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Ailmemts & Remedies Pediatric

Torticollis

Alternative Names : Wry neck; Loxia

DEFINITION:
Torticollis is a twisted neck in which the head is tipped to one side, while the chin is turned to the other.It is a stiff neck associated with muscle spasm, classically causing lateral flexion contracture of the cervical spine musculature. The muscles affected are principally those supplied by the spinal accessory nerve.

CLICK  &  SEE THE PICTURES

Symptoms:
•Limited range of motion of the head
•Headache
•Head tremor
•Neck pain
•Shoulder is higher on one side of the body
•Stiffness of neck muscles
•Swelling of the neck muscles (possibly present at birth)

Types of Torticollis:

Temporary Torticollis: This type of wry neck usually disappears after one or two days. It can be caused by:

*swollen lymph nodes
*an ear infection
*a cold
*an injury to the head and neck that causes swelling

Fixed Torticollis:  Fixed torticollis is also called acute torticollis or permanent torticollis. It is usually due to a problem with muscle or bone structure.

Muscular Torticollis:
This is the most common type of fixed torticollis. It is caused by scarring or tight muscles on one side of the neck

Klippel-Feil Syndrome:
This is a congenital form of wry neck. It occurs when the bones in an infant’s neck have formed incorrectly. Children born with this condition may have difficulty with hearing and vision.

Cervical Dystonia:
This rare disorder is sometimes referred to as spasmodic torticollis. It causes neck muscles to contract in spasms. If you have cervical dystonia, your head twists or turns painfully to one side. It may also tilt forward or backward. Cervical dystonia sometimes goes away without treatment. However, there is a risk of recurrence.

This type of wry neck  or Torticollis can happen to anyone. However, it is most commonly diagnosed in middle age. It affects more women than men.

CAUSES:
Torticollis  can be inherited. It can also develop in the womb. This may happen if the fetus’ head is in the wrong position. It can also be caused by damage to the muscles or blood supply to the neck.

Anyone can develop wry neck after a muscle or nervous system injury. However, most of the time, the cause of wry neck is not known. This is called idiopathic torticollis.

DIAGNOSIS:
Evaluation of a child with torticollis begins with history taking to determine circumstances surrounding birth and any possibility of trauma or associated symptoms. Physical examination reveals decreased rotation and bending to the side opposite from the affected muscle. Some say that congenital cases more often involve the right side, but there is not complete agreement about this in published studies. Evaluation should include a thorough neurologic examination, and the possibility of associated conditions such as developmental dysplasia of the hip and clubfoot should be examined. Radiographs of the cervical spine should be obtained to rule out obvious bony abnormality, and MRI should be considered if there is concern about structural problems or other conditions.

Evaluation by an ophthalmologist should be considered in children to ensure that the torticollis is not caused by vision problems (IV cranial nerve palsy, nystagmus-associated “null position,” etc.). Most cases in infants respond well to physical therapy. Other causes should be treated as noted above.

TREATMENT:
Common treatments  might involve a multi-phase process:

1.Low-impact exercise to increase strong form neck stability
2.Manipulation of the neck by a chiropractor, physical therapist, or D.O.†
3.Extended heat application.
4.Repetitive shiatsu massage.

†An Osteopathic Physician (D.O.) may choose to use Cranial techniques to properly position the occipital condyles – thereby relieving compression of cranial nerve XI in children with Torticollis. This is an example of Osteopathic Manipulative Treatment.

Acquired torticollis:
Acquired torticollis occurs because of another problem and usually presents in previously normal children and adults…..

*A self-limiting spontaneously occurring form of torticollis with one or more painful neck muscles is by far the most common (‘stiff neck’) and will pass spontaneously in 1–4 weeks. Usually the sternocleidomastoid muscle or the trapezius muscle is involved. Sometimes draughts, colds or unusual postures are implicated; however in many cases no clear cause is found. These episodes are rarely seen by doctors other than a family physician.

*Trauma to the neck can cause atlantoaxial rotatory subluxation, in which the two vertebrae closest to the skull slide with respect to each other, tearing stabilizing ligaments; this condition is treated with traction to reduce the subluxation, followed by bracing or casting until the ligamentous injury heals.

*Tumors of the skull base (posterior fossa tumors) can compress the nerve supply to the neck and cause torticollis, and these problems must be treated surgically.

*Infections in the posterior pharynx can irritate the nerves supplying the neck muscles and cause torticollis, and these infections may be treated with antibiotics if they are not too severe, but could require surgical debridement in intractable cases.

*Ear infections and surgical removal of the adenoids can cause an entity known as Grisel’s syndrome, a subluxation of the upper cervical joints, mostly the atlantoaxial joint, due to inflammatory laxity of the ligaments caused by an infection. This bridge must either be broken through manipulation of the neck, or surgically resected.

*The use of certain drugs, such as antipsychotics, can cause torticollis.

*Antiemetics – Neuroleptic Class – Phenothiazines

There are many other rare causes of torticollis.

Spasmodic torticollis:
Torticollis with recurrent but transient contraction of the muscles of the neck and esp. of the sternocleidomastoid. “intermittent torticollis . “cervical dystonia”

TREATMENT: Botulinum toxin has been used to inhibit the spastic contractions of the affected muscles.

In animals:….CLICK & SEE
The condition can also occur in animals, usually as a result of an inner ear infection but sometimes as a result of an injury. It is seen largely in domestic rodents and rabbits, but may also appear in dogs and other different animals.

Possible ComplicationsComplications may include:

•Muscle swelling due to constant tension
•Neurological symptoms due to compressed nerve roots

Prognosis:
The condition may be easier to correct in infants and children. If the condition becomes chronic, numbness and tingling may develop as nerve roots become compressed in the neck.

The muscle itself may become large (hypertrophic) due to constant stimulation and exercise.

Botulinum toxin injections often provide substantial relief.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://en.wikipedia.org/wiki/Torticollis
http://www.nlm.nih.gov/medlineplus/ency/article/000749.htm
http://www.umm.edu/imagepages/19090.htm

http://commons.wikimedia.org/wiki/File:Sternocleidomastoideus.png

http://www.healthline.com/health/torticollis#Causes2

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Herbs & Plants Herbs & Plants (Spices)

Cloves

Dried cloves
Dried cloves (Photo credit: Wikipedia)

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Botanical Name : Syzigium aromaticum
Family: Myrtaceae
Genus: Syzygium
Species: S. aromaticum
Kingdom: Plantae
Phylum: Angiosperms
Order: Myrtales

Synonyms:Eugenia Caryophyllata

Common Names: Indian name Laung.In Urdu it is called as ‘Laong’. In Kerala state (India) it is called ‘Grampoo’ in Malayalam. In Hindi, it’s called ‘Lavang’ and many Indian languages have names similar to it, e.g. in Marathi, it is called as “Lavang”, whereas In Telugu, it is called ‘Lavangam’, plural ‘Lavangalu’ . In Kannada, it is called ‘Lavanga’. In Sinhala it is called ‘Karabu Nati. The Tamil language uses both the native  (kirambu) and also the Sanskrit-derived(lavangam).

In Vietnam, it is called ?inh huong. In Indonesia it is called cengkeh or cengkih.Cloves are also known as ‘giroflier’ in French; ‘Gewürznelkenbaum’ in German; ‘cravo-da-Índia’, ‘cravo-das-molucas’, and ‘cravo-de-doce’ in Portuguese; and ‘árbol del clavo’, ‘clavero giroflé’, and ‘clavo de olor’ in Spanish.

Habitat : Cloves are  native to the Spice Islands and the Philippines but also grown in India, Sumatra, Jamaica, the West Indies, Brazil, and other tropical areas.

Description:
The clove is an evergreen tree, 15 to 30 feet tall. It has opposite, ovate leaves more than 5 inches long; and its flowers, when allowed to develop, are red and white, bell-shaped, and grow in terminal clusters. The familiar clove used in the kitchen is the dried flower bud. The fruit is a one- or two-seeded berry.

You may click to see the pictures of  CLOVE TREE
The clove tree is endemic in the North Moluccas (Indonesia) and was of old cultivated on the islands of Ternate, Tidore, Bacan and the West coast of Halmahera. The Dutch extended cultivation to several other islands in the Moluccas, but only after the end of the Dutch monopoly (18.th century), clove trees were introduced to other countries.click & see

Uses:
Cloves can be used in cooking either whole or in a ground form, but as they are extremely strong, they are used sparingly.

Cloves have historically been used in Indian cuisine (both North Indian and South Indian). In North Indian cuisine, it is used in almost all rich or spicy dishes as an ingredient of a mix named garam masala, along with other spices, although it is not an everyday ingredient for home cuisine, nor is it used in summer very often. In the Maharashtra region of India it is used sparingly for sweet or spicy dishes, but rarely in everyday cuisine. In Ayurvedic medicine it is considered to have the effect of increasing heat in system, hence the difference of usage by region and season. In south Indian cuisine, it is used extensively in biryani along with “cloves dish” (similar to pilaf, but with the addition of other spices), and it is normally added whole to enhance the presentation and flavor of the rice.

Dried cloves are also a key ingredient in Indian masala chai, spiced tea, a special variation of tea popular in some regions, notably Gujarat. In the US, it is often sold under the name of “chai” or “chai tea”, as a way of differentiating it from other types of teas sold in the US.

In Mexican cuisine, cloves are best known as ‘clavos de olor’, and often used together with cumin and cinnamon.

In Vietnamese cuisine, cloves are often used to season the broth of Pho.

Due to the Indonesian influence, the use of cloves is widespread in the Netherlands. Cloves are used in cheeses, often in combination with cumin. Cloves are an essential ingredient for making Dutch speculaas. Furthermore, cloves are used in traditional Dutch stews like hachee.

Non-culinary uses:
The spice is used in a type of cigarette called kretek in Indonesia. Kreteks have been smoked throughout Europe, Asia and the United States. In 2009, clove cigarettes (as well as fruit and candy flavored cigarettes) were outlawed in the US. However, they are still sold in similar form, re-labeled as “filtered clove cigars.”

Cloves are also an important incense material in Chinese and Japanese culture. And clove essence is commonly used in the production of many perfumes.

During Christmas, it is a tradition in some European countries to make pomanders from cloves and oranges to hang around the house. This spreads a nice scent throughout the house and acts as holiday decorations.

Cloves are often used as incense in the Jewish practice called Havdala

Clove oil anesthesia and overdose is considered a humane method for euthanizing fish.

Constituents:
Eugenol comprises 72-90% of the essential oil extracted from cloves, and is the compound most responsible for the cloves’ aroma. Other important essential oil constituents of clove oil include acetyl eugenol, beta-caryophyllene and vanillin; crategolic acid; tannins, gallotannic acid, methyl salicylate (painkiller); the flavonoids eugenin, kaempferol, rhamnetin, and eugenitin; triterpenoids like oleanolic acid, stigmasterol and campesterol; and several sesquiterpenes.

Eugenol has pronounced antiseptic and anaesthetic properties. Of the dried buds, 15 – 20 percent is essential oils, and the majority of this is eugenol. A kilogram (2.2 lbs) of dried buds yields approximately 150 ml (1/4 of pint) of eugenol.

Eugenol can be toxic in relatively small quantities—as low as 5 ml.

Medicinal Uses:
Traditional Chinese physicians have long used the herb to treat indigestion, diarrhea, hernia, and ringworm, as well as athlete’s foot and other fungal infections.  India’s traditional Ayurvedic healers have used clove since ancient times to treat respiratory and digestive ailments.  America’s 19th century Eclectic physicians used clove to treat digestive complaints and added it to bitter herb-medicine preparations to make them more palatable.  The Eclectics were also the first to extract clove oil from the herbal buds. It has antiseptic, stimulant, stomachic and digestive properties.  As an anti-infectant, cloves are effective against coli bacilli, streptococci, staphylococci, pneumococci and as an antimycotic.  The oil, too, is used in dentistry for its antiseptic and analgesic properties, and, like the whole cloves and powdered cloves, for local pain-relieving purposes.  Eugenol is a local anesthetic used in dental fillings and cements; a rubifacient and a carminative.  It is also an irritant and an allergic sensitizer.      Besides all their other uses, cloves can be used to treat acne, skin ulcers, sores, and styes.  They also make a potent mosquito and moth repellent which is where the clove studded orange pomander comes from.

Traditional medicinal uses:
Cloves are used in Indian Ayurvedic medicine, Chinese medicine, and western herbalism and dentistry, where the essential oil is used as an anodyne (painkiller) for dental emergencies. Cloves are used as a carminative, to increase hydrochloric acid in the stomach and to improve peristalsis. Cloves are also said to be a natural anthelmintic. The essential oil is used in aromatherapy when stimulation and warming are needed, especially for digestive problems. Topical application over the stomach or abdomen are said to warm the digestive tract. Clove oil, applied to a cavity in a decayed tooth, also relieves toothache. It also helps to decrease infection in the teeth due to its antiseptic properties.

In Chinese medicine cloves or ding xiang are considered acrid, warm and aromatic, entering the kidney, spleen and stomach meridians, and are notable in their ability to warm the middle, direct stomach qi downward, to treat hiccough and to fortify the kidney yang. Because the herb is so warming it is contraindicated in any persons with fire symptoms and according to classical sources should not be used for anything except cold from yang deficiency. As such it is used in formulas for impotence or clear vaginal discharge from yang deficiency, for morning sickness together with ginseng and patchouli, or for vomiting and diarrhea due to spleen and stomach coldness. This would translate to hypochlorhydria. Clove oil is used in various skin disorders like acne, pimples etc. It is also used in severe burns, skin irritations and to reduce the sensitiveness of skin.

Cloves may be used internally as a tea and topically as an oil for hypotonic muscles, including for multiple sclerosis. This is also found in Tibetan medicine. Some recommend avoiding more than occasional use of cloves internally in the presence of pitta inflammation such as is found in acute flares of autoimmune diseases.

In West Africa, the Yorubas use cloves infused in water as a treatment for stomach upsets, vomiting and diarrhea. The infusion is called Ogun Jedi-jedi.

Western studies have supported the use of cloves and clove oil for dental pain. However, studies to determine its effectiveness for fever reduction, as a mosquito repellent and to prevent premature ejaculation have been inconclusive. Clove may reduce blood sugar levels.

Tellimagrandin II is an ellagitannin found in S. aromaticum with anti-herpesvirus properties.

The buds have anti-oxidant properties

CLICK & SEE: Health Benefits Of Oil Of Clove

Disclaimer:
The information presented herein is intended for educational purposes only. Individual results may vary, and before using any supplements, it is always advisable to consult with your own health care provider.

Resources:
http://en.wikipedia.org/wiki/Clove
http://www.herbnet.com/Herb%20Uses_C.htm
http://www.ifood.tv/blog/how-to-grow-clove-trees
http://www.heartofthedragon.net/Cloves.htm
http://www.ifood.tv/blog/how-to-grow-clove-trees

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Herbs & Plants

Trifolium repens

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Botanical Name : Trifolium repens
Family: Fabaceae
Subfamily: Faboideae
Genus: Trifolium
Kingdom: Plantae
Order: Fabales

Common Name :white clover

Habitat : Trifolium repens native to Europe, North Africa, and West Asia. It has been widely introduced worldwide as a pasture crop, and is now also common in most grassy areas of North America and New Zealand. Also grown in spring and summer.

Description:
It is a herbaceous, perennial plant. It is low growing, with heads of whitish flowers, often with a tinge of pink or cream that may come on with the aging of the plant. The heads are generally 1.5–2 cm wide, and are at the end of 7 cm peduncles or flower stalks. The leaves, which by themselves form the symbol known as shamrock, are trifoliolate, smooth, elliptic to egg-shaped and long-petioled. The stems function as stolons, so white clover often forms mats, with the stems creeping as much as 18 cm a year, and rooting at the nodes.

CLICK & SEE THE PICTURES

Culinary uses:
Besides making an excellent forage crop for livestock, clovers are a valuable survival food: they are high in proteins, widespread, and abundant. The fresh plants have been used for centuries as additives to salads and other meals consisting of leafy vegetables.

They are not easy for humans to digest raw, however, but this is easily fixed by boiling the harvested plants for 5–10 minutes. Dried flowerheads and seedpods can also be ground up into a nutritious flour and mixed with other foods, or can be steeped into a tisane. White clover flour is sometimes sprinkled onto cooked foods such as boiled rice.

When used in soups, the leaves are often harvested before the plant flowers. The roots are also edible, although they are most often cooked firsthand.

Medicinal uses:
The flower heads are the medicinally active parts.  When dry they have a honey-like fragrance and a slightly astringent taste.  An infusion is used to treat gastritis, enteritis, severe diarrhea and rheumatic pains.  It is also used as an inhalant for respiratory infections. Herbal doctors still employ preparations of white clover to ward off mumps.  An old fashioned remedy to cleanse the system. A blood purifier, especially in boils, ulcers and other skin diseases. A strong tea of white clover blossoms is very healing to sores when applied externally. Similar to red clover in use.  An infusion has been used in the treatment of coughs, colds, fevers and leucorrhea. A tincture of the leaves is applied as an ointment to gout. An infusion of the flowers has been used as an eyewash.

Trifolium repens has been used as minor folk medicine by the Cherokee, Iroquois, Mohegan and other Native American tribes for centuries.

The Cherokee, for instance, used an infusion of the plant to treat fevers as well as Bright’s disease. The Delaware and Algonkian natives used the same infusion, but as a treatment for coughing and the common cold.

Disclaimer:
The information presented herein is intended for educational purposes only. Individual results may vary, and before using any supplements, it is always advisable to consult with your own health care provider.

Resources:
http://en.wikipedia.org/wiki/Trifolium_repens
http://www.herbnet.com/Herb%20Uses_C.htm

https://s10.lite.msu.edu/res/msu/botonl/b_online/thome/band3/tafel_115_small.jpg

http://www.robsplants.com/plants/TrifoRepen

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Herbs & Plants

Prairie Clover

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Botanical Name : Dalea purpurea
Family :Fabaceae – Pea family
Genus: Dalea L. – prairie clover
Species: Dalea purpurea Vent. – purple prairie clover
Kingdom :Plantae – Plants
Subkingdom: Tracheobionta – Vascular plants
Superdivision: Spermatophyta – Seed plants
Division :Magnoliophyta – Flowering plants
Class :Magnoliopsida – Dicotyledons
Subclass; Rosidae
Order :Fabales

Synonyms: Petalostemon violaceum. Michx.

Common Name : Clover, Velvet Prairie,Prairie Clover

Habitat :Native in Eastern and central United States. It grows in dry desert and alluvial soils to 2000 metres. Sandy prairies in Texas.

Description:
Purple prairie clover is a perennial forb, 8 to 35 inches (20-90 cm) tall, with a woody stem. The numerous leaves are 0.4-1.6 inches (1-4 cm) long, with 3 to 7 leaflets. The inflorescence is a 0.4- to 2.6-inch (1-7 cm) spike located at the ends of the branches. Branches are numerous, usually 3 per stem, but sometimes as many as 10 to 12. The mature purple prairie clover has a coarse, nonfibrous root system with a strong woody taproot that is 5.5 to 6.5 feet (1.7-2.0 m) deep. The taproot gives rise to several minutely branched lateral roots. The fruit is a 1- to-2-seeded pod enclosed in bracts

click to see the pictures…>..…(01)......(1).……..(2).….…(3).……….…………………..
Bloom Time: June – August
Bloom Color: Rose/Purple

Cultivation :
Requires a well-drained soil in full sun. A deep-rooted plant, it prefers a sandy loam with added leaf mould. This species is well-suited to informal and naturalistic plantings, especially as part of a collection of native species. Plants are monocarpic, living for a number of years without flowering and then dying after flowering. The stems, leaves and flowers are dotted with glands, making the plant look blistered. This species has a symbiotic relationship with certain soil bacteria, these bacteria form nodules on the roots and fix atmospheric nitrogen. Some of this nitrogen is utilized by the growing plant but some can also be used by other plants growing nearby.

Propagation :
Seed – pre-soak for 12 hours in warm water and sow in early spring in a greenhouse. When they are large enough to handle, prick the seedlings out into individual pots and plant them out into their permanent positions in the summe

Edible Uses:
Edible Parts: Root.
 Tea.…….The root was used for chewing. A pleasant sweet flavour. The dried leaves are a tea substitute

Medicinal Uses:
This was one of the favored plants of the Native Americans of the prairies. A tea made from the leaves was applied to open wounds and a tea made from the bruised leaves steeped in hot water was used to aid in the healing of wounds as well. Some tribes pulverized the root and made a tea from that powder that was a very healthy drink and a preventative medicine. Some tribes used the entire plant as a prophylactic. Early settlers mixed the bark of the white oak tree and the flowers of this species to make a medicine for diarrhea.  The Chippewa Indians made a decoction of the leaves and blossoms to be used in the treatment of heart problems. The Meskwaki Indians used it to treat diarrhea, and they also made an infusion of the roots in the treatment of measles. The Navajo used the plant to treat pneumonia.

A poultice of the steeped bruised leaves has been applied to fresh wounds. A decoction of the leaves and blossoms has been used in the treatment of heart problems, diarrhoea. An infusion of the roots has been used in the treatment of measles.
Other Uses: Broom……The tough, elastic stems have been made into brooms.

Disclaimer:
The information presented herein is intended for educational purposes only. Individual results may vary, and before using any supplements, it is always advisable to consult with your own health care provider.

Resources:
http://www.mobot.org/gardeninghelp/plantfinder/plant.asp?code=J970
http://www.prairienursery.com/store/index.php?main_page=product_plant_info&products_id=197
http://www.herbnet.com/Herb%20Uses_C.htm
http://www.fs.fed.us/database/feis/plants/forb/dalpur/all.html#DISTRIBUTION AND OCCURRENCE
http://plants.usda.gov/java/profile?symbol=DAPU5&photoID=dapu5_4v.jpg

http://www.pfaf.org/user/Plant.aspx?LatinName=Dalea+purpurea

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Ailmemts & Remedies

Osteomyelitis

Definition:
Osteomyelitis (osteo- derived from the Greek word osteon, meaning bone, myelo- meaning marrow, and -itis meaning inflammation) simply means an infection of the bone or bone marrow. It can be usefully subclassified on the basis of the causative organism (pyogenic bacteria or mycobacteria), the route, duration and anatomic location of the infection.

CLICK & SEE THE PICTURES
It is  is an acute or chronic bone infection and the same can reach a bone by traveling through the bloodstream or spreading from nearby tissue. Osteomyelitis can also begin in the bone itself if an injury exposes the bone to germs.

In children, osteomyelitis most commonly affects the long bones of the legs and upper arm, while adults are more likely to develop osteomyelitis in the bones that make up the spine (vertebrae). People who have diabetes may develop osteomyelitis in their feet if they have foot ulcers.

Once considered an incurable condition, osteomyelitis can be successfully treated today. Most people require surgery to remove parts of the bone that have died — followed by strong antibiotics, often delivered intravenously, typically for at least six weeks.

Symptoms:
Signs and symptoms of osteomyelitis include:

*Fever or chills

*Bone pain

*General discomfort, uneasiness, or ill-feeling (malaise)

*Local swelling, redness, and warmth

*Irritability or lethargy in young children

*Pain in the area of the infection

*Swelling, warmth and redness over the area of the infection

*Excessive sweating

*Low back pain

Sometimes osteomyelitis causes no signs and symptoms or has signs and symptoms that are difficult to distinguish from other problems.

Causes:
Most cases of osteomyelitis are caused by staphylococcus bacteria (more common) or fungi (less common), a type of germ commonly found on the skin or in the nose of even healthy individuals.

*Infection may spread to a bone from infected skin, muscles, or tendons next to the bone, as in osteomyelitis that occurs under a chronic skin ulcer (sore).

*The infection that causes osteomyelitis can also start in another part of the body and spread to the bone through the blood.

*A current or past injury may have made the affected bone more likely to develop the infection. A bone infection can also start after bone surgery, especially if the surgery is done after an injury or if metal rods or plates are placed in the bone.

In children, the long bones are usually affected. In adults, the feet, spine bones (vertebrae), and the hips (pelvis) are most commonly affected.

Risk Factors
*Diabetes

*Hemodialysis

*Injected drug use

*Poor blood supply

*Recent trauma

People who have had their spleen removed are also at higher risk for osteomyelitis.

Complications:
When the bone is infected, pus is produced in the bone, which may result in an abscess. The abscess steals the bone’s blood supply. The lost blood supply can result in a complication called chronic osteomyelitis. This chronic infection can cause symptoms that come and go for years.

Other complications include:
*Need for amputation

*Reduced limb or joint function

*Spread of infection to surrounding tissues or the bloodstream

*Septic arthritis. In some cases, infection within bones can spread into a nearby joint

*Impaired growth. In children, the most common location for osteomyelitis is in the softer areas, called growth plates, at either end of the long bones of the arms and legs. Normal growth may be interrupted in infected bones.

*Skin cancer. If your osteomyelitis has resulted in an open sore that is draining pus, the surrounding skin is at higher risk of developing squamous cell cancer.

Diagnosis:
A physical examination shows bone tenderness and possibly swelling and redness.

Tests may include:

*Blood cultures

*Bone biopsy (which is then cultured)

*Bone scan

*Bone x-ray

*Complete blood count (CBC)

*C-reactive protein (CRP)

*Erythrocyte sedimentation rate (ESR)

*MRI of the bone

*Needle aspiration of the area around affected bones

Treatment:
Osteomyelitis often requires prolonged antibiotic therapy, with a course lasting a matter of weeks or months. A PICC line or central venous catheter is often placed for this purpose. Osteomyelitis also may require surgical debridement. Severe cases may lead to the loss of a limb. Initial first-line antibiotic choice is determined by the patient’s history and regional differences in common infective organisms. A treatment lasting 42 days is practiced in a number of facilities.  Local and sustained availability of drugs have proven to be more effective in achieving prophylactic and therapeutic outcomes.

In 1875, American artist Thomas Eakins depicted a surgical procedure for osteomyelitis at Jefferson Medical College, in a famous oil painting titled The Gross Clinic.

Prior to the widespread availability and use of antibiotics, blow fly larvae were sometimes deliberately introduced to the wounds to feed on the infected material, effectively scouring them clean.

Hyperbaric oxygen therapy has been shown to be a useful adjunct to the treatment of refractory osteomyelitis.

Open surgery is needed for chronic osteomyelitis, whereby the involucrum is opened and the sequestrum is removed or sometimes saucerization  can be done

Prognosis
With treatment, the outcome for acute osteomyelitis is usually good.

The outlook is worse for those with long-term (chronic) osteomyelitis, even with surgery. Amputation may be needed, especially in those with diabetes or poor blood circulation.

The outlook for those with an infection of an orthopedic prosthesis depends, in part, on:

*The patient’s health

*The type of infection

*Whether the infected prosthesis can be safely removed

Prevention:
Prompt and complete treatment of infections is helpful. People who are at high risk or who have a compromised immune system should see a health care provider promptly if they have signs of an infection anywhere in the body.

Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose

Resources:
http://www.nlm.nih.gov/medlineplus/ency/article/000437.htm
http://en.wikipedia.org/wiki/Osteomyelitis
http://www.bbc.co.uk/health/physical_health/conditions/osteomyelitis2.shtml
http://www.mayoclinic.com/health/osteomyelitis/DS00759
http://www.medicalook.com/Joint_pain/Osteomyelitis.html
http://www.orthopediatrics.com/docs/Guides/back_pain.html

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