Tag: x-ray

Acupuncture and Western Medicine

Nearly all of us have grown up with the same kind of medical treatments, and go to the doctor when we have a sore throat or a sore foot. American doctors, and in general, western medicine, have always been interested in the structure of the body, and how each individual organ structure should look when it is healthy. The tools western medicine have developed have been to see these structures better: the microscope, MRIs, and the x-ray camera. In contrast, Chinese medicine, the basis for acupuncture, has been interested in how natural forces, functioning both externally and internally, have affected people. Chinese medicine developed an understanding about how the circulation of blood and energy (called Qi) affect the state of health, and how seasons, emotions, and weather may disturb these flows. The result of this is that western medicine has developed a remarkable array of solutions based on anatomy, whereas the science behind acupuncture has developed many applications of a few basic principles based on physiology.

This study of health also is reflected in the analysis of body chemistry. Western medicine is again interested in the structure of many different fluids, and can tell you what the normal range for sodium ions is, or what shape red blood cells should and should not be. Chinese medicine and acupuncture focuses on Qi energy, the circulation of Qi, polarities (such as Yin and Yang), climatic conditions, and the connection between physical substances and energy. Chinese medicine considers fluids and tissues important, but mainly for their reactions to the more fundamental processes.

Western medicine also differs in a view of acceptable treatment. This can be seen by looking at how a viral infection is treated, where the main problem is the virus. Once the virus is rendered harmless, the patient is viewed as cured. In some special cases, such as transplant patients or HIV positive patients, there is considerable effort taken to address the immune system as well. The philosophy behind acupuncture considers that the most likely reason that the virus was able to flourish in the patient is due to an imbalance in the patient’s physical or emotional state, their personal habits, and possibly the climate. The virus is addressed, but the entire well being of the patient is much more important.

Another difference is in the way that Chinese medicine views emotional and mental problems. These have traditionally always been a part of any acupuncture diagnosis and treatment. An emotional imbalance may be a cause for a physical ailment, however, this is not looked upon as a “psychosomatic disorder” and dismissed. This emotional imbalance can also be treated with acupuncture, in order to restore the correct flow of energy, and hence the physical ailment and emotional ailment will both be addressed and treated. Western medicine has only started to treat mental illness as a component of physical health in the last thirty years, and again, by relying on such things as blood analysis.

Chinese medicine, acupuncture, and western medicine have all made great contributions to the healing arts. They come from two distinctly different viewpoints and methods of practice. Hopefully this discussion has given some insight into the differences between the two, and a starting point for thought the next time a health problem needs to be addressed.

Orthopedic Problems in Adolescents

Physical health problems encountered during adolescence can affect the development of the body, if not treated. There are few anatomic regions, such as spine, knee and ankle, in adolescents which can get orthopedic problems such as Osgood-Schlatter disease, and Slipped Capital Femoral Epiphysis.

Osgood-Schlatter disease is caused due to injury or overuse of the knee which causes swelling and pain in the area below the knee, above the shin bone. The patellar tendon and the soft tissues surrounding it gets inflamed, because of the constant pulling of the area where the tendon joins the below knee. Usually, adolescents who participate in sports actively and are athletic, such as football, basketball, soccer, ballet and gymnastics, tend to get the Osgood-Schlatter disease. Boys of age eleven to fifteen and girls of age eight to thirteen are at greater risk. The reason why adolescents get this problem is that their bones grow faster when compared to the tendons and muscles in this age and because of this the muscles and tendons stretch and become tight.

The symptoms of Osgood-Schlatter disease are swelling of knee, tenderness below knee area and limping. The doctor will check the medical history of the patient and will conduct physical examination and diagnostic procedures such as taking an X-ray. The physician will decide on the treatment to be done by studying the overall health, age, medical history, tolerance for certain medications and extent of the disease. Treatment will include medications, rest, compression, elevation, neoprene knee sleeve and physical therapy. The main aim will be to control and limit the knee pain by cutting down on the adolescents physical activities. Usually the Osgood-Schlatter disease gets healed over a period of time and in very rare cases is a surgery required.

Slipped capital femoral epiphysis is a problem which affects the hip joint. The ball or head of the thigh bone, also known as femoral head slips from the thigh bones neck. Because of this the hip joint becomes stiff and painful. Slipped capital femoral epiphysis is the most common disorder of the hip which can happen in both the hips or one and it is more common in boys when compared to girls. Basically, adolescents of the age ten to eighteen years and who are overweight can be affected by this condition. The condition can arise over a time interval of few weeks or years. The condition, if resulted because of trauma and is also called acute slip and if results after a period of time is called chronic slip. Slipped capital femoral epiphysis is caused because of medications, radiation treatment, thyroid problems, and chemotherapy.

There are three degrees of intensity of slipped capital femoral epiphysis, mild, moderate and severe. In mild slipped capital femoral epiphysis, only one third of femoral head slips from the thigh bone. In moderate, one third to half slips and in severe, more than half of the femoral head slips. The symptoms of this condition are pain in hip which increases upon movement, pain in thigh, knee & groin and limpness in the leg. When an adolescent walks there will be a clicking sound in the hip and his/her legs will be turned outwards.

Apart from studying the medical history of the patient, the doctor will recommend diagnostic procedures such as bone scans, X-ray, magnetic resonance imaging and blood test. The bone scans will determine the arthritic changes and degenerative changes in the joints, which helps to detect tumors & bone diseases and the cause of pain and inflammation. The X-ray will give the inside picture of the bones, tissues and organs. The magnetic resonance imaging provide detailed image of the structures within the body with the help of large magnets. It is best if slipped capital femoral epiphysis is determined in the early stages, so that the femur bones head doesnt slip off any further. The adolescent may need to undergo a surgery along with physical therapy.

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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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How acid reflux disease could be diagnosed and treated among

How acid reflux disease could be diagnosed and treated among infants

Do you find a hard time feeding your infant because of persistent spitting and vomiting? Dont just take it for granted. It could be a gastro esophageal reflux and it needs proper attention before it severely affects the health of your baby. Worse, acid reflux disease can lead to malnutrition and poor growth.

Infant acid reflux is an uncomfortable sensation for the baby since the acids that reflux to the esophagus irritates the babys throat. Commonly, acid reflux disease occurs when abdominal pressure increases while the baby is very full. Coughing and crying right after the baby had been fed can result to that pressure in the upper stomach which pushes the stomach acid to the throat.

The noticeable symptoms on the baby suffering from acid reflux are the adverse loss of weight, continual vomiting, recurrent choking episodes, too much drooling, problems in swallowing, hoarseness, food aversion and chronic ear infection.

While there are noticeable symptoms of acid reflux, some infants may not show signs such as throwing up. Its because their tendency is to swallow up the acids instead. Although the child is not pestered by the reflux, this could still result to irritation and damage to the esophagus. One way of detecting silent acid reflux on infants is through the pH probe.

To diagnose acid reflux on infants, certain tests could be made. One of which is the barium test where the infant has to swallow a little amount of barium. Then the doctor could detect the passage of food outlined by the chemical. However, it will only work in the moment that the child is undergoing acid reflux while being tested. In place of barium, a radioactive solution could also be made to swallow before an x-ray. Through this, the frequency of the acid reflux could be tested. An endoscope views the infants mouth, esophagus and the tract of food in the stomach.

The effective cure for infant acid reflux is a thickened formula. This could be done by adding cereal into the babys food. And when feeding the infant, keep him in an upright position and not lying on his back. The same case is true when changing the diaper, especially after feeding when you know that the infant is still full. It would be best if the infant can burp frequently to reduce the acid reflux. Small amount of meals should be given at short time intervals.

Breastfeeding will also serve as a great help to decrease the vomiting and the symptoms of acid reflux in infants. The nutrients in a mothers breast milk have been proven to supplement the needs of the infants. Plus, the natural formulation of breast milk avoids the side effects such as constipation in chemically prepared medications. However, the pediatrician can prescribe other medications to give relief to the infant in times of discomfort. The parents must take note of the critical administration of the drug. In case that the particular formula prescribed does not work or results to graver side effects, it is advised to shift to a new one.

Once infant acid reflux is detected, precautionary measures should immediately follow. Since the infant cannot yet speak of the discomfort he is suffering, parents should be patient enough to attend to their needs.