Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don t jut out. They are also called closed fractures.

Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we re only going to skim through them here.

Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.
Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.

Diagnosis
When a bone is broken there are symptoms like swelling that doesn t subside on its own and pain. In such a case it s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it s important that the patient doesn t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.

There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.

Treatments
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it s going to require surgery with bone repositioning, called open reduction.

In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed.

Fractures - How To Diagnose Them?

Autism spectrum disorders are a group of severe neurological and developmental disorders which begin in early childhood and can last throughout a person s life. It affects the ability to interact with others and also hinders communication and well as learning ability. A proper health center can diagnose the presence of autism spectrum disorder early on. Many tests are available for evaluation and diagnosis as it is a range of disorders which can have a variety of symptoms. The environment and genetics also play a role in the development of autism spectrum disorder but the exact cause of autism spectrum disorder is not yet known.

Symptoms of autism spectrum disorder:

Your child may not be able to respond when called by his or her name by 12 months age.
Will avoid eye contact and also have the desire to stay alone.
Have trouble understanding or relating to other people or talk about their own feelings.
Delayed speech and language skills which would affect the ability to speak.
Show unusual reaction to sound, smell, taste or feelings.
Answering questions with unrelated answers that have no meaning or link.
Prefer to play alone and would avoid physical contact.

Diagnosis of Autism Spectrum Disorder:

Comprehensive Diagnostic Evaluation   The behavior of your child and development is first studied by the doctor in detail. The tests include genetic testing, neurological testing, hearing and vision testing among others. Doctors may also suggest other specialized tests in certain cases.
Developmental Screening   The development of your child s basic learning skills with respect to the age is checked. The doctor checks for some delays in the progress and will also monitor movement, behavior and speaking progress of the child. Some additional checks are also done for low birth weight, premature birth among other things.
Treatment:

Applied behavioral analysis   This is a notable treatment and widely accepted by doctors all over the world. ABA is known to encourage positive behaviors and improves a variety of skills in a child.
Occupational Therapy   Teaches the skills to live independently like eating, dressing and social skills. This can help people afflicted by autism spectrum disorders to lead a normal life within the society and thus relate to as well as interact with other people.
Speech therapy   It improves and focuses primarily on communication skills and also uses picture boards and gestures to improve the abilities and induce learning skills.

Autism Spectrum Disorder - How To Diagnose It?

We all have those days when we seem to have hit an all time low. We feel bad, sad, mad, and there seems to be no light at the end of the tunnel. However, this is a temporary, passing phase for most of us. But for people with depression, this is not the case.

Chronic depression, which is more common in women than men, can arise due to different reasons. Major life changes, marital issues, relationship issues, financial problems, chronic medical problems, death of loved ones, life stressors, weather changes, etc. can lead to depression.

This leads to prolonged periods of sadness, feeling of emptiness, loss of interest in activities which were normally pleasurable, irritability, sleeplessness, loss of appetite, weight gain, worthless and hopeless feeling, and feeling of doom. This can result in dejection, social withdrawal, poor performance at work/school, and an overall declining quality of life.

In most cases, there is usually a past, unpleasant experience which leads to depression. This could be different for different people, depending on their tolerance. While some may go into depression over minor relationship issues, for others, it could be as severe as sexual abuse in the past.

Ayurveda recognizes  sadhaka agni  as a fire that helps a person to digest trauma. People with a strong sadhaka agni have a higher tolerance and take more time to get depressed compared to people who have a weak fire in them.

The following are some simple changes that can be very useful in overcoming depression.

Meditate for about 20 minutes every day.
Realize and practice detachment. Most people with depression have a loss of something they were closely attached to. Realizing that nothing in life is permanent and letting it go will play a major role in feeling better.
Get a sound, restful sleep. Stick to a routine by going to bed and getting up at the same time every day.
Walk out in the sun and get a good dose of sunlight. Add exercise to sun exposure to feel elated and upbeat about life in general.
Exercises such as yoga, walking, and cycling also are useful in improving overall balance and health. A healthy and fitter body definitely leaves one in a better mood.
Eat healthy food. Avoid packaged, canned, and processed food. Include a lot of nuts and seeds in your diet, be it roasted or soaked.
Try mood uplifting food items like black pepper, dry ginger, turmeric, amla, cloves, and cardamom.
Herbs like ashwagandha, shatavari, brahmi are highly useful in curing depression. They also treat fluid balance, govern energy and creativity in the body, improve metabolism, and clear toxins.
Ayurveda believes in not just making one feel better, but improving his/her overall well-being by getting to the root of the issue.

Depression - 8 Steps To Help You Get Rid Of It!

In healthy individuals, the liver contains little or no fat. In overweight or obese people, gradual fat accumulation leads to significant liver disease. Interestingly, these individuals may be consuming minimal to no alcohol. So, alcohol, which is the main cause for liver damage, does not have a significant role to play.

The non-alcoholic fatty liver disease (NAFLD) has 4 significant stages as outlined below. It is a chronically progressive disease and may take years to reach the final stages of cirrhosis and fibrosis.

1. Simple fatty liver (steatosis): This is usually identified when diagnostic tests are done for some other suspected conditions. There are usually no symptoms obvious in this stage, other than the buildup of fat in the liver.

2. Non-alcoholic steatohepatitis (NASH): The second stage where the liver is inflamed to a greater extent due to fat accumulation.

3. Fibrosis: The next degree of inflammation where blood vessels may be narrowed leading to scarring in the liver with impaired liver functions.

4. Cirrhosis: This is the most severe stage that occurs due to years of cumulative inflammation. The liver shrinks in size, is scarred, and liver functions are markedly impaired and can also result in liver cancer.

Risk factors for NAFLD: The exact reason why a person develops NAFLD is not established, but some of the risk factors include

1. Obesity, with more weight concentrated around the abdomen

2. Type 2 diabetes

3. High blood pressure

4. High cholesterol levels

5. Age greater than 50

6. Smoking

Symptoms: This will depend on the stage in which it is identified. While there are no symptoms in the early stages, in some people there could be a dull, aching below the ribs, unexplained weight loss, weakness, and extreme tiredness. As it progresses to cirrhosis, there could be jaundice, fluid accumulation in the abdomen and feet, and itching of the skin.

Management: While there is no treatment aimed at curing the disease per se, there are ways to manage the symptoms, as noted below.

1. Weight loss: Reducing excess accumulated fat will help reverse symptoms and prevent further progression of the disease. A BMI of 18 to 26 is considered optimal.

2. Dietary changes: Modify your diet to a carbohydrates and protein rich and reduced fats and sugars. Increasing fiber through fruits and vegetables is highly recommended.

3. Exercise: Whatever your choice of workout, it will do wonders for NAFLD. Keep a target of an hour or two of moderate to intense exercise per day to reduce weight.

4. Smoking: This is another risk factor and can also help prevent other effects of NAFLD such as diabetes and heart disease.

NAFLD is highly controllable with these changes and other damages can be reversed too.

What is Nonalcoholic Fatty Liver Disease (NAFLD)?

Skin cancer is a condition with abnormal and cancerous skin growths. This often develops due to the overexposure of skin to the rays of the sun. The three main types of skin cancer include basal cell carcinoma, squamous cell carcinoma and melanoma. Skin cancer affects those areas of skin which remains sun-exposed including ears, neck, chest, scalp, lips, face, hands, arm and legs. It can also develop on those areas of skin that are not exposed to sunlight like beneath toenails or fingernails, on palms and on the genital area.

Risk factors associated with skin cancer

Here are some of the factors which increase your risks of getting skin cancer:

1. Fair complexion: Low levels of the pigment melanin in skin causes fair complexion. Fair- skinned individuals who have a history of hazel or blue eyes, repeated sunburns and people who have red or blond hair are highly susceptible to developing this form of cancer. Less pigment in skin makes an individual more vulnerable to skin damage from harmful UV radiation.

2. Excessive sun exposure: Exposure to the sun may lead to the development of skin cancer if you don't protect your skin by sunscreen and clothing. Tanning beds and lamps may also increase the risk of developing this type of skin cancer.

3. High-altitude places: The exposure to sunlight is more intense in areas of high altitude and near the equator. Living at higher elevation also makes you more vulnerable to radiation because the sunlight is strongest there.

4. Moles: People with abnormal moles are at a higher risk of developing skin cancer. These moles are irregular in shape and are larger than normal moles.

5. Precancerous skin lesions: Your risk of developing skin cancer increases if you have skin lesion. These are scaly and rough patches that range from brown to dark pink in color. The most commonly affected areas are head, hands and face of fair-skinned people.

6. Weak immune system: Weak immune system caused by HIV or AIDS and immunosuppressant drugs that you take after an organ transplant may increase your risk of developing skin cancer.

Skin Cancer - What Can Cause It?

The term Sciatica is used to describe leg pain, tingling, numbness or weakness that travels down the low back via the sciatic nerve to the back of leg. Sciatic nerve arises from each side of lower spine and passes deep in the buttock along the back of thigh and legs. The pain of Sciatica may be irregular/ infrequent or persistent causing severe agony to the patients. The pain of Sciatica may be confined to low back or hips or may extend up to toes. The pain of Sciatica can be excruciating and "not relieved by painkillers".

What causes Sciatica?

Pain in Sciatica is due to irritation or pinching of Sciatic nerve within the spine. This occurs most commonly due to prolapsed intervertebral disc (slip disc) causing nerve compression resulting in pain.

Is surgery the only treatment for Sciatica?

Most patients can be managed with medication/exercises. So surgery is not the only way out. Patients who have severe pain can also benefit from "Epidural Steroid Injection". This treatment has proven to be effective in avoiding spine surgery in such patients.

What is Epidural Steroid Injection?

Epidural Steroid Injection is a procedure done by a Specialist (Interventional Pain) in an Operation Theatre using X-Ray (Image Intensifier) to locate exact level of injection. A drug mixture consisting of Steroid with Local Anaesthetic is injected at the epidural space of affected nerve root. The steroid washes away inflammatory mediators from the epidural space which decreases the pain. Steroid also decreases the inflammatory response of body to the prolapsed disc. As a result the pain arising from nerve inflammation is decreased. This is a day care procedure i.e. the patients are discharged the same day.

How is the possibility of surgery ruled out?

Epidural Steroid Injection is a proven, safe and an effective treatment that works on the concept of Interventional pain management - to provide relief from persistent and chronic pain of Sciatica. Generally, a single injection is sufficient to relieve patients of the pain. The procedure can be repeated for a maximum 3 times in a year, depending on the patient's response. With effective pain relief, surgery is negated.

Non-Surgical Treatment For Sciatica

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