Metaplastic breast cancer is an uncommon and fatal condition. It is described histologically as a tumor having epithelial differentiation into squamous and mesenchymal components, with numerous elements frequently co-existing in the same tumor. This case study sought to provide analgesic treatment in a case with malignant pleural effusion related to breast cancer based on evidence. A 67-year-old female with a known history of metaplastic breast carcinoma came to the tertiary care hospital with complaints of breathlessness which progressed to grade II on the Modified Medical Research Council (mMRC) Dyspnoea Scale, a cough with mucoid expectoration, restlessness, nausea, and reduced appetite for eight days. Diagnostic findings revealed bilateral pleural effusion (left>right). Laboratory investigations revealed that the excess fluid accumulated was transudate in nature, according to the Light's criteria. This case report illustrates the strategy, management, and importance of adherence to pulmonary rehabilitation and painkiller care physiotherapy for patients with metaplastic breast cancer and pleural effusion to achieve the best possible physical and mental health.
Low back pain is the most common chronic pain disease, affecting 70–80% of people at some time in their life, according to epidemiological research. LBP is described as discomfort in the region of the back of the body that stretches from the lower border of the 12th rib to the lower gluteal folds that lasts for at least one day. Back pain (BP) may be divided into three primary categories. Subacute pain is described as lasting between six weeks and three months, acute pain as lasting less than six weeks, and chronic pain as lasting longer than three months. The two primary forms of low back pain are specific low back pain and nonspecific low back pain (NSLBP). NSLBP, on the other hand, is a kind of low back pain where the relationship between the symptoms, physical findings, and imaging data is unclear. The most frequent musculoskeletal disorder worldwide is low back pain (LBP). Outlined here is what we propose by carrying out research aimed to evaluate and compare the Effect of William Flexion exercise and Movement Control exercise in two arm parallel superiority randomized clinical study on decreasing Pain, Range of Motion, Muscle Strength and Functionality in Non-Specific Low Back Pain. In this study the total of 74 patients of non-specific low back pain in people between the ages of 18 and 40 will be divided into two group one group received William flexion exercise and other group received Movement control exercises followed by conventional physiotherapy. The treatment will be given for 6 session a week for 4 weeks. The assessment will be done at day one of treatment and at the end of week. The implementation of this physiotherapy technique in treatment could occur if the study's hypothesis is productive in non-specific low back pain.
Anaplastic astrocytoma is a kind of astrocytoma (a type of brain cancer) that is classified as World Health Organization (WHO) grade III. Headaches, poor mental status, focal neurological impairments, and seizures are the most prevalent early signs and symptoms of anaplastic astrocytoma. Anaplastic astrocytomas have also been linked to earlier exposure to vinyl chloride and large doses of brain radiation treatment. Anaplastic astrocytomas are a form of astrocytoma that also falls under the umbrella term of gliomas, which are tumors that develop from glial cells. This is because astrocytes are a kind of glial cell. As a result, anaplastic astrocytomas (grade III) are also known as "grade III gliomas" or "high-grade gliomas. In this case study, we present a case of a 35-year-old male who presented to our cancer hospital with complaints of weakness in the right upper and lower limbs for two years. He was then diagnosed with anaplastic astrocytoma, grade III. But after tumor resection, he developed right hemiplegia with involvement of the right upper extremity and lower extremity. This case study demonstrates how the neuro-physiotherapy rehabilitation protocol in the case of hemiplegia after brain tumor resection aids in improving motor function and functional independence. Physiotherapy treatment that is modulated according to the patient's needs plays a vital role in improving the quality of life and helping to delay the worsening of symptoms, thereby helping to increase the life span of patients diagnosed with anaplastic astrocytoma grade III.
Introduction: Cervical myelopathy is a disease that causes the compression of the spinal cord. Cervical myelopathy occurs basically because of force applied to the anterior spinal cord with ischemia as a result of the distortion of the cord by anterior herniated discs, spondylotic spurs, and an ossified posterior longitudinal ligament, or spinal stenosis. Case presentation: A 55-year-old male who came with a chief complaint of weakness in both the lower limbs for approximately since 1 year. He was diagnosed previously with C5-C6-C7 cervical myelopathy and was surgically operated on with cervical discectomy in June 2010. In September 2021 he again started experiencing the bilateral lower limb weakness and in March 2022 he visited the tertiary rural hospital where he was diagnosed with C7-D1myelopathy. He underwent various interventions like MRI and EMG (Electromyography), and NCV (Nerve Conduction Velocity). He was then diagnosed with mid-left median motor axonal. The disease-specific outcome measures for cervical myelopathy are the Nurick grading scale and JOACMEQ. Conclusion: The physiotherapeutic intervention that was modulated was according to the condition of the patient which improved his quality of life and independence. Therefore, it helps in gaining patients' confidence intheirprognosis in the patient diagnosed with cervical myelopathy.
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