physical therapy

What Causes Human Growth Hormone Deficiency?

Human Growth Hormone DeficiencyHuman growth hormone is an essential protein that facilitates normal physical development in humans as well as being responsible for the maturation and proper functioning of secondary sexual characteristics in males and females. Growth hormone deficiency in adults is a condition caused by issues that affect the pituitary gland in the brain that is responsible for the production of this hormone. In turn, a deficiency of this hormone in humans causes certain problems depending on the age of the affected individual. Growth hormone deficiency symptoms and signs may include the following:

Childhood 

  • Micropenis in males.
  • Jaundice (yellow discoloration of the skin and/or eyes) and/or hypoglycemia (low glucose levels) in the first few days of life.
  • Short stature with poor growth velocity.
  • Delayed bone maturation.
  • Delayed onset of puberty.
  • Slower muscular development.
  • Delayed gross motor milestones such as jumping, walking and standing.
  • The composition of fat, muscle, and bone may be disproportionate resulting in a mild to moderate chubby appearance.
  • Prominent forehead.
  • Sparse hair growth with the frontal recession.

Adulthood

Adult-onset growth hormone deficiency occurs in 1 in every 100,000 people and is caused by tumors of the pituitary gland. Signs and symptoms include:

  • Baldness in men.
  • Decreased muscle mass and strength.
  • Reduced energy.
  • Decreased bone mass resulting in osteoporosis.
  • Increased body fat especially around the waistline.
  • Increased LDL cholesterol levels.
  • Cardiac dysfunction due to a thickened inner lining of the blood vessels.
  • Memory loss and impaired concentration.
  • Infertility due to absent or decreased production of sperm and ova in males and females, respectively.

Management

Growth hormone deficiency treatment includes injecting synthetically produced growth hormone under the skin (subcutaneously) or into the muscle (intramuscularly).

The following points are made regarding treatment of childhood growth hormone deficiency:

  • Administration of growth hormone in these patients is performed on a daily basis.
  • Growth monitoring and dose adjustments are done every three to six months together with information gained from X-rays and blood tests.
  • Treatment with the synthetic medication is provided as long as the child is growing and they may need to receive the hormone for the rest of their lives if the deficiency is severe.
  • Injections sites include the stomach, biceps, buttocks, and thighs and the sites need to be rotated on a daily basis to avoid shrinking and hardening of these areas.
  • Relatively pain-free devices are used to help with compliance.

Regarding the treatment of growth hormone deficiency in adults:

  • A minimally invasive procedure known as transsphenoidal surgery is performed to remove the pituitary tumor. This involves removing the tumor through the sphenoid sinus, which is a hollow space in the skull behind the nasal passages and below the brain and is performed under general anesthesia. An image guiding system is placed on the head of the patient to help guide the surgeon. The overall success rate of the procedure when removing small tumors (microadenomas) is 90 percent and removing larger tumors (macroadenomas) is 60 percent.1
  • The majority view amongst specialists is that most adults with growth hormone deficiency do not show an adequate response to the medication and therefore do not warrant treatment with the synthetic hormone.
  • Treatment may be warranted in cases where there is a severe growth hormone deficiency, there’s major impairment of the patient’s quality of life, and if the affected individual is being treated for other pituitary hormone disorders.
  • The duration of the treatment will depend on the indication for its use.

Physical Therapy for Chronic Orthopedic Problems

Chronic pain affects millions of Americans. Many orthopedic conditions are chronic, and they cause serious pain. Physical therapy is a good way to alleviate pain and improve quality of life.

Manual Therapies

Physical therapy involves manual therapies for pain relief, as well as exercises for strengthening and flexibility. Manual physical therapy is a specialized kind of treatment delivered with the therapist’s hands as opposed to a machine or device. Many patients come to their first physical therapy appointment expecting to get ultrasound and hot packs. However, the therapist first assesses your condition before canstockphoto47029630devising a treatment plan.

The physical therapist is interested in why a muscle or structure is not functioning properly, and see back exercises as more than the driving mode of recovery. Exercise is viewed as a complement treatment to manual therapy. With manual therapy, the therapist uses his/her hands to apply pressure on muscle tissue and to manipulate joints, which is used to decrease back pain caused by tension, spasm, or joint dysfunction.

Many physical therapists have the option to use manual therapy, but many do not spend the time to become efficient in this area of practice. Patients should request manual therapy, which is used to relieve pain. However, because this treatment is not standard, insurance reimbursement may be limited.

Manual therapy is used for joint pain. Joints that do not have adequate mobility or range of motion can benefit from physical therapy. Certain musculoskeletal conditions cause limitations, which in turn, creates discomfort, pain, and altered function. Manual physical therapy involves restoring motion to stiff joints and reducing muscle tension so the patient can regain a natural movement without pain.

Types of Manual Physical Therapy Techniques

Manual physical therapy techniques are aimed at relaxing restricted joints and tense back muscles. The goal of therapy is to increase flexibility and decrease back pain. The types of movement include:

 

  • Soft tissue work – This involves application of pressure to the soft tissues, such as subcutaneous tissue and muscles. This massage maneuver and pressure relaxes the muscles, breaks up scar tissue, increases circulation, and eases soft tissue pain.

 

  • Mobilization and manipulation – This uses measured movements of varying speed (slow to fast), distances (called amplitude), and force (gentle to forceful) to pull, push, and/or twist bones and joints into position. This helps loosen tight tissues in and around the joint, helps with alignment and flexibility, and reduces pain in the joint and surrounding tissues.

Other Therapy Maneuvers

Some commonly used physical therapy maneuvers include:

 

  • Soft tissue mobilization – Muscle tension will decrease joint motion and cause muscle spasms. For these patients, the therapist will use soft tissue mobilization (STM), which breaks up inelastic or fibrous muscle tissue, such as scar tissue form a back injury, and moves tissue fluids. The therapist will localize the area with the most tissue restriction through assessment. Once this is identified, the restrictions are mobilized with STM.blog_shoulder-physical-therapy-hawkgrips-instrument-assisted-soft-tissue-mobilization-iastm

 

  • Strain-counterstrain – This technique focuses on correcting abnormal neuromuscular reflexes that cause postural and structural problems, resulting in tender points. The therapist finds these points and holds the muscle area down. Through mild stretching, this allows the body to reset its muscle to a normal tension level.

 

  • Joint mobilization – This involves loosening up a restricted joint and increasing the range of motion by providing speed (velocity) and increasing distance of movement (amplitude). These mobilizations move the bone surfaces on each other in ways the patient cannot move the joint himself.

 

  • Muscle energy techniques (METs) – These maneuvers are designed to mobilize restricted joints. METs utilize a voluntary contraction of the patient’s muscles against a controlled counterforce, which is applied by the therapist from a precise position and in a specific direction. The operator takes the joint to a new level where the patient them contracts the muscle.

OSPI offers top orthopedic services in the East Valley with Board Certified doctors. Physical Therapy is offered along with chiropractic and pain management too!

Rediscover Your Confidence with Physical Therapy in 2016

Reinvent Yourself with Physical Therapy in 2016

A healthy body is something that we crave since the first ray of sun falls on our face. We want to wake up with the freshness and positivity every day. With the science of healthcare, constantly evolving, treatments are improving and advances in the science help human to live longer. In 2016, we are sure to witness some great changes with physical therapy.
Physical therapy has witnessed some of the serious changes and now they are the accepted form of treatment for various conditions. Physical therapy able to reduce pain, improve mobility and help patients live happier and healthier lives.
These therapies have able to improve the quality of life by thorough optimization of movements. With the coming of the New Year, we get the opportunity to help people and their families to enjoy a pain-free life.

  1. Physical therapy will help you to reduce the injury


    Our therapists in Gilbert working hard will help you with a structured and progressive exercise program to reduce the injuries. There will be a combination of warm-up routines, stretches and various movement techniques. This allows you to participate in the type of activity you enjoy, without taking the risk of pain and injury.

  2. Physical therapy will help to improve strength and balance

    You will find the elderly patients, in particular, to be at risk and face a poor balance throughout. With the help of a progressive exercise program, we try to improve muscle strength and promote the balance and stabilization.

  3. Help you to curb diabetes and heart diseases

    Diabetes and heart diseases are now a great concern in Gilbert which comes associated with a number of complications. This might include impaired blood circulation, nerve problems and muscle weakness. In contrary to that, physical therapy is able to play an important role in treating conditions like heart diseases and diabetes. In Gilbert you can opt for several certified physical therapist or medical centers who have certified physical therapist. They provide you physical therapy programs in Gilbert under strict supervision which will definitely improve blood flow, nerve conduction and strength in a safe and progressive way.

  4. Physical therapy also helps to improve postures

    As we involve ourselves in daily physical movements, so they are also able to involve various types of muscle contractions joint motion and posture alignments. In the world where we have spent much time hunching over the desk, with our neck forward and shoulders in a slouching position – the postural evaluation is one of the main aspects that physical therapist at Gilbert AZ stresses much. Physical therapy is able to correct various muscular imbalances, relieve the tightness in joints and improve breathing patterns as well.

The therapists say that the key to unlocking happiness in life in movement and function. Limitation in them will definitely impact the quality of your life. This is also limit the active participation of a human in his society as well. Physical therapy thus runs to instill lost confidence in human and break the constraints that come between movement and functions of their body.
The year 2016 is going to relieve the confidence in you with the help of a physical therapist at Gilbert AZ whose healthcare professional will provide innovative treatments to help fitness freaks live a life full of energy. Looking to live a life full of energy? Contact Us

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