Tag: Fractures

  • Nose Injuries – When There Is No Doctor

    Nose Injuries – When There Is No Doctor

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    Injuries to the nose are not uncommon; yet, when they happen, people tend to panic. Instead of letting the situations "lead you by the nose", follow these simple first-aid measures, and stay in control:

    Your nose is not merely an organ of smell. It's a filter, a temperature controller, a passageway and sometimes even an alarm system. It is closely connected with your eyes, mouth, ears and head, both cosmetically and physically. So, when it is injured, to treat it you've got to look beyond your nose.

    "In order to treat any injury to the nose, you must first understand the nature and extent of the injury," say ENT surgeons. "Basically, there are three kinds of injuries: those that involve the nose and the head; those that affect the nose and the face; those that pertain only to the nose. Only after the kind of injury has been ascertained can proper treatment or first aid follow. "

    The first two kinds of injuries are usually the result of a violent, perilous impact, like a fall from a great height, or a road accident. When the nose and the head are injured – and such cases are obvious even to a layman – the damage is serious and can occasionally be fatal. In all probability the victim will be unconscious and to render first aid would be impossible. Your only course of action is to rush the victim to a hospital and leave him in the hands of the doctors.

    If the head is not hurt, that is, if the injury is only to the front of the face, then check the extent of the damage. Any injury to the eye directly, or even to the area around the eye, will need a doctor's attention. You can try to control the bleeding of the nose, if there is any, but the person should be taken quickly to the hospital. Probably he will need the attention of the ENT surgeon and the ophthalmologist.

    Injury to the nose and to the area around it, that is, the sides and below, could mean damage to the sinuses and upper jaw. Ask the victim to make as if he is biting on something. Difficulty and pain in moving his mouth indicate probable fracture of the upper jaw. In this case, too, though you could try to control the bleeding from the nose, the victim needs medical attention. An ENT surgeon and a dental surgeon may have to work together to repair the damage. Therefore, such a case should be quickly taken to the hospital.

    The third type of injury is more commonplace. In this kind of injury, first aid can be given, but again, it will depend upon the cause and nature of the injury. Injuries to the nose can be broadly grouped as: external wounds; fractures; obstruction by foreign objects; bleeding from the nostrils.

    EXTERNAL INJURIES

    External injuries like abrasions, bruises, cuts and punctures can be treated as you do wounds. Clean the affected area, apply an antiseptic and bandage. Slight abrasions or cuts will heal with adequate care. Deep and extensive wounds should be shown to a doctor.

    Fractures of the nose are easily detectable from the distorted shape of the nose, the constant pain and swelling. Fractures have to be splinted and set right, which can only be done by an ENT specialist.

    Those with children will b familiar with the third type of nasal injury – that is, blockage of the passage due to insertion of foreign objects into the nose. "" Often, the child may not be aware that he has done something he shouldn't have, says ENT surgeon. "" So the object remains in the nose for days and is discovered only when infection sets in. then, either the parents notice that the child's nose is swelling, or the child complains of pain in the nose. "

    However, even if you know that the child has pushed something up his nose, don't try to extricate it yourself. You could push it in even further. Sometimes, lightly blowing the nose helps to dislodge the object. But if the object is edged, it may scrape or bruise the nose and bleeding may result. So it's safest to take the child to a doctor, preferably an ENT specialist, as he is better equipped to deal with the problem.

    NOSE BLEEDS

    Nosebleeds or epistaxis can occur due to a number of reasons: Sudden climatic changes; a rise in blood pressure; a traumatic injury; high fever.

    The air we breathe in has to be homogenised to the body temperature of 34 ° C before it reaches the lungs. The nose acts as a temperature controller. If the air is cold, the nose warms it; if the air is too warm, the nose cools it. In order to help it carry out its function, the nose is heavily lined with blood vessels. The supply of blood depends upon the difference in the body and atmospheric temperatures. When the temperature outside changes suddenly, as when we move from a warm climate to a cold place, or vice versa, the demands on the blood vessels can be extensive and, consequently, they are likely to rupture, resulting in a nosebleed.

    A rise in blood pressure forces the blood vessels to enlarge and sometimes even burst. Since the capillaries in the nose are fine, they rupture more easily. Thus a nosebleed could be a symptom of hypertension. Also, during plane flights, if cabin depressurisation takes place, the difference in air pressure outside the body and within affects the blood vessels and some passengers could experience bleeding from the nose.

    Any trauma inflicted on the nose – say, when you fall while running and hit your nose on the ground, or when a child is hit on the nose by a ball while playing – ruptures the blood vessels inside the nose. Often, in these cases, the bleeding may seem heavy, but if there is no fracture, it may not be grave. However, once you've stopped the bleeding, you should get the patient checked by the doctor.

    Sometimes the trauma can be light, as when a person digs in too hard to clean the nostrils. In that case, the bleeding stops spontaneously after a few minutes.

    A high fever may sometimes be accompanied by a nosebleed. Again, this is because of the nose having to adapt to the difference in temperatures of the body and the air outside. ENT surgeon says, "This is occasionally seen in typhoid cases where the temperature rises very high."

    When bleeding from the nose occurs, you should first prop up the patient. Don't let him lie flat. If you do that, the blood will rush back and enter the throat making him choke or cough, thus increasing the pressure on his blood vessels and forcing out more blood. "Sometimes the blood that is thus forced back goes into the stomach and the patient then vomits it out through the mouth," says ENT surgeon. "At such times, everyone panics because the patient has vomited blood. They don't realize he's merely throwing out what he has swallowed."

    Ideally the patient should be made to sit up; head bent over a bowl so that the blood can drip down from the nose. Pinch closed the nostrils, letting the patient breathe through his mouth. Often, this stops the bleeding. Or you could put an ice pack on the nose. To make the pack, put some crushed ice in a clean kerchief or cloth and pack it closely over the nose. Use crushed ice, not chunks, because it can be molded around the nose, and even pressure applied. If ice is not at hand, give the patient a freshly-cut onion, or crushed garlic pods, or ammonium bicarbonate, to smell. The strong odor will repulse his sense of smell, forcing the nostrils to contract, and this stops the bleeding.

    NOT SERIOUS

    Nosebleeds are generally not serious. "In a normal person, the bleeding stops on its own after about five minutes," says ENT surgeon. "That it lasts for a long time and that the flow is heavy are only impressions. What happens is that, in the absence of muscles in the nose, the tightly-packed blood vessels cannot contract. So the bleeding continues till clotting sets in. and that normally occurs in about five minutes. But if the bleeding does continue longer, don't panic. Pinch the nostrils or use an ice pack to stanch the flow, which will happen after a while provided there is no serious damage. even if the bleeding stops you should get the injury examined by an ENT specialist to preclude complications later. "

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    Source by Andy G

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  • Fractures & Sprains – When There Is No Doctor

    Fractures & Sprains – When There Is No Doctor

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    Oops it could happen anytime, anywhere, without advance warning, even to the fit, the active, and the healthy. A slip or a fall and – ouch – you’re landed (sometimes literally), with a fracture or a sprain. An expert orthopaedic surgeon outlines emergency procedures to help a victim until he can be got to a doctor.

    The basic mistake that people make in the handling of fractures and sprains is that both are given the wrong kind of importance. Sprains tend to be treated as a minor disability that time and home remedies will heal; fractures, on the other hand, generally result in the pressing of all panic buttons. Both approaches are faulty.

    “A neglected sprain could result in permanent instability of the joints which may require a major operation later,” warns orthopaedic surgeon. A sprain occurs when soft tissues such as ligaments, joint capsules, muscles and tendons are stretched beyond their limit, mainly as a result of lifting heavy weights, exercising in fits and starts or playing a strenuous game like badminton after a long interval.

    On the other hand, people over-play fractures. Because of the immediate and often unbearable pain they generate they are looked upon as a dire emergency and it is believed that if urgent treatment is not given, it will result in the permanent disability or loss of the limb. So, in sheer panic, the patient is rushed to the nearest doctor who, if inexperienced or incapable or plain mercenary, may perform an unnecessary operation “because it could develop into gangrene.” A corollary myth is that all fractures require surgery when in fact most fractures can be treated without an operation.

    When is it a fracture and when is it a sprain?

    When a person suffers a fracture, i.e. a break in the bone, he experiences a shooting pain, and the affected limb is incapacitated. In a sprain, the pain may not be so powerful. The exception is a spinal column sprain which could cause severe pain and result in a stiff back.

    In children, it’s usually the elbow and legs that suffer fractures whereas in adults, it’s the thigh, hip and spinal column. The parts most likely to suffer a sprain are the ankles (especially in women who wear high-heeled shoes), wrists, lower back and the neck.

    Don’t…

    “Till a definite diagnosis is made by a good orthopaedist, don’t give in to the temptation of resorting to a home remedy such as using a turmeric powder pack, it may only worsen the condition,” advises orthopaedic surgeon.

    And do’s…

    Both, sprains and fractures are best treated by lightly pressing an ice pack on the area to reduce the swelling and/or bleeding. Next, tie a firm bandage on the affected part, preferably reinforcing it with a handy splint like a foot-rule or a wad of newspapers or cardboard. The victim should be reassured and kept calm and made to rest while arrangements are made to take him to the doctor. Pain-killers may be given.

    However, if the accident occurs on the road or playground, the victim should be lifted by four to six persons, their bodies serving as cushions as far as possible and made to rest nearby. If the upper limbs or neck is injured, the victim can be helped to walk to a cab or other available transport. However, if it is the legs that are injured, he should be either carried or placed on a stretcher, if it’s available, all the time making sure he does not exert pressure on the affected limb.

    A child is less tolerant of pain and his agitated parents could alarm him further. Calmly reassure him with a drink until he can be got to medical attention. Tincture of iodine, or an antiseptic ointment or lotion could be used in case of an abrasion or cut.

    Any upper limb injury should be put in a sling (available at the chemist or you can make one at home).

    Making a sling

    A square metre of cloth (in an emergency a bedsheet or even a towel could do) cut diagonally across will make two slings. Support the hand by placing the widest angle pointing towards the elbow. The other two ends will go around the neck and are tied into a secure double knot at the nape.

    Head injuries

    Head injuries are usually caused by violent road accidents or by a fall from a height. This is a serious problem which requires quick action. The patient may become unconscious immediately or may gradually lose consciousness. If he is unconscious, do not let him lie flat on his back or he could choke if he swallows his saliva or blood (if he is bleeding in the mouth). Slowly turn him on to his side in ahead low position (without a pillow), so the secretions if any can flow out. Call the doctor or get an ambulance.

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    Source by Andy G

    Views: 1

  • Benefits Of A Healthy Lifestyle

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    Here are 8 benefits of a healthy lifestyle.

    This Article is written to reach the public with a simple and clear method to point out and to reap the benefits of a healthy lifestyle while reducing the risks of chronic diseases such as diabetes.

    With the increased understanding of our bodies that we have gained from science over the past few decades, the benefits of a healthy lifestyle are becoming more apparent, along with the reasons why we should detoxify the body at least once a year to remove harmful bacteria, and even worms, from our digestive system. For people of all ages, weights, and abilities the benefits of a healthy lifestyle are endless. But for now let’s look at eight simple benefits of a healthy lifestyle.

    1. Your Health:

    Good Health is not something that you buy from a drug store or a department store, but can be achieved by practicing collective patterns of health-related behavior, based on choices made from available options. Following this logic, if you wish to realize the benefits of a healthy lifestyle, you have to repeat some healthy pattern as a part of your daily or weekly activities, some patterns like eating right and exercising. Other benefits includes: Reduced health care costs, reduced illness and injuries, reduced doctors visit, Keeps you employed and improved employee/employer relations.

    2. Weight:

    Managing your weight is the key to attaining all of the health benefits of a Healthy Lifestyle. A weight reduction of just 10 percent will significantly reduce risk of heart disease and other obesity-related illnesses. Obesity/overweight is the second leading contributing factor to many childhood diseases such as orthopedic disorders, sleep apnea, type II diabetes mellitus, asthma, high blood pressure and cholesterol, skin disorders, emotional and psychosocial problems (Spigel, 2002), and many more. Weight-bearing exercise such as walking and strength training helps slow the onset of and/or prevent osteoporosis and some research shows that participating in such activities can actually build bone density and begin to reverse the disease. Other benefits are: Weight reduction, reduced tension and stress, improved well-being, Enhanced self-image and self-esteem and improved physical function.

    3. Exercise:

    Although drugs alone can often bring cholesterol down to normal levels, diet and exercise provide benefits that drugs don’t. They’ll lower blood pressure, reduce weight, and lower the risk of developing diabetes. A sedentary lifestyle is a dangerous risk factor for disease. Exercise and a healthy diet helps the body use insulin more efficiently and can help control, alleviate and prevent many diseases. Exercise, cessation of tobacco consumption, eating a high-fiber, low-fat diet, controlling body weight, and learning to cope with stress, reduce the risk of heart disease.

    4. Medical:

    We all want a trim and have healthy body for a variety of aesthetic, social and medical reasons. Healthy living is truly the best medicine. In a study conducted by Tufts University at the New England Medical Center, among patients with cardiovascular disease, an exercise program was shown to significantly reduce LDL cholesterol and other risk factors beyond what’s provided by drug therapy. Even modest weight loss can help reduce medical and pharmacy costs, help avoid bariatric surgery, and co-morbidities such as asthma, hypertension, and diabetes.

    5. Wellness:

    Wellness is about being comfortable in your space: your body, your attitude, and your environment. A healthy lifestyle can greatly increase a person’s longevity. And even though catching something contagious like a cold or flu is sometimes unavoidable, having the wisdom that feeling healthy is a better way to live should have you asking yourself why you are not taking action to live each day as beneficially as possible. The issue with a lot of people nowadays is that they are so busy working and/or taking care of everyone around them, that they neglect their own health and wellness. Make sure your heart is healthy and your bones are strong and Keep it that way to see the benefits of a healthy lifestyle.

    6. Care:

    The best way to ensure good health is by taking care of yourself. The Care stakes are high but the potential rewards are great-preventing premature death, unnecessary illness, and disability, controlling health care cost, and maintaining a high quality of life into old age. With a healthy lifestyle, you are who you are and you don’t have to be self-conscious about those things that you otherwise would be if you didn’t care about your lifestyle

    7. Control:

    With a healthy lifestyle, you have more control of your life as you work with your body against those aspects of living which may work to hold you back if you would let them. With a healthy lifestyle, you have control over your sleep patterns so that you feel generally well rested throughout the day. With a healthy lifestyle, everything works together to help other aspects of your lifestyle make sense and benefit you. Science has proven that healthy weight loss, healthy eating and fitness routines make dramatic improvements in health, and help control common chronic illnesses like high cholesterol, high blood pressure, diabetes, stress, and general lack of stamina.

    8. Strength:

    Another benefit of a healthy lifestyle is a steady flow of stamina and strength; you can perform activities and exercises that will enhance your flexibility. With a healthy lifestyle, you have a balanced and varied diet that provides your body its needed nutrients and energy as well. You have strength to train to help build the muscle that supports the bones and joints; therefore decreasing the risk of falls and fractures. Cardiovascular exercise, also known as aerobic exercise, strengthens the heart muscle, therefore increases the heart’s efficiency. As we age, our bones biologically begin to lose mass and strength. Weight-bearing exercise such as walking and strength training helps slow the onset of and/or prevent osteoporosis and some research shows that participating in such activities can actually build bone density and begin to reverse the disease.

    The good news is you don’t have to train like an Olympic athlete to enjoy the benefits of a healthy lifestyle. The secret and logic are repeating a chosen healthy pattern as a part of your daily or weekly activities. We hope that this will get you to a healthy lifestyle if you are not there already. A healthy lifestyle is a way of life.

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    Source by Fortune Ezeoha

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  • Healing Knee Injuries: A Few Helpful Exercises

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    The knee is one of our most crucial body parts. It plays an important part in our overall body fitness. That is the reason Knee injuries are usually of grave concern as knee injuries have the potential to significantly impair an individual’s mobility or put in plain words- ability to walk or run.

    But, knee injuries are not only the culprit that makes the knee inactive or defective. There are various systemic conditions, specifically few bone diseases like arthritis(osteoarthritis) that also significantly affects the knee joint. However, irrespective of the reason causing knee defects/injuries, exercises play a vital role in the healing process. In fact, Exercises play much more important role than medications in fast recovery from the knee injuries and disorders. In this article, though, we will focus on few extremely helpful exercises that facilitates the fast recovery process from knee injuries. But, before diving further deep into the topic, let’s get ourselves acquainted with knee injuries, its types & causes in brief.

    To start with, knee is made up of the following components- bone, ligaments, fluid & cartilage. Muscles & tendons present in the knee joint helps the part to stay mobile. Understandable, when one of these structures get injured/hurt or is affected due to any systemic conditions/diseases, knee defect/injuries occur.

    Knee injuries are characterized by extreme localized or overall pain, swelling, redness and causes severe impairment in walking activities.

    Knee injuries can be caused due to any accidents, sports activities or by simply awkward twisting of any one of the ligaments or tendons present in the knees. Treatment procedures for knee injuries usually contains a blend of medications & physical therapies( which mainly includes exercises), but in few cases surgical interventions ( such as knee replacement surgery) becomes necessary. In those cases, exercise becomes the only route to recover.

    Some of the major knee injuries include but are not limited to-

    a. Anterior cruciate Ligament (ACL) injuries- Very common in people who are very active in sports such as- soccer, basketball. It usually occurs due to the drastic direction change of the knees which in turn injure the ACL which is one of the connecting ligaments between shinbone & thighbone.

    b. Fractures- It is the second most common cause for knee injuries. Apart from injuries, fractures can also be caused due to osteoporosis which gradually weaken the bones.

    c. Torn Meniscus

    d. Knee bursitis

    e. Patellar tendinitis usually affects the avid runners, skiers, cyclers, etc.

    Knee injuries can also be caused by some other body conditions like- excessive body weight which puts pressure on the legs, to be precise on the knees, dislocated kneecap (which can be treated through a knee replacement surgery), gout, rheumatoid arthritis, due to relapse or getting hurt on a previous knee injury site, due to decrease strength and flexibility of the muscles (may be caused by any number of reasons) and last but not the least due to participation in any type of dangerous sports.

    However, irrespective of signs, symptoms & causes, healing from knee exercises with relatively fast and naturally involve exercises. Types & sets of exercises depends on the nature, severity & type of knee injury and must be prescribed and authorized by the caregiver. Additionally, those exercises can only be done under guidance & supervision of a trainer. Here are few example of relatively simple knee exercises, that usually helps in healing knee injuries.

    Exercise 1-Leg straightening & stretching.

    Lie on your back preferably on a hard. Flat surface. Next, bend your one knee and place the foot on the flat surface. Then, straighten the other leg and raise it in air at the level of the bended knee. This makes the quadricep muscles of the thigh work and puts put very little or negligible strain on the knees. To get the best results, the exercise should be repeated daily 10-15 times in two-three sets. It is recommended to start with low frequency initially and gradually increase the frequency and number of sets gradually and slowly.

    Exercise 2- Hamstring exercises

    This exercise is relatively simpler than the other ones and can be done anywhere, anytime. This simple and easy exercise is known to benefit the knee joint b strengthening the hamstring muscles that are present in the back portion of the thigh and are important for proper knee joint functioning.First, stand on a flat surface, preferably on the floor. Then slowly raise heel of one let as close as possible to one’s butt and is required to stay/hold in that position for 25-30 seconds. Later, with practice the duration can be increased to even 1 minute. Then, repeat the same with the other leg. This exercise is also commonly known as “Hamstring curls”.

    This exercise should be done minimum 15-20 times a set for 4-5 sets daily.

    Exercise 3- Squats

    Squat is known to be extremely beneficial exercise for knee injuries. The position required to perform this special exercise, work up the knee muscles and charge them up leading to fast healing from the injuries. This exercise is an advanced form of knee exercise.

    First, one need to stand straight against a wall or a sturdy, flat and hard surface. Secondly, after standing, one needs to spread their legs apart in line with their shoulder-width. Next, bend very lowly keeping your back straight against the wall/surface. Hold on to that position for 15-20 seconds. But, if one feels uncomfortable, it is recommended to immediately stop doing the exercise.

    It is usually good for the knees if done regularly 10-12 times in 3-4 sets/daily.

    Exercise 4- Calf raising exercise

    Stand with back facing to a chair / sturdy table. One can also stand in front of a wall. Get your hands on the wall surface if needed for supporting your body weight without straining the knees. Then, slowly raise your heels as high as possible by you. Hold on to the raised heel position for 10-15 seconds and then slowly, very slowly lower your heels in the normal position.

    Repeat the exercise daily 10-15 times for at least 3 sets.This exercise helps the knee to get in better shape and help to recover fast from injuries.

    Exercise 5- Step ups exercise

    Very common and extremely helpful exercise for knee injuries.

    One can use staircase for this one or can also use a raised but flat platform. Keeping one’s pelvic level steady, put one foot on the raised level and then slowly bend your knee and then raise your knee. Next, repeat this exercise with the other foot.

    Recommended daily 10-15 times for 4 – 5 sets. Once comfortable and well-practiced, one can raise/increase the height of the platform gradually. The above mentioned are few very easy and simple exercises that are known to benefits knees recovering/healing from injuries. But, one should always remember that of doing any of knee exercises makes you uncomfortable or increases pain, swelling of the knees, then stop exercising immediately and consult your doctor/trainer/care provider without further delay. Staying alert and cautious are the keys.

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    Source by Gagan Deep

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