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CT Scan - Brain and Facial Bone Health Feed

Hello, My son is 4.8 years old and most of the times he is sitting in bending position. I feel that after sometime, when he will grow, on his back hump will be come out. Most of the time I am giving him instruction to sit straight but I am not with him always. Please suggest what should I do? Can I go through physiotherapy? Does he have any problem in his bone? He never ever went through any surgery, any fracture or any deformation of bone. Growth is OK. Body weight is 20 kg.

BPTh/BPT
Physiotherapist, Bangalore
Yes, you yourself can help him to maintain proper sitting posture, if not start physiotherapy along with that you need to check his vitamin d3 and calcium level checked. Based on which you may have to start with few suppliments and apart from which he may have to start with few strengthening exercises and swimming would help.
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Brain Surgery - Can It Cause Amnesia?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Mch - Neurosurgery, FLCS
Neurologist, Ghaziabad
Brain Surgery - Can It Cause Amnesia?
Often it has been observed in patients undergoing a brain surgery that their memory gets affected. The memory can sometimes be affected either by the tumor growing inside the brain or by the surgery for the removal of that tumor. Rather than the long-term memory, in the majority of the brain surgery cases, it is the short term memory that gets affected more noticeably. Further, sometimes, people have difficulties in making new memories after the brain surgery along with retrieving the old ones. Continue reading to know more about brain surgery and amnesia.

How is brain surgery connected to amnesia?
The presence of a tumor in the brain can affect one's memory in two different ways. Though not everyone suffers from it, there is a possibility that the treatment or the surgery often leads to memory difficulties and sometimes it's the location of the tumor in the brain that causes the memory damage. Sometimes, even radiations or chemotherapy sessions can also be responsible for amnesia. One must know that having a brain tumor or opting for a brain surgery doesn t necessarily cause memory loss or amnesia for everyone. And those patients who do suffer from this, both the severity and symptoms of the memory loss vary from one to another.

Probable memory difficulties
Memory difficulties, also commonly referred to as amnesia, can be two different types, retrograde amnesia, and anterograde amnesia, irrespective of whether it is the result of the treatment or the location of the tumor. In case of retrograde amnesia, the memory loss occurs before undergoing a brain surgery, or sometimes even before developing the brain tumor. However, those who suffer from anterograde amnesia face difficulties in remembering their previous memories after the brain surgery is performed.

Coping with amnesia
Once the type of memory loss one is suffering from is identified, there are various ways and strategies to cope with amnesia, suggested by the doctors. Taking good care of one s self, having the necessary amount of sleep along with a healthy diet helps one improve his or her capacity of recalling the forgotten memories in many cases.

Further, by adopting simple measures like maintaining a diary, following a routine and organizing one's medications with reminder notes can also help an amnesia patient in coping with the normal life situations. Minimizing the distractions and focusing on a single thing at a time can also be helpful in not only coping with it but also in improving the memory.

In case one displays signs of having a memory problem after a brain surgery, he or she should be immediately taken to a clinical psychologist or a neuropsychologist. Because it is with the help of this medical professional that severity of the amnesia that the person is suffering from and which part of memory has been affected can be determined, and the right ways of coping with the issue can be suggested.
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Hi Sir, Pain in my biceps I saw to a doctor he say that you have ligament broken in bicep area he suggested me tendocare forte and hifenac tablet. Please suggest it is curable or what type of precaution.

BPTh/BPT
Physiotherapist, Jaipur
Continue with same treatment and apply ice for 15 to 20 minute and start biceps isometric exercise. It will be all right shortly.
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Fractures - Diagnosis And Treatment!

MBBS, DNB - Orthopedics, Mch Orthopedics
Orthopedist, Hyderabad
Fractures - Diagnosis And Treatment!
Fractures are simply a break in a bone. They can be caused due to injury, (traumatic fractures) or a pre-existing condition like osteoporosis that causes weakening of bones (pathologic fractures). There are many ways to classify fractures. All fractures fall into the major categories of simple and compound fractures. Simple fractures are fractures where bones remain inside the skin and don t jut out. They are also called closed fractures.

Compound fractures, also called open fractures, are broken bones that penetrate through the skin. These types expose the bone and deep tissues to the environment. Compound fractures are more serious of the two. The healing here may be affected due to deep infections for which antibiotics need to be used. There are many different sub types of fractures and we re only going to skim through them here.

Comminuted fractures: Severe fractures in which a bone breaks into several smaller pieces.
Avulsion fractures: A small piece of bone is completely torn off from the main bone due to fierce pulling off a part of the body.
Other types of fractures are characterised by the many different angles the bone breaks into like transverse, oblique and spiral fractures.

Diagnosis
When a bone is broken there are symptoms like swelling that doesn t subside on its own and pain. In such a case it s imperative that one goes to a doctor for a diagnosis. Doctors can usually recognise most fractures by examining the injury and taking an X-ray. The X-ray also provides a clear idea about the type of fracture and the degree of displacement of the bone. And, it s important that the patient doesn t wait too long before approaching a doctor. This is because bones begin to heal very quickly after a fracture and the bone tissue will heal using any tissue available. This can lead to a misalignment of broken pieces of bone and cause disability and loss of function.

There are cases when X-ray may not show a fracture. This is especially common in fractures in the hip and wrist in older people. For diagnosing these, doctors will get some other tests done such as a computed tomography (CT) scan, magnetic resonance imaging (MRI), or a bone scan.

Treatments
Fractures have to be treated by doctors. The doctors set the fractured bones in their proper place and hold them there so that they can heal. Setting a bone is called "reduction." Reduction without surgery is called "closed reduction." But if the fracture is serious, it s going to require surgery with bone repositioning, called open reduction.

In extreme cases, pins, plates, screws, rods, or glue are used to hold the fractured bones in place, inside the body. Once the bone abutment has been treated, the bone is immobilised to allow the broken pieces to heal. In most cases, the fractured part is set in a rigid cast. The fractured ends of the bone can be fixed into place using metal pins connected to an external frame. This is removed after the bone has healed.
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I am 35 years old. On April 2018, due to road accident my rib (rib no 5) has been fractured. First 1 month I was under total bed rest and took hifenac-P and Gemcal (for 2 months). But still after I feel pain or discomfort in injured area. Please let me know is ribs fractured is curable? How many months it will take to heal totally? For official purpose I use bike, is it create any problem. Can I lead normal life. Please guide.

BPTh/BPT
Physiotherapist, Bangalore
It would heal completely if it's no dispacement in fracture site, get it treated for pain and rest and vehicle can be avoided until it heals completely, start taking calcium rich food and calcium suppliments to support bone density. It would take 45 to 60 days to heal completely.
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