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Nerve Conduction Study Upper Limb (Bilateral) Health Feed

Myelopathy - Types, Causes And Symptoms

MBBS, DNB (Orthopedics)
Orthopedist, Srinagar
Myelopathy - Types, Causes And Symptoms
Myelopathy refers to any neurological deficit in the spinal cord. The three most common types of myelopathy are cervical myelopathy, lumbar myelopathy and thoracic myelopathy. Here are the causes and symptoms of myelopathy.
Causes
1. Injury
This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.
2. Spinal stenosis
This is a condition in which the spinal cord narrows. It is one of the leading causes of myelopathy.
3. Degenerative disc disorders
As you get older, these get more likely as well as other conditions which affect the spinal column such as osteoporosis.
4. Tumor
It is a little known fact that tumors very often do cause myelopathy.
5. Multiple sclerosis
There are many other diseases which may cause myelopathy and multiple sclerosis is one of them.
Symptoms
There are many indications that you are having a form of myelopathy and should consult a medical expert. Here are some of them.
1. Changes in coordination
What this means is that all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, this can affect the whole body.
2. Sudden muscle weakness
It is highly likely that if you have myelopathy then you will have sudden weakness in your muscles.
3. Decreased hand-eye coordination
This is perhaps the biggest indicator of myelopathy since hand eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be worse.
These are just some of the symptoms of myelopathy, however the doctor cannot diagnose myelopathy until he does certain tests. These tests include MRI scans and other tests as well as a regular physical check-up in addition to a look at your medical history.

Hi, I am a patient of spinal cord injury at d6-7#, suffering from spastic bladder problem because of long use of foley indwelling catheter. Have you ever perform bototx treatment to a patient of spinal cord injury?

MPT, BPT
Physiotherapist, Noida
Hi, I am a patient of spinal cord injury at d6-7#, suffering from spastic bladder problem because of long use of fole...
Chiropractic adjustment will help. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
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I went to MRI screening of Dorsal spine. On MRI report its showing That "At D8-D9 level right posture-lateral osteophyte causing identification over thecal sac on right side, Is this any serious issue. How will it be cured please help.

MPT, BPT
Physiotherapist, Noida
I went to MRI screening of Dorsal spine. On MRI report its showing That "At D8-D9 level right posture-lateral osteoph...
Avoid bending in front.Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily.
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Carpal Tunnel Syndrome - How To Deal With It?

MBBS, Diploma In Orthopaedics (D. Ortho)
Orthopedist, Malappuram
Carpal Tunnel Syndrome - How To Deal With It?
Carpal Tunnel Syndrome is a painful one that is born from a strain on the median nerve, which loops through the wrist bone to connect it with the rest of the hand and fingers so as to promote motion. This condition can be a painful and debilitating one that usually starts at night, and affects the various fingers, especially the thumb and index finger. The symptoms include numbness, a tingling sensation, a weak grip, and the inability to do many tasks that involve the thumb and index finger. There are many ways of treating this condition with the help of physiotherapy, steroids and corticosteroids. There are easier ways of dealing with this issue on an everyday basis, as follows.


* Wrist Splint: It is a good idea to wear a wrist splint at night which will keep the bones and muscles stationery as the pain in this condition usually starts at night. This will also prevent further damage to the median nerve.


* Activity: Keep your activity to a minimum to give your hand and rest, in particular, some much needed rest from the pain, numbness and tingling. Further, you need to avoid activities that cause too much pain and numbness. Also, take care to keep your thumb and wrist straight during other activities so that there is less strain on the median nerve.


* Strength and Flexibility: Many times, the pain from the wrist and fingers can spread towards the arm as well. In order to prevent this and to treat the pain on a more long term basis, it is important to turn to some mild exercise which can make the area more flexible and strong. This can include wrist twists which can be done ten times for each hand. One can also try Yoga to strengthen the joints in the upper body.


* Ice Pack: Use an ice pack or ice compress on your wrist for ten to fifteen minutes each every few hours to help in reliving unbearable pain.


* Anti Inflammation Medication: Patients suffering from this condition can also turn to non steroid medication that will help in bringing down the inflammation. This inflammation is usually responsible to a great extent for symptoms like numbness and pain which can halt various activities. These drugs may include aspirin, ibuprofen, and even naproxen sodium.


* Taking Breaks: One must take regular breaks at work and flex the fingers and the wrist so that the painful bending posture does not make matters worse.

Ensuring that you manage your everyday functioning despite Carpal Tunnel Syndrome is a matter of balancing your activities with rest.
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I am 22 years old and I feel that I have Ulnar Tunnel Syndrome of the Wrist from the symptoms I have in my hand. I checked from internet. I have no worry about this but as symptoms said I have weak grip and also no sense feel in left hand of little finger side. Any solution for this?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
RUTA GRAVEOLENS 30-Ruta graveolans is an excellent remedy for treating pain in hand and wrist due to carpal tunnel syndrome where the condition arises due to swelling of tendons in the wrist leading to pressure on median nerve .This causes symptoms of pain and numbness in hands and fingers .
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I am using pregabalin (75) from the past 5 months for carpel tunnel syndrome. What effect does it shows to my body and when?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I am using pregabalin (75) from the past 5 months for carpel tunnel syndrome. What effect does it shows to my body an...
Hand pain it might be due to carpal tunnel syndrome, where the pain will be felt in the wrist. You can do hot water fermentation/ wax therapy for shoulder and for the wrist pain (hand pain) you can do ice therapy which will reduce the pain.
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How Physiotherapy Can Help Manage Carpal Tunnel Syndrome?

BPT
Physiotherapist, Gurgaon
How Physiotherapy Can Help Manage Carpal Tunnel Syndrome?
Carpal tunnel syndrome is a condition that affects around 3%-5% of the population and generally affects women more than men. This syndrome affects the fingers therefore drastically impairing your ability to perform routine tasks.

Causes of Carpal Tunnel Syndrome
Anything that bothers or stresses the median nerve in the carpal tunnel area can lead to carpal tunnel. However, there are lot of other reasons which may contribute towards causing a condition like carpal tunnel syndrome. They are:

Obesity- Being overweight is considered to be one of the major causes of carpal tunnel since all that extra fat puts a lot of pressure on your bones, which puts pressure on the nerve.
Gender- Carpal tunnel is generally more common in women because the size of women s carpal tunnels are smaller than men.
Anatomical reasons- Arthritis or bone dislocation and fracture can lead to modification of the space in the carpal tunnel area. This puts intense pressure on the median nerve and also leads to deformation of the wrist bone.
Nerve conditions- Conditions such as multiple sclerosis and diabetes can lead to carpal tunnel syndrome because they mainly affect and damage the nerves, which means it also affects the median nerve where the carpal tunnel is located.
Medical conditions- Several medical conditions such as kidney damage or kidney failure, hypothyroid or hyperthyroid and menopause can also cause carpal tunnel syndrome.
Inflammation- Inflammation is one of the biggest reasons of carpal tunnel. Rheumatoid arthritis, which is directly caused by inflammation can damage the tendons in your wrist and put a lot of pressure on your median nerve leading to carpal tunnel
Body fluids imbalance- As it is commonly known, menopause and pregnancy can cause a lot of fluid retention in the body which tends to aggravate the median nerve in which the carpal tunnel is located.
Symptoms of Carpal Tunnel
Carpal tunnel syndrome doesn t happen overnight, it is more of a gradual condition. The common symptoms of carpal tunnel are:

Loss of strength in arm- This condition can cause a lot of weakness in your arms which may lead to you dropping things. The median nerve in which the carpal tunnel is located regulates and controls the thumbs pinching muscles and when these muscles become weak, it causes you to momentarily lose your motor skills.
Numbness and prickling sensation- In carpal tunnel syndrome, except for the little finger all the other fingers are affected i.e. ring finger, middle finger, index finger and the thumb. Carpal tunnel patients generally experience an electric shock-like sensation in their fingers while holding things and this pain travels from the wrist to the hand. This sensation can even cause you to come awake at night.
Pain and burning that travels up your arm
Wrist pain at night that interferes with sleep
How can physiotherapy help with carpal tunnel syndrome?
Physiotherapy is a very good idea for dealing with a condition like carpal tunnel syndrome because it takes into account the whole problem and tries to solve it without involving getting into medications.
Once your physiotherapist has understood where the pain is and from where it is originating, he will treat you and guide you in such a way that will work towards lessening the strain on your median nerve. Some of the most useful ways of fighting carpal tunnel are:

Splints and braces- The use of splints and braces because it keeps your hands in a stable and straight position and prevents too much pressure on them. In case your physiotherapist feels that your work is aggravating your condition, he will ask you to stop putting excessive pressure on your body especially your hands.
TENS- TENS is a type of a machine which stands for Transcutaneous Electrical Muscle Stimulation. This machine helps in reducing the pain of carpal tunnel syndrome.
Ultrasound- Ultrasound therapy helps in countering the pain of carpal tunnel by applying an instrument on the affected area and releasing sound waves which are then absorbed by the tissues. This helps in the reduction of disability and pain.
Laser- Cold laser also known as low level laser therapy is a highly effective and painless form of treatment which helps in decreasing pain and inflammation and also helps in reinstituting healthy tissue. The laser treatment also rehabilitates the body s normal functioning by repairing the affected tissues and cells and also increases blood circulation and all this in combination helps in getting rid of the pain.
Physiotherapy is a universally acknowledged and safe form of treatment when it comes to bone-related ailments. This type of treatment doesn t just help you with your condition, but it also saves a lot of your money and time when compared to other modes of treatments.
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Cervical Spondylosis And Ayurveda!

Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Nashik
Cervical Spondylosis And Ayurveda!
Ayurvedic treatment on CervicaI Spondylosis -

This is a disorder in which the discs vertebrae in the neck degenerate and so has a pulling pressure on the spinal cord in the neck.

Causes of CervicaI Spondylosis-
1) With aging, the bone of the spine overgrows and narrows the spinal canal in the neck. As a result, the spinal cord or the spinal nerve roots are compressed causing dysfunction.
2)Rheumatoid Arthritis, Ankylosing Spondylitis may also produce cervical pain and degeneration.

Symptoms of CervicaI Spondylosis-

1)Cervical degeneration is commonly seen after thirty years of age.
2)The characteristic clinical features are shooting pain and weakness.
3) Leg movements may become jerky or spastic in advanced stages.

Treatment principle according to Ayurveda-

Joints are the seat of Kapha
It is a vata kapha problem.
The treatment management differs in acute cervical prolapse (avarana) and in degeneration (dhatu ksaya)
Ousada gala -night (Urdva jatru vikaresu nisi)

Is it safe to go for kyphoplasty surgery, if yes then what is the success rate in India and is it the right approach for spinal Compression fracture, also suggest the best doctors and hospital for that. This question is for my father he is 60 years old, 4 month ago he got fallen from some height and got severe injuries in spine and in ankle, at that time doctors suggest for bed rest and rely on natural healing process now they told me for that surgery?

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Is it safe to go for kyphoplasty surgery, if yes then what is the success rate in India and is it the right approach ...
Ankle pain. Our suggestion would be to do hot water fermentation along with Cold (ice) therapy. You shall also keep a pillow under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes.
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Hi, I am 18. I fell today and hurt my hand. It's been 12 hours since the fall. My thenar eminence swelled up ten minutes ago. I can move around my thumb with minimal to no pain but, the palm hurts. Is it broken or sprained?

MBBS
General Physician, Mumbai
Hi, I am 18. I fell today and hurt my hand. It's been 12 hours since the fall. My thenar eminence swelled up ten minu...
Dear Lybrateuser, - Get an x-ray of the affected hand done to rule out any bony injury - apply ice pack for 10-15 min 3-4 times a day on the affected area - elevate the limb to reduce swelling - take am anti-inflammatory tablet 2-3 times a day after meals.
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