Corns and calluses are defined as thickened and hardened areas of the skin, which are formed due to excess pressure, friction or rubbing in a particular area. They generally form at the bottom of the feet and can cause discomfort and pain while walking. Corns usually form on the sides and tops of toes. There are several variants of corn such as hard corn, soft corn and seed corns. Calluses typically form in areas which undergo high friction. It can appear on hands and feet. Read on to find more about corns and calluses.

Causes
1. In some cases, corns or calluses may form due to improper walking motion but in most cases corns and calluses form due to wearing shoes which fit in an improper manner.
2. High heels in particular are a major reason for the formation of corns and calluses. Other reasons include foot deformities or wearing shoes and sandals without socks.
3. Corns and calluses have a risk of being infected by bacteria which causes the infected region to secrete pus or fluid.

Symptoms
There are different types of corns and calluses and each of them have different symptoms during their formation.
1. A callus is a small patch of dead skin which can form anywhere in the body but usually in places which undergo friction.
2. A hard corn is a patch of hard skin which is located outside the little toe or on top of a toe.
3. A soft corn is a sensitive red patch of skin which is typically found between toes.
4. A seed corn is a painful patch of dead skin which typically forms on the ball of the foot or on the heel.

Treatment
If you have developed a corn or a callus it is advisable to consult a doctor as they can correctly differentiate between warts and calluses. Use of moleskin around the corn or callus usually reduces the pressure from the affected region. Oral antibiotic medication can also be prescribed by your physician. Certain moisturising creams also help treating corns and calluses. Opt for stronger moisturising creams after consulting your doctor if regular ones are not helping. In certain instances corns and calluses may need to be surgically removed.

All About Corns and Calluses

Shingles is a type of skin infection that results in rashes on certain parts of the body. It is characterized by a single stripe of blisters that may occur on either side of the body. The varicella-zoster virus that causes chickenpox is also responsible for causing shingles. Once you have had chickenpox, the virus remains in a dormant state in the body. If the virus gets reactivated, it might cause shingles.

The symptoms of shingles are:

1. You may experience sensations of numbness and burning on the affected area
2. The affected area may be sensitive to touch
3. Symptoms of red rashes on the body
4. Blisters that are filled with fluid
5. Bursting of blisters and crusting
6. You may experience fever and headaches
7. You may have difficulties in vision

The first symptom of shingles is the pain that results from the rash. In some cases, rashes may occur around the eyes.

Causes

Shingles is caused by the virus that is responsible for chickenpox. After lying dormant for certain period of time, the virus may get reactivated and travel through the nerve pathways on the skin. This is more likely to happen if your immunity level is somehow affected, which makes it easier for the body to get infected.
The disease is contagious in nature, so it is advised to stay away from people who have shingles. Remember that if you are not immune to chickenpox, then coming in contact with a person who has shingles, might result in you developing chickenpox.

Shingles may result in certain complications in the body such as:

1. Vision loss: shingles, if present around the eyes, may lead to infections in the eye causing vision problems.
2. Post herpetic neuralgia: in some cases, the pain that occurs from shingles may continue well after the infection has subsided.
3. Neurological complications: shingles may cause inflammation in various nerves, resulting in neurological disorders such as facial paralysis and balance problems.
4. Infections in the skin: shingles may also cause infections on the skin.

All About Shingles

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

Corns and calluses are areas of stumpy skin caused by friction or pressure. They usually hurt when you wear shoes or walk.
Calluses generally develop on your feet or hands, and most of the time, don t require treatment.
Corns have a hard or soft inner core. Soft corns are mostly found between the toes, while hard corns form on the top of the toes. Corns that are caused by ill-fitting shoes often reduce on wearing the right shoes.
Causes-
Repeated friction or pressure causes corns and calluses on areas of skin. The pressure leads to the death of the skin, which develops a protective, hard surface. Soft corns develop in a similar fashion. Corns and calluses are not formed due to viruses and are not harmful. They can be formed due to:
Regular usage of any object that puts strain on the hands, such as sports equipment (badminton racquet) or tools (hammer or gardening hoe), usually leads to calluses on the hands.
Pressure from wearing the wrong footwear usually leads to corns and calluses on the feet. Calluses can also form by walking barefoot.
Abnormal structures on the foot, such as hammertoe or bone spurs, can cause calluses and corns.
Repeated pressure from playing certain sports can also cause calluses on the feet.
Symptoms-
Corns and calluses on the feet are easy to spot. A callus is thick, hard and dry, and may appear yellowish or grey in colour. When touched, it will feel bumpy and more insensitive than the skin around it. A hard corn is thick and firm, while soft corns look like an exposed sore. The hard corn may have a grey centre with a light yellow ring around it.
Corns and calluses don t hurt, but it does become painful when you are wearing shoes or walking. Fitting your feet into shoes gets more difficult due to them. Touching or squeezing the corn or callus can also be painful.
Treatment-
Corns and calluses don t require treatment normally, but if they hurt, here s what you can do:
Wearing well-fitting shoes that are roomy with deep and wide toe boxes (the area covering the toe).
Protective paddings, such as moleskin, toe separator, toe sleeves, etc., can alleviate pain.
Soaking the corn or callus in hot water, and then gently wear down the dead skin by using a pumice stone.
Salicylic acid can be used to soften the corn or callus.


All about Calluses and Corns

Being able to conceive and give birth to a new life is something that most women dream about. The natural instincts of motherhood give a lot of joy to women after they reach a certain age and this is something that is hormone driven so that they are inspired to get pregnant and give birth, keeping the life cycle of humans regular and growing.

A lot of women may be able to easily conceive and go through a natural pregnancy without any major glitches or problems, but everyone may not be as lucky and there may be those women who may be suffering from health issues that make it difficult for them to conceive.

One problem in women that may lead to difficult in conceiving or infertility may be the problem of endometriosis. This is a health issue that affects the uterus and it is defined as a problem in which the lining of the uterus grows outside of it, disturbing menstrual cycles as well as the ability to conceive and carry a foetus in the uterus.

Is it possible to get pregnant?
There is widespread misconception that women who suffer from endometriosis may never be able to conceive because the uterus lining that is needed for the inception of the embryo in early pregnancy may be missing. However, the truth is that the problem is a treatable one and with the right medical help and guidance, it may be possible to make sure that the problem is brought under control or reversed and that a successful pregnancy may be achieved.

While it is possible to reverse the problem, it is also important for aspiring couples to choose the right gynaecologist for the treatment, because it is a complex issue that can be resolved only with expert and experienced interference. The medical professionals may put you under medication that works on the hormones and creates ways to reverse endometriosis. However, in patients who suffer from severe endometriosis, a surgery may be one of the alternative treatments.

The relation with pregnancy:
As it is suggested by experts in the field of gynaecology, finding difficulty in conceiving may be a real possibility. However, with the help of modern medical practices such as in vitro fertility, it may be possible to conceive when all other forms of treatment fail and in order to achieve such a feat it may be important to trust a doctor that has a perfect backing of knowledge and experience in the field.
The modern world of medicine is no shorter than a marvellous miracle, however, the success or failure of any treatment depends a lot on the kind of medical aide and specialist that you decide to opt for.

Endometriosis - How it Affects Pregnancy?

How To Take Care Of Nail Health 

Nails significantly reveal about your overall health.When well taken care of, nails not only look good but they also help you stay healthy.
Follow these tips for a shining nails.
1. Moisturize - Use a Hand-Nail cream regularly to avoid ragged cuticles and flakey skin. Moisture keeps your nails in a good shape.

2. Mild Soaps - Use specially formulated hand foams to wash your hands. Certain anti-bacterial soaps can strip away layers of essential oils from your skin, thus leaving your palms dry and even itchy.

3. Massage - Massage your cuticles regularly. This will help improve blood circulation to the tips as well as stimulate the entire nervous system promoting the growth of strong and healthy nails.

4. Manicure - Treating your hands once a month to a relaxing manicure is an excellent idea. Not only do your nails end up looking fabulous but the additional TLC will go a long way in ensuring that your hands don’t look twice their age. Scrubbing off the dead cells, applying a ‘hand mask’ and then some relaxing massage as you close your eyes to some soothing music, is just what ‘nail therapy’ is all about.

5. Maintain - It’s a common knowledge that the skin on our hands tends to age quicker as it is often left exposed to the elements such as the harsh sun or extreme winters. To maintain your manicured nails, use a sunscreen regularly and wear gloves in the winters and even while going about household chores such as doing the dishes or mopping the floor.

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

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