Prolonged use of mobile phones and typing can also lead to tennis elbow

Health Care, Heart Care Foundation of India, Medicine Comments Off

Avoid frequent use and take mobile phone and social media breaks

New Delhi, 25 March 2019: As per recent research, tennis elbow, a painful chronic condition that affects job performance and quality of life, can be effectively treated without surgery. Researchers found that through transcatheter arterial embolisation (TAE), an image-guided, non-surgical treatment that decreases abnormal blood flow to the injured area to reduce inflammation and pain, the condition may be treated.

Tennis elbow, also known as lateral epicondylitis, stems from repetitive stress injuries that occur in activities such as sports, typing and knitting. The injury is common in carpenters, cooks and assembly line workers. The condition can be difficult to treat, leaving many patients unable to perform the simplest tasks, such as picking up their children, cooking dinner, or even working on a computer.

Speaking about this, Padma Shri Awardee, Dr KK Aggarwal, President, HCFI, said, “While tennis elbow is essentially caused by sports and other activities, extensive use of mobile phones for typing is also emerging as a cause. BlackBerry thumb is a neologism that refers to a form of repetitive strain injury caused by the frequent use of the thumbs to press buttons on PDAs, smartphones, or other mobile devices. It is also called wiiitis, nintendinitis, playstation thumb or cellphone thumb. Thumb lacks the dexterity that the other four fingers have. This is especially common in those who use these devices for such activities at high speeds comparable to that of touch typing. Symptoms of BlackBerry thumb include aching and throbbing pain in the thumb or sometimes other fingers and in the wrist. Some of these are similar to tennis elbow.”

Cellphone elbow is a pain in the elbow because of the stretching of ulnar nerve because of use of mobile phone in a flexed position. Using hands-free set can prevent this.

Adding further, Dr Aggarwal, who is also the Group Editor-in-Chief of IJCP, said, “Until now, the debate has been whether mobile radiations can cause brain cancer or not. However, recently, a new spectrum of diseases related to use of mobile phones has come to the notice of medical profession and it is anticipated that 10 years from now they will take an epidemic shape.”

Some tips from HCFI

  • Electronic curfew means not using any electronic gadgets 30 minutes before sleep.
  • Facebook holiday: Take a Facebook holiday for 7 days every three months.
  • Social media fast: Avoid use of social media once in a week for the entire day.
  • Use your mobile phone only when mobile.
  • Do not use computer for more than three hours in a day.
  • Limit your mobile talk time to more than two hours in a day.
  • Do not recharge your mobile battery more than once in a day.
  • Mobile can also be a source of infection in the hospital setup; therefore, it is disinfected every day.

Video reveals ignorance, not negligence: Doctors

Health Care Comments Off

Tribune (Excerpts): A viral video shot inside Kashmir valley’s main tertiary care hospital showed a patient with his abdomen slit open and attendants pleading for help and alleging doctors of negligence. An inquiry was ordered immediately.

The complete picture of the video, however, reveals it was the ignorance of the attendants and not the negligence of the doctors.

The patient, suffered from wound dehiscence and also peritoneal carcinomatosis, a rare type of cancer that can develop when gastrointestinal cancer spread and cause tumors to grow in the thin layer of tissue that lines the abdomen and covers most of the abdominal organs.

In such cases, once the wound has opened up (dehiscence), a time gap is given before secondary suturing.

Wound dehiscence

Wound dehiscence or opening of the wound along the line of incision, occasionally occurs in surgical wounds postoperatively despite a carefully performed layered closure. It is common in the first week after the surgery.

The risk of wound dehiscence is increased by factors such as wounds in high-tension areas (superior trunk, proximal upper extremities), older age, malnutrition, anemia, diabetes, intra-abdominal infection, poor patient compliance to postoperative advice, drugs such as systemic corticosteroids.

Surgical wounds that heal by primary intention are healed 5-10% after one week and after 1 to 2 months, they are 50% healed. About 80% of normal skin strength is regained several months after the surgery. Hence, it is important to avoid stress during the first few weeks after the surgery.

Even mild activity may adversely affect the strength of the wound sutures. Patients should be advised to limit lifting no more than 15 pounds for two weeks after surgery and only gradually increasing activity as tolerated. Walking can be continued within a day or two of surgery. Elevation of leg to decrease edema in lower extremity wounds may put stress on the healing wound.

What is carcinomatosis?

Carcinomatosis is a condition in which cancer is spread widely throughout the body, or, in some cases, to a relatively large region of the body. It is also called carcinosis.

Peritoneal carcinomatosis

Several gastrointestinal and gynecological malignancies have the potential to disseminate and grow in the peritoneal cavity called peritoneal carcinomatosis. It is often associated with disease progression and poor prognosis.

Peritoneal carcinomatosis has been shown to significantly decrease overall survival in patients with liver and/or extraperitoneal metastases from gastrointestinal cancer. Moreover, overall survival in these patients is usually only slightly influenced by systemic chemotherapy. Hence, peritoneal carcinomatosis is traditionally regarded by the surgeon as a terminal condition.

Dr KK Aggarwal

Padma Shri Awardee

President Elect Confederation of Medical Associations in Asia and Oceania (CMAAO)

Group Editor-in-Chief IJCP Publications

President Heart Care Foundation of India

Past National President IMA