Showing posts with label spine. Show all posts
Showing posts with label spine. Show all posts

4/25/2008

How to detect the deviations in the spine

We propose you 4 tests, so that you can detect if you have deviations in the spine. You are very actual to carry out them in children, since it will be much easier to correct them.

1 the alignment of the shoulders

The person stays pause with the arms to both sides of the body and the right head. Stop in front of her.
- The good position is when the two shoulders are aligned, they are to the same height.
- The bad position is when a shoulder is more high than the other one and you can, also, to be lightly later on. You are an escoliosis sign, a deformation of the spine that correspond to a wraparound of the vertebras. The not aligned shoulders are one of the reasons of urgent query, since the escoliosis that are given generally in the children, evolves during the increment.

2 the test of the thread with plummet

you allow to diagnose an asymmetry of the spine and it can be carried out with a bunch of keys and some tape. The person should be stopped, right, with the arms to both sides of the body. Stop behind her. You take the tape and lean on it starting from half of the nape until finding the wrinkle among the gluteus.
- The good position is when the tape stops by the means of the two scapulas. The trunk is equilibrated and the right column.
- The bad position is when the tape is next to one of the two scapulas. You are sign of a deviation of the spine, generally of an escoliosis.

3 the shoulder against the wall

Pause the person, is arranged with the shoulder against the wall, the arms to both sides of the body, the very right head. You arrange yourself to the side, so that you can see it of profile.
- The good position is when the shoulder, of below up, you are perfectly pasted to the wall.
- The bad position. If you note the presence of a small hump, it can be about a bad posture. The person stops bad, you get lazy with the curved shoulder and the fallen shoulders. If this encorvamiento of the shoulder persists, even when you are requested that you stop right, you are spoken of kyphosis, that is to say, of a curved true shoulder.

4 the flexion

Of foot, with the legs you adjoin and enhanced, with the very right pelvis, the person leans with the arms toward before as if you wanted to be played the feet. Stop behind her and you browse this way the shoulder curved. Your left-hand side and your right (of each side of the column) part should be perfectly symmetrical. If ésto doesn't happen, that person shows up a deviation of the spine that will be browsed.

2/25/2008

Sciatica

You are qualified, generically of sciatica, a painful syndrome of the sciatic consecutive ledge to an infection of the same one, of your medullary roots or of the corresponding plexus. The whole syndrome turns around the symptom pain that are of acute, intense character, terebrante and continuing, with frequent increases caused by the mobilization dle trunk or of the extremities or, simply, for the cough, contractions of the abdominal press, etc. Such increases to the effort are characteristic of the sciatica for injury radicular, that is to say, of the root of the ledge. You begin in the lumbar area, the inferior member continues, with longitudinal distribution until reaching the later face of the knee or, more frequently, the ankle or the extraneous edge of the foot. The pnto reached by the pain, as well as the features of the same one, constitute important elements in the diagnostic topographical lesional that rely on the appearance of clinical such signs as the positividad of the tests of Lasègue and other that are expressive of the sensibility of the roots of the sciatic ledge to the bare traction. In all the cases, the pain is not only referred to the member's interior, but also to the skin that cover it.

The syndromes doorosos of the sciatic ledge are consecutive to the aggression of this ledge at level of your roots (radiculitis), of the lumbar (plexitis) plexus or of the proppio trunk of the sciatic one. The ciatalgias is almost always of vertebral origin, and you are exceptional the neuritis of the trunk of the sciatic one.

The vertebral injuries that study preferably with sciatic syndrome are the called hernias of the pulpy core or hernia discal, and the protusions of the fibrous annulus. As you are known, the vertebral bodies are separated to each other by your elasticity, the movements of the bony vertebral segments; you are formed by a fibrous annulus that skirt the extraneous part of the surfaces of the vertebral bodies and you contain, in your center, the call pulpy core. The excessive and not well directed efforts of the spine, associate or not to degenerative states of the fibrous annulus, they can cause the break of this and the prutión or extruding of the disk that, in turn, you injure or you irritate the nerve root that emerge at level of the injured disk. Although this is the mechanical most frequent lawsuit in the citalgias, the nerve roots can be injured by toxic processes and infections. Among the most important lawsuits in sciatica, apart from the hernia discal, we can mention the toxic share of the alcohol, the tobacco plant, the diabetes, syphilis, etc.

The treatment should be guided fundamentally in two addresses: the deletion of the lawsuit that cause the pain and the treatment of this. For you are indispensable to establish an etiologic correct diagnostic. In the hernia discal, the therapeutical objective consists on avoiding the conflict arisen between the disk and the root. You are gotten with preservative methods, such as rest physique, management of relaxants, vertebral tractions, etc., or surgical that decrease to the extirpation of the disk herniado. The surgical treatment is urgent in the sciatic paralyzing calls, in those that the pain goes accompanied by debility or paralysis of the corresponding muscle groups. The treatment against the pain can be put before the antinflamatorio, and you consist on the corticosteroides management, butazolidina, muscular relakantes, termoterapia, vitaminoterapia of the complex B, among other.

The Poliomelitis

The poliomelitis is an illness infecciosovírica that affect the children fundamentally, although with pettier frequency it also attacks the adults. You appear in epidemic buds in some countries and in form endemoepidémica in others. Such variances depend on the state inmunitario of a population in front of the infection for the virus of the poliomelitis.

This illness, you are caused by a virus that infect the organism through human-to-human transmissions or for via insinuation, when they act as vehicle the liquids that the man uses in your to live quotidian. These liquids, such as the water, the milk, among other, they can be infected by the own man or for waste waters that infect the conditions of drinking water. The human-to-human propagation of the virus through seemingly healthy individuals is explained by the following facts: the virus penetrates in the organism for via digestive and you nest in the pharynx and, especially, in the intestine, where you reproduce extraordinarily and you are deleted by means of the feces. You originate an illness of pharyngeal or digestive determinism, and only by one percent of the polluted ones it causes paralysis. In the remaining ones, the illness decreases to some bare anginas or an intestinal dysfunction that it cure spontaneously. The individual that have suffered this infection, is definitively immunized, because you have been formed in him a rate of enough antibodies to exercise an attestation and you activate protection. This status antigénica is the one that also believe the vaccination antipoliomielítica. The ingestion of repeated vaccine dose for virus inactivado believes a state of practically permanent defence. The inyeción of dead (bovine Salk) virus determines a reaction inmunitaria equally, although less active and durable than the vaccination for via oral type Sabin.

The contamination of a not vaccinated person, unchains an illness that begin clinically, after a period of incubation of 10 or 12 days, with anginas or digestive dysfunctions, accompanied by thermal slight elevation. In the forms non paralytics, the clinical box is reduced to this symptomatology, so not very characteristic. In the paralyzed forms they are added to the mentioned dysfunctions two clinical absolutely characteristic symptoms: fever (with elevations between 38 and 39º), and pain (localized in the extremities so much higher as inferior and you increase during the mobilization attempts) .Aparecen the espamos and muscle cramps, extremely painful and of progressive path. This period, called preparalítico, you are characterized by pain and fever whose duration is of 2 or 3 days and that you end in the paralyzed period, during which the muscular typical paralyses are set up that can affect to any muscle group, although preferably, to the inferior extremities. In occasions, the paralyzed muscles are the intercostal ones and others that have had made the pulmonary ventilation, with that which the calls respiratory forms of the infantile paralysis are constituted.

The path of the poliomelitis can be very desfavorabe, especially when the calls factors of graveness converge, among which it highlight for your importance, the respiratory form of the poliomelitis. Another factor of graveness is the participation of the cerebral trunk and still of the own encéfalo, in the process lesional.