Tag Archives: physiotherapy in dwarka

physiotherapy after knee or hip replacement

Hip or Knee Prostheses

From osteoarthritis to a prosthesis

Osteoarthritis is defined as damage and/or wear and tear on a joint that the body cannot repair. This condition leads to the deterioration of the cartilage (the solid elastic material that covers and protects the ends of the bones) and the friction of the bone below it, which will cause pain, stiffness and swelling in the joint. Osteoarthritis can be caused by the normal ageing process or be the result of abnormal stress or injury.

The hips and knees are joints frequently affected by osteoarthritis and it is the main cause that will lead to the replacement of the hip or knee with a prosthesis.

Conservative treatment is considered at an early stage of osteoarthritis. Medication, ice and heat applications can help relieve pain. A consultation with a physiotherapist in Dwarka can be useful in order to maintain good mobility of the joints, reduce muscle tension around and strengthen the surrounding muscles.

When the pain becomes too strong, there is a significant loss of mobility, the function of the person is more and more limited and there has been a failure of conservative treatment, surgery (arthroplasty) becomes the best option.

Definition of arthroplasty

The arthroplasty can be qualified in many ways: total replacement of the hip, total replacement of the knee or more commonly called: prostheses of the hip or the knee.

This surgical procedure, performed by an orthopaedic surgeon in Delhi, consists of replacing the damaged joint with an artificial joint prosthesis. After making an incision at the joint, the surgeon removes damaged bone and cartilage tissue. Then, he reshapes the bone surfaces between which the prosthesis often made of the metal alloy will be inserted. Finally, the orthopedic in Delhi installs the prosthesis intended to replace part or all of the damaged joint and most often fixes it with special instant-hardening cement.

Physiotherapy before and after surgery

Physiotherapy in Dwarka is essential after the operation but is also very relevant before surgery. Recovery from arthroplasty is often faster if the person is in good shape before surgery. The physiotherapist in Janakpuri can, therefore, teach mobility and strengthening exercise program adapted to the pain. He can also teach transfers, positioning, the use of a walking accessory and set realistic goals with the patient before his operation.

Once operated, it is important to respect the restrictions required by the orthopaedic in Delhi who may vary depending on the different approaches used and the condition of the person. Again, a program of mobility exercises, strengthening and transfers will be taught by the best physiotherapist in Dwarka and will evolve over time depending on the recovery of the person. The return to normal function is the objective and the return to sport can be discussed with the attending surgeon according to the evolution.

The speed of recovery varies from one person to another and can be influenced by the initial physical form, the attendance at the exercises taught in physiotherapy and the respect of the advice of the specialists involved.

Do not hesitate to make an appointment with one of our physiotherapists to take charge of your condition linked to osteoarthritis or for your knee or hip prosthesis follow-up.

epicondylitis

Physiotherapy in Epicondylitis

There are many pathologies that prevent the development of multiple activities, both sports and daily, due to the pain they cause, but these injuries, as in the case of epicondylitis, are treated with Physiotherapy in Dwarka and tend to evolve very positively. In order to talk about the physiotherapy of epicondylitis, it is important to define what this lesion is, therefore, before mentioning the treatments for this pathology, it is worth exploring what epicondylitis is and, later, what Physiotherapy can provide.

Physiotherapy and epicondylitis, what is epicondylitis?

Epicondylitis is also known as tennis elbow; it is an injury or inflammation of the epicondylar tendons that occurs on the outside of the elbow specifically on the outside of the elbow and one of its main symptoms and for which mainly the patients is localized pain in this area.

This pain is usually manifested when performing movements that mainly involve the extensors of the hand, the cause is usually an impact on the area or previous repetitive movements that compromise this area of ​​the arm, or also by forced extension and rotation wrist or when the arm is subjected to supination repeatedly or with heavy loads, that is, supination is a rotational movement that is done with the arm and involves the elbow. These movements can generate small fibrillar micro tears, although they will mainly affect the tendon.

Symptoms of epicondylitis

  • Pain on the outside of the elbow
  • Inability to perform some movements such as wrist extension
  • Pressure pain in the injury area
  • Pain when lifting the arm, or lifting a simple item such as a glass or bottle

Epicondylitis treatment through physical therapy

Although there are several types of treatments such as doctors or pharmacists, there are other types of treatments that are less invasive and provide a long-term solution that constitute the treatment of physical therapy in epicondylitis.

Keep in mind that this type of injury must be managed by experts in the field, in this case a Physiotherapist in Dwarka who will assess what your elbow needs and, in some cases, will extend the treatment to the entire area of ​​the arm and forearm to relax. the entire territory and obtain a faster and more efficient improvement.

This type of treatment consists of reducing inflammation and pain in the elbow through the application of various Physiotherapy techniques. When the pain decreases, exercises will be performed to strengthen this part of the body to avoid repetitions of the injury in the future. The epicondylitis physiotherapy in Janakpuri uses various means to improve the development and resolution of inflammation and pain. Here is one of the treatments:

  • Anti-inflammatories: It is a medical treatment, but it should be taken into account (and that is why we include it here) because some patients leave the medical treatment when they start physical therapy, it is necessary to emphasize that they are complementary treatment and that they will have more effect acting at the same time as separately. In some extreme cases, the doctor may perform an infiltration, but it would be preferable before this to have exhausted the possibilities offered by physical therapy.
  • Capacitive and resistive diathermy. It is the most powerful technique, applying capacitive Diathermy on the muscles that pull the tendon will achieve a relaxation effect that will improve the expectations of a good evolution and using Resistive Diathermy on the tendon will directly achieve a powerful anti-inflammatory and calming effect.
  • Cryotherapy: this is another treatment that consists of applying cold in various ways: cold compresses, ice, etc. Cold physiotherapy always seeks to reduce inflammation and pain on the affected muscles and on the tendon. It should be borne in mind that this procedure is mainly used at times when the pain becomes acute.
  • Ultrasound: Ultrasound treatment is one of the most effective treatments for epicondylitis, it will improve mobility and pain.
  • TENS: this device uses electrodes for its operation that allows pain to work. By means of a special type of current it can achieve very powerful pain-relieving effects and at low frequencies it also manages to improve local circulation and therefore decrease inflammation.
  • Exercises: Once our patient has recovered, we must teach him the exercises that allow an increase in resistance and strength in the affected musculature, without forgetting the exercises of flexibility, all these Physiotherapy treatments in Dwarka will achieve a progressive improvement and will avoid possible relapses.

 

Chronic Respiratory Diseases And Physical Therapy

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.

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.

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 rupture

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.

parkinson's disease

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.

Femur Fracture

WHAT IS THE FEMUR FRACTURE?

The femur, despite being a strong bone and surrounded by a musculature that protects it, can also fracture if it is subjected to a very high force such as a fall or a blow. The populations in which the incidence is higher are children and the geriatric population.

ANATOMY / BIOMECHANICS

Within the femur fractures, we will make a differentiation that classifies them according to their location and according to their shape.

Location:

  • Trochanteric: the location of the fracture line is located just below the femoral head. Normally there is no vascular compromise, so minor complications appear.
  • Femoral neck: usually have more complication since they occur internally to the capsule and therefore the vascular package is affected. If it is a non-displaced fracture and is sufficiently stable, it can be treated conservatively without surgery.>
  • Femoral head: they have the lowest incidence and are often related to a fracture of the acetabulum (a place where the femur articulates in the hip) as well as traumatic hip dislocation.
  • Diaphyseal: as a general rule, the fixation (and reduction if necessary) will be carried out unless it is a growing child with whom we will treat conservatively so as not to affect bone development.
  • Fractures of the distal third: in spite of being the most infrequent we must also take them into account since they can have serious consequences on the biomechanics of gait because they are closely related to tibia and fibula, in the knee joint (and therefore also with menisci, cartilage, and ligaments).

Shape:

  • Complete/incomplete: the fracture line completely affects the thickness of the bone or only affects one of the faces.
  • Open/closed: depending on whether or not the continuity of the skin tissue is broken.

FEMUR FRACTURE DIAGNOSIS

The most common signs that indicate fracture will be:

  • Local pain
  • Edema
  • Hematoma
  • Deformity (does not always have to appear)
  • Gait disturbance

femur fracture treatment in Dwarka

FEMUR FRACTURE TREATMENT IN DWARKA

We will distinguish the way to approach the fracture according to its location, shape, and type of patient since it will not have the same implications if it is a child in the growth phase (which could be affected if a fixation is placed) than if It is an adult with a fully formed bone structure.

From the point of view of physiotherapy in Dwarka, we must begin with the early active intervention by the patient with active quadriceps contractions and ankle and knee movements (and even hip depending on the location of the fracture) to adapt the muscles to the work and avoid loss of functionality.

Gradually the objectives will be (depending on the location of the fracture) the progressive increase of range of movement in the hip and the recovery of tone and strength especially in the flexor and extensor muscles (quadriceps, hamstrings) through support and different exercises assets.

Once we have achieved these objectives, the last step will be to re-educate the gait and training of proprioception for the normal daily life of the patient.

diabetes and physiotherapy

The Relationship of Physiotherapy And Diabetes

Diabetes is a disease defined as a chronic disease that appears when the pancreas does not create insulin, a substance necessary for humans. Due to the increase in diabetics, it is necessary to reflect on this.

There are two types of diabetes, type 1 and type 2, while the first is characterized by the fact that the body is unable to create insulin or produces very little, so insulin must be administered and cannot be prevented. However, the second type does secrete insulin but not enough, and is related to being overweight and can be prevented with healthy habits.

How physiotherapy can help prevent diabetes

Physiotherapy can help prevent diabetes, since it is a moderate physical activity that forces the body to burn fat and toxins, that is, it is like playing sports at a low frequency. In this way, we can avoid or delay type 2 diabetes, but the physiotherapist in Dwarka must accompany the patient while doing personalized exercises.

On the other hand, people who have diabetes usually have other problems throughout their lives, as a consequence of the disease, for example, they suffer from carpal tunnel syndrome, osteoarthritis or neuropathies, they are usually pathologies palliated and treated with physiotherapeutic techniques. that greatly improve patient life.

It is important to remember that all this must be supervised by a professional, who gives us advice on healthy habits, a daily exercise chart that does not damage our joints or muscles and that we can achieve, and above all take into account the diet and eliminate bad habits like tobacco or alcohol.

How to perform a good warm-up that helps exercise?

Warm-up our muscles and joints are all those exercises or slight movements that we perform so that our body is prepared, like our mind, before large overexertion that we are going to perform. The goal of this is to prevent injuries.

This is done by all professional athletes since it is important for them to avoid problems that prevent them from practicing the sport, so even if you are a runner or volleyball player, you always have to warm up, to avoid injuries such as ligament rupture or problems such as sprains.

In a good warm-up, we must include different exercises. The first thing is joint movement, move all the joints that we are going to force while exercising and thus avoid breakage or sprains. Cardiovascular, it is necessary to activate the heart, with a career at small intensity will be more than enough, increasing our pulse is essential.

On the other hand, gentle stretching and if you can be moving, no static stretching, this way we prepare ligaments and body tissues. Relative movements especially in those parts of the body that you are going to use the most, such as shoulders or wrists, or perhaps ankle.

The objectives of warming are:

Prepare the muscles for intense sport, have active coordination, prepare the system in general and the group of muscles that we are going to use in particular, and above all it helps us to concentrate.

To do sports, to do sports well, it is necessary to concentrate. In the same way that to study we cannot start with the most complicated because we would not get to understand anything, with this the same thing happens, our body collapses, our mind becomes frustrated and in the end we abandon, so it is necessary to go slowly, increasing the intensity, for our mood and for our mental state.

To all this you have to contribute more factors, such as the age of the person, since, at older age, you will need more warming, in the same way, an overweight person will do sports at low intensity and will need help from a physiotherapist in Janakpuri to do their sports sessions and its warming, in this way it will prevent any type of injury.

For all these reasons, whether you are a professional athlete or not, I advise you to go to a professional, a physiotherapist who knows how to set the necessary warm-up guidelines to prevent injuries and that best adapt to the type of sport you do.

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SPORTS PHYSIOTHERAPY TO IMPROVE YOUR PERFORMANCE

Physiotherapy and sports have always gone hand in hand. Although sedentary life and bad postures do not help, this type of discipline, very regularly, is aimed at recovering and preventing injuries caused during the practice of some physical exercise. We can say that sports physiotherapy is a complement to our usual training to achieve the goals we set as athletes. The techniques used will be the same either in elite athletes or amateurs, and its main objective is to shorten the recovery time after the injury.

WHAT IS SPORTS PHYSIOTHERAPY?Sports-Physiotherapy1

Sports physiotherapy focuses on preventing injuries caused during physical activity, as well as healing and regenerating damaged areas in the musculoskeletal system of athletes. It is much more than applying the anti-pull spray that we see during football matches since it is about knowing when it acts and how to alleviate the injury not only after it occurs but to prevent it from happening again in the future.

According to the basic definition of physiotherapy, we are talking about medical practices aimed at healing and preventing injuries in the motor apparatus, especially in the field of grassroots, amateur, health, high performance or elite sports. Preventive work consists of evaluating, improving and working on muscular conditions, especially the most problematic ones, avoiding future bad gestures and correcting loads. In case of injury, we take care of planning the workouts and preparing stretching exercises with guidelines according to the physical condition of the patient so that he recovers in the shortest time possible and in full functionality.

What kind of people sports physiotherapy is focused on?

Sports physiotherapy in Dwarka is aimed at all those who practice a sport on a regular basis, whether as amateur, high performance or elite.

Benefits of sports physiotherapy

First of all, we must distinguish between preventive sports physiotherapy and sports physiotherapy after an injury.

In the first case, these are the techniques that help the athlete improve their muscular capacity, improve posture, and avoid bad work habits to avoid bad movements or, in the event that they occur, have the body prepared to act before such eventuality. This type of preventive sports physiotherapy also helps to improve the elasticity of the muscles, which will lead to an increase in sports performance.

In the event of an injury during training or physical activity, we offer muscle reconstruction treatments, regeneration of the damaged area, as well as behavioral guidelines to facilitate faster recovery. We also work with stretching, strengthening and electricity and heat machinery to relieve pain and improve movement capacity.

TREATMENTS AND TECHNIQUES OF PHYSIOTHERAPY APPLIED TO SPORT

There are manual treatments and specialized machinery that, supervised by our physiotherapist in Dwarka, will help you recover from your injury in the shortest possible time.

Sports physiotherapy treatments

Prevention treatments include a close monitoring of the patient’s sports activity as well as the state of his muscles. The treatment varies if practiced before or after physical activity, although both therapies are necessary to optimize the muscular state of the athlete.

In case of injury, rehabilitation work is required for athletes that includes a multidisciplinary follow-up in which not only physiotherapists are included but also in most cases a traumatologist, a nutritionist, physical trainers, and psychologists are needed, among others.

Main techniques of sports rehabilitation

If you have arrived here, you will know that physiotherapy in Delhi not only focuses on manual work but that there are also machines at our disposal to accelerate the muscle recovery process.

The most common machines used in sports physiotherapy

Biomechanics is a science that diagnoses the different pathologies of the motor apparatus and combines biological knowledge with physiotherapeutic treatments whose combination makes possible a unique and compatible improvement with the athlete and his physiognomy.

ARE YOU LOOKING FOR A SPORTS PHYSIOTHERAPY CLINIC IN DWARKA?

If you are looking for a physiotherapy clinic in Dwarka, look no further. We have the best professionals and specialists in sports physiotherapy in the capital.