Search Results

Varicose and Restless Leg Syndrome Relation ! Varicose veins (Venous Insufficiency) is one of the most common causes of restless legs syndrome. While studies investigating the relationship between restless legs syndrome and varicose veins are still in their infancy, it has been frequently observed that patients with restless legs syndrome symptoms also improve when their venous insufficiency due to varicose veins is corrected. Leg cramps and swelling in your legs may indicate a vascular problem in your body. Vascular problems can include any condition that affects the circulatory system. After a cramp, medications can help with muscle tension, but the long-term effect of medication is not sufficient when cramping occurs. The good news is that surgery is no longer the only option for the treatment of varicose veins! New Interventional Radiological techniques such as endovenous laser thermal ablation (EVLT), radiofrequency ablation, thermal ablation (RF), ultrasound guided foam sclerotherapy (deep sclerotherapy application) enable the treatment of most vascular diseases without the need for hospitalization. With the application of outpatient laser treatment, it turns the disadvantages such as hospitalization and long recovery period that come with surgery without general anesthesia and making it a safe alternative for our patients who are not suitable for surgery or who do not want surgical intervention. Most people can immediately return to work or their daily routine; For this reason, when you have restless legs syndrome, you should definitely have color Doppler ultrasound-guided controls and plan the best treatment method for you by evaluating with your doctor. Varicose veins - symptoms of venous insufficiency are generally as follows, if these symptoms are present, it is time to go to the doctor; We strongly recommend that it be checked with Color Doppler Ultrasound. The mild symptoms of varicose veins are as follows: Feeling of heaviness, burning, pain, tiredness in your legs swelling in your feet and ankles Itching on the vein Severe Symptoms of Varicose Veins Are: leg swelling Skin changes, such as: – Color changes - Dry, thin skin – Inflammation Exfoliation Dermatitis Bleeding after open wounds or a minor injury worsening of symptoms after prolonged standing or sitting redness, -Temperature increase, -Pain on the vein - Visible color change in the vein. CLICK TO REACH OUR DOCTOR WITH WHATSAPP 0552 310 57 11

Mothers and fathers are responsible for health education from the newborn period until the child turns eighteen. Therefore, what issues should be paid attention to until that age. In the second and fourth months; Relationship between baby, parents and siblings The importance of playing and talking with the baby Growth-development, breastfeeding and its problems Vaccines, their importance, vaccine reactions Sleep (at least 16 hours a day, 2-3 times a day) Baby care and reasons for crying Defecation Aspiration hazard Family planning In the sixth and ninth months; family harmony Evaluation of growth and development Vaccines, their importance, vaccine reactions care hygiene Sleep (12-14 hours, at least 2 naps during the day) The importance of playing with the baby Complementary foods, feeding with a spoon and a glass home accidents Care of milk teeth one year old; Sitting at the family table (3 main, 2 break) Encouragement of self-feeding Sleep Dental care (no paste) home accidents Not suppressing the desire to be independent Anorexia Two and Three years old; The importance of the family table Balanced diet anorexia problem Adequate milk consumption accidents Discipline Sleep time dental care Toilet training At the age of four and five; Balanced diet, table conversations group of friends, playing games Answering questions about sexuality dental care Sleep patterns Support for pre-school education Teaching name, surname, address and telephone Be warned about foreigners Responsibility for housework Traffic rules Six and Eleven years old; Sleep (20:00-21:00, total 9-10 hours) Balanced diet Tooth brushing (2 times), dental check-ups Answering questions about sexuality School adjustment, learning problems TV, computer games Education on abuse Preventing accidents reading habit Twelve and Eighteen years old; Healthy communication Respect for private life TV, computer games, internet use should be supervised Smoking, substance use control Balanced diet dental care Prevention of accidents Answering questions and problems about sexuality Education, encouragement to develop new skills Let's listen to the voice of the child inside us, get light from the positive and negative experiences we experience, but let's not neglect the external child who holds our hand to satisfy the child inside.

Pediatric Hematology and Genetics Specialist Prof. Dr. Duran Canatan said that the reason for the high rate of rare diseases in Turkey is consanguineous marriage. Pediatric Blood and Genetic Diseases Specialist in Antalya Prof. Dr. Duran Canatan made a statement on the occasion of February 28, World Rare Diseases Day. prof. Dr. Rare diseases, a highly complex group of diseases that affect more than one system, are usually caused by mutations in chromosomes or genes, Canatan said. Stating that there are over 7 thousand rare diseases in the world, Prof. Dr. Canatan stated that 1 person out of every 15 people in the world is affected by rare diseases. THE REASON FOR THE HIGH RATE IN TURKEY... prof. Dr. Canatan said, "While nearly 400 million people in the world are affected by rare diseases, 30 million people in Europe and 25 million people in America are affected. Rare diseases are 6-8 in Turkey, and the main reason for the high rate is the excess of consanguineous marriages. Cultures We are in a position that unites all continents for years. Therefore, many diseases occur in this region. Plus, consanguineous marriages are 25 percent in our country, that is, rare diseases are very high in our country, since one out of every 4 people is consanguineous. About 5 million people are affected by this situation. In this respect, consanguineous marriages should be reduced. For this, we recommend that young people be screened for diseases before marriage and before pregnancy. A second important issue is that families are healthy. For this, parents must be screened for rare diseases," he said. TREATMENTS Noting that 95 percent of rare diseases have no cure yet, Prof. Dr. "75 percent of children are affected. 30 percent of people with rare diseases die before the age of 5," Canatan said. Expressing that families with sick children should be made exon and genome analyzes and clear definitions should be made, Prof. Dr. Duran Canatan said, “Currently, nearly 332 gene analyzes are performed before pregnancy. In this way, the birth of a sick child can be prevented. For a family with a rare disease, we recommend the in vitro fertilization method to have a healthy child, after the diagnosis of both the child and the parents has been clarified by performing whole exome and genome tests," he said. THE IMPORTANCE OF "CORD TIE" Stating that the umbilical cord of the newborn is hidden and stem cells are used in any future disease, Prof. Dr. Canatan said, “The umbilical cord and the umbilical cord are used to preserve the blood, and the stem cells there are used in case the child and family members develop any disease in the future. By treating the sick sibling of the child born with this method in the umbilical cord blood, the family both saves the sick child and has a healthy child. Today, many centers in our country are doing this, but families should be assured that it is kept for a long time," he said.

Brain tumors can sometimes be very difficult operations for surgeons, especially in terms of location. They can be particularly close to areas of the brain that control the arms and legs, or to valuable brain areas such as the speech or vision center. Navigation systems, which have recently been used today, make the surgeon quite comfortable during the operation and the patients are operated and regain their health without losing their speaking ability and without the development of paralysis in their arms or legs. Navigation systems are high-tech devices that guide the surgeon in real time during the surgery using pre-taken CT and MR images in neurosurgery operations performed in the operating room. Navigation system can be used in cases of Cerebrovascular, Tumor resection, Biopsy, Pituitary, Hydrocephalus, Skull Base, Transnasal, Pediatric Neurosurgery in cranial surgery. The system enables to know where the navigation probes or other instruments used in the operation are located in the anatomical structure with high geometric precision. Before craniotomy (opening of the skull bone), the location of the tumor is determined on the actual anatomy. It enables the surgeon to find the most suitable entry point to reach the tumor and to determine the smallest possible cut area on the skull. After craniotomy, it guides the surgeon as it moves through the brain tissue to find the tumor. It visually assists the surgeon to take the right angle, the shortest path, and the least damage to other tissues.

The human spine follows a straight line when viewed from the front. Scoliosis is the bending of this straight spine to the side. SO WHAT ARE THE SYMPTOMS OF THIS DISEASE? 1- Waist and back pain 2- Posture disorder HOW IS IT DIAGNOSED? 1-First of all, to understand whether a patient has scoliosis, the first thing to do is a good history, physical and neurological examination. 2-X-ray (Scoliosis X-ray) 3- Myelogram 4-Computed Tomography 5- MRI HOW IS IT TREATED? Curvatures of the spine up to 10' are considered normal, and curvatures above 20' are considered scoliosis. Orthotic use and physical rehabilitation are recommended for curves between 20' and 40'. Curvatures over 40' are treated with surgery. SURGICAL TREATMENT METHODS Today, the method used in surgical treatment is to fix the curvature by placing screws in the spine.

CAUSE OF SMOKING AND ANEURYSMA BLEEDING Many people complain of migraines and headaches. Sometimes the headache is chronic, but sometimes it can come on suddenly and severely. Headaches, especially sudden stabbing, may be a sign of cerebral hemorrhage. One of the two important factors that trigger aneurysm bleeding is smoking and the other is high blood pressure. Smoking increases bleeding. Failure to control high blood pressure can also cause the aneurysm to bleed, he says. It is possible to detect the aneurysm without bleeding An aneurysm is the development of bubbles at the weak point of the vessel wall. This situation mostly occurs in the areas where the veins are divided into two. The vein has different layers. As a result of the weakness in one of these layers, the balloon gradually grows. A very risky situation arises when aneurysm bleeding occurs. Almost half of the patients die. However, with today's diagnostic methods, it is possible to detect aneurysm without bleeding. The most typical symptom is sudden and severe headache. A person with aneurysm bleeding experiences pain that is incomparable with other headaches. Almost everyone has had a headache once in their life. But the headache in aneurysm bleeding is very severe. Patients describe this pain as "I got hit on the head with a sledgehammer", "A bomb exploded in my head" or "Suddenly I got a knife". Apart from bleeding, aneurysms cause symptoms by compressing the surrounding nerves or neck tissue, especially when they reach large sizes. Diagnosis can be made with MRI angiography and Bt angiography. The formation of aneurysm cannot be prevented for today. However, an established aneurysm can be diagnosed with MRI angiography and CT angiography techniques. There are two main treatment methods for aneurysms. One is the angiography method, which is done by entering the vein.

HEADACHE IN ADULTS Headache is one of the most common complaints in the society, and the rate of people with recurrent headache reaches 70%. Although it affects the quality of life negatively, it is generally not life-threatening. However, headache; If it comes on suddenly and is the most severe of the headaches ever experienced, If it does not pass and its severity increases, If it causes double or blurred vision, If you have vomiting without nausea, If it occurs after the age of 50, If it arose after a blow to the head or an accident, If it manifests itself in the form of stiffness or fever in the neck, a physician should be consulted. CAUSES OF HEADACHE Headache may occur without a structural defect in the brain (primary) or may develop due to other diseases affecting the brain and body (secondary). primary headaches, 1. Migraine 2. Tension-type headache 3. Cluster headache 4. Other primary headaches secondary headaches, 1. Due to head and/or neck trauma 2. Due to head and/or neck vascular diseases 3. Due to intracranial, extravascular causes 4. Due to substance or substance deprivation 5. Due to microbial diseases 6. Due to disorders in blood biochemistry 7. Due to eye, ear, nose, sinus, tooth, mouth problems 8. Due to psychiatric disorders

Canal stenosis, called lumbar spinal stenosis in medicine, is the occurrence of compression on the spinal cord due to calcification of the bone and connective tissue surrounding the spinal cord. It is usually seen above the age of 55. It is more in women than men. If the congenital spinal cord passage is narrow, it is also seen at earlier ages. There is a connective tissue called ligamentum flavum that covers the spinal cord and the nerves that go to the right and left legs from it at every level and protects them from external influences. This tissue ossifies with aging or with the increase of calcifications due to osteoporosis and compresses the spinal cord and creates pressure. As a result of this pressure, symptoms such as pain, burning, tingling and difficulty in walking appear in both legs. Even if the person tries to walk a short distance, he often feels the need to stop and rest. Bend your body forward while sitting, but this is how you relax. If the disease progresses, numbness and burning in the legs wakes the patient at night, when he wakes up, he feels like a log and does not know where to put his legs. Another symptom that indicates the progression of the disease is frequent cramps in the legs. In the most advanced stage, sexual power is lost and the patient starts to leak urine. Physical therapy, swimming and exercises are recommended to the patient only during the period of numbness or burning. If this stenosis is severe, that is, if the patient needs to rest frequently while walking or wakes up at night due to drowsiness, surgery is absolutely necessary. Previously, in canal stenosis surgeries, the spinal canal was opened bilaterally or the posterior bone of the spine was removed as it was. In these patients, it was observed that the static of the spine deteriorated over time and the spine was fixed with screws and platinum, and canal stenosis surgeries are still performed in this way in most of Turkey. However, since these types of surgeries are major surgeries, it is quite late for the patient to recover and return to normal life. For nearly two years in the USA, it is much easier for the patient to recover and return to normal life with a new method applied by me and a few distinguished neurosurgeons in our country. In this method, the protruding bones and ossified connective tissues around the spinal cord are cleaned with a tool called TUR, which rotates very quickly and eats bone tissues, by entering through a small incision in the part of the patient's spine that is more painful. By giving appropriate positions to the patient, pressures not only in the entered area but also in the opposite area can be removed. This operation can only be performed under very fast TUR instruments and modern microscopes. As in herniated disc surgery, the patient can stand up a few hours after this surgery, go home without overnight in the hospital, and return to his normal life within a few days. In our narrow canal surgeries, the patient does not have the risk of being disabled or paralyzed. As long as the patient comes without paralysis. In these surgeries, the pressure on the spinal cord and nerves is removed. We can't do anything about the damage inside the spinal cord and nerves. However, after the pressure is removed, the body starts to repair slowly. For this reason, it is of great benefit for patients with canal stenosis to apply before the destruction begins.

There are many causes of back pain. If there is only low back pain, muscle problems, ie rheumatic diseases, posture and sitting disorders, colds or extreme fatigue should be suspected. In addition, gynecological diseases, kidney diseases and problems in the intestines can also cause low back pain. If the pain also hits the leg, it means that there is pressure on the nerves coming out of the spinal cord. The most important reason for this pressure is lumbar hernia. In addition, tumors in the spine, bone shifts and congenital bone disorders can also cause this compression. If we feel a hold all over our waist, if pain occurs when we move our legs and it started suddenly, it means that in medical language, Facet Lock, that is, the joints behind the spine have slipped on each other. The remedy for this is manual medical maneuvers called manipulation. These maneuvers must be done by a specialist doctor.

Low back pain is one of the most common complaints in society, and 80 percent of people experience low back pain at some point in their lives. Approximately 1% of all low back pain requires surgical intervention. The other part is treated with auxiliary methods called conservative treatment. Causes of low back pain 1) Muscle origin pains (Mechanical low back pain) Occurs after heavy activity or seasonal changes. It usually improves with rest and pain relievers. If it persists, exercise therapy is recommended. 2) Herniated disc (lumbar disc herniation) It is the overflow of disc material between the lumbar vertebrae into the spinal canal. The overflowing cartilage tissue, that is, the hernia, compresses the nerve root coming out of that level. This causes pain called “sciatalgic” or “radicular” pain extending from the waist to the hip and leg. If the hernia protruding into the spinal canal does not compress the nerve root, such pain is not expected. In this case, only low back pain is seen due to the overflowing hernia compressing the capsule. Most of these pains are relieved by rest, drug therapy, physical therapy and back injection therapy, which is called conservative treatment. Surgical intervention is required in those who continue to have pain that reduces their quality of life despite all treatments, or who have progressive loss of strength in the muscle group stimulated by the nerve compressed by the hernia. The main surgical methods are microdiscectomy and endoscopic discectomy. After surgery, the patient is usually discharged after 1 night of hospitalization, and can return to work after 2 weeks. 3) Low back slip (Spondylolisthesis) It is the compression of the spinal cord due to the slipping of the lumbar vertebrae over each other. It manifests itself with low back pain, the severity of which increases especially with standing and walking. Displaced vertebrae are treated with screws (stabilization). 4) Canal Narrowing (Lumbar Narrow Canal)- Calcification It is the compression of the spinal cord passing through the middle with the calcification of the lumbar vertebrae. The main complaint is the feeling of numbness in the legs that increases as the person walks and the need to rest for 5 minutes even for short distances while walking. In its treatment, surgically calcified and narrowed areas are opened microscopically and the nerves are relieved. Depending on the condition of the spine, screwing may be required. 5) Spine injuries Injuries to the spine due to trauma. They cause severe low back pain, resting with a corset or surgical procedure may be required depending on the type of injury. 6) Bone resorption (Osteoporosis) They are deformations in the spine due to weakening of the bones. It often causes fractures in the form of collapse of the vertebral bones. It is especially common in women in the menopausal period. It is treated with medication for osteoporosis, conservative treatment for the spine, or surgical methods by filling the bone. 7) Rheumatic diseases Of the many types of rheumatism, the most common is Ankylosing Spondylitis (AS). Pain lasting 4-5 hours after waking up in the morning, and unlike other types of pain, it is typically relieved by movement. It is mostly familial, and early diagnosis is important in terms of preserving functions. It is treated with drug therapy and physiotherapy determined by rheumatology or physical therapy doctors. 8) Infection Spontaneous infections, cheese disease (brucellosis), tuberculosis or post-surgical infections (discitis) cause long-term low back pain. Sometimes surgical intervention may be required with antibiotic therapy. 9) Causes originating from other organs Liver, kidney disorders, urinary tract infections can cause low back pain.

There is hardly a middle-aged person who has not had a sore neck at some point in his life. Some patients say that the pain is only with head movement, while others talk about a constant pain that lasts all day. Extremely important veins and nerves, primarily the spinal cord and carotid artery, pass through our neck. Apart from that, it carries out the task of carrying a very heavy load (approximately 2.5-3.5 kg) like our head. We don't even realize it, but our neck joints are one of the hardest working joints, so they wear out pretty early. It is important that the pain in the neck or neck occurs after a fall or a traffic accident. Sudden braking in the car, front or rear impacts can cause pain with severe contraction of the neck muscles. If the pain does not go away gradually over days, it is necessary to see a doctor. Aging and calcification of the neck bones over time can cause neck and nape pain. These patients feel a painful restriction when they turn their head to the right or left. Loud noises come from their necks. In neck hernia, the discs between the vertebrae can press on the nerves and cause neck pain. These pains radiate to the back and shoulders and can be quite severe. It is important to have numbness and tingling complaints in the arm and fingers. If your pain is very severe, you should see a specialist (preferably neurosurgeon) if the numbness does not go away on its own within a few weeks. Your doctor will determine the location and degree of the hernia, if necessary, by performing an MRI examination when necessary. Some drugs (for example, antidepressant drugs and cholesterol drugs) can cause neck pain. The content of the page is for informational purposes only, please consult your doctor for diagnosis and treatment.

The peroneal nerve is mostly compressed at the lateral side of the knee between the leg bone called the fibula and the muscles and ligaments. It is characterized by the weakness of the muscles called the foot dorsiflexors, which lift the foot from the ankle. The patient has to drag his ankle because he cannot keep it straight while walking. There is also numbness on the feet. For this reason, it can sometimes be confused with nerve root compression due to herniated disc. Peroneal nerve entrapments; prolonged squatting, frequent crossing of the legs, leg bone fractures, knee joint dislocations, excessive stretching of the knee due to trauma, nerve damage during surgical procedures, aneurysms (bubbles) formed in the peroneal vessels, bone tumors such as osteochondroma and joint cysts, tight elastic cover It results from applications such as wraps, bandages, plaster jackets, fiberglass splints, knee stabilizers, leg orthoses, tourniquets and ice packs. In newly developing acute events, more motor involvement than sensory is in the foreground. In more chronic events such as cysts and tumors, there is pain and slowly progressive motor and sensory disturbances. Electrodiagnostic (EMG) evaluation is necessary for diagnosis and determination of the course of the disease. entrapment; Loss of consciousness can be seen occupationally in kneeling and bending as well as positional in patients under coma or general anesthesia. The reason for entrapment following excessive weight loss is the sensitivity of the nerve to trauma at the head of the fibula. In mild cases, medication and exercise therapy are local, while physical therapy may be required in some patients. Surgery is required in cases that develop suddenly and do not improve with physical therapy. The operation is in the form of opening the sheath on the nerve with local anesthesia. Since the nerve will be freed from the pinched place, firstly the loss of strength and then the sensory loss will be corrected. It has been observed that the nerves do not recover even if they are operated on in patients who are under pressure for a long time.