Congenital defects are the diseases of a developing foetus. It may be the defects of genetic structure, intrauterine environment, defects in morphology or a chromosomal anomaly. Developmental dysplasia of the hip is caused by the abnormal formation of the hip joint during foetal development.
- SIGNS AND SYMPTOMS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- CAUSES OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- PATHOPHYSIOLOGY OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- DIAGNOSIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- TREATMENTS FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- PROGNOSIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- COMPLICATIONS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- DEVELOPMENTAL DYSPLASIA OF THE HIP AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- AYURVEDIC PROGNOSIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- CHIKITSA- AYURVEDIC TREATMENT FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- AYURVEDIC LOCAL TREATMENT FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- AYURVEDIC SAMANA TREATMENT FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- COMMONLY USED AYURVEDIC MEDICINES FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- HOME REMEDIES FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- DIET AND BEHAVIOUR FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
SIGNS AND SYMPTOMS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- Limited range of movement
- Delay in gross motor development
- Outward turning of legs
- Legs appear to differ in length
CAUSES OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- Defective formation of hip joint
- Breech presentation
- Family history of developmental dysplasia of the hip
- Low level of amniotic fluid in the womb
PATHOPHYSIOLOGY OF DEVELOPMENTAL DYSPLASIA OF THE HIP
Due to the above-mentioned causes, abnormal growth of the hip joint occurs during fetal development. This is also associated with ligamentous laxity in the hip joint.
DIAGNOSIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- EXAMINATIONS
- Inspection of hip joint
- Palpation – in and around the hip joint
- Movements
- INVESTIGATIONS
- X – rays
- Ultrasound
TREATMENTS FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- Pavlik harness – soft brace that holds the joint firmly
- A few cases may require surgery.
PROGNOSIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- Prognosis is based on the degree of dysplasia of the hip.
COMPLICATIONS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- Nerve damage
- Cartilage damage
- Stability problems
DEVELOPMENTAL DYSPLASIA OF THE HIP AND AYURVEDA
- In Ayurveda, developmental dysplasia of the hip in children is occurring due to beeja dushti, arthava dushti or garbhashaya dushti.
- According to Ayurveda, it is considered as ‘sandhi vislesha’ of the hip joint.
- Generally, ayurveda therapies are given to older children and adults.
NIDANA- AYURVEDIC CAUSES OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- Improper food and regimens – virudha ahara and vihara
- Rakta Dhatu dushti
- Beeja dushti
- Artava dushti
- Garbhaya dushti
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- No specific premonitory symptoms
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moved greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the hip joint during fetal development and produces different kinds of abnormalities in asthi, tarunasthi, snayu, kandara etc leading to abnormal growth of the hip joint.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- Sandhi vislesha – hip joint dislocation
- Gati rodha – the limited range of movement
AYURVEDIC PROGNOSIS OF DEVELOPMENTAL DYSPLASIA OF THE HIP
- It can be corrected with appropriate ayurvedic treatments
CHIKITSA- AYURVEDIC TREATMENT FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
Ayurvedic local treatment for developmental dysplasia of the hip
- Svedam – mild local fermentation, shashtika Sali panda sweda
- Abhyanga – local oil massaging
- Pain relieving lepa application in case of chronic pain
AYURVEDIC SAMANA TREATMENT FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- Gandha tailam along with milk
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
COMMONLY USED AYURVEDIC MEDICINES FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
Internal administration
- Trayodasanga guggulu
- Mahayogaraja guggulu
External application
- Snehadhara – with balaswagandha tailam and ksheerabala tailam
- Shashtika Sali panda sweda
HOME REMEDIES FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- Heat application on the affected area with a towel dipped in hot water in case of chronic pain
- Massage the area for 15 minutes ( NOT too much pressure )
DIET AND BEHAVIOUR FOR DEVELOPMENTAL DYSPLASIA OF THE HIP
- Avoid food items which produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid long walking, and heavy exercise which further aggravates the conditions.
- Oil massage on affected area advised. Which alleviates vata dosha
- Take proper rest.
These statements have not been evaluated by the Food and Drug Administration, United States. This product is not intended to diagnose, treat, cure or prevent any disease. Please consult your GP before the intake.
Dr. Rajesh Nair
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