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Hydatid Disease Health Feed

Perthes Disease Of The Hip

Dr.Atul Kumar Garg 87% (14ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedic Doctor, Delhi
Perthes Disease Of The Hip

Perthes disease of the hip is a childhood disorder, which occurs due to the disruption of blood flow to the femoral head. Inadequate supply of blood flow results in softening of the bones which result in the breakdown of the bones. Perthes disease is also referred to as Legg-Calve-Perthes disease or avascular necrosis.

Reasons Behind Occurrence of Perthes Disease
With the advancement of the latest techniques and bio-materials, it is possible to attain successful outcomes for hip arthroplasty. It is the activity level that mainly decides the need for hip replacement surgery and not the age of the patient. An individual with good bone quality can live young for a longer time and take part in physical activities. The main cause of this disease is not known, but it is not caused due to genetic factors. The bone abnormalities in certain cases are caused due to mutations in the COL2A1 gene, which is the characteristic of Perthes disease. The reason behind the occurrence of the blood vessel problem is not known and does not occur due to an injury. A child suffering from this condition is generally well and it takes several months for the blood vessels to regrow and for the blood supply to return to the dead bone tissue.

Symptoms of Perthes Disease
Perthes disease is actually not a disease and the main symptoms that are noticed include pain in the hip, limb or groin. The pain in these regions cause stiffness in the hip or shortening of the leg and results in constrained movements. It also causes a restricted range of motion of the hip joint. It causes a lot of pain while walking and the affected leg appears thinner and shorter. In some cases, both the hips of children are affected by this condition and mostly at different times. The important tests that are performed by a specialist to check for Perthes disease include ray of the hip and a bone scan. The extent of damage caused by Perthes disease is assessed by an MRI scan.

Treatment
Most children suffering from this condition are treated with a brace or plaster cast. Recently, even surgery has been performed to treat Perthes disease. There are certain milder cases that have healed even without any treatment, particularly in children who are below the age of 5 years. To keep the hip joint active some doctors advise parents to encourage children to swim and to avoid high impact exercises such as jumping or running. The main aim of the treatment provided by the specialist is to support the healing process and make certain that the femoral head is well seated in the hip socket. The treatments that are provided include a plaster cast, crutches and bed rest, observation, special leg brace and surgery.

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

4243 people found this helpful

Know More About Perthes Disease In Children!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedic Doctor, Gurgaon
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!

2381 people found this helpful

How To Treat Perthes Disease In Children?

Dr.Sanjay Kapoor 90% (234ratings)
M. Ch. (Orthopedic), MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedic Doctor, Gurgaon
How To Treat 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.

4252 people found this helpful

Perthes Disease - How Can You Help Your Child?

MBBS, MS - Orthopaedics, DNB - Orthopaedics
Orthopedic Doctor, Pune
Perthes Disease - How Can You Help Your Child?

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!

2471 people found this helpful

Perthes Disease In Children - What Can Possibly Lead To It?

MS - Orthopaedics
Orthopedic Doctor, Thane
Perthes Disease In Children - What Can Possibly Lead To It?

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.

2634 people found this helpful

I experienced nocturnal syndrome 3 times in last 2 weeks. Is it a disease? Will it cause premature ejaculation&infertility?

Dr.Rahul Gupta 95% (32505ratings)
MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
I experienced nocturnal syndrome 3 times in last 2 weeks.
Is it a disease?
Will it cause premature ejaculation&infert...
Hello, Nocturnal emission can be due to an upset stomach or indulging into porn etc. If the problem is not frequent and bot recurring in a set time interval,nothing to worry. Just improve your dietary habits and sleep timings. But if the problem is persistent,it's better to start medications.
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Is brain granuloma is dangerous some one can die due to this type of disease. Because one of my friend said that she had an operation and chances are very less is that fact doctor can you help me.

Dr.Prakhar Singh 93% (7896ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
The formation of granulomas is often caused by an infection. During an infection, immune cells surround and isolate foreign material, such as bacteria. Granulomas can also be caused by other immune system or inflammatory conditions. They're most commonly found in the lungs. Let's have a detailed discussion for better advice and healthy lifestyle.
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Hi sir my daughter is suffering from disease nephrotic syndrome from last 1 year she is 2 year old girl child, she is suffering from march 2017. Want to know which treatment is best homeopathic, alopathic ,ayurveda I giving her alopathic and want to know how she is cure how much time kindly sugest.

Dr.Suraj Kumar 89% (137ratings)
DM - Nephrology, MBBS Bachelor of Medicine & Bachelor of Surgery, MD - Medicine
Nephrologist, Udaipur
Hi sir my daughter is suffering from disease nephrotic syndrome from last 1 year she is 2 year old girl child, she is...
Dear Lybrate user. As I can understand that your daughter is now 2 years old and was diagnosed with nephrotic syndrome 1 years back at the age of 1 yr. Nephrotic syndrome is a condition where there is loss of lot of protein in the urine. Normally if the children present at the age between 2-8 years we start them on oral steroids giving it for 3-6mths. Majority (95%) of children get better with steroids. But a significant proportion do have a recurrence of disease and can be treated with a repeat course. A small proportion who don’t respond or have frequent recurrence may require other treatment options. But in more then 85-90% the children do get well. It’s a little difficult disease but with proper guidance of nephrologist and family support the child would live a normal life.
14 people found this helpful
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Nephrotic Syndrome: Know Its Causes and Treatment!

Dr.Siddharth Vinod Lakhani 91% (46ratings)
DM - Nephrology, DNB (Nephrology), MBBS , MD - Medicine
Nephrologist, Mumbai
Nephrotic Syndrome: Know Its Causes and Treatment!

Glomerulonephritis is a disease that is caused due to inflammation of the small filters that are present within the kidneys or glomeruli. Glomeruli eliminate the excess waste, electrolytes and fluids from the blood, discharged through urine. A glomerular disease can be either acute or chronic. If the condition arises without a combination of any other disease, it is termed as primary glomerulonephritis. Secondary glomerulonephritis is characterized by diabetes or lupus (an auto-immune disorder) being at the root of the disease. Prolonged or severe inflammation can take a toll on the kidneys.

Causes-

Nephrotic syndrome can be primary, being a disease specific to the kidneys, or it can be secondary, being a renal manifestation of a systemic general illness. In all cases, injury to glomeruli is an essential feature. Kidney diseases that affect tubules and interstitium, such as interstitial nephritis, will not cause nephrotic syndrome.

Primary causes of nephrotic syndrome include the following, in approximate order of frequency:

  1. Minimal­-change nephropathy
  2. Focal glomerulosclerosis
  3. Membranous nephropathy
  4. Hereditary nephropathies

Secondary causes include the following, again in order of approximate frequency:

  1. Diabetes mellitus
  2. Lupus erythematosus
  3. Viral infections (e.g., hepatitis B, hepatitis C, human immunodeficiency virus [HIV] )
  4. Amyloidosis and paraproteinemias
  5. Preeclampsia
  6. Allo-antibodies from enzyme replacement therapy

Nephrotic-­range proteinuria may occur in other kidney diseases, such as IgA nephropathy. In that common glomerular disease, one-third of patients may have nephrotic-­range proteinuria.

Nephrotic syndrome may occur in persons with sickle cell disease and evolve to renal failure. From a therapeutic perspective, nephrotic syndrome may be classified as steroid sensitive, steroid resistant, steroid dependent, or frequently relapsing.

Treatment-

  1. Whether one is suffering from acute or chronic nephrotic glomerular , with symptoms moderate or severe, the treatment lies in treating high blood pressure and other underlying conditions of the disease.

  2. Water pills help control sweating, thus increasing the fluid flushed from the kidneys.

  3. Statins reduce cholesterol level.

  4. Blood thinners such as anticoagulants lower the risk of blood clots.

  5. Corticosteroids regulate the immune system and ease the inflammation that results from kidney disorders.

  6. Incorporating certain lifestyle changes such as opting for lean proteins, cutting on the intake of fat in the diet and consuming lesser amounts of salt can treat inflammation and swelling.

  7. For kidney failure, dialysis can come to the aid in eliminating excess fluids and regulating hypertension.

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

1924 people found this helpful
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