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?

If you are suffering from gout, you should try undergoing a homeopathic treatment. Gout is a type of arthritis and is considered to be the most painful type. It is featured by the inflammation of joints accompanied by great pain. The pain and inflammation occur because of the deposition of urate crystals in a joint. The accumulation occurs when there is excessive uric acid present in the blood.

Here are some effective homeopathic remedies for the treatment of gout:

Colchicum: This medicine is the primary homeopathic medicine for treating gout because of its effectiveness. It is mostly used in chronic cases of gout. Usually, a patient experiences extreme pain in the big toe, which is too intense to be touched. The toe and other parts which get affected become swollen, red and hot. The pain worsens in the evening and at night. Patients who require this medicine should keep away from warm weather conditions. This medicine is also used in case of increased weakness and internal cold.
Ledum Pal: This effective medicine is used in cases where the pain travels in an upwards direction from below. The pain is likely to start at the feet and gradually move upwards, affecting the knees and legs. The pain also shoots through limbs. Small joints are commonly affected. There is a sensation of decreased warmth in the joints and in the body. The patient will find it difficult to tolerate any kind of external warmth. The pain improves by cold applications. The ankle balls or big toe may be swollen.
Benzoic acid: This homeopathic medicine is used for treating gout where offensive urine is experienced. The urine becomes very offensive with a very strong odor, which can be detected from a distance. The odor is usually repulsive and the color of the urine is brown. Extreme pain is experienced in the big toe and the knees are swollen.
Antim Crudum: This is an efficient homeopathic medicine used for treating gout. It is used when a patient experiences gastric symptoms along with joint pain and inflammation. The patient may develop an increased craving for food and hence, several problems occur due to over eating. Pain is experienced in the heels and fingers.
Sabina: This homeopathic medicine is important for treating gout in women, when the patient already suffers from another female disorder. Uterine symptoms are experienced along with the basic symptoms of gout. Shooting pain is experienced in the toes and heels. The joints get swollen and look red and shiny.
Homeopathy offers a completely natural treatment for different types of gout and goes beyond just curing the symptoms. You need to consult your doctor before starting a homeopathic treatment for gout.

5 Homeopathic Remedies for Treating Gout Pain

With changing lifestyles, the small household chores have become the workouts for most of us. When not done properly, however, these cause more harm than good. The spine often bears the brunt of this damage. Read on to know if you are damaging your spine on a daily basis. If yes, time to change the way you do these activities.

Carrying shopping bags: While two bags might look more expensive, carrying one bag tilts the weight to one side and causes the spine to bend. Instead, opt for two small bags, and this weight distribution is friendly on the spine.
Cleaning the floor: Either sit down completely or stand and use a mop. Never bend down and try to clean the floor with a cloth. The spine posture created during this is very unhealthy and puts pressure on the spine.
Tying up shoe laces: While it is difficult to sit down and tie the shoe laces, it is definitely worth the effort. Bending down and tying is harmful to the spine posture, and when repeatedly done, can be damaging in the long run.
Washing vessels: Bending and washing vessels is a strict no-no. It puts too much pressure on the back and the disk wears out faster. Try standing and keep a stool at knee level, on which you can rest the knee. Take turns to do this on the right and left knee.
At the washbasin: Bending down to brush the teeth or wash face is bad on the spine. Over a long period, this can put lot of strain on the spine. Try to rest your hand on the wall or the sink and see the pressure on the spine reduce.
Office/school bags: It is very easy to sling a bag onto the shoulder and go on. The bag could contain books of a school kid or laptop of an office goer, whatever may be the situation, this puts uneven pressure on the back and can cause shoulder and spine issues. Always try to put the bag on both your shoulders. This distributes the weight and makes it easy on your shoulders and spine. Especially for people who are going to do some walking with the bag, it is definitely not advisable to carry it on one side.
Sitting: For those who end up sitting for long hours, there is too much stress on the back and so support is advisable. Take short breaks and avoid sitting for more than an hour at a stretch.
Bad mattress: While a soft mattress is very inviting, it does not support the spine and does not leave you fresh in the morning. Choose a mattress that supports the spine and see the difference.

Spine Health - 8 Everyday Activities That Are Actually Harming It!

Natural Ways To Manage Arthritis

You might be aware that there is no way that you can prevent arthritis to happen except for being car. But what you can do is delay and reduce the risk of its potential onset. If your joints are healthy now, there is no guarantee that they will always be, unless, you take good care. 

Do you know a few kinds of arthritis can be modified. They are:

1. Gout - Have a healthy, balanced diet which is low in cholesterol, alcohol and sugar. This will help you fight against the onset of gout.

2. Osteoarthritis - To modify the risk factor of osteoarthritis, it is important to maintain a healthy weight.

How to defeat arthritis?

1. Keep a check on your weight: If you are obese, you are putting more pressure on your joints and as a result, they wear out soon. By losing weight, you can make a lot of difference in your joint health.

2. Ensure good water intake: Our body is 70% water. And water is one of those things which is the most important for us. Staying hydrated is very important, even for your joints. Because when the body is dehydrated, and the body needs water, it uses the water stored in our bodies, incl the water in the cartilage.

3. Try to avoid any injury: No one really wants to get injured but it is important to be careful and cautious against injuries of any kind. The more injured your joints are, the more susceptible they are to wear and tear now, and arthritis later in life.

4. Don’t stress with physical tasks: There is a way and correct posture to do them, but many people ignore those and perform the tasks clumsily. This puts additional pressure on your joints.

5. Get Your share of Vitamin D: Vitamin D is very important for us. If your body has adequate amount of vitamin D, then you are less susceptible to arthritis. It is wise to get the levels tested and if low, a doctor consulted for proper medication.

If you would like to consult with me privately, please click on 'Consult'.

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Pain- free Arthritis? Here’s How To Make It Happen!

Paralysis can be concluded as the state when the muscles lose functioning in any part of the body. Any kind of disruption in our nerve system can be responsible enough to cause paralysis. Our central nervous system and peripheral nervous system communicate and control our senses of movement. But interruption in nerve impulses can cause weakness in muscles which leads to muscle paralysis.

Symptoms
A paralysed patient will encounter symptoms like:

Decreasing the motor power
Decreasing vasomotor control
Loss of sensation
Decreasing bowel and bladder control
When it comes to treating a paralysis patient, physiotherapy is proven to be the best remedy. Physiotherapy has thoroughly helped patients with paralysis in getting to feel confident and independent. Physiotherapy includes various exercises and techniques which are developed with time in order to provide a complete rehabilitation to the patients.

Types of paralysis:
There are mainly four types of paralysis

Monoplegia: when one limb gets paralysed
Hemiplegia: when arm and leg of a single side get paralysed
Paraplegia: when legs get paralysed
Quadriplegia: when both sides get paralysed
Treating paralysis with physiotherapy

Physiotherapy is advised to patients with any type of paralysis. It should be started soon in order to improve blood circulation in the muscles. It also helps in relaxing the stiff muscles. This treatment improves the overall health condition of the patient.
Physiotherapy is also responsible for reducing any kind of swelling which takes place due to external brain injury.
Physiotherapy is helpful in making the patient stable and independent.
It also helps in maintaining the blood pressure.
It helps to improve the respiratory system.
Physiotherapy maintains the affected muscles and nerves. It provides strength to the affected muscles and works to prevent the limbs from getting deformed.
One major symptom of paralysis is a loss of bladder and bowel function. Physiotherapy helps in managing the paralysed bowel and bladder.
Physiotherapy involves different techniques which can be learnt from a physiotherapist in order to transfer a paralysed patient.
Othorsis, canes, braces, splints are the equipment that is advised to the patient by a professional physiotherapist.
Physiotherapy helps in resolving problems such as anxiety, anger, depression, a denial which takes place after post-paralysis mental trauma.
A physiotherapist provides safeguarding tips to the patient and his or her family in order to avoid accidents.
Physiotherapy has a big role in creating motivation in the patient's mind.
These are the benefits of physiotherapy which help the paralyzed limbs getting stronger and better. But it is always advised to be done under a professional physiotherapist.
 In case you have a concern or query you can always consult a specialist & get answers to your questions!

Paralysis - Can Physiotherapy Help You?

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!

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