Category Archives: Blog

arthritis-treatment

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
hypermobility

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 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

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.

knee-injury

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.

WHAT ARE THE SPORTS THAT CAUSE MORE HEALTH INJURIES?

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.

WHAT ARE THE MOST COMMON TYPES OF SPORTS INJURIES?

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

HOW TO PREVENT SPORTS INJURIES?

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.

rehabilitation of whiplash

How Can Physical Therapy Help In The Rehabilitation Of A Whiplash?

Whiplash, also called cervical pain or sprains, are muscle injuries produced in the neck area that can affect the spine. They are fairly common injuries and, although they can be chronic, they usually occur after a strong impact behind the neck, so it is very important to seek professional help to recover and not suffer possible sequelae that affect our mobility for life, what that makes physical therapy essential after whiplash.

WHAT IS A CERVICALGIA OR WHIPLASH AND WHAT ARE ITS SYMPTOMS?

We talk about whiplash or neck pain when the neck muscles suffer hyperextension or hyperflexion exceeding their limits of movement. As we have said, they usually occur after a sudden impact on the back of the neck, although they can be degenerative or chronic, causing progressive wear on the vertebrae, or of infectious origin after a disease such as meningitis or spondylitis.

It mainly affects muscles and tendons and its symptoms usually include dizziness, neck and back pain, headaches, cramps and ringing in the ears, among others.

The most common is neck and back pain

Since the injury is mainly concentrated in the neck and back, they are the two areas most likely to cause pain, although it is possible that these will not manifest after the first 24 or 48 hours after the injury. Whiplash also causes muscle contractures that cause joint movement limitation and difficulty in maintaining a straight posture, causing a postural change.

In more severe cases, pain can be caused by a breakdown of muscle fibers or ligaments due to hyperextension of the neck.

You may experience dizziness or cervical dizziness

If the injury has also affected the nerves, it is normal to feel tingling in the shoulder area and sometimes even the arms. Dizzying states, or dizziness, may also occur when the injury affects blood flow, or ringing in the ears, especially after impact.

Cervical rectification in more severe cases

As in all types of sprains, cervicalgia is divided into several types according to their intensity. In the most serious cases, there is usually a breakage and separation of the tissues, so it is possible that, after the resting time recommended by the doctor, our physiotherapist in Dwarka uses targeted electrotherapy, manual mobilization techniques, and postural exercises, among others. In no case should the orthosis -use of the collar- be prolonged for more than 72 hours as it can cause disuse atrophies and contractures of the soft parts of the back and neck.

GO TO A PHYSICAL THERAPY CLINIC TO TREAT CERVICAL PAIN

If you feel neck pain and think that it is not due to a sudden movement in the neck, you may suffer from some degenerative, bacterial, inflammatory disease or, in most cases, postural tension. If so, we recommend you go to your physiotherapy clinic in Dwarka since it is possible to live without cervical discomfort.

Do you suffer from cervical contracture?

Exerting repetitive tension on the muscles or the force maintained in a short period of time causes the formation of neck contractures. These can lead to postural disorders or simply episodes of pain and mobile rigidity that require manual therapies for improvement.

Cervical exercises

Our specialists will evaluate your injury and recommend the best physical exercises to recover as soon as possible according to your needs, to correct a possible postural deviation and relieve pain. Combining manual therapies with cutting-edge technology, our experts will help you pave the way for your recovery.

Physiotherapy in Dwarka

At Dr. Sarwar Physiotheapy Center, we are experts in both manual and technological physiotherapy treatments and we always bet on cutting-edge techniques to optimize your rehabilitation.

DO YOU SUFFER A WHIPLASH FROM AN ACCIDENT?

Car accidents are the most frequent causes of cervicalgia because the injury usually occurs after a sudden impact behind the neck.

Go to the physiotherapist urgently

If this is your case, we recommend you go to your physiotherapist in Janakpuri immediately to alleviate possible muscle and joint damage and start recovery immediately to avoid possible sequelae.

Will I need a cervical collar?

Although you may need to wear a brace, remember that the orthosis will not last longer than 72 hours so as not to worsen postural changes.

Could I need sick leave?

Depending on the severity of the injury, it is very possible that you need a work leave of 15 to 90 days.

physiotherapy-after-knee-arthroplasty

Physiotherapy In The Postoperative Period of Arthroplasty

Physiotherapy after knee arthroplasty

With physiotherapy in Dwarka, it is intended a total functional recovery of the operated knee, which allows the patient’s global re-education and the return of his level of activity and functionality after performing knee arthroplasty.

Total knee replacement in Delhi, that is, the surgery that replaces this joint with a knee prosthesis, is the final solution for many patients and has a high success rate.

Degenerative joint disease at the knee, called knee arthrosis or gonarthrosis, is a very common joint pathology that often affects the patient’s health and well-being. As the osteoarthritis of the knee progresses, it becomes impossible for the patient to carry out his daily activities properly, whether due to pain or to the mobility deficit that originates.

Can Physiotherapy be started before surgery?

If he so wishes, the orthopaedic in Dwarka sends the patient for observation and guidance by the physiotherapist in Dwarka, so that the patient starts the appropriate Physiotherapy even before the surgery. The beginning of the rehabilitation program in the preoperative phase is ideal for many patients with gonarthrosis.

In order to establish the Physiotherapy program, it is very important that the Physiatrist knows all the patient’s diseases and evaluates possible pathologies in terms of other joints, in addition to knee arthrosis to be operated on. It is necessary to objectify the articular amplitudes of this knee, the type and degree of its deformities and also the state of the thigh muscles (especially the quadriceps). Deficits in the patient’s functionality should also be assessed. The other knee and the two hips are also the focus of special attention, as well as the patient’s gait pattern.

And after surgery, when should Physiotherapy start?

After knee arthroplasty, the Orthopedic in Delhi sends all the relevant surgical information to the physiotherapist in Janakpuri, and the close collaboration between these two Medical Specialties is essential to obtain the best results. The rehabilitation of a patient who has undergone not only the placement of a knee prosthesis but the total reconstruction of this joint, which also includes soft tissue surgery (ligaments, tendons, joint capsules) will be scheduled. This aspect is particularly important when before surgery there was a significant deficit in knee extension and/or joint deformity. The rehabilitation program is always adjusted to the reality of each patient.

The therapy should be initiated immediately on the day following knee arthroplasty, while the patient is still in the hospital. When the patient is discharged from the hospital and returns to his home, the continuation of the physiatric treatment should be scheduled immediately.

Objectives of physiotherapy

Physiotherapy in Janakpuri aims to fully recover the function of the operated knee, allowing the patient’s global re-education and the resumption of their level of activity and functionality.

It is often necessary to carry out muscle-strengthening work on the two upper limbs and the non-operated lower limb so that the activities of daily living are carried out with greater safety and that progress can be made more quickly in the rehabilitation program.
The most specific rehabilitation work at the level of the operated lower limb includes:

  • control of pain and edema;
  • gain in knee joint amplitudes (extension and flexion);
  • gain in overall muscle strength, especially at the quad-level;
  • gain of flexibility;
  • balance gain;
  • re-learning the correct gait pattern.

The knee flexion so that the patient can comfortably sit in a chair should be around 90º and to get up from the chair it should be around 105º.

During the evolution of arthroscopic changes in the knee joint, the quadriceps, muscle of the anterior aspect of the thigh (front), also undergoes changes. The decrease in the activity of this muscle causes it to become progressively hypotonic (“weak”). After knee prosthesis surgery, the atrophy of the quadriceps muscle increases and its contraction capacity decreases, also due to neuro-reflex inhibition of this muscle by surgical intervention in the joint. Post-operative exercises to strengthen the quadriceps should then be started as soon as possible.

The evolution of knee arthrosis also causes a shortening of the soft structures of the posterior region of the knee, namely of the ischio-tibial muscles, so the flexibility exercises of these structures are essential.

The re-education of the gait pattern is a very important facet of the rehabilitation program, and, if it is not carried out soon after the surgery, it can imply an alteration of the global posture and insecurity in walking.

The risks and complications of physical therapy are rare. It is always necessary to keep a close watch on the skin and inflammatory signs.

What does physiotherapy consist of?

Physiotherapy after knee prosthesis surgery is done through a set of techniques and methods that speed up and optimize the patient’s recovery so that the maximum performance of this surgery can be removed.

During the entire rehabilitation process after knee arthroplasty, it is necessary to frequently evaluate the results obtained and the proposed objectives, since it is often necessary to adjust these objectives and alter the treatment, depending on how each patient is evolving. The internationally accepted and instituted rehabilitation protocols are fundamental as guidelines, but it is the knee and the patient that was operated on that impose the evolution of the Physiotherapy program, that is, the passage or not to the next phase of the protocol.

Right after surgery

In the immediate postoperative period, it is very important to teach the patient and his family how to get out of bed, get up, sit and move to a chair, as well as the correct way to walk, always with the help of a walker.

Adequate exercises for mobilizing the knee and the remaining lower limbs and also for muscle strengthening must be initiated, namely the quadriceps and hip extensors.

When the orthopaedic surgeon in Delhi understands this and following his instructions, continuous passive knee mobilization with an arthrometer device is included in the treatment, which is usually only performed while the patient is hospitalized.

The patient and family should also be taught not to place a pillow behind the operated knee when lying down, but under the heel, in order to achieve complete knee extension. Another very important aspect is the teaching of techniques that protect the operated knee, such as on the stairs, where the operated lower limb must be the first one when descending and the reverse must be done when climbing.

The application of static ice is indicated for the control of inflammatory signs, and should not exceed 12 minutes. Dynamic ice (continuous movement of an ice cube in the region) is an excellent option.

After hospital discharge

If possible, part of the rehabilitation program should be carried out in the form of hydrotherapy.

When the orthopedic in Dwarka understands that the patient can now start using only one Canadian in walking, it is essential to train the patient for this situation.

The neuro-muscular reeducation of the quadriceps is essential for the gait to have controlled knee flexion in the support phase, making it safer.

The balance and proprioception training (awareness of position) of the knee allows a faster adaptation to the prosthesis.

Walking backward or moving the bicycle pedals backward are important exercises, especially in cases where there is a deficit in knee extension.

The final phase of the rehabilitation program is the reconditioning of the effort (cardiovascular training) and the training of playful and / or sporting activities, aiming at resuming or even improving the patient’s level of functionality.

Home rehabilitation

At home, after each Physiotherapy session, the patient should pay attention to aspects previously mentioned, such as the posture of the lower limb in extension (without a pillow behind the knee) and the correct way of going up and downstairs.

Muscle-strengthening exercises that were taught to be performed at home should also be performed according to the instructions. As long as you feel pain or edema (“swelling”), you can apply ice, always with care.

After physiotherapy, that is, after the rehabilitation program at the hospital or physiotherapy clinic in Dwarka has ended, the patient must maintain the specific exercises indicated, especially for strengthening the quadriceps muscle and flexibility.

Physical activity

Physical activity should be appropriate to the patient’s cardiovascular taste and condition.

The exercise should always increase very gradually in time and intensity. In general, high impact exercises on the knee should be avoided.

Walking is one of the most recommended exercises, as well as exercise bikes, swimming and golf.

muscle-tears

Physiotherapy Recovery of Partial Muscle Breaks

Partial muscle rupture can be defined by the breakdown of several muscle fibers accompanied by localized bleeding.

First aid in the case of muscular breaks:

  1. Any physical activity must be interrupted ;
  2. Applying cryotherapy to reduce pain and stop bleeding.

Symptoms

As a symptom, the lesion is accompanied by violent pain and the impossibility of the limb movement. In a more severe rupture, the formation of a depression in the muscles can be observed, which can be felt by touch, reaching a hematoma and inflammation of the area. Partial muscle breakdown can occur as a result of severe physical exertion or excessive stretching.

Treatment

A partial muscle rupture should be analyzed by an orthopaedic in Dwarka, who can determine the severity of the trauma, based on the results of additional investigations (X-rays, ultrasound, MRI, ultrasound of soft parts), and depending on the severity of the injury can be applied a local treatment based on physiotherapy in Dwarka. In the case of partial muscle rupture, physiotherapy has the effect of recovering, improving and maintaining mobility, strength and muscle tone, reducing until the pain disappears so that the patient can resume normal daily activity.

Physiotherapy in Janakpuri can be applied in the partial muscular rupture having antiallergic effects (pain reduction), myorelaxant(muscle relaxation), decontracting, anti-inflammatory (elimination of muscle inflammation), anti-inflammatory (elimination of edema resulting from the accumulation of fluid from subcutaneous cellular tissue), by means of electrodynamic procedures of biodynamic, interferential, ultrasound, laser, and short waves.

Discovered and treated in time, the muscular rupture heals in a short time, the muscle tissue recovering faster than any other tissue. Generally, the patient can resume his activity within one, up to two weeks after the accident.

neck-pain

Simple Exercises To Relieve Mild Pain In The Neck And Cervical Area

A bad posture when sleeping, a sudden movement or spending hours reading or in front of the computer, with the fixed gaze and remaining static, are common causes of that annoying pain in the neck that causes real discomfort.

It is something that already happens that, in principle, should not be given too much importance, but if that pain is persistent, repeats frequently or appears just when we move, and not at rest, it could be a symptom of some pathology that would need a specific treatment. The physiotherapist in Dwarka explains that cervicalgia is one of the signs that could indicate cervical osteoarthritis.

How to ease the discomfort of poor posture

When it comes to simple pain, which is clearly the result of temporary muscle contracture or accumulated tension in the cervical area after a stressful day, the physiotherapist in Janakpuri advises a series of simple exercises that can greatly relieve the discomforts that arise when moving the neck, also managing to speed recovery so that the pain disappears as soon as possible and we recover our well-being.

When doing neck exercises, it is important to be in a comfortable position, better seated, with a straight back without straining it and maintaining, at all times, normal and fluid breathing. The experts also remember that it is normal to feel discomfort when starting the exercises, although, logically, that pain can never become unbearable and should decrease as the muscles adapt to the demand that we are demanding. If your neck hurts too much when doing the exercises, you should stop immediately.

If you’ve gotten up with torticollis, try sitting in a chair and then roll your neck to the right trying not to raise your shoulders. Hold the pose for a few seconds, and then make the turn to the opposite side. It is a simple movement, but doing it with the neck absolutely stiff is not so easy. The effectiveness lies in making the turn very slowly, to give time to both the cervical and the neck muscles, to gradually eliminate the accumulated tension and regain their normal position.

A second exercise consists of doing the same thing, but this time, slowly tilting the head forward and then repeating backward. In this case, the important thing is to avoid throwing the whole head (and half a trunk) forward.  Effective movement involves getting only the first vertebrae in your spine to move.

To complete the session, act in the same way, but now, turning your head laterally, so that it is those muscles on the sides of your neck that stretch slowly and little by little, you notice relief.

Hemiplegia-treatment-in-Dwarka

Physiotherapy in Parkinson’s Disease

Parkinson’s disease is a heterogeneous disease, it does not affect two individuals in the same way, nor does it manifest itself with the same symptoms in some as in others. Furthermore, there is no correlation between evolution time and symptoms. Age plays a very important role, we will say that the later the appearance of the disease, the more benign its evolutionary course will be.

Olfactory capacity is reduced in the early stages. Non-motor symptoms limit more than motor processes, such as: difficulty in expressing yourself verbally, cognitive decline, depression.

PHYSIOTHERAPIC TREATMENT

These patients have lost automation, so it is important to them that they perform extensive, repetitive, rhythmic, and harmonic active movements.

We apply the following treatment to our patient, divided into two types of sessions:

JOINT SESSION: Group of four patients with severe involvement.

1. Breathing exercises: Breathing must be present throughout the session, so they are performed at the beginning, during the other exercises and at the end of the session. We promote diaphragmatic breathing through exercises.

2. Joint mobilization: They are carried out analytically, joint by joint, and we perform them in a sitting position:

  • Neck: flexion-extension, lateralization, and rotation.
  • Shoulder girdle: elevation and descent of the shoulders, antepulsion, and retropulsion of the shoulder, flexo-extension, and abduction-adduction of the shoulders.
  • Elbows: flexion-extension, prone supination.
  • Wrists: flexion-extension, ulnar and radial deviations, and circumduction movements.
  • Fingers: manual clamp and abduction-adduction.
  • Spine: flexion-extension, lateralization, and rotation.
  • Lower limbs: flexion-extension of the hips, flexo-extension of the knees, and dorsal and plantar flexion and prone supination of the ankles.

3. Coordination exercises: We work in a sitting position due to the impossibility of working standing with these specific patients. We perform ball tosses and exercises with alternating movements of legs and arms.

4. Basic cognitive session: The main objective is to improve the subject’s level of communication, as well as to stop mental deterioration as much as possible.

We carried out this work in collaboration with the psychologist, while each of the patients received individual physiotherapy in Dwarka.

Two cognitive techniques are distinguished inside and outside the sessions:

  • Orientation to reality: A continuous process is established where each interaction with the elderly is an opportunity to provide them with current and common information, introduce them to what is happening around them. You should always remember your name, where you are, events that have occurred recently.
  • Reminiscences and life review: Communication technique and activity that focuses on the intact memory or memories of the patient and constitutes a pleasant form of debate or talk. The term usually refers to the memory of events that occurred in a person’s life.

There seems to be a tendency to believe that regular (aerobic) physical exercise is beneficial. for patients with Parkinson’s disease, as it reduces symptoms such as hypokinesia, bradykinesia, gait disturbances, neuronal degeneration; being then recognized as a tool that helps treatment by medication.

INDIVIDUAL SESSION: This work session was directed to the needs of the “special”, let’s call them this specific patient.

1. Rehabilitative treatment of Dupuytren’s Disease: The exercise program consists of flexion and smooth passive and active extension of all the finger joints. Full flexo-extension movement patterns of all the fingers, including the thumb, and also the wrist were emphasized, as there is movement restriction at this level as well.

2. Upper limb passive and active-assisted mobilizations: We try to prevent, through passive and active-assisted mobilization, disuse atrophy of the right biceps brachii.

With physical therapy, we aim to preserve, and if possible, increase the mobility of the arm, trying at least functional movements for the life of the patient, such as shoulder flexion and abduction, and elbow flexion.

3. Techniques of motor unlocking: Only with the voice command and the mark of the steps by the physiotherapist in Dwarka simulating a military march, it served the patient to overcome the blockages when walking. At the end of the physiotherapy session, we accompanied the patient to the car that transported him to his home, carrying out this activity, thus speeding up the walk of the old man.