Monthly Archives: June 2018

Non Specific Low Back Pain and Beyond

Around 3 in 5 people in India suffer from back pain on an average. While most of the time the back pain issue is not serious, the cause is not known many a times. When such pain occurs, it is known as non -specific pain and only painkillers are used to ease it while continuing routine activities as usual. This kind of pain generally disappears within 5-6 weeks but there is every possibility of it reoccurring. Sometimes the pain reoccurs on a regular basis. This is when further treatment is required.

low back pain

CAUSES
As mentioned before there is no particular cause due to which non-specific low back pain occurs. But, the possible cause could be a ligament or a muscle sprain. Other causes include minor issues with the small facet joint in between the two vertebrae or minor issues with the spinal disc. The problems could also be due to lower back tissues and structure related as well. Hence, even when you try to do a test to find out the cause, it is not detectable and hence even the doctor is not able to do the exact diagnosis.

Many of you might be worried when there is no definite diagnosis because you are not aware of the exact course of treatment as well, but some of the optimistic souls feel good because they know that it is not a major condition but a minor non-specific condition that is treatable.

SYMPTOMS
Low back pain of non-specific type could be a result of either lifting some heavy object or an irregular movement that causes a twist or sometimes nothing at all. The pain just starts one fine day or morning in the lower back area and might spread to the thighs and buttocks over a period of time. Lying down or resting for a while can help the back pain with ease. This pain can occur on and off for some time but if it occurs for many months then it needs further diagnosis and treatment because it is termed chronic pain. So, if you experience the symptoms like the ones given below then it’s better to consult your doctor for chronic pain.
• Pain starts with less pain but aggravates over a few days to weeks
• A pain that is constant and does not subside even after lying down or resting
• Leg or feet muscles feel weak
• Experience a numbness in the leg
Well, as far as non-specific pain is concerned it does keep coming and going but does not persist for a long duration hence, it’s your call to take action if the pain is long lasting and reach out to your doctor for chronic pain diagnosis and treatment.

Department of Orthopaedics at Vydehi Hospital is full fledged and has all the facilities to treat the patients with Orthopaedic problems.

Vitamin D Deficiency and Joint Pain

While the studies are inconclusive till now and still research is going on, most of them do state that Vitamin D deficiency is responsible for joint as well as muscle pain. The symptoms of Vitamin D Deficiency and Joint Pain include Rheumatoid Arthritis (RA) pain that occurs in the knees, hips, and legs as well as joints and muscles.

Vitamin D Deficiency and Joint Pain

Joint Pain
There is a belief that Vitamin D plays a significant role in relieving the joint pain condition, specifically if the pain is due to deficiency. Some studies that support the belief include the following:

  • A 2011 study of postmenopausal women, published in ‘Maturitas’ suggested that the women with severe joint pain did suffer from very low vitamin D levels.
  • Another study in 2011 published under ‘Clinical Rheumatology’ stated that 70 percent of the patients who experienced some kind of joint pain were also deficient in Vitamin D.
  • A research paper of the year 2012 states that Vitamin D could be one of the risk factors associated with the inflammatory diseases such as RA and could also lead to an increase in the severity of it.
  • Another research paper of the year 2016 has stated that people with RA conditions also showed low Vitamin D levels.
  • Studies have also stated that increased level of Vitamin D in the body can help prevent joint conditions like Osteoporosis. Even people suffering from RA are subject to osteoporotic fractures and even suffer from joint pain.

These studies have been inconclusive after a large study in 2015 concluded that the evidence available is not strong enough to prove that Vitamin D deficiency is solely responsible for joint pain. But the fact that most of the Indians and numerous over the world suffer from Vitamin D deficiency holds true. The percentage is over 70% across the world when it comes to Vitamin D deficiency.

Vitamin D Deficiency
Vitamin D is a fat-soluble nutrient which is found in many foods. A natural source of Vitamin D is the Sun. The normal levels of Vitamin D are said to be 30-80 ng/ ml while below 20 is considered to be a severe deficiency.

Food and Supplements
Experts suggest a daily intake of 600 IUS for anyone under 70 years of age. While infants below 1 it’s around 400 and adults above 70 its 800 IUS. Some food sources of Vitamin D include beef, egg yolks, shitake mushrooms, canned fish, almond milk, salmon, orange juice, fortified tofu, breakfast cereals, but to name a few. A Vitamin D test can help you know if you are deficient or not and the doctor might prescribe you vitamin D supplements if you are to bring your Vitamin D levels as per the desired levels.

Department of Orthopaedics at Vydehi Hospital is full-fledged and has all the facilities to treat the patients with Orthopaedic problems.

Oral Cancer – Types – Risk Factors – Symptoms – Diagnosis – Stages – Treatment

The cancer that develops in the tissue of mouth or throat is known as oral cancer and belongs to head and neck cancer group. The cancer usually occurs in people over the age group of 40 and there are thousands of people suffering from oral cancer every year. The survival and treatment is based on the diagnosis and the stage of detection.

Oral Cancer types
1. Tongue Cancer
2. Lips Cancer
3. Gums Cancer
4. The floor of the mouth
5. The inner lining of the cheek
6. Hard and Soft palate

Risk Factors
Oral cancer is most common in people chewing tobacco in different forms like pipes, a cigar as well as in people who consume alcohol. Male are twice at risk of oral cancer compared to women. Besides, the following risk factors can cause cancers as well.
• The family history of oral or any other cancer
• Poor Nutrition
• Weak immune system
• Human papillomavirus (HPV) infection
• Chronic facial sun exposure

Oral Cancer

Symptoms
• A lump growth anywhere inside the mouth
• Bleeding from the mouth
• Trouble swallowing or wearing dentures
• Loose teeth
• A lip or mouth sore that does not heal
• A sore throat
• Red or white patches on lips or inside the mouth
• Jaw or tongue pain or stiffness

Diagnosis
The diagnosis can be done using either X-ray, CT Scan or an MRI scan. MRI’s can show highly accurate results on cancer of neck and head with the stage of it while PET scan can be done in order to check whether the cancer is reached to the other organs or lymph nodes. X-ray can help determine whether cancer has spread to chest, lungs or jaw. CT scan is also used to diagnose cancers in organs like lungs, neck, mouth, and throat.

Stages
There are four stages through which cancer progresses and the survival rate also varies based on the stage of detection of the cancer
Stage 1 – The tumor at this stage is around 2 cm or even smaller and the cancer is not yet spread to the lymph nodes. Survival rate at this stage is quite high
Stage 2 – The tumor is over 2 cm but under 4 cm in size and cancer hasn’t spread to the nodes. The survival rate is good if the cancer is detected at this stage
Stage 3 – This is a bit advanced stage where the tumor is over 4 cm and it hasn’t spread to the lymph node or is of any size and has spread to one of the lymph nodes. The survival rate is reduced at this stage
Stage 4 – This is the final stage and cancer has a tumor of any size that has spread to other lymph nodes as well as other parts of the body.

The survival rate for over 60% of people with oral cancer is said to be up to five years or more. The earlier the diagnosis happens, the more is the rate of survival and hence it is the most for localized cancer (83%), 64% for cancer that has spread to lymph nodes and 38% for last stage cancer.

Treatment
The treatment of oral cancer depends on the diagnosis and the type, location, and stage of cancer.
The treatment includes –
Surgery – The initial treatment involves removal of the cancerous tumor and lymph nodes. If required some other tissues might be removed from the neck and mouth.
Chemotherapy – This therapy involves removal of the cancerous cells using drugs. The therapy is carried out on an outpatient basis, wherein the medicine is provided orally or via (IV).
Radiation Therapy – The therapy is a process of two to eight weeks wherein the doctor projects radiation beams at the tumor once or twice a day. For advanced stage cancers, a mix of chemotherapy and radiation therapy is carried out.
Targeted Therapy – Targeted therapy is another form of therapy which works well will containing the growth of cancer cells. The drug binds with specific proteins on cancer cells in order to interfere with their growth.

Cancer treatment can take a toll on your diet making it difficult to eat and swallow. Hence, it is important that you discuss your nutrition with the doctor which provides you with all the need nutrients and is even painless for you to an extent.

Vydehi is one of the best cancer hospital in Bangalore, recently vims started VOICE – Vydehi Oncology Institute and Center of Excellence.

Hypertrophic Cardiomyopathy – Heart Attack at Young Age

Hypertrophic cardiomyopathy (HCM) is condition that is caused due to abnormal thickening of the myocardium or heart muscle. As a result the heart struggles in pumping blood and ultimately leads to a heart attack. This is not a common heart condition and hence this condition many a times goes unnoticed. Furthermore, some people who suffer from it might or might not experience any symptoms and are able to live routine normal lives. Only a few might experience symptoms like chest pain, issues with the heart’s electrical system , shortness of breath leading to abnormal heart rhythms of dangerous nature.

Heart Attack at Young Age

CAUSES & RISK FACTORS
Thickening of the heart muscle is a condition which is genetic. It has been found that people with this condition do have their heart muscle cells abnormally arranged, thus causing arrhythmia in them.
Well, as the condition is a hereditary condition there is almost over 50% chance that a child may inherit it from the parent or first degree relative like siblings and hence a screening is advisable if anyone in the family is having the condition.

SYMPTOMS
Not everybody suffering from the condition experiences symptoms but the ones who do may experience the following –
1. Chest pain particularly while exercising
2. Palpitations of rapid pounding heart beats
3. Shortness of breath more during exercising
4. Fainting particularly after exertion or exercise
5. Heart murmur detectable by the doctor

COMPLICATIONS
Hypertrophic Cardiomyopathy (HCM) can cause serious heart complications resulting in a life-threatening situation and hence it’s wise to act fast as far as treatment is concerned.
Resulting Conditions
Sudden Death – People suffering from the condition are at a high risk of suffering from a cardiac death due to Ventricular Fibrillation and Ventricular tachycardia, though the chances are extremely rare. It usually affects people at a younger age much below 30 but can occur in all ages.

Atrial Fibrillation – Due to the abnormal structure of the hear cells or thickened muscle it can affect the heart’s electrical system causing irregular heart-beats.

Mitral Valve Problems – Due to the thickened heart muscle, the space for blood flow is limited and hence it could cause the blood to rush or move forcefully into the heart. As a result, the hearts left and right ventricle will not close properly further causing the blood to flow in the reverse direction into the left atrium and worsening the symptoms.

Dilated Cardiomyopathy – This condition can occur in a chunk of people due to the weakening of the heart muscle after it thickens. It can further enlarge the ventricle and decrease the pumping ability.

Heart Failure – Thickening can sometimes lead to making the heart muscle stiff thus avoiding any sort of blood accumulation into it and further as the heart is not able to pump blood, it can cause heart failure.

Prevention
As the cause of the condition primarily is genetic, it can’t be prevented but taking care and carrying out procedures like cardioverter-defibrillator transplant can help you avoid risks like sudden death. Further, the symptoms clearly pinpoint to the fact that when doing strenuous exercise or exertions these symptoms pop up, hence it’s advisable to get your heart checked if someone in the family is having this condition and avoid participating in exercises and sports competitions which can cause exertion to the body.

Vydehi Institute of Cardiac Sciences is a well equipped super specialty center located in Vydehi Hospital designed to serve your hearts needs. It is equipped to treat all cardiac, cardiothoracic and vascular cases.  It uses all the latest equipment and technology coupled with the years of experience in its faculty.  All surgeries conducted at the department have been successful resulting in a 100% success rate.