Bleeding During Catheterization of Male Urethra I was called at 10.30 PM to attend a case of bleeding from urethra following urethral catheterization in a semiconscious male, admitted to the medicine ward. I went and saw a healthy male in sixties bleeding from urethra. The foley's catheter, a narrow silicon tube used for draining the retained urine was […]
A Common Blood Pressure Lowering Drug Verapamil may Slow Or Reverse Diabetes A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for secretion of insulin; according to a University of Alabama at Birmingham study publ […]
Initial Study Links White Rice Consumption to Type II Diabetes Mellitus In a recent study in Asian countries , a possible association between white rice consumption and diabetes has been suspected. The researchers suspect that white rice contributes to diabetes risk because of its high glycemic index (64) when compared with brown rice (55), whole wheat (41), […]
Bleeding During Catheterization of Male Urethra I was called at 10.30 PM to attend a case of bleeding from urethra following urethral catheterization in a semiconscious male, admitted to the medicine ward. I went and saw a healthy male in sixties bleeding from urethra. The foley's catheter, a narrow silicon tube used for draining the retained urine was […]
A Common Blood Pressure Lowering Drug Verapamil may Slow Or Reverse Diabetes A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for secretion of insulin; according to a University of Alabama at Birmingham study publ […]
A common medication for high-blood-pressure and angina, verapamil, a calcium channel blocker has been seen to protect or reverse diabetes-related death of pancreatic beta cells, those responsible for... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] […]
There is a clicking sound while clinching fist and pain along a finger of hand. This is a sort of spot the diagnosis for medical persons. This is a condition involving flexortendons of fingers. There are tunnels and tendon pulleys in the fingers, made up of collagen/fibrous tissue .The tendon pulleys pass through the tunnels and work to flex the fingers while forming a fist. If the tunnels constrict or the pulleys thicken they can not pass smoothly and while passing along the deformed part it passes with a clicking sound .And hence earns the name Trigger Finger. If it progresses at one stage the pulley does not pass, so the finger can not be bent.
It may occur as a part of a collagen disease or without a specific cause. At the preliminary stage I advice the patient for physiotherapy under warm saline water. It relieves of the symptoms many a times. If not I infiltrate local steroid and lastly go for surgery to release the tendon pulley .The surgery gives immediate success. Under a local anaesthesia and skin crease incision the constricting portion is divided to release the tendon .Antibiotics and rest prescribed for some time.After removal of sutures a physiotherapy is advised.
Muscular pain at a spot on the chest wall or on a muscle group is difficult to evaluate.If it is on the chest wall many causes especially heart pain , pain originating from the respiratory system and pain from the ribs are to be excluded.There after fibromyalgia will come into picture . It may be a part a part of Rheumatoid Arthritis.Rheumatoid muscular pain does occur along with joint pain.It can be diagnosed by investigations like Rheumatoid Factor,ESR ,X-Rays examinations and clinical findings.If suggestive investigations found to be positive diagnosis of fibromyalgia becomes easy.If no other diseases as mentioned above are found we also level it to be fibromyalgia.It treated by simple analgesics.And if Rheumatoid is found it is not treated separately.
Usually the weight bearingjoints are affected ,the most common being the knee joint followed by ankle and hip joints.There is lot of pain which commences when the joint is first used then to subsides a little but as disease progresses all the movements become painful.So many causes attributed to it.Weight gain and excessive wear and tear of joint cushion due to aging are much important.X-Rays evaluation reveals changes after a period of time and blood sample tests for other collagen diseases usually negative. Patient’s satisfaction on treatment is not easily achieved as they heavily depend on medicinal treatment.But mainstay of treatment is weight reduction in case of obese and physiotherapy which patient does not comply to. Some cartilage regenerating molecules ,methylcobalamin ,simple analgesics and physiotherapy with life style modification should give satisfactory remission. Interventional treatments such as local injection of steroids and other molecules can be tried.As a last resort knee replacement by synthetic materials can be done.
Dr.Prahallad Panda