Touching a raw nerve - The Hindu
his own edgy and off-beat celebrity interview show, Shatner's Raw Nerve. Language: English Runtime: 21 minutes Release date: February 14, . Trek deserves quality writing, demonstrating engineering minds to solve problems. Hip Anatomy, Function and Common Problems The hip joint is a ball-and- socket type joint and is formed where the thigh . The obturator nerve is also responsible for sensation over the thigh. . However, as soon as I was able to sit down, it kind of reset my hip for a short time, but it continues to pop out. So why wouldn't it work for the pudendal nerve? The reason is that pudendal neuralgia and PNE is a sensory problem – pain – and this test.
Additional stability is provided by the strong joint capsule and its surrounding muscles and ligaments. If you think of the hip joint in layers, the deepest layer is bone, then ligaments of the joint capsule and the tendons and muscles are on top. Nerves and vessels supply the muscles and bones of the hip. The hip joint capsule is a dense, fibrous structure which includes the iliofemoral, pubofemoral, and ischiofemoral ligaments. These ligaments along with the ligamentum teres and the labrum help give stability of the hip.
Bony Structures of the Hip The adult skeleton is mainly made of bone and a little cartilage in places. Bone and cartilage are both connective tissues, with specialized cells called chondrocytes embedded in a gel-like matrix of collagen and elastin fibers. Cartilage can be hyaline, fibrocartilage and elastic and differ based on the proportions of collagen and elastin. Cartilage is a stiff but flexible tissue that is good with weight bearing which is why it is found in our joints.
Cartilage has almost no blood vessels and is very bad at repairing itself.
Bone is full of blood vessels and is very good at self repair. It is the high water content that makes cartilage flexible.
The hip is formed where the thigh bone femur meets the three bones that make up the pelvis: You can feel the arching bones of the ilium by placing your hands on your waist. The pubis attaches to the lower part of the ilium and curves forward. The ischium is slightly behind the pubis. The three bones converge to form the acetabulum, a deep socket on the outer edge of the pelvis. The shape of the acetabulum is a half of a sphere; the femoral head is about two-thirds of a sphere.
Without weight bearing, the ball-and-socket are not completely congruent. As the joint bears more weight, the contact of the surface areas increases as does joint stability.
The articular cartilage is thicker on the back part of the socket where most of the force is placed on the joint with walking, running and jumping.
Obviously, injury to the acetabulum can affect its ability to distribute weight bearing. Bones of the Hip Joint The hip joins the leg to the trunk of the body at the hip joint. The hip joint is made up of the ball of the femoral head that fits into the cup-shaped acetabulum. The large round head of the femur rotates and glides within the acetabulum. The depth of the acetabulum is further increased by a fibrocartilagenous labrum attached to the acetabulum. The socket of the hip is much deeper than the socket in the shoulder and encompasses a greater area of the ball.
Do not stop taking any medicine before talking to your provider. Replacing a vitamin or making other changes in your diet may help. If you have low levels of B12 or other vitamins, your provider may recommend supplements or injections. You may need surgery to remove pressure from a nerve.
You may have therapy to learn exercises to improve muscle strength and control. Wheelchairs, braces, and splints may improve movement or the ability to use an arm or leg that has nerve damage.
Nerve damage can increase the risk for falls and other injuries. Remove loose wires and rugs from areas where you walk. Do not keep small pets in your home. Fix uneven flooring in doorways. Put handrails in the bathtub or shower and next to the toilet.
Place a slip-proof mat in the bathtub or shower. Before you put them on, always check inside your shoes for stones or rough areas that may hurt your feet. Check your feet every day. Look at the top, sides, soles, heels, and between the toes. Wash your feet every day with lukewarm water and mild soap. Use lotion, petroleum jelly, lanolin, or oil on dry skin.
Check bathwater temperature with your elbow before putting your feet in the water. Avoid putting pressure on areas with nerve damage for too long. They usually do not bring back loss of feeling.
Your provider may prescribe: Pain pills Drugs that treat seizures or depression, which can also manage pain Your provider may refer you to a pain specialist. Talk therapy may help you better understand how your pain is affecting your life. It can also help you learn ways to better cope with pain. Your provider may give you medicines to help with bowel movement problems.
Eating small, frequent meals may help. To help bladder problems, your provider may suggest that you: Use a urinary catheter, a thin tube inserted into your bladder to drain urine. Medicines can often help with erection problems. Support Groups These resources can provide further information on peripheral neuropathy: National Institute of Neurological Disorders and Stroke -- www. Some nerve-related problems do not interfere with daily life.
Neuralgia: MedlinePlus Medical Encyclopedia
Others get worse quickly and may lead to long-term, severe symptoms and problems. When a medical condition can be found and treated, your outlook may be excellent. But sometimes, nerve damage can be permanent, even if the cause is treated. Long-term chronic pain can be a major problem for some people. Numbness in the feet can lead to skin sores that do not heal. In rare cases, numbness in the feet may lead to amputation. There is no cure for most neuropathies that are passed down in families.
Hip Anatomy, Function and Common Problems
When to Contact a Medical Professional Call your provider if you have symptoms of nerve damage. Early treatment increases the chance of controlling symptoms and preventing more problems.
Prevention You can prevent some causes of nerve damage. Avoid alcohol or drink only in moderation. Follow a balanced diet.