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Archive for April 28th, 2009

THE TREATMENT OF EPILEPSY: INFANTILE SPASMS

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The treatment of infantile spasms is unlike that of other epilepsies. Treatment usually consists of giving a steroid, either by intramuscular injection, or by mouth. The drug which is given by injection is called ACTH (adrenocorticotrophic hormone), and by mouth, prednisolone. The injections are usually given once (rarely twice) a day for two weeks until the spasms have stopped, and then every other day, and eventually just once a week. Only about one half to

two-thirds of children will respond to ACTH or prednisolone, and a number of these children will relapse (have further spasms) once the medication is discontinued. Unfortunately, these medications may be associated with serious side-effects, and therefore the children must be monitored very closely. Other drugs which may be useful in treating spasms include: sodium valproate (Epilim) and nitrazepam (Mogadon). More recently, one of the newer anti-epileptic drugs, vigabatrin (Sabril) is appearing to be successful in treating spasms, particularly if the cause is tuberous sclerosis or as a result of earlier meningitis/encephalitis. This drug seems to be safer, with less serious side-effects, than the steroid drugs. It may soon become the ‘first choice’ drug in the treatment of infantile spasms. One of us already uses vigabatrin to treat every child who has infantile spasms, irrespective of the cause because it appears to have so few side-effects.

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ARTHRITIS BEATEN TODAY: CMO AND OTHER AILMENTS-TMJ (TEMPOROMANDIBULAR JOINT (OR JAW) DISORDER)

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That name’s such a mouthful that many people with temporal mandibular jaw disorder can’t even say it without their jaws locking up. No it’s not the tetanus infection called lockjaw. TMJ is a problem usually caused by jaw malformation, fracture, dislocation, or arthritis. It can even come just from biting down too hard on something.

It can vary from an occasionally bothersome jolt of pain when chewing or talking to a constant terrible pain that even inhibits normal speech. Minor cases can disappear in a few hours or a few days. Chronic TMJ can cause constant and dreadful pain that can last a lifetime.

To resolve the problem, doctors like to prescribe pain medications. Surgeons like to recommend surgery. Neurosurgeons will suggest neurosurgery. Chiropractors propose manipulative therapy. Dentists want to x-ray it. Acupuncturists want to jab you with needles. Any or all of these procedures may prove helpful. We have nothing against them.

But can you guess what usually works best for chronic TMJ? CMO, of course.

One female patient suffered from recurring TMJ pains as a result of her misaligned jaw. She had already run the gamut before finding CMO. Her chiropractor had manipulated her jaw and made it worse. A neurosurgeon had offered her pain medications. She saw a slew of dentists claiming to be TMJ specialists. One x-rayed her jaw, injected it with something, and constructed a splint for her to wear 24 hours a day. She tried acupuncture but that didn’t help either.

The misalignment remained and the pains kept coming back. Then a bit of dental work on one tooth worsened the situation. She began taking a lot of Advil and a number of prescription codeine tablets daily just to maintain.

Two days after starting CMO she reported that her pains were subsiding. She now enjoys an improvement of better than 80% overall, more than enough to feel quite comfortable again.

Hers was a quick response to a very severe case. Most TMJ cases respond just as quickly. Dozens have reported 100% recoveries from the problem.

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POLIO IN CHILDREN: SYMPTOMS, HOME CARE, PRECAUTIONS

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Symptoms: general bodily discomfort; fever; sore throat; nausea; sore, stiff muscles; stiff neck or spine.

Home care

The best home care is prevention; be sure your child is adequately protected against polio by immunization.

Precautions

-    The child needs the full series of immunizations to receive long-lasting immunity.

-    If the child originally received the Salk polio vaccine, he or she must have boosters or receive two full series of the Sabin vaccine in order to be fully protected.

-    Polio is caused by one of three different viruses, and attack by any one of the three confers immunity against that virus only. It is, therefore, technically possible to have three separate attacks of polio.

Polio – poliomyelitis or infantile paralysis – is an infection of the spinal cord. It is due to one of three related but different viruses. Attack by one of these three viruses confers lifelong immunity against that type only. Therefore, it is possible to have three separate attacks of the disease.

The polio virus is found in the saliva and the stool of the infected person. It is transmitted by direct contact or through contact with something that has been contaminated by the virus carried in an infected stool – for example, foods, toys, or the water in a swimming pool. The incubation period – the time it takes for the symptoms to appear once the person is exposed to the virus – for polio is three to 14 days.

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