Myopathy is a single term that refers to different diseases. In general, any disease that affects those muscles which control voluntary movement comes under the term myopathy. In myopathy, muscle fibers begin to malfunction as they grow weaker and compromise the movements made by those muscles.
Myopathies can be “acquired” or “inherited”.
There are a few genetic conditions that may result in myopathy, these are listed here:
● Congenital myopathy
● Familial paralysis
● Muscular dystrophy
● Pompe’s disease
● Glycogen storage muscle disease
● Mitochondrial myopathies
In the case of myopathies passed on through genes, symptoms typically look like the following:
● Weakness of muscles
● Problems with respiration
● Motor delay
● Malfunctioning of muscles responsible for speech, swallowing, etc.
Genetic conditions that affect metabolism are called metabolic myopathies. Due to these genetic diseases, the body has insufficient levels of certain enzymes. The muscle cells that are affected in the process fail to function properly and are unable to convert sugar and other body fuels into energy.
Symptoms of metabolic myopathy include difficulty in breathing, cramping of muscles, breakdown of muscle tissue, and heart problems. Some patients may also become intolerant to exercise and may feel fatigued very easily.
In the case of acquired myopathies, causes are as following:
● Disorders of the endocrine system
● Muscle inflammation, known as myositis
● Neuromuscular diseases
● Muscle cramps
● Severe dehydration i.e. loss of water from the body
The most common among acquired myopathies are inflammatory myopathies.
Inflammatory myopathies refer to chronic muscle inflammation, muscle pain, and muscle weakness.
There are further types of inflammatory myopathies:
● Inclusion body myositis
● Necrotizing autoimmune myopathy
The symptoms and signs of inflammatory myopathies include a range of problems. For example, in polymyositis, a person may face issues with mobility, such as getting up from a sitting position, lifting something, climbing stairs, etc. Furthermore, one may have trouble swallowing, speaking, or even breathing. The risk of arthritis is also there in polymyositis.
In dermatomyositis, a red rash appears over muscles like eyelids, and in places like elbows, knees, toes, knuckles, etc. This itchy red rash is accompanied by progressive weakness of the muscles.
In IBM, inclusion body myositis, there is gradual muscle degeneration and muscle weakness. This typically reaches a serious stage in old age, generally present in people over 50 years. They may have trouble holding things, tying a tie, buttoning up a shirt, etc. The signs of inclusion body myositis also include falling or tripping often.
Lastly, a necrotizing autoimmune myopathy, NAM, is relatively rare and usually occurs in adults. Its symptoms include fatigue, muscle pain, and in some cases, weight loss. In addition to that, the affected person may find it difficult to rise from low chairs or beds and face trouble climbing, or lifting objects.
Depending on visible symptoms and the type, there are a few approaches to diagnose myopathy. A physician usually begins with a physical exam. Then there are tests to determine muscle strength.
Additionally, EMG, MRI and ultrasound are carried out. Along with that, muscle biopsies and genetic tests are also done to diagnose a patient for myopathy.
A hard and fast cure for genetic myopathies has not been discovered yet, but treatment plans are made by the physician according to symptoms and severity. For acquired myopathies, some medications help manage the symptoms. These medications generally include corticosteroids and immunosuppressants.
You can find medications along with other treatments and tests at Shifa4U
Farah Jassawalla is a graduate of the Lahore School of Economics. She is also a writer, and healthcare enthusiast, having closely observed case studies while working with Lahore's thriving general physicians at their clinics.
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Dr Rizwan Uppal, the founder of IDC, believed that proper and timely diagnosis is the key to successful treatment. An all under one roof diagnostic service with the name of Islamabad Diagnostic Center (IDC) Pvt. Ltd was established in the beautiful City of Islamabad more than a decade ago.
This brain child of Dr Rizwan was not possible without the support of his two brothers and Executive directors, Dr Rehan Uppal and Dr Imran Uppal. Since the day of inception, Dr Rehan has been a great assistance and immense help in IDC progress and evolution. IDC’s main strength lies in use of state of the art technology, in the hands of qualified and experienced team of doctors and technologist on 24/7 basis. There is still no such setup of equivalent scale and quality in Pakistan.
IDC is one facility where both laboratory and Radiology services. The widest spectrum of in house laboratory tests and imaging investigations are available nowhere, other than at IDC. To further widen the services of rare but important tests, IDC is now offering a unique service of sending samples to UK at The Doctors Lab (TDL), and Germany, Synlab on daily basis at no extra cost.
The small and humble setup of IDC established more than decade ago is now spreaded nationwide. IDC now has a branch network of more than 2 dozen outlets and mini IDCs, with a staff of more than 300 doctors and technologist and supporting staff, working day and night to offer the best diagnostics to the patients and doctors. IDC is actively participating in external and internal quality assurance Programs from UK EQAS and USA (CAP) , NEQAP, PNRA) and ISO certification. The IDC is also involved in academic and research activities. It is affiliated with Irsa University. IDC pathologist and doctors are part of Nafees Medical College academic faculty.
IDC has the vision to provide health for all through better medical diagnostics.
IDC has taken lead in providing all type of novel studies like Real Time PCR for Hepatitis B/C and MTB, CR DR system, latest Open MRI, Digital CMOS OPG and 4D real time ultrasonography, Digital Holter Recorder & Ambulatory BP Monitor, ETT, Spirometry, Mammography, Fluoroscopy and ECHO in Rawalpindi & Islamabad tests that are not available anywhere in Pakistan are carried out in collaboration with SynLab Services (Germany) and The Doctor’s Lab (TDL) UK. Besides quality, accuracy & reliability, IDC takes pride in offering quickest turn-around times (TAT). Special cold chain shipment is provided by FedEx & DHL to meet IDC standards.
Dr. Essa’s labortary & diagnostic center founded in 1987, has rapidly achived its reputation as one of the leading laboratories in pakistan
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Prof Dr. Essa M Abdulla recently received the Eli Lilly Gold Medal 2000, presented by Prof Ata-ur-Rahman, Federal Minister of Science & Technology, for the most outstanding Microbiologist and teacher in Pakistan. The laboratory founded in 1987,when Prof. Essa returned after having a rich teaching experience for 40 years abroad.
CERTIFIED From ISO and Our organization aspires to achieve commendable standards of performance, giving physicians and patients the personal and professional commitment they expect and deserve.
In 1996, we set out to establish a medical diagnostic center that caters to the needs of patients and diagnosticians alike. Our focus has always been on providing a quality service in a timely manner. We take pride in the fact that years later, today, with a network of collection centers in and out of Lahore, AL-Nasar Lab® & Diagnostic Centre remains the provider of a wide variety of medical services for the most competitive rates in the industry. Our Mission is to provide reliable, timely, high quality, cost-effective and innovative diagnostic services & information to our patients and clients
We are only one in Lahore who provides DEXA scan, A DEXA scan is a special type of X-ray that measures bone mineral density (BMD). DEXA stands for "dual energy X-ray absorptiometry". This type of scan may also be called: a DXA scan. a bone density scan
Our quality management system is certified by TUV AUSTRIA.
Excel Lab was founded upon core values of patient priority and accurate testing. During the past 25 years we have built up a legendary reputation for excellence in both, from a small local lab we have grown to become a regional network. However, our goal remains unchanged – to serve each patient with the same care and service that is at the core of our organization.
Excel Labs utilizes state of the art equipment from top international manufacturers. In addition, the reagents used for testing are purchased directly from the authorized dealers in Pakistan to ensure that “cold chain” requirements are met. All this, along with a rigorous QC and QA program ensure that all results are of international standard.
Excel Labs is the only lab in Pakistan to have participated in the external Quality Assurance program of the College of American Pathologists for more than 20 years. By doing so, we have successfully met the CLIA standards specified for US labs
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Al-Razi truly excels is in providing outstanding Radiology Services with its state-of-the-art diagnostic equipment which includes a Digital X-Ray, Dual Source 64 slice CT, and an Open bore 1.5T MRI. This equipment is by far the most highly advanced in Pakistan.
The Diagnostic Center. Aznostics private Limited is a company dedicated to providing high quality and ethical radiology and pathology diagnostics services. Established in 2011, it has in a short time developed a reputation for providing excellent consultative and investigative services and has opened satellite branches in Lahore, Gujranwala and Sialkot. We have a full range of radiology and pathology services.
We are a group of leading physicians most of whom have trained overseas and held teaching and research appointments Aznostics has a special interest in the diagnosis and treatment of hepatocellular carcinoma in particular. We hold a weekly tumor board meeting for this and are heavily involved in a charitable low cost hepatitis screening and treatment program. We are a socially responsible group and take part in many health related initiatives including blood camps, anti-smoking campaigns and hepatitis awareness.
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The combined experience of our management teams, help our clients to interact and discuss any enquiries they may have about the laboratory or radiology services provided by the Diagnostics center Network.
Working as one highly efficient team, our supporting departments are confident in providing the highest quality services throughout the Pakistan. Our clinical management teams are professional, highly qualified scientists that have vast experience in the field of medicine, clinical pathology and information technology. Such a formidable combination of scientific and managerial expertise, allow us to assist our referring doctors and clinicians.
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We value your time and pride ourselves on offering fast, efficient, & accurate imaging and diagnosis by our internationally trained & recognized specialists.
Our radiologists are the most experienced in MRI/CT scanning in the whole country.
1st of its kind in Pakistan – we utilize advanced medical technologies & equipment only available at Heart, Brain, & Body Scan
Precise, quick , & efficient same day service – we value your time.
Picture Archive & Communication System (PACS)
The imaging services at Doctors Hospital are obtained and managed by a fully digital environment referred to as a Picture Archive and Communications System (PACS). This advanced technology means your physician can access digital images and view your test results from anywhere there is Internet access – usually within hours of your diagnostic imaging procedure. The PACS system enables healthcare providers to get vital imaging results and information about your health faster so that treatment of your medical concerns can happen even more quickly.
Toshiba ELAN 1.5 Tesla MRI
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Toshiba Aquilion 64 Slice CT Scan
Our Toshiba Acquilion 64 slice CT scan machine offers unparalleled imaging and diagnosis. Most exams are completed in less than 1 minute on the machine table offering extremely fast service & accurate results.
The 64-slice CT scanner is even more powerful than a regular CT scanner in that it captures up to 64 simultaneous anatomical slices of 0.5 mm in a single gantry rotation. Even precise images of rapidly moving organs like the heart and lungs are possible. It is also proving revolutionary in helping examine patients who can’t hold their breath, such as trauma victims, young children or the extremely ill.
Two Open-bore MRI machines
The completely open bore architecture of this machine is ideal for larger patients and patients who are claustrophobic.
The MRI machine with “larger bore” has a larger opening than traditional MRI machines, making it easier for patients who are claustrophobic to have MRI scans, without sedation. In contrast to a “completely open” MRI machine it still has a tunnel the patient must pass through, but the opening (or “bore”) is wider and much shorter. The patient having their spine or pelvis examined will rest with their head and lower extremities outside the magnet.
This has a most powerful magnet giving us clearer pictures in a much shorter time. Most examinations are completed in 10-12 minutes.
Complete Nuclear Medicine – Diagnostic and Therapeutic
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Siemens Open MRI
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A computerized tomography (CT) scan combines a series of X-ray images taken from different angles and uses computer processing to create cross-sectional images, or slices, of the bones, blood vessels and soft tissues inside your body.
We offer multi-detector modern 3D scan imaging at affordable rates.
To make use of best diagnostic testing services and delivering them at doorsteps of patients, doctors and healthcare service providers. To offer the “BEST ADVANCED CARE” through our core values of excellence, reliability, punctuality, novelty, safety, accuracy and sincerity. We work on the philosophy of “PATIENT HEALTH & WELLNESS FIRST”
Chairman Message (Dr Zahid Asgher)
WE, at Doctors Diagnostic Centre, started our journey with the responsibility of creating centre of brilliance providing the utmost quality of Medical Diagnostics to the patients
VISION & MISSION
National Accreditation Board for Testing and Calibration Laboratories (NABL), Ministry of Science and Technology, Government of Pakistan accreditation has been applied for. We are also external quality assurance participant in Pakistan, Lahore/ Voluntary inter laboratory Analytical Comparison (VILAC). EQAS External Quality Assurance Scheme (Bio-Rad) For Both CHEMISTRY /IMMUNOASSAYS. CMC Vellore External Quality Assessment Scheme.
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