admin | Dr BSV Raju https://drbsvrajuneurospinesurgeon.com Neuro and Spine surgeon Mon, 30 Dec 2024 06:37:07 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.1 https://drbsvrajuneurospinesurgeon.com/wp-content/uploads/2023/09/cropped-logo-8-32x32.png admin | Dr BSV Raju https://drbsvrajuneurospinesurgeon.com 32 32 Osteoporosis and back pain in older women https://drbsvrajuneurospinesurgeon.com/osteoporosis-and-back-pain-in-older-women/ Mon, 30 Dec 2024 06:16:06 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1414

Osteoporosis is a condition that weakens the bones and turns them brittle to the point that they are prone to breakage or damage. Especially prevalent in postmenopausal women, osteoporosis has the potential to cause minor bumps and falls as well. Studies show that women are more likely to develop it than men. 

Osteoporosis is often referred to as the silent disease because it doesn’t show symptoms like many other health conditions. For women, this is particularly important to understand, as they are at a higher risk for osteoporosis, especially after menopause. There are no clear signals or warning signs indicating that you might have osteoporosis. You won’t experience fever, headaches, or stomach aches that could alert you to a problem with your bones.

The most common indication of osteoporosis is a bone fracture, which can happen even from a minor fall, like slipping on a wet surface or tripping over a small object. 

While there may not be direct symptoms, there are visible changes in your body that can suggest your bones are losing strength or density.

For women, these signs may include:

  • Losing an inch or more of your height.
  • Changes in your posture, such as stooping or bending forward more than usual.
  • Shortness of breath if the disks in your spine are compressed enough to reduce lung capacity.
  • Lower back pain, particularly in the lumbar region.

It can be challenging to notice these changes in your appearance, so it’s a good idea to ask loved ones if they’ve observed any differences in your height or posture. If you notice any of these signs, it’s essential to consult with your healthcare provider for a bone density test.

As women age, especially after menopause, their bones lose the ability to regenerate and reform as effectively. Just like any other part of your body, bones are living tissues that continuously replace their cells throughout your life. Taking proactive steps to monitor your bone health is crucial for maintaining strength and preventing osteoporosis.

As women grow older, their bones lose the ability to regrow and reform themselves effectively. Like any other part of your body, bones are living tissues that continuously replace their cells throughout your life. Up until around the age of 30, your body naturally builds more bone than it loses. However, after the age of 35, the rate of bone breakdown begins to surpass the rate of bone formation, leading to a gradual loss of bone mass. This process accelerates for women after menopause, making them more susceptible to rapid bone loss.

Risk Factors:

There are several risk factors for osteoporosis. While anyone can develop this condition, certain groups are more at risk, including:

  • Those over the age of 50.
  • People assigned female at birth (AFAB), particularly those who have gone through menopause.
  • Those with a family history of osteoporosis, as having a relative who suffered from the condition increases your risk.
  • Women who are thin or have smaller frames, as they naturally have less bone mass, making any losses more impactful.
  • Individuals who smoke or use tobacco products.

Additionally, some health conditions can increase the likelihood of developing osteoporosis, such as:

  • Endocrine disorders that affect the parathyroid glands, thyroid gland, and hormones (including conditions like thyroid disease and diabetes).
  • Gastrointestinal diseases, such as celiac disease and inflammatory bowel disease (IBD).
  • Autoimmune disorders that impact bone health, like rheumatoid arthritis or ankylosing spondylitis, which affects the spine.

Understanding these factors can help women take proactive steps to protect their bone health as they age.

Some surgical procedures and medications can intensify your risk of osteoporosis.

  • Diuretics (medications that lower your blood pressure and clear extra fluid from your body).
  • Corticosteroids (medications that treat inflammation).
  • Medications used to treat seizures.
  • Bariatric (weight loss) surgery.
  • Hormone therapy for cancer (including to treat breast cancer or prostate cancer).
  • Anticoagulants.
  • Proton pump inhibitors (like those that treat acid reflux, which can affect your calcium absorption).

Certain aspects of your diet and exercise routine can make you more likely to develop osteoporosis, including:

  • Not consuming enough calcium or vitamin D.
  • Leading a sedentary lifestyle
  • Regularly consuming alcohol (more than two drinks per day).

Diagnosis and Tests:

Your healthcare provider may diagnose osteoporosis with a bone density test. This is an imaging test designed to measure the strength of your bones through X-rays, which show the levels of calcium and other minerals present in your bones. These scans are also called DEXA scans or bone density scans. It is an outpatient test, which means you could go home after you’re done. 

Treatment:

You may treat osteoporosis by simply exercising regularly and taking vitamin and mineral supplements and medication for osteoporosis. 

Prevention:

You may follow these safety steps to reduce the risk of an injury:

  • Wearing a seat belt in car
  • Wearing the right protective equipment in all sports and activities
  • Decluttering your house so that you don’t trip over anything 
  • Consuming a proper diet
  • Exercising regularly 

Osteoporosis comes with no warning; it is essential that you notice the changes in your body. If noticeable, speak to a healthcare professional about any other symptom you’re experiencing, especially if it’s pain in the bones or you have mobility issues. 

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The Long-Term Effects of Head Injuries in the Elderly https://drbsvrajuneurospinesurgeon.com/the-long-term-effects-of-head-injuries-in-the-elderly/ Fri, 13 Dec 2024 05:24:07 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1394

Head injuries, caused by falls or accidents, may have a severe and lasting impact. Due to their frail bodies and multimorbidity, elderly patients are more prone to falling and slipping, and head injuries are a common complaint among them. 

Traumatic brain injury (TBI) is the result of a violent blow or jolt to the head or body. It could also be caused by an object passing through the brain tissue such as a bullet or shattered piece of skull. The severity can range from mild to severe, affecting both physical and cognitive. In mild damage, the brain cells get affected temporarily. If severe and traumatic, brain injury can consist of bruising, torn tissues, bleeding and other damage to the brain. This kind of injury is likely to result in long-term complications and even death. 

What Are the Symptoms of Brain Injury?

Traumatic brain injury has a varying range of physical and cognitive effects. While some signs and symptoms appear immediately post-traumatic event, others eventually appear after a few days or weeks. 

Let us classify the symptoms into three kinds: physical, sensory and cognitive to encompass the different effects. 

1. Mild Traumatic Brain Injury 

In mild traumatic brain injury, the signs and symptoms may include: 

  1. Physical symptoms
  • Head pain
  • Feeling sick or throwing up
  • Tiredness or sleepiness
  • Issues with speech
  • Lightheadedness or difficulty with balance

2. Sensory symptoms

  • Blurry vision,
  • Buzzing in the ears
  • An unpleasant taste in the mouth
  • Alterations in the sense of smell
  • Sensitivity to brightness or noise

3. Cognitive, behavioral or mental symptoms

  • Loss of awareness for a brief period of seconds to several minutes
  • No loss of awareness, but a feeling of being bewildered, puzzled, or disoriented
  • Problems with memory or focus
  • Changes in mood or emotional fluctuations
  • Experiencing feelings of sadness or worry
  • Trouble falling asleep
  • Sleeping more than normal

2. Moderate to Severe Traumatic Brain Injury

In moderate to severe traumatic brain injury, the signs may show eventually, either within the first hours or days post the event of the head injury. 

1. Physical symptoms

 

  • Loss of consciousness lasting from several minutes to several hours
  • Chronic headache or headache that intensifies
  • Continuous vomiting or nausea
  • Convulsions or seizures
  • Enlargement of one or both eye pupils
  • Transparent fluids leaking from the nose or ears
  • Inability to be roused from sleep
  • Weakness or numbness in the extremities
  • Loss of motor coordination

2. Cognitive or mental symptoms

  • Severe confusion
  • Restlessness, aggressiveness, or other abnormal behaviors
  • Slurred speech
  • Coma and other consciousness-related disorders

Physiological Changes and Head Injury Risk in the Older Adults: 

Aging in the brain causes older patients to experience hemorrhagic complications of head injury. Let us understand how brain injuries can impact older adults. 

1. Cerebral Atrophy:

With advancing age, the brain undergoes a natural process of shrinkage. This phenomenon can result in enlarged spaces within the skull, which increases the brain’s susceptibility to bleeding, particularly in the case of subdural hematomas. It may require a larger volume of blood to exert significant pressure on the brain.

2. Hypertension:

Elevated blood pressure places additional strain on blood vessels, thereby heightening the risk of aneurysms and ruptures, especially within the brain. This condition can lead to subarachnoid hemorrhage.

3. Impaired Cerebral Autoregulation:

A diminished capacity to regulate blood flow to the brain can result in a decreased supply of oxygen, making the brain more vulnerable to injury.

4. Cerebrovascular Atherosclerosis:

The hardening of arteries within the brain can further compromise blood flow and escalate the risk of stroke.

5. Increased Monoamine Oxidase B (MAO-B):

MAO-B is an enzyme responsible for producing potentially harmful free radicals. Elevated levels of MAO-B can inflict damage on brain cells and diminish the brain’s resilience to injury.

6. Mitochondrial Aging:

Mitochondria, which serve as the energy powerhouses of cells, tend to become less efficient as we age. This decline can hinder the brain’s ability to recover from injuries.

7. Reduced Superoxide Dismutase (SOD):

SOD functions as an antioxidant that protects cells from damage. A reduction in SOD levels can render the brain more susceptible to oxidative stress and injury.

8. Increased Superoxide Production:

Superoxide is a harmful free radical that can contribute to cellular damage and further increase the risk of brain injury. 

How to Prevent Falls in the Elderly?

To prevent falls and head injuries in the elderly, make sure to incorporate: 

  • Regular eye exams
  • Regular exercise
  • Home safety assessments 
  • Use of assistive devices

Consult with a healthcare provider to ensure that your loved one can take the necessary precautions to minimize the risk for head injuries. 

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Understanding and Overcoming Vertigo https://drbsvrajuneurospinesurgeon.com/understanding-and-overcoming-vertigo/ Mon, 18 Nov 2024 10:39:39 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1387

Vertigo is a sensation of spinning or dizziness, often caused by issues in the inner ear or the brain. It can make a person feel like they or their surroundings are moving, even when they are still. This condition can be distressing and may interfere with daily activities. Vertigo is not a disease itself but a symptom of an underlying health condition. It is vital to understand the causes of vertigo and the steps you can take to overcome it.

What is Vertigo?

Vertigo is a false sense of motion, where you feel like you are moving or spinning even when you are stationary. Unlike regular dizziness, vertigo feels more like a room spinning around you or a sensation of tilting. While it can be momentary or short-lived, in some cases, vertigo may persist for days or even weeks, significantly affecting a person’s quality of life.

Symptoms of Vertigo

The symptoms of vertigo can vary from person to person but generally include:

  • A spinning or tilting sensation
  • Loss of balance or unsteadiness
  • Nausea or vomiting
  • Sweating
  • Abnormal eye movements (nystagmus)
  • Ringing in the ears (tinnitus)
  • Headaches

These symptoms may come on suddenly and can last for a few seconds or several minutes. In severe cases, vertigo can last longer, leading to difficulty with walking or standing.

What Causes Vertigo?

Vertigo can result from various causes, often related to issues with the inner ear or the brain. Some common causes include:

  • Benign Paroxysmal Positional Vertigo (BPPV): This is the most common cause of vertigo, where tiny crystals in the inner ear become dislodged, leading to abnormal signals sent to the brain.
  • Meniere’s Disease: A disorder of the inner ear that causes episodes of vertigo, hearing loss, and ringing in the ears.
  • Vestibular Neuritis: Inflammation of the vestibular nerve, which is responsible for balance, usually due to a viral infection.
  • Labyrinthitis: An infection of the inner ear that affects both hearing and balance.
  • Head or Neck Injury: Trauma to the head or neck can damage the inner ear or vestibular system, leading to vertigo.
  • Migraines: Some individuals with migraines experience vertigo as a symptom, often referred to as vestibular migraines.
  • Stroke or Brain Tumors: Though rare, problems in the brain, such as strokes or tumors, can also lead to vertigo.

Complications Associated with Vertigo

If left untreated, vertigo can lead to several complications, including:

  • Falls and Injuries: The unsteady feeling associated with vertigo can increase the risk of falls, especially in older adults.
  • Chronic Dizziness: Long-term vertigo may lead to persistent dizziness or balance problems, affecting daily functioning.
  • Anxiety and Depression: Living with chronic vertigo can lead to emotional distress, anxiety, or depression due to the constant fear of experiencing an episode.

Risk Factors for Vertigo

While anyone can experience vertigo, several factors may increase the risk of developing this condition:

  • Age: Older adults are more likely to experience vertigo due to age-related changes in the vestibular system.
  • Inner Ear Problems: Conditions like BPPV or Meniere’s disease that affect the inner ear balance system are common causes of vertigo.
  • Head or Neck Injury: Previous trauma to the head or neck increases the risk of vertigo.
  • Migraines: Individuals with a history of migraines may experience vertigo during or between episodes.
  • Medications: Some medications can cause dizziness or vertigo as a side effect.

How to Diagnose Vertigo

If you experience vertigo, it’s essential to seek medical attention to determine the cause. Your doctor may:

  • Perform a physical exam, including a balance and eye movement test.
  • Ask about your medical history and any triggers or patterns of dizziness.
  • Conduct imaging tests, such as an MRI or CT scan, if a neurological cause is suspected.
  • Order hearing tests if an inner ear condition is suspected.

Tips to Overcome Vertigo

While vertigo can be challenging, there are several ways to manage and reduce symptoms:

  • Epley Maneuver: For BPPV, a series of head movements called the Epley maneuver can help reposition the displaced ear crystals, relieving vertigo.
  • Vestibular Rehabilitation Therapy (VRT): A type of physical therapy that focuses on exercises to improve balance and reduce dizziness.
  • Medications: Anti-nausea medications or vestibular suppressants may help manage symptoms during an episode.
  • Stay Hydrated: Dehydration can worsen symptoms, so drinking plenty of fluids is essential.
  • Avoid Triggers: If you know certain movements or activities trigger your vertigo, try to avoid them until you can see a doctor.
  • Manage Stress: Since stress can worsen vertigo, practicing relaxation techniques such as deep breathing, yoga, or meditation can help.

Prevention and Lifestyle Changes

There are several ways to reduce your risk of experiencing vertigo episodes:

  • Exercise Regularly: Strengthening your balance through activities like yoga, tai chi, or walking can help reduce the risk of vertigo.
  • Maintain Good Posture: Proper posture can prevent neck strain and other physical issues that may contribute to vertigo.
  • Control Blood Pressure: High blood pressure or other circulatory issues may contribute to vertigo, so managing these conditions can help.
  • Limit Alcohol: Excessive alcohol consumption can affect balance and increase the risk of vertigo episodes.

Vertigo is a condition that can severely affect your quality of life, but understanding its causes and symptoms is the first step toward overcoming it. Early diagnosis, proper treatment, and lifestyle changes can help manage vertigo and improve your well-being. If you experience frequent dizziness or balance issues, consult your doctor to get the right treatment and restore your health.

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Don’t Wait: Understanding Stroke Signs and Risks https://drbsvrajuneurospinesurgeon.com/dont-wait-understanding-stroke-signs-and-risks/ Mon, 04 Nov 2024 07:52:43 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1380

Stroke is a serious health issue that can change lives in an instant. Picture this: you’re enjoying a sunny afternoon, and suddenly someone you love starts to slur their words or can’t raise one side of their face. This is a stroke, and it happens when blood flow to the brain is interrupted. Without quick action, the consequences can be devastating. Let’s dive into what you need to know about strokes—the signs, risks, and how recovery works.

What Exactly is a Stroke?

Strokes fall into two main categories: ischemic and hemorrhagic. An ischemic stroke occurs when a blood clot blocks a blood vessel in the brain. It’s like a traffic jam in your bloodstream. On the flip side, a hemorrhagic stroke happens when a blood vessel bursts, spilling blood into the brain. Both types are serious and require immediate medical attention. The faster someone gets help, the better their chances of recovery.

Spotting the Signs

Recognizing the signs of a stroke can literally save a life. Here’s a simple way to remember the key symptoms—just think of the acronym F.A.S.T.:

  • Face Drooping: Does one side of the face look different? Ask the person to smile. If one side droops, that’s a warning sign.
  • Arm Weakness: Have them raise both arms. If one arm starts to drift down, that’s a red flag.
  • Speech Difficulty: Listen closely. Is their speech slurred or hard to understand? Ask them to repeat a simple phrase. If it’s not right, time to act.
  • Time to Call Emergency Services: If you see any of these signs, don’t wait. Call for help immediately. Every minute counts.

Other symptoms can include sudden confusion, trouble seeing, or a severe headache with no known cause. If you notice any of these, get help fast.

Who’s at Risk?

Certain factors can increase the chances of having a stroke. Some of these are out of our control, while others can be managed:

  1. High Blood Pressure: This is the leading cause of strokes. Regular check-ups can help monitor it.
  2. Diabetes: Managing blood sugar is crucial since diabetes raises stroke risk.
  3. Heart Disease: Conditions like atrial fibrillation can increase your chances of having a stroke.
  4. Smoking: We all know smoking is bad for health. It damages blood vessels and leads to clots.
  5. Obesity: Being overweight increases the risk of high blood pressure and diabetes, both of which raise stroke risk.
  6. Age and Family History: As we age, our risk goes up. If strokes run in your family, it’s time to be proactive.

While you can’t change some factors, many can be controlled through healthy lifestyle choices.

Preventing a Stroke

Preventing a stroke is possible! Here are some practical steps you can take:

  • Eat Healthy: Fill your plate with fruits, veggies, and whole grains. Try to cut back on salt, sugar, and unhealthy fats. Your body will thank you.
  • Stay Active: Aim for at least 150 minutes of moderate exercise each week. Walking, swimming, or dancing—whatever gets you moving!
  • Maintain a Healthy Weight: Even losing a little weight can help reduce your stroke risk.
  • Limit Alcohol: If you drink, do so in moderation. Too much alcohol can raise blood pressure.
  • Quit Smoking: If you smoke, now is the time to quit. There’s plenty of support out there to help.

Keep in mind, regular check-ups are important. Discuss any risks with your doctor and get personalized advice.

Life After a Stroke

Recovering from a stroke can be a long and challenging journey. The extent of recovery often depends on how quickly treatment was received and the stroke’s severity. Rehabilitation usually includes physical, occupational, and speech therapy.

Having support from family and friends is crucial during recovery. Many survivors find that talking to others who’ve been through a stroke helps them cope. Consider joining a support group—it’s a great way to connect with others who understand your journey.

Stroke is a serious condition, but being aware and taking proactive steps can often prevent it. Recognizing the signs and knowing your risk factors are essential. Remember F.A.S.T., and don’t hesitate to call for help if you notice any symptoms.

Stay informed and encourage your loved ones to do the same. Your actions can make a real difference in reducing the risk of stroke for you and those around you. After all, health is a journey we all share. Let’s take care of each other.

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Understanding Stroke: The Causes, Symptoms & Management https://drbsvrajuneurospinesurgeon.com/understanding-stroke-the-causes-symptoms-management/ Tue, 24 Sep 2024 05:56:54 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1371

A stroke occurs when there is a problem with blood flow to a portion of the brain. It is the brain’s version of a heart attack. This may occur as a result of cerebral hemorrhage or clogged blood vessels. A stroke is a potentially fatal illness that results from insufficient blood flow to a portion of the brain. The most prevalent causes of this are cerebral hemorrhage or clogged arteries. The brain cells there begin to lose oxygen when there isn’t a constant flow of blood. Call 911 (or your local emergency services number) as soon as possible if you or someone you’re with is experiencing stroke symptoms. Your chances of recovering from a stroke without becoming disabled increase with prompt treatment.

What causes a stroke?

Hemorrhagic and ischaemic strokes can occur for a variety of causes. Blood clots are typically the cause of ischaemic strokes. These may occur for a number of causes, including:

  • Atherosclerosis.
  • Clotting illnesses.
  • Atrial fibrillation, particularly in cases where sleep apnoea is the cause.
  • Abnormalities in the heart (ventricular or atrial septal defects).
  • Microvascular ischaemia, a condition where your brain’s tiny blood capillaries become blocked

Hemorrhagic strokes can also occur for a number of reasons, such as:

  • High blood pressure, particularly if it’s extremely high, persistent, or both.
  • Hemorrhagic strokes can occasionally result from brain aneurysms.
  • Tumours of the brain (including cancer).
  • Illnesses like moyamoya disease that weaken or create strange alterations in the blood arteries in your brain.

A person’s risk of stroke can also be influenced by a number of other illnesses and variables. Among them are:

  • Alcohol use disorder.
  • High blood pressure (this can lead to blood vessel damage that increases the risk of stroke, which can affect all types of strokes, not only hemorrhagic ones).
  • Hyperlipidaemia, or high cholesterol.
  • Headaches caused by migraines (which can resemble stroke symptoms, and those who suffer from migraines, particularly those with auras, are more likely to experience a stroke at some point in their lives).
  • Diabetes type 2.
  • Smoking as well as using alternative tobacco products (such as vaping and smokeless tobacco).
  • Misuse of medications (both prescription and over-the-counter).

What are the symptoms of a stroke?

The part of the brain that is affected by a stroke will determine the symptoms you experience. A stroke that affects the Broca’s area, the portion of the brain that regulates the muscles in your face and mouth used for speech, is an illustration of this. This explains why some stroke victims slur their words or find it difficult to talk.

A stroke may cause one or more of the following symptoms:

  • Weakness or paralysis on one side.
  • Aphasia is the inability or lack of ability to speak.
  • Speech that is slurred or distorted (dysarthria).
  • Loss of facial muscular control on one side.
  • Sudden loss of one or more senses (hearing, taste, smell, vision, and touch), either completely or partially.
  • Double eyesight or blurry vision (diplopia).
  • Loss of coordination or clumsiness (ataxia).
  • Dizziness or vertigo.
  • Nausea and vomiting.
  • Neck stiffness.
  • Emotional instability and personality changes.
  • Confusion or agitation.
  • Seizures.
  • Memory loss (amnesia).
  • Headaches (usually sudden and severe).
  • Passing out or fainting.
  • Coma.

How is a stroke managed?

The way a stroke is treated is influenced by numerous variables. The type of stroke a patient experiences is the most significant aspect in defining their course of treatment.

Ischaemic: Restoring blood flow to the damaged brain regions is the main goal in cases of ischaemic strokes. Sometimes, if this occurs quickly enough, irreparable damage can be avoided, or at least the severity of a stroke can be reduced. In order to restore circulation, thrombolytic medications are typically used, though catheterisation may also be necessary.

Hemorrhagic: The location and extent of the bleeding determine the course of treatment for hemorrhagic strokes. Since lowering blood pressure will lessen bleeding and prevent it from getting worse, this is frequently the first focus. Enhancing coagulation is an additional therapeutic strategy to halt the bleeding. Sometimes surgery is required.

Depending on the type of stroke and the patient’s timing of therapy, different drugs and therapies are employed. Long-term stroke treatments are also available. These occur in the days and months following emergency care for the immediate risk of stroke. In general, the best person to advise you on the course of treatment or courses of action is your healthcare professional. They can customise the data they offer to your particular situation, taking into account things like your personal circumstances, medical history, and more.

Stroke Rehabilitation

Assisting an individual in recuperating or adjusting to the alterations in their brain is a crucial aspect of stroke treatment. This is particularly true in terms of aiding in their recovery of pre-stroke abilities. For most stroke victims, a significant component of their recovery is stroke rehabilitation. There are numerous ways that rehabilitation can occur, such as:

  • Speech therapy: It can help you restore your capacity to speak and understand language as well as enhance your control over the muscles that are necessary for breathing, eating, drinking, and swallowing.
  • Physical therapy: It can assist you in regaining or improving your hand, arm, foot, and leg function. In addition, this can aid with muscular weakness, balance problems, and more.
  • Occupational therapy: This might assist in retraining your brain to enable you to carry out your everyday activities. This treatment is particularly beneficial for enhancing dexterity and muscular control.
  • Cognitive therapy: If you experience memory issues, this may be beneficial. It can also be helpful if you struggle to focus or concentrate on tasks that you used to be able to complete.

Various therapy may be appropriate for you, based on your situation. The ideal person to advise you on what kinds of therapies will be beneficial for you is your healthcare professional.

A stroke is a serious, potentially fatal medical emergency since it is the brain’s equivalent of a heart attack. Strokes also happen quickly, and waiting too long to receive treatment can result in death or irreversible brain damage. For the person having the stroke or others around them, it can be scary. However, new drugs, technical advancements in imaging, and our growing understanding of the brain are making stroke therapy choices more and more accessible on a daily basis. It’s crucial to get medical help right away if you or someone you’re with exhibits stroke symptoms. The likelihood that a stroke victim’s consequences will be mitigated or even reversed increases with the speed at which they receive medical attention.

 

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Understanding Multiple Sclerosis: Symptoms, Types, and Treatment Options https://drbsvrajuneurospinesurgeon.com/understanding-multiple-sclerosis-symptoms-types-and-treatment-options/ Fri, 13 Sep 2024 09:48:43 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1362

Multiple Sclerosis (MS) is a chronic autoimmune disorder that primarily affects the central nervous system, including the brain and spinal cord. In MS, the immune system mistakenly attacks the myelin sheath, a protective layer surrounding nerve fibers. This damage leads to communication disruptions between the brain and various parts of the body, causing a wide range of symptoms. While there is no cure for MS, treatments are available that can help manage symptoms and slow the progression of the disease.

What Are the Signs and Symptoms of Multiple Sclerosis?

The symptoms of MS vary widely from person to person, depending on which nerves are affected and the extent of the damage. Some individuals may experience mild symptoms, while others may struggle with severe disabilities. Common signs of MS include:

  1. Fatigue: Even after getting adequate rest, many individuals with MS experience extreme tiredness, which can affect daily activities and overall quality of life.
  2. Tingling or Numbness: People with MS often feel tingling or numbness, particularly in the limbs, which may come and go or persist for longer periods.
  3. Muscle Weakness: MS can cause difficulty walking, standing, or using the arms and legs due to muscle weakness.
  4. Vision Problems: Blurred vision, double vision, or even temporary blindness are common vision-related symptoms of MS.
  5. Balance and Coordination Issues: Poor balance, unsteady walking, and improper coordination are also frequent challenges for individuals with MS.
  6. Bowel and Bladder Problems: Issues such as constipation, diarrhea, and loss of bladder or bowel control are common in advanced stages of MS.
  7. Cognitive Changes: MS may lead to difficulty with memory, concentration, or problem-solving abilities.

Types of Multiple Sclerosis

There are four distinct types of MS, each with varying symptoms and progression patterns:

  1. Relapsing-Remitting MS (RRMS): This is the most common form, characterized by periods of symptom flare-ups (relapses) followed by periods of partial or complete recovery (remissions).
  2. Primary Progressive MS (PPMS): In this type, symptoms worsen steadily from the onset, without any periods of remission.
  3. Secondary Progressive MS (SPMS): SPMS often begins as relapsing-remitting MS but transitions into a more progressive form, where symptoms gradually worsen over time.
  4. Progressive-Relapsing MS (PRMS): A rare form, this type is marked by continuous disease progression with occasional relapses.

Treatment Options for Multiple Sclerosis

While there is currently no cure for MS, there are various treatment options designed to manage symptoms, improve quality of life, and slow disease progression. These may include:

  1. Medications: There are numerous medications that help manage specific MS symptoms, reduce relapses, and slow disease progression. These include immunosuppressive and anti-inflammatory drugs, which target the immune system to reduce attacks on the myelin sheath.
  2. Physical Therapy: This form of therapy helps improve muscle strength, balance, and coordination. A physical therapist can work with individuals to create an exercise plan tailored to their needs and abilities.
  3. Occupational Therapy: This helps individuals maintain independence by providing strategies and tools to perform daily tasks, despite the challenges posed by MS.
  4. Speech Therapy: For individuals experiencing difficulty speaking or swallowing due to MS, speech therapy can be highly beneficial in improving communication skills.

Managing Life with Multiple Sclerosis

Living with MS can be challenging, but with proper treatment and care, many people can continue to lead fulfilling lives. Early diagnosis and treatment are key to slowing the progression of the disease and managing symptoms effectively. By working with a healthcare team, including neurologists, physical therapists, and occupational therapists, individuals with MS can find strategies to maintain mobility, independence, and a higher quality of life.

If you or someone you know is experiencing symptoms of Multiple Sclerosis, it’s important to explore treatment options. Early intervention can make a significant difference.

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    Life After A Brain Surgery https://drbsvrajuneurospinesurgeon.com/life-after-a-brain-surgery/ Thu, 22 Aug 2024 06:00:47 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1317

    Even though it’s frequently a life-saving procedure, brain surgery can have major consequences. There are many mental and physical obstacles on the road to rehabilitation. Nonetheless, you may manage your recuperation and rediscover yourself after brain surgery if you have the correct facts, informational support system, and optimistic outlook.

    The sort of brain surgery you have and the complexity of your case will determine how long it takes you to recover. You may feel tired, in pain, confused, or have trouble communicating in the early days after surgery. You will usually be under close observation in the intensive care unit (ICU) until you are stable enough to be moved to a regular hospital room.

    Rehabilitation becomes an essential part of your recovery after your condition stabilizes. Your speech, physical capabilities, mental health, and emotional stability will all be enhanced by therapists. Making the most of every chance to get as much rest as you can once you’re home is essential.

    Here are some common challenges:

    • You may feel weak or have trouble balancing or coordinating, depending on where the operation is performed.
    • It is common to experience persistent tiredness. Make relaxation a priority and pay attention to your body.
    • Potential side effects could include memory loss, concentration issues, or trouble speaking.
    • Anesthesia may have an impact on your emotional state and composure. Emotional regulation issues, anxiety, and depression are prevalent.
    • It may require some time to get back into the work and social scene, as well as hobbies. Be kind to yourself and have open lines of communication with those you care about.

    Here are some strategies for recovery:

    • Maintaining your health requires that you take your medication as prescribed, go to your rehabilitation appointments, and make lifestyle changes.
    • Prioritize Your body requires enough sleep to repair itself. Avoid overexerting yourself and pay attention to your signs of exhaustion.
    • Eating wholesome meals gives your body the resources it requires to heal.
    • Getting enough water in your diet promotes good health and helps fight weariness.
    • Getting in touch with people who have had brain surgery can offer a wealth of knowledge and support.
    • Persistent stress might impede healing. Use relaxation methods such as deep breathing exercises or meditation.
    • Rehab is a slow process, so have patience. Cherish little victories and refrain from evaluating yourself against others.

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    Understanding Glioblastoma and Why Awareness Matters https://drbsvrajuneurospinesurgeon.com/understanding-glioblastoma-and-why-awareness-matters/ Tue, 13 Aug 2024 07:28:55 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1310

    Glioblastoma is a kind of cancer that originates in the brain or spinal cord. It starts with astrocytes, which are the cells that support nerve cells. Glioblastoma spreads swiftly and can harm healthy tissues. The cancer can spread to other parts of the brain as well. It is the most prevalent kind of malignant or cancerous brain tumor in adults, accounting for over 50% of all cancerous brain tumors. To save lives, it is critical to raise awareness of glioblastoma and encourage early identification. Understanding the causes, symptoms and other important information about Glioblastoma will help in efficiently raising awareness about this deadly disease. This article has been written with that purpose in mind. 

    What causes Glioblastoma?

    The majority of glioblastomas have unknown causes.

    Glioblastoma develops when cells in the brain or spinal cord undergo DNA alterations. “Mutations” or “Variants” are terms used by healthcare experts to describe these changes. Cancer cells’ DNA alterations instruct them to produce a large number of cells quickly. This large production of cancer cells produces a lump known as a tumor. The tumor may expand to push on surrounding nerves and sections of the brain or spinal cord. This causes glioblastoma symptoms, which can lead to consequences. The tumor can spread to invade and destroy healthy body tissue.

    What are the symptoms of Glioblastoma to look out for?

    Experts are unsure why certain people acquire dangerous brain tumors, including Glioblastoma, but some symptoms have been found. Glioblastoma symptoms appear quickly. The developing tumor puts pressure on the brain, resulting in symptoms such as:

    • Double or blurred vision.
    • Headaches.
    • Appetite loss.
    • Memory issues.
    • Mood and/or personality changes.
    • Muscle weakness or balance issues.
    • Nausea and vomiting.
    • Seizures.
    • Speech difficulties.
    • Changes in sensation, such as numbness or tingling. 

    What are the risk factors associated with Glioblastoma?

    Like every disease, Glioblastoma also has some factors that can increase the risk of acquiring it. They are:

    • Growing older: Glioblastomas are most common in older people. However, glioblastoma can occur at any age.
    • Being exposed to ionizing radiation: People who have been exposed to ionizing radiation are at a higher risk of developing glioblastoma. Microwaves emitted by an oven are one type of ionizing radiation.
    • Inherited cancer risk syndromes: In some families, DNA alterations passed down from parents to children may raise the risk of developing glioblastoma. These syndromes can be detected by genetic testing.

    What are the management and treatment options for glioblastoma?

    Unfortunately, Glioblastoma has no known treatment. To reduce symptoms, treatments aim to remove or shrink the tumor. The initial procedure is surgery called Craniotomy, to remove the tumor, followed by radiation and chemotherapy. If surgery is not an option owing to your health or the location of the tumor, radiation and chemotherapy can help control it.

    Radiation therapy employs S-rays to destroy cancer cells and prevent them from growing. You could require up to 30 daily radiation treatments over six weeks, and chemotherapy medication circulates in your blood to kill cancer cells. Chemotherapy can be administered concurrently with radiation therapy or after it has been completed.

    Some other treatments that are employed to tackle glioblastoma include:

    • Intensity modulated radiation therapy (IMRT)
    • Stereotactic radiosurgery
    • Targeted therapy
    • Tumor treatment fields (TTF)

    Fighting Glioblastoma is a true battle, but with awareness, we can combat it. This aggressive brain tumor must be detected early for the best chance of successful therapy. While the specific causes are unknown, understanding the risk factors and symptoms allows people to seek medical attention as soon as possible.

    Glioblastoma Awareness Day, held annually on the third Wednesday of July, serves as an important reminder. This year, let’s band together to spread knowledge. Share information about Glioblastoma  with your loved ones, advocate for more research funds and donate to organizations dedicated to discovering a cure.

    Raising awareness serves to aid patients, accelerate research, and eventually save lives. Let us shift the tide against glioblastoma one informed voice at a time.

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    Glioblastoma Vs Other Brain Tumors: Similarities and Differences https://drbsvrajuneurospinesurgeon.com/glioblastoma-vs-other-brain-tumors-similarities-and-differences/ Tue, 30 Jul 2024 11:29:42 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1304

    Glioblastoma, a lethal, complicated and treatment-resistant cancer, constitutes over 50% of adult cases of cancerous brain tumors. Glioblastoma is a malignancy that begins with the development of cells in the brain or spinal cord. It grows rapidly and has the ability to invade and destroy healthy tissue. Glioblastoma symptoms might include persistent headaches, nausea and vomiting, blackouts, blurred or double vision, seizures, and more. There is currently no cure for glioblastoma. Treatments may delay cancer progression and alleviate symptoms.

    Glioblastoma is more common in older persons, therefore getting older is a risk factor. Ionizing radiation exposure, such as during medical procedures or in some occupational contexts, can heighten the risk. In addition, inherited genetic abnormalities can also make people more likely to develop glioblastoma. 

    A brain tumor is an abnormal growth of cells in or near the brain. Brain tumors can develop in or near the brain tissue. Not all brain tumors are malignant. Noncancerous brain tumors can grow and put pressure on brain tissue over time. Brain tumors have the potential to grow rapidly and can range in size. Cancer cells have the ability to penetrate and damage brain tissue. Surgery and radiation therapy are common treatments for a brain tumor.

    There are numerous types of brain tumors. The type of brain tumor is determined by the sort of cells that comprise the tumor. Brain tumor types include gliomas, meningiomas, acoustic neuromas, pituitary adenomas, craniopharyngiomas, osteomas, and many more. 

    Glioblastoma and other brain cancers are similar on some fronts because they are both caused by abnormal brain cells, present with overlapping symptoms such as headaches, and seizures, and frequently require similar diagnostic methods such as MRI and CT scans. Surgical intervention, radiation therapy, and chemotherapy are popular treatment techniques for both, while the specific strategies and outcomes differ depending on the tumor type and severity. 

    Following are the differences:

    Glioblastoma

    Other Brain Tumors

    Very aggressive 

    Not all tumors are aggressive

    Symptoms develop quicker (days to months)

    Symptoms develop slower (months to years)

    Size of the tumor can double within weeks

    Can take several months or years for tumor to grow

    Also requires Chemotherapy along with Surgery and Radiation Therapy

    Surgery and Radiation Therapy are most important

    Survival rate – 12 to 18 months

    Survival rate – more than a year

    Glioblastoma is the most powerful and deadliest among brain tumors. This tumor, distinguished by its relentless aggression and ability to invade healthy brain tissue, presents a substantial challenge to medical practitioners. While glioblastoma shares some characteristics with other brain tumors, its rapid growth, resistance to therapy, and catastrophic impact on patients highlight its distinct nature. A thorough understanding of the condition is required to establish effective therapy options and improve patient outcomes.

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    Amyotrophic Lateral Sclerosis (ALS) https://drbsvrajuneurospinesurgeon.com/amyotrophic-lateral-sclerosis-als/ Mon, 24 Jun 2024 06:37:30 +0000 https://drbsvrajuneurospinesurgeon.com/?p=1298

    Amyotrophic lateral sclerosis, or ALS, is a nervous system disorder that affects nerve cells in the brain and spinal cord. ALS causes muscular paralysis. The condition worsens over time. ALS is also known as Lou Gehrig’s Disease. The specific cause of the condition remains unknown.

    ALS frequently begins with muscular twitching and weakening in one arm or leg, as well as difficulty swallowing or garbled speech. ALS eventually impairs muscle control, causing difficulty moving, speaking, eating, and breathing. This deadly disease has no cure.

    Symptoms of Amyotrophic Lateral Sclerosis:

    The symptoms of ALS differ from person to person. Symptoms vary according to which nerve cells are impacted. Some of the symptoms of ALS include:

    • Difficulty walking or performing regular chores.
    • Trips and falls.
    • Hand weakness or clumsiness.
    • Slurred speech or difficulty swallowing.
    • Weakness in the legs, foot, and/or ankles.
    • Unexpected crying, laughter, or yawning.
    • Mental or behavioural changes.
    • Weakness due to muscle spasms and twitching in the arms, shoulders, and tongue.

    ALS commonly begins in the hands, feet, arms, or legs. Then it spreads to other places of your body. Muscles lose strength as more nerve cells die. The early stages of ALS are usually painless. Pain is also uncommon in later phases. ALS seldom affects bladder control. It normally has little effect on the senses, including the ability to taste, smell, touch, and hear.

    ALS damages the nerve cells that regulate voluntary muscle movements like walking and talking. ALS causes motor neurons to gradually degrade and then die. When motor neurons get destroyed, they stop delivering messages to the muscles. As a result, muscles are unable to operate. A genetic cause can be found for approximately 10% of ALS patients. The reason for the remaining incidents is unknown.

    ALS, often known as Lou Gehrig’s Disease, is a persistently progressing illness that deprives people of muscle control. Although the reason is unknown and there is no cure, research is progressing. You can get involved in the struggle! Donate to organizations that promote ALS research, donate your time to assist patients and families, or simply raise awareness.

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