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Article on Spine and Arthritis

ARTICLE TO CREATE AWARENESS AMONGST PEOPLE WHO HAVE BEEN ADIVSED  SURGERY 

SLIPPED DISC AND BACKACHE -- ALTERNATIVE TREATMENT WITH ACUPUNCTURE THE DRUGLESS THERAPY 

ARE YOU SUFFERING FROM BACKACHE AND ARTHRITIS?
ARE YOU ON PAIN KILLERS AND GOING THROUGH SIDE EFFECTS?
DO YOU HAVE SLIPPED DISC?
HAVE YOU BEEN ADVISED SURGERY FOR SLIPPED DISC?
IF YOU HAVE ANY OF THE ABOVE PROBLEMS THEN ACUPUNCTURE IS THE SOLUTION. 

WITH RECENT ADVANCES IN ACUPUNCTURE THE DRUGLESS CHINESE THERAPY, WHICH INVOLVES ACCURATELY NEEDLING 
ACUPUNCTURE POINTS --- SPINAL SURGERY FOR SLIPPED DISC CAN BE SAFELY AVOIDED.

25 yr college student while playing cricket had a fall and developed slipped disc 
and he became virtually immobile. Hospitalization and pain killers did not give him relief 
enough to attend the college until he took acupuncture at our spin and arthritis clinic 
and became fit enough to rejoin and resume trekking his favorite hobby. 

34 yr old executive of a company developed slipped disc 8 yrs ago and was hospitalized 
twice since then and treated with conventional methods of traction, pain killers bed rest etc 
and finally was offered surgery . He opted to come for acupuncture and has safely 
avoided surgery and is doing fine 

37 yr old housewife virtually became bed ridded following slipped disc and conventional
methods did not help her until and finally surgery remained the only choice but she opted 
to come for acupuncture and has been doing very well since then. 

51  yr old company executive developed slipped disc with tingling and numbness of
legs with sciatica pain was offered surgery as the only alternative until he came for 
acupuncture and walking his way of life with ease. 

65 old retired diabetic developed slipped disc with tingling numbness in limbs was advised
surgery to relieve compression on root of nerve but opted to come for acupuncture and 
after 2 courses is completely relieved.

75 yr old diabetic became bed ridden due to slipped disc and severe back pains and surgery
was the only alternative offered but considering the age they opted for acupuncture. 
After two courses he is now walking with ease. 

MORE THEN 80 PATIETNS WHO HAVE ATTENTED THIS SPINE AND ARTHIRITS CLINIC HAVE SAFELY AVOIDED 
SURGERY FOR SLIPPED DISC AND ARE DOING VERY WELL TILL TODAY

51 yr old housewife was operated for slipped disc 5 yrs back but got recurrence of slipped
disc was offered surgery again but opted for acupuncture and she has safely avoided the second surgery.

47 yrs officer was operated for acupuncture 3 yrs back and developed slipped disc again 
and was asked to go for surgery but with acupuncture he could avoid second surgery and 
can walk 5 kilometers daily without getting backache. 
51 yr business man was operated for slipped disc 6 yrs back and developed slipped disc
again and was advised surgery but with pain killers he dragged till he found that with 
acupuncture he will be able to avoid surgery this time. 

ALL THE ABOVE MENTIONED PATIENTS HAVE AOVIDED SURGERY SECOND TIME SINCE THEY HAD RECURRENCE AFTER FIRST SURGERY.  


Backache and slipped disc has become such a common problem at all age group    
that more and more young patients are suffering and are in search of and alternative 
solution to the problem since surgery is not only costly but invasive and amounts to 
taking pain killers and patients have to go through side effect. 

More and more educated people are now in search of alternative mode  of pain management
in such disorders where pain killers affect the quality of life .

Senior citizens are the most  affected since they are more sensitive to side effects and 
find it  extremely difficult to handle if associated with hypertension and  diabetes . 


FACTS ABOUT SLIPPED DISC AND BACKACHE 

Facts about slipped disc and backache 
All discs deteriorate with age. 
Bulging or herniated discs can press on nerves and cause pain, numbness, or weakness - 
this is the same mechanism that causes pain and numbness when the elbow is banged against a desk. 
When lumbar discs press on nerves to the legs, leg pain and numbness results. 
Back pain is not; in general, caused by bulging or herniated discs, in fact,
many people with severe herniated lumbar discs have little or no back pain. 
Back pain itself does not generally get better with disc surgery. 
Back pain may take many years to get better .
Injections (facet blocks or "epidural") are controversial - there is disagreement whether 
they help well than placebo. 
Conventional methods for treatment of slipped disc
Hospitalization and bed rest 
Painkillers (patient goes through side effects)
Traction 
Physiotherapy 
Local injection of steroids 
Chiropractic manipulation 

And finally if patient in not relieved SURGERY---- IT BE CONVENTIONAL OR MINIMAL 
SURGERY IS COSTLY INVASIVE AND THESE PROCEDURES DON'T WORK FOR ALL PATIENTS.
PATIENTS GOING UNDER THE KNIEF OF SURGEON ARE NOW LOOKING OUT FOR A SAFE ALTERNATIVE AND 
ECONOMICAL MODE OF PAIN RELIEF FOR SPINAL PROBLEMS AND BACKACHE. 
AT OUR ACUPUNCTURE SPINE AND ARTHRITIS CLINIC PATIENTS WITH SLIPPED DISC WHO WERE ADVISED 
SUGERY BY LEADING ORTHOPAEDIC SURGEONS IN MUMBAI HAVE BEEN COMPELTELY RELIEVED WITHOUT SURGERY 
AND ARE WALKING THROUGH THE LIFE WITH EASE WITHOUT ANY TYPE OF PAIN KILLERS. 
THOSE PATIENTS WHO UNDERWENT SURGERY CERTAIN PERCENTAGE OF THEM HAD RECURRENCE OF SLIPPED 
DISC AND WERE ADVISED SURGERY SECOND TIME OPTED FOR ACUPUNCTURE AND HAVE BEEN COMPLETELY 
RELIEVED AND ARE LEADING A NORMAL LIFE. 


FACTS ABOUT ACUPUNCTURE 

ACUPUNCTURE IS SAFE ECONOMICAL AND VERY EFFECTIVE HARMLESS DRUGLESS THERAPY WHICH IMPROVES THE QUALITY OF LIFE 

PATIENTS DON'T HAVE TO TAKE PAIN KILLERS AND GO THROUGH THE SIDE EFFECTS.

ACUPUNCTURE IS DONE AT OUR CLINC WITH ISO 9002 STD SINGLE USE DISPOSABLE NEEDLES 

ALLT THE PTS SUFFERING FROM SLIPPED DISC SHOULD BE  GIVEN TO UNDERSTAND THE FACTS ABOUT COST 
AND EFFECTIVENESS OF ACUPUNCTURE SO THAT PTS CAN IMPROVE THE QUALITY OF LIFE  WITHOUT GOING 
THROUGH THE SIDE EFFECTS OF PAIN KILLERS AND IMPROVE THE QUALITY OF LIFE . 

ACUPUNCTURE IN ARTHRITIS OF KNEE JOINTS 

 

Osteoarthritis is a joint inflammation that results from cartilage degeneration.  
can be caused by aging, heredity, and injury from trauma The most common symptom of 
osteoarthritis is pain in the affected joint(s) after repetitive use. 
Percentage of patients suffering from arthritis of knee joints is gradually and 
progressively increasing. 
The conventional treatment available for this is continuous use of painkillers 
and local application of ointments (PATIENTS GO THROUGH  SIDE EFFECTS OF PAIN KILLERS  ) 
Knee supports
Physical therapy 
but these measures give temporary relief 
so finally total knee replacement is advised by orthopedic surgeons .
there are patients who have been wanting to go for  alternative  approach have visited 
this clinic and have safely avoided surgery and are doing very well with rehabilitation 
programme  offering weight management , physiotherapy for strengthening the muscles which 
support knee compartment . 
RECENT STUDY HAS REVEALED THAT ACUPUNCTURE DECREASES PAIN AND STIFFNESS TEHREBY IMPROVING
THE FUNCTIONAL ABILITY AND LIMITATION OF MOVEMENT.
THESE ARE SOME OF THE MRI IMAGES OF PTS WHO HAVE BEEN ADVISED TOTAL KNEE REPLACEMENT AND
HAVE SAFELY AVOIDED AND WALKING WITH EASE WITHOUT PAIN KILLERS AND ARE LEADING A GOOD QUALITY OF LIFE. 

Physical therapist can help develop an individualized exercise program that meets your needs and lifestyle. 

MANY  patients with  OA Knee are overweight. Acupuncture offers weight loss  programme 
which can reduce stress on weightbearing joints, such as the knee. Losing weight can result
in reduced pain and increased function, particularly in walking. 

Article contributed by
Dr. Ajit Mistry
MBBS FAMILY PRACTITIONER AND MEDICAL ACUPUNCTURIST ( UNITED MEDICINE BEIJING CHINA )
Clinic Address:A3/002 AASARA CHS GOVERDHAN NAGAR LBS MARG  MULUND  WEST 400080
Timings: MORNING 9.30 TO 1.30  
         EVENIG 6  TO 9.30
Contact Nos: 98205 23864
     CLINIC: 25682067






World No Tobacco Day 2005 Public awareness of tobacco’s harmful effects is essential to lay the foundations
for acceptable tobacco control policies and regulations.
Tobacco Free Initiative (TFI) works to ensure that tobacco remains
in the public consciousness by funding anti-tobacco media campaigns
and workshops undertaken by local, national and international groups.
World No Tobacco Day, celebrated around the world on 31 May each year,
is the culmination of TFI’s advocacy activities.

World No Tobacco Day (WNTD) is celebrated around the world every year on May 31.
This yearly celebration informs the public on the dangers of using tobacco,
the business practices of tobacco companies, what WHO is doing to fight
the tobacco epidemic, and what people around the world can do to
claim their right to health and healthy living and to protect future generations.

Health Tips
Ten rules to achieve a good headstart in life for your child Intro Para: Every child is born with the potential to excel, but what becomes of him later in life depends largely on how he is cared for, especially from the moment he is conceived till the first few years of life.
Caring for children and ensuring a conducive environment for them to achieve their potential is by no means an easy feat, but one that demands total commitment of parents in all aspects of their life - mentally, physically, emotionally, financially, and so on. Parents can better equip themselves for this monumental task of providing the best headstart in life for their little ones by being informed of effective and tried methods of rearing children. Read on for some profound advice and practical tips on how you could do so, by Professor Perla D Santos-Ocampo, FPPS, FAAP (hon), FPSDBP, the Honarary President of the Association of Pediatric Societies of the Southeastern Asian Region. Besides this, Professor Santos-Ocampo also holds many other important positions.
RULE 1: Every child must be wanted. From the very beginning, every child should be wanted. What You Can Do: Prospective parents must seek advice on planning their families. Every pregnancy must be welcomed and every child must be considered as the loveliest gift one can have. Your attitude towards pregnancy can influence the emotional environment prenatally and can influence the mother's health and well being which inevitably will have an impact on the development of the fetus.
RULE 2: Ensure that every child is born well. Prevent and minimize existence and effects of inimical factors on the unborn fetus and the newborn. What You Can Do: a. Genetic Factors Knowledge of medical background of both parents and families may help in anticipating possible problems and preparing for them e.g. with an Rh negative mother and an Rh positive father, look out for hemolytic disease of the newborn or erythroblastosis fetalis b. Maternal Age An older mother such as those above forty years must be aware of the higher incidence of Down Syndrome. c. Maternal Obstetrical History A mother who has had difficulties during pregnancy such as hypertension must be informed that this can result in a smaller infant. d. Maternal Nutrition and Health Prospective mothers should receive folic acid to prevent midline defects such as cleft lip, cleft palate and meningoceles. e. Labor Events Be familiar with the labor process and be informed that difficult deliveries can lead to birth injuries. f. Environmental Hazards Be aware of the possible harmful effects of exposure to toxins, chemical and radiation on the fetus and take measures to avoid them.
RULE 3: Be aware of the newborn's potential: Keep in mind the innate endowment of the child. Fallacy 1 In the past the newborn has been described and believed to be a passive being who does nothing but eat, excrete, sleep, cannot see or hear well and is unaware of his environment until three months of age. Fact: The newborn has endowments and:
  • Is not a passive recipient of environmental stimuli
  • Makes a major contribution to his own development
  • Responds to mother's heartbeat and voice while still in the womb
  • Reacts to loud sounds by kicking in the womb
  • Is in an state of alertness for the first two hours after birth
  • Has sensory capabilities and can see, hear, even locate sounds and is sensitive to mothers voice, smell, and touch.
  • The human newborn, compared to newborn of other species is relatively less competent in the motor area but more capable in the sensory area. This gives more leeway in the development of sensory and affective competencies which are necessary for survival and more chances of success in our highly competitive planet with six billion population. What You Can Do: Ensure maternal-infant bonding as soon as the baby is delivered:
  • Mothers should try to keep awake throughout labor - try not to sedate but use other means of pain relief
  • Put baby on mother's chest for skin-to-skin contact
  • Ensure eye to eye contact between mother and baby
  • Encourage mother to speak to baby
  • Allow mother to hold baby Fallacy 2 The newborn is a passive recipient of environmental stimuli. Fact: The newborn is capable and:
  • Can defend himself from stimuli which make excessive demands on his immature physiologic system.
  • Has ability to interact with his environment · Has capacity to deal selectively with environmental stimuli
  • Has social predisposition to interact with caregiver
  • Has ability to elicit caregiving necessary for adaptation What You Can Do:·
  • Offer human rather than nonhuman stimuli such as face, not objects
  • Shut out disturbing or overwhelming stimuli such as loud noises.
    RULE 4: Provide a nurturing environment for the newborn. The well-equipped baby will do better and even the minimally brain-damaged newborn may be able to catch up in a fostering environment. What You Can Do:
  • Provide appropriate stimulation for the age group. Researches have demonstrated that appropriate stimulation can raise IQ by as much as 15 points. Most newborns, at least those considered normal at birth must be assumed potentially gifted, unless proven otherwise by subsequent observations. It is fair to say that most newborns are amazing/competent and must be given the opportunity to attain their optimum if not maximum potential.
  • Carry baby in the upright position on your lap, preferably in the flexed or fetal position. Research has shown that the newborn's right side is more sensitive than his left
  • Know when baby is paying attention:
  • His respiratory rate becomes slower and more even.
  • His heart rate drops by 6 to 8 beats per minute.
  • His head turns towards stimulus or to you.
  • His eyes widen and his pupils dilate. His eyes will focus on the object of attention and this will be maintained for 4-10 seconds.
  • His facial expression changes. A smile may appear. His abdomen relaxes.
  • His fingers and toes stretch forward.
  • His sucking will decrease.
    RULE 5: Guide your child's growth, support it and nurture him through each stage of development. What You Can Do:
  • Provide him with food that will promote growth and development.
  • Bring him for health care to ensure emotional, psychological, and intellectual growth, not only medical and physical.
  • Check for red flag signs concerning abnormal growth, development and behavior. Very useful are guide posts for parents, especially new ones and those in the nuclear family system. These can be very difficult to produce at times because child rearing can differ from culture to culture, from race to race, from country to country. Traditions may play a tremendous role in how parents bring up children.
  • Learn how to be a parent. Parents have what is termed as parental instincts but in our present complex society, parents need to have extra pointers, may they be from books, magazines, religious organizations, school teachers and counsellors, other parents, your own relatives, child care centers and your own pediatrician. Not all information may be applicable to your situation. Learn how to choose relevant pointers and modify.
  • Discuss unusual observations as early as possible with health care giver.
  • Institute age-appropriate discipline through rules and guidelines to help him find his limits.
  • Discipline must be firm but not harsh, allowing child to grow. · Be consistent, fair and humane with rules and guidelines.
    RULE 6: Provide appropriate stimulation to enhance his growth and development. What You Can Do:
  • Spend time with him. The amount of time has not been quantified. Quality time although a mere couple of hours can be sufficient. Being at home but in different rooms even for entire days but without interaction will not be helpful.
  • Take time to talk, read, sing and play together.
  • Moderate stimulation to avoid frustration and negative self-image.
  • Offer toys and activities that are appropriate for his age level, not too young nor too difficult for him to use.For example, a ball can be used by a child only after a year; a tricycle given to a 2 year old might result in frustration.
  • Find a variety of playmates.
  • Stimulation may come from a number of sources. Expose child to a variety of peoples, places, activities and experiences such as:
  • Adult companions, relatives, and friends.
  • Books (Research has shown that the number of books in a home may be closely correlated with the intelligence of children.)
  • Computers and other gadgets - Children should be taught to use computers not only for games but as a source of information.
  • Age appropriate: Toys, videos, CD's, and television
  • Visits to the library
  • Shopping trips, wholesome movies, and shows
  • Vacation trips, nature trips (fishing, camping)
  • · Choose a good school or kindergarten which will enhance his potentials, give him a good start and learn what Robert Fulghum did:
  • o Share everything.
  • Play fair. o Don't hit people.
  • Put things back where you found them.
  • Clean up your mess.
  • Don't take things that aren't yours.
  • Say you're sorry when you hurt somebody.
  • Wash your hands before you eat.
  • Flush.
  • Warm cookies and cold milk are good for you.
  • Live a balanced life - learn some and think someand draw and paint and singand dance and playand work everyday some.
  • Take a rest when needed. o When you go out into the world, watch out for traffic, hold hands, and stick together.
  • Be aware of danger.
    RULE 7: Enhance his emotional intelligence To introduce this topic, here is Howard Gardner's proposal to veer away from current definitions of intelligence towards a multiple intelligence paradigm. Kind of Intelligence Characteristics Linguistic Special sensitivity to language, which allows one to choose precisely the right word or turn of phrase and to grasp new meaning easily Musical Sensitivity to pitch and tone, which allows one to detect and produce musical structure Logical-mathematical Ability to engage in abstract reasoning and manipulate symbols Spatial Ability to perceive relations among objects, to transform mentally what one sees, and to recreate visual images from memory Bodily-kinesthetic Ability to represent ideas in movement; characteristic of great dancers and mimes Personal Ability to gain access to one's ownfeelings and to understand the motivations of others Social Ability to understand the motives, feelings, and behaviors of other people. What You Can Do:
  • Give him opportunities where chances of success are good.
  • Minimize frustration by helping him or exposing him to challenges which are commensurate with his level of abilities.
  • Moderate challenges to avoid a negative self-image.
  • Praise him generously and honestly. A child can sense hollow compliments.
  • Accept mistakes and point out how best to learn from them.
  • Do not threaten with punitive measures that you cannot carry out or do not intend to do so.
  • Attend to feelings and actions, whether positive or negative, and discuss these with the child soonest.
  • Be careful of your own wishes, dreams and biases in planning for your child.
  • Be realistic about expectations commensurate with the child's age and abilities.
  • Treat child as a person with respect and recognize his rights as an individual.
  • Show you understand emotions and help him resolve them. Be sensitive.
  • Teach your child how to cope with anger, conflict and unhappiness in constructive ways. Movies and television can convey undesirable messages such as use of violence to solve problems or withdrawal when he is upset. Show him your own mature way of handling anger and other negative feelings.
  • Encourage him to communicate. Good communication can be difficult at times especially under present societal conditions. Parents can be too busy. Anger or frustration can either lead to harsh actions or cause withdrawal and a communications breakdown.
  • Devote time to listen to him and encourage him to ask questions. Be attentive and honest.
  • Look for changes in behavior that may indicate emotions such as frustration, anxiety, fear, or sadness.
  • Look and listen to yourself, too, and find out how you are behaving and what you are saying. Impulsive comments and even jokes can be cruel and hurtful.
  • Show him that it is not sufficient to say I love you. Show him love in words and actions (physical contact through rocking, hugging, kissing).
    RULE 8: Instill core values in your child. In a way this will enhance his emotional intelligence. What You Can Do:
  • Identify critical behavior that will reflect core values. Cherished are respect for authority, love for God and country, honesty or trustworthiness, dependability or responsibility, etc.
  • Set the example
  • Give guidance and encouragement regarding these, not commands or demands.
  • Start to establish good attitudes and habits early. A child is never too young to understand.
  • Encourage him to participate in family rituals and traditions.
  • Discuss questions and patiently explain your beliefs in age-appropriate language.
  • Build up his self respect and confidence. Remember, self-esteem and belief in oneself takes years to establish.
    RULE 9: Give your child the gift of feeling secure. What You Can Do:
  • Be there when your child needs you. It is necessary to have your child feel secure in your love and in his home.
  • Console him after a hurt, both physical and psychological.
  • Hold his hand during a visit to the doctor.
  • Hug him after a shot.
  • Bring him to school on the first day.
  • Accompany him when he requests.
  • Set limits as appropriate. He will feel more loved wen he senses that this is a way of manifesting concern.
  • Spend time with him through mutually enjoyed activities.
  • Listen to him.
  • Praise accomplishments.
  • Do not lie. A child can always detect this and will not believe in you. A common example is seen in the clinic when a parent keeps on telling the child that a shot won't hurt. One can tell when a child feels secure and believes in his parent by bravely accepting the shot while an insecure child despite assurances will keep on screaming and struggling.
  • Ensure wholesome and sound family dynamics. An intact loving family contributes much to promoting a child the security of having both parents helping him grow and develop.
    RULE 10: Facilitate development of independence in your child What You Can Do:
  • Hear his view and let him share in decision making appropriate for his age, e.g. choosing toys, colors.
  • Let him know that he can go on his own, once he can do so. Let him know that it is like learning how to bike and once he has learned, he can move where he wants.
  • Give him responsibilities commensurate with his needs, chores at home, caring for pets and keeping his things in place.
  • Trust him to distinguish between needs and wants.
  • Give love unconditionally.
  • Show your child that he can trust you and can depend on you. Reminders for Parents
  • The best way to teach a child is by example.
  • When enhancing the potentials of children, it is necessary to achieve a balance between the child's capabilities (capacity) and undue pressures or overstimulation, in order to offset future problems.
  • Don't push or reprimand if child cannot achieve.
  • It is imperative to take into account the child's holistic development as a total person in all domains.
  • Seek support and advice. If necessary obtain counseling. Do not be shy or embarrassed to ask for help.
  • Avail of guide posts for rearing children, especially if it is your first time and you are a nuclear family.
  • Don't try to make your children do what you wanted to do but could not, e.g., dancing the ballet.
  • Always delineate your needs from those of your child.
  • Take care of yourself and the other members of the family.
  • Don't be afraid of failure as a parent. You won't. ·
  • Speaking of don'ts, there should not be too many of these. Final message is: "Everybody knows how to raise children, except the people who have them." - PJ O'Rourke Source: http://www.youngnutritionindia.com
  • 
    Health Tips
    This time, we, at Mulund Online, brings few Health Tips for common problems found in most of people in today's world. We are not mentioning any specific treatment as such, but we are just guiding you people with some common tips which you can take care of yourself. Asthma Keep your surrounding areas dust free . Avoid strong perfumes , excessive mental & physical strain and pesticides. Have a light and early dinner Avoid cold drinks , artificial coloured foods and oily food. Do regular breathing exercises. Arthritis Use a firm bed and a thin pillow Use a high bed chair Avoid lifting heavy objects Eat plenty of spinach , sprouts & sweet lime Keep your weight in check Avoid sour food Head pain Take adequate sleep. Avoid bright lights & loud noises. Don't overstrain your eyes. Regularize your lifestyle. Avoid self medication. Female disorders Treat anemia. Ensure good hygiene. Avoid late marriages & late pregnancies. Avoid use strong irritant soaps. Keep your weight in check. Skin disorders Use a mild soap Have a regular sun bath Avoid excessive scratching Avoid chocolates , nuts & fried food Have a balanced diet Stomach related disorders Eat your meals at regular intervals. Include plenty of fluids , green leafy vegetables & fresh salads. Chew your food thoroughly. Move your bowels regularly. Practice relaxation exercises regularly. Acne Use a mild soap Wash your face 4 to 5 times a day. Check dandruff. Do not squeeze or pick your pimples. Avoid use of cosmetics & ointments. Obesity Include plenty of fluids , salads. Do not eat in between meals. Avoid fried foods , chocolates & sweets. Avoid mental stress & strain. Exercise regularly Leucoderma Expose the effected areas to morning sunlight - 30 minutes per day. Include plenty of iron in your diet. Avoid tamarind , fish & sour food. Avoid use of creams & powders. Relax mentally. Psoriasis Use a mild soap. Avoid creams and powders. Wear light cotton clothing. Keep your skin clean. Avoid excessive scratching. Diabetes Keep your weight in check. Include plenty of fibre in your food. Make exercise a part of your routine. Check your sugar level regularly. Don't ignore even a mild wound or injury. Hair loss Control dandruff. Avoid wearing a helmet for long hours. Include plenty of protein in your diet. Avoid frequent change in oils and shampoos. Do not use soap on your scalp. Source: Dr. Batra's Positive Health Clinic.
    What is a Stroke?

    A Stroke is a brain attack. It is a sudden disturbance of the blood supply to part of the brain. It occurs when an artery bringing blood to the brain becomes clogged or ruptures, depriving a part of the brain the oxygen it needs. This may be caused by a blood clot or by a ruptured blood vessel. How a person is affected depends on which part of the brain is affected. The stroke may temporarily or permanently affect speech, vision or ability to read and write, and can cause complete or partial paralysis on one side of the body. A stroke is not a heart attack. It is the third leading cause of death in the developed countries. It is on rise in our country. Do not neglect a warning sign. Remember the first 6 hours are crucial. Why?

    Because: Many brain attacks give warnings. Doctors can recognize symptoms and take steps that may prevent a serious stroke. Modern Stroke care can prevent long term disability. Many people make a good recovery. Several people have been rehabilitated and living productive lives. The sooner rehabilitation begins the better. Retraining begun soon after a brain attack helps improve skills.
    Warning Signs of a Stroke:
    Sudden onset of: Dizziness or unsteadiness or sudden falls. A change in mental abilities, episodic confusional states. Numbness, weakness or paralysis in face, arm or leg on one side of the body. Garbled speech or inability to speak or understanding speech. Eye problem-sudden dimness of vision in one eye or double vision. Immediate medical help as these symptoms may recover quickly and there may be no second warning.
    What may prevent Stroke?
    1. Proper diet & exercise.
    2. Reduce High Blood Pressure, the greatest risk factor of Stroke.
    3. Eliminate stress.
    4. View diabetes & heart beat irregularities as high risk.
    5. End smoking.
    6. Never neglect stroke-warning signs.
    7. Take your medication as prescribed.
    How to prevent a stroke: Your Role:
    Stroke prevention requires commitment from you, your doctor and sometimes a consultant physician or surgeon. You seek immediate medical help-call an ambulance or go straight to hospital casualty-if you suspect that you have had warning sings. Your role is most important. If you smoke stop it. Exercise regularly and control your weight. Diet should include whole grain bread and cereals, fresh fruit and vegetables and you should avoid excess of animal fat and salt. Your doctor will detect and treat high blood pressure, high cholesterol & diabetes. Hypertension especially helps to lower risk of stroke. If is more than 6 months since, you had a medical checkup arrange for one urgently. Today there is good news about stroke A HELPLINE no. 9622313000 has been set up for stroke & paralysis by Rotary Club of Bombay, Worli. We are also setup the first Indian website on stroke – www.strokehelpline.org . This is an Inter active website where questions can be asked to the panel of Doctors. A support group for stroke & paralysis patients has been set up at Lilavati hospital, Bandra, which meets every second Sunday of the month in the hospital auditorium where a lecture on awareness is taken & a question and answer session held. The entry to this program is free. You can join the Stroke Support Group free of cost by calling the Stroke Helpline – 9622313000 or call 3840570/71 (4.00 p.m. to 9.00 p.m.). So take care of yourself & do not neglect the signs.
    Dr. Shirish M. Hastak
    Neurologist
    Lilavati Hospital
    Clinic Add:- 20 Pedder Road,
    Satnam Sagar Society,
    Opp. Jaslok Hospital,
    Mumbai - 26.
    Tel. No. - 23840570 / 71 (6.00 p.m. to 10.00 p.m.)
    Mob:- 9821049450





    Summer Smoothie

    Orange is an excellent source of Vitamin C, electrolytes and fibres. Mangoes and Grapes synonyms with summer are high vitamin C, A & E and also rich in minerals. Banana is a rich source of calcium & potassium. Flax seeds are a good source of soluble fibre protein, magnesium, zinc and lanolin acid and omega 3 fatty acid. Honey is a natural sweetener

    Fresh Orange Juice - 1 Cup
    Mangoes (Pulp) - 2
    Black grape's juice - 10-15
    Banana - 1
    Flax seeds - 1 Tsp.
    Honey - 1- 2 Tsp.
    Blend all the ingredients and server chill!
    Strengthening the bonds of marriage: "To keep your marriage brimming, with Love in the loving cup, whenever you are wrong admit it, whenever you are right shut-up"
    - By Dr. Anjali D. Tillu (M.D. (Bom) D.G.O.)
    Anjali Maternity & Surgical Hospital
    Clinic Add:- 1st Floor, BPS Estates,
    Devidayal Road,
    Near BEST Bus Depot,
    Mulund West
    Phone: 25682933
    Res: 25615502/55997103
    Mob: 9820147644
    Time: 10 a.m. to 1 p.m. - 7:30 p.m. to 9:30 p.m.



    Osteoarthritis of the Knee

    What is Osteoarthritis?
    Osteoarthritis or OA is a condition in which there is damage to the surface of the joint and an abnormal reaction in the underlying bone. Osteo means bone and arthritis means inflammation and damage to the joint. OA can also be described as a joint failure. Many different joints can be affected but the knee is the most commonly affected joint.

    What are the causes?
    The exact cause is still debataed but it is known that a variety of contributory factors can cause arthritis.
    Contributory Factors:
    Age: Advancing age can predispose to OA.
    Injury: Major injury or repetitive minor injuries can also predispose to OA
    Heredity: Some forms of OS can run in families Mechanical overload such as excessive weight
    What happens in the knee joint with OA?
    The most important difference between the normal joint and joint affected by OA is the state of the weight bearing cartilage. In OA this cartilage is disrupted and worn out. The surrounding bone reacts to this change by forming more bone and forms spur at the end of bones. There is also a reaction from the lining of the joint and more fluid is formed and often this causes swelling of the joint. Once OA occurs it is unable to fully heal itself but further damage can be prevented
    What happens to the person with OA?
    If you suffer from OA you would typically find that the knee joint is painful when you take weight on it. This is most commonly felt when weight is first taken on the knee and at times, it increases with further use of the joint. sometimes the pain eases with further use of joint, only to reappear later on. The pain is felt most commonly on the inner side of the knee but may be felt all around the joint. With more severe arthristis the movement of the knee gets restricted, so that walking any distance or climbing stairs becomes extremely difficult. The knee may swell from time to time. The level of pain typically fluctuates so that there are good days and bad days. Some people find that the weather makes a difference but most people find that the amount of pain is proportional to the amount of use of the knee they have undertaken.
    Tests:
    The simplest and the most informative is the X-ray. It shows whether there is any narrowing of the space between the bones which reflects the damage to the weight bearing cartilage. The X-ray also show the spurs and the alignment of the leg.
    Treatment:
    With modern effective and scientific treatment arthritis of the knee can be successfully treated. In early arthritis, simpler measures such as taking tablets the relieve pain and swelling and exercises are often effective. With intermediate arthritis, the treatment may take the form of an injection into the joint, an arthroscopic lavage, phsiotherapeutic measures, Yogic exercises, hydrotherapy, splints, etc. In case, the joint damage is advanced then an operation such as a joint damage is advanced then an operatoin such as a joint replacement operation performed by a well trained surgeon in suitably equipped hospital, can relieve the symptoms and the pain associated with severe arthritis most reliably and consistently.
    Self-Help (For early arthritis):
    1. Sit comfortably on a bed with the legs out straight.
    Pull the foot up towards you keeping the knee straight.
    After this try to push the knee down on the bed. You should be able to feel the thigh muscles tightening as you do this.
    Count from one to ten.
    After this gently lift the leg up keeping the knee straight.
    Repeat the exercise for the other leg.
    Repeat this exercise at least 5 times with each leg twice a day.
    2. Sit comfortably on a chair keeping the knees bent.
    Gently straighten the knee in the air and hold it straight counting from one to ten.
    Now bend the knee gradually as much as possible, be extra careful to ben the knee to the fullest extent and to straighten it also to the fullest extent.
    Repeat with the other knee
    Exercise at least 5 times twice a day.
    Heat: Hot water bottles can be soothing as can be a masaage by gentle rubbing. A suitable cream applied on the painful parts can also bring some relief.
    Help from doctor: Contact the doctor immediately. The possible treatments are medicines, surgery, osteotomy and joint replacement.
    - By Dr. Nilen Shah
    M. Ch. Crth. (England) M. S. Bom. (Gold Medalist)
    Consultant Orthopaedic and Knee Surgeon - Bombay Hospital
    Specialist: Joint Replacement & Reconstruction (Hip, Knee, Shoulder), Arthroscopy
    Dar-Ul-Muluk, Gr. Floor, 26, Pandita Ramabai Road, Opp. Gita Bldg., Gamdevi,
    Mumbai - 400007
    Time: 5:00 p.m. to 8:00 p.m. (Mornings by appt. only)
    Phones: (022) 23805673 / (022) 23808073 Rooms
    Resi: (022) 23865429 / (022) 23880398
    Clinic Add:- Bombay Hospital, Room No. 128, 1st Floor, MIRC Bldg.,
    New Marine Lines, Mumbai - 400020
    Time: 11:00 a.m. to 1:00 p.m. (Monday, Tuesday & Friday)

    Phones: 22067676 Extn: 293/446

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