Spine care program at Wockhardt Hospitals makes it a centre for excellence in neurology care with highly skilled clinical expertise
Our Hospitals provide cutting-edge diagnostic and operating facilities such as computerized navigation, imaging and treatment in orthopedics.
(zaid hijab) 4th stage
Rehabilitation of sciatica
Sciatica is a common pain syndrome, considering that ∼10% of low back pain
episodes, which have a lifetime cumulative incidence of 80%, will be accompanied
by sciatica. Nerve root compression by disc herniation is regarded as the most
frequent cause of sciatica.
College of
Health and medical technology
Baghdad
Department of
Physiotherapy & Rehabilitation
(zaid hijab) 4th stage
Rehabilitation of sciatica
Sciatica is a common pain syndrome, considering that ∼10% of low back pain
episodes, which have a lifetime cumulative incidence of 80%, will be accompanied
by sciatica. Nerve root compression by disc herniation is regarded as the most
frequent cause of sciatica.
College of
Health and medical technology
Baghdad
Department of
Physiotherapy & Rehabilitation
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
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
Osteoarthritis of the spine is a breakdown of the joints cartilage and discs in neck and back. Osteoarthritis is also known as degenerative joint disease.
-Detailed Introduction, Patho-physiology, Evaluation & Physiotherapy Management of Parkinsonism.
-Clinical classification is discussed.
-Various measures of evaluation and physical therapy is discussed in this.
Healthcare reform post 2016 election platform summary 11 12_2016Mark C. Smith
Citations present the platform's vision and perspective on issues with the Affordable Care Act, outcomes to proposed solutions , and considerations for triple aim as it relates to MACRA, as well as possible areas ACA repeal.
NDT, BOBATH TECHNIQUE, BASIC IDEA OF BOBATH, CONCEPT OF BOBATH, NEUROPHYSIOLOGY OF NDT, ICF MODEL, PRINCIPLES OF TREATMENT OF NDT IN STROKE AND CP, AUTOMATIC AND EQUILIBRIUM REACTIONS, KEY POINTS OF CONTROL, FACILITATION, INHIBITION AND HANDLING IN NDT
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
Osteoarthritis of the spine is a breakdown of the joints cartilage and discs in neck and back. Osteoarthritis is also known as degenerative joint disease.
-Detailed Introduction, Patho-physiology, Evaluation & Physiotherapy Management of Parkinsonism.
-Clinical classification is discussed.
-Various measures of evaluation and physical therapy is discussed in this.
Healthcare reform post 2016 election platform summary 11 12_2016Mark C. Smith
Citations present the platform's vision and perspective on issues with the Affordable Care Act, outcomes to proposed solutions , and considerations for triple aim as it relates to MACRA, as well as possible areas ACA repeal.
C-Spine Collar Clearance In The Obtunded Adult Blunt Trauma PatientSun Yai-Cheng
Cervical Spine Collar Clearance In The Obtunded Adult Blunt Trauma Patient A systematic review and practice management guideline from the Eastern Association for the Surgery of Trauma
J Trauma Acute Care Surg. 2015;78: 430-441.
Idiopathic scoliosis is a condition that causes the spine to curve to the side. While the cause of scoliosis is unknown, it usually runs in families and typically affects girls and young women more often and severely than boys and young men. Mild cases that do not cause pain or discomfort require no treatment. However, cases that are moderate to severe and with or without pain or discomfort require treatment which is determined on a case by case basis.
http://www.davidsfeldmanmd.com/specialties/scoliosis
Scoliosis – Facts and Treatment OptionsHealth Quest
The article discusses the causes, symptoms, and treatment methods for scoliosis, the sideways curvature of the spine that usually occurs during the growth spurt before puberty.
Herniated disk in the lower back agrasen hospital dr sandeep agrawal gondia v...Dr.Sandeep Agrawal Gondia
Back Pain
Back pain is often a common symptom of many disease conditions and the back pain may range from simple or dull pain to sudden and sharp pain. If the pain persists for few days, it is acute pain whereas if continues for more than 3 months, it is considered as chronic pain. In most cases, back pain may resolve without any treatment however if persists for more than 3 days, medical intervention is necessary.
Neck Pain
The first 7 vertebral bones on the spinal column form the cervical spine and are located in the neck region. The neck bears the weight of the head, allows significant amount of movement, and also less protected than other parts of spine. All these factors make the neck more susceptible to injury or other painful disorders. Common neck pain may occur from muscle strain or tension in everyday activities including poor posture, prolonged use of a computer and sleeping in an uncomfortable position.
Spinal Deformity Surgery
The Spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of several irregularly shaped bones, called vertebrae appearing in a straight line. The spine has two gentle curves, when looked from the side and appears to be straight when viewed from the front. When these curves are exaggerated, pronounced problems can occur such as back pain, breathing difficulties and fatigue and the condition will be considered as deformity. Spine deformity can be defined as abnormality in the shape, curvature and flexibility of spine.
Spine Injections
Spine injection is a nonsurgical treatment modality recommended for treatment of chronic back pain. Injection of certain medicinal agents relieves the pain by blocking the nerve signals between specific areas of the body and the brain. The treatment approach involves injections of local anaesthetics, steroids, or narcotics into the affected soft tissues, joints, or nerve roots. It may also involve complex nerve blocks and spinal cord stimulation.
Spine Trauma
Spine trauma is damage to the spine caused from a sudden traumatic injury caused by an accidental fall or any other physical injury. Spinal injuries may occur while playing, performing normal activities, operating heavy machines, lifting heavy objects, driving automobiles, or when you suffer a fall. Injury to spine may cause various conditions including fractures, dislocation, partial misalignment (subluxation), disc compression (herniated disc), hematoma (accumulation of blood) and partial or complete tears of ligaments.
Vertebral Fractures
Vertebral compression fractures occur when the normal vertebral body of the spine is squeezed or compressed. The bone collapses when too much pressure is placed on the vertebrae, resulting in pain, limited mobility, loss of height, and spinal deformities. In severe compression fractures the vertebral body is pushed into the spinal canal which will apply pressure on the spinal cord and nerves.
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
https://www.nationwidepharmacies.co.uk/nwp-news/back-pain-article/
Urology is the surgical specialty that focuses on the urinary tracts of males and females, and on the reproductive system of males.
The organs covered by urology include the kidneys, ureters, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis).
Testicular cancer, or cancer of the testes, occurs in the testicles (testes), inside the scrotum. The scrotum is a loose bag of skin under the penis. Male sex hormones, testosterone, and sperm for reproduction are produced in the testicles. The testicles are a pair of male sex glands, also known as gonads.
Testosterone controls the development of the reproductive organs, and other male physical characteristics.
Botox Injection is a commercially successful non-surgical cosmetic procedure, to gets rid of the deep wrinkles in the skin between eyebrows, of the forehead, of the corner of eyes. Effective for 3 - 4 months, and the procedure is repetitive in nature.
A plastic surgery to reconstruct form, shape of nose tip, narrow the nostril spans, aesthetic enhancement of the nose.Reconstructive rhinoplasty allows a surgeon to correct congenital deformity,collapsed dorsum, intranasal drug abuse, trauma and also failed primary rhinoplasty-which require restoration of form and nasal appearance.
This presentation simplifies the understanding of Bones, different disorders related to bones, its prevention and care. It also explains the Must have diet and must avoid food.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
2. Understanding Human Spine
•
It is the column stretching down the midline of the
trunk from the base of the skull to the pelvis
Medical name
–
Vertebral column or Spinal column
Function in human body
–
–
–
–
–
Movement
Support
Protection
Coordination
Control
•
Human spine comprises of vertebrae, discs, and
the spinal cord
•
The spine is made up of a series of bones that are
stacked like blocks on top of each other with cushions
called discs in between to help absorb shock/load
•
The spine is literally the supporting structure of the
body
4. Human spine segments
Vertebrae
•
Human spine is made up of 33 irregularly
shaped bones called vertebrae. Each
vertebra has a hole in the middle through
which the spinal cord runs
Shock absorbers/ discs
•
•
Sandwiched between your vertebrae are
pads of tough, fibrous cartilage called
intervertebral discs
It cushions your vertebrae and absorb
shock
Flexibility
•
•
The joints between individual vertebrae
by working together give the spine a wide
range of movement
Helps humans to arch backwards, bend
forwards and twist from side to side.
5. Importance of Spine
Mind – body co-ordination
• The spinal cord is the main pathway for information connecting the
brain and peripheral nervous system
• Without the spine, the brain would not be able to receive sensory
data or communicate commands to the body.
Movement
• It is the major factor in all movements of the body. It provides
balance to the skeletal frame, absorbs jolts and shocks, allows is to
move, bend and twist, all the while protecting the spinal cord and
spinal nerves
Protection
• Protection of the central nervous system allows it to function
optimally via the spinal cord, housed within the spine, which
controls the function of every single cell, tissue and organ in the
body
Support
• Support for the head is paramount because the neck is involved in
quick coordinating movements for survival and protection and in
general daily activities. The shoulder and pelvic girdles are also
attached and supported. All these structures are related to the
spine.
6. Quick facts
•
S-shaped spine prevents shock to human head while walking
or running
•
As babies, humans have 33 vertebrae but as adults they end
up with 26. This is because seven of them fuse to make the
tailbone and back of the pelvis
•
Spine an intricate network of blood vessels
•
The spine is extremely strong – it can bear the pressure of
hundreds of kilograms
•
Those suffering from back pain who do not undertake special
exercises and training to strengthen and rehabilitate their
deep back muscles are 22 times more likely to have a
recurrence of back pain
7. Spine Disease
A number of problems can change the structure of the spine or damage the vertebrae
and surrounding tissue
Some of these are
•Infections
•Injuries
•Tumors
•Spinal Conditions and age related changes
The intensity of these differ depending on the trauma,
injury etc.
8. Spine disorders
Spinal infection
Spinal cord injury
•
The vertebral column (bones), the
intervertebral discs or the space
around the spinal cord may become
infected in a number of
circumstances
•
The spinal cord contains the nerves
that carry messages between your
brain and body. The cord passes
through your neck and back
•
•
A spinal cord injury is very serious
because it can cause loss of
movement (paralysis)
•
It can be cause by a trauma, accident,
extreme movements, fall etc.
The infection may be caused by
bacteria or fungal organisms
9. Contd.
Lower back pain
Spinal tumor
•
•
•
A spinal tumor is a growth that
develops within or near your spinal
cord or within the bones of your
spine
A spinal tumor or a growth of any
kind can affect nerves in the area of
the tumor, leading to pain,
neurological problems and
sometimes paralysis
Extreme back pain is one of the most
common symptom of it
•
Lower back pain could be ‘Acute’ and
‘Chronic’
•
Acute pain is type of pain which is
present for up to six weeks. The
intensity may range from mild to
severe and may fluctuate. The pain
may radiate into one or both
buttocks or even into the thigh/hip
area
•
Lower back pain is considered to be
chronic if it has been present for
greater than three months. It may
originate from an injury, disease or
stresses on different structures of the
body
10. Contd.
Scoliosis
Spinal Stenosis
•
Scoliosis is a disorder that causes an
abnormal curve of the spine
•
•
It is about two times more common
in girls than boys. It can be seen at
any age, but it is most common in
those over 10 years of age
Spinal Stenosis is a narrowing of the
open spaces within your spine, which
can put pressure on your spinal cord
and the nerves that travel through
the spine
•
This disease occurs most often in the
neck and lower back
11. Spine care tips
•
Get the standing posture right while standing, keep one foot slightly in front of the
other, with your knees slightly bent
•
Always try to sit straight with knees slightly higher than hips
•
Maintain a healthy weight
•
Keep you core muscles strong
•
Reduce stress
•
Exercise regularly
•
Use Proper Body Mechanics When lifting, bending Or stretching
12. Must Avoid for a healthy spine
•
•
•
•
•
•
•
•
Heavy lifting
Slouching
Poor work postures
Intense twisting while carrying/lifting
objects
No movements lifestlye
Avoid Sleeping flat on your back for a long
time as it puts heavy pressure on your
spine causing strain
Smoking
Do not take prolonged back problems
lightly
13. Spine Care Specialty at Wockhardt Hospital
•
Spine care program at Wockhardt Hospitals makes
it a centre for excellence in neurology care with
highly skilled clinical expertise
•
Our Hospitals provide cutting-edge diagnostic and
operating facilities such as computerized
navigation, imaging and treatment in orthopedics
•
A comprehensive support of neurological Services
makes it a complete program. Application of
Minimal Access Surgery minimizes the extensive
drawbacks of surgery, reducing hospital stay,
blood transfusion and results in faster recovery
Wockhardt Hospitals is accredited by the National
Accreditation Board for Hospitals and Healthcare
Providers (NABH)
14. Services at Wockhardt Hospital for Spine Care
•
Non Surgical Neurological Services
•
Management of Lumbar and Cervical Spondylosis
•
Minimal access (Microscopic/ Endoscopic
Surgeries) for cervical and lumbar disc prolapsed,
including disc replacement.
Instrumented Anterior and Posterior fusion for
• Spondylosis
• Spine trauma
• Spine and spinal cord tumor
• Spinal deformity correction