Dr Satyajit Mohanty blogs

Traumatic disruption of radio-humeral architecture may take many forms & a cause of lateral elbow pain with elbow stiffness. Subluxation & dislocation occur at this joint without fracture. We are herewith presenting a small review of pulled elbow in children & radial dislocation in adults. The purpose of doing so is to present the clinician to better identify these seemingly equal entities. Pulled elbow: It is also known as nursemaid's elbow. It is a common injury in young children. It is considered a minor condition in medicine but cause mush distress to parents of a child. It results from a sudden longitudinal traumatic pull on pronated and extended forearm, usually by an adult or taller person. This sudden pull pulls the radius through the annular ligament, resulting in subluxation (partial dislocation) of the radial head. The child experiences sudden acute pain and loss of function in the affected arm. DD: It appears to be infrequently recognized or ...

Crucial role of hip in Hip-spine syndrome Cervical & dorsal spine can produce lumbar spine pain along with lower extremity pain that may mimic sciatica. Similarly muscle imbalances & hip capsular problems may produce SI joint & lumbar spine pain with radiating symptoms in the lower extremity. In the following article we are trying to focus on hip producing spine & SI joint problems producing radiating & non-radiating symptoms. Concomitant presence of hip & spine problem named hip-spine syndrome is reported in medical literature but amount of research in this area is scanty. As relates to physiotherapy it becomes difficult to chuck out action plan as every bit of physical intervention must be directed to exact tissue at fault. What causes what, hip gives rise to spine fault or vice versa is yet to be concretely ascertained. Burns SA et al (2) found joint mobilization/manipulation and strengthening exercises directed at the hip alleviates both hip & lu...

Introduction: Severe fatigue is a common complaint among patients. Often, the fatigue is transient or can be attributed to a definable organic illness. Some patients present with persistent and disabling fatigue, but show no abnormalities on physical examination or screening laboratory tests. In these cases, the diagnosis of chronic fatigue syndrome (CFS) should be considered. According to Centers for Disease Control and Prevention (CDC, USA) Chronic fatigue syndrome (CFS) currently is defined as: (1) fatigue of at least 6 months' duration, seriously interfering with the patient's life; and (2) without evidence of various organic or psychiatric illnesses that can produce chronic fatigue. The World Health Organization classifies myalgic encephalomyelitis/chronic fatigue syndrome (ME/cfs) as a nervous system disease. Together with other diseases under the G93 heading, ME/cfs shares a triad of abnormalities involving elevated oxidative and nitrosative stress (O&NS), activat...

Introduction: Degenerative disorders of tendons present an enormous clinical challenge. They are extremely common, prone to recur and existing medical and surgical treatments are generally unsatisfactory. Posterior heel pain is a common complaint in both athlete and non-athlete. Posterior heel pain is multifactorial and includes paratenonitis, tendinosis, tendinosis with partial rupture, insertional tendinitis, retrocalcaneal bursitis, and subcutaneous tendo-Achilles bursitis. Each of these entities is distinct, but they often occur in combination. To avoid stereotyped treatment programs and there by failure of treatment, we need to know & classify homogenous appearing clinical entities into it’s own due place. With respect to posterior heel pain we encounter similar appearing entities in the Achilles tendon itself. Hence Van dijk et al in 2011 has sought clear terminology to delineate each of pain syndromes arising out of posterior heel. Following is an outline of new termi...