Dermatofibrosarcoma Protuberans Prognosis

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       Cancer - a life threatening disease. It is an autoimmune disease, where some of the body cell grow out of body's control and spread throughout the body. These abnormal body cells start destruction of normal body cell.       Cancer is due to some genetic changes in DNA structure of body. The normal body cells have a life span , but when there are such type of changes in DNA, these body cells do not die, rather they grow up and disturb the function of normally working cells.       There are some common cancers such as Lung cancer, skin cancer, breast cancer, colorectal cancer, bladder cancer, etc. There are some rare cancers also, that do not occur in general, and they may have no spreading speed as these common cancers have.  Dermatofibrosarcoma protuberans, is one of the rare type sarcoma.        Dermatofibrosarcoma protuberans (DFSP) is generally a flesh colored or reddish purplish colored firm patch of skin. It occurs generally in the middle layer of skin. From there, it c

Carple Tunnel Syndrome

CTS


        If you have tingling in your hands, numbness in fingers, pain in hand while handling the objects, then check it out if it sign of Carpal Tunnel Syndrome. Let us see what is Carpal Tunnel Syndrome.
      
        The carpal Tunnel is a narrow passage about one inch in your wrist joint. Two sides of the tunnel and the base is formed by the wrist bones. The upper part or roof is made with the ligament, called as transverse carpal ligament.

    Through this tunnel, your median nerve passes in the hand. When this nerve compresses in the tunnel, it gives some pathological symptoms. This nerve provides sensory and motor functions to some part of forearm, wrist and hand. 

Causes Of Carpal Tunnel Syndrome -

There are many factors that can cause this carpal tunnel syndrome.

   Diabetes Mellitus - One cause is the cause of many diseases, and that is Diabetes mellitus. In many patients with Diabetes mellitus, show the symptoms of carpal tunnel syndrome. This may happens when high level of blood glucose affects median nerve.

  Thyroid dysfunction - Though it is not clear about the relation between the hypothyroidism and carpal tunnel syndrome, National Institute of Neurological Disorders and Stroke, suggests that the dysfunction of thyroid may raise the risk of carpal tunnel syndrome. 

   Pregnancy - Many times fluid retention in pregnancy and hormonal changes may increase the risk of median nerve compression and gives symptoms of carpal tunnel syndrome. Due to fluid retention, there occur swelling in various parts of body and can push pressure on median nerve.

  Menopause - In some women at menopause, due to hormonal changes and sometimes due to osteoporotic changes, median nerve may get compressed. This may give the picture of carpal tunnel syndrome. 

   Rheumatoid Arthritis - it is a common condition that cause compression of median nerve and cause carpal tunnel syndrome. Commonly, the condition is seen in osteoarthritis.

   Trauma - In most of the  road accidents, the ligaments surrounding the wrist joints may get damaged, and during the healing process when scar tissue is formed the nerve may get compressed. This may cause carpal tunnel syndrome.

   Extreme use - Extreme wrist motion  such as forced hammering, vibration , long term use of wrist like in typing or handling computer mouse, etc., can be the cause of carpal tunnel syndrome. 

    Auto immune disease - In some of auto immune diseases, such as above mentioned rheumatoid arthritis, or in systemic lupus erythematous, in thyroid diseases, patient can experience the symptoms of carpal tunnel syndrome.


Signs & Symptoms OF Carpal Tunnel Syndrome - 
  • Tingling and numbness in palm are the main symptoms of Carpal tunnel syndrome. 
  • Numbness in thumb and next two or sometimes three fingers.
  • Decreased sensation for time being in fingertips. 
  • Difficulty in grip while handling the objects.
  • Can not feel sensation, this can cause injury to fingers while chopping vegetables.
  • Pain in fingers and wrist movements.
  • Pain may extend to elbow joint.
  • Fine finger movements are restricted, such as sewing.
  • It become difficult to drive two or four wheeler, due to difficulty in handling the staring or bike handle.
  • Using computer mouse may cause pain.
  • Typing on keyboard become difficult task.
  • While reading book, patient can not hold book.
  • Writing on blackboard may cause pain.
Treatment - 
  • Best way of early recovery is to use supportive device called splint, which is used to support broken bone. It is better to wear the splint at night.
  • Adjusting your chair with your working table to avoid stress on elbow and wrist.
  • Apply warm and cold application alternately, that gives temporary relief to pain and numbness.
  • Avoid sleeping on wrist.
  • Some non steroidal anti-inflammatory drugs are useful.
  • In Homoeopathy there are drugs giving good results for the symptoms of carpal tunnel syndrome.
  • In Homoeopathy, the main cause can be treated with the symptoms of carpal tunnel syndrome.
  • Vitamin B12 supplement can be helpful.


Dr. Nilam
M.D. Homoeopathy & D.D.H.N.
Mobile no. 9960205821




 





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