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Muscle Weakness Tips

Common Orthopedic Disorders In Children - Learn More

Dr. Manav Luthra 90% (10 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Kanpur
Common Orthopedic Disorders In Children - Learn More

Sometimes children suffer from conditions where their feet may not be in proper shape or size which can affect their posture. Most of the times the disorders correct themselves as they grow up but certainly there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment.

Some of the common orthopedic disorders found in children include:

1. Flatfeet

While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.

2. Toe Walking

Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.

3. Pigeon Toes

In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually the condition corrects on its own with age and does not interfere with sport activities which involve running.

4. Knock-Knees

It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.

What Are The Basic Orthopedic Problems In Children?

Dr. Mukul Gupta 87% (37 ratings)
MS - Orthopaedics, D - Ortho, MBBS
Orthopedist, Bhopal
What Are The Basic Orthopedic Problems In Children?

Sometimes children suffer from conditions where their feet may not be in proper shape or size which can affect their posture. Most of the times the disorders correct themselves as they grow up but certainly there can be situations where medical attention is required. These conditions can be normal variations in the anatomy as well which don't essentially require treatment. Some of the common orthopedic disorders found in children include:

1. Flatfeet

While most babies are born with flat feet which develop arches as they grow, in some case the arches remain underdeveloped even after they grow older. Their feet may turn inwards while they walk due to their flat nature. There is no inherent problem in this condition unless it becomes painful. Doctors may recommend special footwear with arches inserted for support to reduce the pain.

2. Toe Walking

Toe walking is not a disorder while your child is just learning to walk. Toddlers who continue to walk on their toes after the age of 3 may require medical attention. Toe walking on one leg or persistent toe walking can be due to other medical conditions like muscle weakness, cerebral palsy or autism. It is advisable to take your child to a therapist for casting the foot and ankle which can help stretch the muscles.

3. Pigeon Toes

In toeing or pigeon toeing is common among babies when they are first learning to walk. Sometimes children above 3 years walk with their toes inwards which can be due to femoral anteversion. This happens when upper part of the leg bends more than it naturally should causing inward rotation of the feet. Specially designed shoes and braces can help to correct this condition. Usually the condition corrects on its own with age and does not interfere with sport activities which involve running.

4. Knock-Knees

It is a common tendency among children aged between 3 and 6 to develop knock-knees (genu valgum), since their bodies go through natural shift in alignment. Usually treatment is not required as the legs straighten out eventually. Knock knees on one side or persistent knock knees may require medical attention. Children with this disorder may suffer from pain hence in some cases surgery is recommended after the age of 10.

Myelopathy - Types, Causes And Symptoms

Dr. Manav Luthra 90% (10 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Kanpur
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.

 

4034 people found this helpful

6 Ways To Identify Strong Or Weak Core Muscles!

Dr. Aaditya D Kashikar 85% (10 ratings)
DNB (Orthopedics), Fellowship In Spine Surgery, Mumbai, MBBS Bachelor of Medicine and Bachelor of Surgery, Clinical Fellowship in Spine Surgery
Orthopedist, Thane
6 Ways To Identify Strong Or Weak Core Muscles!

The core muscles, mainly concentrated around the abdomen, hips, lower back, trunk, and glutes, are indeed a powerhouse that gets you going. The stronger the core muscles, the fitter you stay. Without a proper core strength, a lot of the day to day activities including lifting or bending gets affected. Certain health conditions can weaken the core muscles. But how to know if the core muscles are weak? There are many signs and symptoms associated with weak core muscles.

Mentioned below are some important signs that may be an indication of weak core muscles.

  1. For your posture to be correct, the spine and pelvis need to be stable: The muscles of the lower back and the abdomen does exactly that, ensuring a steady and correct posture. However, when the core muscles weaken, they are unable to provide stability to the spine and the pelvis resulting in a poor posture. Left unattended, poor posture, in turn, can trigger a myriad of complications and discomfort.
  2. The body loses its balance: As already mentioned, the core muscles go a long way in stabilizing the body and helping you to maintain the body balance. You can perform a small test to know if your balance is affected. Close your eyes and stand on one foot. Repeat the procedure with the other foot as well. If you have a developed core, you will be able to hold the position for at least 10 seconds, if not more (both the legs).
  3. A pain concentrated to the lower back: Do not ignore a lower back pain. It could be an indication of your core muscles not being strong enough, especially the ones adjacent to the spine. Timely medical intervention may help improve the condition.
  4. Weakness throughout the body: The strong core muscles are an indication of a healthy and fit body. When the muscles start to lose its strength, the entire body gets affected. A person finds it difficult to even lift things. Doing even a small and regular work leaves a person weak and tired.
  5. You can also perform the Hollowing Test to check your core strength: Sit in a comfortable position. Starting breathing in and out. As you breathe out or exhale, try to pull your stomach inwards towards the spine for at least 10 seconds. Unable to pass this test (can't hold the position for 10 seconds) indicates weak core muscles.
  6. You can also try the plank test: Get yourself in a push-up position with the entire body resting on your elbows, arms, and toes. The hip should be level and steady. Failing to stay in this position for 50 seconds is indicative of weak core muscles.
2320 people found this helpful

What Is Kyphosis Disease?

Dr. Prashant K Vaidya 91% (15775 ratings)
Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
What Is Kyphosis Disease?

What Is Kyphosis Disease?

Kyphosis is an exaggerated, forward rounding of the back. It can occur at any age but is most common in older women.

Age-related kyphosis is often due to weakness in the spinal bones that causes them to compress or crack. Other types of kyphosis can appear in infants or teens due to malformation of the spine or wedging of the spinal bones over time.

Mild kyphosis causes few problems. Severe kyphosis can cause pain and be disfiguring. Treatment for kyphosis depends on your age and the cause and effects of the curvature.

Types of Kyphosis:

*Postural kyphosis:
Postural kyphosis is a condition resulting from poor posture and muscles that have become weak and tight. Treatment: This specific condition can be treated by a number of things. Exercises such as yoga poses, chest stretches, and weighted exercises can help strengthen your back, neck, and shoulder muscles. Physical therapy is also a tool used to help treat postural kyphosis. Finally, a posture brace specifically for posture correcting can not only help ease your kyphosis pain but when used early, can help prevent it. Here at BraceAbility, we have a wide selection of posture correcting braces that are adjustable and customizable specifically for you.

*Scheuermann’s Disease:
Scheuermann’s Disease is a deformity in the thoracic or upper part of your spine. This causes an abnormality that makes the vertebrae grow at different rates during adolescence. Treatment: Since this type occurs in children while they are growing, a back brace is usually used to help stop the curve from bending more. Depending on the severity of your child’s case or at the beginning stages, it is recommended to wear this brace for almost all of their day. Another treatment option for this disease is different strengthening exercises and physical therapy. For severe cases, surgery is used to help treat individuals with an abnormal curve of over 75 degrees or if they have extreme pain.

*Degenerative kyphosis:
Degenerative kyphosis is a loss of normal disc height from overuse or aging. This causes the discs in your spine to angle forward. Treatment: If you are experiencing pain, initially start with conservative treatments such as physical therapy, chiropractor visit, anti-inflammatory medicines, and strengthening of the core and back muscles. If this pain persists, surgery may be an option.

*Neuromuscular kyphosis:
Neuromuscular kyphosis usually occurs in individuals that have cerebral palsy, spina bifida, or muscular dystrophy. Treatment: Based on the individual, surgery or back brace support may be an option.

*Nutritional kyphosis:
Nutritional kyphosis is caused by dietary and nutritional deficiencies. It is common for children and adults but more likely in elderly individuals. This type of kyphosis can be prevented with a well-balanced diet.  ingredients you’ve been missing. 

*Iatrogenic kyphosis:
Iatrogenic kyphosis is a result of previous surgery. Treatment: Depending on severity, another surgery may be required to help fix the complication.

Causes of Kyphosis:

The individual bones (vertebrae) that make up a healthy spine look like cylinders stacked in a column. Kyphosis occurs when the vertebrae in the upper back become more wedge-shaped.

Abnormal vertebrae can be caused by:

*Fractures: Broken or crushed vertebrae (compression fractures) can result in curvature of the spine. Mild compression fractures often don't produce noticeable signs or symptoms.
*Osteoporosis: This bone-thinning disorder can cause spinal curvature, especially if weakened vertebrae result in compression fractures. Osteoporosis is most common in older women and people who have taken corticosteroids for long periods of time.
*Disk degeneration: Soft, circular disks act as cushions between spinal vertebrae. With age, these disks dry out and shrink, which often worsens kyphosis.
*Scheuermann's disease: Also called Scheuermann's kyphosis, this disease typically begins during the growth spurt that occurs before puberty. Boys are affected more often than girls.
*Birth defects: Spinal bones that don't develop properly before birth can cause kyphosis.
*Syndromes: Kyphosis in children can also be associated with certain syndromes, such as Ehlers-Danlos syndrome and Marfan syndrome.
*Cancer and cancer treatments: Cancer in the spine can weaken vertebrae and make them more prone to compression fractures, as can chemotherapy and radiation cancer treatments.

Symptoms:

Mild kyphosis may produce no noticeable signs or symptoms. But some people experience back pain and stiffness in addition to an abnormally curved spine.

Diagnosis:

Your doctor will generally conduct a thorough physical examination, including checking your height. You may be asked to bend forward from the waist while your doctor views your spine from the side. Your doctor might also perform a neurological exam to check your reflexes and muscle strength.

After evaluating your signs and symptoms, your doctor may recommend:

X-rays or CT scans. X-rays can determine the degree of curvature and detect deformities of the vertebrae. A CT scan might be recommended if your doctor wants more-detailed images.
MRI. These images can detect infection or a tumor in your spine.
Nerve tests. If you are experiencing numbness or muscle weakness, your doctor may recommend tests to determine how well nerve impulses are traveling between your spinal cord and your extremities.
Bone density tests. Low-density bone can worsen kyphosis.

Role of Homeopathy in Kyphosis:

The symptoms were effectively treated with different potencies of a single homeopathic drug, Calcarea Phos. X-ray and magnetic resonance imaging (MRI) supported recovery and a change in the skeletal curvature that was accompanied by removal of pain and other acute symptoms of the ailment.

Diet and Non-Diet food:

For calcium to reach optimal absorption it should be paired with foods rich in Vitamin D and Magnesium. Green leafy vegetables such as kale, collard greens, and broccoli have as much calcium as cows milk yet are more readily absorbed by the body. Good sources of Vitamin D are mushrooms and salmon.

What Is Kyphosis Disease?

Dr. Ramakrishna Chanduri 88% (2684 ratings)
BHMS
Homeopath, Hyderabad
What Is Kyphosis Disease?

What Is Kyphosis Disease?

Kyphosis is an exaggerated, forward rounding of the back. It can occur at any age but is most common in older women.

Age-related kyphosis is often due to weakness in the spinal bones that causes them to compress or crack. Other types of kyphosis can appear in infants or teens due to malformation of the spine or wedging of the spinal bones over time.

Mild kyphosis causes few problems. Severe kyphosis can cause pain and be disfiguring. Treatment for kyphosis depends on your age and the cause and effects of the curvature.

Types of Kyphosis:

*Postural kyphosis:
Postural kyphosis is a condition resulting from poor posture and muscles that have become weak and tight. Treatment: This specific condition can be treated by a number of things. Exercises such as yoga poses, chest stretches, and weighted exercises can help strengthen your back, neck, and shoulder muscles. Physical therapy is also a tool used to help treat postural kyphosis. Finally, a posture brace specifically for posture correcting can not only help ease your kyphosis pain but when used early, can help prevent it. Here at BraceAbility, we have a wide selection of posture correcting braces that are adjustable and customizable specifically for you.

*Scheuermann’s Disease:
Scheuermann’s Disease is a deformity in the thoracic or upper part of your spine. This causes an abnormality that makes the vertebrae grow at different rates during adolescence. Treatment: Since this type occurs in children while they are growing, a back brace is usually used to help stop the curve from bending more. Depending on the severity of your child’s case or at the beginning stages, it is recommended to wear this brace for almost all of their day. Another treatment option for this disease is different strengthening exercises and physical therapy. For severe cases, surgery is used to help treat individuals with an abnormal curve of over 75 degrees or if they have extreme pain.

*Degenerative kyphosis:
Degenerative kyphosis is a loss of normal disc height from overuse or aging. This causes the discs in your spine to angle forward. Treatment: If you are experiencing pain, initially start with conservative treatments such as physical therapy, chiropractor visit, anti-inflammatory medicines, and strengthening of the core and back muscles. If this pain persists, surgery may be an option.

*Neuromuscular kyphosis:
Neuromuscular kyphosis usually occurs in individuals that have cerebral palsy, spina bifida, or muscular dystrophy. Treatment: Based on the individual, surgery or back brace support may be an option.

*Nutritional kyphosis:
Nutritional kyphosis is caused by dietary and nutritional deficiencies. It is common for children and adults but more likely in elderly individuals. This type of kyphosis can be prevented with a well-balanced diet.  ingredients you’ve been missing. 

*Iatrogenic kyphosis:
Iatrogenic kyphosis is a result of previous surgery. Treatment: Depending on severity, another surgery may be required to help fix the complication.

Causes of Kyphosis:

The individual bones (vertebrae) that make up a healthy spine look like cylinders stacked in a column. Kyphosis occurs when the vertebrae in the upper back become more wedge-shaped.

Abnormal vertebrae can be caused by:

*Fractures: Broken or crushed vertebrae (compression fractures) can result in curvature of the spine. Mild compression fractures often don't produce noticeable signs or symptoms.
*Osteoporosis: This bone-thinning disorder can cause spinal curvature, especially if weakened vertebrae result in compression fractures. Osteoporosis is most common in older women and people who have taken corticosteroids for long periods of time.
*Disk degeneration: Soft, circular disks act as cushions between spinal vertebrae. With age, these disks dry out and shrink, which often worsens kyphosis.
*Scheuermann's disease: Also called Scheuermann's kyphosis, this disease typically begins during the growth spurt that occurs before puberty. Boys are affected more often than girls.
*Birth defects: Spinal bones that don't develop properly before birth can cause kyphosis.
*Syndromes: Kyphosis in children can also be associated with certain syndromes, such as Ehlers-Danlos syndrome and Marfan syndrome.
*Cancer and cancer treatments: Cancer in the spine can weaken vertebrae and make them more prone to compression fractures, as can chemotherapy and radiation cancer treatments.

Symptoms:

Mild kyphosis may produce no noticeable signs or symptoms. But some people experience back pain and stiffness in addition to an abnormally curved spine.

Diagnosis:

Your doctor will generally conduct a thorough physical examination, including checking your height. You may be asked to bend forward from the waist while your doctor views your spine from the side. Your doctor might also perform a neurological exam to check your reflexes and muscle strength.

After evaluating your signs and symptoms, your doctor may recommend:

X-rays or CT scans. X-rays can determine the degree of curvature and detect deformities of the vertebrae. A CT scan might be recommended if your doctor wants more-detailed images.
MRI. These images can detect infection or a tumor in your spine.
Nerve tests. If you are experiencing numbness or muscle weakness, your doctor may recommend tests to determine how well nerve impulses are traveling between your spinal cord and your extremities.
Bone density tests. Low-density bone can worsen kyphosis.

Role of Homeopathy in Kyphosis:

The symptoms were effectively treated with different potencies of a single homeopathic drug, Calcarea Phos. X-ray and magnetic resonance imaging (MRI) supported recovery and a change in the skeletal curvature that was accompanied by removal of pain and other acute symptoms of the ailment.

Diet and Non-Diet food:

For calcium to reach optimal absorption it should be paired with foods rich in Vitamin D and Magnesium. Green leafy vegetables such as kale, collard greens, and broccoli have as much calcium as cows milk yet are more readily absorbed by the body. Good sources of Vitamin D are mushrooms and salmon.

1 person found this helpful

Inguinal Hernia - Know More About It!

Dr. Radhika A (Md) 92% (13 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi

Inguinal Hernia
This condition occurs when a part of the intestine moves into the abdominal region. It can enter the abdominal muscles when there is a weak spot in this region. Even though this is not a serious condition in many cases, it causes a lot of pain especially when you are involved in strenuous activity. Even small bending or coughing can cause pain in many cases. Going for a surgery is the best option as it can cure the problem completely.

 

Types of Inguinal Hernia
- Direct Inguinal Hernia: This happens usually to adults and the chances increases as they age. The main reason for this condition in old age is the weakness in the abdominal region. It is common at this stage and it can get complicated with obesity and other illness. Most adults suffering from inguinal hernia have this type of condition and it can be easily cured with the help of surgery.

- Indirect Inguinal Hernia: This is prevalent more among children and you will notice it usually in the case of the premature birth of the baby. The inguinal canal sometimes gets closed in this situation and it leads to hernia. Some people will have this tendency and they may develop this condition even after many years as they get old and it is commonly found in males.

- Incarcerated Inguinal Hernia: Sometimes, the tissue can get stuck in the groin region and cause a lot of pain and lead to this condition. It cannot be pushed inside as with the normal case and surgery is the only option left to handle this condition.

- Strangulated Inguinal Hernia: When the hernia is very severe, it can get strangulated and blood supply to the intestine can get cut off completely leading to various complications. In this situation, emergency surgery is needed to control the condition.

Symptoms of Inguinal Hernia
- It is very common to see a bulge near the pubic bone region. This will be clearly visible when the person is standing and doctors can easily notice them when the patient is coughing.

- It can be painful in most conditions and some people even experience a burning sensation in the pubic region.

- Patients suffering from Inguinal hernia always have a lot of pain when they are bending or lifting heavy objects that put a strain on the groin region.

- The groin region will also have constant pressure due to the bulging of intestine muscles and it feels heavy most of the time.

- In some cases, people may also experience pain around the testicles and it can also swell when the size of the hernia is big.

- Even children can get affected with this condition and you need to watch out for the symptoms carefully in very young children. It will be obvious when they are crying or having bowel movements and you should immediately approach your doctors about the bulging muscles in the groin region.

Causes of Inguinal Hernia
- Some people naturally have a weak abdominal region and this can easily affect them in the future. These people are more prone to getting hernia in future.

- Apart from that, increased pressure in the abdominal region can also lead to this condition in the long run. This usually happens when people strain too much during bowel movements or urination.

- When the additional pressure is felt on the weak spot in the abdominal region, it can easily give away and the muscles will allow the intestine to get inside and cause complications.

- When you are involved in the sudden strenuous activity, the abdominal wall can give in to the pressure and cause hernia.

- In some cases, women tend to get hernia during pregnancy as the abdominal muscles will be very weak during this stage.

- Apart from that, people suffering from a chronic cough are likely to develop hernia when they have a weak abdominal wall.

- In many people, the risk of getting inguinal hernia increases with age as the abdominal muscles lose their strength in this stage.

- This is also common in people who have undergone abdominal surgery in the past and the muscles will be under pressure in this situation.

- Along with these factors, family history also plays a major role and the chances of getting inguinal hernia increases by a huge margin when someone in your family has this problem.

- For some reasons, men are more likely to develop hernia than women. The problem can also occur due to excessive smoking and alcohol consumption. Excessive drinking can lead to constipation in some cases and this puts pressure on the abdominal wall while having bowel movements.

- When you are overweight, the abdominal muscles will lose strength and you are likely to develop hernia at a later stage in life.

Diagnosis of Inguinal Hernia
- Physical examination: When you are experiencing pain in the groin region, you should never neglect the issue and always approach your doctor. It can be easily detected by way of physical examination in most cases. The area bugles out when you are coughing and this gives a clear indication about the hernia. If it pushes back to its original position when you are lying down, it is not severe and further tests are needed to ascertain the condition. When the pain is severe and the hernia cannot be pushed back, you need to be concerned as this is an emergency situation and immediate surgery may be required as it can cut off the blood supply to the intestine when it is not treated in time.

- Imaging Tests: In some cases, the symptoms may not be very severe and imaging tests like an MRI test, an Ultrasound scan may be required to analyze the condition. This gives a clear idea about the condition of hernia and helps doctors take the next step towards curing the problem. In most cases, surgery will give long-term relief from the problem and this is the only solution for many patients.

Prevention of Inguinal Hernia
- It may not be possible to prevent hernia completely when you have genetic factors that make you prone to getting this condition. However, by following these guidelines, you can certainly decrease the chances of getting inguinal hernia by a huge margin.

- Control your weight and have a simple exercise regime. This will help you to lose excess weight and remember that obesity increases the chances of getting hernia in future. Apart from that, regular exercise will ensure that your abdominal muscles will be strong and this will avoid the inguinal hernia condition in the future.

- Make sure that you have a healthy diet that can be easily digested and this will put less pressure on the abdominal region. You will notice that eating foods rich in fiber will help you to digest them easily and this avoids constipation. In this way, there is no need to exert too much pressure during bowel movements and you will reduce your chances of getting hernia. It is a good idea to eat lots of fruits and vegetables as they contain natural fiber that aids in digestion.

- When you are involved in strenuous activities, always make it a point to use your knees to the maximum so that it will reduce the pressure on the abdomen region. You can even use some supporting belt around the waist and this will help you to easily lift the weights during your workout session. If possible, try to avoid lifting heavy objects when you are prone to getting inguinal hernia.

- Chronic smoking and alcohol consumption affects digestion and it will also put more pressure on the abdominal region due to excessive coughing. In this way, your vital organs have to work harder to process the food materials and this may lead to weak abdomen muscles in the future.

Treatment for Inguinal Hernia
- Open Hernia Treatment: This method is used in most cases and the groin area is opened through surgery and the hernia is pushed back to its place. After this is done, a synthetic mesh known as hernioplasty is used to cover the weak area and it is stitched properly in this place. The weak opening which led to hernia in the first place is also closed and this completes the treatment for inguinal hernia. A few weeks of rest may be advised by the doctors and you should avoid strenuous activities in this period.

Laparoscopy Treatment: This procedure is slightly advanced and it involves making a tiny hole in the abdominal region to access the affected area. The surgeon inserts the tube that contains a camera to perform the operation and the weak area is closed properly using this method. This leaves very fewer scars unlike the other procedure and you will not face too much discomfort during the operation. It is also possible to get back to work earlier with this procedure.

Complications of Inguinal Hernia
- Strangulation is the biggest complication of inguinal hernia and this condition happens when the blood supply gets cut off completely. It can even lead to fatal consequences when treatment is not provided at the right time. You need to get timely treatment and surgery is the only option to treat this condition.

- When the hernia is trapped in the abdominal wall, it leads to this condition and it can create many complications. The bowel movement can get severely affected and in extreme cases, it can even get blocked completely leading to various issues. You need to go for a surgery immediately at this stage to avoid further complications.

- When hernia is not treated at the right time, it can expand and create other complications in the surrounding areas. A large hernia is usually painful and it leads to swelling that causes a lot of discomforts. In some cases, patients are not able to stand for a long time as the pressure gets too much in this position. They need to lie down for many hours to get relief from this pain. However, surgery can treat this condition effectively and you will get complete relief from pain in the long run.

 

Myths about Inguinal Hernia
Myths #1:
 Lifting heavy weights causes hernia: 

This is completely false and lifting heavy weights will not cause inguinal hernia. However, when you already have hernia, it increases the severity and leads to complications when you lift heavy weights on a regular basis. If you are a healthy person without any symptoms of hernia, you can easily lift weights without worrying about this condition.

Myths #2:  Women do not get hernia:

 It is a myth that only men get hernia as it can even affect women and children. However, the majority of patients are male and only a few women get affected due to inguinal hernia. For this reason, you should not assume that women are immune to this condition and even they can develop hernia, especially in old age.

Myths #3:  Hernia cannot reappear: 

Many people believe that once you get treated for hernia, it will not reappear and you will be completely immune to this condition. However, this is completely false and hernia can again come back within a few years depending on the overall health condition of the patient. Apart from that, the lifestyle and diet of the patient play a major role in the reappearance of hernia in the future. People who had hernia in childhood are more likely to get it again in old age.

Conclusion
If you notice any pain in the groin area, you should check out if there is any swelling in that region. Remember that it will be more obvious when you are in an upright position and try to cough few times to notice any bulge in that area. When you notice such symptoms and if you feel pain when coughing, you should be aware that it is a symptom of hernia and immediately approach your doctor. Remember that when the hernia gets strangulated, immediate surgery needs to be performed as it can block the blood supply to the intestine and lead to the fatal situation. However, with proper surgery, you can get long-term relief from the problem and maintain a healthy lifestyle will ensure that you will not face such issues in the future.

6 Signs Your Core Muscles Are Weak!

Dr. Sanjay Kapoor 90% (219 ratings)
M. Ch. (Orthopedic), MS - Orthopaedics, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Gurgaon
6 Signs Your Core Muscles Are Weak!

The core muscles, mainly concentrated around the abdomen, hips, lower back, trunk, and glutes, are indeed a powerhouse that gets you going. The stronger the core muscles, the fitter you stay. Without a proper core strength, a lot of the day to day activities including lifting or bending gets affected. Certain health conditions can weaken the core muscles. But how to know if the core muscles are weak? There are many signs and symptoms associated with weak core muscles.

Mentioned below are some important signs that may be an indication of weak core muscles.

  1. For your posture to be correct, the spine and pelvis need to be stable: The muscles of the lower back and the abdomen does exactly that, ensuring a steady and correct posture. However, when the core muscles weaken, they are unable to provide stability to the spine and the pelvis resulting in a poor posture. Left unattended, poor posture, in turn, can trigger a myriad of complications and discomfort.
  2. The body loses its balance: As already mentioned, the core muscles go a long way in stabilizing the body and helping you to maintain the body balance. You can perform a small test to know if your balance is affected. Close your eyes and stand on one foot. Repeat the procedure with the other foot as well. If you have a developed core, you will be able to hold the position for at least 10 seconds, if not more (both the legs).
  3. A pain concentrated to the lower back: Do not ignore a lower back pain. It could be an indication of your core muscles not being strong enough, especially the ones adjacent to the spine. The weak muscles fail to provide the necessary support to the discs and the vertebrae resulting in pain (mild to severe depending on the severity of the condition) and discomfort. Timely medical intervention may help improve the condition.
  4. Weakness throughout the body: The strong core muscles are an indication of a healthy and fit body. When the muscles start to lose its strength, the entire body gets affected. A person finds it difficult to even lift things. Doing even a small and regular work leaves a person weak and tired.
  5. You can also perform the Hollowing Test to check your core strength: Sit in a comfortable position. Starting breathing in and out. As you breathe out or exhale, try to pull your stomach inwards towards the spine for at least 10 seconds. Unable to pass this test (can't hold the position for 10 seconds) indicates weak core muscles.
  6. You can also try the plank test: Get yourself in a push-up position with the entire body resting on your elbows, arms, and toes. The hip should be level and steady. Failing to stay in this position for 50 seconds is indicative of weak core muscles
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Bell s Palsy - Myths And Facts!

Dr. Radhika A (Md) 92% (13 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Bell s Palsy - Myths And Facts!

Bell’s Palsy-
Bell’s Palsy is a disease, which causes a sudden, temporary weakness in the facial muscles. It is facial paralysis that makes patients unable to control his facial muscles on either side of his face. This disease can occur at any age.

There is no known reason for its cause. However, the disease is believed to be caused because of swelling and inflammation of the nerve that controls the muscles on the affected side. The risk factors include diabetes and upper respiratory tract infection. This is caused due to the malfunction of the cranial nerve.

Bell’s Palsy affects millions of people worldwide. For most of them, the disease is temporary. The symptoms usually start to improve within a few weeks from the first appearance. The complete recovery takes close to six months. There are a few people who continue to have the Bell’s Palsy for their complete life. The disease rarely affects someone twice. People who recurrently face the disease are often found to be a victim of diabetes or viral infections.

People, often, unknowingly interpret the disease as a stroke. It, however, is not a stroke. A stroke affecting the facial muscles would also affect the body muscles and cause weakness in other parts of the body too.

Bell’s Palsy Causes-
The causes that trigger Bell's Palsy in the human body are still unknown. Often researchers associate it with an exposure to a viral infection. The facial nerve passes through a narrow bony area in the skull and when it swells, it pushes against the hard surface of the skull when there is a viral infection. Apart from the facial muscles, the disease also affects tears, saliva, taste and a small bone positioned in the middle of the ear. At other times, researchers also associate it with physical damage to the facial nerve that causes a similar swelling of the face.

Mostly the disease occurs due to viral infections. The infections play an important role in the development of the disease. The viruses that are linked to the development of the disease are:

1. Cold sores and genital herpes, also known as herpes simplex

2. Chickenpox and shingles, which are also known as herpes zoster

3. Infectious mononucleosis, which is also known as herpes zoster

4. Cytomegalovirus infections

5. Respiratory illnesses or adenovirus

6. German measles or rubella virus

7. Mumps or the mumps virus

8. Flu or the influenza B virus

9. Hand-foot-and-mouth disease or the coxsackievirus

Some Risk Factors of Bell’s Palsy-
It has often been noticed that Bell ’s palsy follows a pattern when affecting people. These include:


1. The disease often occurs in females who are pregnant and are in the third trimester of the gestation period. It can also affect the mother after the first week of the birth.

2. People having an upper respiratory infection, such as the flu and the cold, are commonly affected.

3. People having diabetes are also frequently affected.

As mentioned before, the disease rarely affects the same person recurrently. If there is a family history of the disease recurring repeatedly, it suggests a genetic trait or predisposition of the disease.

Bell’s Palsy Symptoms-
There are a few symptoms which constantly recur when Bell’s Palsy strikes a person. These symptoms include:

1. Inability to move the eyelid or blinking.

2. The eye on the affected side of the face waters more or less than it occurs usually.

3. Drooling even in a conscious state.

4. A reduced sense of taste in the mouth.

5. Twitching of the facial muscles.

6. Pain or numbness behind the ear.

Of all the symptoms drooling and facial weakness, reach their peak in a day or two. These symptoms then begin to reduce, which helps people to recover within a couple of weeks. Complete recovery happens within 3 months. Some of the patients may show neurological symptoms, which are defined as mononeuritis. This is what causes the tingling, headache, memory and balance problems. Other symptoms, which are unexplained by the facial nerve dysfunction, are ipsilateral limb weakness, ipsilateral limb paresthesias, and clumsiness.

Bell’s Palsy Diagnosis-
Bell’s Palsy is a disease which requires the diagnosis of exclusion. As there is no specific test for the disease, the doctor observes the diseased person’s face and asks him to move various parts of his face, including the facial muscles, for instance, closing the eyes, lifting the brow, showing the teeth and various other movements. Observing these parts, the doctor eliminates various other possibilities and tries to determine a reasonable cause for the disease.

As the disease is treated on the basis of exclusion, there is no routine testing or imaging test that can help in the diagnosis process. However, the degree of the nerve damage can be assessed using the House-Brackmann score. There are many studies, which have revealed that 45% of patients are not referred to a specialist. This simply suggests that the disease requires a straightforward diagnosis and is easy to manage.

Differential Diagnosis of Bell’s Palsy-
As there is no particular diagnosis in the treatment of the disease, doctors make use of the differential diagnosis technique in the treatment of Bell’s Palsy. In differential diagnosis, doctors distinguish a particular disease from other diseases that present similar clinical features. The technique finds its usage while diagnosing a particular disease to eliminate imminently life-threatening conditions.

During the differential diagnosis of Bell’s Palsy, there are various diseases which are easily eliminated such as a stroke. However, it is very difficult to eliminate the involvement of the facial nerve with the herpes zoster virus. In order to understand the major difference between the two, one must look for the small blisters on the external ear.

The Lyme’s disease also produces facial palsy, which occurs at the same time as the classic erythema migraine rash. Other times, it occurs at a later stage. In cases where the Lyme disease is common to the Bell’s Palsy disease, it may lead to facial palsy.

Bell’s Palsy Treatment-
As mentioned before, a vast majority of people have shown improvement in health and recovered completely from the disease with and at certain times, without treatment. There is no designated treatment for the disease. Doctors may suggest various medications or physical therapies that help to speed up the recovery of the patient. The medicines may vary from doctor to doctor. However, these medications may differ in accordance with the doctor. Surgery is rarely a solution or option in case of Bell’s Palsy.

Having said that, there are various procedures for the treatment of Bell’s Palsy. They include usage of the following:

1. Steroids

2. Antivirals

3. Physiotherapy

4. Surgery

5. Alternative Medicinal Therapies

 

1. Steroids – Various steroids such as corticosteroids, improve recovery of the patient within 6 months. Due to this, early administration of corticosteroids such as prednisone is recommended. The early treatment is necessary as it provides the patient with around 14% higher chances of recovery.

2. Antivirals –Various tests and reviews have shown that antivirals are not as effective in treating the disease as steroids. In fact, they are only beneficial in cases that display some form of mild diseases. There is another review, which stated that antivirals combined with corticosteroids were advantageous for the duration of the treatment. There is a huge amount of speculation when it comes to using antivirals for the treatment. However, antivirals still result in a benefit, which is slightly less than 7%, and therefore this course of treatment is not ruled out.

3. Physiotherapy – Physiotherapy helps in maintaining the tone of the impacted facial muscles and stimulating the facial nerve. Because of this, physiotherapy can be beneficial to some individuals.

4. Surgery – Surgery may help patients recover from facial nerve palsy. There are various techniques that exist to assist with the process of surgery. A form of surgery is a procedure that is beneficial in restoring the smile of patients suffering from facial nerve paralysis. However, this is a surgery that can be as harmful as it is beneficial. There are various side effects associated with the surgical technique. One may experience total hearing disability. In fact, around 3-15% patients experience hearing loss after the surgery.

5. Alternative Medicinal Therapies – Alternative Medicinal Therapies include various techniques such as acupuncture on the affected region. Paralyzed muscles often tend to shrink and shorten causing permanent contractures and pain. Physical therapies can guide the patient to prevent such an incident from occurring.

However, the efficiency of such techniques still remains unknown to the doctors. This is due to the fact that the studies conducted are available in a low quality. Another therapy is the hyperbaric oxygen therapy. However, the evidence available for the therapy is quite tentative.

Myths related to Bell’s Palsy
Bell’s Palsy disease often confuses people leading them to believe various myths. The most prominent myths include:

Myth #1: Bell’s Palsy Causes Permanent Facial Paralysis

Bell’s Palsy is a form of temporary facial paralysis. The facial nerve that is on one side of the face is disrupted. Due to this, the message, which is received from the brain, is interfered. However, in a majority of cases, the disease is temporary. The paralyzed area of the face starts to cure within a few weeks and within three to six months; the paralysis completely disappears on its own. In a few percentages of cases, the nerve function does not return to normal. The nerve function may return but the full function does not return.

Myth #2: There is No Treatment Which Ensures the Treatment of Bell’s Palsy

There are various techniques which are available for the treatment of Bell’s Palsy. As mentioned above, the disease can be defeated using steroids, antivirals, physiotherapy, surgery and alternative medicinal therapies. These are the most effective treatments for the disease. Apart from this, selective neurolysis and botox can be used to treat the disease.

Selective neurolysis involves releasing a platysma muscle downward and reducing the activity. The selective neurolysis is very useful for a patient to regain his ability to smile. The botox treatment is a non-surgical treatment. When injected by a nerve expert, it helps patients to regain some symmetry into their faces and improve their facial appearance.

Myth #3: Prognosis of the Disease is not Very Good

There are many people who are under the impression that prognosis for Bell’s Palsy is not very good and hence they hesitate in using it for the treatment. However, doctors state that prognosis is generally very good for the patients.

After making use of the prognosis method, a person starts to improve on his symptoms within the first two weeks. The duration for complete recovery remains the same, i.e. three to six months.

Herniated Disc - Understanding The Effects And Diagnosis Of It!

Dr. Neelabh 92% (59 ratings)
DNB (Orthopedics), Diploma in Orthopedics, MBBS
Orthopedist, Delhi
Herniated Disc - Understanding The Effects And Diagnosis Of It!

Herniated disc also known as a slip disc or prolapsed disc and it refers to the problem where one of the discs located in between the bones of the vertebrae(backbone) gets damaged and stacks itself upon the nerves. The tender inner portion of the disc gets protruded over the outer ring. Herniated disc causes severe neck pain and back pain. It occurs when the outer ring gets weak and tears down. The most common symptoms include pain and numbness, especially on one side of the body. The pain extends down to the arms and legs. It worsens during nighttime. The muscles become weak. Overweight people are likely to have this disease, as the discs carry extra weight. Old people are vulnerable to a slip disc.

Effects of Herniated Disc:

  1. An untreated case of Herniated disc may cause permanent damage to the nerves.
  2. In certain cases, a Herniated disc is capable of cutting off nerve impulses to the "caudal equine"nerves, present in the lower back and legs. This leads to loss of bladder control or bowel control.
  3. Saddle anaesthesia is another long-term effect. Nerves are compressed by the slip disc, causing loss of sensation in the inner portions of your thighs, the back of your legs and surrounding the rectum region.
  4. Symptoms may improve or worsen.

Diagnosis of Herniated Disc:

MRI of the spine is the investigation of choice. If patient has developed weakness or loss of sensation of the limbs, he might need EMG and NCV tests also.

Treatment

Treatment or diagnosis of Herniated disc or slipped disc can be either conservative or surgical in nature. The nature of treatment is determined according to your discomfort level and the kind of pain you are experiencing, or how much the disc has slipped out.

  1. The pain caused by Herniated disc can be relieved by undertaking an exercise schedule, which includes stretching and strengthening the spine and its surrounding muscles.
  2. physiotherapist should be appointed for recommending the types of exercises.
  3. Taking pain relievers also soothes the pain.
  4. Stronger medicines prescribed by doctors include-muscle relaxants, narcotics to deal with the pain, medicines for nerve pain such as "gabapentin"  or "duloxetine".
  5. In case of the symptoms not subsiding within a span of six weeks, a surgery may be recommended by your doctor. The surgeon may have to remove the damaged part of the disc. This surgery is called a microdiscectomy.
4272 people found this helpful
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