Tag Archives: physiotherapist in Dwarka

Back Pain During Pregnancy

During pregnancy, and more specifically in the third trimester of pregnancy, back pain is very common, especially in the lower back. This pain affects almost 50% of pregnant women becoming one of the enemies of many pregnant women to appear in their day today.

back pain in pregnancy

This pain is due to 2 factors: joint hypermobility due to the hormone relaxin, necessary for the fetus and to facilitate childbirth, and the posture that is adopted after the growth of the uterus and the distension or separation of the muscles of the area abdominal. If we add an increase in belly weight to these two factors, it will cause, in most cases, an increase in the curvature of the lower back, as well as a weakening of the pelvic floor. Both events will cause the center of gravity to vary and will involve increasing the curvature of the lumbar.

It is very important that lumbar pains are not chronicled or lengthened after childbirth, as they increase the chances of suffering from urinary incontinence.

To prevent and relieve back pain you can perform some activities such as postural control exercises, swimming, and pilates for pregnant women, as well as go to a physiotherapist in Janakpuri specializing in urogynecological physiotherapy and obstetrics to assess each specific case and give the best diagnosis.

5 recommendations during pregnancy

  • Postural hygiene: do not forget to maintain a correct posture both lying, sitting or when standing, a good way is to change positions frequently, to avoid adopting bad habits.
  • Footwear: during this stage, you should try to avoid high heels as they increase muscle imbalances, better to wear comfortable shoes.
  • Physical exercise: do not stop exercising even if you are pregnant. It is important to rest when you need it but you should not forget to move as much as possible unless the gynecologist recommends absolute rest.
  • Relaxation: learn relaxation techniques that will help you at times when you may have discomfort, during labor with contractions and also for postpartum.
  • Sleep: Try to sleep on your side, with your knees slightly bent and, if possible, with a pillow between them.

A physiotherapist doctor in Dwarka specialized in urogynecology will be able to help you and personalize the treatment to follow in your day to day to get relief and, in the best case, make lumbar pain disappear during pregnancy.

Role of Physiotherapy in Rehabilitation

Physiotherapy or physical therapy is one of the health sciences dedicated to the study of life, health, diseases and death of the human being from the point of view of human body movement, is characterized by seeking the proper development of the functions that produce the systems of the body, where their good or bad functioning, affect the kinetics or human body movement.

It intervenes when the human being has lost or is at risk of losing or altering temporarily or permanently the proper movement and with it the physical functions through the use of scientifically proven techniques.

manual physiotherapy in dwarka

The physiotherapist’s main therapeutic weapon is his hands, and therefore, manual therapy. The manual techniques most used by the physiotherapist in Dwarka is:

• Massage therapy (massage, lymphatic drainage, deep transverse massage)

• Kinesitherapy

• Articular Manipulative Physiotherapy

• Global Postural Reeducation, empowerment, stretching and re-equilibration of musculoskeletal function

• Articular, fascial and visceral mobilizations

• Manual methods of reeducation of postural tone, synergies and pathological patterns in the case of neurological physiotherapy

The professional in this area receives the title of Physiotherapist. Physiotherapy is a free, independent and autonomous profession.

The World Health Organization (WHO) defines physiotherapy in 1958 as: “the science of treatment through physical means, therapeutic exercise, massage therapy, and electrotherapy.” In addition, Physiotherapy in Dwarka includes the execution of electrical and manual tests to determine the value of the affectation and muscular strength, tests to determine the functional capacities, the amplitude of the joint movement and measures of the vital capacity, as well as diagnostic aids for the control of the evolution “.

physiotherapy in dwarka

Applications :

• Traumatology: contractures, sprains, fractures, sports injuries, tendinitis, post-operative recovery, etc.

• Neurology: hemiplegia, sciatica, herniated disc, Parkinson’s, nerve palsies, etc.

• Orthopedics: scoliosis, hyperlordosis, kyphosis, etc.

• Geriatrics: Parkinson’s, loss of mobility and functionality of the elderly patient.

• Sport: prevention and treatment of sports injuries.

• Ergonomics: postural hygiene and back school.

• Respiratory physiotherapy

• Scars: keloids, retractable, traumatic

• Rheumatology: rheumatoid arthritis, fibromyalgia, osteoporosis, osteoarthritis, etc.

• Vascular: circulatory deficit, lymphatic edema, postmastectomy lymphedema, etc.

Scoliosis

Scoliosis, Symptoms And Scoliosis Treatment in Dwarka, Delhi

Scoliosis is the curvature of the spine, which occurs in the form of “S” or “C”. Early scoliosis treatment in Dwarka is advisable to prevent the further curvature of the spine.

Scoliosis Treatment in Dwarka

Scoliosis can be:

  • Congenital: caused by vertebral abnormalities present at birth
  • Idiopathic: the unknown cause, sub-classified in turn as infantile, juvenile, adolescent or adult according to the start date occurred.
  • Neuronal: having developed as a secondary symptom of another spina bifida disease, cerebral palsy, spinal muscular atrophy or physical trauma.

You can also differentiate between:

  • Structural: The curvature of the spine is permanent. The cause of this problem can be a stroke, a disease or a defect from birth.
  • Non-structural: when the curvature is only temporary and the column has its normal structure. The specialist tries to correct it.

Scoliosis or abnormal curvature of the spine affects approximately 3% of the population. Mild cases may not affect daily life. But severe cases can be painful and limit normal activity.

 Causes of Scoliosis

We can talk about genetic inheritance, neuromuscular problems and unequal length of limbs, congenital spinal deformities (present at birth, whether they are inherited or caused by the environment)

Other causes for scoliosis include cerebral palsy, spina bifida, muscular dystrophy, spinal muscular atrophy, and tumors. The vast majority of cases of scoliosis have no known cause.

Symptom

According to the best physiotherapist in Dwarka, the symptoms vary. We can make a list of possible common patterns in the vast majority of affected patients:

  • Uneven waist
  • Support of the whole body on one side
  • The appearance of the high hip, prominent
  • Head not centered directly on the pelvis
  • Thoracic boxes at different heights
  • Shoulders at different heights, one shoulder blade more prominent than the other
  • Changes in the appearance or texture of the skin lining the spine
  • Costal prominence when crouching

Typically, scoliosis appears at ages ranging from 10 to 12 years of age. Affected children do not usually have pain. Apart from the altered body postures, it is normal that the patient does not show symptoms until he reaches 30 years of age. With this age begin to manifest discomfort in the deviated area, usually produced by staying for a long time sitting or standing.

Due to the permanent deviation of the spine, it begins to wear out (degeneration) so that the discomfort associated with scoliosis increases with time. If it is not treated properly, as the patient’s age progresses, severe symptoms are caused by the permanent shortening of the torso, which can trigger a decrease in the functions of the heart and lungs.

Scoliosis Treatment in Dwarka, Delhi

In cases of idiopathic scoliosis, no treatment is needed, but regular follow-up by a professional physiotherapist in Dwarka.

When the patient is still growing, an orthopedic brace & physiotherapy in Dwarka is recommended. The corset prevents a greater curvature. There are many types and the medical professional, as well as the advice of the orthopaedic in West Delhi, will recommend the one that best suits your needs based on the curvature as well as the location of the same and the growth phase of the patient.

The corsets for the back work best in people over 10 years old and do not work for those with congenital or neuromuscular scoliosis.

How to prevent scoliosis?

Scoliosis usually appears after 10 years of age, even in adolescence, which is when growth is faster. It is very important to keep in mind that once you come of age, it is more complicated to prevent it because your back is formed.

Here are some tips to find out if your child can suffer from scoliosis:

  1. Observe the alignment of the vertebrae: try to make your child when he is naked, bend down and reach with his hands to touch the ground. In that position, the vertebrae are visible under the skin and you can see if they are aligned or form some kind of curve.
  2. Observe the possible dysmetria in the legs or hips: This factor can be the main cause of the deviation of the spine. It is produced to compensate the imbalance and the head can be straight.
  3. Maintain proper postures: That your child has a good body posture when sitting helps to prevent this disease. The practice of sports such as swimming is one of the best remedies for scoliosis.

Practice activities that strengthen the muscles of the back as well as improve posture: swimming, yoga, pilates, … and follow the guidance given for Scoliosis Treatment in Dwarka.

THE HAMSTRING LESION

The hamstring injury is characterized by severe pain in the back of the thigh. It is a very common injury in athletes who usually suffer from breaks in the femoral biceps.

What are the Hamstrings?

The hamstrings are a group of three muscles that run down the back of the thigh, originating in the ischium (one of the bones of the hip) and inserted into the tibia and fibula. It is a muscular group of great tendinous force which makes it a perfect candidate to suffer ruptures and tendinopathies.

The injuries of the muscles of the posterior thigh region appear within the group of the most prevalent.

In its concentric movement, the hamstrings act as extensions of the hip (assisting the gluteus in its function) and knee flexors.

Causes of a hamstring injury

  • A strong impact or fatigue are the main causes of the injury of hamstrings however there are other reasons that give rise to this injury such as sports that require a great effort of muscular hyperextension as is the case of football, martial arts, basketball, …
  • Excess weight coupled with a lack of activity can cause the person to have to make an effort (crossing the street with the red light, leaving behind the bus, …) the hamstring injury takes place.
  • Cold weather favors this injury as does dehydration.
  • If we have a lesion in the biceps femoris, that can generate a hamstring injury. The injury can start from a small break in the femoral biceps; when the break appears to be completely healed (healed), the adjacent muscle fibers are broken, and with the healing of these, a new break of the adjacent fibers ensues, and so on. It is known as a rack-and-pinion injury.

Treatment of hamstring injury

In the first place when we suffer a muscular injury physiotherapist in Dwarka suggests to apply what is known as the RICE protocol:

Rest: We leave the activity immediately and rest the affected area.

Ice: We apply ice on the affected muscle area.

Compression: We put a compression bandage to avoid the increase in swelling.

Elevation: We will place the affected muscle in an elevated position to avoid the accumulation of fluid and its consequent hematoma.

How to avoid hamstring injury

The best physiotherapist in Dwarka will always recommend the stretching of the hamstring muscles in a slow and delicate way until you feel a slight tension. Avoid practicing sports in excessively cold climates and apply heat to the hamstring muscles before performing a sports activity.

One of the most effective exercises in the prevention of hamstring injuries is the one known as Nordic Hamstring:

The injuries of the hamstring muscles are dreaded, complex and long and difficult recovery pathologies.

Do you suffer from “frozen shoulder”?

Maybe you have never heard this expression. And is that this disorder is not as well known as osteoarthritis or tendinitis but it is quite frequent, especially in women. Do you feel pain and stiffness? Attentive, because maybe it’s your case.

Physiotherapist in Dwarka calculates that between 3 and 5% of the population will suffer the so-called “frozen shoulder” at some point in their life. Although initially, this percentage may seem low, it increases considerably among certain groups.

80-90% of cases occur in women between 40 and 70 years, especially after menopause (from 50). But they are not the only ones affected. We tell you what this pathology consists of, how to identify its symptoms, which people are more at risk of suffering it, and what treatments exist to overcome it.

WHAT IS THE FROZEN SHOULDER”?

The medical term is adhesive or retractable capsulitis, although the same specialists use the expression “frozen shoulder” because it is much more graphic and easy to understand.

This disorder begins causing a very intense pain in the shoulder that usually gets worse at night. This usually starts suddenly and without a cause that justifies it (bad gesture, injury, etc.).

After a while, the person who suffers begin to notice a stiffness in the joint that ends up in the difficulty or inability to move the shoulder normally. Hence, the term “frozen shoulder.”

The immobility increases progressively until the person is unable to perform such habitual gestures as raising the arm and passing the hand over the head or carrying it towards the back too, for example, fastening the bra, knotting the apron or scratching.

This disorder occurs when there is inflammation in the capsule of the joint, which hinders the mobility of the ligaments that unite the bones that make up the shoulder. However, the cause that causes this inflammation is still unknown.

WHEN THERE IS MORE RISK OF WHICH HAPPENS

Although the reason is not known either, it is demonstrated that certain people are more at risk of suffering from “frozen shoulder”. And is that this disorder is associated with the following factors or pathologies:

  • Hormonal changes. The majority of cases occur in women over 40 years, and especially after menopause.
  • Diabetes. People who suffer from this disease also have a higher risk of suffering from “frozen shoulder”.
  • Thyroid problems Whether you suffer from hypothyroidism or hyperthyroidism.
  • Heart surgery. People who have cardiovascular problems and have undergone open-heart surgery are also among the risk groups.
  • Shoulder injuries Having fractures, surgery on this joint and its immobilization for a while may favor adhesive capsulitis.

If you are in one of these risk groups, you should be alert to the first symptoms, since early diagnosis can help to make the recovery more favorable.

In addition, people with diabetes or with thyroid problems can reduce the risk of suffering “frozen shoulder” if they maintain good control of their disease.

THE TREATMENT DEPENDS ON THE MOMENT

Although in most cases recovery of shoulder mobility is total, the process is very slow and frozen shoulder treatment in Dwarka can last between 6 months and 2 years.

Although sometimes the “frozen shoulder” heals itself after 18-24 months, without treatment and spontaneously, it is advisable to go to the best physiotherapist in Dwarka as soon as possible since the treatment can advance the process, alleviate the symptoms and prevent mobility is reduced.

The physiotherapy doctor in Dwarka will assess the most appropriate treatment according to the phase of the disorder in which the patient is:

  1. Inflammatory phase. The pain is very intense, especially at night, which makes it difficult to rest. But there are still no mobility problems. At this stage, the best physiotherapy doctor in Dwarka usually prescribes analgesics and anti-inflammatories and advises avoiding those movements that may increase pain. Generally, it is advisable to combine a certain rest with gentle stretching exercises. In those acute cases in which the pain does not decrease, it may be necessary to perform some infiltration of steroids (corticosteroids) in the joint.
  2. Freezing phase. The shoulder begins to show rigidity and mobility problems are increasing, although the pain usually decreases. At this stage, physiotherapy in Dwarka is fundamental, although perseverance is needed. The number of rehabilitation sessions per week will depend on each case, but they can be daily and for several months. Recovery exercises should always be performed by a specialist physiotherapist in Janakpuri, who will also teach the affected person how to perform the stretching exercises correctly at home.
  3. Recovery or defrosting phase. Mobility progressively improves, although it may be necessary to continue doing exercises for a total recovery and to prevent future relapse.

Most people suffering from “frozen shoulder” respond well to this treatment, as long as they are constant both when going to physiotherapy sessions and when performing the exercises indicated at home.

However, in those cases in which a clear improvement is not achieved, it may be necessary to perform surgery. Normally the operation is performed by arthroscopy in Delhi, through small incisions, and with local anesthesia, and the objective is to “free” the ligaments to restore mobility to the shoulder joint.

DISCARD OTHER PROBLEMS

The shoulder is one of the joints with greater mobility and, therefore, one of the most prone to pain. Therefore, when it does not return in several days it is necessary to go to the orthopaedic in Delhi to make a diagnosis.

In addition to adhesive or retractable capsulitis (“frozen shoulder”), these are the most common problems that can cause pain in this part of the body:

  • Contractures The muscles of the shoulder or cervical muscles contract due to a bad gesture, a bad posture repeated or sustained in time or tension.
  • Calcifications They consist of the accumulation of calcium in the supraspinatus tendon, usually due to minor trauma, tears or inflammation. It usually affects people between 30 and 50 years old.
  • Arthrosis This degenerative disease, in which a loss of cartilage occurs, can also affect the shoulder, as well as other joints such as the knee. In addition to pain and limited mobility, crunches (crepitations) may be felt when moving.
  • Rotator cuff injuries. It is formed by muscles and tendons that provide stability to the bones of the joint and facilitate movement. The tearing or breaking of these tissues by some trauma, sudden movement or wear are some of the most common problems, as well as the inflammation of some tendon (tendonitis).

The symptom of something more serious. When the pain does not vary with the movement, it can be a symptom of some disease that has nothing to do with the shoulder, such as a heart problem (in this case, it is usually accompanied by a feeling of tightness in the chest) or a pulmonary pathology, for example of the pleura. Some types of lung cancer can cause shoulder pain, especially when the tumor is large and press on the area near the joint.