Monthly Archives: August 2022


A Good Pillow Against Neck Pain

Who has not ever got up with a sore neck? Most of the time these muscular contractures and nocturnal cervical tensions have their origin in an improper use of our pillow. 

In fact, much of these discomforts would disappear with just having adequate support during sleep. Therefore, to avoid these pains and ultimately enjoy a restful rest it is very important and provides the right pillow.

pillow for neck pain

Types of Pillow 

According to the physiotherapist in Dwarka, the main function of the pillow is to provide sufficient support to the cervical, so that they remain in correct alignment with respect to the rest of the spine. 

The pillow should support the weight of the head, and adapt to it without deforming too much and adjusting to the neck space.

In the market, there is a wide variety of pillows. For the pillow manufacturing material, we find:

  • Fiber pillows, the most common.
  • Feather pillows
  • Latex pillows 
  • Viscoelastic pillows, also known as Memory Foam. 

In cases of sensitive necks, the use of viscoelastic pillows is usually recommended since they have the property of adapting to the head and neck, offering more ergonomic support.

It is not enough to have a good pillow: you have to use it correctly 

There are those who have bought the most expensive and ergonomic pillow on the market and still suffer from neck pain upon waking. And sometimes the problem is not the pillow itself. The problem is how we use it. 

To avoid misuse of the pillow, keep the following tips in mind: 

  • Place your pillow so that the headrests fully. 
  • Remember that the pillow is for the head, the shoulders should rest on the mattress.
  • The thickness of the pillow is very relative, choose the one that best suits your needs.
  • The appropriate thing, in any case, is that, when looking at the person horizontally, the head and neck have a position like the one adopted when standing.

Unfortunately, there is no miracle pillow that works for everyone. The pillow that works best for you will depend on how you guide yourself to sleep, and on your personal taste.


Physiotherapy Treatment To Deal With An Annoying Torticollis

The most effective physiotherapy treatments to deal with an annoying torticollis

Torticollis or cervicalgia is a painful symptom that can have a variable intensity and that, as explained by the physiotherapist in Dwarka, affects the cervical spine, the area of the spine that supports the weight of our head. It always does it in an unstable way, in “equilibrium,” insecurity that is resolved with the help of good head positioning and with the strength of the muscles that shape the neck, mainly the sternocleidomastoid and those located in the posterior area.

There are different types of torticollis, from the most common and “harmless”, which can be caused by a bad movement or an inadequate posture, especially when sleeping, to that which can be a manifestation of a rheumatic disease or a consequence of a bone problem (cervical vertebrae) or even neurological.

This is the reason that justifies that, before recurring or permanent torticollis, consultation with the physiotherapy doctor in Dwarka is a basic measure of prevention and healthcare.

How temporary torticollis is treated?

From a slight discomfort to a pain that radiates to the back and shoulders, preventing almost any movement of the head, the severity of the symptoms of cervicalgia varies but, in any case, the general rest, the taking of analgesics or Some muscle relaxant, by medical indication, are measures that provide relief.

In addition, when the origin is a bad movement or an inadequate posture, physiotherapy shows its effectiveness when it comes to fighting pain, favoring mobility and eliminating possible accumulated tension or mild contracture.

It will be the physiotherapist in Janakpuri who designates the most appropriate technique in each case. In general, the application of heat in the area (thermotherapy) is beneficial in the relief of torticollis. Experts point out that it is common to resort to combined therapies. For example, ultrasound can help on those occasions when inflammation is seen in the area and osteopathy techniques are effective when the origin of the condition is in a blockage of the cervical.

On the other hand, manual massages, not only in the neck area but also in the upper back area, electrotherapy and exercises that stretch and mobilize the neck muscles are also part of the treatments that are applied to ensure that the torticollis is remitting, although according to its level of severity, the positive effects of physiotherapy can take several weeks to be noticed clearly.

back pain treatment in Dwarka

What is low back pain?

Lumbar pain (or low back pain) is a leading cause of work absenteeism and a reason for widespread medical consultation. The term low back pain means pain in the lumbar region, ie between the end of the rib cage and the pelvis. This region comprises five vertebrae superimposed one on the other with, between them, an intervertebral disc and two articular facets. The intervertebral discs are a sort of absorbent cushion that distributes the forces received, while the articular facets are small joints that are on each side of the vertebrae.

The superposition of the vertebrae is arranged so as to form a curvature towards the abdomen: the lumbar lordosis. Several ligaments and muscle groups then join these structures together to form a solid and mobile whole.

The causes of low back pain are multiple and this type of pain can reach all types of individuals, from the great sportsman to the more sedentary person. Here are some causes of this evil of the century.


Osteoarthritis is defined as joint cartilage wear (a solid and resistant structure covering the ends of bones) and the bone on which it is deposited. Joint wear can be a precipitating factor in lower back pain because the movement can not be performed properly due to joint stiffness and inflammation. This phenomenon can cause pain.


The hernia is an impairment of the intervertebral disc that can be described in stage according to the gravity of the protrusion (thrust of the nucleus). Indeed, the disc consists of concentric rings forming a kind of tight woven donut surrounding a gelatinous core. Initially, a weakening of the concentric rings will allow, through a gap, the progressive advance of the gelatinous nucleus inside these rings. 

This initial stage is often asymptomatic and discovered by chance (randomly during routine examination). The following stages are documented according to the progression of the gelatinous nucleus inside the rings. The pain created comes from the different structures affected: the disc itself, the surrounding soft tissues (capsule, ligaments, …) and the nerve roots (emergence of the nerves coming from the spinal cord).


This term means shrinkage. There are two types: central and foraminal. Central stenosis involves a narrowing of the spinal canal, the canal containing the spinal cord. Foraminal stenosis is the narrowing of the orifices created by the superposition of the vertebrae (the foramina) and letting out the nerve roots coming from the spinal cord. The foramina are identical on the right and left of the vertebral bodies. These strictures cause pain according to their severity and the structures affected.


For all the situations described above, there are physiotherapy treatment guidelines aimed at reducing pain, restoring joint range, muscle strength and flexibility. Indeed, teaching the optimal postures to adopt, stabilizing muscle-building work and analgesic measures can help control and/or stop the symptoms associated with low back pain.

In addition, the treatment approach used by the physiotherapist in Dwarka will not be the same, depending on whether the lumbar pain is acute (recent), subacute (<3 months) or chronic (> 3 to 6 months).

Do not hesitate to contact your physiotherapist in Janakpuri to better understand your low back pain and for help.


Do you feel dizzy and dizzy? Physiotherapy can help you!

Dizziness and lightheadedness, how to differentiate them?
Vertigo corresponds to the illusion of a movement of the body and/or the part which must include a rotatory component. Specifically, it refers to feeling like “it’s spinning” or the environment is around you. For its part, the dizziness is defined as a sensation of intoxication: as under the effect of alcohol. It can also refer to the pitch effect as on a boat, or to have “head in the clouds”.

The causes of dizziness and lightheadedness can be varied and it is important to consult a health professional to identify them. To this end, the physiotherapist trained in vestibular rehabilitation is able to identify the cause of vertigo and offer the appropriate treatments. Research indicates that in about 30-40% of cases, benign paroxysmal positional vertigo (BPPV) occurs. We also find Meniere’s disease or various pathologies following an infection of the inner ear such as labyrinthitis or neuritis.

What is the origin of the VPPB?
Each of our ears has three channels (semicircular canals) in which liquid circulates. Without a known explanation, it happens that particles called crystals are detached from the wall and are found in particular in the channels. This disturbance brings vertigo when the person moves his head in space, goes to bed or changes position for example.

How to treat BPPV?
The physiotherapist first identifies in which semicircular canal the crystals are. It then performs repositioning maneuvers to migrate the crystals to a reservoir called utricle where they will be destroyed. These techniques are very effective, regardless of the time since the onset of symptoms.

In the case of diseases affecting the inner ear (eg labyrinthitis and neuritis), the functions of the vestibular system are altered. This imbalance, often in one of the two ears only, causes vertigo. As a result, the physiotherapist will play a vital role in teaching the brain how to compensate for this deficit and allow the client to recover his functional abilities. This is possible thanks to a phenomenon called “brain plasticity” according to which the nervous circuits are able to reshape according to learning and experiences.

The physiotherapy in Dwarka rehabilitation is very effective as an intervention and optimizes daily functioning, in addition to having a positive effect on the prevention of falls.


The lateral sprain of the ankle

The lower body injuries in certain sports, such as soccer, volleyball, and basketball, to name a few, are commonplace. Among the most common is the lateral sprain of the ankle. This type of injury can also happen in everyday life, following a misstep. Depending on the severity of the illness, it is recommended to consult a physiotherapist in Dwarka.


The lateral sprain of the ankle is a stretch of one or more ligaments located on the outer side of the ankle joint. These ligaments have the function of increasing the stability of the bones together. The severity of the sprain can range from a simple elongation (grade 1) to a partial tear (grade 2) and in some cases a complete tear (grade 3).

The wait before returning to sport and / or work without restriction can range from 2 to 4 weeks for ligament elongation without tearing and 6 to 8 weeks in the case of partial or complete tearing of the ligament. The time will vary according to the severity of the injury, the work context and the type of sport practiced by the patient, as well as its active participation in the rehabilitation of the optimal function of the ankle.


Physiotherapy care for a lateral ankle sprain will include:

  • The prescription of exercises adapted to the condition of the patient, in order to quickly find the neuromuscular activation and proprioception (equilibrium reaction).
  • Manual therapy to allow the patient to improve the dorsiflexion of his ankle and to reduce the pain.
  • Advice on the need for technical aids to walking (cane, crutches, etc.) and rigid or semi-rigid support at the ankle.
  • A schedule for progressing the exercises and activities necessary to achieve the various rehabilitation objectives.

The combination of all these interventions will restore optimal strength, improve stability, reduce the risk of reoffending and return to work and sport as quickly as possible.