Visual impairment is a decreased ability to see to a degree that causes disabilities or problems, not fixable by usual means, such as glasses. Loss of vision may be acquired and develop suddenly. It may affect one or both your eyes.

What Causes Loss of Vision/Disability?

Loss of vision and disability can result from the following  

Clouding of normally transparent eye structures

Abnormalities in the retina

Abnormalities in the nerves carrying visual signals to the brain from the eyes

Changes in vision may also occur due to conditions like glaucoma, macular degeneration and diabetic retinopathy. 

Can Psychological Rehabilitation Help Manage Visual Impairment?

Vision loss and disability often interfere with one s functional ability in everyday tasks. Sometimes, the disability may be so devastating that it affects a person s mental health and behaviour. Psychological Rehabilitation is designed to help such visually impaired people deal with disability or impairment. 

Psychological rehabilitation involves a wide range of methods that aims to restore functioning after loss of vision, just as physiotherapy restores functioning after an injury or stroke. The program allows patients to continue living independently and maintain their quality of life despite vision loss. 

Complete or partial loss of vision can jeopardize one s career   you may not be able to continue with your job due to the disability.  Many people suffer psychological and physical challenges, which force them to escape the outside world. Psychological rehabilitation helps in the following ways  

Helps individual understand and accept the disability, and find ways to cope with it

Motivates them in to keep trying

Cope with the pain and depression

Overcome feelings of fear or despair

Prevents the person from sinking into a state of self-pity, which may hinder recovery

Rehabilitation Psychology adopts a holistic and expansive approach to treat visual impairment. 




Loss of Vision & Disability - How Can Psychological Rehabilitation Help?

Cervical spondylosis is an age related disorder affecting the discs and joints in your neck. The overuse of the bone and cartilage in the cervical spine of your neck leads to cervical spondylosis. While it is mostly caused by age, it can also be caused by other factors. Stiffness and severe, chronic pain are the most common problems with patients afflicted with cervical spondylosis. While in others, it might not cause problems and they can go about their daily activities.

Physiotherapy for Cervical Spondylosis
There is no cure for cervical spondylosis, but its symptoms can be treated with physiotherapy. If you have chronic pain in your neck, shoulder blades or arms, a physiotherapist can provide effective pain relief by strengthening your vertebrae and neck. This will improve your posture and prevent any relapse of the pain.

Firstly, the physiotherapist will evaluate your condition; check your reflexes and strength. Then, the physiotherapist will move on to the following treatments:

Stretching, strengthening and straightening exercises: Before beginning these exercises, your physiotherapist will first apply cold or heat to the affected area and then proceed with a deep tissue massage or electric stimulation. When your muscles are relaxed, the exercises will begin only then. These exercises are performed to strengthen the muscles in your neck. Through these, you will learn how to improve your range of movement and posture.
Neck traction: Pulling your head to stretch out your spine is called neck traction. This technique is used to improve movement and ease the pain. Traction is used to open the spaces between the vertebras gently in order to ease pressure on the distressed discs. Traction is done continuously or sporadically, with short periods of rest in between. If you cannot find the right physiotherapist to do this for you, there are devices to help you stretch your spine.
Cervical collars and pillows: Neck pillows or cervical pillows, are made to keep your neck steady while you sleep. Cervical collars are also called neck braces which are used to support the neck. While cervical collars have been proven to be quite beneficial, there isn t much evidence to support cervical pillows in treating cervical spondylosis. You can always consult your physiotherapist before purchasing a cervical pillow.

Cervical Spondylosis - How Physiotherapy Can Help Treat it?

Patients suffering from Irritable Bowel Syndrome experience severe abdominal pain, abdominal bloating along with cramping, gas, constipation and a constant urge to go to the toilet again and again. IBS is a health disorder where the large intestine or the colon is affected. This condition is a chronic one and requires long-term management. The symptoms are usually worse after eating and tend to occur in episodes. Although the disorder cannot be reversed, several symptoms can be managed or controlled by making lifestyle and dietary modifications. Most patients with IBS will experience flare-ups that last for a few days. For others, medical treatment is required.

Treatment and Care

Different procedures are used to treat IBS, which vary from person to person. However, one single treatment does not work with everyone.

Lifestyle and Dietary changes:

By making several basic modifications to your regular diet and activities, IBS improves with time. Here are some tips:

You should avoid caffeine in any form such as coffee, tea or soda.
You should increase the amount of fiber in your diet and include vegetables, fruits, whole grains and nuts.
You must drink three to four glasses of water regularly.
Smoking should be abstained from.
You must undertake relaxation techniques and work out in order to reduce stress.
Your amount of dairy product consumption must be reduced. 
You should eat frequent, small meals instead of fewer large meals.
The most common food triggers, which lead to IBS are green onions, red wine, milk and red peppers. You should not consume these products.
You should keep a record of the types of food you consume so that you can identify the IBS triggering food items.
You should eliminate high gas producing food items from your diet. Food items which may result in passing excess amount of gas such as carbonated vegetables and vegetables such as cabbage, broccoli and cauliflower should not be consumed. 
Medications:

Several medicines are used to treat IBS. These include the following:

Antispasmodics are used to control muscle spasms in the large intestine.
Antidiarrhoeal medicines are used to control the symptoms of diarrhoea.
Laxatives are prescribed for relief from constipation.
Bulking agents like wheat bran and corn fibers are used to slow down the food movement through the digestive system. They also relieve symptoms.
Antidepressants are also used in case of some patients with IBS for relief.
In patients, whose symptoms occur due to bacterial overgrowth in the intestines, certain antibiotics may be used for treatment.
There are several triggers of IBS, which must be identified and treatment should be undertaken after that. For the proper identification and best treatment of IBS which suits your symptoms, it is essential you consult a gastroenterologist. Alternative treatment methods such as acupuncture, using certain herbs and probiotics can also be followed.

Irritable Bowel Syndrome - Treatment and Care

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?

Cervical spondylosis is fast becoming the bane of modern life. An age-related wear and tear problem affecting the spinal discs in your neck, cervical spondylosis is increasingly affecting the young because of the use of cell phones, laptops and the like.

Cervical spondylosis is a general term used to define shrinkage of discs in between vertebrae in the neck region. Along with disc degeneration, bony projections also form in the area and are called bone spurs.
Other causes of cervical spondylosis are dehydrated discs. Discs are thick, pad-like cushions in between vertebrae that act as shock absorbers. They are made of a gel- like material that can dry over time. This causes the spinal vertebrae to rub together causing pain. The discs also crack which allows the internal gel-like material to spill out and impinge on spinal nerves causing symptoms.

There is a narrowing of the space required by the spinal cord and nerves that emanate in the upper spine to go to various parts of the body. Pinching of these nerves can cause alarming symptoms like

Numbness and weakness in your arms, hands, legs and feet
Lack of coordination and difficulty in walking
Loss of bladder or bowel movement
Stiffness and pain in neck
Treatment and management
Usually, cervical spondylosis doesn t cause any symptoms. But when you start experiencing pain, stiffness and weakness of muscles, it s best to go to a doctor who will diagnose the problem and then treat it.
Treatment for cervical spondylosis depends on the severity of your symptoms. Its goal is to get rid of pain, allow you to carry on your daily activities and prevent any permanent damage to your spinal cord and nerves.

Medicines

Anti-inflammatory drugs are prescribed to reduce pain and inflammation. Example Ibuprofen.
Corticosteroids are oral medications to get rid of the severe pain. If these don t work, your doctor can suggest steroid injections.
Muscle relaxants medicines relax the muscles in the upper part of the spine and help in curing neck pain and stiffness
Anti-seizure medications are also prescribed to dull the pain of damaged nerves in the spine. These include epilepsy medications, such as gabapentin and pregabalin.
Physiotherapy

Non surgical treatments are usually very effective in treating cervical spondylosis and surgery is usually not required. Physiotherapy is a bulwark for patients as it helps manage the condition very well.
Neck exercises that help stretch and strengthen muscles in your neck and shoulders can help manage debilitating symptoms of cervical spondylosis.
Few patients also benefit from traction, which can help provide more space for nerve roots within the spine.
Surgery

Surgery is the last resort for treating cervical spondylosis.
It is suggested when non-surgical treatments fail and the pain and neurological signs such as weakness in your arms or legs get worse.
It is done to create more room for your spinal cord and nerve roots.
Cervical spondylosis surgery typically involves removing:

Herniated disk
Bone spurs
Part of a vertebra

Cervical Spondylosis - How to Treat It?

Some people have a sore throat which they think will go away sooner rather than later. Well, while it may not seem serious, rheumatic heart disease means that it could potentially be! But, how exactly?

A sore throat usually comes about on account of bacteria affecting the region of the throat.

Sometimes what can happen is that the same bacteria can go all the way to the heart and damage the valves of it. This is very serious as the health of a person fundamentally depends on the health of his or her heart!

When a sore throat does not seem to be getting better even after about three days go by, the first thing which is to be done is to see a doctor. This is due to the fact that delays can result in the situation getting worse. As a result of this, treatment can get more complex. And who wishes to compound their own miseries, after all?

Children who are aged between five and fifteen years of age are at risk of rheumatic heart disease. Now, while it is true that children are likely to fall sick more often than adults as their immune systems may not be all that strong, a special eye is to be kept out for rheumatic heart disease. The general symptoms which a parent should look out for are a sore throat, a cough and a fever. The tough part is that these symptoms appear which a range of other conditions!

When it comes to knowing that rheumatic heart disease is what is affecting a person, a special blood test is taken and if there is a need, an ECG and some other measures confirm rheumatic heart disease. Penicillin is a wonder drug and it is used in the treatment of rheumatic heart disease, as well. It is the general form of treatment, in fact, and people with the disease are often put on a course of injections. This means that they need to have an injection every 28 days for a month so as to make sure that there is no further damage which can affect the valves of the heart. The importance of this cannot be impressed enough.

It is unfortunate that in many cases, people only discover that they have rheumatic heart disease once they reach adulthood. The valves of the heart may be leaking or significantly damaged by the time that the discovery is made. Is it not a lot better to save oneself from this sort of situation?

Things To Know About Rheumatic Heart Disease

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