Monthly Archives: August 2022


Chronic Respiratory Diseases And Physical Therapy

Chronic respiratory diseases are diseases of the lungs that extend over long periods of time, most often for life. The most common are considered: chronic obstructive pulmonary disease (COPD), asthma, pulmonary emphysema, bronchiectasis, various respiratory allergies, occupational lung disease, primary or secondary pulmonary hypertension.

In such conditions, breathing encounters varying degrees of difficulty, which is why the patient “forgets” to breathe. Breathing comprises two phases: air penetration into the lungs (inspiration); elimination of air from the lungs (expiration), which lasts longer than inspiration. A resting adult performs 16 breathing movements per minute (respiratory rate).

This rhythm is higher in women; it increases during muscle activity, exercise and so on. Normal breathing is an involuntary reflex act. The lungs passively follow the movements of the rib cage. During inspiration, the volume of the rib cage increases due to the contraction of the respiratory muscles: the diaphragm contracts and descends, the intercostal muscles pull the ribs and lift them. The movement of the ribs pushes the sternum forward, and the lungs fill with air. Upon expiration, the muscles relax, and the lungs shrink in volume with that of the rib cage, eliminating air.

Inspiration is, therefore, the active phase of respiration, and expiration is the passive phase. The air inlets and outlets of the respiratory system show pulmonary ventilation, which depends on the frequency and depth of respiratory movements. They can increase through training, gymnastics, etc. Air is a mixture of gases in the following proportion: 21% oxygen, 78% nitrogen, 0.03% carbon dioxide and other gases in very small quantities. The characteristics of inhaled air are different from those of exhaled air. Thus in the lungs, the air loses oxygen, is enriched in carbon dioxide and water vapour.

Physiotherapist in Dwarka uses breathing exercises in order to improve breathing, to use as much of the lung capacity as possible, in order to functionally recover the lungs. The patient with chronic lung diseases will be taught to gradually restore his respiratory rate to 14-18 breaths/minute. By repeatedly performing some exercises to strengthen the muscles (ups and downs, rotations, abductions and adductions), we try to tone the respiratory muscles (back, chest, abdominal muscles).

The means of re-education of respiration are:
1. improvement of bronchial permeability by removing obstacles to air circulation (cough control to eliminate excess secretions by applying a change in trunk position that will promote postural drainage (leakage of secretions through the trachea );

2. guided ventilation (both inspiration) and its expiration are done on the nose, this having as consequences the purification and heating of the air at the level of the nostrils. The aim is thus, the strengthening of the inspiratory muscles, the increase of the thoracic volume.

Recommendations that can be made to improve breathing are active respiratory movements, abdominal breathing movements, mobilization of the torso and thoracic box. Once the muscles of the back, thorax, abdomen are strengthened, the respiratory movements will be executed more simply, a gradual improvement of the two phases of the respiration process will be noticed, of the oxygenation of the organism in totality. Lack of physical activity of the lungs causes a series of related functional disorders, especially cardiovascular, muscular and metabolic but also mental, which will have repercussions on respiration along with the actual physical impairment.

The readjustment to the effort is done gradually, starting with the ordinary walking, on flat ground, for a few minutes, then accelerating the speed and increasing the time. It takes time to climb the stairs and train at the pool. Physical therapy is another method of re-educating the breath.

The goal of physiotherapy in Dwarka for chronic lung disease is to increase the lung capacity affected by chronic disease. The expected effect occurs fairly quickly, encouraging the patient to move constantly.

back pain treatment

Causes of Back Pain

Have you noticed back pain lately?

There are many people who experience back pain during or at the end of the day. This may be due to some pathology or as a consequence of bad gestures and postures in the activities that are carried out daily at work or during sports.

We all have suffered back pain at some point and many times we do not know what causes it. The two most common types of pain are mechanical and inflammatory.

The data does not lie, and it is that according to statistics, 80% of people have suffered or will suffer from this pain at some point in their lives, in many cases becoming chronic.

What are the causes of back pain?

There are many factors that affect and cause back pain to appear, from poor posture or an inappropriate choice of footwear to even psychological and emotional causes.

Despite this, it is almost always associated with a spinal or joint injury due to spinal wear or osteoporosis. When vertebral scoliosis occurs (the spine is curved sideways), very painful muscle contractures can arise.

Types of back pain that exist

Mechanical back pain:

It is the most frequent pain, it is usually described as pulsating pain, it worsens with movement and is relieved with rest. Its cause is mainly a muscle strain or trauma, however, it is most appropriate to receive an accurate diagnosis by your physiotherapist in Dwarka as soon as possible.

Some of its characteristics are:

  • It can occur at any age
  • It is not usually accompanied by morning stiffness and if it does not exceed 30 minutes
  • Its most common cause is usually trauma

Inflammatory back pain:

About 1 in 20 people with chronic back pain is usually of inflammatory origin. There are various diseases that can cause this inflammation and therefore the appearance of pain, some of them quite complicated to diagnose. It is very important to see a physiotherapist in Janakpuri as soon as this pain persists for a long time.

Some characteristics of inflammatory pain:

  • Appears before the age of 40
  • It has a gradual start
  • Pain improves with physical activity
  • Pain does not improve with rest
  • It usually makes you wake up at night
  • Morning stiffness of more than 30 minutes
  • Continued pain of more than 3 months
  • Alternation of pain in the buttocks

The importance of treating back pain on time

The most important thing to keep in mind to treat back ailments is to see a physiotherapy doctor in Dwarka as soon as possible, since, if it takes a long time to treat, the discomfort usually increases over time and once it is established, it is difficult to reverse.
When acute back pain appears, it is usually first treated with pain relievers and muscle relaxants.

Later, when the muscles have relaxed, physiotherapy treatments are usually applied to lessen the pain and lessen the discomfort. It is also recommended to exercise regularly to avoid the risk of pain onset.


Maintaining your quality of life after a diagnosis of arthritis

When a diagnosis of inflammatory arthritis is received, many people believe that they will have to stop working, play the sports and hobbies they enjoy, or give up their quality of life.

However, in 2019, it is entirely possible for a person with inflammatory arthritis to maintain their activities if they receive adequate care.

What is arthritis?

The word “arthritis” encompasses a group of diseases that affect the joints of the limbs or the spine. In this article, we will discuss the characteristics of inflammatory arthritis in more detail. This is caused by a dysregulation of the immune system which, for reasons still unknown, attacks healthy cells in the joints or surrounding structures, thereby causing inflammation.

There are over 100 different types of inflammatory arthritis. The most common forms are rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis or even juvenile arthritis.

Arthritis is a fairly common condition: one in five Indians will develop it in their lifetime. Inflammatory arthritis diagnoses can occur at any age and can affect almost any joint in the body. If the disease is diagnosed early and the right treatments are in place, loss of function and disability can be avoided.

What are the symptoms of inflammatory arthritis?

Joint pain is a common phenomenon, which does not necessarily indicate the presence of inflammatory arthritis. A person who experiences the following symptoms for more than six weeks, however, would be advised to consult a doctor for a potential diagnosis.

  • Pain in one or more joints, present even at rest or at night (hands, feet, spine, wrists and jaw are the most commonly affected joints)
  • Prolonged morning stiffness (more than an hour)
  • Presence of swelling in the joints, heat and sometimes redness
  • Difficulty performing simple tasks like closing your hand, walking, getting up from a chair, or sitting down
  • Extreme tiredness

Before going to the doctor, it is important to take note of what increases the pain and what helps to relieve it. We can also inquire with family members to find out if some of our loved ones have arthritis, since some forms are hereditary.

Who is more at risk?

Several risk factors associated with inflammatory arthritis cannot be controlled.

For example, for most forms, the risk increases with age. Certain genetic markers, whether hereditary or not, also play a role, as does sex – rheumatoid arthritis is more common in women, while spondylitis is more common in men, for example.

Certain behaviors can also be adopted to try to reduce the severity and progression of arthritis: avoiding smoking and exercising regularly help to put the odds on its side.

What treatments are available?

Even if inflammatory arthritis cannot be cured, adequate management can help the person affected to continue their activities.

Medicines and complementary arthritis treatment in Delhi is effective in controlling the symptoms of this disease and their consequences. In addition, the intervention of an interdisciplinary team that includes a physiotherapist in Dwarka, but also a rheumatologist in Delhi, a nurse, an occupational therapist, a psychologist and a social worker can allow the person affected to be better equipped to understand and manage his illness.

It should be noted that when arthritis is left untreated, inflammation can permanently damage the joints or even reach certain organs. However, this is an increasingly rare phenomenon these days, since current treatments are effective. They fall into two main categories: pharmacological and non-pharmacological treatments.

Pharmacological treatments

Depending on the results he obtains after his examination and analysis of the diagnostic tests performed, the doctor may prescribe medication for a patient with arthritis. These can include anti-inflammatory drugs, corticosteroid therapy, remission agents, or any other treatment to relieve pain and prevent joint damage.

Non-pharmacological treatments: the role of the professional in physiotherapy

Several non-pharmacological treatments can also be implemented to facilitate the self-management of the person affected. This is where other specialists come in, such as the physiotherapist in Janakpuri.

According to data from arthritis research teams, physiotherapy interventions are recommended to allow people to better understand their disease, reduce pain, control swelling, improve joint mobility, increase their strength, control and muscular endurance.

These improvements ultimately allow for better accomplishment of daily activities, work, leisure and sports.

The physiotherapy doctor in Dwarka first performs a detailed assessment of the condition of the person affected. Subsequently, he recommends a multimodal approach, that is to say that he combines several types of interventions:

  • Teaching various pain management principles
  • Various manual techniques
  • Application of analgesic modalities (thermotherapy, electrotherapy)
  • Support in resuming physical activity
  • Teaching and correction of personalized exercises
  • Teaching and correcting postures to relieve pain
  • Testing and adjusting walking aids as needed

What is hypermobility and how is it treated from physical therapy?

Between 5-15% of the population is hyperlax. Studies show that joint hypermobility is more common in women than in men and that it can have a higher incidence in childhood and decrease with age.

The relationship between hypermobility and pain in the musculoskeletal system is common in some people. When recurrent or frequent physical changes occur, it is known as “joint hypermobility syndrome .” Normally, these patients do not present problems due to their elasticity, but they do suffer recurring injuries that must be treated.

What is hypermobility?

It is understood that hypermobility when the mobility of a joint is exaggerated or its range of motion is greater than usual. This is due to the laxity of its ligaments in the articular area.

Its diagnosis is detectable by Maneuvers or the Beighton Test, a tool where the rheumatologist in Delhi checks 5 positions of the joints, these are taken to the limit and are rated on a scale of 0 to 9. An adult is considered hypermobile when he reaches the 5 points and the children when they get 6 or more.

Symptoms of joint hypermobility

At a general level, these symptoms begin in childhood and adolescence. These people may be more sensitive to muscle or joint pain. “Joint pops” are also common in their daily lives, although they are not an alarming indicator.

Some injuries or physical complications can occur more frequently in people with these characteristics:

  • Tendinitis and capsulitis.
  • Increased chance of sprains.
  • Dislocations in the joints.
  • Low back pain.
  • Joint dislocations.
  • Spinal deviations or scoliosis.
  • Flat feet.
  • Knee osteoarthritis.
  • Repeating torticollis.
  • Hernias.

How physical therapy works with hypermobility

The physiotherapist in Dwarka will carry out an initial examination and clinical reasoning to determine which is the best treatment in each case. If necessary, he will prescribe or recommend exercises for the muscles in the affected area, stretching, or more intensive warm-up sessions before playing sports.

It is very important to monitor the evolution to detect possible repetitions or frequent alterations that are part of a picture of hypermobility syndrome or other syndromes.


Flat Foot Treatment

Flat foot is a common condition. It is normal in babies and young children. Flat feet occur because the tissues that support the joints in the foot (called tendons) are loose.

Orthopaedic Treatment

The orthopaedic in Delhi will indicate the use of insoles in order to try to originate the plantar arch in a physiological way. It will also suggest the use of wide footwear in the forefoot with a posterior buttress that supports the calcaneus; that it has a sole but hard or fine rubber; laces or adjustment straps; with slightly raised heel, with internal wedges as appropriate. In many cases, they do not need to boot, but it is advisable to place them preventively on the child who begins to walk. Corrective insoles are placed from 2 years of age; Depending on the construction material, they can be of the soft, semi-rigid or rigid type, depending on the age and the correction required. Their change depends on the growth of the foot and, as a rule, they must be changed annually.

Physiotherapy treatment

In conjunction with orthopaedic treatment, exercises will be performed, in cycles and repetitions that will depend on the tolerance of the patient, which will be aimed at strengthening the muscles involved to stimulate the formation of the plantar arch. Among the suggested exercises physiotherapist in Dwarka can mention:

  • Walk on tiptoe from one end to the other, either on the floor or on carpets with different textures to activate proprioceptive work.
  • Try to grab small objects with your toes. (laymen, colors, small balls), after mastering the grip, you can start moving from one side to the other with the objects.
  • March with the outer edge of the feet and on the heels
  • When standing on the edge of a step, gently drop your heels back to lengthen the achilles tendon.
  • Lower limb muscle stretching
  • Reeducation and coordination of the march

In addition to the exercises, physical agents will also be used to prepare the muscles to work, also including superficial and deep myofascial inductions to release the compromised tissue.

Surgical treatment

This is a surgical intervention as there is no improvement with rehabilitation and orthopedic treatment. Being flat feet candidates irreducible valgus with anomalies in the means of joint connection, or vertical talus; likewise in the case of presenting antalgic gait due to insufficiency of the posterior tibial tendon, post traumatic, instability of the foot-ankle joints, etc.

The principles of surgical treatment are:

  • Transplantation of another tendon to aid the function of the posterior tibial tendon (usually the long flexor is transplanted from the big toe)
  • Restoring the shape and alignment of the foot. This realigns the load to the center of the ankle.

Possible complications of surgical treatment

  • Wound healing problems
  • Infection
  • Failure to heal bone (non-union) that has been cut or joints that have joined
  • Deep venous thrombosis
  • Pulmonary embolism
  • Neurological injury
  • Vascular injury
  • Pain and deformity continue

Recovery from surgery depends on the particular combination of procedures that are performed. However, if bone cutting and repositioning or joint fusion is required (typically required) a typical recovery would take 4-6 months to achieve much of the recovery, and 12-18 months prior that they reach their point of maximum improvement.

It is recommended that surgical treatments be the last option.


Diabetic Neuropathy: Frequently Asked Questions

What is diabetic neuropathy?

Diabetic Neuropathy is an alteration at the nervous level produced by high levels of glycemia. This alteration modifies the sensitivity and motor function of the muscles.

What is diabetic foot?

The diabetic foot is one in which the motor, sensory and morphological function is modified. In which the blood supply is decreased and one of the contributors to the diabetic foot is neuropathy.

Explain to me why I feel so much pain?

The glycemia in the blood or known as “sugar” reaches every corner of our body. When there is an excess of glycemia the nerves begin to fail, this damages the membrane that covers our nerves known as the myelin sheath, therefore the nervous stimulus arrives intermittently. This modality produces a failure in the functioning of the muscular system, in the sensitive area and in the blood supply. All of these changes cause pain, stiffness, swelling, and numbness.

I do not consume sugar and still have diabetic foot and neuropathy, why?

Nerves are injured with excess glycemia, these take time to recover, could take up to months. Although the patient has stopped consuming sugar and other foods that generate sugars within our body, the nerves will continue to be affected until they are recovered and therefore the patient will continue with the symptoms of numbness, swelling, swelling, among others.

Why don’t my wounds heal quickly when I hurt my foot?

When a patient is deficient in the regulation of blood glucose levels, many things are altered, including the speed of wound healing. For this reason, people must take great care when they suffer from an injury because it can easily become infected and even lead to an amputation.

Can I be cured?

Diabetic Neuropathy can be almost completely cured. Symptoms dramatically decrease and quality of life improves, as long as the patient takes into account the different medical disciplines in their treatment.

How soon can I recover?

It all depends on how advanced your neuropathy is and how long you have been with it. If an ideal treatment is done, then your recovery will be successful and you can reach a maximum recovery percentage.

What care should I have with the diabetic foot / diabetic neuropathy?

It is recommended not to wear tight socks to facilitate venous return, not to walk in very tight shoes and to take care not to cause any skin injury.

What diet should I follow?

As a suggestion, the patient should consult a nutritionist and be very orderly. Control in the food area is an adjunct to the rehabilitation process.

What will I achieve with therapies?

Physiotherapy in Dwarka will reduce pain, increase blood flow, improve tone and muscle mass and therefore the activities you can do will increase.

Where can I treat Diabetic Neuropathy in Guayaquil?

At Physiotherapy clinic in Dwarka we specialize in the treatment of Diabetic Neuropathy. Our techniques focus not only on reducing the symptoms of pain or discomfort, but also at the root of the problem, which is why our patients achieve an excellent recovery.


What Are The Most Frequent Sports Injuries And How To Treat Them

If you are adept at sports, you are surely no stranger to sports injuries, but what are the most common? Depending on what type of physical activity we do, our body is more prone to suffering one type of trauma, be it bone muscle or another. From our physiotherapy clinic in Dwarka, our sports physiotherapy experts remind you that when practicing a sport the most important thing is safety: we must be aware of the limitations of our body and of the risks that physical activity entails for our body and our health.


Going for a run on steep terrain is not the same as, for example, playing squash, just as injuries caused during a paddle game or a game of football are not the same. Stay tuned for more and less dangerous common sports!

Sports injury ranking

If we had to make a ranking of sports according to their dangerousness, the first would undoubtedly be football, boxing or contact sports in general.

Also Cross Fit is among the most damaging sports, and due to the exercise of lifting weights above the head, herniated discs, shoulder and back injuries are especially frequent.

The safest sports to prevent sports injuries

If you want to learn to prevent sports injuries with more sports, we recommend practicing pilates or therapeutic swimming.

Pilates has become a multidisciplinary exercise that has enormous benefits for the joints and muscles. In its most therapeutic modality, our physiotherapist in Dwarka designs exercise tables directed according to age, level or pain, while individually supervising and correcting the work of each patient. For its part, therapeutic swimming is an ideal sport to prevent sports injuries since it does not put any pressure on the muscles and bones while strengthening them through movement without gravity.

In addition, at the physiotherapy centre in Dwarka we have a preventive physiotherapy service that will teach you how to strengthen your bones and muscles by evaluating muscle conditions, thus avoiding future bad gestures, improving the locomotor system and correcting posture.

Likewise, we are experts in sports physiotherapy and for this, we have launched a sports physiotherapy department where you will learn to improve your performance when practicing a sport and, in case of injury, you can heal and regenerate the damaged area to that you can return to normality in the shortest possible time.


As we mentioned earlier, there are certain types of injuries that are more frequent depending on which sport. Below we reveal which ones.

Types of knee injuries

Knee injuries are very normal in sports where you jump, run, and generally put most of the weight on these joints. For this reason, it is common to treat sprains, meniscus tears, cruciate ligaments, tendon tears or cartilage injuries to those who regularly practice sports such as soccer, basketball or racing.

Frequent muscle aches

Among the most frequent muscle aches are muscle tears, that is, deep fibrillary tears, muscle strains or back pain that can be caused by whiplash.

Also among the most common bone pain are ankle or wrist sprains or simple sprains


Preventing sports injuries is as easy as maintaining healthy sports habits and never exposing our body to excessive exercise. The first thing is, of course, to carry out sports warm-up exercises that cover not only the main areas exercised during sport, but we must also take into account the areas most susceptible to injuries such as the neck, wrists or ankles. In addition, in the end we always recommend executing a series of muscle stretches to avoid contractures or fiber breaks. In both cases, they should be run smoothly without straining the body too much.

The best treatments for sports injuries

Depending on your type of injury, at physiotherapy clinic in Dwarka, we offer you the most avant-garde machines, the most innovative exercises and, of course, the most experienced sports physiotherapist in Delhi so that your recovery is effective, fast and definitive.