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Sir since more than 10 years I am suffering diabetic and from 3 months . I am suffering with foot flaming sensation and nerves flaming trouble . I am staying at hyderabad and aged 57 years so kindly advice sir.
I'm 70 years old,suffering from Parkinson's disease for last 1 year, taking allopathic medicine, dopamine,for 3 months along with yoga and pranayama.Could you suggest something more?
Since from a month am suffering from severe headache. How to conform whether it is a migraine or something else?
My sister has pcod. She is taking ginette 35 now for last 3 months. She is 165 cm and 62 kg. Now the periods are normal. What will happen after stopping the medication, as it suppress the ovulation? Will the ovulation be normal after that? She suffers from migraine sometimes. Please explain me the effect on ovulation after stopping the medicine , since it suppress it using external hormonal supply.
I am 38 Years old male and suffering from High BP (Diastolic). I have a healthy history and don't have any disease (neither heredity). Now I don't do any physical exercise but still I am physically fit and can walk 3-4 kms any time. My height is 5.10 feet and weight is 76 kg. 1 month back at the time of sleeping, I felt higher heart beat rate, numbness in my left hand and some uneasiness and I couldn't sleep. Next day I visited doctor, he found my diastolic BP (104). He also suggested some more tests (ECG and ECHO). ECG was normal and in echo test it was mentioned" Hypertensive heart disease"(Grade 1 diastolic dysfunction) and LVEF was 62% at rest. As of now I am consuming Aten (Atenolol) 25 once a day and doctor also suggested me to take Trika. 25 (Alprazolam) at the time of sleeping but I didn't consume Trika and only consuming Aten 25. I was fine after that and I stopped consuming medicine (Aten) 3-4 days back as I was feeling fine and now today I am again feeling high BP. Which medicine should I continue. Aten 25 is fine or I should continue Trika. 25 too? How can I control my BP naturally.
My bro suffering from parkinson treatment ie going on doctor gave celemetrol injection ,what more treatment can give him.
My mother has right side paralysis. She lost he voice since May'16. Please suggest how her voice can be recovered.
Hello Dr. My hand is shivering and fingers are like a deadly feeling when I was bike driving. What is my hand problem.
My husband is 42 year .he has a problem of migraine headache not frequently but sometimes. His blood pressure is 145/100 though he doesn't have history of high blood pressure but since few days his bp is fluctuating between 140 /100 to 130/90. Right now he's staying in Australia. And we all are in India .he has a history of allergy rhinitis. When ever he has headache he's taking naprosyn tab 250 mg.
Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.
Reversal of cervical lordosis explained
The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.
When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.
Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.
In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.
Reversal of cervical lordosis causes
The spinal curvature in the neck is constantly in flux to some degree.
Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:
Scoliosis can affect the normal lordotic curvature in the neck.
Cervical spondylolisthesis is a major source of reversed lordotic curvature.
Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.
Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.
Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.
Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.
Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.
Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.
In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.
Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.
While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.
The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post head injury
Poor sitting/working postures
Congenital spinal curvatures
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine
Anatomy: straight vs. Curved
I've always heard that it was good to stand up straight.
stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.
Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.
When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.
Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.
In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.
Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:
Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.
Sir I am a 33 yrs old male, suffering from right sided hemiplegia from the past 20 yrs. I have undergone herbal, allopathic, ayurvedic and homeopathic treatments but nothing has helped me till now. Due to this problem I cannot even walk straight, during walking I have a tendency to fall on right side, my whole right side has become stiff. Currently I am under homeopathic treatment by a classical homeopath, my ct scan reports shows a pinched nerve behind the right ear, due to which I experience noise in my right ear during swallowing. I also suffer from phobia, and panic attacks. Homeopathic drugs has given me a momentary relief in my anxiety. I also experience loss of energy. Please help me.
I am taking medicine for Epilepsy for almost 18 Years. Fitz occur once in 8-12 months subject to my lapse of medicine. I am 24 Years aged now. Doctors say as per EEG that there is very minor problem. I want to know is there any way out that i do not have to take medicine further. Is there any permanent cure of Epilepsy ??
Migraine is a severe form of headache wherein, the excruciating pain is accompanied by an extreme sensitivity to sound and light; you also experience nausea. The headaches usually affect either side of the head and are throbbing in nature. Hot flashes, numbness of limbs and blind spots in the eye; these are often considered as warnings. In certain cases, migraines can cause blackouts that can range from a few seconds to a few minutes.
Migraine occurs in four stages:
- Pro-drome (symptom indicative of an onset of an illness)
- Aura (visual auras including blurred vision)
- Post-drome (the residual effects of migraine characterized by fatigue and lethargy)
But the occurrence of these stages varies across individuals. The causes of migraines aren’t specifically understood. It may be due to the interaction of the brain stem with the trigeminal nerve, which is an important pain pathway of the brain. Imbalances in hormonal levels or in the levels of neurotransmitters such as serotonin may also prove to be a causal factor.
Migraine may be triggered due to stress, physical exertion, and excess intake of alcohol or food additives such as MSG (Monosodium Glutamate). Changes in the environment and sleeping patterns may also be probable culprits.
Migraine can be easily distinguished from regular headaches, given the fact that migraines last longer and are rather severe in nature with pain felt in one part of the head. Most people experience the ‘Aura’stage where they have visual flashes right before headache. Nausea, eye pain or sensitivity to light and sound are other factors helpful in distinguishing migraine from other headaches.
Symptoms can occur a while before headache, immediately before headache, during headache and after headache. Although not all migraines are the same.
Typical symptoms include:
- Moderate to severe pain, usually confined to one side of the head during an attack, but can occur on either side of the head
- The pain is usually a severe, throbbing, pulsing pain
- Increasing pain during physical activity
- Inability to perform regular activities due to pain
- Feeling sick and physically being sick
- Increased sensitivity to light and sound, relieved by lying quietly in a darkened room
- Some people experience other symptoms such as sweating, temperature changes, tummy ache and diarrhea.
Complications in migraine may include:
- Chronic migraine which last up to 15 days or more
- Status Migrainosus where the attacks last for over 3 days
- Migrainous infarction where the aura lasts longer than it should, cutting blood supply to the brain.
If you wish to discuss about any specific problem, you can consult a neurologist.