A broken bone is medically termed as a fracture.Fractures are linked with age as bones tend to become weak as one ages, so, the chances of a fracture occurring also increases. Fractures are usually classified into four types-
1. Closed fracture - In this type of fracture, the breaking of the bone does not result in an open wound
2. Open fracture- The opposite of closed fracture, the bone breaks through the skin. This may result in infections
3. Non-displaced fracture - in this type of fracture, the bone cracks but is not shifted out of its regular position.
4. Displaced fracture - A displaced fracture occurs when the affected bone is shifted out of its natural position.

Causes
Fractures can be caused by a number of factors, they are
1. Road accidents
2. When someone falls from a height
3. When the bone is directly exposed to a strong blow
4. When the bone is exposed to a repetitive force from activities such as sprinting
5. Osteoporosis, which is a condition where the bones become weak
6. The bones in the body tends to weaken with age, so at this time they become highly susceptible to fractures

Symptoms
1. Swelling in the area accompanied by pain
2. Limited movement of the affected joint
3. Muscle spasms
4. The affected area may also become numb

Diagnosis
The first step to diagnose a fracture is the knowing about the medical history of the patient and conducting a physical exam. The diagnosis is further confirmed by using imaging tests such as -
1. Magnetic resonance imaging (MRI) - In this procedure, images of internal body parts are taken with the help of a magnetic field and pulses of radio energy. MRIs can pick up signs of fractures very quickly, that is within the first week of injury. It is also easier to distinguish fractures from other related injuries in case of MRI.
2. X-rays -X-rays are a procedure that involves sending x-ray particles through an area to detect a fracture. Signs of a fracture may take several weeks to show up in x-rays.
3. Bone scan - In bone scans, some radioactive material is put inside the body through intravenous methods. These material tend to accumulate in the fractured area which then shows up in the images as a bright spot. If you wish to discuss about any specific problem, you can consult an Orthopedist.

How Is A Fracture Diagnosed?

Spine surgery is conventionally performed as  open surgery , which means the region being worked on is opened with a long entry point to permit the surgeon to view and access the area. Technical and scientific advances have permitted more back and neck conditions to be treated with a less obtrusive surgical technique. The minimal invasive spine surgery (MISS) does not include a long cut, and it prevents causing damage to the muscles around the spine. As a rule, this causes less pain after the surgery and a speedier and healthy recovery.

Spine surgery is normally suggested when non-surgical treatments like medicinal or exercise based methods have not helped in lessening the excruciating symptoms of your back problem. Moreover, surgery is just considered if your doctor can pinpoint the correct reason of your pain, for example, a herniated circle or spinal stenosis. 

MISS is also called less obtrusive spine surgery. In these procedures, surgeons utilise particular instruments to get to the spine through little cuts. The surgery process is as follows:

During the surgery, a little entry point is made and the tubular retractor is embedded through the skin.
It is also inserted into the delicate tissues down to the spinal cord.
This makes a passage to the little range where the problem exists in the spine.
The tubular retractor holds the muscles open and is set up all through the surgery.
The surgeon gets to the spine utilising the little instruments that fit through the focal point of the tubular retractor.
Any bone or disk material that is expelled goes out from the retractor.
Any gadgets needed for the fusion process, for example, screws or rods, are embedded through the retractor.
A few surgeries require more than one retractor.
Keeping in mind the end goal to see where to put the entry point and embed the retractor, the surgeon is guided by fluoroscopy.
This strategy shows ongoing X-ray pictures of the patient's spine on a screen throughout the surgery.
The surgeon additionally utilises a microscope to enlarge the view through the retractor.
Towards the end of the procedure, the tubular retractor is expelled and the muscles come back to their original position.
This restrains the muscle damage that is more ordinarily found in open surgeries.
It is very important to talk about these risks with your doctor before your surgery or procedure.

Infection: Antibiotics are consistently given to the patient some time before, during, and regularly after the surgery to reduce the danger of infections.
Bleeding: A specific measure of bleeding is normal; however, this is not commonly dangerous.
Pain in the grafted area: Some patients will encounter surgical pain at the bone joint site.
Recurring symptoms: A few patients may encounter a repeat of their side effects.
Pseudarthrosis: Patients who tend to smoke are more prone to pseudarthrosis. This is a condition wherein there is insufficient bone formation. In case that this happens, a minor surgery may be required.
Nerve damage: It is possible that the nerves or veins might be harmed during these operations. These complications are extremely uncommon.
Blood clots: Another complication is blood clots in the legs. This poses a threat because these clots can break off and settle in the lungs.

Minimally Invasive Spine Surgery - A Guide On What To Expect?

Even though you might feel it is impossible to sleep without pillows, you will be surprised to know that sleeping without a pillow is a good way of preventing neck, back, and shoulder pain. Remember when you were a child, you would fall asleep at any place without waiting for a pillow? The human body can thus adapt to any situation owing to its resilience. And as we age, we are still able to rest our body comfortably without needing a pillow or any other form of support.

The Many Benefits Of Sleeping Without A Pillow-
If you have already encountered some signs and symptoms of sleep deprivation, you will need to find the root of the problem. In doing this, you may find that all these health issues may stem from the pillow you sleep on. If you, like many others, believe that pillows are an indispensable part of your sleep, you may be wrong. Your soft and cozy pillow may do you harm without leaving any scope of suspicion. Here are some of the most compelling advantages of not using a pillow while sleeping:

Neck and Shoulder Benefits: When you don t have a pillow while sleeping, your back, neck and shoulder muscles will extend naturally without causing any aches or sprains. When you sleep on a pillow that is very soft, it will strain the muscles on the neck while also decreasing the flow of blood to the head. When your head is tilted downwards on any pillow that is not able to provide optimum support for the head, the airflow to the respiratory system is much reduced. If you are already suffering from neck and shoulder pain, you may try sleeping a night without any support to see if the pain subsides.
Spinal benefits: Sleeping on your back without a pillow allows the spine to rest completely with the natural curves of the body. Sleeping with a thick pillow can displace your spine.
Sleep Benefits: When you are not having any neck and head support while sleeping, your body would be able to rest optimally. When you sleep on pillows that do not offer good support, your body starts compensating by engaging the back and neck muscles. This causes more strain when the body is supposed to be resting to overcome everyday stress.
Facial Benefits: Many people tend to bury their face in the pillow while sleeping. This will prevent your face from being able to breathe and perspire. The pores on the skin surface will not have any access to air. This leads to the formation of oil and grease on the face, and it will give way to blackheads as the added dust and impurities on the surface of the pillow will come in contact with your face.
For all these compelling reasons, you can try to forgo your pillows and observe improvement in your general health.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Sleeping With A Pillow- Is It Good Or Bad For You?

Pneumonia is a lung infection that can be potentially fatal if it is not treated on time. This disease may cause fever, cough, cold and congestion and is known to clear within two to three weeks with bed rest and proper remedies at home. Yet, it is best to have it checked by a doctor, especially if it happens to affect a child. The causes of symptoms of this condition are as follows:

Symptoms: The most common symptom of pneumonia is a painful cough with which you will end up throwing out lots of mucus. This mucus or sputum usually comes from the lungs. The patient may also have fever and may experience shortness of breath and shallow breathing on several occasions. Further, chills that cause chattering teeth and shivering, can also afflict the patient, especially during the night. Chest pain is also a common symptom of this condition due to the excessive and persistent coughing, laboured breathing and congestion. Due to this, the patient may also experience accelerated heartbeat and a pounding heart. Nausea, weakness, fatigue and loose motions are some of the other symptoms of this condition.

Causes

Germs: Germs finding their way into the lungs is a sure shot way of contracting pneumonia. These bacteria are most likely to strike when you have just recovered from a flu, cold or fever following which your immunity is pretty low.
Chronic Ailments: Patients who are suffering from chronic ailments like asthma, heart disease, diabetes and even cancer, are at risk of getting pneumonia, in which case immediate treatment will be required so that it does not become a fatality.
Bacteria: While the specific bacteria cannot be diagnosed with the help of tests, the most common bacteria that cause this condition are known as Streptococcus Pneumoniae. Other bacteria that can cause this disease include the Mycoplasma Pneumoniae which can cause a more mild form of pneumonia known as walking pneumonia.
Virus: The viruses that cause influenza like virus A and B can also cause this disease along with the respiratory syncytial virus or RSV. These affect the nose, lungs and throat.
Immunity: When your immune system is impaired or when you have just recovered from a bout of moderate to serious ailments, this virus or bacteria is most rampant and can afflict you. In case the patient is suffering from AIDS or other fungal infections, the risk of contracting pneumonia is heightened.
This is a contagious disease that may be caused when you breathe the same infected air as another patient with the same disease. It can also follow viral diseases like chickenpox and measles.
 If you wish to discuss about any specific problem, you can consult a pulmonologist.

Common Causes and Symptoms of Pneumonia

Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.

What are the different stages of Sleep

Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.

Sleep and its benefits
Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.

    Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
    Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
    It also relaxes our voluntary muscles and thereby, relieves us from physical stress
    Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.

Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.

Sleep Pyschiatry: Its Stages and Benefits

Your spine or backbone is composed of 26 bone discs, known as vertebrae. The vertebra shields your spinal cord and allows you to bend forwards and backwards, and stand. However, a number of problems, such as the following can change the structure or cause the vertebrae and its surrounding tissues to become damaged  

  Injuries
  Infections
  Tumours
  Changes in bone formation due to ageing   herniated disks, spinal stenosis
  Conditions like scoliosis and ankylosing spondylitis

Spinal disorders often lead to pain and discomfort when bony projections put pressure on the spinal nerves or cord. Over time, spinal disorders limit movement and reduce flexibility.
Treatment varies depending on the disease, ranging from medications and therapy to bracing and surgery.

Endoscopic Spine Surgery: what is it?

Contradictory to traditional open surgery, the new age endoscopic surgery is a minimally invasive procedure used to detect and treat a disorder. Unlike open surgery, minimally invasive endoscopic surgery does not require the patient to undergo general anaesthesia. The procedure is possible under local anaesthesia, considering the fact that it can be performed without cutting open the portion of the surgery site.

How does surgery work?

During the procedure, the surgeon first administers local anaesthesia to numb the site of the operation. You will be awake during the entire procedure but will not feel any pain. Then, he/she will make a small incision and insert a slender, tubular instrument   known as an endoscope   with a camera attached on one end through the soft tissues and skin, down to the spinal column. This allows the surgeon to get a clear view of the spinal tissues and understand where the problem exists. The endoscope holds the muscles open, allowing the surgeon to remove the damaged tissues or disk.

Endoscopic spine surgery preserves normal mobility, as the spine is not fused with rods and crews. When performed under an experienced surgeon, the procedure takes less than an hour.

Benefits of the Procedure

The advantages of going for an endoscopic surgery are the following  
  Local anaesthesia
  Surgery and discharge on the same day
  Microscopic incisions
  No removal of bone or muscles
  Zero or minimal blood loss
  Preserves spinal mobility
  Immediate recovery
  Reduced intake of pain medicines
  The high rate of success
  Improved quality of life

Minimally invasive endoscopic surgery has made it possible to rectify spinal problems and disorders without having to go under the knife. With less pain and quicker recovery, you can improve your spine health and get back to your usual activities in a day or two.

Consult a specialist and discuss the procedure in detail before opting for the same.


Endoscopic Spine Surgery Under Local Anaesthesia!

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