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Know More About Perthes Disease In Children!

Dr. Ravi C V 91% (15 ratings)
DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Know More About Perthes Disease In Children!

The hip joint is a ball and socket joint made up of the round head of thigh bone (femoral head) with the cup shaped socket (acetabulum) of the pelvis and Perthe’s Disease is an affliction of the hip joints in growing children. It is much more common in boys than girls, and occurs most commonly in children aged between 4 to 10 years. The cause of this problem is still unidentified.

In Perthes disease, changes affect the femoral head which can be seen on X-ray. These changes occur in three stages over 18 months to 2 years:

  1. The blood supply to part of the femoral head is disturbed, causing loss of bone cells.
  2. Softening and collapse of the affected bone
  3. Re-establishment of the blood supply, repair and remodeling of the femoral head.

  • Limping is the most common symptom. The limp may become more persistent and pain may develop. Examination of the child by the orthopaedic surgeon generally shows restriction of hip movement. The nature of Perthes disease is variable. Severity depends on the child’s age, and the extent of femoral head involvement. Older children, girls, and those with greater involvement of the femoral head are likely to require more complex treatment. Treatment aims to reduce pain and stiffness, and prevent femoral head deformity.
  • All children need regular review by the orthopaedic surgeon through the duration of the disease. Not all children require active treatment. Many will make a good recovery with only symptomatic treatment. This may involve restriction of activity such as running and high impact sports. Swimming is encouraged. Some children may require exercise in slings and springs, or the application of plaster casts to the lower limbs. Some children will require surgical management.
  • Children with Perthes Disease are otherwise healthy, but may be affected by physical restrictions. By middle age, one third of those affected have no symptoms, one third have intermittent hip pain, and one third would develop arthritis requiring treatment.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3888 people found this helpful

Hi, Can you please tell me the medicines for strong bone? My bones sound like trick trick when I walk. I masturbate 2 / year but I stopped it. My age is 17. Please tell me.

Dr. Guganeswari 91% (254 ratings)
Physiotherapist, Chennai
Hi, for strong bone you can take natural food like milk which contains calcium, fruits which contains vitamins.
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Menopause - Can It Affect Your Bone Health?

Motherhood 88% (81 ratings)
Speciality Birthing Care
Gynaecologist, Bangalore
Menopause - Can It Affect Your Bone Health?

Menopause is a condition that marks the end of the menstrual cycle. It is a normal phenomenon that women experience with age. Menopause affects the bone health adversely. Bone health is directly tied to oestrogen, the hormone responsible for reproductive cycles, pain sensitivity. As a woman moves out of her fertile years there is an internal change in the reproductive system and the consequences can be seen and felt all over the body, including the bones.

The years just preceding menopause, with their hormonal fluctuations can set the stage for later health issues like bone weakening. As the oestrogen level drops, the bone density starts to decline which continues for a long period of time. The bone loss can become significant during perimenopause (the decades making up to menopause) and will speed up in the first few years of menopause.

The oestrogen level directly affects the process known as bone remodelling; the constant breakdown and the remodelling of the bone in the skeleton. With less oestrogen in the body cells called osteoclasts are able to absorb bone at a faster rate than osteoblasts (bone-building cells) are able to regenerate new bone. Thus the bone remodelling equation is no longer equal and the bone density continues to decline.

The osteoporosis risk after menopause is a serious one, yet so many women refuse to pay it much attention. Perhaps it’s because the bone damage isn’t visible, or that bone loss continues so gradually for so many years. While the bone loss cannot be completely halted, there is plenty that can be done to slow it down. Here are some ways to take care of your bone health before or after menopause.

  1. Stay active: Adopting an active lifestyle after menopause helps in protecting the bones. It's recommended that adults between 19 to 64 years of age should do moderate to intense activity. This could include activities such as cycling or brisk walking. Sitting for long hours should be avoided. Weight-bearing exercises and resistance exercises are particularly important for improving bone strength and helping to prevent osteoporosis.
  2. A balanced healthy diet: A healthy, balanced diet that includes calcium and vitamin D will help maintain healthy bones after the menopause. Good sources of calcium include green, leafy vegetables (but not spinach), nuts, seeds, dried fruit, tinned fish with the bones in, and dairy products like milk, yoghurt and cheese. Good food sources of vitamin D include oily fish, eggs, and fat spreads or breakfast cereals
  3. Hormone replacement therapy: HRT can be an effective treatment for common menopausal symptoms like night sweats, sleep disturbance and achy joints. It works by replacing oestrogen, which naturally begins to lower post menopause. HRT can also help to maintain bone density and reduce the risk of osteoporosis.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4085 people found this helpful

Osteochondritis Dissecans Of Talus - Signs You Need To Be Aware Of!

Dr. Pranjal Kodkani 84% (21 ratings)
M S Ortho, D - Ortho, MBBS Bachelor of Medicine and Bachelor of Surgery
Orthopedist, Mumbai
Osteochondritis Dissecans Of Talus - Signs You Need To Be Aware Of!

Osteochondritis dissecans of Talus, more commonly known as OCD Talus, is a condition affecting the ankle. In it, a portion of the joint bone gets separated from the joint due to faulty blood supply. In some cases, the bone may remain in place and gradually repair itself over time. However, most of the times, the bone splinter falls into the joint, hindering mobility and causing great pain.

Symptoms of OCD Talus
Here is a look at some of the symptoms and signs which you are likely to encounter if you suffer from OCD Talus.

  1. The ankle joint will be swollen and sore.
  2. While trying to move the joint, it may get locked or caught up, preventing the full range of motion.
  3. You may feel a cracking or popping sound when the joint is in motion. This sound is known as crepitus.
  4. A general weakness of the ankle joint is also a marked symptom in most cases.
  5. Fluid deposits may be formed at the joint affected, causing even more inflammation and discomfort. This is known as an effusion.
  6. The condition will be painful and the pain increases with physical activities such as walking or exercise.

Treatment options for OCD Talus patients
While there are many different treatment methods for the condition, some are more effective than the others. At the initial stages of the disorder, the doctor may-

  1. advise you to rest the ankle and thus give the splintered bones time to heal.
  2. advise you to take a break from sports if you are involved in such activities.
  3. prescribe non-steroidal pain medications to deal with the discomfort resulting from the condition.
  4. suggest wearing braces or other artificial devices to immobilize the joint temporarily. The patients may need to use crutches in such cases.

The treatment methods mentioned above usually work for children and young adults. However, people of advanced ages may suffer from additional complications. Surgery is a viable option and it can help patients in two ways. It can restore normal blood flow, which may be suppressed due to the bone splinter, and it can also repair the ankle joint.

OCD Talus affects a very limited number of people. Osteochondritis dissecans is more common in knees and elbow joints. Almost 75 percent of OCD cases affect the knee joint. However, if your ankles are affected, it may be just as severe and can greatly affect your ability to move properly. In case you have a concern or query you can always consult an expert & get answers to your questions!

4030 people found this helpful

Hi Sir, Whenever I bend down my neck I can fell a large bone but when it is upside it's alright is my bone growing.

Dr. Vishwas Virmani 95% (20853 ratings)
Physiotherapist, Noida
Take frequent Breaks at work. Core Strengthening Exercises. Use cervical pillow. Use Back Support. Self Massage the back of neck.
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Know How To Manage Your Osteoporosis (Bone Loss) Naturally!

Dr. Richa Garg 87% (10 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Dietitian/Nutritionist, Delhi
Know How To Manage Your Osteoporosis (Bone Loss) Naturally!

Osteoporosis (meaning porous bones) refers to a medical condition in which the bones of an individual become thin and weak. The previous stage is called osteopenia (a precursor to osteoporosis). The bones become fragile and therefore start losing its strength. The medical researchers have reported that women are more prone to getting osteoporosis as compared to that of men, but that does not mean that men are completely immune to this disease. Where there are almost 50% women suffer from osteoporosis by the age of 60, there are about 30% of men who face the problem of osteoporosis.

Well, it has always been said that sooner you start taking care of your health especially bones, the better it is. Osteoporosis is a very common medical condition nowadays and major factors that are responsible for the increased prevalence of this disease is the lifestyle changes which include the living patterns and the diet changes.

What Causes Osteoporosis?

Osteoporosis happens when there is an imbalance between new bone formation and old bone resorption. The body may fail to produce enough new bone, or too much old bone may be reabsorbed, or both. If calcium intake is not sufficient or if the body does not absorb enough calcium from the diet, bone production and bone tissue may suffer. Thus, the bones may become porous, resulting in spongy and brittle, prone to fractures.

Other conditions that may lead to osteoporosis include overuse of corticosteroids (Cushing syndrome), thyroid problems, lack of muscle use, bone cancer, certain genetic disorders, use of certain medications, and dietary deficiency of calcium.

Risk factors for osteoporosis:

  • Women above 60 years of age.

  • Early menopause natural or surgical.

  • Poor diet & lifestyle  i.e. Cigarette smoking, eating disorders such as anorexia nervosa or bulimia, low amounts of calcium in the diet, heavy alcohol consumption, inactive lifestyle.

  • Rheumatoid arthritis itself is a risk factor for osteoporosis

  • Family History of osteoporosis.

  • Overuse of corticosteroids

  • Hypothyroidism

  • Chronic Emotional stress

Foods That Cause Osteoporosis

  • Alcohol – Increases inflammation that can lead to more calcium being leached from bones.

  • Sweetened / Aerated drinks beverages – The sugary drinks like canned juices and aerated drinks like cola are the most dreadful drinks for your health especially bones, as these drinks extract the calcium from the bones. Carbonated drinks contain a lot of phosphates which is responsible for leaching of calcium from bones. It has been proven in a Harvard Study that the women just 16-20 years young had already started loss of bones as they were consuming a lot of carbonated drinks. Sugar is also responsible for inflammations.

  • Processed, red meat – A high intake of sodium and red meat may result in bone loss.

  • Caffeine/Tea – Excessive caffeine intake can result in bone loss as it causes hindrance in iron and calcium absorption from food.

Natural Treatments for Osteoporosis:

1. Osteoporosis Diet

To help you get all the vitamins and minerals you need to build and maintain strong bones, it’s important to eat a varied diet with adequate calories to fuel all your body’s processes. Mainly calcium and vitamin D are important. Other Nutrients needed to prevent bone disorders include iron, vitamin C and magnesium. Iron deficiency (anaemia) is a risk factor for osteopenia and osteoporosis because iron is essential for collagen synthesis and vitamin D metabolism. Vitamin C plays a role in collagen formation. It also helps stimulate the cells that build bones, enhances calcium absorption, and helps vitamin D to work properly.

Foods that provide Calcium include: dairy products like yogurt, milk or paneer. salmon or sardines; dark leafy green vegetables; and other veggies like broccoli, Makhanas (puffed lotus seeds), sesame seeds, calcium.

Magnesium rich foods include: leafy greens like spinach, pumpkin seeds, yogurt, black beans, figs, banana, cranberries, sunflower seeds, dark chocolates and Almonds & Avocados.

Sources of vitamin C include: citrus fruits, papaya or guava, berries, peppers, kiwi, broccoli and Amla(Indian gooseberry), star fruit, phalsa ,tomato.

Collagen protein: collagen is one component of bone that helps to build its framework and provide a flexible structure that can withstand pressure. Collagen is found naturally in things like bone broth or can be taken in protein powder form or supplement form.

Foods that supply Iron (which can help to prevent anaemia) include: chicken, fish, eggs, nuts, seeds, spinach, kala chana , garden cress seeds, dates and raisins etc.

Alkaline diet that helps protect bones. This means eating lots of veggies, fruit, sea vegetables and plant foods. Wheat grass is highly alkaline food.

It’s also best to lower the amount of sodium in your diet by eating more unprocessed/whole foods. It also helps to avoid things like: processed meats, fast foods, fried foods, canned goods, salty condiments or sauces, frozen meals, ready to eat meals etc. In addition, try to limit your intake of sugary products, sweetened drinks, alcohol and caffeine.

2. Practice Exercises:

To help maintain skeletal strength, it’s important to stay active. Osteoporosis has greater risk of fractures, so be careful while Exercising. Avoid strenuous and jerky movements. Exercise helps your body reduce the decline in bone mass associated with aging. It has many others benefits, too, such as contributing to hormone balance and a healthy body weight. Exercise is needed to keep muscles strong. It also helps with coordination and balance.

Weight-bearing exercises are the most beneficial for your bones, although this term often confuses people. Weight-bearing exercises include any type that “forces you to work against gravity” and that you practice with an upright posture. This way your bones and muscles must support your body weight.

To prevent and cure osteoporosis, yoga and Pranayama will be a great addition in your lifestyle. It will fix up your hormonal balance which is the root cause of problem. Oxygenation by breathing techniques will make your body alkaline and will help you in reducing bone sponginess. Cool, Calm and Clean environment and yoga practice – a wows combination for your health.

3. Take Supplements That Can Help Protect Bones

  • Calcium: It’s best to obtain calcium from foods in your diet. However, you can take a supplement for boost. Most adults need about 1,000 milligrams daily. Choose calcium citrate, take it before meals for better absorption in a divided dose of 500mg everyday.
  • Vitamin D: Experts recommend that people who have a history of deficiency, elderly adults,take a vitamin D supplement daily. Dosage recommendations vary person to person.
  • Magnesium: Magnesium is a mineral; your body requires for proper calcium metabolism. Aim to get between 300–500 milligrams daily. Epsom salt bath is super source to get it through skin.

Ayurveda perspective of osteoporosis is, when vata (air) element is vitiated in our body and affects our bones is called Asthi Majja Kashaya. Traditionally used medicines for Asthi-majja kashaya (osteoporosis):Asthi shrinkhala ghrita, Shatavari, Ashwagandha churna, Shuddha guggulu, Mukta pisti, Praval pisti, Shankhabhama. Oil enemas (basti) particularly work on Asthi Dhatu (bones) and Majja Dhatu (bone marrow) along with Abhyangam therapy.

4. Maintain A Healthy Weight: Obesity can increase inflammation and contribute to hormonal changes that damage bones. Maintaining a healthy weight makes it easier to exercise and stay active into older age.

5. Get Enough Sunlight: Vitamin D helps improve calcium absorption. It’s best to obtain it via natural sunlight. To allow your body to make enough vitamin D to protect your bones, aim to get 15–20 minutes of sunshine on your bare skin daily.

6 Get Enough sleep: A sound sleep of at least 7-8 hours per day helps in better assimilation and absorption of nutrients. Lack of sleep may lead to adrenal fatigue and associated symptoms.

Final Thoughts on Osteoporosis:

Osteopenia is a condition characterized by lower-than-normal bone density. It precedes osteoporosis and causes brittle, weaker than normal bones that are more likely to fracture on minor jerk.

Risk factors for osteopenia include: being a woman following menopause; dieting or calorie restriction; eating disorders; taking medications that interfere with mineral absorption; anaemia; smoking cigarettes; too little exercise; obesity and a family history.

Natural treatments and prevention include: balanced diet with enough calcium and vitamin D; getting regular & safe exercise; maintaining a healthy weight; not smoking; and preventing vitamin D deficiency by getting adequate sunlight exposure and sound sleep, maintaining alkalinity in body. In case you have a concern or query you can always consult an expert & get answers to your questions!

4411 people found this helpful

Hi Sir, I have an extra bone growth towards frontal side of lungs joint, now it pains if I lie down by belly, is there any other way to curb this? I wish not to under go any surgery.

Dr. Jayvirsinh Chauhan 94% (12630 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
It may be exostosis.. It can be stopped and relieved by homoeopathic treatment.. You can consult me through Lybrate..
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I'm 34 years old female. A bone like thing is emerging outside of my right hand wrist .I had consulted the doctor last week and took an x-ray but he said that it was not a bone and if he removes it then there is a chance that it would come again. What I should do now?

Dr. Julie Mercy J David 92% (9627 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I'm 34 years old female. A bone like thing is emerging outside of my right hand wrist .I had consulted the doctor las...
. For the right 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 for the wrist pain (hand pain) you can do ice therapy which will reduce the pain.
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Hi doctor, is it abnormal to notice a slight increase in gap between the big toe and the second toe. Also the skin is little rough between them. I am really scared. Please suggest me. Thanks.

Dr. Samidh Kumar Thakur 90% (995 ratings)
Physiotherapist, Kolkata
Do an x-ray ray of that area ap and lat view take wax bath therapy for 20 days consultation with orthopaedic surgeon.
1 person found this helpful
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