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Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Joint Dislocation Treatment
Hepatitis B Treatment
Treatment of Spondylosis
Treatment Of Disk Slip
Treatment Of Herniated Disc
Treatment of Spine Injuries
Brain Tumor Surgery
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Accident Injuries Treatment
Hepatitis C Treatment
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There is an unnecessary shaking in my hands. What should I do to reduce unnecessary shaking? it generally happens when I perform any task in front of some people.
I am subbareddy I am using nexito 10 mg tablets on 2nd day severe migraine headache should I continue or not.
I have JME (Juvenile Myoclonic Epilepsy) before falling asleep. I mean before I get into sleep I jerk. But the problem I have, suddenly I wake up with no breathing or can not breath like for 2 seconds. Could it be warning sign of sudep?
Sometimes I feel that there is a heavy pressure on the right side of my brain, I feel confused and cannot concentrate on my work, earlier all was well, it all started when I skipped my morning breakfasts due to working pressure, sometimes even worse I ate only in the evening's, due to this I came across this, Years ago I was suffering with Hepatitis B which is totally cured now. Can anybody give me solution for this do I need medication.
I have an problem of epilepsy. I used to take medicines of valproic acid by last 10 years. In between whenever I leave this, I got fits. Now I daily take this medicine of 300 mg at night. I need to know, how can I get away from this, and will it impact on my next Gene?
I am a 50 years old male suffering from ED (Erectile dysfunction) since May 2003. I had a major accident in May 2003 in which I had blood clots in RHS of my brain hence my left hand and left leg got effected. Since then there is a lot of stiffness in my effected limbs, its sort of a paralysis. My physical movement got limited and hence the sexual problem. Please help.
PHYSIOTHERAPY TREATMENT OF HEAD INJURY
The treatment may comprise of the following measures:
IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:
The patient who is drowsy or confused need to be stimulated by makes them more alert and awake. The therapist should encourage the patient’s cooperation during the treatment. The main aim is to stimulate the reticular activating system by making the patient sit or even stand in the tilt table.
The therapist should provide tactile, visual, auditory and Proprioceptive stimulation to the patient that will send facilitatory signals to the brain and will enable the alert response to be provoked. Auditory stimulation can be given by speaking to the patient during the course of treatment. Visual stimulation is given by showing familiar faces, objects or movement in the visual field of the patient.
Proprioceptive stimulation by giving traction and approximation at joint structures is very helpful in stimulating the arousal response in the patient.
PREVENTION OF SPASTICITY:
As hyper tonicity generally sets in almost all head injury cases various measures need to be taken to keep them under control. Gentle passive movement, gradual rhythmic sustained stretch, prolonged icing for 20 minutes over the muscles, biofeedback, proper positioning are certain measures that needs to be employed for controlling spasticity.
MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:
The main aim of this management is to improve the ROM, improve the control of voluntary movement, strengthening paretic muscles, improve the coordination, balance and teach various safety measures.
The treatment should be wide spread over the periods of time as the patient’s attention span and endurance is very less.
NEUROMUSCULAR TRAINING can be given through the development sequence by inhibiting abnormal movement pattern and by facilitating normal movement pattern.
The patient may give activities like bridging, prone on elbow, on all fours, side lying to sitting, sitting, kneeling, half kneeling, standing and walking.
PROPER DOCUMENTATION is necessary of the entire event through- out the day. Infact the routine of the patient should be maintained in the register and the patient need to be reminded of various activities especially if the patient has memory problems. The patient may be given register with photo and names of various health professional visiting him so that each day’s program can be entered. This will benefit both the patient and his acquaintance to know regarding the activities given to the patient.
USE OF VESTIBULAR BALL while training the patient for crawling, bridging, sitting, balance helps in building the Proprioceptive stimulation and teaches proper control to the patient.
Each task has various subtasks which need to be mastered by the patient so that he learns the actual activity using normal movement combination and performs it with precision. Like for training the patient to get up from bed, he may be taught to do asymmetrical push up with the trunk in partial rotation, then lower leg patterns are incorporated and finally the whole task of get up from sidelying is practiced.
REPETITION ACTIVITIES is key like any other neurological disorders. Ambulation training should always be done in upright position training the patient in each and every phase of the gait cycle. If the patient’s balance is poor then assistance may be used.
FUNCTIONAL ELECTRICAL STIMULATION has been shown more effective than kinetic joint training in certain types of cases. The upper extremity also appeared to use specific synergies for hand use in different positions. Clients often can opens hand in out stretched arm position but will be unable to perform the same action when the elbow is flexed. Some patient with minimal functional deficit in th upeer limb may be given some assistive devices or support for the hand so that they can perform some basic activity like eating, combing, writing, etc. this technique helps the shoulder and other proximal structures to produce appropriate movement sequences for hand use but does not facilitate hand function. The treatment however does provide whole task practice even though some basic component of the function is substituted by other means.
REVERSING TASKS in some patients helps in developing increased control by modifying a task or synergy as well as making the muscle work both eccentrically and concentrically. For instance lowering a glass of water on the table may help the patient in getting th glass close to the mouth by improving motor control of biceps during eccentric contraction.
Although surgery is considered to be the first step of treatment in any form of tumor but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.
Indications of Brain Tumor Surgery
- Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
- Complete resection of tumor
- Removal of the tumor as much as possible to slow down its growth and improve the symptoms.
- Remove the tumor in order to help other treatment
- Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
- To relieve pressure caused by tumor on surrounding structures
Types of Brain Tumor Surgery
The different types of surgery that are performed in cases of brain tumor include the following:
Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:
- Extended bifrontal craniotomy
- "Eyebrow" craniotomy (supra-orbital craniotomy)
- "Keyhole" craniotomy (retro-sigmoid craniotomy)
- Orbitozygomatic craniotomy
- Translabyrinthine craniotomy
Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.
Stereotactic surgery: This surgery is done by creating a three-dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.
Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.
Endoscopy and endoscope assisted surgery: Endoscope is the tool which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.
Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:
I often suffer from migraine. Specially when I go to sleep. And sometimes when I be sleeping, both my nostrils get blocked. What these symptoms are about? And what treatment should I go for?
I have problem of forgetting common things and normal word and writing problem due to siezer. Can you pls tell me is there any possibilities of leads me to full Alzheimer disease.
Hello sir/mam I am suffering from nightfall and underweight . My hand shivers. My friends told that due to masturbation but I left it months ago . Please suggest me the best solution.
If you think it's easy being a kid with autism, think again. Not only are you faced with all of the challenges related to a serious developmental disorder, but you're ALSO faced with a raft of raised expectations that other kids are spared.
You read that right. It's true. Kids with autism are very often expected to behave better, focus better, and interact with more social graces than kids without autism.
High Functioning Autism
And if they don't the consequences can be severe. Rather than receiving a "pass" as typical kids might ("he's having a bad day," "she's just a little shy," etc.), kids with autism who don't present themselves in a manner deemed "appropriate" can receive consequences or be quickly relegated to "special" classrooms, segregated sports teams, and yet more intensive therapies.
What do these increased expectations look like? Here are a few comparisons that may surprise you.
Typically developing children are often "addicted" to cell phones, ipads, and other devices. When addressed, they may give fleeting glances to the peers adults around them. This poor social etiquette is generally given a passing shrug, as adults note how times -- and expectations -- have changed. Not so for children on the autism spectrum. When they fail to look an adult or peer in the eye, they are challenged to do so -- and may received consequences such as the loss of a privilege if they fail to do so.
Etiquette is, let's face it, a dying art. Very few typically developing children are asked to shake hands firmly with adults while making direct eye contact and saying lines like "it's a pleasure to meet you." Children with autism, however, are taught just these somewhat archaic skills -- skills which are not only age inappropriate, but which mark them as even more "special" among their peers.
Conversation among children, particularly boys, is typically very basic. Kids may say little more than "lookit!" "Cool!" "Can I try?" for long periods of time. And that's fine. Unless the children happen to be autistic. In that case, assuming they are verbal, they are asked to ask and answer questions that are utterly inappropriate for children of their age. What 10 year old -- except an autistic child in a social skills group run, almost always, by middle-aged women -- says "how was your weekend? did you have a good time at the zoo? which animals did you like best? we went to the movies. I enjoyed seeing the new Disney film."
Plenty of typically developing children are shy, or have a tough time reading body language and social cues. When that happens, adults may note that the child is shy, and either accommodate their preferences or gently encourage more social interaction. Autistic children are not so lucky. A preference for quiet and/or solitude is rarely seen as a personal preference, and instead is viewed as an autistic symptom. As a result, it must be "remediated" through a course of social skills training, peer "buddy" events, and other therapeutic programs.
Many typically developing children have behavior issues at school. They may blurt out answers rather than raise their hands, lose focus during tests, or have a tough time sharing or collaborating. When that happens, for the most part, teachers respond with brief admonitions to "raise your hand," "play nicely," or "work with your partner." Children with autism, however, have a much tougher standard to meet. When they "blurt" or lose focus, they are subject to various consequences which may range from losing privileges to actually being transferred to a segregated school setting.
When a typical child comes home and spends time alone to wind down, parents are usually very accepting. After all, everyone needs a little alone time -- right? When a child with autism does the same, however, parents are concerned: is he making friends? Does he need more social skills therapy? There's a good chance that alone time will not be tolerated.