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stroke

Cerebral Vascular Attack – Stroke

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Stroke is an infarction of the brain, in which ischemia or hemorrhage leads to interruption of function. It is characterized by a localized neurological deficit (hemiparesis, hemiplegia), suddenly installed. It is little known that it is possible to experience a stroke without the patient knowing it. Stroke can occur during sleep, and a lack of severity and minor symptoms will not interfere with it. At the time of awakening, however, the patient may present a confused state, the inability to express himself correctly, difficulties in using afoot, the feeling of weakness in the arm, double or partial vision.

 

The morning symptoms depend largely on the degree of severity and the part of the brain affected by stroke. The symptoms of stroke can occur as a result of interest:

  1. anterior cerebral circulation comprising:
    • the carotid artery and its main branches
    • anterior and middle cerebral arteries
  1. posterior cerebral circulation comprising:
    • vertebrobasilar arteries
    • posterior cerebral arteries

Knowing the symptoms of a stroke (even in the case of a minor stroke) is essential in preventing the spread of brain damage. Specialized medical care is critical, especially when the stroke is caused by a blood clot.

Almost 80% of strokes occur in the carotid distribution territory and consist of decreased muscle strength of one part of the body, affecting the face, arm or leg in any combination. Stroke that occurs in the territory of the posterior circulation (stroke at the base of the brain) is the result of thrombosis and occlusion of small penetrating arterioles that detach directly from the vertebrobasilar arteries. The clinical picture of this stroke is more complex, due to important neurophysiological structures arranged compactly at the base of the brain compared to the cerebral hemispheres.

Types of Strokes

Etiologically, stroke is divided into four broad categories (the first two are more frequent and the others rarer):

  1. cerebral ischemia
  2. intracranial hemorrhages
  3. cerebral vascular malformations
  4. cerebral thrombophlebitis

Treatment

Stroke recovery involves using:

  • compensatory techniques for mobility (physiotherapy, massage)
  • daily activities / ADL (Activities of Daily Living)
  • communication

The recovery of the hospitalized patient is a sample that allows the patient to demonstrate his candidacy for immediate recovery after acute stroke. The limited prognosis of a stroke to recover is conferred by the following elements:

  • severe memory problems
  • inability to understand orders
  • medical/surgical instability
  • Stroke in the background
  • urinary incontinence / fecal matter
  • visual space deficits

Stroke is a common occurrence, and recovery is a complex process. Even if the functional deficiencies appear to be identical the patients react individually. As a result, the recovery program is tailored to the case. More important than the motor deficits are the cognitive aspects, affected by stroke. The recovery of patients after the stroke starts in the acute phase of the care given to them.

The therapeutic intervention performed in a timely manner presents the following advantages:

  • increases the recovery potential
  • prevents problems due to immobilization
back-pain

Have you noticed Back Pain lately?

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There are many people who suffer from back pain during the day or at the end of it. This may be due to some pathology or due to bad gestures and postures in the activities that are carried out daily at work or during sport.

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

The data does not lie, and according to statistics, 80% of people have suffered or will suffer this pain at some time in their life, becoming in many cases chronic.

What are the causes of back pain?

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

Despite this, it is almost always related to a vertebral or articular lesion due to spinal wear or osteoporosis. When a 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, usually described as a throbbing pain, worsens with movement and is relieved by rest. Its cause is mostly a muscle strain or trauma, however, it is best to receive an accurate diagnosis by your traumatologist as soon as possible.

Some of its features are:

  • It can happen 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 a 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 being quite complicated to diagnose.

It is very important to see a doctor as soon as this pain persists for a long time.

Some characteristics of inflammatory pain:

  • Appears before age 40
  • It has a gradual beginning
  • Pain improves with physical activity
  • The pain does not improve with rest
  • It usually makes you wake up at night
  • Morning stiffness of more than 30 minutes
  • Continued pain for 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 specialist as soon as possible, since, if it takes a long time to treat, the discomforts usually increase over time and once they are established they are difficult to reverse.

When acute back pain appears, it is usually treated first through analgesics and muscle relaxants.

Later, when the muscles have relaxed, physiotherapy treatment in Dwarka is applied to reduce pain and relieve discomfort. It is also recommended to exercise periodically to avoid the risk of pain.

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Do you know the advantages of physiotherapy?

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Do you know what are all the advantages of physiotherapy in Dwarka? This technique brings a lot of benefits to the body, especially those patients who are in the process of recovering from an injury or illness. It also serves those who need additional assistance with regard to the mobility of the affected members and even if they suffer from a disability.

Another of its main benefits is that physiotherapy is able to improve the development of children since when they receive some physiotherapy treatment from an early age, it helps improve muscle tone and correct physical problems that may occur.

This technique is indicated for pediatric care, pregnancy and postpartum, with pelvic floor exercises being the most popular for its simplicity and the improvements it produces.

At Dr. Sarwar Physiotherapy Centre in Dwarka, we tell you all the advantages offered by physiotherapeutic treatments:

What are the advantages of physiotherapy?

  • With physiotherapy, greater flexibility is achieved.
  • It improves muscle power and mobility.
  • Physical deterioration is prevented and controlled.
  • They improve the basic functions of the organism.
  • Get pain relief.
  • One of the greatest benefits of physiotherapy is achieved in the treatment of tendinitis. Knee or meniscus ligaments, fibrillary ruptures and ankle sprains.
  • Physical therapy helps us achieve a greater sense of well-being.
  • Prevents injuries when practicing a sport regularly.

The union of the different techniques that we perform in our clinic, facilitate the improvement of health and pain in a short period of time.

Our clinics seek to become the most innovative centers in the province by applying the highest technology in the hands of the best professionals, so we implement this technique to our facilities to achieve better results in the rehabilitation of our patients.

back pain treatment

Back Pain: Take Care of Your Back According to the Seasons

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For a large part of the population, each season brings its share of tasks to maintain, including, his house and his land.

Even though these physical activities seem commonplace, they can cause various muscle problems and cause back pain that could affect the performance of daily tasks.

Back pain according to the seasons: what are the risks of injury?

According to physiotherapist in Dwarka there are likely, during the year, times when the back is more solicited.

Take, for example, the winter period, when the appearance of patches of ice and snow coincides with an increase in injuries. In the fall, it is rather the collection of leaves that puts the muscles of the back to the test. During the spring and summer, activities associated with yard preparation, such as gardening or do-it-yourself, can involve adverse movements to the spine. 

The most common causes of injury are:

  • inadequate sitting postures;
  • the lifting of objects in full flexion;
  • repetitive efforts;
  • physical efforts poorly executed.

Taking care of your back: simple actions to prevent injuries

As trivial as they may seem, your physical efforts deserve special attention. Remember these tips:

Exercise preparation: simple actions to prevent back injuries

  • Give yourself a long time. Divide the work over a few days or even weeks.
  • Split the effort and diversify your tasks: work in small sections to combine several short works.
  • Take several breaks during and between jobs.
  • Do not overestimate your body. Avoid heavy loads and sudden movements.
  • Use the right tools with sleeves long enough not to work bent.
  • Flex your hips and knees and take supports when necessary.

Physical activity in general and healthy lifestyle habits help a lot to prevent injuries. Physiotherapy can also help prevent them by teaching ergonomic strategies for posture and proper lifting of loads.

How does the physiotherapist treat back injuries?

Even if you are extremely cautious and work properly, there is always the risk of injury. Thus, the physiotherapist’s main role in the event of a back injury is:

  • to decrease inflammation;
  • to shorten the period of incapacity;
  • improve muscle strength, flexibility, and endurance;
  • reduce the risk of reoffending;
  • perform muscle reprogramming by teaching proper movement patterns and ergonomics.

The physiotherapist in Janakpuri will offer, among other things, a series of dynamic exercises to change the way muscles coordinate in this area of ​​the body. He will accompany the patient in this process while teaching him the importance of his own collaboration to maintain the gains achieved in treatment.

shoulder-sports-injuries

Most frequent shoulder sports injuries

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Understanding by shoulder the set of joints that combine tendons and muscles that give the movement of the arm, we find several injuries among athletes in this area of ​​the body.

All injuries of the shoulder joint complex can be grouped into 4 categories: fracture, osteoarthritis, instability, and inflammation of the tendon. Among these large groups, the most frequent injuries among people who practice sports either amateur or professional are:

  • Shoulder tendinitis. For an involvement of the infraspinatus and supraspinatus tendon, which may be due to overexertion or trauma. The main symptom that appears is a loss of mobility along with acute pain.
  • Swimmer ‘s shoulder. It is due to subacromial impingement syndrome, it is mainly related to the practice of crol. Its causes are due to high training frequencies, poor technique, repetitive movements, among others.
  • Rotator cuff tear. As the name implies, it occurs when a tendon or more of those that form the rotator cuff suffer a rupture, either partial or total. Its symptoms are similar to shoulder tendinopathy, suffering from weakness in the arm, deep pain and hindering tasks that cause movement of the shoulder.
  • Broken collarbone. This injury is usually caused by a fall in sports such as snowboarding, skateboarding, cycling …

In order to treat these injuries, it is important to apply ice to the area, perform a rest period that will be different depending on the person and the type of injury and perform a compression with a bandage. After the rest period, it will be very important to perform light exercise to start returning to the sports routine.

The sports physiotherapist in Dwarka can help in the diagnosis and treatment of these types of injuries and can also reduce the risk of suffering them.

neck-pain

A Good Pillow Against Neck Pain

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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.

torticollis

Physiotherapy Treatment To Deal With An Annoying Torticollis

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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?

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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.

LUMBAR PAIN CAUSED BY ARTHROSIS

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 LUMBAR PAIN CAUSED BY A HERNIA DISC

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).

LUMBAR PAIN CAUSED BY STENOSIS

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.

THE TREATMENT OF LUMBAR PAIN

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.

vertigo-and-physiotherapy

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

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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.

Hijama-therapy in Delhi

Benefits of Cupping (Hijama)

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Cupping (Hijama Therapy) is an ancient medical method that has been used for many diseases and is currently used as part of alternative medicine.

Cupping is based on suction by using cups on the positions of pain either using the joints of the output of the rotten blood and so-called wet cupping or without the parchment and so-called Cupping dry.

Benefits of cupping

  • Activate blood circulation and smooth the arteries and veins.
  • Activate hair regrowth.
  • Enclose power paths.
  • Strengthen the body’s immune system.
  • Activation of the organs of the brain, movement, speech, hearing, perception, and memory.
  • Absorption of toxins and the effects of drugs from the body.
  • Treatment of blood pressure.
  • Treat headaches of all kinds.
  • Treatment of depression and stress.
  • Treatment of diabetes, obesity, and thinness.
  • Energizing different body organs.

Conditions of cupping

 

 

There is a difference in many practices before cupping, and depending on the reason for which cupping was conducted and based on scientific grounds, cupping was divided into the following:

Cupping therapy

  • It is not required that the complainant is fasting but it is advisable to refrain from eating for two to three hours before cupping.
  • Good at any time of the day.

Cupping preventive

  • Be a buffoon fasting.
  • Preferably in the morning to increase the proportion of natural cortisone in the body in the morning.
  • It is preferable not to do ghusl before cupping.
  • It is not recommended to perform cupping on a very cold night.

During the Cupping Process:

  • The protagonist must be calm and relaxed.
  • It is preferable to eat any juice or sugar drink at the end of cupping.
  • The assailant should inform the person who is performing the cupping in case of nausea or dizziness.

Places of Cupping:

There are of course scientific foundations to determine the location of cupping appropriate depending on the circumstances of each case and place of pain, including:

  • Work on power lines in the body.
  • Work on nerve positions for reactions.
  • Works on the lymph nodes.
  • Benefits of cupping for women:
  • Balance the work of hormones in the body.
  • Strengthens your immune system.
  • Described for sciatica and gout.
  • Treats rheumatism and neck and shoulder pain.

Benefits of cupping for men:

  • Increase hair density and strengthen follicles.
  • Eliminate muscle tension by stimulating lactin.
  • Cupping is an effective treatment for smokers; it detoxifies the body.
  • Cupping has a great effect on the sexual ability of the man as it activates blood circulation.