Sunday 19 October 2014

WHEN TECH HURTS



Smart phones, laptops and SeReaders are supposed to make life easy and fun, but they are becoming a pain in the neck , literally.Physiotherapists in the city are facing a new set of chronic ailments caused exclusively by touchphones and tablets. The `iPosture' is responsible for alarming pain in the hands, neck and back. The term is used for the stooped body shape adopted by those texting, playing games or binge-viewing TV shows on tablet or smart phone. The worst part, say doctors, is increasing trend of kids and teens needing physiotherapy due to their addiction.

GOOD POSTURE
» Avoid sitting or sleeping for long in front of a television or while using gadgets » Take a break every 30 minutes. Stand walk around for a few minutes » Avoid holding phone between ear and shoulder as it will injure your neck » Maintain level of computer screen in front of you, support arms on chair han dles and use proper lighting » For kids, limit use of gadgets to avoid spinal injuries. Ensure proper posture » Tap lightly on touch keyboard. Many people tend to tap hard as it lacks tac tile feedback of a physical keyboard » Buy bluetooth keyboard if typing longer than a few sentences
Neurological Effect
Niraj Shah, a 12-year old, played all kinds of sports: football, cricket, basketball and shooting. He always won, and his peers used to idolise his dedication. The only problem was that all this happened in his virtual world trapped in a 7-inch tablet. He would spend hours playing video games on his tablet.He didn't have any friends or social life. As time passed, his parents began noticing disturbing changes. He became aggressive, short-tempered and his grades began slipping. He kept complaining of terrible headache and bodyache.
When his parents took him to a doctor, he was diagnosed with epilepsy as well as somatic symptom disorder -a mental disorder characterised by physical symptoms.
“Diagnosis revealed that excessive gaming had caused a neurological problem,“ said Dr Ankit Shah at SAL hospital.
Excessive gaming has cognitive, behavioural, and neurological impact on people. “Gaming needs extreme concentration and hyperactivates the brain cell leading to pain in neck, back and other muscles,“ he added.
Niraj is taking behavioural treatment and physiotherapy. He has been banned from playing games on his smartphone and tablet.
Whatsappitis
Nishita Parekh, a student of Delhi Public School, was giving her exam when suddenly she felt a shooting pain in her thumb. She could not hold her pen long enough to finish her examinations. Once a bright student with excellent grades, her performance began to slide.
Dr K M Annamalai, a senior physiotherapist, diagnosed her with De Quervain syndrome, painful inflammation of tendons in the thumb that extend to the wrist.
“She would spend 3-4 hours every day texting and browsing the internet. Due to this excessive use, her thumb tenosynovitis got affected,“ said Dr Annamalai.
A report in The Lancet medical journal said `WhatsAppitis' is a credible disease, after a doctor in Spain diagnosed a 34-year-old female patient with bilateral wrist pain induced by excessive use of 'WhatsApp'. “Touch phones are more dangerous than Qwerty phones. In Qwerty, fingertips get resting space.In touch phones, the the screen is extremely sensitive and fingers have to move fast without rest.
“Nishita had reached the chronic stage of De Quervain syndrome where pain and inflammation had travelled to the elbow and other hand muscles. She also began having con stant headaches,“ he said. The treatment usually consists of non-ste roidal anti-inflam matory drugs, application of ice packs and complete absti nence from using the phone to send messag es. Dr Annamalai said, “Previously, such cases were limited only to housewives, now I am seeing more and more cases among teenagers.“
Sleeping Stiff
Sushil Patel, a class 11 student studying in a private school, was no gadget freak. His one vice was books and he was hooked to his e-book reader. He spent all his spare time reading e-books on his Kindle which was a birthday gift from his parents. Every night, he would read his Kindle for two hours before falling asleep. He would either rest his head on a pile of pillows or place a huge cushion on his lap to rest his elbows on it to hold up the eReader. Both positions put extreme pressure on his neck and spine, resulting in a neck spasm.Sushil was unable to move his neck.
Dr Harshit Desai, physiotherapist at HCG multispecialty hospital, said, “Teenagers tend to fall sleep reading onwatching their gadgets. They fall asleep in a semi-sleeping position and risk spinal deformation.“
Children need to take special care of their body posture as their bones are still developing. Such incidents can cause permanent damage.
“In some case the effect is so adverse that physiotherapy does not help.Teenagers should be careful about their posture and the time they spend on gadgets,“ he added.
Text Neck
Nishita Mehta, a 15-year-old student from St Kabir School, could not live without her smart phone. Like many other parents, her parents too gave her a smart phone at an early age. As she got involved with various social media platforms, she became a texting addict. Till one day, she was struck by severe headache accompanied by ear and neck pain. But soon, she started complaining of headache, ear and neck pain. “Doctors could not figure out the cause of her pain. However, once we got to know her life habits, we realized that her smart phone was causing the pain,“ said Dr Ankit Shah, a city-based physiotherapist “While texting, Nishita would bend forward, her eyes glued to her phone.After a while, this puts immense pressure on the neck and spine.“
Medical experts say the surge of smart phones over the past 5 years has caused 100 per cent surge in the number of patients with chronic pain in neck and back muscles.
“Ten years ago I would read of foreigners having these ailments. Now, it is a reality in Ahmedabad too. Every month, I receive 30-35 teenagers complaining of body pain due to over use of gadgets,“ said Dr Shah. *Name of patients changed to protect identities

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