Tag: MRI

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.

Frequent Headaches and Migraine in Children

Children who get frequent headaches and migraine attacks have chronic illness. Such children and their parents face problem to adjust with school and their rules. Extra preparations and steps should be taken to cope with such illness. Pediatric specialist in migraine and headaches exist should be consulted for treatment and other precautionary & preventive measures. Also the triggers vary from child to child, which should be recognized accurately.

Firstly, it is the strict attendance rule in most of the schools that children with chronic illness find it difficult to deal with. To add to it, majority of the schools have zero tolerance policy regarding medications, even including over the counter medicines. Reports of students getting expelled for merely carrying Advil in school with them are common. Prior to making appointment with the doctor, it is recommended that parents read the policy of the school the child is attending. It is good to ask questions before hand, than feeling sorry later. Some of the schools asks for letter or medical record as a proof, incase the student didnt attend because of a health problem. Some schools consider sick leaves as regular leaves and in this case, the attendance gets affected greatly.

School nurses can be given the prescribed medicine so that they can give the medicine to the child at the required time. If this is the case, things such as medicine storage location and availability of substitute should be checked. Apart from not attending regularly, the child can sometimes be unable to take part in co-curricular activities especially physical education and outdoor recess. Other possible options should be discussed with the teacher. Usually a recommendation letter from the physician will do the needed. In all the cases, some kind of medical identification can be carried by the child at all times. If the child is attending an after school babysitter or program, directly after school, extra measures should be taken. The babysitter or program in charge should be told about the problem in advance. Their cooperation can be asked for timely administration of the medicine and for taking special care of the child. If the child himself is grown enough to understand the matter, the child should be educated about taking medications. They should also be made to understand that it is harmful to take medicines from any un-trustable source even if their fellow students do. Budge them to ask questions and clarify any of their fears of concerns.

Most of the children lack the ability to convey their problem properly. The situation is further aggravated because of different kinds of headaches. They can be related to chronic illness, tension, sinus or fever. Only diagnosis can bring out the correct problem. If the rate of headache becomes more frequent, like more than twice a month, doctors appointment should be taken instantly. Younger kids find it more difficult to explain the problem. If they become cranky, restless, irritating, tired, is having sleeping disorders and is not eating properly, a problem surely exists. Most of the children complain of headaches during exams because of increased stress. Seventy five percent of the children experience headaches because of tension. If so, stress management education, along with counseling, should be given to the kid.

Headaches can be an indication of other problems, too. So, thorough diagnosis is highly recommended. The childs previous medical history provides important clue. Prior to the doctors appointment, notes can be made after referring the medical history. Maintaining a log about the childs headache frequencies, pain location, time of occurrence, symptoms, etc. also helps. If not due to illness, headaches can also be a result of head injury. Sometimes, headache can be hereditary, like in the case of migraines.

Headaches can also be caused because of infections, vision problems, odd levels of blood pressure, neurological problems, muscle weakness, improper ear balance or serious problems such as tumor, blood clots, etc. If the doctor is not able to diagnose the problem, he/she can refer the child to a headache specialist or neurologist. Test such as CT scan or MRI are done if there is a serious problem. After the diagnosis, the doctor prescribes medication or will ask to take over the counter medicines. According to a study, children who face headaches and migraine take overdose of over the counter medicines for immediate pain reliving. In some of the cases, the parents are clueless about this situation. This practice is risky and mostly children above six years are involved in such cases.

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