Tag: MRI

Tennis Elbow in Adolescents

Tennis elbow is a condition in which tendon fibers that attach on epicondyle on the elbows exterior degenerates. The tendons talked about here anchor the muscles that help wrist and hand to lift. Although tennis elbow occurs mostly in patients of thirty to fifty years of age but it can happen to people of any age. Also tennis elbow affects almost fifty percent of teenagers who are in racquet sports thus the name tennis elbow. But still most of the patients who suffer with tennis elbow are people who dont play racquet sports. Majority if the times there isnt any specific injury before the symptoms start showing up. Tennis elbow can also happen to people who use their forearm muscles frequently and vigorously for day to day work and recreational activities. Ironically some patients develop the condition without any of the activity related reasons that leads to the symptoms.

The symptoms of tennis elbow include severe burning pain on the elbows exterior region. In majority of the cases this starts as a slow and mild pain gradually worsening with the passage of few weeks or sometimes months. The pain worsens when one tries to lift objects. In some cases it may pain even while lifting light objects like a book or full coffee cup. In the severest cases it can pain even at the movement of the elbow.

The diagnosis of the tennis elbow involves physician enquiring about the medical history of the teenager and a physical examination of the elbow by pressing directly on the part where bone is prominent on the elbows exterior to check if it causes any pain. The physician may also ask the teenager to lift the fingers or wrist and apply pressure to check if it causes any pain again. X-rays are never opted for diagnosis. However a MRI scan may be done to see changes in tendons at the attachment to the bone.

There are many treatment options available and in majority of the cases non-surgical treatment is given a try. The ultimate goal of the 1st phase of the treatment is pain relief. Be ready to hear from the physician to stop any activity leading to the symptoms. The doctor may also tell the teenager to apply ice to elbows exterior and he/she may also tell the teenager to take anti-inflammatory medicines for relief from pain.

The symptoms also diminished with the help of orthotics. The physician may also want to go for counterforce braces and also wrist splints which can greatly cut down symptoms by providing rest to tendons and muscles. The symptoms should show signs of recovery within 4 to 6 weeks otherwise next option would be to go for a injection called corticosteroid in the vicinity of the elbow. This greatly reduces pain and is also very safe to use. There are many side affects involved if it is overused.
Once there is a relief from pain the treatments next phase starts which involve modification of activities in order to prevent the symptoms from returning. The doctor may also prescribe the teenager to go for physical therapy which may include stretching exercises to gradually increase the strength of the affected tendons and muscles. Physical therapies have high success rates and return your elbow back to normal working again. Again non-surgical procedures are highly successful in eighty five to ninety percent patients.

Surgical procedure is considered only when patients undergo relentless pain that doesnt improve even after 6 months of non-surgical treatment. The procedure involves removal of affected tendon tissue and attaching it back to bone. The surgery is done on outpatient basis and does not need stay at the hospital. The surgery is done by making a small incision on elbows exteriors bony prominence. In recent years a surgery known as arthroscopic surgery has also been developed but no major benefits have been seen using it over the traditional method of open incision.

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Sprains and Strains in Adolescents

Sprains and strains are among the majority of the injuries caused while playing sports. Sports injuries can be caused by small trauma which involves ligaments, muscles and tendons including bruises, sprains and strains. The body part which is most commonly involved in spraining or straining is the ankle. The 3 ligaments that are involved during ankle sprain or strain include anterior talofubular ligament, posterior talofibular ligament and calcaneofibular ligament.

An injury caused to the soft tissue as a result of a direct force like fall, kick and blow is called a contusion or a bruise. A sprain is nothing but a ligament injury which is wrenched or twisted. Sprains usually affect knees, wrists and ankles. On the other hand a strain is an injury caused to a tendon or muscle which usually results from force, stretching and overuse.

Sprains/Strains are usually diagnosed by a physician after a physical examination. The physician asks for thorough medical history of the adolescent and asks various questions that lead to the cause of the injury. Various diagnostic procedures are also available which also helps in evaluating the problem. X-ray is one of the oldest and common diagnostic tests done to know the extent and exact location of the injury. An x-ray uses electromagnetic waves to get photos of internal tissues, organs and bones onto a film. MRI scan is one of the recently evolved diagnostic procedures which also help in evaluating a physical injury. This procedure actually called Magnetic Resonance Imaging makes use of bug magnets, computer and radio frequencies to get detailed pictures of structures and organs inside the body. Another diagnostic procedure called Computed Tomography Scan or CT scan is also used to evaluate the extent and location of injury. This procedure uses a blend of computers and x-rays to get cross sectional pictures in horizontal and vertical alignment. It shows thorough pictures of any part of the body like muscles, bones, fat and organs. They provide more information than conventional x-rays.

There are various symptoms of strain and sprain depending on each teens physical condition and they may vary accordingly. One of the symptoms includes pain in and around the area injury. There could also be a swelling around the injured area. Some teens also experience difficulty when they use or move the area of the body that is injured. Some teenagers also undergo bruises or redness in the area that is injured. Many times the symptoms of sprains and strains may look similar to other medical conditions and a doctors advice is the best option in this scenario.

Depending on various factors the treatment of sprains and strains will be prescribed by the teenagers physician that include teenagers age, overall health of the teenager, and medical history of the adolescent. To what extent the teen is injured is also a factor in determining the nature of treatment. A teenagers level of tolerance to certain medications, therapies and procedures is also taken into consideration before opting for a particular method of treatment. The treatment also depends of what expectations one has and also preference and opinion.

Various options available for treatment include things like restriction of the activity after the injury, application of cast/splint on the injured spot, crutches or wheelchair, physical therapy which involves stretching exercises to give strength to the muscles, tendons and ligaments that are injured and last but not the least is the surgery which is opted for in worst case scenario.

In the long-term scenario bruises, sprains and strains heal pretty quickly in kids and teenagers but it is important that the adolescent sticks to the restrictions imposed during the treatment and healing process like restriction of activity and regularly attending physical therapy sessions if any. It is noted that majority of the sports related injuries results either due to traumatic injury or excessive use of muscles and joints. But, they can be avoided and prevented with right training, by wearing right protective gears and by using right equipment for training.

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Chiropractic Care: Your Second Visit

You made the first step of seeking long-lasting pain relief from a chiropractor. You made an appointment and went. So, what comes next? Most chiropractors encourage a second appointment. If yours makes the suggestion, what can you expect?

The review of findings. Typically, your first chiropractic appointment will be used to gather your medical history and diagnosis the problem. This may have involved an MRI or x-ray. Some chiropractors can diagnose a problem immediately, but others may review your tests and physical exam in between your first and second appointment. At your second appointment, they will review the findings with you. For example, if you suffer from ongoing headaches, the problem may be poor posture, stress, or muscle contractions that resulted in spinal distortion.

Treatment plan outline. After reviewing their findings with you, your chiropractor will discuss treatment options. Together, you will decide on a short or long-term course of treatment. For example, headaches caused by daily stress may require regular therapeutic massages. Headaches caused by muscle contractions and spinal distortion may require a neck adjustment.

Questions. After hearing the report of findings and hearing your chiropractors preferred choice of treatment, you will likely have many questions. This is the time to ask. In fact, your chiropractor should ask you if you questions. What should you ask? Anything. If you are worried about pain, ask if you will feel it. Are you curious if you need one treatment or continued care? If so, ask. Your chiropractor should explain your treatment option, such as an adjustment, realignment, or therapeutic massage. If you didnt get a detailed explanation, ask for more information.

Treatment may start. As previously stated, some chiropractors can diagnose and start treatment in the first appointment. This all depends on the length of your appointment, your doctors preferences, and the severity of the problem. If treatment did not already start, it will now. For example, if your doctor recommends neck adjustment to treat ongoing headaches, they will properly position you and use precision force of the hands to force the joints back into place. When properly done, this should reduce or eliminate pain.

Expectations. After treatment, your chiropractor will highlight expectations. Even if ongoing care is not needed, you still need to take care of your body. You cannot help a car accident or arthritis, but you can stop pain due to poor posture and stress. If ongoing care is not required, your chiropractor will still stress the importance of returning if the pain does. You will be shown natural ways to avoid pain. For example, if poor posture caused your back pain, your chiropractor should show you the proper way to sit. Listen and take their advice.

Financial issues. Some chiropractors prefer to discuss financial issues at the first appointment, but others wait. If onetime treatment is enough, financial issues may not be a problem. They can be with continued care. For example, those with rheumatoid arthritis can benefit from regular therapeutic massages and may need yearly adjustments. Those without insurance can have difficulty making payments. Some chiropractors will agree to affordable monthly payments.

End of session. At the end of your session, your chiropractor should once again ask you if you have any questions or concerns. If you do, now is the time to ask. If continued care is required, you will need to schedule a third appointment. Do this before leaving the office. If continued care is not required, still take the business card handed to you. Chiropractic care fixes the problem at the source, so pain should subside, but there are no guarantees it will not return.

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What Is Chronic Sinus Infection

There are two types of sinus infection. It could be acute or chronic and among the two, more people get afflicted with the chronic sinus infection.

The difference between chronic and acute sinus infection is the fact that this can last for 12 weeks or longer and this can recur once you get better. An acute sinus infection is gone after a week.

Common causes for chronic sinus infection include allergies, airborne fungus, nasal or sinus obstructions, trauma to the face, certain medical conditions and respiratory tract infections.

As a result, some of the symptoms that most people feel include headaches, congestion, difficulty breathing, reduced sense of smell, ear pain, fatigue, cough, nausea, sore throat and aching in the upper jaw or teeth.

Since you probably tried already to self medicate yourself without any positive results, the doctor is your only hope to make it go away.

After reviewing your medical history, some test will need to be done such as an MRI, CT scan, nasal endoscopy, extracting nasal or sinus cultures and an allergy test.

An MRI or CT scan is similar to an X-ray machine because they can show details of your sinus and nasal area without inserting anything into your body.

If this is needed, the doctor will have to do a nasal endoscopy by putting a thin, flexible tube with fiber optic light up your nose to see what is happening inside.

Not many people like that because it is like putting a similar tube up your anus. If possible, they will give a nasal or sinus sample instead so this can be checked.

If your doctor has not yet determined the exact cause of the chronic sinus infection, you may be referred to another specialist especially if he or she suspects that this is caused by an allergy so they can conduct an allergy test.

Once the results come in, the doctor will probably prescribe some antibiotics until you are free of the symptoms. To deal with the inflammation and swelling in the nasal cavity, you will be prescribed a corticosteroid. If this doesnt work, then you will probably try antihistamines, decongestants and expectorants.

The doctor may also try moisture or humidification to help flush the nasal cavity and loosen the dried mucus. Should the chronic sinus infection be caused by an allergy, it can be treated with immunotherapy. A method designed to stimulate the antibodies that block the bodys reactions to a specific allergy.

Chronic sinus infection can be prevented and the steps that you take are not that different when you are suffering from an acute sinus infection. You just have got to practice proper hygiene, get flu shots once a year, stay away from people who have colds as it is a contagious illness, limit your drinking, keep yourself hydrated at all times, buy a humidifier and avoid being in polluted areas or around people who smoke.

Should you already have chronic sinus infection, just follow the instructions of the doctor and update him or her on any progress.

Chronic sinus infection is no joke. Just to give you an idea of how serious it is, over 30 to 40 million Americans get it every year. If you dont want to be another person added to the statistics, do what is needed so you are always healthy.