The hand is one of the most commonly used parts of our body and is susceptible to damage, wear and tear as well as injury. Pain in the hand can be attributed to numerous causes, including damage and other conditions that can affect the joints, cartilage, nerves and other parts of the hand.

Causes

De Quervain's tendinitis: This is also known as de Quervain's tendinosis. It causes pain on the thumb side of the wrist. The pain may grow slowly or suddenly. It can also spread to every part of the thumb and up the lower arm. On the off chance that you have de Quervain's tendinitis, you may experience pain while performing the following actions:

- Clenching The fist

- Handling on or holding objects

- Turning the wrist

Treatment for this includes the following:

- Wearing a prop to rest the thumb and wrist

- Calming drugs

- Cortisone infusions

Carpal tunnel disorder: This is common amongst the well-known nerve issues. It can cause pain in the following parts of the hand:

- Palm and a few fingers

- Wrist

- Lower arm


The treatment methods includes the following:

- Resting the hand and wrist

- Painkillers

- Wrist support

- Steroid infusions

- Active recuperation

- Breaks

Fracture: It's a crack or break in a bone that can cause immense pain in the hand. Other than this, the hand may also experience the following:

- Stiffness

- Swelling

- Loss of proper motion and movement

The kind of treatment depends on the kind of fracture. Braces are usually used for small fractures. Sticks, wires, or plates might be used to treat severe fractures. Likewise, surgery may also be recommended to set the broken bone properly.

Arthritis: This is a disease causing joint inflammation and stiffness of the joints. It causes the joints to lose the ligament that permits them to move easily against each other. This tears the ligament, giving rise to crippling pain and swelling.

In the hand, the regions where this regularly happens are as follows:

- Base of the thumb

- Center joint of one or more fingers

- End joint, which is nearest to the fingertip

The treatment depends on the seriousness of the injury and the following may be used:

- Painkillers

- Props for the fingers or wrist

- Heat

- Non-intrusive treatment

Trigger finger: Also known as stenosing tenosynovitis, this defect causes the fingers or the thumb to bend. It can be difficult, particularly when bowing or fixing the influenced finger or thumb.

Knobs may form on the influenced ligaments. Also, the sheath itself may thicken. In the long run, the ligament may get to be adhered when you attempt to fix a twisted finger or thumb.

Resting now and again while wearing a support may help resolve the issue. Over-the-counter torment pharmaceuticals can facilitate the agony. Corticosteroid infusions can mitigate side effects. Surgery might be recommended for extreme cases.

Causes of Common Hand Pain and How to Find Relief

The liver is the largest internal organ in our body which performs multiple functions and it is the only gland that can regenerate quickly when it is healthy. The main role of the liver is to clean and filter blood coming via digestive tract previous to it flows to remaining body parts. Liver failure results in reduced ability of blood clotting, thereby causing severe problems in case of injuries. Apart from that, alcohol and viruses are also significant factors that stop the liver from functioning properly.

Liver Transplantation
Liver Transplantation enables even the people at the final stage of liver failure to lead longer and happier life. The success rate of Liver transplantation has increased drastically due to advanced surgical techniques. Liver transplant is the best option when the liver is damaged partially or entirely. It is a surgery that involves replacing a failed liver in a recipient with a healthy liver of a donor.

Who should go for it?
The main cause of liver failure in infants is Biliary Atresia. This occurs when bile ducts are absent or partially/fully blocked. Whereas in adults, liver disease is caused due to Cirrhosis - a condition in which liver is scarred and becomes dysfunctional in the worst case. Most common reasons for Cirrhosis are Hepatitis B and C, genetic disorders, alcohol consumption, toxic metals and obesity. One should immediately seek advice from a doctor when he/she suffers from following symptoms:

Fatigue
Nausea
Weakness
Weight loss
Jaundice
Fever
Abdominal Pain
Itchy Skin
Liver Transplantation Surgery
Two kinds of the liver transplant are available: 

Deceased donor transplant 
Living donor transplant
There are not enough deceased donor livers available to match all the liver transplant needs. Any living donor with a matching liver can donate a part of their organ to the person undergoing the liver transplant. As the liver can regenerate itself to its normal size in healthy people within a few months, there are no side effects of donating a part of the liver. A thorough physical and mental health examination will be performed for both the donor and the recipient to ensure that they can cope with the process and are aware of the risks involved. This includes psychological tests and blood tests. Patients are added to a waiting list as per their priority score. The score is assigned to a patient based on three blood samples creatinine, bilirubin and INR.

The priority score is termed as MELD (model of end-stage liver disease) in adults and PELD (pediatric end-stage liver disease) in children. The patient cannot undergo liver transplant if he/she has contracted cancer in any other part of the body or is suffering from heart disease or severe infections.

During the liver transplantation procedure, the surgeon removes some part of the liver from a donor and replaces damaged liver in the recipient with it. Both recipient's and donor's liver re-grow rapidly and reach normal size within months. As per statistics, recipients who receive the liver from living donor have a higher survival rate than those who receive it from deceased donors.

After surgery, both donor and recipient should maintain healthy and clutter-free life and follow strict diet rules and get vaccinated as per the chart provided by the doctor. They also need to avoid consumption of alcohol entirely and talk to a medical practitioner before taking any medications.

Liver Transplant Surgery - Who Should Go For It?

The respiratory system, through which air enters the body, is prone to disorders, and most of them are infections. Micro-organisms thrive in the air around us, and can gain easy access to the system through the air that we inhale. Therefore, respiratory issues are very common, but also not always a cause for concern. Most respiratory disorders would have common symptoms including coughing, chest pain, sputum production with varying features, shortness of breath, wheezing, etc. 

Read on to know the symptoms of common respiratory disorders, so you are equipped to handle them.

Asthma: Asthma is one of the most common respiratory issues. The trigger could be extreme cold, excessive pollen in the air, stress, etc.
Common cold: This is a common disorder of the upper respiratory tract. This could be due to allergy or infection. There is difficulty breathing, labored breathing, runny nose, and extreme lethargy. The throat is also sore and there is a scratchy, itchy feeling at the back of the throat.
Bronchitis: The bronchi are the further branches through which air flows, and these when inflamed cause bronchitis. Often caused as an infection, this produces a cough that can throw up a lot of sputum.
Chronic obstructive pulmonary disease: This often occurs with ageing and also due to smoking. This produces chronic coughing, difficulty to throw out air easily without effort. There could also be phlegm, which can be colorless (unlike an infection)
Tuberculosis: This is a bacterial infection of the lung tissue, and there is shortness of breath, a cough which persists for more than 5 weeks, and greenish-yellowish sputum. The person also would have very low energy levels, and sometimes blood in the sputum too.
Pneumonia: Pneumonia again is an infection of the lung and can be caused by bacteria or virus. This again causes chest pain, difficulty breathing, shortness of breath, and a greenish sputum.
Lung cancer: With smoking and environmental pollution on the rise, the instances of lung cancer have also been on the rise. This is usually diagnosed in the later stages as the symptoms are confused with any common respiratory disorders and ignored. Chest pain, chronic cough, difficulty breathing, and voice changes are some common symptoms of cancer.
Emphysema: Caused predominantly by smoking, this causes breathing difficulties and reduces the amount of air available for exchange in the lungs. There is no cure, but quitting smoking can reduce the severity of the condition.
Know that prolonged problems with respiratory tract require further investigation and should not be ignored as just another attack of cold and cough.

Signs Of Most Common Respiratory Disorders!

Sugar is present in all your beverages, smoothies, cookies, desserts, food items and more. But the not so sweet truth is that too much sugar in your diet can turn your life topsy-turvy. It increases your risk of obesity, diabetes, heart diseases, deters the immune system and even harms the brain function. So, in order to break the addictiveness of sugar that can rob you of your health, all you need is a clear path to detox from sugar.

Here are some pointers on how to detox your body off excess sugar:

Turn away from sugar: Sugar is more addictive than cocaine. So you need to develop a strong will power to eliminate sugar completely, as you would do if you are trying to come out of alcoholism or other intoxications. You should not just avoid table sugar, but also keep away from all the sneaky sugars available in processed food and beverages. Ideally, a time period of 10 days is suggested to give up on any kind of sugar.
Stack up on proteins: Eat meals that contain lots of good protein and fat. Since they are difficult to digest and take more time to absorb, it will make you feel full for a long time and sustain your energy levels. The key to balancing blood sugar and insulin levels, without much cravings can be achieved through a high protein diet.
Eat the right carbs: Avoid refined carbs and starchy foods like potatoes, white bread, pasta and baked goods. Instead opt for natural carbohydrates present in vegetables like broccoli, cauliflower, leafy greens, eggplant, and artichokes. It is also good to avoid grains and beans during your detox period.
No artificial sweeteners: You might be tempted to replace sugar with artificial sweeteners, but this is not really beneficial. Artificial sweeteners are just temporary solutions when weaning from sugar and we do not know about its long term benefits. In the long run, it might be just as addictive as sugar. If at all you crave for something sweet, go for natural fruits.
Consume whole foods: Foods that don t come in boxes, cans or bottles. Whole foods like vegetables, fruits, lean meat, nuts, fish, seeds and healthy fats will help a great deal to curb cravings and also keep you satiated.
Sleep well: Last but not the least, get quality sleep time to beat cravings for sugar and suppress hunger hormones. Sleep your way to fight against the desire to overeat and improve your energy levels. A good night s sleep will do wonders for your overall well-being.

Excess Sugar In Body - Know How You Can Cleanse It!

Hepatitis Prevention and Protection Tips

Viral Hepatitis can invade the body and attack the liver systems. It has five different types, Hepatitis A, B, C, D and E. While hepatitis can be treated, it is best to prevent it in the first place. 
Here are some simple, easy to follow tips that can prevent hepatitis from spreading.
1) Know how it spreads - Hepatitis can pass from individual to individual or through blood, body fluids, infected faeces.  Contaminated food and water can also cause hepatitis. Hepatitis B, C and D in particular spread through contact with infected blood.

2) Get Vaccinations - Immunization can help you protect yourself against Hepatitis A and B. Vaccinations for Hepatitis C, D or E aren’t available. But Hepatitis C can be cured with anti-viral medications. For Hepatitis D, the infected person needs to get Hepatitis B to survive.

3) Avoid Sharing Personal Items - Don’t share as it is a high-risk behaviour for Hepatitis. Be sure that needles for body piercings, acupuncture and tattooing are safe and disposable to avoid the risk of contamination.

4) Avoid Sharing Grooming Items- If you are living with someone who has or is at risk of Hepatitis, make sure that you avoid sharing grooming items as undetectable quantities of blood or other bodily fluids on razors and toothbrushes can lead to spread of virus.

5) Alcohol and Drugs - Hepatitis is a high risk among people who use excessive alcohol and over the counter medications. Liver inflammation and liver damage puts individual at risk of contracting Hepatitis and therefore, alcohol or prescription drugs and herbal supplements must be avoided and taken only after physician’s consultation.

6) When Travelling- Avoid eating raw fruits, vegetables and raw shellfish, avoid eating at unhygienic places, brush teeth and rinse mouth with clean water, avoid iced drinks or adding ice to the drinks while traveling to avoid contracting the condition. 

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

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Hepatitis Prevention and Protection Guide: World Hepatitis Day

It is very challenging to find operative treatments for chronic pain that offer improved daily functioning. Spinal Cord Stimulation is an excellent pain management method that can be used for patients when their neck or back pain cannot be treated by surgery or other options.

Each year more than 14,000 patients undergo the spinal cord stimulator transplant. The procedure comprises of mild electrical stimulations to the spinal cord. This modifies the nerve activity reducing the pain sensation or sensitivity that reaches the brain.

Neurostimulation therapy recommended by doctors is very effective, especially for chronic pain sufferers. The benefit of this proven therapy is that the pain experienced by the brain is minimized to a great extent. The therapy was designed only after observing how pain is managed by the brain. The therapy approved by the FDA is used to treat the pain caused due to nerve damage in the legs, arms and in the trunk. Spinal cord stimulation for chronic back and neck pain is provided to patients in pain management centers. The staff taking care of patients in these centers are specialized and trained in pain relief -how it occurs and best ways to treat it. Injections are also used to ease the pain.

How to treat back Pain?
Probably the worst pain an individual can experience is back pain, in some cases so severe that it hampers daily life. The treatment options that are used for treating back pain include electrical stimulation to the back and medication to the spine. The most common reason for spinal cord stimulation is failed back surgery. The pain related to the following conditions can also be alleviated through this therapy, scarring of the protective layers of the spinal nerves, painful inflammation and arachnoiditis.

Devices Used for Spinal Cord Stimulation
The devices used for spinal cord stimulation are available in several types but they comprise mainly of three parts. The pulse generator with a battery, a lead wire with 8-32 electrodes and a hand-held remote control that is useful in adjusting the settings of the device, and to switch it on and off. Electrical pulses are delivered to the spinal cord through the electrodes. It is very important that the procedure is carried out by doctors who specialize in pain management or by neurosurgeons.


Spinal Cord Stimulation For Chronic Back And Neck Pain!

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