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Dr. Annie Shawl

MBBS

Gynaecologist, Delhi

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Dr. Annie Shawl MBBS Gynaecologist, Delhi
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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Annie Shawl
Dr. Annie Shawl is a popular Gynaecologist in Malka Ganj, Delhi. She is a qualified MBBS . You can consult Dr. Annie Shawl at Gouri Hospital in Malka Ganj, Delhi. Book an appointment online with Dr. Annie Shawl and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Gynaecologists in India. You will find Gynaecologists with more than 32 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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MBBS - - -

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Gouri Hospital

30, Malka Ganj Kamla Nagar. Landmark: Opp Hansraj College,Near Subway Jawahar NGR, DelhiDelhi Get Directions
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Gouri Hospital

#30, Jawahar Nagar, Malka Ganj Road, Malka Ganj. Landmark: Opp. Hansraj College & Near Subway Jawahar Nagar, Near ICICI Bank.Delhi Get Directions
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I am going to marry in jan. My wife is expected to get her periods during wedding. So, we want to postpone them. Please suggest medication for postponing her periods. Regards Vishal bharti.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
I am going to marry in jan. My wife is expected to get her periods during wedding. So, we want to postpone them. Plea...
Hello, she can opt for progesterone pills from day 22 of her cycle till as long as she wish to delay her menses. You may contact me for prescription and name.
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Sir been trying to conceive last month got period on 30th today I see blood only when I pee not one drop on pad so can please tell why is that so.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
Sir been trying to conceive last month got period on 30th today I see blood only when I pee not one drop on pad so ca...
You will probably start with your periods soon. Try to lose 5-6 kg weight and if your periods are regular, try to do intercourse between 12th to 18th day of your periods. Take one tablet of 5 mg folic acid daily. If you have been trying to conceive since 6--9 months, then there is no harm in seeing a doctor who can guide you better with face to face conversation.
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I use to feel irritation and burning in my vulva. It's very painful sometime. Pls help.

MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
I use to feel irritation and burning in my vulva. It's very painful sometime. Pls help.
Hi lybrate-user, their could be local lesion that might be irritating you, please keep area dry apply soframycin cream for soothing effect.
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After urine and other tests, doctor said that I am pregnant from last 20 days. Please recommend me a proper medicine to get rid of this?

Diploma In Postpartum Depression, Formerly , House Job , Gynecology, MBBS
Gynaecologist, Delhi
After urine and other tests, doctor said that I am pregnant from last 20 days. Please recommend me a proper medicine ...
It is very risky to take medicine without the gynaecologist supervision. Kindly contact a gynaecologist and take medicine immediately.
1 person found this helpful
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Hello wife ki first time mother ban ne ke sahi age ki limit kya hai? Aur kya first time sex se wo mother ban sakti hai? Aur Kis sex se mother banega yeah kaise pta chalega?

MD
Gynaecologist, Mumbai
Hello wife ki first time mother ban ne ke sahi age ki limit kya hai? Aur kya first time sex se wo mother ban sakti ha...
Fertile period is from day 10 -16 in regular cycle. The maximum fertility age is betweem 23 and 29/30 years the cycle she misses her period will be the pregnancy month exact act of sex resulting in preg is impossible to determine if there are more than one sex acts.
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I have regular pain during my periods and it becomes to much so I can't do anything and also can't sit for a while. Please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma in Pharmacy
Ayurveda, Mumbai
I have regular pain during my periods and it becomes to much so I can't do anything and also can't sit for a while. P...
The pain experienced during periods are known as dysmenorrhoea, which is a normal physiological symptoms. If it is very severe then painkillers can be taken once in a while but regular use of painkillers is not medically safe. In ayurveda there is panchakarma (basti) treatment is available with which you will get relief. *by the time you can start taking dashmoolarishta 2-2 with equal quantity of warm water and cap eposoft 1-1 both for 3 months.
2 people found this helpful
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My wife left breast slightly bigger than left. She haven't any pain or problem in breast. What is reason of different breast? Is it normal?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
My wife left breast slightly bigger than left. She haven't any pain or problem in breast. What is reason of different...
Slight variation is found almost in everyone. But others may have specific reasons such as natural growth, pattern of physical work, hormonal etc. All the tests and phy examination is necessary at nearest hospital. If there's no problem, cosmetic reasons may be the concern.
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Mai pregnancy nhi chahti hu mujhe iske liye kya krna behtr hoga lambe waqt ke liye?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Delhi
Mai pregnancy nhi chahti hu mujhe iske liye kya krna behtr hoga lambe waqt ke liye?
Avoid intercourse in unsafe days. Try to pull back penis before ejaculation. These are natural ways. Get copper t inserted. Surgically or take pills but it disturb hormonal balance.
3 people found this helpful
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I delivered a baby through c-section. My baby is of three months. Can I do Alom vilom yoga? Please suggest any exercise or yoga to bring my tummy to normal size.

fellow in Obstetric Medicine , MS - Obstetrics and Gynaecology, FMAS, DMAS, MBBS
Gynaecologist, Hyderabad
I delivered a baby through c-section. My baby is of three months. Can I do Alom vilom yoga? Please suggest any exerci...
Hello, yes you can proceed with any form of exercise as itz been three months. You cud try yoga, zumba, aerobics, or even gym. Just start them causually and build up gradually as per your comfort.
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I am suffering from PCOD bcoz of that I'm very fatty. please suggest me wht to do n how to get rid of this PCOD n excessive weight?

BHMS
Homeopath, Faridabad
Polycystic ovarian syndrome, or PCOS, is a condition in which a woman's levels of the sex hormones estrogen and progesterone are out of balance. This leads to the growth of ovarian cysts. Homoeopathy has a answer for polycystic ovarian syndrom.Treatment is based on totality of symptoms and constitution. you can take phytolaca tablets, 3 tabs with hot water tds., but along with this firstly you are advised to take treatment for PCOD.
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My friend is 43 years old n she is not having periods from last two months. Is this a sign of menopause? Pls answer in detail she is very much worried because she is having inflammation in legs palms n thirst n headache.

MD PHYSICIAN
General Physician, Delhi
My friend is 43 years old n she is not having periods from last two months. Is this a sign of menopause? Pls answer i...
Menopause is defined as the state of an absence of menstrual periods for 12 months. The average age of menopause is 51 years old, but menopause may occur as early as the 30s or as late as the 60s. There is no reliable lab test to predict when a woman will experience menopause.
4 people found this helpful
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Hello sir, Please tell me how to reduce fat after baby delivery. Looks beautiful.

Certification in Diabetes Educators Program, Post Graduate Diploma in Sports Nutrition
Dietitian/Nutritionist, Mumbai
Hello sir, Please tell me how to reduce fat after baby delivery. Looks beautiful.
To maintain a low body fat and/or lower body fat: 1. Exercise at least 5 times per week 2. Eat whole/unprocessed foods at regular intervals, while being aware of physical hunger/fullness cues 3. Sleep 7-9 hours per night 4. Don’t engage in extreme diets 5. Stay consistent with your habits 6. Incorporate non-exercise physical activity 7. Ignore food advertising You need a fat loss diet which comprises of whole grains like jowar, bajra, wheat, brown rice, pulses like moong, musoor, bengal gram, lots of vegetables, fruits, eggs, fish, chicken, paneer, healthy oil, nuts and seeds. You need to eat them in right proportion. Avoid eating sugar and sweets, refined foods like maida, noodles pasta, White rice and products, bread. Drink a lot of water.
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Vaginal Infection Treatment in hindi - योनि में संक्रमण का इलाज

MBBS, M.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Delhi
Vaginal Infection Treatment in hindi - योनि में संक्रमण का इलाज

राह चलते कोई महिला अपने गुप्तांगो की तरफ अगर हाथ फिराए तो इस सिचुएशन पर उसे खुद और देखने वालों दोनों को ही ऑकवर्ड फील होने लगता है। और अगर ऐसा ना भी महसूस हो तो भी जरा सोचिए कि आप कहीं किसी काम में लगे हैं मॉर्केट, मीटिंग, ऑफिस, परिवार के साथ, डेट पर कहीं भी और बीच-बीच में आपके गुप्तांगो में भयानक इचिंग हो रही है। आप कहीं भी चैंन से बैठ नही पाते। इचिंग की वजह से जलन और झुंझलाहट दोनों अपनी हद्द पर कर चुके होते हैं। और समय के साथ कोई उपचार न करने पर ये तकलीफ बढ़ती ही जाएगी। इसी तकलीफ को हम वजाइनल इंफेक्शन यानि योनि संक्रमण के नाम से जानते हैं। और यह संक्रमण कभी भी किसी को भी हो सकता है। 

योनि संक्रमण कोई गंभीर बीमारी नहीं है लेकिन यह महिलाओं को काफी परेशान अवश्य करता है। इस्ट औऱ फंगस हमारे वेजिना में स्वाभाविक रूप से मौजूद होता हैं, लेकिन जब इनकी असामान्य रूप से संख्या में वृद्धि होने लगती है तो यह वेजिना में संक्रमण के कारण बनते हैंइस फंगस का नाम कैन्डिडा अल्बाईकंस होता है जो योनि में संक्रमण उत्पन्न कर सकता है। एक स्वस्थ योनि में बैक्टीरिया ज़्यादा होते हैं और खमीर की कोशिकाएं कम और यह बैक्टीरिया जिसे लैक्टोबैसिलस एसिडोफिलस कहते हैं खमीर की मात्रा को कम करता है। कभी कभी एंटीबायोटिक्स लेने से भी इन जीवाणुओं में वृद्धि होती है और संक्रमण की प्रक्रिया शुरू हो जाती है। अन्य कारण जिनसे ये संक्रमण फैलता है वे हैं गर्भावस्था के दौरान एस्ट्रोजन का स्तर, हॉर्मोन बदलने की पद्दति, डायबिटीज या एड्स।

योनि संक्रमण के लक्षण 

  • योनि में खुजली या सूजन
  • पेशाब या सेक्स केरने के दौरान दर्द और जलन होना 

एक सर्वे के मुताबिक लगभग 90% महिलाएं योनि संक्रमण की समस्या से जूझती हैं। जिसके लिए हमारी लाइफस्टाइल, खाना-पान, पहनावा और लापरवाही जिम्मेदार हैं। ऐसा नहीं की ये तकलीफ जानलेवा है या पर जिसे हो जाए उसका पूरा समय हर्रास्मेंट वाली फीलिंग से गुजरना पड़ता है। अब समस्या है तो जरूरी है इससे राहत पाने के या इससे बचने के नुस्खे अपनाए जाए तो चलिए आज हम जानते हैं योनि संक्रमण से बचने के कुछ अचूक नुस्खे। 

1. रेगुलर पेड चेंज करें
सैनिटरी नैपकिन या टैम्पोन को ज्यादा देर तक लगाए रखने से आपकी वेजिना में नमी होने लगती हैं। जिसके कारण आपको संक्रमण की समस्या हो सकती हैं। इसलिए पीरियड्स के दौरान हर 4-5 घण्टे के भीतर ही सैनिटरी नैपकिन या टैम्पोन को बदलती रहें।

2. सुगंधित वजाइनल प्रोडक्ट्स यूज़ करने से बचें
सुगंधित सैनिटरी नैपकिन और टैम्पोन का इस्तेमाल करना तुरन्त बंद कर दें। क्योकि इनकी खुशबू से वजाइना में जीवाणुओं का एक असंतुलन बन सकता है और इसी से वेजिना में संक्रमण का खतरा बनने लगता है। और इसी कारण डॉक्टर भी खुशबूदार सैनिटरी नैपकिन या टैम्पोन का यूज करने से रोकते हैं।

3. रोजना खाएं दही
दही एक ऐसा आहार है जो स्वस्थ बैक्टीरिया से भरा हुआ होता है और इस कारण यह आपके वजाइना को संक्रमण से भी सुरक्षित रखता है। अच्छे बैक्टीरिया वेजिना मे होने वाले संक्रमण को रोकने में मदद करते है तो अच्छा होगा की आप प्रतिदिन एक कप दही का जरुर खाएं इससे स्वास्थ भी अच्छा बना रहेगा और योनि में भी किसी भी तरह की समस्या नही होगी।

4. गर्म पानी से ना नहाएं
वजाइना में इन्फेक्शन की समस्या ज्यादा नम और गर्म स्थिति में भी होती हैं। अगर आपकी वेजिना के क्षेत्र में गर्मी बनी रहेगी तो आपको संक्रमण की समस्या हो सकती है। अगर आप चाहती है कि आपको इस तरह की समस्या ना हो तो ठंडे पानी से ही स्नान करें, तथा अगर आप गर्म पानी का इस्तेमाल करती भी है तो उसके बाद हमेशा ढीले कपड़े ही पहने।

5. तनाव मुक्त रहें
किसी भी बीमारी या संक्रमण के बढने की सबसे अहम वजह है तनाव में रहना। इसलिए तनाव से बचने की कोशिश करें।शरीर को पूरा आराम नहीं मिलता है, तो शरीर की प्रतिरक्षा प्रणाली कमजोर हो जाती है, जिसके कारण आपका स्वास्थ खराब हो जाता हैं। इसलिए अपने शरीर को आराम दें रोजाना कम से कम 7-8 घंटे की नींद जरूर लें।

6. जरूरत से ज्यादा न करें वजाइना की सफाई
वैसे तो संक्रमण को रोकने के लिए वजाइना को क्लीन और हेल्दी रखना बहुत जरुरी होता है। पर वजाइना को रफ़ साबुन से न साफ करें। क्योकि वजाइना काफी सेंसिटिव होता है इसलिए अपने वजाइना ले सॉफ्टनेस क्व अनुसार ही सॉफ्ट साबुन या इसके लिए स्पेसिफिक एंटी बैक्टीरिया लिक्विड वाश का इस्तेमाल करें। 

7. एंटीबायोटिक दवाओं से परहेज करें
अक्सर लोग बैक्टीरिया को खत्म करन के लिए एंटीबायोटिक्स का यूज़ करते हैं। पर एंटीबायोटिक्स का ज्यादा इस्तेमाल शरीर में मौजूद अच्छे बैक्टीरिया खत्म को खत्म कर देता हैं। इसलिए जितना हो सके उतना एंटीबायोटिक दवाओं के सेवन से कम इस्तेमाल करें। हमेशा डॉक्टर की सलाह लेकर ही यूज़ करें।

8. कॉटन पैंटी ही पहनें 
सूती पैंटी की यह खासियत होती हैं कि यह वजाइना में होने वाली नमी को ऑब्जर्व कर लेता है इतना ही नहीं इससे वजाइनल एरिया तक पर्याप्त मात्रा में हवा भी पहुंचती हैं। जबकि लाइक्रा या नायलॉन की अंडरवियर को पहनने से पसीना आता है और किण्व का प्रजनन होने लगता है जिससे वजाइना में संक्रमण होने की संभावना ज्यादा होती है। इसलिए हमेशा सूती पैंटी ही पहनें। और हो सके तो अपने सभी कपड़े कॉटन ही रखें इससे आप तो कंफेर्टबले रहेंगे ही साथ ही वजाइनल इंफेक्शन से भी बचे रहेंगे।

9. हेल्दी डाइट लें

  • जब हमारे शरीर में जरूरी पोषक तत्वों की कमी होती है तो हमारा शरीर कीटाणुओं और एंटीबॉडी से हमारी रक्षा करने में सक्षम नहीं हो पाता हैं। इसलिए डाइट में पोषक तत्वों को शामिल करें। 
  • इंस्टेंट आराम पाने के लिए कपूर और नारियल तेल लगाए आराम मिलेगा।
  • पर ध्यान रहे की अगर इन नुस्खों को अपनाने के बाद भी आराम नहीं मिले तो डॉक्टर से सम्पर्क करें।
2 people found this helpful

My wife was pregnant before 15 days. Today she get some bleeding like periods. I am worried. What was it tell me soon.

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS
Gynaecologist, Noida
My wife was pregnant before 15 days. Today she get some bleeding like periods. I am worried. What was it tell me soon.
Hello, you need to get a transvaginal ultrasound done to rule out any retroplacental haemorrhage asap.
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I am 10 weeks pregnant. Had my first ultrasound on 29 Oct which showed I am 9 weeks 4 days. Visited my doc the same day. She gave prescription and said to visit again after a month but has not asked for any blood tests. Is it ok?

MBBS, DGO, DNB (Obstetrics and Gynecology)
Gynaecologist, Chennai
I am 10 weeks pregnant. Had my first ultrasound on 29 Oct which showed I am 9 weeks 4 days. Visited my doc the same d...
Usually between 11 and 14 weeks blood test and scan will be done to rule out Down syndrome in the baby. It is a genetic test which is done routinely nowadays irrespective of the family history or not. Please contact your doctor and get it scheduled.
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Scientific Reason Why Stretching is Crucial Before/ After a Workout

MSc in Orhopedic Physiotherapy (UK), BPTh/BPT
Physiotherapist, Bangalore
Scientific Reason Why Stretching is Crucial Before/ After a Workout

Why is stretching so important before or after a workout?

Stretching often takes a backseat in most workout routines. This happens significantly more with men than woman, and can lead to a disaster in the gym. Stretching is just as important, both before and after your workout, as it helps in preventing injury. It might not be the most vigorous of exercises, but both static (stretching in one fixed position) and dynamic (stretching in variable positions) stretches are beneficial to your body, and will help in keeping it fighting fit till the next session. So what does stretching help with?

 

1. Flexibility

This is a no-brainer. Stretching helps in keeping the body flexible and nimble. It stretches out those muscle groups that aren’t used in most major workouts, and helps cut down on the nervous involvement of unwanted muscles during workouts. Post-workout stretching helps keep the tendons and muscles flexible for the next session, which would otherwise have tensed up and caused tears and sores. You also build up a greater degree of motion for all your joints, which aids in various ways during different exercises.

 

2. Pain And Improved Circulation

Your heart rate spikes during a workout, and beats at an abnormally elevated rate. Stretching helps ease it down to a normal level. Your muscles tighten during workout, which increases risks for injury. Stretching helps ease them back into a more relaxed state, further improving blood circulation and preventing cramps. Stretching also has the added benefit of eliminating lactic acid, which gets accumulated in your body during a workout.  It cools down your body gradually, decreasing strain on your heart.

So what sort of stretches should you be doing?

1. Static stretching

There are two basic types of stretching, dynamic and static. Static stretching is an exercise where you elongate a certain muscle or muscle group to a point where it is nearly uncomfortable and hold it for a period of time between 30 – 60 seconds. Static stretching is recommended for after workouts. It improves muscle interactions, maintains range of motion and keeps muscle tissues healthy.

2. Dynamic stretching

Dynamic stretching is more active, as you keep your body in motion while you stretch. The movements are tightly controlled and precise, and proper execution greatly adds to athletic performance. Dynamic stretches are great warm ups, and a gentle, easy way to get your heart rate up. It’s also a great full body exercise for people who cannot exercise much, and is a great way to engage all the muscle groups in your body.

Thus, static stretches are the perfect way to maintain the flexibility of your body. You should be making them a mandatory part of your post-workout regime as it provides the necessary care and maintenance to your muscles. It decreases muscle fatigue and prevents a lot of injuries. You could incorporate dynamic stretches into your warm up and mid-workout, when you can get your entire body ready for the workout and cut down on nervous involvement of unwanted muscle groups.

'Consult'.

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All About Cerebral Palsy!

MBBS, Diploma in Child Health
Pediatrician, Hyderabad
All About Cerebral Palsy!

Cerebral Palsy: What You Need to Know

  • Injuries to the brain before, during or after birth can cause cerebral palsy.

  • Symptoms of cerebral palsy are usually noticed in infants and toddlers.
  • There is currently no cure for cerebral palsy, but treatment options are available to treat associated orthopaedic conditions.
  • The functional abilities and intellect of a person with cerebral palsy can vary greatly.

What is cerebral palsy?

Cerebral palsy (CP) is a condition that is a result of a brain injury. This injury can occur before, during or shortly after birth. Cerebral palsy affects movement and muscle tone.

What are the symptoms of cerebral palsy?

Signs of CP are usually noticed during infancy or in toddlers. It can be associated with exaggerated reflexes, floppiness in the trunk or limbs, or stiffness in the trunk and limbs. It can present with involuntary movements and abnormal gait.

Cerebral Palsy Treatment

There is no cure for CP, but there are many treatment options to help with the orthopaedic problems associated with CP.

Common Orthopaedic Conditions Seen in Children with Cerebral Palsy

Hip Dysplasia

This is a deformity of the hip that can be found on one or both hips in children with an underlying neuromuscular condition, such as CP. Increased or decreased tone in the muscles can lead to migration of the femoral head out of the hip socket, requiring additional treatment.

Treatment:

  • Proximal Femoral osteotomy:This surgical procedure can be used to correct hip subluxation or dislocation in children who have an underlying neuromuscular disorder. It is used to correct the position of the proximal femur for better coverage by the acetabulum, leading to better distribution of weight on the femur. A wedge of bone is typically removed to place the proximal femur into the hip joint. A plate and screws are used to secure the femur bone properly in place.
  • Acetabular osteotomy: This surgical procedure can be used to provide better coverage of the femoral head by the acetabulum. A wedge of bone is cut and placed in a position to add coverage. Hardware is used to secure the bone in place.

Neuromuscular Scoliosis

Neuromuscular scoliosis is a condition of the spine associated with an underlying neuromuscular condition, such as cerebral palsy, muscular dystrophy or spinal cord injury. The underlying condition typically causes changes in the muscles, leaving them unable to support the spine adequately. This leads to a curvature of the spine. The typical presentation is an abnormal S- or C-shaped curvature. The spine can also have rotation creating a multidimensional curve. The curvature can be progressive, especially with growth spurts.

Treatment:

  • Bracing: A back brace may assist in better positioning and supply better support, but it usually does not stop the progression of the curve. In children who are nonambulatory, modifications to the wheelchair can also assist in better spine support and sitting position.
  • Spinal usion surgery: This is a common treatment option for neuromuscular scoliosis when the curvature of the spine interferes with function or becomes a high degree of curvature. The spinal fusion surgery fuses the spine with metal hardware to stabilize the curve and secure the spine.  

Equinovarus Foot

This is a foot deformity commonly seen in children with CP. Due to muscle imbalance, the deformity can make weight-bearing activities challenging.

Treatment:

  • Split anterior tibial tendon transfer: This surgical intervention releases and transfers tendons in the foot to correct the deformity.
  • Calcaneal Osteotomy: This bony surgical procedure is used in patients who have more rigidity of the deformity in the hind foot.

Neuromuscular Flatfoot

This is a deformity of the foot due to an underlying neuromuscular condition. The abnormality of the muscles in the feet leads to a flat foot with minimal or no arch. This condition is commonly seen in children with hypotonia or low tone.

Treatment:

Orthotics: In children with flexible flatfoot, a brace or orthotic may be helpful to provide better arch support and decrease pain. In children with rigid or painful flatfoot, a surgery may be recommended to correct this deformity and improve the alignment of the foot.

Toe Walking

This is a condition in children with an underlying neuromuscular disorder that leads to high tone or muscle tightness in a child’s ankles, and can cause them to walk on the toes or balls of the feet.

Treatment:

  • Physical therapy: Several sessions to work on stretching the tight muscles may be beneficial to decrease the amount of toe walking.
  • Serial casting: Short leg casts can be applied for two-week intervals to progressively work on stretching the tight muscles to improve the position of the foot and ankle. The addition of Botox injections to help stretch the tight muscles in casts may be more effective in some children.
  • Achilles tendon or gastrocnemius lengthening: When physical therapy and serial casting are ineffective in correcting the tight ankle, a surgery may be necessary to achieve a flat foot position with walking. A lengthening is a surgical procedure in which the tight Achilles tendon or gastrocnemius muscle is lengthened to allow greater range of motion and function of the foot and ankle. The lengthening also allows children to better tolerate ankle-foot orthosis and achieve a flat foot position with walking.

Limb Length Inequality

Limb length inequality is a difference in the lengths of a child’s lower extremities (legs). The difference in length can be found in children with hemiplegic CP.

Treatment:

The application of a shoe lift inside a child’s shoe on the shorter side assists in lessening the discrepancy. Surgical treatment to shorten the longer leg is also a way to decrease the discrepancy in children with a greater than 2-centimeter discrepancy. The procedure is called epiphysiodesis, and it is a carefully calculated surgery to close the growth plate in the longer leg and allow the shorter leg to continue to grow and balance out the discrepancy.

Torsional Disorders

Some children with CP develop an inward or outward twist in their lower extremities. When this is excessive, it can interfere with their gait pattern.

Treatment:

Tibial or femoral rotational osteotomy: This surgical procedure is used to correct deformity of the tibia or femur bone. The bone is cut, placed in a corrected position and secured with hardware. The deformities can be surgically corrected with different techniques to provide improved function, especially with gait.

Muscle Contracture

In a child with an underlying neuromuscular disorder, muscle tone can be increased, which can lead to a contracture of the muscle. This means the muscle does not stretch well. Common muscles involved are the hamstrings, adductors, hip flexors and gastrocnemii.

Treatment:

  • Physical therapy and bracing: Physical therapy and bracing techniques can help keep muscles stretched to improve range of motion and assist in preventing a muscle contracture.
  • Botox: An injection of this is used to temporarily weaken the muscle to allow for stretching of the muscle. The effects of Botox typically last about three months and then wear off. During this time, it is important to aggressively stretch the affected muscle to optimize the medication. Physical therapy and serial casting are commonly used in conjunction with Botox treatment.
  • Tendon lengthening surgery: When stretching and bracing are not effective in improving range of motion, tendon lengthening surgery can be used to provide additional stretch and function at various muscle sites. Common muscles lengthened include hamstrings, gastrocnemii and adductors.
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During which period of time there are least chances of pregnancy for a couple? Acc to mensuration cycle of the female.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
During which period of time there are least chances of pregnancy for a couple? Acc to mensuration cycle of the female.
In a woman with regular cycles of 28 days less chances from day 1 to 10 and from day 17 to 28.ast nearer to 1 and 28.
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I am 18 year old female and am having problems with menstruation since 2 yrs. They occur at a gap of 15 days to 1 month. Give me homeopathic advise.

B.Sc(hons), Physics, B.H.M.S., PGDIT (software Engg)
Homeopath, Delhi
I am 18 year old female and am having problems with menstruation since 2 yrs. They occur at a gap of 15 days to 1 mon...
U need treatment for at least 2 months. Take natrum mur 200 single dose morning / reckweg german co. 4-5 drops. Fresh fruit juice daily 1 glass for 2 months.
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