National Orthopaedic Hospital Dala Kano
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National Orthopaedic Hospital (NOH), Dala-Kano, Nigeria has been serving the nation since 1959 in the field of trauma and Orthopaedic Surgery.
We are the region's heartbeat in the field of trauma and orthopaedic surgery.
From all of us at NOHD kano to you and yours TAQABALLAH WAMINAH WAMIN K*M!!!
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Monkeypox is a zoonotic virus, which means it spreads from animals to humans. In addition to monkeys, it's been found in other primates and certain rodents in Africa. But people can transmit it to each other, too. The first known human infection was in 1970 in the Democratic Republic of Congo...follow us as we xray the disease that's currently threatening mankind
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From all of us at the national Orthopaedic Hospital Dala-Kano wishes you a very happy Eid celebration
Happy Easter celebration from all of us at National Orthopaedic Hospital Dala Kano
It's a time to get on the mat and do some simple to reduce that back pain...
How familiar are you with these sights?! Stay glued as we will be telling you all you need to know about the condition and the treatments options available....
Ramadan Mubaraq!!!
THE MENACE OF TRADITIONAL BONE SETTERS IN OUR SOCIETY.
Traditional bone setters popularly known as TBS are individuals who are recognised by their communities as competent enough to provide treatment for Musculoskeletal injuries ranging from minor to major fractures by the use of herbs,animals and some other substance.
They are mostly not educated or barely educated,they rely solely on inherited knowledge and personal intuition to carry out their activities. Without the use any radiograph,they make use of bamboo sticks,canes,palm leaves,cotton, thread or rags to splint dislocations or fractures.
Irrespective of people's exposure and education,a very large number of the population still patronise the services of this TBS. The activities of these people have led to various degrees of limb loss upon presentation to an orthodox health facilities. Limb losses has profound economic,social and psychological effect as it's associated with disability.
In our bid to bring succour to the people
Few simple steps and food to prevent or slow bone loss. For example:
Include plenty of calcium in your diet. For adults ages 19 to 50 and men ages 51 to 70, the Recommended Dietary Allowance (RDA) is 1,000 milligrams (mg) of calcium a day. The recommendation increases to 1,200 mg a day for women age 51 and older and for men age 71 and older.
Good sources of calcium include dairy products, almonds, broccoli, kale, canned salmon with bones, sardines and soy products, such as tofu. If you find it difficult to get enough calcium from your diet,Pay attention to vitamin D. Your body needs vitamin D to absorb calcium. For adults ages 19 to 70, the RDA of vitamin D is 600 international units (IUs) a day. The recommendation increases to 800 IUs a day for adults age 71 and older.
Good sources of vitamin D include oily fish, such as salmon, trout, whitefish and tuna. Additionally, mushrooms, eggs and fortified foods, such as milk and cereals, are good sources of vitamin D. Sunlight also contributes to the body's production of vitamin D.Include physical activity in your daily routine. Weight-bearing exercises, such as walking, jogging, and climbing stairs, can help you build strong bones and slow bone loss.Avoid substance abuse.
Ever taught of food not to feed your ARTHRITIS?!here are some of the foods not eat...
Join the discussion,what are the myths you've heard about fractures
It's the weekend a little light exercise to loosen those knots and relieve the arthritic pain Federal Ministry of Health Nigeria ,
FOOD FOR THE MUSCULOSKELETAL SYSTEM
PART 3
OSTEOARTHRITIS
Ostoearthritis is characterised by a progressive painful erotion of articular (joint) cartilage. It is also known as degenerative joint disease. Overloading the joints with excess weight or labor is one of the primary casual factors in this disease. It particularly affect the hip and knee.
The primary objective in dietetic treatment of osteoarthritis is weight loss. Consuming appropriate amounts of bone building mineral and suffur, which is necessary in maintaining cartilage, also contributes to the prevention or halt the development of osteoarthritis.
Have you ever patronise a traditional bone setters?!
FOODS FOR THE MUSCULOSKELETAL SYSTEM PART 2
OSTEOPOROSIS
This is the reduction of bone mass and density to the point that it can result in bone deformation or fracture. In reality loss of bone mass is a natural process beginning around the age of 40 or 50. However, it is only referred to as osteoporosis when it reaches a pathological level.
Children and adolescents whose calcium intake is insufficient risk suffering osteoporosis as adult. Adults as well, must take in a certain amount of calcium since bone is being formed and destroyed continually during the entire life.
Reduction in the elimination of calcium: excess proteins and salt, as well as caffeine, increase urinary calcium loss. Fruits and vegetables are alkalizers, and although they contain little calcium, they halt the urinary loss of this mineral from the bones.
The reduction in hormones production that accompanies menopause also encourages calcium loss. This is more pronounced in some women than in others.
PREVENTION
It is essential to remember that in the prevention of osteoporosis it is as important to consume enough calcium, as it is to prevent it's loss through the urine. Excess proteins and salt as well as coffee consumption, promote calcium loss through the urine, resulting in osteoporosis.
Consequently, avoiding excess meat, fish, cheese, and other high-protein foods, as well as reducing consumption of salt and coffee is just as effective in osteoporosis prevention as consuming quantities of calcium in milk or pharmaceutical supplements
Sufficient sun exposure is necessary for vitamin D synthesis in the skin. This vitamin is essential in transferring calcium from the intestine to the bloodstream.
Sufficient physical exercise halts the loss of bone mass and helps prevent osteoporosis
An adequate diet is the most influential factor in osteoporosis prevention, but not only during adulthood, but also in infancy and childhood.
MANAGEMENT OF SPINAL CORD INJURY
Spinal cord injury(SCI) is the injury to the spinal cord resulting in a change in the normal motor, sensory and autonomic function. This change is either temporary or permanent
A major cause of morbidity and mortality worldwide.
Other associated injuries – head injury, abdominal, pelvic, limb fractures
Patient with incomplete injury can become complete from pre-hospital mal-handling and delay in presentation
Early assessment and prompt treatment are key to successful management.
Spinal shock: Temporary loss of all neurologic function below the level of injury leading to flaccid paralysis and absent reflexes lasting varying period(usually 1-2 weeks)
GOAL – to prevent further injury and neurologic deficit
Consider all trauma pt as spinal injured until it is ruled out, especially unconscious
Focuses on :
Patient handling - extrication and transport to hospital – use of sandbags, spine boards
Use rigid cervical collar to protect the neck/airway
Lie flat facing up for conscious victims or left lateral with neck collar for unconscious
Log-rolling and carried in one piece
Removed from hard board immediately after xray to prevent bed sores
[ Systematic and effective management of patients with SCI can improve the overall outcome
Multidisciplinary approach to management can lead to prevention of complications associated with SCI
PLANTA FASCIITIS
Plantar fasciitis is inflammation of the plantar fascia. The plantar fascia is a strong band of tissue that blend at the sole of the foot (heel bone – head of metatarsal).
Repetitive small injuries to the fascia with or without inflammation are thought to be the cause of plantar fasciitis
The injury site is usually at the origin of the fascia
Plantar fasciitis is the most common cause of heel pain
Is a thick connective tissue which support the arch of the foot
It originated from the calcaneal tuberosity and inserted to head of metatarsal bones
The fascia is made up of longitudinally oriented collagen fibers
The fascia help to support and maintain the foot arch by acting like a Tie-Rod
Windlass mechanism helps in stretching the fascia
The feet plays an important role in posture and ambulation, and it has been reported that the prevalence of foot pathologies ranges between 61 and 79% and contribute to negative impact on quality of life (López., et al 2021)
Plantar fasciitis one of the most common Musculoskeletal disorders affecting the lower limb.
Physically active and sedentary individuals.
PF results to about 80% of heel pain with 8-10% from running activities. (Rada et al., 2015 )
RISK FACTORS/CAUSES
Structural abnormalities.
Being flat-footed (Pes planus)
High arch (Pes cavus)
Abnormal pattern of walking can adversely affect the way weight is distributed when standing by putting added stress on the plantar fascia.
(Bolgla and Terry, 2004)
Obesity
Occupations.
Factory workers, teachers, military personnel, nurses, surgeons and others who spend most of their work hours walking, standing and running e.g athletes (Thomas et al., 2010).
Exercising on hard surfaces
Inappropriate shoes:
Poor cushioning or poor arch support ( i.e Flat shoes, high heels etc )
Overuse or sudden stretching of the sole.
Athletes and sedentary life style respectively
SYMPTOMS AND SIGNS
Pain : at the bottom of the heel or midfoot area.
Dull or Sharp
Burning or ache
Gradual / insidious onset
Symptom is worsened in the morning and eases with gentle activity,
“Worst steps are first steps”
Aggravated by stairs, running, jumping, or “barefoot” activities
Prolong activities – symptoms progresses – irritation or inflammation.
Tenderness on palpation
Atrophy of heel pad (aging)
Chief complaints of patients are usually
Insidious onset of inferior medial heel pain
Pain is worse with first step in the morning or
Pain on initial steps after period of inactivity
This is due to stretching of fibrous tissue after the plantar surface being contracted for several hours.
difficulty in prolong standing,
Pain is usually dull aching or throbbing
Pain progressively eases with activity
Worsens overall by the end of the day
Pain might be on the whole plantar fascia
MANAGEMENT
Rest-keeping weight off foot and weight shifting during standing
Activity/lifestyle modification
Decrease distance and duration of walking or running
Switching from jumping or running to swimming or cycling
Weight loss
Shoes modification
shoes should have appropriate arch support and cushioned heels
Worn shoes should be avoided
Medication
Surgery in recalcitrant PF.
FOOD FOR THE MUSCUSKELETAL SYSTEM
In the coming weeks we will be talking about food for the musculoskeletal system. In caring for the skeletal system, diet plays a decisive role in the proper condition of the musculoskeletal system.
which includes the bones and the structures surrounding them, which makes bodily movement possible: muscles, joints, tendons, and fasciae or aponeurosis.
Food can contribute to the health of the musculoskeletal system in the following ways
1. By providing carbohydrates, vitamins, and minerals necessary to maintain correct muscle tone and strength.
2. By preventing uric acid deposits in the joints, thus avoiding their inflammation and deteriorating.
3. By reducing arthritis or inflammation of the joints.
4. By preventing osteoporosis by providing the calcium, phosphorus, and magnesium necessary to maintain proper skeletal mineralization.
Lumbar Disk herniation is a common low back disorder that produces low back pain and leg pain in adults. Physical therapy often plays a major role in the management and does not only offer pain relief and decreases disability but it also contributes to protecting the body to prevent further injury. Early referral and treatment is the key to full recovery.
National Orthopaedic Hospital Dala Kano,the pioneer center for Total Shoulder Replacement in Africa.we pride ourselves as the center of excellence when it comes to Orthopaedic and Trauma care...
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700252
Kano, 702101
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