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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.

Sports-Physiotherapy Banner

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.

Osteoporosis physiotherapy

Physiotherapy Against Osteoporosis

Osteoporosis presents as a common bone disease that especially affects women after the arrival of menopause. In recent years, these parameters are changing, expanding the profile and the number of cases that are recorded.

This degenerative and disabling process refers to the loss of bone density, something that occurs naturally after age 35; a turning point for our bones. However, this pathology precipitates such decalcification, producing a decrease in bone mass prematurely, with important consequences for those who suffer from it.

Recent studies are related to the physical impact of the number of hours currently, and from an early age, we invest in front of the screens. According to data, its appearance is increasingly frequent at younger ages, which comes to question our current system of life.

Osteoporosis today is a serious chronic problem that occurs silently, since it remains over time without obvious symptoms until an event, usually a fracture, reveals the fragility of the bones; that is, once the disease is established.

Among the causes that develop this type of pathologies are: eating disorders, diabetes, hypothyroidism, the use of certain medications for a long time, a diet low in calcium, suffering from long-term immobilizations, smoking or a decrease in hormones, as in the case of menopause.

Benefits of physiotherapy in Dwarka

Osteoporosis generates a loss of autonomy and quality of life in the patient, so diagnosing and treating it early is essential, something that, due to the characteristics of the disease itself, is not easy. Tests such as radiographs, analysis, examinations or densitometry are usually common, a test in which the state of bone mineral mass is analyzed. Based on this, the degree of incidence of the disease is established, and that is when the treatment itself is organized.

Despite the negative effects, there are different options to maintain, preserve and even improve the quality of our bones. In this way, it will be convenient to change certain habits, especially food habits, enriching, for example, our diet with calcium and vitamins.

Physiotherapy in Dwarka also acquires a great role in this process. It will be essential when recovering the patient’s general activity but also favoring bone tissue density. In this sense, it has effective tools, such as therapeutic exercise that, adapted to each case, helps the mineralization of bones by muscle traction. Here, the physiotherapist in Dwarka is fundamental; since thanks to his advice and follow-up, he will prevent the patient from experiencing any negative effect on the performance of the activities, taking advantage of only its benefits.

One technique that is also reaping good results is magnetotherapy, a low-risk non-invasive tool that uses high and low-frequency magnetic fields, and which in this case seems to help bone recalcification and calcium fixation. Despite its low incidence, certain precautions should be maintained.

In the fight against osteoporosis, the key is prevention. Only through proper living habits, regular physical exercise or a balanced diet rich in calcium and vitamin D, we can keep our bones in top shape, avoid the negative effects of this pathology and ensure healthy aging as much as possible.

physiotherapy in diabetes

The Importance of Physiotherapy in Patients With Diabetes

Each year, the number of people diagnosed with diabetes increases significantly, and the process of monitoring patients requires the involvement of a complex team, made up of a nutritionist and diabetes specialist, psychologist, orthopedist, optometrist and physiotherapist in Dwarka, to ensure a quality of life as high as possible.

When the symptoms of diabetes are ignored, severe complications can arise such as: neuropathy, nephropathy, circulation problems, osteoporosis, skin infections or even loss of vision. If there is a diagnosis for this condition or if the patient is at high risk of developing it, physiotherapy is recommended, among other treatments.

Physiotherapy in Dwarka plays an extremely important role in the treatment of this disease, but also in its prevention.

It improves insulin efficiency, facilitates weight control, lowers blood pressure and, by default, the risk of cardiovascular disease, decreases stress and tension. In the case of diabetes, studies carried out among patients in Romania show that, out of the total number of people diagnosed, almost 15% suffer from foot ulcers and 3.6% suffer from amputations.

From prevention to treatment of complications, the whole process of managing diabetes is carefully supervised by physiotherapist in Delhi. Through various exercise programs, physiotherapy can help balance cholesterol and insulin levels. Each specific case is designed with a specific exercise program for strengthening muscles and circulation in certain problem areas, such as the legs. Musculoskeletal symptoms in patients with this condition are quite common, through manifestations such as diabetic amyotrophy – a type of neuropathy that prevents the normal use of the musculature. Sciatica or carpal syndrome are also side effects of diabetes. To improve the musculoskeletal and neurological functions,

Through physiotherapy, patients are helped to maintain their blood sugar control. Not only that, but regular exercise can reduce the need for medication, and some people even manage to control their body well enough to avoid insulin therapy.

role of physiotherapy

Pains That Can Be Relieved With The Help Of Physiotherapy

Physiotherapy is part of allopathic medicine, with positive and noninvasive effects on many conditions. In the case of acute, painful episodes, the role of physiotherapy in Dwarka is to decrease the pain level by specific means such as electrotherapy, manual therapy, postures or massage.

Moreover, physiotherapy is one of the best and most effective methods of prevention, but also the recovery of a wide range of diseases, being entirely a natural method that has no adverse effects, thus not being risky for patients. The only condition is that it is properly applied by the approved physiotherapist in Dwarka.

The benefits of physiotherapy

  • Increases joint mobility and keeps them healthy for as long as possible. Physiotherapy has real vasodilatory and trophic effects, leading to increased joint mobility.
  • It has an anti-inflammatory and anti-allergic effect, being a very good method of prevention, but also of treating the existing inflammations following a trauma. In addition, it alleviates or reduces existing pain.
  • The physiotherapy procedures can have on the body a beneficial action of relaxation, leading to the reduction of insomnia and favoring sleep. They also reduce the level of stress in the body and combat mental and physical fatigue.
  • Reduces distressing symptoms such as muscle pain, inflammation, contracture, stimulates blood circulation and therefore stimulates cell repair, promotes lymphatic drainage, reduces functional deficiencies, improves scars and aesthetic stretch marks, tones muscle mass and skin, helps in anti-cell treatment and is adjuvant in various diets improves peripheral circulation, accelerates the healing of degenerative diseases, increases cellular metabolism.

role of physiotherapy

When physiotherapy is indicated

  • Musculoskeletal pain, which is based on an inflammatory cause such as lumbalgia, cervicalgia, tendonitis, bursitis, sprains, carpal tunnel syndrome.
  • Muscular atrophy, which occurs due to prolonged immobilization in bed: gypsum, orthosis or prolonged decubitus.
  • Neuralgia: sciatica, intercostal neuralgia.
  • Peripheral features such as facial resemblance, radial nerve resemblance.
  • Chronic degenerative rheumatism, spondylosis, coxarthrosis, gonarthrosis, osteoarthritis of the shoulder, peripheral osteoarthritis.
  • Lombosciatica, discopathy, disc herniation, sciatica.
  • Posture disorders such as kyphosis or scoliosis.
  • Chronic inflammatory rheumatism: arthritis, ankylosing spondylosis, rheumatoid polyarthritis, reactive arthritis.
  • Post-traumatic sequelae, following a sprain or fracture.
  • Neurological sequelae: resemblance, paralysis, sequelae after stroke (stroke), multiple sclerosis, Parkinson’s disease.
  • Fatigue, stress, insomnia, agitation, depression.
  • Edema, fibrous, mixed cellulite.

In conclusion, it is advisable to remember that physiotherapy procedures speed up healing, relieve pain and stimulate the secretion of endorphins, all of which provide the patient with optimal health.

physiotherapy in Dwarka

Techniques Used in physiotherapy

Who is the physiotherapist?

On many occasions the physiotherapist in Dwarka is identified with that person who is dedicated to giving massages to treat muscle ailments and injuries; However, physiotherapy is a profession, as stated by the WHO, covers a set of therapeutic techniques that go beyond massage therapy and muscle treatment. Physiotherapy is a multidisciplinary profession that can act in different fields of medicine, such as traumatology, neurology, pediatrics, cardiology, dermatology, geriatrics or mental health, which often makes it part of a team with other specialists within which it enjoys great independence and professional capacity. According to World Confederation for Physiotherapy (WCPT), the physiotherapist is qualified to:

  • Perform a comprehensive examination and evaluation of the patient.
  • Evaluate the results of the test or diagnosis and make clinical judgments.
  • Determine when patients should be referred to another health professional.
  • Implement an intervention or treatment program.
  • Determine the result of the treatment.
  • Make recommendations for self-care.

Physiotherapists work in hospitals, nursing homes, research centers or clinics, both in primary care and in specialized medicine; In addition, they can also exercise their profession freely in day centers, sports clubs, associations of patients, gyms or through home care.

Techniques used in physiotherapy

The techniques used in physiotherapy in Dwarka are multiple and varied, although a classification can be made according to the tools and means used.

Manual therapy

One of the main tools of physiotherapists are their own hands, so there are a number of techniques that can be included in manual therapy:

1. Massage therapy

It includes different massage techniques or modalities, such as therapeutic massage, sports massage, connective tissue massage or cryomassage (cold application) and techniques such as therapeutic manual lymphatic drainage or neuromuscular manual techniques.

2. Kinesitherapy

Healing method based on active or passive movements of the body or a part thereof. This is achieved by applying an external force that will produce a movement without the individual performing a voluntary muscular contraction. It is indicated in processes where joint mobility is compromised.

3. Orthopedic manual physiotherapy

It focuses on the diagnosis and treatment of musculoskeletal injuries (hip, shoulder or knee injuries and neck and back pain).

4. Manual methods of reeducation of postural behavior

It consists of performing stretching exercises, called postures , that take care of the joints and eliminate the discomfort derived from contractures and muscle blockages, spinal deformities (scoliosis) or sequelae of trauma.

5. Analytical stretching

Therapeutic maneuvers whose purpose is to stretch shortened soft tissue structures to increase the range of motion. This practice is indicated in muscle contractures, burns and scars or in prolonged immobilization.

6. Neurological physiotherapy

It is based on the set of therapies to treat nervous system conditions in order to educate or re-educate postural tone, synergies, and pathological neuromotor patterns. It is indicated in brain lesions (Parkinson’s), peripheral lesions (peripheral nerve paralysis), spinal cord injuries (spina bifida, multiple sclerosisALS) or childhood neurological syndromes.

7. Respiratory physiotherapy

It consists of the performance of a series of procedures for airway unobstructionrespiratory re-education, and re-adaptation to the effort with the aim of improving the functioning of the muscles of the respiratory system and the exchange of gases, as well as increasing resistance. Respiratory physiotherapy is recommended in cases of neuromuscular diseases such as dystrophies, multiple sclerosis or ALS, and also after surgical interventions.

8. Obstetric physiotherapy

It is a series of hypopressive myasthenic gymnastics exercises aimed at strengthening the pelvic floor. Its name comes from the fact that the exercises are performed in hypopress, that is, by canceling the pressure exerted by the diaphragm and abdominal muscles on the pelvic floor muscles.

9. Functional bandage and neuromuscular bandage

The functional bandage consists of the application of elastic or inelastic adhesive strips whose objective is to limit the movements that affect the damaged structures without limiting other movements. The neuromuscular bandage is made through cotton tapes with an acrylic adhesive that sells the muscle from birth to insertion. The goal is to elevate the skin to increase subcutaneous space and thus help decrease fluid extravasation to reduce inflammation and pain.

10. Diacutaneous fibrolysis

Technique that involves the application of hooks on the skin to alleviate the discomfort caused by the destruction of adhesions of the membranes that surround the muscles, such as aponeurosis; The hook helps to attach and fix these structures. Each hook has a different size and curvature to adapt to the reliefs of the body.

physiotherapist in Dwarka

Physical agent therapy

The other type of tools used by physiotherapy specialists are those related to physical and natural agents :

1. Electrotherapy and ultrasonotherapy

They are techniques that consist of the application of electrical currents or ultrasound on certain parts of the body with the aim of enhancing neuromuscular action, improving trophism (development, nutrition, and maintenance of tissues) and acting as anti-inflammatory and analgesic.

2. Thermotherapy and cryotherapy

Therapeutic methods that use heat (thermotherapy) and cold (cryotherapy) to alleviate acute and chronic rheumatic pain and visceral cramps. Cryotherapy also serves as an anti-inflammatory and analgesic in lesions such as sprains, and also as a destructive method to treat skin tumors.

3. Hydrotherapy

Techniques that use water as a therapeutic method; include the Thalassotherapy (use of the medium and the marine climate) and hydrokinesitherapy (performing exercises in water). The hydrotherapy serves to reduce inflammation and pain, dilate blood vessels and relax muscles, besides having an antispasmodic effect.

4. Mechanotherapy and pressotherapy

Mechanotherapy refers to those treatments in which the use of mechanical devices is necessary, such as in patients with disabilities, patients in need of prostheses or orthotized children. The pressotherapy is carried out by means of a machine that makes a compressive massage through special legs that help expel excess fluid and improve circulation; It is indicated in the case of edema, varicose veins, and postphlebitic syndrome.

5. Magnetotherapy and phototherapy

Magnetotherapy consists in the development of a treatment through electromagnetic fields that acts to help eliminate contractures, it is antispasmodic and anti-inflammatory. Phototherapy is the treatment of injuries through the application of ultraviolet or infrared light; It is indicated in pathologies and skin diseases, such as acnepsoriasis, bedsores and physiological jaundice of the newborn.