Neck pain is usually caused by muscle strains from poor posture or overuse, worn joints from osteoarthritis, or nerve compression from issues like herniated discs. Symptoms include neck pain worsened by movement and muscle tightness. Most cases are treated with over-the-counter medications, physical therapy, heat/cold therapy, and exercise. Rarely, imaging tests may be needed or injections, surgery, or other procedures to address nerve or spinal issues. Maintaining good posture and taking breaks from prolonged sitting can help prevent neck pain.
hip osteoarthritis is most disabling condition and surgery is a consequence of the same. but if this condition can assess on time so it can be manageable with conservative treatment and decrease the prevalence of AVN. further life of an individual become better.
hip osteoarthritis is most disabling condition and surgery is a consequence of the same. but if this condition can assess on time so it can be manageable with conservative treatment and decrease the prevalence of AVN. further life of an individual become better.
MCL. LCL.ALL injuries
To understand the relevant anatomy of the side ligaments of the knee
To study the mechanism of injury of each ligament and how to diagnose such injury
To highlight the different treatment options in acute or chronic situations
this presentation is about the spondylosis of the cervical region.
there is information about cervical spondylosis, its etiology, epidemiology, sign symptoms and its treatment options.
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
A presentation created for Pulmonary Rehab about energy conservation. Teaches ways for COPD patients to conserve their energy both in the home and away from home. Tips to rearrange their home to better suit their needs.
MCL. LCL.ALL injuries
To understand the relevant anatomy of the side ligaments of the knee
To study the mechanism of injury of each ligament and how to diagnose such injury
To highlight the different treatment options in acute or chronic situations
this presentation is about the spondylosis of the cervical region.
there is information about cervical spondylosis, its etiology, epidemiology, sign symptoms and its treatment options.
Deformities observed with Pes cavus includes :
*clawing of the toes
*posterior hind foot deformity (described as an increased calcaneal angle)
*contracture of the plantar fascia
*cock-up deformity of the great toe
Following References were used to prepare this powerpoint presentation which makes the slides accurate and relaible for studying purpose; Therapeutic Exrercise – Carolyn Kisner
Orthopaedic Physical Assessment – Magee
Orthopaedic Medicine – L. Ombregt
Campbell’s Operative Orthopaedics
Slides includes following headings;
DEFINITION
TYPES
ORTHOPAEDIC ASSESSMENT
MEDICAL MANAGGEMENT
PHYSIOTHERAPY MANAGEMENT
SURGICAL MANAGEMENT
A presentation created for Pulmonary Rehab about energy conservation. Teaches ways for COPD patients to conserve their energy both in the home and away from home. Tips to rearrange their home to better suit their needs.
Back pain is a common medical condition that can affect people of all ages. It can be acute, lasting a few days to a few weeks, or chronic, persisting for more than three months. Back pain can result from various causes, and it can affect different regions of the back, including the upper, middle, or lower back.
Dr Shivam Mishra is one of the most reputed yoga masters, He is one of the great anatomists and philosophers. Here you can find some relevant information about cervical and yoga.
Painsense is a specialist medical clinic that supports interventional care for patients with chronic pain. The emphasis is on Interventional Procedures and physical rehabilitation treatment.
Back pain is a common reason for absence from work and for seeking medical treatment. It can be uncomfortable and debilitating.
It can result from injury, activity and some medical conditions. Back pain can affect people of any age, for different reasons. As people get older, the chance of developing lower back pain increases, due to factors such as previous occupation and degenerative disk disease.
Lower back pain may be linked to the bony lumbar spine, discs between the vertebrae, ligaments around the spine and discs, spinal cord and nerves, lower back muscles, abdominal and pelvic internal organs, and the skin around the lumbar area.
Pain in the upper back may be due to disorders of the aorta, tumors in the chest, and spine inflammation .
The purpose of this presentation is to raise awareness of the problems associated with back pain and how it can be treated. For more information about back pain
Check out our blog under healthy living section on our website
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How Can Patients Leverage Chiropractic Treatment For Spinal Stenosis?Realign Spine
Spinal stenosis can significantly impact an individual's quality of life, causing pain and limiting mobility. While there are various treatment options available, chiropractic treatment has shown promise in helping patients manage their symptoms. By utilizing techniques such as spinal manipulation, chiropractors can help alleviate pressure on the spinal cord and reduce inflammation in the affected area. Additionally, chiropractic care can provide patients with valuable education on proper posture and exercises to strengthen the affected muscles.
The neck - or cervical spinal column - is a collaborated network of nerves, bones, joints, as well as muscular tissues guided by the brain and also the spinal cord. It is created for toughness, stability, and nerve communication.
Introduction to low back pain
Reasons for low back pain
Epidemiology of LBP
Causes of LBP
Risk factors of LBP
Diagnosis of LBP
Treatment for LBP
Occupational therapy interventions for LBP
Groin discomfort as well as tenderness establishes from a selection of reasons including athletic and non-athletic injuries in addition to inner physiological elements.
Forgotten in the complexity of attempting to identify. Groin discomfort is tendon laxity. Damaged, torn ligaments that cause instability. Consequently, physicians experienced in ligament reference patterns should be gotten in touch with in cases of groin discomfort.
New York DNS & Physical Therapy center is the first one in the niche to practise Dynamic Neuromuscular Stabilization therapy method in New York. Its professional medicine employees have more than 18 years of experience.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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Neck pain
1. Neck pain
Definition
Neck pain is a common complaint. Neck muscles can be strained from
poor posture-- whetherit's leaning over your computer or hunching over
your workbench. Osteoarthritis also is acommon cause of neck pain.
Rarely, neck pain can be a symptom of a more serious problem. Seek
medical care if yourneck pain is accompanied by numbness or loss of
strength in your arms or hands or if youhave shooting pain into your
shoulder or down your arm.
Symptoms
Signs and symptoms include:
● Pain that's often worsened by holding your head in one place for
long periods, such aswhen driving or working at a computer
● Muscle tightness and spasms
● Decreased ability to move your head
● Headache
When to see a doctor
Most neck pain improves gradually with home treatment. If not, see your
doctor.
Seek immediate care if severe neck pain results from an injury, such as
a motor vehicleaccident, diving accident or fall.
Contact a doctor if your neck pain:
● Is severe
● Persists for several days without relief
2. ● Spreads down arms or legs
● Is accompanied by headache, numbness, weakness or tingling
Causes
Your neck is flexible and supports the weight of your head, so it can be
vulnerable toinjuries and conditions that cause pain and restrict motion.
Neck pain causes include:
● Muscle strains. Overuse, such as too many hours hunched over
your computer or smartphone,often triggers muscle strains. Even
minor things, such as reading in bed or gritting yourteeth, can
strain neck muscles.
● Worn joints. Just like the other joints in your body, your neck
joints tend to wear downwith age. Osteoarthritis causes the
cushions (cartilage) between your bones (vertebrae) todeteriorate.
Your body then forms bone spurs that affect joint motion and
cause pain.
● Nerve compression. Herniated disks or bone spurs in the
vertebrae of your neck can presson the nerves branching out from
the spinal cord.
● Injuries. Rear-end auto collisions often result in whiplash injury,
which occurs when thehead is jerked backward and then forward,
straining the soft tissues of the neck.
● Diseases. Certain diseases, such as rheumatoid arthritis,
meningitis or cancer, can causeneck pain.
Preparing for your appointment
You might initially contact your family doctor about your neck pain, and
he or she mayrefer you to:
A doctor who specializes in nonoperative treatment of musculoskeletal
conditions (physicalmedicine and rehabilitation).
3. A doctor who specializes in arthritis and other diseases that affect the
joints(rheumatologist).
A doctor who specializes in treating nerve-related disorders
(neurologist).
A doctor who operates on bones and joints (orthopedic surgeon).
What you can do.
Before your appointment, you may want to write a list of answers to the
followingquestions:
● When did your symptoms begin?
● Have you ever injured your neck? If so, when did the injury occur?
● Do any particular neck movements improve or worsen the pain?
● What medications and supplements do you take regularly?
What to expect from your doctor.
Your doctor might ask some of the following questions:
● Where exactly does your pain occur?
● Is the pain dull, sharp or shooting?
● Do you have numbness or weakness?
● Does the pain radiate into your arm?
● Is the pain made worse by straining, coughing or sneezing?
● Do you have other physical problems?
Tests and diagnosis.
Your doctor will take a medical history and do an exam. He or she will
check fortenderness, numbness and muscle weakness, as well as see
how far you can move your headforward, backward and side to side.
Imaging tests.
Your doctor might order imaging tests to get a better picture of the cause
of your neckpain. Examples include:
4. ● X-rays. X-rays can reveal areas in your neck where your nerves or
spinal cord might bepinched by bone spurs or other degenerative
changes.
● CT scan. CT scans combine X-ray images taken from many
different directions to producedetailed cross-sectional views of the
internal structures of your neck.
● MRI. MRI uses radio waves and a strong magnetic field to create
detailed images of bonesand soft tissues, including the spinal cord
and the nerves coming from the spinal cord.
It's possible to have X-ray or MRI evidence of structural problems in your
neck withouthaving symptoms. Imaging studies are best used as an
adjunct to a careful history andphysical exam to determine the cause of
your pain.
Other tests.
● Electromyography (EMG). If your doctor suspects your neck pain
might be related to apinched nerve, he or she might suggest an
EMG. It involves inserting fine needles throughyour skin into a
muscle and performing tests to measure the speed of nerve
conduction todetermine whether specific nerves are functioning
properly.
● Blood tests. Blood tests can sometimes provide evidence of
inflammatory or infectiousconditions that might be causing or
contributing to your neck pain.
Treatments and drugs.
The most common types of mild to moderate neck pain usually respond
well to self-carewithin two or three weeks. If neck pain persists, your
doctor might recommend othertreatments.
Medications.
5. Your doctor might prescribe stronger pain medicine than what you can
get over-the-counter,as well as muscle relaxants and tricyclic
antidepressants for pain relief.
Therapy.
● Physical therapy. A physical therapist can teach you correct
posture, alignment and neck-strengthening exercises, and can use
heat, ice, electrical stimulation and other measuresto help ease
your pain and prevent a recurrence.
● Transcutaneous electrical nerve stimulation (TENS).
Electrodes placed on your skin nearthe painful areas deliver tiny
electrical impulses that may relieve pain.
● Traction. Traction uses weights, pulleys or an air bladder to gently
stretch your neck.This therapy, under supervision of a medical
professional and physical therapist, mayprovide relief of some
neck pain, especially pain related to nerve root irritation.
● Short-term immobilization. A soft collar that supports your neck
may help relieve pain bytaking pressure off the structures in your
neck. However, if used for more than threehours at a time or for
more than one to two weeks, a collar might do more harm than
good.
Surgical and other procedures.
● Steroid injections. Your doctor might inject corticosteroid
medications near the nerveroots, into the small facet joints in the
bones of the cervical spine or into the musclesin your neck to help
with pain. Numbing medications, such as lidocaine, also can
beinjected to relieve your neck pain.
● Surgery. Rarely needed for neck pain, surgery might be an option
for relieving nerve rootor spinal cord compression.
Lifestyle and home remedies.
Self-care measures you can try to relieve neck pain include:.
6. ● Over-the-counter pain relievers. Try over-the-counter pain
relievers, such as ibuprofen(Advil, Motrin IB, others), naproxen
sodium (Aleve) and acetaminophen (Tylenol, others).
● Alternate heat and cold. Reduce inflammation by applying cold,
such as an ice pack or icewrapped in a towel, for up to 20 minutes
several times a day. Or alternate the coldtreatment with heat. Try
taking a warm shower or using a heating pad on the low setting.
● Home exercises. Begin daily gentle stretching, including neck
rolls and shoulder rolls,once the worst of your pain has subsided.
Gently tilt, bend and rotate your neck. Warmyour neck and back
with a heating pad or in the shower or bath before doing
theseexercises. Your doctor or a physical therapist can instruct
you in doing these exercises.
Alternative medicine.
Talk to your doctor if you're interested in trying alternative treatments for
your neckpain. Your doctor can discuss the benefits and risks.
Alternative treatments include:.
● Acupuncture. Acupuncture involves the insertion of thin needles
into various points onyour body. Studies have found that
acupuncture may be helpful for many types of pain. Butstudies in
neck pain have been mixed. For best results, you may need to
undergo severalacupuncture sessions. Acupuncture is generally
considered safe when performed by acertified practitioner using
sterile needles.
● Chiropractic. Performed mainly on the spine, a chiropractic
adjustment applies acontrolled, abrupt force to a joint. Chiropractic
treatments to the neck can provideshort-term pain relief, and, for
many people, carry minimal risks.
● Massage. During a massage, a trained practitioner manipulates
the muscles in your neckwith his or her hands. Little scientific
evidence exists to support massage in people withneck pain,
7. though it may provide relief when combined with your doctor's
recommendedtreatments.
Prevention.
Most neck pain is associated with poor posture combined with
age-related wear and tear. Tohelp prevent neck pain, keep your head
centered over your spine. Some simple changes inyour daily routine may
help. Consider trying to:.
● Use good posture. When standing and sitting, be sure your
shoulders are in a straight lineover your hips and your ears are
directly over your shoulders.
● Take frequent breaks. If you travel long distances or work long
hours at your computer,get up, move around and stretch your neck
and shoulders.
● Adjust your desk, chair and computer so that the monitor is at
eye level. Knees should beslightly lower than hips. Use your
chair's armrests.
● Avoid tucking the phone between your ear and shoulder when
you talk. Use a headset orspeakerphone instead.
● If you smoke, quit. Smoking can put you at higher risk of
developing neck pain.
● Avoid carrying heavy bags with straps over your shoulder.
The weight can strain your neck.
● Sleep in a good position. Your head and neck should be aligned
with your body. Use a smallpillow under your neck. Try sleeping on
your back with your thighs elevated on pillows,which will flatten
your spinal muscles.
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