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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
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Caesarean Section Procedure
Treatment of Gynae Problems
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Treatment Of Menopause Related Issues
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The vertebral column (backbone) is made up of 33 vertebrae separated by spongy disks and classified into four distinct areas. The cervical area consists of seven bony parts in the neck; the thoracic spine consists of 12 bony parts in the back area; the lumbar spine consists of five bony segments in the lower back area; five sacral bones (fused into one bone, the sacrum); and four coccygeal bones (fused into one bone, the coccyx).
Between each vertebra is a fibrous disc with a jelly-like core. These cushions of cartilage allow the body to accept and dissipate load across multiple levels in the spine and still allow for the flexibility required for performing normal activities of daily living. As the body twists, bends, flexes and extends, the intervertebral discs are constantly changing their shape.
When discs degenerate, becoming less supple due to age or back strain, the disc may prolapse — squeezing out some of the soft core. This loss of cushioning may cause pressure on local nerves and cause back or neck pain, numbness or tingling in the arms, or searing pain down one or both legs. If the prolapse is severe it can damage the spinal cord. As a part of the aging process the discs lose their high water content and their ability to cushion the vertebrae. This is called degenerative disc disease. As the discs deteriorate, the spine can initially become less stable. Bony spurs can develop as a result of this instability and can cause pressure on nearby nerves leading to leg or arm pain. Narrowing of the neural canal by these bony spurs is known as degenerative spinal stenosis.
By the age of 35, approximately 30% of people will show evidence of disc degeneration at one or more levels. By the age of 60, greater than 90% of people will show evidence of disc degeneration at one or more levels on MRI. In some patients, this disc degeneration can be nearly asymptomatic; in others, disc degeneration can lead to intractable back pain.
The outer layer of the discs themselves can also tear. When this occurs, the inner, gelatinous layer can herniate out (a “herniated” or “ruptured” disc) and also cause pressure on an adjacent nerve. If the herniation occurs in the neck and causes pressure there, it can cause pain that radiates into the shoulder and arm; if it occurs in the lower back, the pain produced can radiate down into the hip and leg.
Patients with disc disease in the cervical, thoracic, or lumbar spine experience variable symptoms depending on where the disc has herniated and what nerve root it is pushing on. The following are the most common symptoms of lumbar disc disease:
Intermittent or continuous back pain (this may be made worse by movement, coughing, sneezing, or standing for long periods of time)Spasm of the back musclesSciatica — pain that starts near the back or buttock and travels down the leg to the calf or into the foot.Muscle weakness in the legsNumbness in the leg or footDecreased reflexes at the knee or ankleChanges in bladder or bowel function
The symptoms of lumbar disc disease may resemble other conditions or medical problems. Always consult your physician for a diagnosis.
In rare cases, patients with large disc herniations may experience weakness in an extremity or signs of spinal cord compression such as difficulty with gait, in coordination, or loss of bowel/bladder control.
Treatment for disc disorders must be closely tailored to the patient, based on:
The history and severity of their pain whether or not they have had prior treatments for this problem and how effective they have been and whether or not there is any evidence of neurologic damage such as weakness of an extremity or the loss of reflexes
Some of the treatments used include
Activity modification patient education on proper body mechanics (to help decrease the chance of worsening pain or damage to the disc)Physical therapy, which may include ultrasound, massage, conditioning, and exercise programs
Weight control medications (to control pain and/or to relax muscles)
Recently we had sex with my partner. Mostly we use safety, but missed once. So my doubt is usually how many days after sex should I go for urine pregnancy test. Also suggest are there any reliable test than urine test.
She is suffering from pcos from long time. And her 1 month of the 3 month treatment has been Completed. So how do she know that she is getting better. She had period of 5 days last month. please tell me the all symptoms of getting better.
My wife wants to get pregnant her age is 53 years and she want to get pregnant from 6 months we are doing sex continuously with condom but now she is saying that she want to pregnant we went to doctor she first laugh and said you can but at this age so please help us my age is 44 and my wife is 53 and her weight is 115 my is 77 and her breast size 45 by 120cm my penis size is 6 inch and say us how should we have sex will he get pregnant this is our 1st child and we are 1 year old couple before she was also unmarried and me too.
We are a newly married couple. We just want to know that when its safe to have sex without using any protection though we don't want a child right now.
My sister is married and recently she got c section delivery recently mein 1 years back after that she mostly suffer from severe legs pain what is the problem we can not understand mein thing is she is only 20 years pls tell us what is the reason why it would be happening thanks.
I am 18 years old female having hormones imbalance. Menstrual cycle is abnormal and I am having very less bleeding. I am taking treatment from 2 years but I am not feeling better. Please help me.
I am 32 years, I delivered a baby 3 months back. Today I got my periods, but I am having itching in my vagina. Also developing rashes on both sides of private part. Please can you suggest an ointment or a medicine.
Hi Sir/ Madam, I am 24 years old, my first baby is 20 months old, and this is my second pregnancy, now I am 4months, last week I have done my NT scan, in that the doctors said, everything is normal, but the placenta is low lying. Is that create any problem?
Me ane my wife use to have sex without condom as we both won't like using it but m fed up of ejaculating outside. Can you please tell me the days when its safe to ejaculate inside her?
Hello doctor, i'm 25 year old female. I have some doubt regarding gentical infection. Like. I have little burning sensation during urination, but its not all the time when I urinate also have abdominal pain some time, but I don't have any discharge problem but during intercourse I do have some little pain? so I juz want to kne dat i'm having infection or its juz normal?
Hi I am 22 old female I had pcod problem, so I have tablet ovaa cc ,I missed period of 2 days and this is the 2 day I done pregnancy test it was negative ,what can I to do become pregnant with pcod, pls help me.
A novel study from Karolinska Institutet and University of Michigan in the U.S. shows that gaining weight from one pregnancy to the next can increase the risk that women will face stillbirth or lose their second babies within the first year of life.
SWEDEN : A novel study from Karolinska Institutet and University of Michigan in the U.S. shows that gaining weight from one pregnancy to the next can increase the risk that women will face stillbirth or lose their second babies within the first year of life. The findings are being published in The Lancet and build on data from more than 450,000 women in Sweden.
"These tragic events are still very rare among infants of mothers with high weight gain. However, as many women gain weight between pregnancies, our results are very important from a public health perspective", says principal investigator Sven Cnattingius, professor of reproductive epidemiology at Karolinska Institutet.
In their study, researchers reviewed data from the first two pregnancies of nearly 457,000 women who gave birth in Sweden from 1992 to 2012. The women's information was recorded in the Swedish Medical Birth Register, which since 1973 has collected information on about 98 percent of all births in that country. Weight was assessed at the beginning of each pregnancy. The results show that stillbirth risk rose with larger gains in body mass index (BMI) from first to second pregnancy. Compared with women who kept their weight, women whose BMI increased more than four units had a 50 percent increased risk of stillbirth.
Among women of normal weight in first pregnancy, high weight gain also increased the risk of infant mortality: when their BMI increased by 4 units or more, risk of infant mortality increased by 60 percent. On the other hand, the results also point to the opposite situation. Women who were overweight by their first pregnancy, defined as a BMI of 25 or more (corresponding to at least 70 kg of women with average height), but who lost weight before the second pregnancy, reduced their risk of infant mortality.
Every fifth women in the study material gained so much weight that it influenced risks of stillbirth and infant mortality (i.e. at least 2 BMI units, corresponding to 5.5 kg). However, the researchers point out that stillbirth and infant mortality are very rare events in Sweden, and only 2.4 per 1000 births resulted in a stillbirth and 2.1/1000 in infant mortality. There are annually around 100,000 births in Sweden.
"Previously, we have published that risks of stillbirth, infant mortality and morbidity increase with maternal weight, and in this new study we find that find that weight gain influence mortality risks. Taken together, our results support the conclusion that mother's weight per see may influence infant chances of survival", says Dr Cnattingius. "Still, the explanation for the findings is still speculative. We cannot differentiate from the data whether it is the weight gain during the pregnancy or in between pregnancies that is of significance".
Financial support was provided by the Swedish Research Council for Health, Working Life and Welfare, and a Karolinska Institutet Distinguished Professor Award to Sven Cnattingius.
Sir I am a lady. I have severe pain in my both breast from one years. What is the cause of this and what I can do for it.
Hi, We have make sex with condom. And it has over 3 days of period. So is there any possibility of pregnancy?
What are the chances of getting STD's, if you have intercourse once in two days frequency with a single partner only, with protection and without protection.
Never use potent steroids cream like Betnovate,Lobate,quadriderm,panderm,fourderm,for any skin problem on any part of body because after initial improvement of symptoms like itching, these steroid creams will aggravate the problem and may cause long lasting and somtimes permanent side effects like rashes, sensitive skin, recurrent infection,acne , dryness stretch mark etc.