain and arthritis at a later date.

How common is it?

DDH is more common in girls and first-born children. It's more likely to occur if there's a family history or if the baby was breech. Swaddling or wrapping a baby's legs too tightly can also lead to DDH. Certain traditional practices like wrapping the children, etc. are known to increase the risk, while carrying them with limbs separated apart is known to decrease the risk of dysplasia. All newborns should have both hips carefully examined by a health professional. 

Treatment options

Treatment depends on the child's age and the severity of the condition. Young babies with confirmed DDH are usually treated in a brace or harness that holds the legs apart. This helps the hip socket to deepen and the hip to become stable with growth. Regular monitoring of the hip position is necessary to ensure good outcomes. Surgery may be necessary if brace treatment is unsuccessful, or if a hip dislocation is first noticed when the child is older.

What is the long-term outlook?

Most infants who are diagnosed and treated early do not have any hip problems in later life. Earlier the diagnosis and treatment, the better the outcome, as late diagnosis often requires surgical treatment and can mean a higher likelihood of ongoing hip problems.

Developmental Dysplasia Of Hip - How Common It Is?

A broken bone or a fracture can be painful and it requires medical attention for the fracture to heal properly. Proper healing is necessary for the right alignment of the bone. A doctor chooses to either reduce or set the bone in terms of new alignment. The bone reduction can happen manually or surgically depending on the severity of the injury. A Surgical procedure known as the open reduction internal fixation is performed for serious fractures. It ensures that the all the broken pieces are fixed together and the injury can heal properly.
Post the fracture, the bone need to be immobilised for proper healing. This is generally achieved by imposing a cast. For fractures that are not severe in nature, a doctor might choose to impose a temporary cast so that simple motion can happen around the site of the injury. For serious fractures, a permanent cast is placed around the injury site. In the case of a shoulder injury, a patient is required to wear a sling so that the bones are immobilised.


Time Duration of a Therapy Session:
While the exact duration of physiotherapy can vary from individual to individual, it takes a minimum of 2-8 weeks for the fracture to completely heal. Certain fractures take more time to heal. The rate of healing also depends on the severity of the injury, pain threshold level of the patient, extent of work with the physiotherapist, the robustness of the physiotherapy program, extent of the injury of the soft tissue and certain other factors. Typically shoulder and neck injuries heal quicker than a fracture of the legs. The time duration of fracture healing also depends on the type of bone that has been affected.


Physiotherapy in a Hospital:
If the fracture happens in the ankle or leg, a physiotherapist might have to intervene in the hospital in order to teach patient about using assistive devices such as crutches and cane. Things that are taught during this time include using the device in order to climb stairs, right walking posture, getting into a car, taking the device off while sitting and such other techniques.


Physiotherapy at Home:
Physiotherapy can also happen from home if the doctor specifically instructs to do the same. This is typically done for people where the condition is too serious to go outside and get the physiotherapy done. Certain weight bearing restrictions are imposed around this time. The training remains the same as in the case with a hospital.


In the Clinic:
Once the patient becomes mobile enough, a doctor might suggest a patient go to a clinic to get the physiotherapy done. A physiotherapist evaluates certain things such as pain, range of motion, gait, flexibility etc. of the patient before suggesting a certain exercise plan. 




How Long Do You Need Physiotherapy Post-Fractures?

Our skeletal structure is truly a work of art however, when we are faced with bone related disorders, our lives is no less than a roller coaster ride. Arthritis is one such ailment which can really alter the quality of life of a person who suffers from it. Taking into account the impact, would it not be good to know the symptoms of early arthritis, so it can be detected before it gets too bad?

There are a few symptoms of the condition, but it is to be noted that the intensity of the symptoms even in the earlier stages of the issue do vary widely. As a matter of fact, the problem can be developing for months on end without a person even knowing that he or she has arthritis while on the other hand, there are quite a few cases in which a person is provided with an almost instant  notification  that arthritis has started having its degenerative impact on his or her joints.

What signs to watch out for?
There are three areas that need attention if trying to detect arthritis:

Knees: When a person is in the process of developing arthritis, the signs he or she should be aware of include his or her knees being shaped like an outward curve; if he or she is developing the condition in the knee. Apart from this, a limp can also be seen for a lot of people who develop arthritis which affects the joints which bear the weight of the body. The best example of this is a case of arthritis affecting the ankle or the knee.
Neck: If a person has a near constant pain in the lower back or also of the neck, he or she should be aware of the fact that there could be arthritis developing and it is important for a doctor to be consulted about the same.
Fingers: In some cases, the signs of arthritis may not even be the cause of pain to a person. This is true when a person begins to develop something such as Bouchard s node; which affects the fingers when arthritis begins to set in on the digits. These nodes are not painful, in most cases, but, it is to be kept in mind, that they have the ability to limit the motion of the fingers which are affected.
Arthritis is something that can and should be limited to as far an extent as possible, rather than being allowed to worsen a person s condition and not allow him or her to have the freedom he or she is used to having in life. When in doubt, a quick consultation with a doctor can really save the person a lot of pain later on!

If You Have These Symptoms Check For Arthritis!

The bones and muscles tend to get worn with age and other conditions. Osteoporosis is a condition described by a reduction in bone thickness. Bones tend to become weak and fragile in this condition. The most common consequence of osteoporosis is fractures. Osteoporosis does not cause signs or side effects until it has reached an advanced state. Certain signs and symptoms of osteoporosis include:

Back pain

Loss of growth after some time

A stooped stance

Crack of the vertebra, wrist, hip or other bone

Homeopathy has been a very beneficial modus operandi in the campaign against Osteoporosis. Homeopathic remedies will not reverse existing bone loss, but can help control pain, will slow down or stop further bone loss, can promote stability and healing.

Homeopathic remedies will allow the essential minerals and nutrients to be absorbed more efficiently, thus, further preventing bone fractures, or accelerating healing of any existing fractures by strengthening the bones.

Homeopathic constitutional approach takes into account a patient s characteristic symptoms, their overall physical and mental condition and understands the way a person s body reacts to Osteoporosis.

The purpose of Homeopathic approach is to vitalize the body s natural healing and self-repair ability to create the highest state of health and well-being.

The aim and objective of Homoeopathic management can be achieved by:

Dietary intake of intake of calcium required by body.

Correction of intake of calcium apart forms food to regulate the daily requirement of calcium.

Correction of intestinal absorption of calcium.

Correction of assimilation of calcium channels in body by constitutional approach.

Exercise, in the form of light exercises and/or meditation.

Therapeutic correction in case the above criteria fail or partially improve the patient.

Various homeopathic prescriptions are accessible to cure bone loss and keep up bone mass. They tend to get rid of the condition from its roots and prevent it from happening in the future. These include:

Symphytum Officinale: It is the best homeopathic solution for treating fractures in osteoporosis. This homeopathic cure helps in joining the cracked bone proficiently. Fractures, where patients complain of a prickling pain in the fractured area, can be significantly soothed by giving this regular homeopathic treatment. This common homeopathic medicine can likewise help in decreasing irritability of the fracture.

Ruta Graveolens: It is yet another very effective homeopathic cure used for the treatment of fractures in osteoporosis. Whenever a bone gets broken, the ligaments and tendons of bones that surround it additionally get harmed. It is in this circle where homeopathic medicine Ruta Graveolans demonstrates its great impact. This regular solution helps in mending torn ligaments and tendons.

Hypericum Perforatum: It is yet another helpful natural homeopathic solution that can be used with certainty for the excruciating pain in the back because of crushed nerves in the middle of harmed vertebral bones.

Calcarea Phosphorica: Calcarea phosphorica is a very effective medication used in homeopathic treatment of the curvature of the spine and flow of blood in patients of osteoporosis. It is mostly given to those patients who have a weak spine and delicate bones, which cause the curvature and stop the flow of blood.

Phosphorus: Phosphorus can also give the best results in curing the curvature and flow of blood in patients of osteoporosis. If blazing sensation in spine remains along with the curvature, this treatment is the most effective. This regular homeopathic cure is also valuable for pain and weakness in the spine.

Calcarea Fluorica: It is a brilliant solution for osteoporosis patients who complain of pain in the back, which is more painful while resting and better when walking or doing some physical exercise.

Syphilinum and Fluoric Acid: These are homeopathic prescriptions that can be used as a part of homeopathic treatment of osteoporosis where the pain occurs in the long bones and is more painful during the night.

Sulfur: It is used for those patients of osteoporosis who have an arch in the spine and walk and sit in a stooping position.  

How To Treat Osteoporosis Effectively With Homeopathy?

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