Cerebral Palsy is a disorder related to the posture, movement or muscle tone, mostly due to immature development of the brain in a baby. This condition usually crops up, when the baby is already in the womb. The symptoms may surface when the baby is in its infancy or even later. Irregularities in the reflexes, posture, walking style, etc should ring a bell for the parents. Kids suffering from cerebral palsy may also suffer from muscle imbalance of the eye muscles, leading to problems focusing on an object. The range of motions becomes limited as well. There could be conditions such as deafness, epilepsy, impaired brain function and blindness associated with this disease. 

Whom to consult for cerebral palsy in kids? 
A kid suffering from Cerebral Palsy might have to work with a medical team for a very long time. Parents might need the help of a paediatrician, orthopaedic surgeon, paediatric neurologist, physical therapist, speech-language pathologist, mental health specialist, developmental therapist, recreation therapist and special education teacher. 

Treatments that are available for Cerebral Palsy in kids Medication: 

Medications: Medications are often used to improve the functional abilities of a kid. Certain spasticity related complications, treatment of pain, and other symptoms of Cerebral Palsy can be treated with medications. It is important to discuss with the doctor, the side-effects involved in taking the medication. There are two types of medications- for isolated spasticity and for generalized spasticity. In case of Isolated spasticity, doctors recommend Botox injections every 4-6 months to stabilize one muscle group. If the whole body is affected due to cerebral palsy, doctors recommend medications such as baclofen, diazepam and dantrolene to relax the contracted and stiff muscles. 

Therapies: While there are many therapy treatment, three types of therapies are the most important for treating a child suffering from cerebral palsy. They are physical therapy, occupational therapy and speech& language therapy. Physical therapy is necessary for the flexibility, mobility and motor development of the child. Occupational therapy helps a kid imbibe alternative strategies to participate in daily activities. From teaching a child to walk with a cane to help them operate a wheelchair, physical therapy makes a child self-sufficient as much as possible. Speech and language therapy helps child s ability to communicate either verbally or with sign-language. 

Surgery: Surgery may be necessary to loosen the muscles, correct abnormalities of the bone etc. An orthopaedic surgery is necessary in cases where a kid was born with several deformities. The correction can decrease pain and increase mobility. In severe cases when the normal treatments do not help, doctors cut the tendon of spastic muscle. It helps to relieve the pain and relax the muscle.

Cerebral Palsy In Kids - Treatments That Can Help!

A neurological disorder characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of physiotherapy in epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.

It helps improve sensory awareness, response, balance, and coordination.

It helps to improve quality of movement and physical performance.

The goals of physiotherapy

To develop strength enough to support one s head upright

To have balance and motor control to maintain their trunk at midline

To use many different muscle groups

To assist necessary motion in their trunk and extremities

The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals

To understand what the patient is good at and does well

To focus on what he or she capable of doing rather than on what they can t do

To educate and provide awareness with a view to prevent injuries

For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool

Padding out sharp corners in the house to prevent damage if fallen on

Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

How can physical exercise help with seizures?

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and well-being in this way can help reduce seizures. 

It can also help people feel more in control of their health. 
It also helps release  feel good  hormones into the brain, keeps muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. 
It can also increase the bone density. 
A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks can result in a significant reduction in the number of seizures they had.
Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.
Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. 
Making new friends may help with any feelings of isolation. 
Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk.


Epilepsy - Understanding The Role Of Physiotherapy In It!

When there are vibrations in the top airways of the respiratory system because of obstruction to the air movement during the time of sleep, it leads to the sound of snoring. When a child gently squeaks or snores at night, it could be a warning sign of an underlying sleep disorder. 

Common Reasons for Snoring in Children 

  Infection in the Respiratory System- If the child suffers from a stuffy nose or from chronic allergies or cold then there is a chance that the snoring is brought on about by a blockage to the sinuses. The blockage to the nasal canal makes it difficult for the child to breathe normally and instead has to breathe through the mouth leading to the sound of snoring. 

  Inflamed Tonsils- Enlarged adenoids, as well as tonsils, are the primary reasons for snoring in children. It is also a strong indicator of sleep apnea. The inflamed glands block the airways and the child finds it difficult to breathe during the night. 

  Diverged Septum- When the airway of the nostrils is offset, it leads to the condition of a diverged or deviated septum. This again makes breathing through the nose quite a difficult job. This is because the passage is smaller as compared to others, lowering the quantity of airflow. 

  Obstructive Sleep Apnea- Obstructive sleep apnea is a severe condition where the airflow becomes obstructed completely via the respiratory system. This makes breathing difficult through the nose and can lead to other associated health issues. 

Symptoms of Various Snoring Problems in Children 

Each of the disorders stated above is characterized by a number of symptoms that lead to the problem of snoring in children. These may include-

  The child continues to snore almost regularly 

  The breathing is brought to a halt by snorts, gasps or pauses that extend longer than ten seconds 

  The child suffers from restless sleep or tends to sleep in awkward positions especially with the head tipped backwards. Remedies After observing your child s symptoms there are a few remedies you can try on the recommendation of your paediatrician. 

  Give the child some medications for allergy or congestion 

  You can put your child s head up with the help of a pillow. 

This can clear up the blocked nasal passage and bring the child some relief. Aside from these, your paediatrician might feel that you take your child and go see either an ENT specialist or a sleep specialist to figure out if the child suffers from obstructive sleep apnea. 

Snoring Problem In Children - What Causes It?

In most diseases, early detection of the disease is the key to control the symptoms, cure, reduce progression and improve prognosis. This holds true for sexually transmitted diseases too. As soon as there is a mild degree of suspicious of having contracted a sexually transmitted disease, it is advisable to go for a test. Most of the STDs can develop into serious complications over a period of time, ranging from infertility to even death.

Complications: Why early diagnosis is important: When left undiagnosed and untreated, most STDs progress to cause severe damage from sterility to cancer to even death. Listed below are some complications associated with each of the common STDs.

Chlamydia: If left untreated, can lead to epididymitis and testicles shrinking and infertility in males. This is a condition where there is pus formation in the scrotum. In women, it can lead to pelvic inflammatory disease which is deep-seated and unable to cure completely. This brings with it symptoms ranging from abdominal pain to uterine infections to sterility.
Syphillis: Undiagnosed syphilis can lead to blindness and deafness. It can also be passed onto the newborn and lead to severe disabilities.
Gonorrhea: If diagnosed early, it can be cured completely with antibiotics. However, if left untreated, it can lead to infertility.
HIV/AIDS: Early diagnosis can help in curtailing the disease. If detected late, then the damage is quite extensive and treatment is both expensive and cannot help restore a lot of functions. 
Symptoms of Sexually transmitted diseases: If there is a doubt of having contracted an STD, then it is very important to get tested for the same. Some of the most common symptoms are listed below.

Women: The most common symptoms in women including painful urination, burning sensation, abnormal vaginal discharge (sometimes bleeding), warts, and abdominal pain.
Men: Testicular pain, urethral pain, painful urination, pain and inflammation in the prostate, sores, fever, and abdominal pain.
Prevention: Always practice safe sexual practices. When in doubt, refrain from sex until diagnosis and treatment is complete.

Testing for STDs: Some of the standard tests include:

1. Herpes- HSV I & II - 
2. Testing HIV-- Kits and ELISA available for testing 
3. Blood test for syphilis antibodies 
4. Chlamydia and Gonorrhoea - from urine as well as swabs for culture
It is understandable that getting tested for STDs is an embarrassing situation. However, there are options available where anonymity can be maintained when getting tested for STDs. This is a wise choice to make as the risk is not just for the person affected but for the partner and in some cases even for the fetus. Early testing can help prevent complications like infertility and cancer.

STD Testing - Why You Should Never Delay?

One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.

1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections

There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.

Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:

1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys

Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.

1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.

2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.

More men now opt for laser prostate removal as it has the following advantages:

1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
2. No hospitalization: This can be done either as an outpatient or with minimal one day stay at the hospital
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.

As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery.

Know About Laser Prostate Surgery

Testosterone is the most important hormone that drives most of the male characteristics from their physique, stamina, energy, vigor, voice, to sexual performance. Higher the testosterone level, greater the masculine characteristics. It is no wonder then that most men want more testosterone flowing in their system. There are simple ways to increase testosterone flowing in your system; read on to know more.

Eat more fat: While staying away from fat is the most common thing to do when body building, remember that testosterone is mainly made of cholesterol. So, a diet rich in fat directly translates to more testosterone. Mono-saturated and saturated fats are proven to be extremely beneficial for good testosterone production. Red meat, eggs, coconut oil, dark chocolate, cheese, peanut butter, fish, avocados, almonds, olive oil are all proven to be highly beneficial in improving testosterone levels.
Include ingredients for testosterone: Include foods that are rich in zinc, vitamin D, D-aspartic acid, Di-indolyl-methane (DIM). Foods rich in zinc promote higher levels of testosterone production and so are advisable. Vitamin D is the most important vitamin in the production and availability of free testosterone in the body and is highly recommended for people wanting to have higher testosterone levels. D-aspartic acid is an amino acid that is essential for proper functioning of the neurotransmitters that control testosterone synthesis and release into the system.
Modified gym routine: Contrary to what most people may think, long hours in the gym does not help you stay in better shape. Regular, drawn-out workouts with long rest periods and too many exercises aimed at building endurance are not necessarily good for testosterone levels. Optimal duration is about an hour, after which cortisol levels (stress hormones) go up and testosterone levels go down. Shorter rest periods between sets are also shown to be more effective. Also, there are specific exercises and workouts which are aimed at improving the testosterone levels. These workouts could be aimed at the legs, arms, back, chest, or shoulders. These moderate to high-intensity protocols stress large muscle masses, which stimulate testosterone production.
Beat the stress: None of our lives are free of stress, but the trick lies in managing them well. Whether you have physical or mental stress, try and work on reducing it, by meditation, music, or any relaxation technique that works for you. Even cardio exercises, if not overdone, are a good way to relax. Try not to fatigue yourself during your workout. Have a well-balanced meal and a good sleep to manage stress better.
Talk to your instructor to know more about ways to improve testosterone production. Higher levels of testosterone take the quality of life to a different level.

4 Ways to Boost Your Testosterone Levels!

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