Most common areas for sports injuries include ankle, foot, and lower leg. Sports leads to various injuries such as strain, sprain, knee injury, fracture, rotator cuff injury, torn ligaments and tendons, and swollen muscles. The risk of sports injury is more in children as compared to adults. Many of the sports injuries are believed to be preventable if the preventive measures are strictly followed such as keep body hydrating or doing warming-up which increases the flow of blood to muscles.
MANAGEMENT OF FIBROIDS
Not all fibroids need to be removed or operated. Small fibroids especially the ones not entering the uterine cavity can be observed. After the menopause, the fibroids often shrink and symptoms tend to ease or go away
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Medication to improve the symptoms
- Tranexemic acid during periods which reduces the bleeding
- Anti – inflammatory medicines like ibuprofen and mefenemic acid to ease period pain
- Combined oral contraceptive pill which can help to have lighter period and ease period pain too
- Levonorgestrel intrauterine system – LNG – IUS / MIRENA – It is a plastic device that sits inside the womb, originally used as a contraceptive. It is inserted into the womb and slowly releases a regular small amount of progestogen and works by making the lining of the womb very thin, so bleeding is lighter.
- Progesterone tablets or injections may be used sometimes to decrease the bleeding
Medication to shrink the fibroids
Gonadotrophin releasing hormones analogue may be given to some women. These act by decreasing the levels of oestrogen in the body. However, as low oestrogen can cause symptoms similar to going through menopause (hot flushes, osteoporosis etc.), this treatment is given maximum for six months. They are often prescribed for three or four months before having an operation to make it easier to remove fibroids.
Hysterectomy is the removal of the womb. It can be done either by a bikini line scar( laparotomy) or laparoscopically by a keyhole surgery in the tummy ( LAVH or TLH) or vaginally.
Myomectomy – In this fibroids are removed and the uterus is left especially in women who may wish to have children in the future. This can be done laparoscopically or hysteroscopically depending on location and size of the fibroid.
Myolysis – It means shrinking of fibroid in some way surgically. It includes Endometrial ablation. This procedure involves removing the lining of the womb. This can be done by different methods – for example, using laser energy, a heated wire loop or by microwave heating.