Services - Spine Clinic | Ortho Neuro Physiotherapy Clinic https://www.orthoneurophysioclinic.com We are a Private Physiotherapy Clinic & Spine Cure Centre Ghaziabad by the name of Ortho Neuro physiotherapy clinic located in the Vasundhara Ghaziabad Fri, 24 Sep 2021 07:04:01 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.1 https://www.orthoneurophysioclinic.com/wp-content/uploads/2021/07/cropped-favicon-32x32.png Services - Spine Clinic | Ortho Neuro Physiotherapy Clinic https://www.orthoneurophysioclinic.com 32 32 Ortho Physiotherapy https://www.orthoneurophysioclinic.com/service/ortho-physiotherapy/ Wed, 28 Jul 2021 09:07:06 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=963 What is Ortho Physiotherapy? Physiotherapy is a profession of physical medicine – which applies specific exercises and hands-on treatments to help optimize a person’s movement. It is a profession that has a vast array of sub-disciplines. You may find Physiotherapists in a hospital setting helping patients recover from fractures and joint surgeries, spinal cord and brain injuries, lung conditions, and those with chronic or terminal illnesses. You may also find[…]

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What is Ortho Physiotherapy?

Physiotherapy is a profession of physical medicine – which applies specific exercises and hands-on treatments to help optimize a person’s movement. It is a profession that has a vast array of sub-disciplines.

You may find Physiotherapists in a hospital setting helping patients recover from fractures and joint surgeries, spinal cord and brain injuries, lung conditions, and those with chronic or terminal illnesses. You may also find Physiotherapists in early childhood development settings or eldercare living. As you can see – physiotherapists have a broad spectrum of knowledge across the lifespan.

Perhaps the most familiar setting you know is the private clinic, where bone, joint, and muscle conditions and injuries are rehabilitated. This is called “Orthopedic Physiotherapy” 

In fact, you could say that orthopedic physiotherapy is the “backbone” from which many other physiotherapy sub-disciplines branch from. At our clinic, we have sub-disciplines of pelvic health physiotherapy, vestibular physiotherapy, pediatric physiotherapy, arthritis care, and clinical pilates, to name a few. But the foundation of all of these specialty services is orthopedic physiotherapy. So, just what is it?

So, What is “Orthopedic Physiotherapy”?
“The medical specialty concerned with correction of deformities or functional impairments of the skeletal system, especially the extremities and the spine, and associated structures, as muscles and ligaments.”Dictionary.com

Here is where we introduce the word “musculoskeletal” to our discussion. Orthopedic physiotherapists have advanced education and skills to assess and treat injuries and conditions that involve the skeleton (bones), muscles, tendons, ligaments and fascia. All of these structures and tissues are captured and summarized by the term “musculoskeletal”. So, if you have a musculoskeletal problem, you might want to consult an orthopedic physiotherapist!

The Inter-Relationship Between Musculoskeletal Physiotherapy & Orthopedics

Physiopedia discusses the inter-relationship between “musculoskeletal and orthopedics” as follows:

“Musculoskeletal Physiotherapy is the term used to describe the field of physiotherapy, which relates to disorders of the musculoskeletal system. The term musculoskeletal refers to muscles, bones, joints, nerves, tendons, ligaments, cartilage, and spinal discs.

Musculoskeletal Physiotherapy utilises the basic sciences of anatomy, physiology and biomechanics as background theory in the assessment and management of patients. Approaches to management in the field of musculoskeletal physiotherapy involve not only ‘manipulation’, but also manual assessment and treatment techniques, specific therapeutic exercise, electrotherapy and advice on posture and movement disorders.”.

This makes sense that orthopedic physiotherapy is the foundation that physiotherapists acquire as they further develop their physiotherapy practice to focus on unique areas of interest and populations. There is a lot to know about the body, how it functions, and how it is meant to move. If the basic framework of the body cannot sustain itself then all other systems struggle.

An example of this is when someone has a decreased lung capacity – whether from disease or deconditioning. If they require an exercise program to improve their lung function but have limited ribcage expansion for example – then just simply having the patient do cardiovascular exercises may not be a satisfactory rehabilitation plan. This type of person would benefit from seeing an orthopedic physiotherapist to help mobilize (“move”) the joints in and around the ribcage, release or retrain the muscles of the diaphragm and spine that connect to the ribcage. Combined with the orthopedic treatment, the cardiovascular system has a better chance of optimizing its function and recover.

The same would be true with someone struggling with weight loss. Often there are secondary limitations that affect the person’s ability to move more to burn the calories needed for weight reduction. This is commonly seen with orthopedic issues involving the knee or hip which are the load bearing joints in the body. If it hurts to put weight on the knee or hip, it would be increasingly difficult to move, which continues the cycle of a sedentary lifestyle and likely more weight gain. This is where an orthopedic physiotherapist can step in and help reduce the pain, inflammation, and joint restrictions – making moving easier and weight loss through exercise more achievable.

For the youngster and their development, orthopedic physiotherapy is crucial in ensuring how the body develops, moves, and learns how to adjust to the demands of the growth and sports. That simple ankle sprain needs skilled hands-on treatment and positive education and exercises to get it back on track so it does not impede other optimal body parts from doing their function – now and as the child grows.

When it comes to pelvic health physiotherapy, a complete orthopedic examination is pertinent to the situation. There may be postural deficits, or sub-optimal pelvic positioning that are impairing the ability for the organs and muscles of the pelvis to work properly. We use our orthopedic physiotherapy skills to address these deficits which will have a positive impact on the pelvic floor.

As you can see, orthopedic physiotherapy is the most important component of our physiotherapy practice as it extends across all ages, conditions, and abilities. With advanced coursework and experience, our physiotherapists have made a big difference in the freedom of movement, quality of life, and pain-free living in so many patients.

Orthopedic Conditions

Musculoskeletal Conditions, Orthopedics & Sports Injuries: Musculoskeletal/sports-related injuries include injuries related to bones, muscles with their related tendons, joint structures such as ligaments, and menisci. Injuries may cause impairments such as pain, inflammation, restricted movement, joint instability, or muscle weakness. General Conditions are :

What is osteoarthritis?

Osteoarthritis (OA) is the most common chronic (long-lasting) joint condition. A joint is where two bones come together. The ends of these bones are covered with protective tissue called cartilage. With OA, this cartilage breaks down, causing the bones within the joint to rub together. This can cause pain, stiffness, and other symptoms. OA occurs most often in older people, although it can occur in adults of any age. OA is also called degenerative joint disease, degenerative arthritis, and wear-and-tear arthritis. A leading cause of disability, OA affects more than 30 million men and womenTrusted Source in the United States. Here’s everything you need to know about OA, from treatment to prevention and more.

Osteoarthritis Causes
OA is caused by joint damage. This damage can accumulate over time, which is why age is one of the main causes of the joint damage leading to osteoarthritis. The older you are, the more wear and tear you’ve had on your joints.

Other causes of joint damage include past injury, such as:

  • torn cartilage
  • dislocated joints
  • ligament injuries

They also include joint malformation, obesity, and poor posture. Certain risk factors, such as family history and gender, increase your risk of osteoarthritis. Check out the most common causes of OA.

Osteoarthritis and cartilage
Cartilage is a tough, rubbery substance that’s flexible and softer than bone. Its job is to protect the ends of bones within a joint and allow them to move easily against each other.

When cartilage breaks down, these bone surfaces become pitted and rough. This can cause pain within the joint, and irritation in surrounding tissues. Damaged cartilage can’t repair itself. This is because cartilage doesn’t contain any blood vessels.

When cartilage wears away completely, the cushioning buffer that it provides disappears, allowing for bone-on-bone contact. This can cause intense pain and other symptoms associated with OA. Here’s what else you need to know about cartilage, joints, and osteoarthritis.

Osteoarthritis Treatment:

  • Goal of therapy for patients with osteoarthritis is to control the pain, swelling, and improve quality of life.
  • Non-pharmacological therapy includes: exercise programs, weight loss counseling, and education. Physical therapy can be beneficial because it is important to maintain muscle strength and to help identify factors that are contributing to an increase in the rate of this wear and tear. Swimming is an ideal exercise because there is minimal pressure on joints.
  • Pharmacological Treatment:
    • Initial treatment of non-inflammatory OA should be with acetaminophen on an as needed basis, and can be used 3-4x daily (1000mg every six hours).Acetaminophen effects the liver, so car must be taken when ingested with other products that also are processed similarly, like alcohol.
    • If inflammatory OA is present or acetaminophen is not helping – use NSAIDS. Start on low dose on as needed basis. Side effects include: rash, abdominal pain, kidney or liver worsening, interference with aspirin.
    • If patients cannot tolerate medications by mouth, or are at increased risk from side effects with use (age >75), body cream composites with NSAIDS or capsaicin are used as alternative.
    • If NSAIDS and Tylenol do not help, use of joint injections with glucocorticoid (steroids) are useful.Patients may have 3 months of pain relief with each injection.
  • Surgery is considered for patients with serious disability.
    • Total joint replacement can be performed if patients fail conservative therapy. Refer to Dr. Chahal’s video on total joint replacement for further information by clicking here.

Prognosis:

Prognosis for patients with OA depends on the joint involved. Patients who have bilateral knee OA have faster rate of deterioration than patients who have fewer joints involved. Patients who have multiple medical conditions (heart and lung) are at greater risk of developing lower extremity disability than those with knee arthritis alone. Medication does not prevent progression of OA but can help the patient’s quality of life by controlling the pain. Physiotherapy can help identify and modify the activities that hard on joints and can reduce the symptoms associated with osteoarthritis.

What Is Neck Pain & Physiotherapy Treatment ?

Neck pain also referred to as cervical pain, is the general sense of discomfort and pain in the vertebrae area. Neck pain can be due to several reasons, the most common being incorrect posture, other than that there can be some medical reasons behind neck pain or it can also be due to some structural disorders in the neck, the cervical vertebrae and inter – vertebral discs, muscles, esophagus, larynx, trachea, blood vessels, lymphatic organs, nerves, thyroid gland and parathyroid glands.

Minor neck pain can be treated with the help of some at – home neck pain remedies like, massages, rest and ice packs, while severe forms of neck pain need medical attention.

NECK PAIN ON THE LEFT SIDE

Neck pain on the left side is mainly the result of bad postures. People suffering from some medical conditions may also experience neck pain on the left side. Other possible severe neck pain reason can be trauma, inflammation, or abnormal growths on the left side of the neck. People having neck pain on the left side may also experience a general sense of weakness or numbness in the neck, shoulder or the arm.

Treatment for neck pain on the left side involves the usual rest and exercise and physiotherapy for neck pain unless there is some other medical condition that requires surgery, to have neck pain relief. Back of Neck Pain: Often neck pain transpires into the surrounding region affecting the muscles and nerves connected to the head leading to back of neck pain. Back of neck pain are also responsible for tension headaches.

Neck Pain Symptoms

There are several symptoms of neck pain; one of the most common neck pain symptoms is a dull pain in the neck. Some of the neck pain symptoms for underlying medical issues are as follows;

  • Numbness
  • Tingling
  • Tenderness
  • Sharp shooting pain
  • Difficulty swallowing
  • Pulsations
  • Swishing sounds in the head
  • Dizziness or lightheadedness
  • Lymph Node Swelling
  • Arthritis
  • Wryneck
  • Tumour Severe neck pain due to pinched nerve shows the following symptoms;
  • Headache
  • Facial pain,
  • Shoulder pain,
  • Arm numbness or Tingling (upper extremity paresthesias)

Apart from the above symptoms, in several medical conditions neck pain can also be accompanied by upper and lower back pain.

 

Neck Pain Diagnosis

In cases of severe neck pain, a doctor makes a diagnosis only after reviewing the history of the symptoms along with the site of neck pain, the intensity of the pain, duration, and radiation of the pain. Some of points noted by a doctor before making any diagnosis are – Is the pain getting worse or improved with some movement of the head, any injury to the neck in the past and the treatments received. Doctors also examine the patient’s nervous system to determine the involvement of any nerve behind the neck pain.

Some of the tests that can be administered by the doctor for making appropriate diagnosis include

  • X-ray
  • CT scan,
  • Bone scan,
  • MRI scan
  • Myelogram
  • Electromyography (EMG)
  • Nerve conduction velocity test (NCV).

Causes of Neck Pain

There are as many neck pain causes as there are types of neck pain. From the common culprit like bad posture to more serious health conditions like tuberculosis of the neck are some of the few reasons behind neck pain. Some of the common neck pain causes are as follows;

  • Degenerative disc disease
  • Neck strain
  • Neck injury – whiplash, herniated disc or a pinched nerve
  • Neck pain due to throat virus infection causing swelling of the lymph node and neck pain
  • Tuberculosis of the neck
  • Infection of the spine bones in the neck (osteomyelitis and septic discitis)
  • Meningitis, accompanied with neck stiffness
  • Fibromyalgia
  • Polymyalgia
  • Rheumatica

Neck Pain Remedies

Neck pain remedies do not need to be restricted to massages and medication, there are now plenty of other forms of fun activities that can bring neck pain relief like Jacuzzi treatment, or specifically designed neck pillows for sleep besides the regular neck pain relief exercises and stretches.

Physiotherapy For Neck Pain

Physiotherapy for neck pain goes a long way in bringing neck pain relief in some cases, by means of Stretch, strengthen and straighten
Massage and specific neck pain exercises

  • Ultrasound – helps in eliminating muscle and joint pain
  • Transcutaneous electrical nerve stimulation or TENS – is a therapy that uses mild electrical currents to treat pain
  • Mobilization – It is a manual treatment that improves joint function along with stretching tight muscles and ligaments through neck pain exercises.
  • Traction – This therapy involves creating a sustained pull on the neck to bring neck pain relief in neck pain due to nerve root irritation or muscle spasms. 

How Can We Help?

Neck pain comes across as a very innocent type of pain but, who suffer from the severe neck pain understands the true nature of this pain.

Neck pain can be aggravated by simple activities like walking or sudden movements and as such these people require the help of health care professionals to get treated at the comfort of their home.

Portea is widely renowned for offering quality healthcare at home. Our physiotherapists are not only highly trained and well experienced; they follow a patient-centric approach, meaning they modify their services as per the need and condition of the patient.

We also train and help the patients in performing neck pain exercises as part of physiotherapy for neck pain. So if you need neck pain treatment at home or physiotherapy for neck pain just get in touch with us and allows us to rapidly bring you back to good health.

 

Neck Pain Treatment

What is the Best Treatment for Neck Pain?

The best treatment for your neck pain is determined entirely by the specific reasons for WHY you are suffering neck pain. Everyone is different, but there are some common similarities.

Your physiotherapist is highly skilled at the diagnosis and treatment of mechanical neck pain and headache. Posture correction is important but it does depend upon the availability of enough joint and muscle flexibility to attain a good posture, plus muscle strength and endurance to maintain your good posture. Any deficit will need to be addressed.

We understand that your neck pain may not be solely about stiff or wobbly joints or tight/weak neck muscles. There is a whole gamut of information that your physiotherapist will analyse during your diagnostic consultation and then commence the correction of your individual problems. They’ll also consider other systemic conditions that can cause neck pain eg cancer, and direct you towards the appropriate healthcare practitioner if appropriate.

Fortunately, the vast majority of neck pain does come from your neck joints and muscles. Pleasingly, researchers have shown that a combination of neck joint and muscle treatment performed by your physiotherapist and some specific strengthening exercises are an effective way to eliminate your neck pain, stiffness and headaches.

For advice specific to the diagnosis and management of your neck pain, please contact your trusted healthcare practitioner.

 What Is Back Pain?

Back pain is by far the most common health problem affecting millions of people globally. It is also the most casually dealt health problem by people, as we casually disregard back pain as an unavoidable physical discomfort; we fail to realize that the very basic back pain can be a symptom for a potentially serious decease. People usually reach out for over the counter pain killers or pain relief sprays instead of seeking proper back pain treatment.

Depending upon the region of the back that is affected, back pain can be categorized into three different types – cervical or neck pain, thoracic or middle back pain and Lumbar/ Coccydynia (tailbone or sacral pain) or lower back pain.

  • Lower Back Pain – Lower back is also medically referred to as lumbar or Coccydynia (tailbone or sacral pain). It affects the lumbar region spine and surrounding areas like the buttocks, upper thigh and the groin areas. Lower back pain is also the most common type of back pain affecting people.
  • Middle Back Pain – It affects the area between the cervical and lumbar region. It is also medically referred to as thoracic pain and is a less common form of back pain.
  • Upper Back Pain – Upper back pain affects the cervical region i.e. the spine and neck. It causes stiffness and discomfort in the neck and shoulder area. Slouching, sleeping posture are some of the chief causes of cervical back pain.

 Why Is Back Pain A Common Problem?

Back pain is by far the most common debilitating health problem for people caused mainly due to incorrect posture and bad lifestyle. Back pain is common in older people. Women, especially pregnant women, are more prone to backaches than men. Back pain is by far the most common debilitating health problem for people caused mainly due to incorrect posture and bad lifestyle. Back pain is common in older people.

Women, especially pregnant women, are more prone to backaches than men. Often ignorance of the severity of the problem and lack of proper back pain treatment aggravates the pain and resulting in a chronic problem. So don’t further aggravate your back pain and seek treatment at home. You can simply go online and type back pain relief near me or back pain treatment near me to find good back pain treatment offered  by Portea Medical at the comfort of your home.

 Common Causes Of Back Pain

There are numerous causes of back pain; nearly 98% of all back pains have no serious medical pathology, while a little less than 2% of all back pains are caused due to serious infections and metastatic cancer. And a little less than 1% is caused due to epidural abscesses. There are innumerable causes of back pain, some of which are as follows;

Strain

Strained muscles and ligaments, muscle spasms, muscle tension and injuries related to falls are the root cause for a majority of back pain complaints. Back muscles are mostly strained due to heavy lifting, lifting stuff improperly and sudden awkward movements. But you have more control on this form of backaches than you believe. With the availability of back pain treatment at home, you needn’t have to live with the pain. We offer the best back pain physiotherapy treatment at home.

Back Structural Problems

Ruptured discs, bulging discs, abnormal curvature of the spine, sciatica, arthritis, osteoporosis and kidney infections or stones can also lead to excruciatingly painful backaches restricting one to bed. In this scenario a patient’s movement is massively affected and they are best advised to seek back pain treatment at home, so as to not to further aggravate the problem with travelling.

 Movement and Posture

A majority of all back pains today are caused due to bad postures, sudden jerks, standing or sitting for long periods, driving for a long period without breaks. These are just some of the few examples of movement and posture related back pains. Physiotherapy for back pain can be safely said to be the best form of treatment for this type of back pain.

Pregnancy

Back pain is a pretty common phenomenon both during and post pregnancy owing to hormonal changes, weight gain and epidural injections. Since seeking medications during pregnancy for such a pain is not advisable, physiotherapy for back pain can be said to be the safest bet to get rid of back aches in these times.

Obesity or Overweight

Obesity is another leading factor of back pain. A lot many of us are more or less overweight and this excess weight puts a lot of strain on our body leading to all sort of body pain. To counter this, it is best recommended to indulge in healthy eating and some form of exercise to lose the extra weight and for the back pain you can seek back pain therapy or physiotherapy for back pain.

Medical Condition

 We do not realize something as basic as a back pain can be a symptom of various diseases like Cauda Equina Syndrome, Cancer of the Spine, Infection of the Spine, Pelvic Inflammatory disease, Kidney infections, Sleep Disorders and Shingles among others. When your back pain does not subside in a few days, it is highly recommended to seek medical attention to get to the root cause of the pain and thereby seek proper medication and back pain therapy as recommended by the doctor.

 How To Prevent Back Pain

Some of the steps we can undertake to lower the risk of back pain are as follows;

  • Make exercise a part of your daily routine; even a 15 minute exercise will go a long way in strengthening the back muscles and adding flexibility. However, don’t practice exercises that include heavy lifting without due supervision.
  • Indulge in a healthy diet that includes enough calcium and Vitamin D, for good bone health. A proper diet will also help in losing extra body weight.
  • Mind your posture while sitting and standing. Don’t slouch and don’t sit or stand for long hours at a stretch.
  • Be careful while heavy lifting. Always bend your knees when lifting anything.
  • Do not lift heavy objects and twist at the same time.
  • Also wear proper footwear; ladies who wear high heels for long period of time are more susceptible to back aches.
  • Don’t drive continuously for long hours; take proper breaks to stretch yourself.
  • Invest in a good mattress that provides proper support to your body.

 The Best Treatment for Lower Back Pain?

The best treatment for lower back pain obviously relies upon an accurate diagnosis to direct the primary treatment direction. Once the specific spinal pathologies have been excluded or the patient referred to the relevant specialist we are dealing mostly with radicular syndromes and non-specific lower back pain (NSLBP).  

With accurate assessment and early treatment, most NSLBP and radicular pain syndromes will respond extremely quickly to physiotherapy, allowing you to quickly resume pain-free and normal activities of daily living.  Please ask your physiotherapist for their professional treatment advice. They can also advise you when a back brace is suitable or if you are better advised to perform some specific back exercises. 

Real-time ultrasound has been used by back pain research in recent years to assist the diagnosis and successful treatment of lower back pain. Real-time ultrasound is now available at leading physiotherapy clinics to assist you and your back pain relief and prevention.

While lower back pain treatment will vary depending on your specific diagnosis, your physiotherapist will have the following aims. 

 PHASE I – Back Pain Relief & Protection

Managing your back pain is the main reason that you seek treatment for lower back pain. In truth, it was actually the final symptom that you developed and should be the first symptom to improve.

Your physiotherapist will use an array of treatment tools to reduce your pain and inflammation. These include ice, electrotherapy, acupuncture, de-loading taping techniques, soft tissue massage. A course of non-steroidal anti-inflammatory drugs such as ibuprofen may also help in this phase.

Osteoporosis Physiotherapy

Osteoporosis is a common disease that causes a thinning and weakening of the bones (the bones becomes thinner and more porous, which makes it mechanically weaker as well).  It can affect people of any age. Women have the greatest risk of developing the disease, although it also occurs in men. Osteoporosis affects 55% of Americans aged 50 or older; one-half of women and a quarter of men will fracture a bone as a result of low bone density (osteopenia) or osteoporosis.

Thin bones are the cause of 1.5 million fractures per year in the United States; just hip fractures alone result in 300,000 hospitalizations. It is important to diagnosis low bone density or osteoporosis early so that steps can be taken to rebuild bone strength and lessen the risk of fracture.

FIRST OF ALL, WHAT IS OSTEOPOROSIS?
Osteoporosis is a bone disease characterized by

  • low bone density (thickness of the bone)
  • decreased bone strength
  • and a change in the bone structure

– which can lead to an increased risk of fracture.

The normal bone structure becomes thinned out and porous with poor nutrition, aging, or when osteoporosis develops, lessening the ability of the bone to withstand the typical forces that are applied in everyday living. Fractures from low bone density and osteoporosis can be serious, causing pain and affecting quality of life.

Our bones are living tissue.

Normally, one type of cell removes bone and another type of cell adds bone in a balanced, ongoing process. However in the case of osteoporosis, bones weaken when not enough new bone is formed and/or too much bone is lost. This imbalance commonly begins in women during the first 5 years of menopause. That being said, it can also occur in men and in children, often due to diseases that affect bone development, such as

  • celiac disease
  • inflammatory bowel disease
  • rheumatoid arthritis
  • spina bifida
  • cystic fibrosis
  • kidney disease

Some medicines, such as steroids, may increase the risk of developing osteoporosis. Athletes who are underweight during the time of peak bone development are also susceptible. There are many factors that can cause a person to be at risk for developing osteoporosis. It is important to know your risks so that you can be diagnosed and proactive in your treatment.

Risk Factors for Osteoporosis

Noncontrollable risks

  • Female gender
  • Small frame
  • Advanced age
  • Hormone levels
  • Genetics
  • Predisposing medical conditions

Controllable risks

  • Cigarette smoking
  • Excessive alcohol intake
  • Inactive lifestyle
  • Excessive caffeine intake
  • Lack of weight-bearing exercise
  • Drugs (eg, steroids, heparin)
  • Poor health
  • Low weight
  • Calcium-poor diet
  • Low vitamin D levels

How does osteoporosis feel like?

Osteoporosis is a disease that can be “silent” i.e., the patient can be totally unaware of it. There may be no outward symptoms until a fracture occurs. If you are middle-aged or older, you may notice a loss of height or the appearance of a humpback. You may also begin to experience pain between your shoulder blades or above the crest of the pelvis.

People with low bone density may experience fractures in everyday situations that would not occur in persons with healthy bones, such as breaking a hip or a breaking their wrist with a fall from a standing height, breaking a rib when opening a window or when receiving a hug, or breaking an ankle after stepping off a curb.

These are called fragility fractures and are a red flag for bone disease.

Spinal compression fractures, particularly those in the upper back or thoracic spine (area between the neck and the lower back), are the most common fractures, followed by hip and wrist fractures.

HOW IS IT DIAGNOSED?

If you see our senior physiotherapists for back pain or other rehabilitation issues (or if you have wrist fractures, you may see our senior hand therapists), we will review your

  • medical
  • family
  • medication
  • exercise
  • dietary
  • hormonal history
  • conduct a complete physical examination

and determine your risk factors for osteoporosis. The assessment may lead us to recommend further testing. Osteoporosis is best diagnosed through a quick and painless specialized X-ray called the DXA, which measures bone density. The results are reported using T-scores and Z-scores.

  • The T-score compares your score to that of healthy 30-year-old adults. If you have a T-score of -1 or less, you have a greater risk of having a fracture.
  • If the T-score is -2.5 or less you will receive the diagnosis of osteoporosis.

The Z-score compares your bone mineral density to those of the same sex, weight, and age. It is used for those whose bone mass has not yet peaked, premenopausal women, and men older than 50.s

Fibromyagia Physiotherapy

Fibromyalgia is a chronic condition that is often difficult to diagnose and unfortunately affects almost 5 million people in the United States, where 80% to 90% are women. Fibromyalgia usually is diagnosed in adults between the ages of 30 and 50, but the symptoms—such as widespread chronic pain and fatigue—can show up earlier. Although there is no definitive cure at this time, there are treatments that can help. Our senior physiotherapist can help you:

  • Understand and manage your pain
  • Reduce your fatigue
  • Improve your function and quality of life

WHAT IS FIBROMYALGIA?
The cause of fibromyalgia is unknown, but it’s thought to be due to changes in how our nervous system experiences, understands and interprets pain. It might be triggered by

  • trauma
  • surgery
  • infection
  • arthritis
  • or major emotional stress
  • or it may develop gradually over time

Also, individuals who have health conditions such as rheumatoid arthritis, systemic lupus erythematosis, or ankylosing spondylitis are more likely to develop fibromyalgia.

Signs and symptoms

Fibromyalgia isn’t “just” a condition; it’s really a complicated and complex syndrome involving many different signs and symptoms. Patients may experience:

  • Widespread pain, often a dull achiness, on both sides of the body above and below the waist  
  • Spots on your head, neck, chest, shoulders, elbows, hips, or knees that are tender to a firm touch; these “tender points” may move around or come and go
  • Muscle stiffness, especially in the morning
  • Headache
  • Thinking and memory problems
  • Fatigue (sometimes misdiagnosed or even has chronic fatigue syndrome as well)
  • Depression
  • Anxiety
  • Pain or cramps in the abdomen or pelvis
  • Irritable bowel syndrome
  • Irritable bladder syndrome
  • Difficulty sleeping or getting back into sleep; waking unrefreshed
  • Temporomandibular (jaw joint) pain
  • Numbness or tingling

Often, stress can aggravate symptoms too.

HOW IS IT DIAGNOSED?

Because there are no blood tests, x-rays, or muscle biopsies that can be used to diagnose fibromyalgia, you’ll need to work closely with your doctors to obtain an accurate diagnosis. The reason is because there are really many health conditions that can cause pain and fatigue, so it’s important to have a thorough medical examination to rule out conditions other than fibromyalgia, such as

  • rheumatologic diseases
  • infectious diseases
  • Lyme disease
  • hypothyroidism
  • metabolic disease
  • or side effects due to medication
  • Once other conditions have been ruled out, a diagnosis is made based on key symptoms—extreme fatigue, pain in multiple “tender points” (points that are tender to touch and that move around), trouble sleeping, anxiety, and memory problems.
  • Our senior physiotherapist can identify fibromyalgia while performing a routine examination and taking your health history. We will pay close attention to the pattern of your symptoms.
  • For instance, there are 18 possible tender points, and the more tender points you have, the more likely you have fibromyalgia. We may refer you to a rheumatologist, a physician who specializes in arthritis, for medical care that includes medications.
  • HOW OUR SENIOR PHYSIOTHERAPISTS CAN HELP

Living with fibromyalgia can be very challenging.

Your pain and other symptoms might take different forms from day-to-day. If you avoid activity because of pain, your overall physical fitness might  decrease and that comes with a different set of health problems. Extensive research supports the use of education, aerobic exercise, and strengthening exercise to help improve fibromyalgia. Usually (and naturally) the fear of pain often keeps people from beginning an exercise program.

We will teach you how to interpret pain signals—and how to manage and decrease your symptoms—through a customized exercise program.

Help You Take Control Through Information

Research shows that people who are knowledgeable about their health condition

  • have more confidence
  • can cope better with their condition
  • and are more likely to get “back in the swing”

We can explain how fibromyalgia affects the way your body perceives and responds to pain and how you can start to take control of the pain, rather than the pain controlling you. We also have evidence to support that knowledge is power, as it pertains to managing pain. We also can provide information on local support groups, exercise programs, and self-help programs. 

Manage Your Symptoms Through Exercise

Regular, moderate exercise is an important part of managing fibromyalgia. Reducing body mass index (weight loss) can actually reduce the risk of developing fibromyalgia. Research has shown that the following treatments can decrease pain and improve function, general health, and sleep in people with fibromyalgia:

  • Aerobic conditioning
  • Aquatic exercise
  • Stretching
  • Strengthening exercise
  • Yoga
  • Tai chi
  • Deep breathing
  • Recreational activities
  • Manual therapy

We will design an exercise program that’s right for you. To ensure your success, the therapist will show you how to:

  • Start slow.
  • Pace yourself.
  • Set realistic goals for exercise and physical activity.
  • Modify your program in times of stress.

We can help you improve not only your fitness, but your quality of life by designing a program of aerobic exercise, which trains your heart and lungs as well as your muscles. Aerobic exercises include walking briskly (you can talk but you need to take deep breaths), bicycling, swimming, and using a stair-climbing or elliptical device.

If you have severe symptoms, we will work with you to gradually increase your overall activity level and your tolerance for exercise, starting you off with exercises that you are able to perform for short periods (eg, 10 minutes), and then gradually building up your tolerance for longer exercise. Even short, 10-minute exercise sessions done 2 or 3 times per day can improve your strength and increase your endurance. If you have milder symptoms, we might focus on strengthening your muscles or increasing your cardiovascular fitness. We might recommend aquatic exercise in a pool to help reduce stiffness and pain while you exercise.

Even if you start out slowly, you are likely to have more pain as a result of increasing your activity. We will prepare you by teaching you techniques that you can use at home, such as relaxation techniques and stretching exercises.

You might have other conditions in addition to fibromyalgia, such as

  • tendinitis
  • arthritis
  • or heart disease

These conditions can make exercise more difficult for you.

We are uniquely trained to individualize treatment for those conditions, taking into consideration the effect that they might have on your fibromyalgia symptoms and on your exercise ability.

You may be prescribed medications that target brain chemicals that are responsible for the way your body deals with pain. We also take into account the effects that medications may have on your movement and exercise ability.

Improve Your Range of Motion

Our senior physiotherapists may use manual therapy techniques to move your joints while you are relaxed to help improve your joint motion. These techniques are combined with exercise, stretching, and movements that you control.

Use Special Techniques

Research indicates that the best results are likely to come from combining a variety of treatments. Appropriate medications, exercise, and “mind-body techniques” can work together to help you manage your symptoms. Some techniques, such as meditation and cognitive behavioral therapy, can change your responses to pain and promote relaxation. We also are educated and experienced in how to recognize behaviors that may interfere with recovery of function, and often refer patients to other health care professionals who can help them overcome these barriers.

We might use biofeedback to help you control muscle tension and decrease pain, using a device that provides you with information about the amount of tension in your muscles. We place electrodes on your skin with a soft gel, and these electrodes record muscle tension while explaining how you can relieve that tension. We also can show you how to set a routine time for sleeping and waking to allow for good restorative sleep. We will discourage you from sleeping in the daytime, as that can throw off your sleep cycle.

Reduce Your Pain

To reduce your pain, we may select from a number of treatments:

  • We may use pressure on specific areas of the muscle, followed by stretching or contracting your muscles, to relieve pain and make the muscles more flexible. We also might use manual therapy techniques to help relieve pain in your muscles and other connective tissues (the material between the cells of the body that support the organs and other tissues).
  • We may use dry needling to relieve your pain by inserting very fine wire-like needles into the painful areas of the muscle.

What is the Temporomandibular Joint (TMJ)?

The TMJ is located directly in front of your inner ear, below your temple, and is a part of the body we use many times during the day when we talk, yawn, eat, drink or chew (see diagram). Usually, you are only aware of this joint when it becomes painful.

What causes TMJ Dysfunction?

The pain and tenderness of TMJ dysfunction can be caused by the disc in the joint moving out of place and causing pressure on sensitive structures around the joint. Other causes of TMJ Dysfunction include:

  • Clenching or grinding of the teeth, both during the day and while sleeping at night
  • Poor posture, leading to strains or overuse of muscles in the face and neck
  • Inability to relax
  • Poor diet
  • Lack of restful sleep
  • Arthritis
  • Fractures
  • Alignment or structural problems present since birth
  • Injuries to the face, head or neck, such as concussions, facial blows, or motor vehicle accidents

Symptoms of TMJ Dysfunction

The pain of TMJ dysfunction can be sharp, searing and catching, or dull and constant. It can be extremely debilitating. Other symptoms include:

  • Ear pain, or fullness of the ears
  • Facial pain
  • Sore, tight, tender jaw muscles
  • Temple, cheek, tooth or jaw pain while swallowing, yawning, talking or chewing
  • Jaw popping, clicking or locking upon opening or closing, or while chewing
  • Reduced ability to fully open or close the mouth
  • Frequent headaches or neck aches
  • Muscle pain and spasms in the face, head and neck
  • Ringing in the ears

Physiotherapy and TMJ Treatment

Are there treatment options?

Fortunately, a trained Physiotherapist can help by teaching you relaxation, stretching and strengthening exercises for the face, head and neck muscles. These exercises can also help to augment the effect of the appliance or mouth guard your dentist may have already provided to you. Your program may include one or more of the following:

  • Stretching and strengthening exercises of the jaw, head and neck
  • Postural correction, relaxation and breathing exercises
  • Manual stretches and mobilizations of the jaw and neck joints
  • Ultrasound and electrical stimulation to improve healing

What can you expect?

At Ortho Neuro Physiotherapy Clinic, you will work directly with a certified Physiotherapist, trained through post graduate course work, in the assessment and treatment of TMJ dysfunctions.

Your Physiotherapist will assess:

  • Your unique jaw and neck movement disorder or alignment issues
  • Muscle imbalances and tightness
  • Any joint related problems

Following your assessment, your Physiotherapist will put you on a specific, individualized exercise program. You will continue to see your Physiotherapist to monitor and progress your program, and to provide you with the hands-on therapy you may require.

Your Physiotherapist will always be in contact with your dentist and/or specialist to coordinate your treatment with their recommendations.

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]]> Spine Care Physiotherapy https://www.orthoneurophysioclinic.com/service/spine-care-physiotherapy/ Wed, 28 Jul 2021 08:55:51 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=957 Advance Spine Care Programe (FOR SPINAL INJURY PATIENTS/BACK PAIN/ SCIATICPAIN/DISC SLIPED) Back pain is increasingly common in today’s society, with a high percentage of us suffering at some point in our lives. With progressive effective physiotherapy care, based on extensive research, the spine can be protected from recurrence of problems and modification of lifestyle can be kept to a minimum Needless to say, ongoing treatment can be expensive both in[…]

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Advance Spine Care Programe

(FOR SPINAL INJURY PATIENTS/BACK PAIN/ SCIATICPAIN/DISC SLIPED)

Back pain is increasingly common in today’s society, with a high percentage of us suffering at some point in our lives. With progressive effective physiotherapy care, based on extensive research, the spine can be protected from recurrence of problems and modification of lifestyle can be kept to a minimum Needless to say, ongoing treatment can be expensive both in money terms and time away from work but current physiotherapy trends are more focused on prevention of back pain. This can involve assessment of your home or work environment, personalised exercise programmes, and predominantly aimed at stabilising an otherwise vulnerable spine and hands on treatment for pain relief or to help in getting the body moving.

Most Physiotherapy centres are now geared up to provide exercise for individuals needs. This can be in the form of personalised training sessions. For the sporty individuals who suffer back pain, it is not always necessary to stop playing sport which can be psychologically a frustrating experience. Back care can go hand in hand with continuing sporting activity and it may be that you need to get fit for your sport rather than using your sport to get fit. We continually liaise with the Personal Trainers in the gym and can work as a team to help you back to fitness.

10 Golden Rules for Spine

(To avoid any spine Pain, Spine Injury, Slipped Disc, Sciatica,)

1. Stretches regularly – in sport – stretch every day, if not 2-3 x a week, change positions frequently.

2. When sitting in car for long periods or at a desk
hamstring stretch
pelvic tilts
weight transference
stretching arms above head
walking around at regular intervals

3. Abdominal work – While sitting in a car or at a desk, correct your posture then use your abdominal muscles by sucking in your tummy below the waistline and then gently push down on the dashboard or desk(with straight elbows). Don t suck in your tummy by lifting your chest and taking a deep breath.

4. Workstation should fit you, not you fit the workstation. Remember to organise books and file close by etc, over stretching tight muscles can cause injury.

5. Check your own home environment,
support from chairs
work surfaces at a correct height etc

6. Avoid repetitive movements – discs become damaged with repetitive movement or with poor maintained postures e.g. gardening – picking up patio slabs or packing case at awkward height and then lifting it when full.

7. Take regular exercise – walking is good to encourage postural muscles.

8. Smoking reduces blood circulation to all parts of the body e.g. discs. 

Benefits of Activity & Movement
• Bodies systems are enhanced by good circulation
• It supplies tissues with all chemicals needed
• If body emotionally stressed your body is vulnerable if these systems are not being maintained.
• Best way to keep circulation flowing efficiently is with exercise.
• This encourages the heart pump and the muscle pump into action. Remember that your body and its muscles are adapted to the postures/activities you habitually use, therefore when it comes to doing one off activity e.g. – • Decorating the hall
• The first game of badminton in years
• The parents race at school
You will be using muscles which may be tightened or shortened as a result of poor posture and are likely to be easily injured.

9. Always observe strict rules of lifting
• wide base of support
• bend knees and use the power in your legs
• object to be held close
• avoid bending and twisting together.
• brace your body as you lift.

10. If you are not used to regular exercise do not suddenly do 1 hour in the gym e.g. with full sit-ups, double leg presses etc.

(A special program for spine patient 2wise in the week for long term prevention of back & sciatica)

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]]> Neuro Physiotherapy https://www.orthoneurophysioclinic.com/service/neurological-physiotherapy/ Wed, 28 Jul 2021 08:07:33 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=927 What is Neurological Physiotherapy? Damage to your central nervous system, including your brain and spinal cord, means that the messages from your brain are not reaching the affected parts of your body. This can result in loss of movement and sensation, uncoordinated movement, weak and floppy muscles, spasms,s, and tremors. Neurological Physiotherapy is able to kick-start the message pathways that your brain is struggling to use, to make new pathways[…]

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What is Neurological Physiotherapy?

Damage to your central nervous system, including your brain and spinal cord, means that the messages from your brain are not reaching the affected parts of your body. This can result in loss of movement and sensation, uncoordinated movement, weak and floppy muscles, spasms,s, and tremors.

Neurological Physiotherapy is able to kick-start the message pathways that your brain is struggling to use, to make new pathways through repetitive actions and exercises. Many of our clients who undergo Neurological Physiotherapy can improve symptoms such as, difficulties with loss of balance, loss of hand and arm, or leg and foot function, walking, spasticity, and pain.

Our team of highly trained specialist physiotherapists is experts in the treatment of all neurological conditions including:

  • Stroke
  • Head Injuries
  • Spinal Cord Injuries
  • MS
  • Parkinson’s

At the first consultation, we assess and create personal goals. PhysioFunction recognizes that everybody’s goals are different. They can be anything from walking, driving to visit friends or family, returning to work, or taking up sport again. PhysioFunction has even helped a client to achieve their aim of walking down the aisle!

Physiotherapy sessions are carried out by specialist Neurological Physiotherapists, a Therapeutic Exercise Instructor, or Physiotherapy assistant, either individually or in a group exercise class. Appointments are usually within five working days. A comprehensive assessment establishes individual needs and recommendations for future treatment. Following the initial assessment, we can also advise whether there is a need to seek further assessments such as occupational therapy (available on-site at our Northampton Clinic) or speech therapies.

A stroke occurs when the blood supply to part of the brain is suddenly interrupted, or when a blood vessel in the brain bursts, spilling blood into the spaces surrounding brain cells.

Types of Stroke

There are two types of stroke:

An Ischemic Stroke is a blockage of a blood vessel supplying the brain, ultimately causing a brain infarction – or death of brain tissue. Ischemic Stroke accounts for approximately 80 % of all Stroke incidents. Ischemic Strokes can also be caused by either an abnormal narrowing or thickening of the artery wall. Also called Embolic Stroke or Thrombotic Stroke.

A Haemorrhagic Stroke is bleeding into or around the brain. Such strokes account for approximately 20 % of all strokes. Also called Intracerebral Haemorrhage or Subarachnoid Haemorrhage.

Brain cells die when they no longer receive oxygen and nutrients from the blood (Ischemic Stroke) or when they are damaged by sudden bleeding into or around the brain (Haemorrhagic Stroke). When blood flow to the brain is interrupted, some brain cells die immediately, while others remain at risk of death.

PhysioFunction’s highly specialised neurological physiotherapists are able to deliver tailored stroke rehabilitation programs.

A Stroke may affect different areas of your body. Common areas which can be enhanced through Neurological Physiotherapy include:

  • Improving walking
  • Improving arm and hand function after Stroke
  • Reducing post-stroke shoulder pain from shoulder instability or weakness
  • Enhancing mobility by addressing any foot dragging
  • Reducing spasticity in limbs and muscles
  • Addressing weak and spastic muscles
  • Re-educating movement patterns through natural and assisted technology methods, such as:
  • Functional Electrical Stimulation (FES)
  • Saebo products
  • Mirror therapy

Sometimes patients have been told that they have reached a point where they will no longer improve.

From our experience, we have seen improvement in clients many years after the onset of their condition. With determination and help from our specialist team of Neurological Physiotherapists, PhysioFunction can help clients regain movement and function long after they have been told they have ‘plateaued’ in their recovery.

Often called the hidden disability, people who have sustained an Acquired Brain Injury (ABI) are often faced with distinctly different challenges than people with similar impairments arising from other causes.

At PhysioFunction we work with our clients to achieve the things that matter to them. Our team understand that in order to work effectively with people who have sustained an ABI, it is essential to have a broad understanding of the physical processes of injury and recovery, the possible impact on brain functions, and the outcomes that may result – for the individual, the family and society as a whole. Therapy is an active process done with the person, not to them. Each individual’s abilities will determine how the person is able to participate.

Each therapy programme is specifically designed to meet the needs of each individual’s goals. Broadly this can be placed under the following headings:

  • Motor/sensory Retraining
  • Moving in bed
  • Sit to Stand
  • Walking

As a result of weakness or changes in tone and muscle imbalances, some individuals are at risk of developing muscle shortening and loss of joint mobility. This can then lead to more permanent reduction in function. One of the primary goals of physiotherapy intervention is to identify these muscle imbalances and provide an appropriate intervention.

Sitting here in the waiting room of the Chris Moody Centre set me thinking how had I got here? I was born in the mid-60s after what I am led to believe was a traumatic birth which resulted in my Acquired Brain Injury (ABI). As I grew up I learned the effects the ABI had on me, I found crowds of people intimidating and busy atmospheres – both visual and auditory hard to cope with. My ABI also caused me to be moody and perhaps a bit abrupt at times. My stamina is certainly reduced as is my ability to find words, I also find that I consume a lot of food and do not add weight, which I am told (from someone who had attended a lecture on nutrition for people with head injuries) is a symptom of ABI. I have epilepsy too, however this is controlled with medication.

After much frustration at fitting my square peg into a round hole (the NHS) I found myself at the Chris Moody Centre discussing a totally unrelated matter. Whilst waiting for the appointment I found a leaflet describing what PhysioFunction could provide. Almost immediately I contacted them and a few days later I found myself back at the Chris Moody Centre seeing a physiotherapist about my leg. After several sessions I mentioned how quickly I went through shoe heels – the physiotherapist talked to the Clinical Director of the company and he came back with a list of suggestions, one of which was a SAFO. So after a trip to the South Coast for a consultation which proved most fruitful and a return visit to collect the SAFO, I find that in the three years that I’ve had it I have not needed to replace my shoe heels.

At more or less the same time the physiotherapist told me about something called Neurofit, run by a personal trainer and a physiotherapist, which I likened to a gym session for people who have neurological injuries and a competitive nature. It also has improved my mental wellbeing. Initially the physiotherapist would hold my hemiplegic knee, which had a tendency to swing outwards when I did squats. After six months of Neurofit I could see how much stronger my hemiplegic knee had become.

Another chance conversation with the Clinical Director of PhysioFunction led to a visit to a surgeon who has rebalanced my wrist so that now I have a lot more use of it.

As I write this the rehab continues, what further places will I visit on this incredible journey I have no idea but it is safe to say that there will be plenty of them.

Spinal CordIinjury (SCI) occurs when the spinal cord gets damaged following an accident, falls, sporting injuries, or following diseases, such as Polio, Spinal Bifida or Transverse Myelitis.

The damage to the spinal cord might be due to severing (total or partial), crushing/compression, or over-stretching/tearing. It is not the same as having a “broken back/neck” as this refers to a fracture of one or more of the vertebrae (bones that make up the spine), which does not necessarily lead to spinal cord injury.

PhysioFunction’s Neurological Physiotherapy treatment is aimed at addressing the problems that can occur following SCI so that an individual can maximise their potential for recovery and therefore maximise their independence.

Whether the personal injury to that individual has resulted in quadriplegia/tetraplegia or paraplegia, treatment should be focused on what their needs are. Once the physiotherapist has made their assessment, and the individual has expressed what they would like to achieve, an appropriate course of physiotherapy can be agreed which will aid an overall rehabilitation and maximise recovery.

Depending on the level of Spinal Cord Injury and its nature whether it be complete or incomplete, the problems associated can include:

  • Muscle weakness/paralysis
  • Reduced ability to breathe
  • Loss of general mobility and balance
  • Loss of functional movement
  • Poor posture
  • Pain

Treatment should be focused upon that individual and tailored specifically to their condition. A treatment programme is formulated following a thorough physical assessment which might include:

  • Stretching activities to maintain muscle and tendon length and reduce or keep muscle spasms/spasticity to a minimum.
  • Flexibility and strengthening exercises for the whole body.
  • Breathing exercises to maximise lung function and prevent chest infection.
  • Balance and posture exercises which can help to reduce pain associated with poor posture and balance impairment and ensure correct transfer techniques (in/out of wheelchair, bed, toilet/bath, car etc.)
  • Functional activities to improve fundamental movement patterns such as rolling over and sitting up, and standing where appropriate.
  • Walking re-education, if there is sufficient muscle activity and power in the legs.
  • Your physiotherapist might also be able to advise an individual on use of appropriate equipment such as wheel-chairs and pressure releasing cushions, exercise equipment and electrical muscle stimulators (EMS)/Functional Electrical Stimulation (FES) e.g. Odstock PACE, WalkAide, Bioness, Ottobock MyGait, Ottobock ActiGait, and Exoskeletons including REX.
  • With appropriate treatment and by challenging an individual during recovery, together with sound advice and encouragement, Neurological Physiotherapy can indeed maximise your independence.

Neurological Physiotherapy in Multiple Sclerosis addresses a number of key areas which can dramatically change a person’s ability to do day to day activities and maximise their independence in all aspects of life, including leisure and vocational activities

The first part of Multiple Sclerosis treatment is to improve posture. This means putting the right muscle in the right place, at the right time, so that it can work most efficiently. This is essential for balance, walking and arm and hand function.

Neurological Physiotherapy can help re-educate poor balance, even if there is no specific muscle weakness, Multiple Sclerosis can alter the way in which we move, making you feel as if you are more likely to fall.

If you have difficulties with your balance, it is likely that your walking is a challenge as well. People with Multiple Sclerosis often have problems with tripping. There are a number of reasons why walking maybe affected in Multiple Sclerosis. It may be general or specific muscle weakness. The general weakness can be addressed by various types of exercise. If it is a more specific weakness the treatment is likely to be more specialised using rehabilitation technology. The most common of these is the treatment for drop foot or a floppy foot with Functional Electrical Stimulation (FES).

Hand and limb function can also be helped with physiotherapy or some of the rehabilitation technology available at PhysioFunction.

Many people with MS suffer with muscle spasms, pain or stiffness in the muscles which we call spasticity. The physiotherapist can help reduce the problems associated with this type of altered muscle function and leg weakness. We may use a number of different treatment approaches including rehabilitation exercises, the use of splints or orthoses or working with the doctors to help with the prescription of medication.

Lastly, many people with Multiple Sclerosis suffer from fatigue. This can be the biggest limiting factor when trying to do every day activities. Fatigue is a symptom of MS, however people also get fatigued because of the extra effort they have to invest in all of their activities. Neurological Physiotherapy will work with you to help you manage the fatigue so you can save your energy for the good stuff!

What Is Bell's Palsy

Bell’s palsy is a condition in which the muscles on one side of your face become weak or paralyzed. It affects only one side of the face at a time, causing it to droop or become stiff on that side.

It’s caused by some kind of trauma to the seventh cranial nerve. This is also called the “facial nerve.” Bell’s palsy can happen to anyone. But it seems to occur more often in people who have diabetes or are recovering from viral infections.

If it happens to you, you may fear you’re having a stroke. You’re probably not. A stroke that affects your facial muscles would cause muscle weakness in other parts of your body, too.

What Causes It?

Most doctors believe that it’s due to damage to the facial nerve, which causes swelling. This nerve passes through a narrow, bony area within the skull. When the nerve swells — even a little bit — it pushes against the skull’s hard surface. This affects how well the nerve works.

Bell’s Palsy: How Is It Diagnosed and Treated?

There’s no test that can tell you for sure if you have Bell’s palsy. In fact, doctors usually find out through what they call a “diagnosis of exclusion.” That means in most cases, they determine you have Bell’s palsy only after other conditions have been ruled out.

Your doctor will start by doing a complete and careful physical exam. If he suspects you have Bell’s palsy, he’ll try to close your eyelid on the affected side of your face. If it doesn’t close, it’ll signal that you have what doctors call “the Bell phenomenon.” With this condition, your eye rolls upward and outward when you try to close it.

Your doctor will then try to rule out other conditions. He’ll probably test your hearing and sense of balance. He may also order several tests, such as skull X-rays, a computed tomography (CT) scan, or magnetic resonance imaging (MRI). Electrical testing may help clarify the diagnosis. It may also help him predict how fast and fully you’ll recover.

What Are the Treatments for Bell’s Palsy?

There aren’t any that can stop it. If your doctor suggests your symptoms might be triggered by the herpes virus (herpes simplex 1) or by shingles (herpes zoster), he may give you an antiviral medication, like acyclovir. But there’s no research to show these medications work to reduce Bell’s palsy symptoms.

Your doctor may also give you a short course of corticosteroids (like prednisone). The goal is to decrease swelling of your facial nerve. This may shorten the duration of your Bell’s palsy symptoms.

In the meantime, your doctor will tell you to take extra care to protect your eye on the affected side. He may suggest you wear an eye patch since you won’t be able to blink. If your eyes are tearing less than normal, you may have to use eye drops to keep them from drying out.

What is Chronic Pain?

Chronic Pain is any pain that lasts longer than 3 months. This means that the pain you are feeling is not because something is injured, it is simply because the brain thinks it is normal to feel pain. The brain is always learning new things. If you repeat something often enough, it will begin to make a pattern so that the brain can reproduce it without thinking. For example, when you walk you don’t always have to think about how to do that. Your brain has a pattern to follow so that it can happen automatically.

The same happens with the pain signal. If you are always triggering your pain signal, your brain will learn that those activities should always be painful. Overtime, if you trigger your pain repeatedly, it will create a pattern that the brain will continue to use even after your injury has healed. This is how people continue to feel pain from an injury several months, and even years, after the original injury occurred.

Types of Treatments:-

Physiotherapy:
Science is only beginning to understand chronic pain and the variety of effects it has on the body. Although there are still many unknown factors about chronic pain, we know enough to help you manage your pain, reduce it and sometimes even get rid of it completely. Physiotherapists are movement experts and we can help you identify if the pain you feel is justified, or if you have chronic pain from an old injury. From here, we can provide treatment and share strategies for you to manage your pain at home. It is never too early or too late to start training your brain to move without pain and get back to a normal life.

Neurology:
The cause of chronic pain is not always obvious. Some people might be told that “it’s all in your head” and that “there’s nothing wrong”. They will often go through multiple tests like X-Rays or MRIs without finding a reason for the pain. This does not mean that the pain is not real. The pain that you are feeling is very real.

A physiotherapist can examine your movements and check for any possible causes of the pain. They can verify if any nerves are being compressed or irritated. They can check to see if any ligaments are injured. These are all things that could cause pain, but can’t be seen on an X-Ray or MRI. If there is a cause, a physiotherapist can give you specific recommendations on how to promote healing.

If there is no cause, then we can determine that you are feeling chronic pain. If this is the case, a physiotherapist with experience in neurology can help you retrain your brain to move without pain. We do this by working within a pain-free range to start. The goal is to teach your brain that the movements are not supposed to be painful. You should feel some relief after the first few treatments. Your physiotherapist should show you some exercises to make sure that the pain keeps improving, and doesn’t come back!

Exercises:
When choosing exercises for your chronic pain, you want to make sure that you stay within a pain-free range. If you’ve been feeling pain for a long time, you might be surprised at how little you can do before triggering your pain. It is very important to not push this barrier during your exercises. Remember, you are trying to teach your brain that movements are not painful.

Depending on where you feel your pain, a physiotherapist can prescribe you specific exercises so that you can target the movements that are usually the most painful for you. They will help you progress until you feel comfortable with your progress. Then you can gradually find things that are more challenging, to get back to your daily activities without pain

The type of exercise that you do is important. Your brain is most likely to remember how to move without pain if you practice during activities that are meaningful to you. We want to make the changes permanent, so we use activities that you enjoy in the clinic, and in your Home Exercise Program.

Frequency:
In order to make the brain understand that movements are not painful, it is important to practice your exercises correctly, and often. Just like remembering a new phone number. You might choose to review it, to make sure you remember it correctly, then you will repeat it to yourself often to make sure that you don’t forget it.

The same strategy applies to your movements. You need to make sure that you are moving without pain every time you perform an activity, like walking, or climbing stairs. For this reason, our treatment plans are designed with visits 1 to 2 times per week.

Duration:
The length of treatment has two components. First, the type of session, and second, the total length of the treatment plan. There are two types of sessions to choose from: regular treatment and complex treatment. Most people with chronic pain benefit from regular treatment sessions, that focus on only one problem. If you have pain in more than one place, sometimes a complex treatment session is beneficial to address more than one problem at once.

For your first treatment plan, we often suggest a duration of 4 weeks. This allows us to see how you progress and how you are doing with your Home Exercise Program. After these 4 weeks, you may choose to continue on your own, or to continue for another treatment plan, which can be for up to 12 weeks.

The duration of your treatment will be discussed with your physiotherapist on the day of your initial assessment. Depending on what the findings are, and what your goals are, you will talk about what type of treatment session is most appropriate and how many weeks you should start with.

What is Epilepsy?

Epilepsy is a condition that causes children and adults to have repeated seizures. Seizures result from abnormal stimulation of brain cells known as neurones which causes the body to react in an unusual way.

The severity of the seizures can vary from person to person, some seizures can cause people to loose awareness or freeze for a couple of minutes others can cause convulsions (uncontrollable shaking) and loss of consciousness.

Epilepsy often starts in childhood due to an unknown reason, others can be a result of brain injury, eg a severe head injury.

Physiotherapy Treatment for Epilepsy

Physiotherapy treatment is usually for secondary complications from falls such as broken bones or a head injury.

Treatment can include::

  • • Education is the main treatment, to help prevent injury. For example, padding out sharp corners in the house to prevent damage if fallen on. Advice on special swimming equipment to prevent drowning in seizures that happens in the pool.
  • • Treatment for broken bones will be after the fracture site has completely healed or is classed as stable (this is usually from open reduction and internal fixation). Upper limb usually takes 6-8 weeks and lower limb can take 8-12 weeks. Physiotherapy treatment after this is usually consists of strengthening muscles that have got weaker from being immobilised and stretching muscles that are stiff from being in the cast for such a long period of time.

What is autism?

Autism is a lifelong developmental disorder. Autism affects the way a person relates to the world around them; to the autistic individual, the world seems a mass of people, places, and objects that all seem to be able to interact intuitively (by themselves with no prompts or teaching), autism suffers find this somewhat difficult.

Autism is not a learning difficulty as such, but most autistic children present with learning difficulties.

Autistic disorders fall into what’s known as an autistic spectrum, within this spectrum all the disorders are based on three key difficulties:

  • Difficulty with communication
  • Difficulty with social interaction
  • Difficulty with social imagination

High-functioning Autism forms part of the autistic spectrum alongside Asperger’s. Although they present similar difficulties to the patient, they sit at opposite ends of the spectrum:

  • Asperger’s – a relatively mild form of the disorder characterised by communicative difficulties
  • High-functioning autism – a disorder characterised by significant language development.
  • High-functioning autism affects speech, understanding and communicative abilities.

What are the symptoms of autism?

No two people with autism will present with the same symptoms to the same degrees, every person will have a unique set of difficulties they experience within everyday life

In general, autistic children tend to be quiet individuals who like to keep themselves to themselves; they often avoid eye contact as they prefer to stay out of conversations as opposed to getting involved. This is also characteristic due to the communication difficulties, and the anxiety if they do say something, it will be the wrong thing.

Many children with autism also have associated physical limitations, may lag behind in the achieving of developmental milestones, sometimes these difficulties are missed by parents, as they struggle to engage.

How will physiotherapy help individuals with autism?

Physiotherapy will consist of an individualised treatment programme to match the needs of the individual. It will aim to address difficulties faced in the individual’s everyday life, and seek to achieve any other goals. Physiotherapy is an interactive process that often takes time and trust for the child to engage, once completed, it is hoped the programme will have a positive impact both on physical ability and psychological wellbeing.

The physiotherapy intervention may include:

  • Practice of basic movement skills, such as sitting, standing and playing
  • Practice of more complex skills such as kicking, throwing and catching- these are important for physical development, but also for social engagement in sports, recess and general play.
  • Techniques for helping build muscle strength, coordination and skills
  • Building social/physical skills

What are the benefits of physiotherapy for people with autism?

Physiotherapy for people with autism has a number of benefits, both physical and psychological:

  • Increased self confidence
  • Improved interaction skills
  • Improved physical skills
  • Improved quality of life

What is Neuropathy?

The word Neuropathy is derived from two words neuron and pathology. Neuron means- nerve cell(a cell that is specialized to conduct nerve impulses). Pathology means- any deviation from a healthy or normal condition.

On clinical context Neuropathy is commonly refered to as Peripheral Neuropathy. The term peripheral neuropathy designates a disturbance in function of one or more peripheral nerves. Several types of peripheral neuropathy are distinguishable by the extent of involvement. Depending upon the underlying cause, there may be selective involvement of motor, sensory, or autonomic fibers or more diffuse involvement of all fibers in the peripheral nerve.

Symptoms of Peripheral Neuropathy:
Peripheral Neuropathy produces symptoms depending upon affected nerve. They can be sensory, autonomic or motor changes. The main symptom is the numb feet with tingling and can also cause weakness, coordination problems, pain, burning and invisible ‘glove-like’ sensation and abnormal heart rate, reduced sweating and sexual problems.

Classification of Peripheral Neuropathy:
Peripheral neuropathy can be classified into more than 100 forms and produces different set of symptoms and have different prognosis. Motor, sensory and autonomic nerves damage can occur. If the motor nerves are affected then imbalance occurs in the coordination of walking, holding things and other voluntary muscle movements. Damage in sensory nerves results in the loss of sensations like touching or pain whereas autonomic nerves affect the involuntary nerves controlling vital organs.

Four types depending upon number of nerve damage and the nerve cells are autonomic neuropathy, mononeuropathy, mononeuritis multiplex and polyneuropathy. When only one nerve is affected then it is called as mononeuropathy. It can be caused by compression to the nerve, carpel tunnel syndrome or some infection and nerve inflammation causing tingling feet.

MONONEURITIS:
Mononeuritis multiplex occurs when multiple nerves are damaged here and there in the body due to diabetes mellitus (diabetic neuropathy), Churg-Strauss syndrome, HIV, amyloidosis and rheumatoid arthritis. It is present with dull pain in legs and back mostly at night. Diabetics may have severe pain in thigh of either side with weakness and knee reflex absence.

POLYNEUROPATHY:
Polyneuropathy affects nerve cells anywhere in the body irrespective of the nerve path. It can cause changes in axon, neurons cell bodies and myelin sheath surrounding axons. Distal axonopathy is the condition affecting only the axons with intact neurons. In sensory neuronopathy and motor neuron disease sensory and motor neurons are affected respectively. Polyneuropathy attacks organs on either side. It produces symptoms such as numb feet, burning, erectile dysfunction and imbalance in bladder function. This neuropathy treatment involves three steps. It starts with removing the cause, then strengthening muscles and their function and in the last pain relief by using neuropathy creams containing capsaicin.

AUTONOMIC NEUROPATHY:
The fourth pattern in the peripheral type of neuropathy is the autonomic neuropathy causing alterations in the autonomic nervous system. It affects the non-involuntary nerves reaching urinary bladder, digestive system, sexual organs and heart. Chronic diabetes patients are more prone to this neuropathy. Autonomic neuropathy is present in combination with other neuropathies. It produces symptoms such as incontinence of urine, pain in abdomen with vomiting, diarrhea or constipation, tachycardia, hypotension and impotency.

Common Causes Of Neuropathy:
It’s not always easy to pinpoint the cause of peripheral neuropathy, because a number of factors can cause neuropathies. These factors include:

Alcoholism :Many alcoholics develop peripheral neuropathy because they make poor dietary choices, leading to vitamin deficiencies.

Autoimmune diseases :These include lupus, rheumatoid arthritis and Guillain-Barre syndrome.

Diabetes :When damage occurs to several nerves, the cause frequently is diabetes. At least half of all people with diabetes develop some type of neuropathy.

Infections :Certain viral or bacterial infections can cause peripheral neuropathy, including Lyme disease, shingles (varicella-zoster), Epstein-Barr, hepatitis C and HIV/AIDS.

Exposure to poisons :These may include some toxic substances, such as heavy metals, and certain medications – especially those used to treat cancer (chemotherapy).

Nherited disorders :Examples include Charcot-Marie-Tooth disease and amyloid polyneuropathy

Trauma or pressure on the nerve :Traumas, such as motor vehicle accidents, falls or sports injuries, can sever or damage peripheral nerves. Nerve pressure can result from using a cast or crutches, spending a long time in an unnatural position or repeating a motion many times — such as typing.

Tumors :Growths can form directly on the nerves themselves, or tumors can exert pressure on surrounding nerves. Both cancerous (malignant) and noncancerous (benign) tumors can contribute to peripheral neuropathy.

Vitamin deficiencies :deficiencies B vitamins — B-1, B-6 and B-12 — are particularly important to nerve health. Vitamin E and niacin also are crucial to nerve health.

Other diseases :Kidney disease, liver disease and an underactive thyroid (hypothyroidism) also can cause peripheral neuropathy.

Treatments for Peripheral Neuropathy:
Effective prognosis and treatment of peripheral neuropathies relies heavily on the origin of the nerve damage. For example, peripheral neuropathies caused by vitamin deficiencies can often be halted — even reversed — with vitamin therapy and an improved diet. Likewise, nerve damage brought on by alcohol abuse can often be improved by avoiding alcohol. Peripheral neuropathies caused by toxic substances or medications can often be corrected in much the same way. When neuropathy is related to diabetes, careful monitoring of blood sugar levels may slow its progression and curb symptoms.

Early diagnosis and treatment of peripheral neuropathy is important, because the peripheral nerves have a limited capacity to regenerate, and treatment may only stop the progression — not reverse damage. If you have become severely impaired, you may need physical therapy to help retain strength and avoid muscle cramping and spasms.

Surgical treatment may be recommended for people with nerve damage from injury or nerve compression. Mobility aids, such as a cane, walker, or wheelchair, may be helpful. For pain, your doctor may prescribe pain medication.

Encephalitis

Encephalitis is the medical term used to describe severe inflammation of the brain tissue. Encephalitis is either caused by a bacterial or viral infection.

What is encephalitis?

Encephalitis is inflammation of the brain tissue. Encephalitis is either caused by a bacterial or a viral infection, or an irregular autoimmune response in which the bodys own immune system attacks the brain tissue causing it to become inflamed.

In most circumstances the brain is effectively protected from infection by a thick membrane, which is known as the blood brain barrier. However in a minority of people an infection can penetrate the blood-brain barrier. The infection can then enter brain cells and nerve cells causing them to become inflamed. Inflammation causes the brain cells and nerve cells to become damaged, resulting in a loss of normal brain function.

Encephalitis can permanently damage the brain tissues, resulting in an acquired brain injury. If encephalitis is not medically treated as soon as possible then it can lead to a coma and eventually death.

Effects of encephalitis

Initially encephalitis presents itself by way of flu like symptoms such as a high temperature, headaches, stiffness and fatigue. However the headache you experience may become more severe and you may begin to vomit. Instances in which your body temperature is extremely high often result in confusion, drowsiness, and seizures.

Physiotherapy treatment for encephalitis:
In order to maximise your recovery following encephalitis it is important that physiotherapy treatment is initiated as soon as possible in order to maintain and improve the current level of functional ability you possess. At Liverpool Neuro Physio your physiotherapist will:

  • Provide assistance in task practice. Your physiotherapist can teach you simple techniques to break down a task into simple steps in order to perform it effectively.
  • Provide gait training in order to improve the coordination of your limbs during walking.
  • Provide strengthening exercises to maintain muscle strength and minimise the occurrence of muscle wastage, which is often a secondary complication of inactivity
  • If appropriate, provide advice on additional equipment to increase your functional independence.

The long term complications experienced as a result of encephalitis are very inhibiting and they often make it difficult to carry out simple everyday tasks. At Liverpool Neuro Physio our experienced neurological physiotherapists can provide you with the advice and treatments you need in order to cope with your condition and maintain your functional independence in order to make your life as fulfilled as possible.

Benefits of physiotherapy treatment for encephalitis

Benefits of physiotherapy treatment for the long term motor complications experienced as a result of Encephalitis may include:

  • Improved coordination
  • Improved balance
  • Improved muscle control
  • Reduced anxiety
  • Improved confidence
  • Improved independence
  • Improved quality of life

At Liverpool Neuro Physio our experienced physiotherapists aim to improve your functional abilities where possible by providing you with effective treatments to manage the long term complications you may experience following encephalitis.

What Causes Lumbar Degenerative Disc Disease?

Although the cause of lumbar degenerative disc disease is unknown, it seems to be associated with aging as your intervertebral discs degenerate naturally due to regular wear and tear.

Risk factors that increase your likelihood of developing it include

  • Increasing age
  • Trauma or injury to your back
  • Repetitive strain to your back, such as a job requiring frequent heavy lifting
  • Being overweight
  • Smoking
  • Prolonged sitting and inactivity
  • Poor posture
  • Musculoskeletal imbalance, such as scoliosis

What are the Signs and Symptoms of Lumbar Degenerative Disc Disease?

Everyone experiences some level of degeneration in their intervertebral discs over time, but not everyone will experience symptoms.

If they do, symptoms of lumbar degenerative disc disease typically include:

  • Dull pain in the neck
  • Stabbing pain after strenuous activity or strain on the neck
  • Increased pain with movement, such as turning or bending your neck down
  • Difficulty moving and decreased range of motion
  • Muscle tension or spasms
  • A sharp, stabbing pain or weakness and tingling that radiates down into the shoulders, arms or hands, known as cervical radiculopathy

How is Lumbar Degenerative Disc Disease Treated?

Mild lumbar degenerative disc disease can be treated at home or in a clinical setting

To get pain under control, you can:

  • Rest your back
  • Apply heat and cold therapy
  • Avoid activities that cause pain or put stress on your back
  • If needed, take anti-inflammatory painkillers such as Advil or Aleve

Moderate to severe levels of lumbar degenerative disc disease should be treated in a clinical setting.

Physiotherapy for Lumbar Degenerative Disc Disease:

Physiotherapy is a drug-free and non-surgical treatment that focuses on reducing pain, regaining strength, and increasing joint mobility, function, and quality of life.

At pt Health, you’ll receive a thorough assessment which addresses the source of your problem.

Depending on the cause and severity of your lumbar degenerative disc disease, physiotherapy treatment can include::

  • Strengthening and range of motion exercises
  • Personalized exercise plan
  • Active stretching
  • Functional retraining and activity modification
  • Patient education
  • Cross-disciplinary pain-relieving therapies such as:
  • Interferential current therapy (IFC) or TENS therapy
  • Therapeutic ultrasound
  • Manual therapy (joint and soft tissue mobilizations)
  • Heat and cold therapy
  • Occupational therapy

What is motor neurone disease?

Motor neurone disease (MND) is the name given to a group of disorders that affect nerve cells in the brain and spinal cord leading to muscle weakness, wasting and loss of function. It also affects the muscles that enable us to speak, breathe and swallow making these processes difficult. Motor neurone disease is a rare progressive neurological condition that commonly affects people between the age of 50 and 70. Over time the symptoms of MND become worse.

Physiotherapy treatment will promote functional independence by maintaining muscle strength and length and increasing energy levels and sense of well-being. Physiotherapy will also improve a person’s ability with everyday tasks and improve their quality of life.

Types of motor neurone disease

There are three main types of MND:

Amyotrophic lateral sclerosis (ALS)) is the most common type of MND and causes muscle weakness and stiffness.

Progressive bulbar palsy (PBP) :accounts for 20% of MND cases and causes difficulty with speaking and swallowing.

Progressive muscular atrophy (PMA) :accounts for 10% of cases and causes muscle weakness, wasting and twitching.

MND affects people in different ways and there is a difference in how quickly each type of MND progresses.

What causes motor neurone disease?

Motor neurone disease (MND) is caused by progressive damage to the motor neurones in the brain and spinal cord. Motor neurones send messages from your brain to your muscles allowing you to move. They also help regulate many of the body’s automatic processes, such as breathing and swallowing.
It is still unclear how the motor neurones become damaged in MND.

What are the effects/symptoms of motor neurone disease?

The symptoms of MND depend on the type of MND you have. The main symptom of MND is muscle weakness that becomes progressively worse over time. The first symptoms commonly develop in the hands and arms, or feet and legs. Although physical functions decline, cognitive function remains intact and your memory, sight and smell remain unchanged. Other initial difficulties may include some of the following:

  • Stumbling
  • Dragging of a foot
  • Difficulty gripping objects
  • Stiff joints
  • Fatigue especially with daily activities
  • Pain and discomfort
  • Muscle wasting
  • Spasticity or stiffness in the arms and legs.
  • Difficulties with speech, chewing and swallowing.
  • Breathing problems

As MND progresses, a person with MND may become more almost totally immobile requiring them to use a wheel chair to complete everyday tasks. The speed of the progression varies greatly with individuals.

Furthermore, people with MND may experience a ‘plateau’ for weeks or even months where symptoms remain the same and no deterioration occurs.

Physiotherapy treatment is very important and should be started as soon as possible. Physiotherapy will help improve balance, posture and mobility. It will also make movement more functional and reduce the impact the physical symptoms have on your life.

Physiotherapy for motor neurone disease

At Physio.co.uk we understand that being told that you have motor neurone disease (MND) can be an emotionally experience and the news can be difficult to take in. Physio.co.uk recommend an early intervention which is very important as this allows time for an effective relationship to be built up with the physiotherapist which will become invaluable as your condition progresses. Our dedicated physiotherapists at Physio.co.uk will promote functional independence by maximising your potential and increasing your self-esteem.

At Physio.co.uk our specialised neurological physiotherapists acknowledge that MND affects everyone differently so treatment is tailored to your needs. An initial assessment will look at how MND affects you and goals will be developed centred around you and those close to you. Physiotherapy treatment will be focused on:

  • Minimising abnormalities of muscle tone
  • Maintaining muscle strength for as long as possible
  • Preventing secondary problems such as soft tissue contractures and infection
  • Advice on postural management
  • Facilitating the use of efficient functional movement patterns including the quality of walking.
  • Helping stiff muscles and joints
  • Increasing range of motion
  • Increasing flexibility
  • Improving balance and posture
  • Increasing comfort when sitting, standing or sleeping
  • Reducing the risk of falling
  • Education and advice about MND
  • Increasing energy levels
  • Improving sense of well being
  • Helping maintain independence

Assessment of your individual needs will be taken on a regular basis as your physical symptoms will change over time. Physiotherapy treatment for motor neurone disease includes:

  • Exercises to maintain muscle strength and length and how to incorporate these into everyday activities.
  • Teach techniques that help make some automatic movements and functional abilities easier. For example, walking, sitting down and standing up are some of the tasks that may become difficult as MND progresses, but can be improved by learning new ways of doing things.
  • Balance training to help improve confidence and reduce the risk of falling.
  • Teaching and advising family and carers on positioning, transfers and mobility aids.
  • Gentle exercise and massage will help reduce your anxiety
  • Hydrotherapy treatment will also help relax and stretch tight muscles and help with mobility.

What is Myasthenia gravis?

Myasthenia gravis or ‘’grave muscle weakness’’ is an autoimmune neuromuscular condition affecting the muscles in the body causing varying degrees of weakness. Myasthenia gravis is caused by the body’s immune system attacking the nerves supplying the muscles. Myasthenia gravis usually affects younger women, and men over the age of 60.

What causes Myasthenia gravis?

It has been suggested the body’s own immune system releases antibodies that block important neurotransmitters. These neurotransmitters make your muscles contract. This damage therefore impairs the nerve supplying the muscle, so the muscles do not contract well and become weak and tired.

It is unclear what causes the immune system to do this. Some people with Myasthenia gravis find that tiredness and stress can bring on symptoms but others find their symptoms disappear spontaneously and don’t return for many years.

What are the effect / symptoms of Myasthenia gravis?

Myasthenia gravis affects the voluntary muscles of the face, eye, neck and jaw arms and legs. The most noticeable symptom is drooping of the eyelid making a person look tired. A person with myasthenia gravis will also have difficulty controlling eye movement, eating and swallowing and weakness in arms, hands, fingers and legs. The muscles that control breathing may also be affected causing problems with breathing.

Physiotherapy for Myasthenia gravis?

Neurological Physiotherapy treatment will help a person with myasthenia gravis. Our specialised neurological physiotherapists at Physio.co.uk understand that Myasthenia gravis can have a considerable impact you both physically and emotionally. Physiotherapy will help improve your energy levels and sense of well-being. The exercise program will depend on your individual needs and will be centred around:

  • • Increasing fitness and energy levels
  • • Increasing muscle strength
  • • Improving quality of sleep
  • • Support with everyday tasks
  • • Advice on diet
  • • Improving posture when sitting, standing and sleeping
  • • Increased ability to relax
  • • Advice on supportive devices
  • • Improving quality of life

It is important to plan your activities to coincide with the time when your energy levels are at their highest. Our specialised neurological physiotherapists will help keep your work, home and social life as active as possible. Physiotherapy treatment will include:

  • • Muscle strength training to improve weakness in the muscles
  • • Exercises to enhance functional abilities
  • • Breathing control and assisted coughing if appropriate to maintain a clear chest.
  • • Exercise to increase stamina and reduce fatigue
  • • Relaxation therapy and massage to ease sore muscles.
  • • Hydrotherapy

What is neurofibromatosis?

Neurofibromatosis (NF) is a genetic disorder which affects the central nervous system (brain and spinal cord) and the skin and causes non-cancerous tumors (i.e., neurofibromas) to grow on nerve tissue. Symptoms of NF depend on the type (Nf1 or Nf2) number, size and location of the tumour. Neurofibromatosis can be inherited or occur spontaneously.

Types of neurofibromatosis 

There are two main types of neurofibromatosis which include

  • Nf1 – also known as von Recklinghausen’s disease or peripheral
  • Neurofibromatosis.
  • Nf2 – also known as bilateral neurofibromatosis.

Diagnosis of neurofibromatosis

A diagnosis of neurofibromatosis can be made be taking a detailed family history, physical examination for clinical signs of the disease (for example skin lesions), and magnetic resonance imaging (MRI). Genetic testing may also be used to confirm a diagnosis.

What are the effects/symptoms of neurofibromatosis?

The symptoms of NF vary from person to person. Some people will be mildly affected with very few health problems whilst others will have some serious health problems, making everyday tasks difficult. The two different types of neurofibromatos have different symptoms:

Symptoms of Nf1 include abnormal skin pigmentation and lumps under the skin. However complications associated with this type of neurofibromatosis can be serious and include:

  • Scoliosis (curvature of the spine),
  • Bone problems that are present at birth or from an early age, such as bowing of the legs below the knees
  • Coordination and memory problems
  • Problems with speech, sight and hearing
  • Increased risk of epilepsy

Symptoms of Nf2 are more serious and include acoustic neuroma (tumours in the ear) and cataracts (cloudy patches over the lens in the eye). However, secondary problems may include:

  • Tumours on the skin.
  • Brain tumours – which are usually benign, but can put pressure on the brain causing headaches, vision problems, difficulty balancing and epilepsy
  • Spinal tumours or nerves surrounding it can cause symptoms such as muscle weakness, abnormal sensation and pain. Spinal tumours around the neck can affect the face (usually only on one side), making it hard to blink, smile or swallow.

Physiotherapy treatment will target your child’s physical symptoms and maximise their potential with daily activities.

Physiotherapy treatment for NF

Physiotherapy treatment will depend on the type of neurofibromatosis your child has and their individual symptoms. At Physio.co.uk, our specialised neurological physiotherapists will tailor the initial assessment and following treatment to your childs symptoms and needs. Physiotherapy treatment for neurofibromatosis will help:

  • Increase muscle strength
  • Prevent soft tissue shortening
  • Improve posture
  • Increase balance
  • Improve mobility
  • Improve independence with everyday tasks
  • Reduce pain and increase comfort

Our neurological physiotherapists understand that neurofibromatosis effects every child differently. Your physiotherapist will support your child through a rehabilitation programme of functional activities and exercise to maximise your childs recovery and improve their quality of life. Physiotherapy treatment may include:

  • • Structured exercise programme to strengthen muscles and reduce muscle wasting
  • • Muscle stretching to help lengthen tight muscles and improve range of movement
  • • Exercises to build stamina and reduce fatigue
  • • Correcting and varying posture in different positions to improve balance and coordination
  • • Advice on orthotic devices and walking aids if appropriate
  • • Hydrotherapy treatment to strengthen and stretch specific muscles in a relaxed environment.

Erbs palsy

What is Erb’s palsy?

Erb’s palsy is also called Erb-Duchenne palsy refers to paralysis of the upper brachial plexus caused by injury to the superior roots of the brachial plexus (C5–C6). The position of the limb, under such conditions, is characteristic: the arm hangs by the side and is rotated medially; the forearm is extended and pronated (see Figure 4). The arm cannot be raised from the side; all power of flexion of the elbow is lost, as is also supination of the forearm — “waiter’s tip hand position” (hand turning backwards). Moro reflex is absent. Meanwhile, the grasp reflex is present which differentiates it from another brachial nerve palsy, Klumpke palsy (C7, C8, and T1). The newborn baby may have impaired sensation on the outer side of the arm and/or phrenic nerve palsy (C3, C4, and C5a).

Erb’s palsy relates to an injury to the superior roots of the brachial plexus of C5 and C6. Traction of the shoulder can injure the brachial plexus (particularly C5 and C6) during delivery. Erb’s palsy usually occurs in macrosomia (large baby) and shoulder dystocia infants who needed to be pulled from the birth canal 1). This maneuver causes stretching of the brachial plexus which may injure it. Other causes that lead to forced pulling of the shoulder include breech delivery, multipara mother, maternal obesity, maternal diabetes, or vacuum and forceps delivery 2). Erb’s palsy also may occur in cesarean section 3). Erb’s palsy is a common birth injury with estimated prevalence ranges of 0.2 to 2.0 of every 1000 births 4). Erb’s palsy causes significant arm weakness that affects 0.4 to 5 in 10,000 births.

The resulting traction injury may vary from neurapraxia (a temporary loss of motor and sensory function due to blockage of nerve conduction) or axonotmesis (a more severe injury where the nerve axons and their myelin sheath are damaged but the endoneurium, perineurium and epineurium remain intact) to neurotmesis (the most serious nerve injury both the nerve and the nerve sheath are disrupted. While partial recovery may occur, complete recovery is impossible) and avulsion of rootlets (most severe form of brachial plexus injury where the nerve roots are torn off the spinal cord) from the spinal cord. Most individuals with neuropraxia injuries recover spontaneously with a 90-100% return of function. Axonometric lesions involve disruption of axon and myelin sheath. Recovery of axonometric lesions depend on the level of lesion, and it may take months to heal with proper treatment including physiotherapy.

Neurotmesis is the worst prognosis, as the lesion causes irreversible damage affecting the axon, myelin sheath as well as the supporting structures through the nerve. The proximal end of nerve tries to regenerate by forming a neuroma in which the nerve has torn and healed but scar tissue puts pressure on the injured nerve and prevents it from conducting signals to the muscles. A nerve that is completely pulled apart cannot repair itself, so the muscles it controls are paralyzed. Sometimes it is possible to have an operation to mend the nerve and restore some function to the muscle, if this is necessary, the child is likely to be left with some residual weakness in the arm. In rare cases the nerve may be torn away from the spinal column itself – this is called an AVULSION in these cases it is imperative to consult a specialist in Brachial Plexus Injuries as soon as possible to discuss a treatment plan.

Possible complications include:

  • Abnormal muscle contractions (contractures) or tightening of the muscles. These may be permanent.
  • Permanent, partial, or total loss of function of the affected nerves, causing paralysis of the arm or arm weakness

The treatment of Erb’s palsy depends on the nature of damage, which is either nerve bruise (neuropraxia) or nerve tear. Nerve bruise (neuropraxia) usually resolve on its own over a period of months. However, in the latter case i.e. nerve tear, the following multiple approaches are advised, physiotherapy for regaining muscle usage 5), surgical interference 6) of nerve transplants (usually from the opposite leg), subscapularis releases, latissimus dorsi tendon transfers and rehabilitation therapy.

Fortunately, nearly all affected infants with Erb’s recover in the first few months 7). Erb’s palsy resolves completely in the first year of life in 80% to 96% of patients and in nearly 100% if recovery begins within four weeks of birth 8). Rarely is a child left with a significant disability. Hydrotherapy is a form of physical therapy used because of the anti-gravity environment. It minimized the stress on the musculoskeletal frame, allowing the neonate to move with less pain and at the same time strengthening muscles and reducing spasms. Paralyzed muscles relax in the opposite position of the waiter’s tip posture by abduction at the shoulder, external rotation of the arm, and supination of the forearm. Physiotherapy begins after two weeks. Surgical intervention, nerve graft, or nerve decompression is the next step if there is no response after 3 to 6 months 9).

Denervated muscle changes begin at the moment of injury, and without reinnervation, becomes irreversible at 18 to 24 months. These time-sensitive, irreversible changes are the scientific basis for early management recommendations. Neglected cases may lead to 20% to 30% permanent deficit of the nerve function

Erb’s palsy causes

Erb’s palsy results from a lesion at Erb’s point where C5 and C6 unite to form the upper trunk of the brachial plexus.

Damage to the upper nerves that make up the brachial plexus tends to occur when your shoulder is forced down while your neck stretches up and away from the injured shoulder. The lower nerves are more likely to be injured when your arm is forced above your head. These injuries can occur in several ways, including:

• Contact sports:Many football players experience burners or stingers, which can occur when the nerves in the brachial plexus get stretched beyond their limit during collisions with other players.

• Difficult births. :Newborns can sustain brachial plexus injuries when there are problems during birth, such as a breech presentation or prolonged labor. If an infant’s shoulders get wedged within the birth canal, there is an increased risk of a brachial plexus palsy. Most often, the upper nerves are injured, a condition called Erb’s palsy. Total brachial plexus birth palsy occurs when both the upper and lower nerves are damaged.

• Trauma. :Several types of trauma — including motor vehicle accidents, motorcycle accidents, falls or bullet wounds — can result in brachial plexus injuries.

• Inflammation. :Inflammation may cause damage to the brachial plexus. A rare condition known as Parsonage-Turner syndrome (brachial plexitis) causes brachial plexus inflammation with no trauma and results in paralysis of some muscles of the arm.

• Tumors.:Noncancerous (benign) or cancerous tumors can grow in the brachial plexus or put pressure on the brachial plexus or spread to the nerves, causing damage to the brachial plexus.

• Radiation treatment. :Radiation treatment may cause damage to the brachial plexus.

Risk factors for brachial plexus injury

Participating in contact sports, particularly football and wrestling, or being involved in high-speed accidents increases your risk of brachial plexus injury.

Brachial plexus injury prevention

Although damage to your brachial plexus often can’t be prevented, you can take steps to reduce the risk of complications once an injury has occurred:

• For yourself. :If you temporarily lose the use of your hand or arm, daily range-of-motion exercises and physical therapy can help prevent joint stiffness. Avoid burns or cuts, as you may not feel it if you’re experiencing numbness. If you’re an athlete who has experienced several injuries to the brachial plexus area, your doctor may suggest you wear specific padding to protect the area during sports.

• For your child. :If you’re the parent of a child with a brachial plexus palsy, it’s important that you exercise your child’s joints and functioning muscles every day, beginning when your baby is about 3 weeks old. This helps prevent the joints from becoming permanently stiff and keeps your child’s working muscles strong and healthy.

Erb’s palsy symptoms

• Erb’s palsy results from injury to nerve roots C5 and C6, with C7 also affected in 50% of instances 11). Muscles involved are listed in Table 1. The classical sign of Erb’s palsy is the ‘waiter’s tip hand’ (hand turning backwards). The arm hangs limply from the shoulder with internal rotation of the forearm plus wrist and finger flexion. Sometimes there are sensory deficits over the lateral proximal upper extremity 12). C3 and C4 are injured in about 5% of patients leading to phrenic nerve dysfunction and paralysis of the hemidiaphragm 13). Horner’s syndrome occurs rarely when the stellate ganglion is disrupted 14). Horner’s syndrome is when the eyelid droops and the pupil in the eye may be smaller. The baby may also have an associated Torticollis. Torticollis is where the baby faces away from their affected arm and is unable to face forward for any length of time. Your baby may also suffer from sensory loss in the arm and hand.

• Table 1. Deficits as a result of brachial plexus injury

eak movementCord segmentMuscleResulting position
Shoulder abductionC5DeltoidAdducted
Shoulder external rotationC5Supra- and infraspinatusInternally rotated
Elbow flexionC5, C6Biceps, brachioradialisExtended
SupinationC5, C6SupinatorsPronated
Wrist extensionC6, C7Extensors of wristFlexed
Finger extensionC6, C7Extensors of fingersFlexed
FlexedC4, C5 Elevated

Erb’s palsy diagnosis

Erb’s palsy is a disorder of clinical diagnosis, but some interventions can confirm it. An X-ray of the baby’s shoulder can exclude any fractured bone or problems with the shoulder or elbow joints. Electromyography (EMG) results can estimate and record the electrical activity of the muscle. Nerve conduction studies can measure the time required for the electrical stimulus to move through a particular nerve. An MRI can exclude any cancer or tumor that may affect the brachial plexus. CT myelography works by injecting the contrast material to give detail of neonate spinal cord and nerve root.

Erb’s palsy treatment

Initial treatment consists of coming to a proper diagnosis, which includes a careful history taking, detailed clinical examination, including a check for associated injuries like fractures of the clavicle and humerus. Electrophysiology is recommended at 4 weeks initially to confirm the diagnosis and get a baseline reading of the involvement of various nerves and muscles as well as sensory parameters. Counseling of parents is critical and clear open communication is strongly recommended. Gentle mobilisation of all joints of the affected limb is suggested to avoid stiffness. Splints may prevent flexion contractures of the wrist and fingers 16). “Gift wrapping” the baby in the typical traditional Indian style after morning bath is discouraged as it deprives the child of a chance to use that limb spontaneously. Repeat examinations are carried out every 4–6 weeks until 3 months. At this time, a decision is made about the need for surgery, which in turn depends on clinical and electrophysiological findings. MRI is considered very useful, at least in the adult palsy. However, clinical exam and electrophysiology can give adequate evidence of the status of the plexus and the indication for surgery.

If an MRI does not show root avulsion and there is no bicep function by five months of age, then exploratory surgery may be considered. A flail arm or Horner’s syndrome at three months may justify earlier surgery 17). Overall, based on retrospective case studies, approximately two-thirds of patients undergoing surgical exploration show improvement 18).

Brachial plexus injury exercises

Gentle massage of the arm and range-of-motion exercises are recommended for mild cases. The infant may need to be seen by specialists if the damage is severe or the condition does not improve in the first few weeks.

Surgery may be considered if some strength has not returned to the affected muscles by the time the baby is 3 to 9 months old.

What is Wilson Disease?

Wilson disease is a genetic disorder resulting in excessive accumulation of copper in the body. Normally, the liver excretes almost all of the ingested copper except for the minute quantities required for maintaining healthy nerves, bones, and skin. People with Wilson disease are unable to excrete copper, therefore, over a period of time copper slowly accumulates in their bodies resulting in damage to various organs.

Who needs to be tested for Wilson Disease?

Any child or young adult with the following problems needs to be evaluated for Wilson Disease:

  • • Difficulty in speaking
  • • Change in handwriting
  • • Shaking or clumsiness of hand/body
  • • Difficulty in walking
  • • Dropping grades at school
  • • Depression
  • • Aggressive/unruly behaviour
  • • Hypersexuality
  • • Abnormal liver test report
  • • Unexplained jaundice (yellowing of eyes/skin)
  • • Repeated jaundice
  • • Anaemia
  • • Back pain or deformity
  • • Joint pain and swelling
  • • Unexplained fracture
  • • Death in the family from severe liver failure or neurological problems

All brothers and sisters of a person with Wilson Disease need to be tested, even if they are normal.

How is Wilson Disease diagnosed?

Wilson Disease can be diagnosed based on a careful clinical evaluation by a neurologist or hepatologist (liver doctor) familiar with the disease and specialised tests like lab test, MRI and liver biopsy.

Is Wilson Disease treatable?

YES, it is treatable. With timely diagnosis and treatment people with Wilson Disease can lead a normal life. Children return to normal education and excel. Even people with severe disability improve and resume school/work.

What is the treatment for Wilson Disease?

Treatment involves avoiding food rich in copper and taking drugs to eliminate excess copper (decoppering drugs). People with symptoms as well as those who do not have any symptoms need treatment. Treatment is lifelong. It is essential that treatment be tailored to an individual patient.

What is a Traumatic Brain Injury?

A traumatic brain injury (TBI) is caused initially by a blow to the head. TBI also includes potential complications seen after the initial injury caused by lack of oxygen to the brain tissues or increased pressure within the skull.

A TBI can, therefore, be analysed as three ‘injuries’:

First injury:

  • • This is the initial injury occurring in the seconds after the accident.
  • • Damage is described as closed, open or crush injuries.

Second Injury:

  • • This occurs when the oxygen supply to the brain is reduced in the minutes and hours after the accident, worsening the damage already caused by the first injury.
  • • This can be caused by an obstruction to an airway or serious blood loss.

Third Injury:

  • • This occurs as a result of blood leaking from damaged blood vessels, over a period of days or weeks, into the area causing the brain to swell.
  • • The skull is a fixed space and the brain can suffer damage if it squeezes against it.
  • • If the brain swells it can squeeze the blood vessels, limiting the brain’s blood circulation.

Traumatic Brain Injury Physiotherapy Treatment

Many traumatic brain injury (TBI) survivors are left with significant disability. The brain is, however, very adaptable and, with the correct physiotherapy input, recovery can take place over a period of years. People often witness a rapid period of recovery in the first few weeks following a TBI, followed by a slower recovery over the following years. To gain the maximum recovery, physiotherapy treatment should be continued immediately once you leave hospital until your full potential has been reached.

You will be discharged from hospital when you are medically stable. Being discharged from hospital does not mean that you will not improve further. Your rehabilitation should continue as soon as you leave hospital. With the correct physiotherapy input and advice you still have lots of potential to improve over the coming years.

Unfortunately, due to current constraints of the NHS, many people are not referred for physiotherapy or are seen only for a brief period once they leave hospital.

With the correct level of physiotherapy input long term improvements can be made. Manchester Neuro Physio commonly see individuals make significant improvements.

During your initial assessment you will discuss your short and long term rehabilitation goals. These goals will then be at the centre of your rehabilitation.

Physiotherapy will assist you in regaining as much movement and function as possible. Treatment often focuses on sitting balance, standing balance, walking, using your affected arm / hand and managing any changes in muscle tone, pain or stiffness.

Neurological TBI physiotherapy can help:

  • • improve balance and walking
  • • increase ability to roll / move in bed / sit / stand
  • • reduce muscle spasms, pain and stiffness
  • • increase strength
  • • retrain normal patterns of movement
  • • increase affected arm and leg function
  • • increase energy levels
  • • increase independence and quality of life
  • • decrease risk of falls

After a TBI many people experience difficulties performing tasks that were previously simple. This can make everyday life a struggle for both you and those close to you. Manchester Neuro Physio will advise you on the use of walking aids, splints, supports and home equipment to make your life easier.

During treatment sessions our neurological physiotherapists will lead you through a progressive programme of functional exercises to increase your mobility and muscle control. The physiotherapists at Manchester Neuro Physio will usually teach you (and if appropriate your family members / carers) exercises to be continued between treatment sessions.

Manchester Neuro Physio are able to provide manual handling training sessions for carers and families. This training involves teaching safe therapeutic handling and positioning techniques that will promote normal movement and postural alignment to those caring for you. The therapeutic use of specific hoists and slings can also be taught. Where required postural, bed, seating and wheelchair assessments can be carried out by our specialist physiotherapists. Following this assessment our physiotherapists can refer you to appropriate NHS or private services to obtain input from other health professionals.

Having a TBI is a life changing event. TBIs can lead to changes in personality, feelings of frustration and reduced confidence. At Manchester Neuro Physio we aim to make our treatment sessions effective and enjoyable. Many patients develop close relationships with our physiotherapists. This, combined with increased function and independence, allows our patients to lead as fulfilling lives as their potential allows.

Effects of Traumatic Brain Injury

Individuals can present with a huge variety of symptoms following a traumatic brain injury (TBI). These symptoms depend on the type of TBI suffered, its severity, the area of the brain affected and the extent of damage to the brain tissue. Common effects seen are:

  • • Physical Changes
  • • reduced mobility
  • • altered muscle tone – high /low
  • • altered movement patterns
  • • altered co-ordination
  • • altered balance
  • Chronic pain
  • Changes to normal body functions
  • Cognitive deficits
  • Speech and language problems
  • Changes in sensation
  • Perceptual difficulties
  • Visual disturbances
  • Increased or reduced hearing
  • Loss of smell
  • Loss of taste
  • Seizures
  • Social / emotional changes

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]]> Sports Physiotherapy https://www.orthoneurophysioclinic.com/service/sports-physiotherapy/ Wed, 28 Jul 2021 07:30:43 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=899 What is Sports Physiotherapy? If you have heard of athletes using sports physiotherapy to treat or prevent injury, you might be wondering what it is. Physiotherapists are skilled at: Evaluating and diagnosing the injury Creating a personalized treatment plan Teaching patients methods of pain management Implementing treatment plans You might have heard of physiotherapy being used to treat and rehabilitate when it comes to car accidents or medical conditions, but[…]

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What is Sports Physiotherapy?

If you have heard of athletes using sports physiotherapy to treat or prevent injury, you might be wondering what it is. Physiotherapists are skilled at:

  • Evaluating and diagnosing the injury
  • Creating a personalized treatment plan
  • Teaching patients methods of pain management
  • Implementing treatment plans

You might have heard of physiotherapy being used to treat and rehabilitate when it comes to car accidents or medical conditions, but what does it mean in terms of sports? Ortho Neuro Physiotherapy Clinic, Vasundhara, Ghaziabad

Treatment of Athletes

Differs from standard physiotherapy as the treatment is focused on the evaluation, prevention, management, and rehabilitation of injuries that are a direct result of exercise and sports. It can be used for athletes of all ages, abilities, and sports. Physiotherapists will often provide advice for safe practices in sports, positive lifestyle choices, as well as therapeutic treatment. Physiotherapists will help athletes improve performance as well as recover from injury, and guide them to better sports practices.

Goals of Treatment

One of the biggest differences between sports physio and other physio is the goals of the treatment. Athletes often get started with physiotherapists due to an injury. With the guidance of a physiotherapist, athletes will be treated and rehabilitated in order to not only help heal the injury, but also to prevent future injuries. The treatment is meant to help athletes return to their sport as soon as possible.

Your physiotherapist will work to protect the injured tissues in order to promote healing while helping you to control inflammation. Together, you will be able to improve your overall flexibility, strength, and muscle balance in order to safely return you to your sport and prevent you from reinjuring the area in the future.

The Process

The process of rehabilitation has several steps to get you or other athletes back to performance level. They go as follows:

To begin with, you will meet with your qualified sports physiotherapist and review your injury or concern. Through the use of several tools and evaluations, your physiotherapist will confirm the injury and help build a plan to return you back to functionality.

Once you have a plan in place, you will then begin treatment. Most often treatment is comprised of several appointments a week for several weeks. The treatment is individualized to the patient’s needs and can include several different methods, including:

  • Strength training
  • Ultrasound
  • Stretching
  • Massage
  • Taping
  • Body work
  • Patient education
  • Exercise prescription

When your injury has been properly addressed and treated, then your physiotherapist can focus on performance enhancement. The goal of this treatment is not simply to make you a better athlete, but it is to focus on the weaker or imbalanced areas on your body so that you can build up the weaker areas. This way, you will be able to prevent injuries in the future by honing in on where they are most likely to happen. Your treatment plan will be individually designed to focus on your sport, position, and any recommendations that you might need to follow to prevent future concerns.

Why See a Sports Therapist?

While you might think that all physiotherapists do the same types of treatment, a sports physiotherapist knows the details of sports and what is required to treat athletes specifically. Sports therapists know how to focus on the musculoskeletal rehabilitation that athletes need. They know that athletes want to return to their sport as quickly as possible and know what it takes to make that possible. If you are an athlete, always make sure that you see a sports physiotherapist for any treatment.

Sports Physiotherapy Common Conditio

Common Shoulder Injuries

In 2006, approximately 7.5 million people went to the doctor’s office for a shoulder problem, including shoulder and upper arm sprains and strains. More than 4.1 million of these visits were for rotator cuff problems.

Shoulder injuries are frequently caused by athletic activities that involve excessive, repetitive, overhead motion, such as swimming, tennis, pitching, and weightlifting. Injuries can also occur during everyday activities such washing walls, hanging curtains, and gardening.

Warning Signs of a Shoulder Injury

If you are experiencing pain in your shoulder, ask yourself these questions:

  • • Is your shoulder stiff? Can you rotate your arm in all the normal positions?
  • • Does it feel like your shoulder could pop out or slide out of the socket?
  • • Do you lack the strength in your shoulder to carry out your daily activities?

If you answered “yes” to any one of these questions, you should consult an orthopedic surgeon for help in determining the severity of the problem.

Common Shoulder Injuries

Most problems in the shoulder involve the muscles, ligaments, and tendons, rather than the bones. Athletes are especially susceptible to shoulder problems. In athletes, shoulder problems can develop slowly through repetitive, intensive training routines.

Instability

Sometimes, one of the shoulder joints moves or is forced out of its normal position. This condition is called instability, and can result in a dislocation of one of the joints in the shoulder. Individuals suffering from an instability problem will experience pain when raising their arm. They also may feel as if their shoulder is slipping out of place.

Impingement

Impingement is caused by excessive rubbing of the shoulder muscles against the top part of the shoulder blade, called the acromion.

Impingement problems can occur during activities that require excessive overhead arm motion. Medical care should be sought immediately for inflammation in the shoulder because it could eventually lead to a more serious injury

Rotator Cuff Injuries

The rotator cuff is one of the most important components of the shoulder. It is comprised of a group of muscles and tendons that hold the bones of the shoulder joint together. The rotator cuff muscles provide individuals with the ability to lift their arm and reach overhead. When the rotator cuff is injured, people sometimes do not recover the full shoulder function needed to properly participate in an athletic activity.

Treatment of Shoulder Injuries

Researchers have discovered that managing your shoulder injury with physiotherapy is usually successful. Normally, you have two options: non-operative or a surgical approach. Your condition will dictate which option is best for you at this time. Non-operative care is also referred to as conservative rehabilitation.

If shoulder surgery is required, then your physiotherapist may undertake:

pre-operative rehabilitation :to either try a non-operative treatment approach or to condition and prepare your body for a surgical procedure.

post-operative physiotherapy :to regain your range of movement, strength, speed and function both to normal.

Physio Works physiotherapists have a special interest and an excellent working relationship with Brisbane’s leading shoulder surgeons to provide you with both conservative and operative rehabilitation options to ensure that you will attain the best outcome for your shoulder injury.

A common sound heard and felt within the elbow of a professional baseball pitcher. The cause is a torn ulnar collateral ligament. This elbow injury is commonly reported throughout the year during the baseball season. What goes less noticed, however, are the day-to-day aches and pains that both professional and amateur athletes go through – sprains, strains, tendonitis and bursitis. All of these can affect our performance in sport, work, and daily living.

UCL Injury

The damaged ulnar collateral ligament (UCL) can be a setback for any individual. With varying degrees of injury to the ligament,

Bursitis

If you have ever hit your elbow hard enough, especially on the edge, then you may have noticed major swelling, also known as bursitis.

Tennis Elbow

Another irritating elbow issue is best known as “tennis elbow.” In the medical arena it is known as lateral epicondylitis. This can happen to anyone from the grappler to the powerlifter and results from overuse of the extensor muscles in the forearm. The onset of pain is gradual and as it worsens the person is unable to perform his/her activity at the highest level. If caught early enough, it is best treated with rest, ice, compression, and elevation (RICE). For those who may wait a bit longer, the use of other therapeutic aides may be necessary. These aides can range from anti-inflammatory/pain medications to a brace. This is all dependent upon what instructions you are given from a medical professional.

Muscle Strains

Muscle strains can occur anywhere, lower leg to back to shoulder to anywhere there are muscles in the body. Around the elbow, the biceps, triceps, forearm flexors, and extensors are the most commonly injured. The worst of these can be a torn biceps. When this happens the muscle “balls” up in the upper arm. From here there are two options: let it heal as it is or have surgery to have it reattached. In most cases, surgery is the best option. This choice all depends on age, activity level, the individual involved, and the physician.

Rehabilitating the Elbow

Taking care of and rehabilitating the elbow is a rather different process. Most of the time, it’s all about strengthening the injured muscle. Well, being a joint, it needs strengthening both above and below the joint. For the sprained elbow, once inflammation is down and range of motion has been restored, strengthening can proceed. The best thing to do is strengthen the forearm by doing gripping exercises, such as scrunching up a towel, squeezing putty, or performing flexion and extension exercises using a dumbbell

The elbow, although a fairly stable looking joint, can be susceptible to many injuries. They can range from relatively minor to something major that requires surgery. As an athlete, it is good for you to have a basic idea of injuries and how to handle them.

Recovering From Elbow Injury

  • 1. Always begin with RICE.
  • 2. Move to range of motion exercises, regaining flexion and extension as needed.
  • 3. Incorporate exercises that will help build strength and stability to the joint.

If ever in doubt about the injury, check with your physician. Activity should last a lifetime. Better to take care of something early than wait until it becomes a problem. Injuries are a part of life; how the injury is handled, determines how well a successful recovery will occur.

Tennis Elbow Injury Treatment

The first step is to rest your arm and avoid the activity that causes your symptoms for at least 2 – 3 weeks. You may also want to:

  • • Put ice on the outside of your elbow 2 – 3 times a day.
  • • Take nonsteroidal anti-inflammatory medications (such as ibuprofen, naproxen, or aspirin).

If your tennis elbow is due to sports activity, you may want to:

  • • Ask about any changes you can make to your technique.
  • • Check any sports equipment you are using to see if any changes may help. If you play tennis, changing your grip size of the racket may help.
  • • Think about how often you have been playing and whether you should cut back.

If your symptoms are related to working on a computer, ask your manager about making changes to your workstation or have someone look at how you chair, desk, and computer are set up.

Wrist Pain

Wrist pain or injury is common. Fortunately, most wrist pain is non-life threatening and can usually be successfully diagnosed and treated by your physiotherapist or doctor. Wrist pain occurs from many potential sources of everyday life. These include sports injuries, work injuries or simple everyday arm use.

For optimal wrist pain relief and function return, an accurate diagnosis is essential. Wrist pain has multiple causes. these include wrist joint dysfunction or arthritis, wrist ligament injury, tendinopathies or muscle injury. Alternatively, wrist pain can be referred from your cervical spine (neck joint dysfunction or a pinched nerve). Local nerve compression can also occur with two common presentations: carpal tunnel syndrome or ulnar nerve palsy. Both of these conditions should prompt early assessment and treatment to avoid permanent nerve damage and loss of muscle power, sensation and function.

The good news is that most wrist pain and injury respond favourably to physiotherapy or other medical intervention. Please do not delay consulting your healthcare practitioner if you experience wrist pain. Some wrist conditions do require surgery, so early assessment and intervention is important.

Common Sources of Wrist Pain

Broken Wrist

Fractured Wrist

Common wrist fractures include:

  • Fractured Radius (see image)
  • Fractured Ulna
  • Colles Fracture (# Radius + # Ulna)
  • Fractured Carpals
  • Scaphoid Fracture (most common)
  • Lunate Fracture / Kienbock Disease
  • Capitate Fracture
  • Trapezium Fracture
  • Trapezoid Fracture
  • Triquetrum Fracture
  • Hamate Fracture
  • Pisiform Fracture

Each wrist fracture (broken wrist) needs specific rehabilitation based on injury type and fracture stability. Unstable fractures will almost always require surgical stabilization. Stable fractures will be treated with a protective and supportive splint and monitored for appropriate fracture healing. If they show signs of instability, then your surgeon may consider operative stabilisation.

Hand Swelling, Pain or Pins & Needles

Beware of CRPS (Chronic Regional Pain Syndrome)

Hand Swelling, Pain or Pins & Needles

It is extremely important to prevent hand and finger swelling post-fracture. Near permanent elevation (high arm sling) and regular finger and upper arm movement while protecting the fracture is the key. CRPS is a very significant and painful complication that can complicate your rehabilitation. Carpal tunnel syndrome which may present as pins and needles to your hand. Please report any increase in swelling, pins and needles, or pain to your physiotherapist or doctor ASAP.

It is extremely important to prevent hand and finger swelling post-fracture. Near permanent elevation (high arm sling) and regular finger and upper arm movement while protecting the fracture is the key. CRPS is a very significant and painful complication that can complicate your rehabilitation. Carpal tunnel syndrome which may present as pins and needles to your hand. Please report any increase in swelling, pins and needles, or pain to your physiotherapist or doctor ASAP.

Post-Fracture Exercises

Post-fracture exercises are specific to your fracture and should be performed after assessment and guidance from your healthcare professional. Based on that, it is very important to only perform the exercises prescribed by your Orthopaedic Surgeon or Physiotherapist. You should also wear your wrist split/cast at all times unless advised otherwise by your physiotherapist or surgeon.

Do your exercises on a frequent basis throughout the day. Multiple sessions of short duration are generally better than longer sessions done only once or twice.

For more specific advice please consult your physiotherapist or doctor.

Muscle Strain

What is Myalgia?

The most common source of myalgia (or muscle pain) is a muscle strain due to overstretching. A muscle strain may also be referred to as a pulled muscle or a muscle tear. A muscle strain can vary in severity from mild to severe and ultimately, a complete muscle rupture. Either way, your muscle strain will result in muscle pain, or at least muscle soreness, plus reduced muscle function including muscle weakness, stiffness or tightness.

What is a Muscle Strain?

Commonly, your muscle strain will occur at high-speed when your muscles are overloaded. The most common high-speed muscle injuries occur in your hamstrings (hamstring strain), quadriceps (thigh strain), calf (calf muscle tear), back (back muscle pain), groin strain. But, obviously, any muscle in your body is susceptible to a muscle strain or tear. You can also suffer a fatigue-related muscle strain from sustained postures. Back muscle strain, shoulder and neck muscle strains are often postural fatigue-related muscle strains. Text neck has become a common condition due to postural fatigue while overusing your phone. Another common source of myalgia can be related to excessive muscle microtrauma from an overdose of exercise. This condition is known as DOMS or delayed onset muscle soreness. Other overuse injuries such as RSI – repetitive strain injury, results from a combination of postural fatigue and overuse of the smaller upper limb muscles. Luckily, early assessment and prevention strategies have virtually eliminated RSI from offices in the western world.

What are the Characteristics of a Muscle Strain?

Muscle strains have the following symptoms:

  • Muscle tightness
  • Bruising
  • Weakness
  • Inability to fully stretch your injured muscle

Muscle Strain Treatment

Muscle strain treatment will vary depending upon an accurate diagnosis from your health professional. The severity of your muscle strain, and what function or loads your injured muscle will need to cope with, will impact the length of your healing and rehabilitation process.

Until you’ve been accurately diagnosed with a muscle strain, use the following guidelines:

  • Ice and a compression bandage.
  • Elevate the injured region if it is swollen.
  • If it’s painful to walk you should be using crutches.
  • Cease or reduce your exercise or activity level to where you feel no pain. Muscle strain can take anywhere from a few days to several weeks to rehabilitate successfully. Please seek the advice of your physiotherapist, doctor or your health care practitioner who specialises in muscle injuries eg massage therapist, to guide your treatment.

Carpal Tunnel Syndrome

What is Your Carpal Tunnel?

Your carpal tunnel protects vital structures such as the median nerve, blood vessels and tendons as they pass to and from your hand. The palm side of your wrist has a band of strong ligaments (flexor retinaculum) that attach to the carpal (wrist) bones at either side. The rear of the tunnel is a curved compilation of the wrist bones.

Potential Compression Sources

Your symptoms can originate from elsewhere along the median nerve. This source is frequently overlooked and could save you from unsuccessful surgery. Your lower cervical spine especially C6, C7, C8 and T1 should be thoroughly examined by your physiotherapist. This is version “double crush syndrome” and there is an increased likelihood of carpal tunnel syndrome in these patients. Kwon et al (2006).

Abnormal Neurodynamics

Your nerves should freely travel along their pathways between your spine and your fingers. Any interference of their slide mobility could cause symptoms eg scar tissue, tight muscles. Your physiotherapist can assess your neurodynamics for abnormalities. Tal-Akabi & Rushton (2000).

Hormonal Factors

Hormone imbalances can cause swelling of the hands and feet, as evidenced by the condition’s prevalence in middle-aged or pregnant women.

Gripping, Repetition and Microvibration

Occupations associated with repetitive wrist flexion and extension activities, vibratory tools, and gripping have a high incidence of carpal tunnel syndrome.

What’re the Symptoms of Carpal Tunnel Syndrome?

Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:

  • hand pain or aching
  • pins and needles
  • numbness esp at night of with wrist flexing
  • burning
  • weakness or cramping
  • perceived swelling

Hand or Wrist Arthritis

Hand and Wrist Arthritis

Hand and wrist osteoarthritis is a common source of pain as you age.

Basically, everyday wear and tear damage your hand and wrist joints. The chances of you suffering hand arthritis increase if you have overstressed your hand joints or have experienced excessive weight-bearing activities eg boxers and gymnasts.

What is a Cramp?

A cramp is defined as a spontaneous or involuntary electrical activity of a large number of skeletal muscle fibres that quickly develops into a painful, sustained contraction (muscle spasm).

What Causes a Cramp?

Although similar in presentation, the cause of both EAMC and nocturnal cramps differ.

Unfortunately, the exact cause of a cramp is not fully understood but there are a number of hypothesis for both EAMC and nocturnal cramps as outlined below.

Treatment for Cramps

The first and foremost priority of treatment for cramps is identifying the root cause of your cramps. Whether this be tight muscles, over-exercising or a cause that requires further investigation. Our physiotherapists are experienced in finding out what it is that is causing your cramps and will point you in the right direction.

Depending on what our physiotherapists find, treatment may involve:

  • Lengthening of hypertonic muscles.
  • Restoring joint range of motion.
  • Strengthening weak muscles.
  • Lifestyle modifications:
  • Fluid intake.
  • Reducing coffee/alcohol intake.
  • Vitamin/electrolyte balancing.
  • Modifying current exercise regimes.

What is an Overuse Injury?

Overuse injuries refer to injuries sustained from a repeated action (such as repetitive strain injury) as opposed to acute injuries, which occur in an instant (such as a sprained ankle).

How to Prevent an Over use Injury

We can prevent overuse syndromes. Some of the ways to prevent this injury include:

  • Warm-up (including stretching) and warm-down (including stretching) before and after all exercise.
  • Use proper equipment (e.g. jogging shoes for jogging, a racquet that is the right size with the proper grip size and strings strung to your level of play).
  • Increase at a rate no faster than 10% increase per week (distance, speed, weight, etc).
  • Practice and concentrate on correct technique.
  • Condition yourself for 2-3 weeks before starting – strength and flexibility.
  • Listen to your body – pain is a warning that something is wrong. Early identification and treatment will allow you to continue your activity.
  • Identify and correct the cause of pain or discomfort.
  • Ensure full injury rehabilitation, e.g. a sore right leg can cause an overuse injury in the left through compensation.

Lower back pain

This a common disorder involving the muscles, nerves and bones of the lower back. Symptoms can vary from a dull ache to a sharp sudden pain. There are several different causes of low back pain, many of which are discussed below.

As always our approach at Bradley Physio is hands-on wherever possible. Following a thorough verbal and physical examination your physiotherapist may decide to use manual therapy treatments including deep soft tissue massage, spinal mobilisations and manipulation (where appropriate). Other treatments include lumbar traction, electrotherapy, and acupuncture. Postural and preventative advice, as well as a home exercise programme is recommended too. Many clients find our pilates classes are a great, long term way to manage their neck pain and prevent recurrence.

NOTE If you are not making the progress we would expect and your physiotherapist thinks you will benefit from further investigations (x-rays,scans) and/or onward referral to a Neurologist or Spinal Orthpaedic Specialist the necessary arrangements can be made by our team on your behalf.

  • Neck pain
  • Sciatica
  • Prolapsed disc
  • Whiplash
  • Spondylitis/Spondylosis
  • Degenerative changes
  • Trapped nerves
  • Headaches/Migraines

NECK PAIN

  • • A stiff neck is typically characterised by soreness and difficulty moving your neck, especially when trying to turn your head to the side. It may also be accompanied by a headache, neck pain, shoulder pain and arm pain.
  • • Neck pain including whiplash and headaches is a common complaint experienced by our clients. Following a thorough verbal and physical examination your physiotherapist may decide to use hands-on treatments including deep soft tissue massage, spinal mobilisations and manipulation (where appropriate). Other treatments include cervical (neck) traction, electrotherapy, and acupuncture. Postural and preventative advice, as well as a home exercise programme is recommended too. Many clients find our pilates classes are a great, long term way to manage their neck pain and prevent recurrence.
  • • NOTE If you are not making the progress we would expect and your physiotherapist thinks you will benefit from further investigations (x-rays,scans) and/or onward referral to a Neurologist or Spinal Orthpaedic Specialist the necessary arrangements can be made by our team on your behalf.

Sciatica

Sciatica describes pain felt along the sciatic nerve, which runs from your lower back, down through the buttock, back of the thigh, into the lower leg and foot. It is normally the result of pressure or inflammation around the spinal nerve root as it leaves the spinal column.The sciatic nerve is the longest nerve in the body. Irritation or pinching of your sciatic nerve can cause severe back and leg pain, muscle weakness, affect mobility and can cause pins and needles or numbness in the foot.

Following a thorough verbal and physical examination your physiotherapist may decide to use hands-on treatments including deep soft tissue massage, spinal mobilisations and manipulation (where appropriate). Other treatments include lumbar (low back) traction, electrotherapy, and acupuncture. Postural and preventative advice, as well as a home exercise programme is recommended too. Many clients find our pilates classes are a great, long term way to manage their neck and low back pain and prevent recurrence.

NOTE If you are not making the progress we would expect and your physiotherapist thinks you will benefit from further investigations (x-rays,scans) and/or onward referral to a Neurologist or Spinal Orthpaedic Specialist the necessary arrangements can be made by our team on your behalf.

Prolapsed disc

Also known as slipped disc, bulging disc & herniated disc A prolapsed disc is a common injury sustained to the intervertebral discs within the spinal column. These discs lie between the vertebrae (backbones). A disc prolapse can occur in your lumbar spine (lower back), thoracic spine (upper back) or your cervical spine (neck). When a prolapsed/slipped/bulging/herniated disc occurs it is typically due to accumulated microtrauma, and the pain can be sudden and unexpected. This occurs when the jelly like centre of the intervertebral disc bulges outwards towards the spinal nerves as they leave the spinal cord. The damaged disc and the pressure on the nerve can lead to pain. Symptoms are often aggravated when bending forward, sitting, coughing, sneezing or lifting. Pain can radiate away from the spine into the arms or legs. In some cases patients will experience pins & needles, muscle weakness or numbness in parts of the limbs.

Following a thorough verbal and physical examination your physiotherapist may decide to use hands-on treatments including deep soft tissue massage, spinal mobilisations and manipulation (where appropriate). Other treatments include traction, electrotherapy, and acupuncture. Postural and preventative advice, as well as a home exercise programme is recommended too. Many clients find our pilates classes are a great, long term way to manage their neck and low back pain and prevent recurrence.

NOTE If you are not making the progress we would expect and your physiotherapist thinks you will benefit from further investigations (x-rays,scans) and/or onward referral to a Neurologist or Spinal Orthpaedic Specialist the necessary arrangements can be made by our team on your behalf.

Spondylitis/Spondylosis

Spondylosis/Spondylitis is inflammation of the vertebrae in the spine and can cause neck and low back pain. It is a general term used to describe changes that can occur along any area of the spine. It is a condition in which your discs degenerate, losing their flexibility and height to cushion the spine. Usually pain begins in the lower back or neck and as the condition progresses pain may radiate into the arms or legs. It is often described as “pressure” or “burning” pain and you may also feel tingling or numbness in your leg or foot.

Many patients find that heat is extremely effective way to relieve discomfort. Following a thorough verbal and physical examination your physiotherapist may decide to use hands-on treatments including deep soft tissue massage and spinal mobilisations. Other treatments include traction, electrotherapy, and acupuncture. Postural and preventative advice, as well as a home exercise programme is recommended too. Many clients find our pilates classes are a great, long term way to manage their neck and low back pain and prevent recurrence.

NOTE If you are not making the progress we would expect and your physiotherapist thinks you will benefit from further investigations (x-rays,scans) and/or onward referral to a Neurologist or Spinal Orthpaedic Specialist the necessary arrangements can be made by our team on your behalf.

Degenerative changes

Also known as osteoarthritis of the spine, this process is age-related ‘wear and tear’ that can affect the discs and bones of the spine (vertebrae) and the surrounding ligaments. Symptoms include early morning stiffness of the neck or low back, aching pain and reduced range of movement of the affected area. Degenerative changes (wear and tear) can be caused by the breakdown of the discs that separate the bones of the spine. As you age the spine begins to show signs of wear and tear as the discs dry out and shrink. These age related changes can cause arthritis, disc herniation and in more advanced cases, spinal stenosis (narrowing of the spinal canal).

Many patients find that heat is extremely effective way to relieve discomfort. Following a thorough verbal and physical examination your physiotherapist may decide to use hands-on treatments including deep soft tissue massage and spinal mobilisations. Other treatments include traction, electrotherapy, and acupuncture. Postural and preventative advice, as well as a home exercise programme is recommended too. Many clients find our pilates classes are a great, long term way to manage their neck and low back pain and prevent recurrence.

NOTE If you are not making the progress we would expect and your physiotherapist thinks you will benefit from further investigations (x-rays,scans) and/or onward referral to a Neurologist or Spinal Orthpaedic Specialist the necessary arrangements can be made by our team on your behalf.

Trapped nerves

A trapped nerve, pinched or compressed nerve is a term used for the compression or irritation of nerve roots exiting the spinal cord and can be due to a prolapsed/slipped/bulging/herniated disc, Other causes may be from pressure from bony nodules that form as part of the aging process. Since the nerve is unable to convey information to the brain in the normal way you may notice that although your pain may originate in one area such as you neck or low back where the nerve is trapped, the pain will often radiate into other areas of your body (arms/legs). This is known as referred pain and can be felt as pain, pins and needles or numbness. This pain is often severe, sharp or a burning type sensation.

NOTE If you are not making the progress we would expect and your physiotherapist thinks you will benefit from further investigations (x-rays,scans) and/or onward referral to a Neurologist or Spinal Orthopaedic Specialist the necessary arrangements can be made by our team on your behalf.

Headaches/Migraines

Pressure on the nerves as they exit the spinal canal in the upper neck is a common cause of cervicogenic headaches & migraine. These nerves supply the top and sides of the head, the face, ears and base of the skull. This pain can be severe and debilitating.

Following a thorough verbal and physical examination your physiotherapist may decide to use hands-on treatments including deep soft tissue massage, spinal mobilisations and manipulation (where appropriate).

NOTE If you are not making the progress we would expect and your physiotherapist thinks you will benefit from further investigations (x-rays,scans) and/or onward referral to a Neurologist or Spinal Orthpaedic Specialist the necessary arrangements can be made by our team on your behalf.

Neck and Back Injuries Treatment

  • • Immobilize the head, neck, and back. Place soft packing on either side of the head to prevent side-to-side motion. Clothing or towels are handy for this purpose.
  • • If the victim needs to vomit, roll the head, neck, and body as a unit so the person rests on his or her side (preferably, one person should control the head of the person with the injury while another person rolls the shoulders and hips).
  • • Monitor the victim for loss of movement and development of numbness.
  • • Move the person only when necessary to preserve life.
  • • CPR may be required.

What Causes Hip Pain?

Hip pain is common and spread across all age groups. The hip joint and its integration with your pelvis, SIJ and lumbar spine (lower back) make it a complex region to correctly analyse and assess any dysfunction.

Hip pain can also be associated with reduced balance. A thorough balance assessment may be required to predict a falls risk. Falls prevention exercises may be prescribed by your physiotherapist to address any individual deficits. They may even advise you to utilise a walking assistance device such as a walking stick, crutches or a walking frame.

hip physiotherapist. Biomechanical deficits and subtle hip weakness that may only show on a slow-motion video are just two of the potential causes of sporting hip injuries.

Groin Pain

Groin pain is one of the most common symptoms associated with hip joint pathologies such as hip osteoarthritis and hip labral injury. There are also many other causes of groin pain that need to be excluded by a health professional. More info: Groin Pain.

Only after a thorough hip assessment will your hip pain be effectively rehabilitated to relieve your current hip pain and joint dysfunction, plus prevent the return of any future hip pain.

Common Sources of Hip Pain

Hip Joint Pain

  • Hip Arthritis – Osteoarthritis
  • Hip Labral Tear
  • Hip Pointer
  • Femoroacetabular Impingement – FAI
  • Perthes Disease
  • Slipped Femoral Capital Epiphysis
  • Stress Fracture
  • Avascular Necrosis of the Femoral Head

Hip Arthritis

  • Hip arthritis commonly describes the most common for of hip arthritis, which is known medically as hip osteoarthritis.
  • Hip osteoarthritis is a joint disease that mostly affects your hip joint cartilage. Articular cartilage is the hard slippery surface that covers the sections of bones that move against each other in your hip joint.
  • Healthy articular cartilage allows your hip joint bones to smoothly and painlessly glide over each other and also helps to absorb any shock forces not dispersed by your hip muscles.

What’s the Treatment of Hip Arthritis?

PHASE I – Pain Relief & Protection

  • Managing your hip pain. Hip pain is the main reason that you seek treatment for hip arthritis.
  • Regular application of ice packs is highly recommended to reduce your hip pain.
  • Your physiotherapist will use an array of treatment tools to reduce your hip pain and inflammation. These may include ice, electrotherapy, acupuncture, unloading taping techniques, soft tissue massage and temporary use of a mobility aid (eg cane or crutch) to off-load the affected side.

PHASE II – Restoring Normal Hip ROM, Strength

As your hip pain and inflammation settles, your physiotherapist will turn their attention to restoring your normal hip joint range of motion, muscle length and resting tension, muscle strength and endurance, proprioception, balance and gait (walking pattern).

Hip researchers have discovered the importance of your hip muscle recruitment patterns with a normal order of deep, then intermediate and finally superficial muscle firing patterns in normal pain-free hips. Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you specific to your needs.

PhysioWorks has developed a “Hip Core Stabilisation Program” to assist their patients to regain normal hip muscle control. Please ask your physio for their advice.

PHASE III – Restoring Full Hip Function

The final stage of your hip arthritis rehabilitation is aimed at returning you to your desired activities. Everyone has different demands for their hips that will determine what specific treatment goals you need to achieve. For some people, it may be simply to walk around the block. Your physiotherapist will tailor your hip rehabilitation to help you achieve your own functional goals.

What Else Can You Do For Your Hip?

Lose Weight

Lose weight. You won’t just look better, you’ll feel better, too. Why? Every extra kilogram you carry around translates to added stress to your hip joints. Excess weight can mean more hip pain, no matter which form of arthritis you have.

Ice it!

When your hip joint is hot and inflamed, applying something cold can decrease pain and swelling by constricting blood vessels and preventing fluids from leaking into surrounding tissues.

Medications

Follow your doctor’s advice. Some medications will be designed for pain relief and others to reduce inflammation. Since most hip osteoarthritis sufferers normally have other medications, it is always wise to check with your doctor before changing.

Exercise – Keep Moving

Exercise helps to lessen your hip pain, increase your hip joint range of movement, reduce fatigue and help you feel better overall.

A well-rounded workout routine for people with hip osteoarthritis includes flexibility exercises to increase your hip joint and muscle range of motion, aerobic exercises to improve your endurance and decrease fatigue, and strengthening exercises to improve your muscle endurance and power.

Your physiotherapist is an expert in the assessment and prescription of hip arthritis exercises. Please ask them what is best for you.

General exercise such as swimming, hydrotherapy, Tai Chi, yoga, pilates, balance and walking programs are excellent if pain-free.

The key is to have a regular daily exercise program. The goal is to keep moving.

Strengthen Your Bones

Ask your doctor to check your bone density. If they are concerned they’ll arrange for a test to check if you have osteoporosis (bone thinning).

Follow their advice or the advice of your dietitian on your Calcium and Vitamin D intake. You need normal levels of both plus some form of weight-bearing exercise to strengthen your bones.

Treat Your Muscles with a Massage!

A quality remedial massage may be just the relief your hip muscles need. Treat yourself to a good rub down with someone you trust. The benefits vary from person to person but may include decreased pain and muscle stiffness associated with your arthritis, increased circulation, and an improvement in your sleep and immune functions. Mentally, massage can also decrease stress and depression.

Besides all it that, massage just feels good!

For more advice, please ask your physiotherapist, massage therapist or doctor.

Hip Pointer

What is a Hip Pointer?

A hip pointer is a contusion (bruise) on the iliac crest (top of hip bone) or across the greater trochanter (most prominent aspect on the outside of hip) as a result of direct trauma. Sometimes this can be accompanied by an avulsion injury, where a small fragment of bone is torn away by the attached muscle. Bleeding and swelling are a result of the injury and cause pain with hip movements.

What Causes a Hip Pointer?

A hip pointer injury is usually the direct result of a blow to the hip (iliac crest or greater trochanter) or from a fall onto a hard surface.

How is a Hip Pointer Treated?

Initially, a hip pointer is treated using rest, ice and compression. Ice can be applied for 15-20mins every 2-3 hours in the initial 24-72 hours following injury. A hip pointer requires adequate recovery time to allow the injured structures to heal. If walking is difficult crutches may be supplied to allow for mobilisation. Return to play will be determined by pain levels, hip mobility and based on your previous level of function. It may take 1-3 weeks to heal.

While you are waiting for the contusion to heal your physiotherapist will provide you with some simple exercises to maintain hip joint range of motion and prevent stiffness. Aquatic-based exercises can be helpful in maintaining hip joint range whilst unloading the area.

What is Femoroacetabular Impingement?

Femoroacetabular Impingement (FAI) is a hip condition which describes a mechanical mismatch between the hip “ball” and the “socket”.

There are three described types of femoroacetabular impingement:

Cam Type FAI

‘Cam’ type femoroacetabular impingement describes a ‘bump’ on the surface of the femoral head (ball) which jams on the rim of the (acetabulum) socket. This typically affects young athletic men.

Femoroacetabular Impingement Treatment

An initial trial of non-operative treatment is advocated for most patients, as the pain is relatively self-limiting.

Physiotherapy can assist FAI by using a variety of techniques to:

  • mobilise the hip joint that stretches any tight structures eg joint capsule or muscles
  • improve soft tissue flexibility and length
  • strengthen the deep, intermediate and superficial hip muscles
  • progress hip muscle, proprioception, joint position sense, and functional control to dynamically control your hip

Use of painkillers and anti-inflammatories may temporarily help the pain reduce the local anti-inflammatory reaction.

Recovery from hip arthroscopy typically takes 3-4 months, while open hip debridement is typically 12 months. Hip arthroscopy has been the preferred method in recent years and has reported excellent results with 80% of patients asymptomatic by 3-4 months and up to 95% had improved symptoms by one year.

For more advice about femoroacetabular impingement, please ask your physiotherapist or doctor.

Perthes Disease

What is Perthes Disease?

Legg-Calve-Perthes Disease, or Perthes Disease for short, is a rare condition that affects children. It affects boys more than girls and usually between the ages of 4-10 years old. It affects the hip joint and involves the femoral head (the ball part at the top of the thigh bone). The blood supply to this area of the bone becomes interrupted, with insufficient blood flow the bone begins to die (avascular necrosis). This results in a flattening of the femoral head. In most cases, this only occurs on the one side.

What is a Stress Fracture

Stress Fracture

One of the most common injuries in sport is a stress fracture. Stress fractures are tiny cracks in a bone. Stress fractures are caused by the repetitive application of force through the bone that isn’t strong enough. Essentially, the bone is weaker than is required for the activity demands or exercise intensity.

The most common stress fractures occur in runners, but stress fracture can occur due to the demands of your sport. eg lumbar spine stress fractures in gymnasts and cricket bowlers. Common running stress fractures include foot (navicular, metatarsal), tibia (shin splints). Stress fractures also can arise from normal use of a bone that’s been weakened by a condition such as osteoporosis.

What is Avascular Necrosis of the Femoral Head?

Avascular Necrosis (or Osteonecrosis) is a condition affecting the upper part of the leg – specifically the femoral head. Essentially, the femoral head or ball of your hip joint receives less and less blood supply. Since bone is living tissue when this blood supply is reduced enough the bone dies. Once the bone dies, the femoral head collapses and if severe enough, the hip joint itself collapses.

Avascular Necrosis mainly affects those aged between 20-50 years old. In general, the healthier you are, the less risk you have of developing avascular necrosis. It usually comes about secondary to an underlying health issue or previous injury.

What are the Symptoms of Avascular Necrosis?

Avascular Necrosis requires time for its onset. It is relatively asymptomatic to begin, but as it progresses, the pain becomes more pronounced. Pain limited hip range of motion is the ultimate symptom both passively and actively which can refer pain down the length of the leg. Generally, the pain will arise when pressure is placed on the bone which unfortunately includes walking around!

Avascular Necrosis can often mask itself as other conditions in the early phase given its general pain presentation within the hip. Therefore, it is paramount for your health practitioner to record a detailed history of your presentation and perform a thorough examination to identify if avascular necrosis is your true cause of pain.

Avascular Necrosis Treatment

Conservative treatment with physiotherapy has proven to be relatively ineffective for avascular necrosis. Although the aim of conservative treatment is to decrease the weight bearing load through the head of the femur (usually by implementing crutches), research has shown that the condition still progresses in 1-2 years. Without definitive treatment, 70% to 80% of all avascular necrosis of the femoral head cases will progress and inevitably undergo surgery.

Irrespective of what surgery is undertaken, the primary goal is always to preserve the natural femoral head as opposed to replacing it.

There have been proposed nonoperative treatments that can be implemented before the condition progresses and the femoral head collapses as seen in the picture on the first page. They are, however, still in the early stages of research and development. The use of various electromagnetic, acoustic stimulation or pharmaceutical modalities has been trialled with varying success. One of the most well known and successful treatments, if the condition is identified early enough, is the core decompression – i.e. decrease the pressure inside the femoral head. This is achieved through drilling holes into the femoral head to create channels for new blood vessels to nourish the affected areas of the hip or the channels are filled with healthy bone from another part of the body. This has proven to be successful, especially in those with early stages avascular necrosis based on preoperative and postoperative MRI studies.

As evident, there is a multitude of different approaches that can be taken to manage avascular necrosis. Ultimately, an orthopaedic opinion is paramount to ensure the condition is treated as effectively as possible. The decision as to which treatment to select will depend on the stage the avascular necrosis in combination with the clinical evaluation of the patient.

Knee Pain

Knee pain or knee injuries are extremely common, and there are many causes. It is important to make an accurate diagnosis of the cause of your knee pain or injury so that appropriate treatment can be directed at the cause. Knee pain can arise from soft tissue injuries eg ligament sprains and muscle strains, bone conditions eg knee arthritis, Osgood Schlatters, and biomechanical dysfunction eg Patellofemoral syndrome. It may even be referred from your sciatica!

Knee pain has many causes and your knee treatment varies considerably depending on an accurate diagnosis. Treatment can involve simple knee mobilisation techniques, massage, taping, stretches or strengthening exercises all the way through to a thorough rehabilitation protocol post knee reconstruction or knee replacement.

How Do You Know If Your Knee Injury Is Serious?

While it is always best to seek the professional advice of a highly skilled practitioner who is trained in knee injuries such as your doctor or physiotherapist, here are seven signs that could indicate a severe knee injury.

  • 1. Obvious deformity. You may have a fracture or dislocation.
  • 2. You heard a “pop” or “snap”
  • 3. You’ve experienced swelling
  • 4. Greater than normal movement
  • 5. Less than normal movement eg can’t straighten
  • 6. You are unable to weight-bear on your leg
  • 7. Your knee “gives way” or “buckles”.

If you experience any of these symptoms please seek prompt medical assessment. Please consult your physiotherapist or doctor for the most accurate diagnosis and best treatment for your knee pain.

What is the Best Exercise for Knee Pain?

It may seem a little contradictory, but researchers have identified that knees exercises may assist the relief of your knee pain. The important thing to identify is which knee exercises are likely to help you and which could be harmful.

What exercise dosage you should be doing is also important. Your exercise dosage will vary depending upon the phase of your specific diagnosis, your knee injury diagnosis, plus other individual health factors. This is exactly where your physiotherapist’s professional training including knee injury diagnosis and appropriate knee exercise prescription is important to guide you quickly back to pain-free knees.

While we’d like to say that all knee exercises are beneficial to you, there are significant individual differences between all patients who present with knee pain. For example, an older diabetic overweight patient will require a very different set of knee exercises to a young high-performance athlete, or a patient who has just had a knee operation.

Based on the significant individual differences of who presents with knee pain, it is highly recommended that you seek the professional advice of your trusted physiotherapist or healthcare practitioner who has a special interest in knee pain and injuries to guide your knee rehabilitation.

Knee Pain Common Causes

Knee Ligament Injuries

What is a Knee Ligament?

A ligament is a short band of tough fibrous connective tissue composed mainly of long, stringy collagen molecules. Ligaments connect bones to other bones in and around joints. They do not connect muscles to bones; that is the function of tendons. Ligaments limit the amount of mobility of a joint, or prevent certain movements altogether.

What Causes Knee Ligament Injuries?

You can injure a ligament through a sharp change in direction, landing wrong from a jump, or the most common a blunt force hit to the knee, such as in football tackle. The incident usually needs to happen at speed. Muscle weakness or incoordination predispose you to a ligament sprain or tear.

How Do You Know If Your Knee Injury Is Serious?

While it is always best to seek the professional advice of a highly skilled practitioner who is trained in knee injuries such as your doctor or physiotherapist, here are seven signs that could indicate a severe knee injury.

  • 1. Obvious deformity. You may have a fracture or dislocation.
  • 2. You heard a “pop” or “snap”
  • 3. You’ve experienced swelling
  • 4. Greater than normal movement
  • 5. Less than normal movement eg can’t straighten
  • 6. You are unable to weight-bear on your leg
  • 7. Your knee “gives way” or “buckles”.

If you experience any of these symptoms please seek prompt medical assessment

Symptoms & Severity of Knee Ligament Injuries?

The severity and symptoms of a ligament sprain depend on the degree of stretching or tearing of the ligament.

In a mild grade I sprain, the ligaments may stretch, but they don’t actually tear. Although the joint may not hurt or swell very much, a mild sprain can increase the risk of a repeat injury. With a moderate grade II sprain, the knee ligament tears partially. Swelling and bruising are common, and the use of the joint is usually painful and difficult.

With a severe grade III sprain, your ligament tears completely, causing swelling and sometimes bleeding under the skin. As a result, the joint is unstable and unable to bear weight. Often there will be no pain following a grade III tear as all of the pain fibres are torn at the time of injury.

What’s the Healing Time of a Knee Ligament Injury?

Grade I sprains usually heal within a few weeks. Maximal ligament strength will occur after six weeks when the collagen fibres have matured. Resting from painful activity, icing the injury, and some anti-inflammatory medications are useful. Physiotherapy will help to hasten the healing process via electrical modalities, massage, strengthening and joint exercises to guide the direction that the ligament fibres heal. This helps to prevent a future tear.

When a grade II sprain occurs, use of a weight-bearing brace or some supportive taping is common in early treatment. This helps to ease the pain and avoid stretching of the healing ligament. After a grade II injury, you can usually return to activity once the joint is stable and you are no longer having pain. This may take up to six weeks. Physiotherapy helps to hasten the healing process via electrical modalities, massage, strengthening and joint exercises to guide the direction that the ligament fibres heal. This helps to prevent a future tear and quickly return you to your pre-injury status.

When a grade III injury occurs, you usually wear a hinged knee brace to protect the injury from weight-bearing stresses. The aim is to allow for ligament healing and gradually return to normal activities. These injuries are most successfully treated via physiotherapy and may not return to their full level of activity for 3 to 4 months. We strongly recommend that you seek professional advice in these cases.

What is an ACL Injury?

Your ACL or anterior cruciate ligament is one of four knee ligaments that are critical to the stability of your knee joint. Your ACL is made of tough fibrous material and functions to control excessive knee motion by limiting joint mobility.

One of the most common problems involving the knee joint is an anterior cruciate ligament injury or ACL tear. Of the four major knee ligaments of the knee, an ACL injury or rupture is the most debilitating knee ligament injury.

Physiotherapy & ACL Exercises

Your best way to avoid ACL reconstructive surgery is to undertake a comprehensive ACL-Deficient Knee Rehabilitation Program that involves leg strengthening, proprioception and high-level balance retraining, plus sport-specific agility and functional enhancement. Your sports physiotherapist is an expert in the prescription of ACL tear exercises.

PhysioWorks has developed a specific ACL Deficient Knee Rehabilitation Program to address ACL injuries for the patient who wishes to avoid or delay ACL reconstructive surgery.

Your physiotherapy treatment will aim to:

  • Reduce pain and inflammation.
  • Normalise your joint range of motion.
  • Strengthen your knee: esp Quadriceps (esp VMO) and Hamstrings.
  • Strengthen your lower limb: Calves, Hip and Pelvis muscles.
  • Improve patellofemoral (kneecap) alignment
  • Normalise your muscle lengths
  • Improve your proprioception, agility and balance
  • Improve your technique and function eg walking, running, squatting, hopping and landing.
  • Minimise your chance of re-injury.

We strongly suggest that you discuss your knee injury after a thorough examination from a knee injury clinician such as a sports physiotherapist, sports physician or knee surgeon.

PCL Injury

What is a PCL (Posterior Cruciate Ligament) Injury?

One of the most common problems involving the knee joint is a posterior cruciate ligament (PCL) tear.

The posterior cruciate ligament is one of four ligaments that are critical to the stability of the knee joint. It originates from the medial aspect of the medial femoral condyle and branches into two bundles (posteromedial and anterolateral) before inserting into the posterior aspect of the tibia. (Margheritini et al., 2002)

The PCL is made of tough fibrous material and functions to control excessive motion by limiting joint mobility. In particular, it resists hyperextension, posterior tibial displacement and provides a rotational axis and stability. It prevents excessive tibial external rotation. (Magee D., 2008)

Of the four major ligaments of the knee, the PCL injury is the least common knee ligament injury. It is responsible for between 3% and 23% of knee injuries. It has a cross-sectional area 1.5 times that of your ACL. As mentioned earlier your sports physiotherapist is an expert in this field. Please contact them for the best advice in your circumstances.

How to Prevent PCL Tears?

Preventing of knee ligament injuries, including PCL tears, has been the focus of recent research for many years. Prevention protocols are being improved and supported by researchers. For the latest advice, please ask your sports physiotherapist for prevention exercises and strategies. Current investigations have focused on strengthening, dynamic, proprioceptive and neuromuscular training to prevent PCL tears. For more advice, please consult with your sports physiotherapist.

Braces for PCL Tears

Some patients will try a PCL brace. The brace required will need to stabilise your knee to avoid hyperextension and possibly multi-directionally if other ligaments are injured. While trialling a PCL brace is understandable, the success lies in the extent of your PCL instability.

In other words, highly unstable PCL’s may give out eventually regardless of the brace. However, mild instabilities may allow you to work and undertake non-directional change sport if you wear a PCL brace.

Return to Sports with a PCL Tear

Most athletes will normally have no significant trouble returning to sport following a PCL injury in isolation. However, the complication of an ACL or posterolateral corner injury will require special consideration depending upon your specific injury and the sport that you wish to resume.

Ankle injuries and pain are extremely common and the causes are numerous.

How Do You Stop Your Ankle From Hurting?

The secret to stopping your ankle from hurting is an accurate diagnosis. Only then can you determine the best solution for your ankle pain. The most common sources of ankle pain include traumatic ankle ligament sprains, ankle fractures (broken bones), tendinopathies, degenerative arthritis and biomechanical disorders.

Sprained Ankles

The most common ankle injury is a sprained ankle, but ankle pain can have numerous sources. Ankle pain that results from a traumatic injury is often thought of as sports injuries. But you don’t necessarily have to be an athlete or even a social sportsperson to twist your ankle.

Something as simple as walking on an uneven footpath can cause a rolled ankle, resulting in an ankle sprain. Ankle injuries can potentially occur at any age. Thousands of people sprain their ankle every day around the world. Just while you’ve been reading this article a few hundred people have sprained their ankle. While ankle pain can result from a large number of ankle and foot injuries, the most common ankle injuries are sprains (low and high ankle), which involve ligaments and bones in the ankle. But you can also fracture a bone, tear muscles or over-stress a tendon when you sprain your ankle.

Ankle Fractures

An ankle fracture occurs when there is a break in one or more of the bones. The most common ankle fractures are avulsion fractures of your distal fibula, which can be a side effect of an ankle sprain. These are generally less troublesome than if you experience a talar dome fracture with your actual ankle joint. Potts fracture is a major fracture of your tibia and fibula simultaneously.

Ankle Tendinopathies

While muscle strains are more common in your legs, there are important muscles which converge into tendons that wrap around your ankle to stabilise your ankle and foot to protect them from sprains and allow you to walk and run. These muscles and their tendon vitally provide you with a normal foot arch and avoid flat feet.

Ankle Arthritis

Your ankle pain and dysfunction can also be caused by degenerative conditions such as ankle osteoarthritis. While arthritis is normally a chronic deterioration of your ankle joint, it is important to slow the progression of ankle arthritis. Please seek the professional advice of your ankle and foot health practitioner eg physiotherapist or podiatrist.

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]]> Physiotherapy at Home https://www.orthoneurophysioclinic.com/service/physiotherapy-at-home/ Wed, 28 Jul 2021 07:00:36 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=892 Advantages of Physiotherapy at home Physiotherapy/Physiotherapist at Home in Indirapuram, Raj Nagar Extension, Vaishali, Mohan Nagar, Shastri Nagar, Kavi Nagar, Ghaziabad. If you are looking for the best home Physiotherapy or Physio@Home services so, “Ortho Neuro Physiotherapy Clinic, Ghaziabad” is giving these services in the healthcare profession for the last 14 Years. Service for Physiotherapy at Home/ Home physiotherapy, you can visit our Clinic or can take Physio@Home by visiting[…]

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Advantages of Physiotherapy at home

Physiotherapy/Physiotherapist at Home in Indirapuram, Raj Nagar Extension, Vaishali, Mohan Nagar, Shastri Nagar, Kavi Nagar, Ghaziabad. If you are looking for the best home Physiotherapy or Physio@Home services so, “Ortho Neuro Physiotherapy Clinic, Ghaziabad” is giving these services in the healthcare profession for the last 14 Years. Service for Physiotherapy at Home/ Home physiotherapy, you can visit our Clinic or can take Physio@Home by visiting our website@ www.orthoneurophysioclinic.com

 Trusted from since 14 Years

We are giving Physiotherapist/physiotherapy at home with Mobile physiotherapists or Physio@Home / home visit consultations, services as opposed to traditional physiotherapists who work in regular clinic work environments.

Increasingly, both patients and practitioners are becoming aware of Physiotherapy at Home/Home Physiotherapy (“home physio”) benefits. I will discuss few main benefits for individual citizens in Ghaziabad, showing how they can improve the overall healthcare delivery in Indirapuram, Vaishali, Shastri Nagar, Raj Nagar Extension, Mohan Nagar, Vasundhara, Kaushambi, Kavi Nagra, Raj Nagar, Nehru Nagar, Sahibabad, Shyam park, Ghaziabad & Gaur Green City, Noida & Delhi.

In 1800s, when it was majorly rotating around manipulation and exercises. However, over the years, these dimensions have widened their horizons and today; Physiotherapy treatment has become one of the most advanced / preferred modalities to cure pain. Right from restoring health to enhancing strength/flexibility, movement and functionality it does it all. Now imagine, getting these Physiotherapy benefits without leaving your home. Physiotherapists personally visit patients and perform necessary treatments. https://orthoneurophysioclinic.blogspot.com/

Benefits of Physiotherapy at home

If you’re experiencing pain due to accident or injury or due to any other reason, you feel any way a little uneasy and the only place that can bring you comfort is your home. Now in that comfort space of yours, if you get Physiotherapy/Physiotherapist Treatment at home then chances of improvement also get boosted. You are relaxed and comfortable so you can recover fast.

When you are home, you have your people around you and hence you feel motivated. At the same time, the physiotherapist machine can give you personal attention and you too would be able to share your concern without any hesitation, thus resulting in better growth. All in all, the effectiveness of the treatment gets high.

At times, it may happen that, you visit our best physiotherapist but, the atmosphere and surrounding there doesn’t cooperate with you. This criterion can be totally eliminated in case of home physiotherapy treatment as the physiotherapist would first of all use his or her knowledge and the required tools to help you out. Then, he or she would devise a routine for you on the basis of the infrastructure and surrounding as per your home, hence leading to better treatment.

In case of high-risk problematic patients, home physiotherapy treatment is highly recommended. They might face problems in terms of travelling and making day to day movements. So when a physiotherapist visits their place, they will get best treatment by being at their home only.

At times, it is very difficult to keep up with the schedule of the physiotherapist. Sometimes, People miss out on experts and their treatments due to non-flexibility of schedules. This obstacle can be very well solved through home physiotherapy treatment. You can save time and manage your routine and also get highly efficient treatments at home by planning sessions according to your time schedules.

You can’t deny the fact that, travelling to a doctor is worthy but, one can’t ignore the travelling expenses as well. So when you are visited by the physiotherapist/physiotherapy at home, you save your travelling expenditure, which makes the entire treatment process cost-efficient.

When you get physiotherapy treatment at your home, your family members can keep a watch on the treatment and on the recovery too. If you too feel disheartened, your family members will be there to support you and can help the physiotherapist as well if he or she requires anything.

The main advantage of physiotherapy at home is care and personal safety, since it removes the burden of transportation (home to physical clinic or hospital, and back) from an suffered and stressed patient.

Today, Physiotherapy/Physiotherapist at home continues to gain popularity at larger scale because of these safety terms .Although patients can be admired for their tenacity, the bottom line is that driving to and from a clinic is dangerous and can lead to serious conditions sometimes , if not fatal road accidents.

Once a day and time is fixed for the appointment, a mobile physiotherapist will drive at your home to offer best physiotherapy treatment of your injury.

Examination is the foundation of a physiotherapy treatment. If we don’t get it in right manner, all assumptions will go incorrect and will further delay your treatment and recovery.

Within a traditional way of physiotherapy treatments, it was assumed that the mattress is okay and physiotherapist never recommended replacement, the pain/injury risks getting even worst before the concrete steps were taken.

For the patient with serious mobility issues, injured/suffered people want to avoid outside travelling/movement by taking it easily physiotherapy treatment at home. In these types of cases, or more severe cases physiotherapy at home is best suitable and more appropriate and easy way for all concerned parties!

In particular cases, with kids and young children, for whom a simple appointment is never that simple. Kids are not easily settled inside the clinics, which add considerable problem for everyone. The physiotherapist’s attention is distracted, causing lower quality, treatment and results. Patients get discouraged, and the kids’ frustration grows over time. So Physiotherapy treatment at home is best idea to deal with

Sometimes, many people with disabilities cannot move to traditional clinics. While steps and tight spaces may be a problem for most people, if you mobilise in a wheelchair, they are huge obstacles to overcome. As a fixed location at clinic, physical location accessibility is foremost in our thoughts when setting up shop. Unfortunately, commercial rent is highly expensive and many physiotherapy clinics are pushed towards the back of strip (shopping) malls, or forced to locate amidst a clutter of small shops. Increasing the number of obstacles before entering the clinic.

Physiotherapy at home simplifies access issues, because patients have better mobility and control of their environment in the setting where they are most familiar.

There is financial motivation for the physiotherapy at home movement, as well as many benefits for allied health practitioners themselves. Operating a physical clinic is expensive with its high fixed costs and frequent income uncertainty also for the patients coming to clinic with highly travelling expenses and other accessibility issues. Unfortunately, these costs continue to mount during holidays and quiet periods. Conversely, a well-run mobile clinic has low overheads & allows practitioners to transition towards a lifestyle business, i.e. a less stressful life that better balances family, career, and social goals/commitments.

Physiotherapist for Home Visit

‘Physiotherapy for chronic pain starts with discussion, investigation and education. Persistent pain can be confusing, particularly with so much information around to sort through. We start by addressing questions and concerns and move towards increasing understanding of pain and its interaction with physical function. Pain is a complex thing but a solid understanding of pain is vital to progress so we start with this. Attention is paid to any difficulties with physical function, often caused by a combination of injury and pain resulting in a mixture of stiffness/tightness/weakness. We methodically develop simple activity and exercise programmes which are also reviewed and progressed regularly.

Many patients experience fear of certain movements or activities, often avoiding activities they used to enjoy. It makes sense to avoid or to be apprehensive about things that have been painful in the past but pain can cause us to become overprotective. We address this as well with education and progressive experimentation.

As we move forward with exercise, it is often appropriate to introduce pool and/or gym-based exercise. Education is provided and exercises prescribed at the outset and progress is reviewed regularly. By this stage, patients have a good understanding of their pain, how their symptoms respond to activity and exercise and how safe they are to perform exercises so the pool or gym sessions are soon independent. We regularly review progress in the clinic (or at the pool/gym if appropriate) and agree on progression of existing exercises or introducing new ones.

Everything we try is informed by research and experience but some things work better for some than for others so we do what I like to call ‘Small, low-risk experiments’ to determine the best programme. We use these experiments to discover what works based on evidence from the patient’s own experience of trying the exercises and activities. Or you can search by “Physiotherapy Near Me” We then progress or introduce new experiments The overall aim is to help patients to improve their physical function and reduce the impact of pain on well-being in all areas of work and life.

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]]> Chiropractor Treatment https://www.orthoneurophysioclinic.com/service/chiropractor-treatment/ Wed, 28 Jul 2021 06:35:42 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=871 What is a Chiropractor? A chiropractor is a branch of health care profession in which focus on the diagnosis and treatment of neuromuscular problems/disorders, which emphasis on treatment with manual adjustment and manipulation of the spine. Chiropractors practice a manual approach that uses spinal adjustments or chiropractic adjustments to correct misalignments and restore joint mobility and proper function to the nervous system, which helps your body system to heal properly[…]

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What is a Chiropractor?

A chiropractor is a branch of health care profession in which focus on the diagnosis and treatment of neuromuscular problems/disorders, which emphasis on treatment with manual adjustment and manipulation of the spine. Chiropractors practice a manual approach that uses spinal adjustments or chiropractic adjustments to correct misalignments and restore joint mobility and proper function to the nervous system, which helps your body system to heal properly & naturally.

Chiropractors use a combination of treatments based on individual person’s specific needs. A chiropractor carries out a comprehensive treatment plan according to your diagnosis and required of the patient. They may even suggest therapeutic exercises and can provide lifestyle counseling with nutritional and dietary information.

Chiropractic care is the primary method of treatment for many conditions like lower back pain. Chiropractic also can complement other medical treatments by relieving musculoskeletal discomfort or pain. According to a patient survey, chiropractic has shown significant improvement in the general wellbeing of the patient. Chiropractic adjustment seldom causes any discomfort or side effects. However, sometimes patients may experience mild pain/ discomfort or aching following treatment that usually resolves within few hours. Chiropractic is considered a safe, and very effective treatment for severe low back pain comparatively other medicines also it doesn’t include any chemical medications, It has also proven significant improvement in many conditions.

Chiropractors Beliefs

Chiropractors focus on the close relationship between the nervous system and spine, and hold true the following beliefs:

  1. Structure and biomechanical derangement of the spine could affect the nervous system.
  2. In many conditions, chiropractic procedures can restore the structural integrity of the spine, which can reduce pressure on the nerve tissue, and consequently improve the health of the patient.

The treatment concept of chiropractic is to re-establish normal spinal mobility, which in turn alleviates the irritation to the spinal nerve and/or re-establishes altered reflexes.

Conditions Treated by Non-surgical treatments

  • Lower back pain and/or leg pain (sciatica)
  • Neck pain
  • Repetitive strains
  • Headaches
  • Misalignment
  • Muscle Strains and sprains
  • Repetitive strain injury (RSI)
  • Work and sports related injuries
  • Arthritis / joint pains
  • Cold or stiff back, shoulder, neck or limbs
  • General health and well-being

Chiropractors are not exclusively limited to problems with the nervous system and musculoskeletal system.

7 Steps to Treat Misalignment of the Spine / Joints

Chiropractic examination is very similar to the standard examination procedures which are administered by all health care providers.

Chiropractic Exam of Lower Back Pain

An initial chiropractic exam for back pain have 3 parts: a consultation, case history, and physical examination. Laboratory analysis and X-ray examination may also be performed.

1) Consultation The patient meeting with the chiropractor provides briefing synopsis of his or her lower back pain, such as:

– Duration and frequency of symptoms
– Description of the symptoms (e.g. burning, throbbing)
– Areas of pain
– What makes the pain feel better (e.g. sitting, stretching)
– What makes the pain feel worse (e.g. standing, lifting).

2) Case history The chiropractor identifies the complaint areas and the type of the back pain by patient’s history, including:

– Family history
– Dietary
– Past history of other treatments (chiropractic, osteopathic, medical etc.
– Occupational history
– Psychosocial history – Other areas to probe, often based on responses to above questions.

3) Physical examination. A chiropractor can utilize variety of methods to determine the spinal segments which require chiropractic treatments, including not limited to static and motion palpation techniques determining spinal segments that are hypo mobile (restricted in their movement) or fixated. Depending on the results of the above examination, a chiropractor can use additional diagnostic tests, such as:

– X-ray to locate subluxations (the altered position of the vertebra)
– A device which detects the temperature of the skin in the paraspinal region to identify spinal areas with a significant temperature variance which requires manipulation.

Many chiropractors also utilize a holistic, biomechanical concept of treating the bipedal structure in its entirety, in an attempt to balance the structure from the feet upward.

Chiropractors are specially trained in multiple methods of assessing lower back pain, including:

● Evaluation and management services. Chiropractors are trained in examining the joints, bones, muscles and tendons of the spine, head, extremities and other areas of the body with the purpose of knowing any misalignment, tenderness, asymmetry, defects or other problems.

● Neurologic and other common physical Examination procedures. Chiropractors are well trained to perform a variety of neurologic tests (nerve root compression/tension, motor strength, coordination, deep tendon and pathological reflexes, etc.) and are fully skilled in performing orthopaedic, cardiovascular and many other common examinations.

● Specialized assessment. Chiropractors are well trained to assess range of motion, stability, muscle strength, muscle tone and other assessments with the lower back.

● Common diagnostic studies.Chiropractors are also trained in use of diagnostic studies and tools such as radiography (X-rays), laboratory diagnostics and neurodiagnostics.

Dr. Ravinder Kumar, Ortho Neuro Physiotherapy/Chiropractic Adjustment Clinic While assessment of lower back pain, differential diagnosis utilizing a “triage” concept of classifying low back injuries into one of three categories helps to guide the doctor of chiropractic. These categories of chiropractic diagnosis include:

1. Potentially serious: tumor, infection, fracture, major neurological problem (cauda equina), local open wound or burn, prolonged bleeding (hemophilia), artificial joint implant problems, pacemaker problems, joint infection.

2. Nerve problem: when the nerve root in the low back is pinched or compressed, causing a radiculopathy (sciatica). Typical causes of nerve root pinching include a lumbar herniated disc, spondylits, spinal stenosis

3. Non-specific: mechanical back pain in the lumbar spine. This type of lower back pain is the most common presentation, and includes pain for which there is no identifiable cause.

With chiropractic diagnosing of potentially serious injuries, the chiropractor will refer the patient to a relevant medical specialist and possibly a surgeon, and as appropriate the chiropractor might co-manage the patient’s care with other back pain specialists. With this classification, chiropractic manipulation is typically avoided over the relevant anatomy.

With chiropractic diagnosis of a nerve root problem causing sciatica and/or non-specific causes of low back pain, chiropractors describe the symptoms experienced on the following scale:

  • Acute (symptoms lasting less than 6 weeks)
  • Subacute (symptoms lasting between 6 and 12 weeks)
  • Chronic (symptoms lasting for 12 weeks or more)
  • Recurrent/flare up (symptoms are similar to original symptoms and return sporadically or as result of exacerbating circumstances).

These lower back pain or sciatica symptoms may be further broken down as mild, moderate or severe in pain.

Chiropractic is a health care professional who is dedicated to the non-surgical treatment of disorders of the nervous system and/or musculoskeletal system. Generally, chiropractors maintain focus on spinal manipulation and treatment of surrounding structures.

It has been concluded that manual therapies commonly used by chiropractors are generally more effective for the treatment of lower back pain as well as for treatment of lumbar herniated disc for radiculopathy and neck pain, along with other conditions.

When patients with non-specific chronic low back pain are treated by chiropractors, the long-term outcome is enhanced by obtaining maintenance of spinal manipulation after the initial intensive manipulative therapy.

Core Chiropractic Treatment

The core of chiropractic usually revolves around the treatment of common lower back pain conditions through manual therapy:

● Spinal manipulation and manual manipulation. This type of manual manipulation refers to a high-velocity, short lever arm thrust which is applied to abnormal vertebra with the goal of improving the functionality, reducing the nerve irritability and restoring the range of motion in the back. It is also commonly known as “chiropractic adjustment”.

● Mobilization. Chiropractic mobilization refers to the low velocity manipulation, movement and stretching of the muscles and joints, with the goal of increasing the range of motion within those areas.

Chiropractic Treatment Plan

The main Goal setting for the chiropractic treatment plan is to drive the patient’s pain and disability issues and activity intolerance.

Main Motive among all guidelines of low back pain treatment is the prevention of chronicity. The use of active care (care that is patient-driven such as exercise, activity modification, ergonomic modifications, etc.) is emphasized on accomplishment of this goal.

Chiropractic adjustment at Ortho Neuro Physiotherapy/Chiropractic Adjustment Clinic, Ghaziabad. also known as chiropractic manipulation, manual manipulation, or spinal manipulation, is a common therapeutic treatment for lower back pain

A chiropractic adjustment refers to a chiropractor who is applying manipulation to the vertebrae that have abnormal movement patterns or fail to function normally.

The objective of this chiropractic treatment is to reduce the subluxation, with the goals of increasing the range of motion, reducing the nerve irritability and improving function.

Chiropractic adjustment typically involves:

  • A high velocity, short lever arm thrust applied to a vertebra.
  • An accompanying, audible release of gas (joint cavitation) that is caused by the release of oxygen, nitrogen, and carbon dioxide, which releases joint pressure (cavitation)
  • A relieving sensation most of the time, although minor discomfort has been reported (that usually lasts for a short time duration) if the surrounding muscles are in spasm or the patient tenses up during this chiropractic care.

It should be known that joint cavitation or cracking does not occur at many times, typically as a result of significant muscle splinting or the patient not being adequately relaxed during the chiropractic manipulation. At times like this, it is sometimes best for the chiropractor to apply ice, have the patient rest, or do electrical stimulation and massage prior to attempting the chiropractic adjustment.

Ortho Neuro Physiotherapy/Chiropractic Adjustment Techniques:-

There are many different manipulative techniques that can be utilized in chiropractic, and there are certain skill level and “art” involved with high velocity, low amplitude adjustment or manipulation. It is perhaps most important for the chiropractor to determine when not to apply the adjustment.

Chiropractic Adjustment Side Effects

The main reaction to a chiropractic adjustment is aching or soreness in the spinal joints or muscles. If this aching or soreness occurs, it is usually within the first few hours of post-treatment and does not last longer than 24 hours after the chiropractic adjustment. Application of an ice pack often reduces the symptoms quickly

Ortho Neuro Physiotherapy/Chiropractic Adjustment Clinic Focus on spinal adjustment is what makes doctors of chiropractic unique in their approach towards treating patients with spinal complaints. The chiropractic adjustment, however, may not be the only procedure a chiropractor may use in managing a patient’s care.

Natural agents like heat, cold, water, massage, light, and exercise are some of the physiological therapeutic measures that are often utilized by chiropractors. When controlled, these and other elements exert a beneficial influence on body functions and can help a number of common lower back pain problems.

Common Forms of Chiropractic Therapy

Some physiological therapeutic measures that are often utilized in chiropractic care include:

Heat and cold. Chiropractors may use alternate between heat and ice therapy to help patients treat back pain. Ice packs may be used to numb the back for a 10 to 15 minute period and then switched to a heating pad, heat wrap or hot water bottle to restore blood flow to the area and promote faster healing.

Exercise. Chiropractors provide patients with instructions for an exercises program focusing on stretching and strengthening the back. For more information, see Exercise and Chiropractic Therapy.

Massage. Chiropractors can massage the soft tissues to improve circulation, reduce swelling and inflammation associated with the back pain, and encourage quicker healing. See Massage Therapy for Lower Back Pain.

Dietary management. Many chiropractors provide patients with tips on how an improved diet may help with their back pain, and some may also recommend dietary supplements after spinal manipulation.

Ultrasound. With ultrasound, sound waves can create deep heat therapy which is applied to the soft tissues and joints. Basically micro-massaging the soft tissues and joints, ultrasound therapy can not only help in reducing back pain, stiffness, and spasms, but increase blood flow and accelerate the healing process.

Diathermy. A form of shortwave, electro-magnetic therapy which passes the softer tissues and provides heat to denser tissues, diathermy relaxes the muscles and connective tissues, decreases the muscle spasms, and accelerates the healing process by increasing circulation. In chiropractic treatment utilizing diathermy, the treatment area will typically feel pleasantly warm.

Hydrotherapy. Water and its varying temperature and pressure via hot baths, whirlpools, saunas or wraps, hydrotherapy focuses on the body’s reaction to hot and cold stimuli. In chiropractic, hydrotherapy may also be used to reduce the sensitivity of back pain through cold stimuli that numb the pain and the use of hot stimuli to promote blood flow and faster healing.

Electrical muscle stimulation. During chiropractic therapy, electrodes are placed on the skin that send light electrical pulses to different areas of the body with the purpose of reducing inflammation, curtailing muscle spasms and relieving on back pain.

Transcutaneous electrical nerve stimulators (TENS). The most common form of electrical stimulation, TENS units features on electrodes that are placed over the painful area with the user having the power to control the intensity of electrical stimulation. It is also believed that TENS help to block the transmission of pain signals along the nerves and also release the body’s natural painkillers, endorphins.

Traction. A chiropractic traction massage also include the patient lying face up as a system of rollers move about the back, all the while stretching and massaging the muscles at the back. Chiropractors may use other traction devices that stretch the spine, decompress the discs and reduce the pressure on the nerve roots (a procedure known as non-surgical spinal decompression).

Infrared radiation. In chiropractic, a thermal camera may also be used to image colored hues indicating the blood flow in the back. For example, red hues would indicate higher IR radiation and more blood flow at the back. Infrared radiation may be used by chiropractors to differentiate normal temperature changes from abnormal differences and to assess the underlying conditions that are causing back pain.

Cold laser therapy. With cold laser therapy, particles of energy are carried in a laser and absorbed by the cell membrane’s photo receptors after penetrating in the skin surface. The cells and tissues then convert this light energy into biochemical energy, fueling a biological process which is believed to decrease swelling, reduce back pain and inflammation, and improve the circulation.

Ergonomics. During chiropractic care, the chiropractor may also recommend some modification such as chainage at work station that is applied at home and/or at work. The success or failure of obtaining the patient satisfying outcome may be directly related to applying an ergonomic/job-related modification or a hobby-related irritating activity. For more information see our Ergonomics Health Center.

Pelvic stabilization. In leg-length deficiency, flat feet and/or subtalar instability are present, the chiropractor may place a small heel lift in the shoe on the short leg side or prescribe corrective arch supports to help stabilize the pelvis.

Patient education. A chiropractor advises a wide variety of lifestyle modifications, including diet and nutritional programs, self-care and coping strategies, to the patient experiencing lower back pain.

These methods may or may not be utilized by the chiropractor in the course of a patient’s case management depending upon their specific needs.

Chiropractic Manipulation and Therapies

Utilizing on specific manipulations (chiropractic adjustments) in conjunction with one or a combination of the above, the chiropractor’s goal is to remove structural or nervous system irritation that may be the major contributing factor in a patient’s lower back pain.

In Ortho Neuro Physiotherapy/Chiropractic Adjustment Clinic Cardiovascular and strengthening exercises are combined with chiropractic care are important in the management of low back pain.

A patient having a history of heart problems, it is important for the patient to consult with not only the doctor of chiropractic but their primary care physician to be certain that they can tolerate cardiovascular fitness-promotional activities. Specific instructions are given by the chiropractor with respect to proper exercise for the patient’s condition before beginning any exercise program.

In general, a reasonable amount of exercise that is performed daily and utilizes activities that are enjoyed is recommended for patients undergoing a chiropractic treatment.

Exercise Benefits

The importance of exercises in managing acute and chronic low back pain, strengthening the low back, preventing and keeping back patients working, and to improvement in quality of life. The strength of the abdominal muscles was also found to be able to differentiate between those with vs. without chronic LBP

Aerobic exercise helps to promote proper digestion, keeps the muscles in proper tone and promotes better circulation. Walking briskly around the block at least once or twice is a convenient and popular activity.

Also, many forms of work and/or household tasks also function as an exercise program. The important point is to exercise!

Types of Exercises

There are many back exercises that are available for patients who are undergoing chiropractic care for lower back pain. One can classify the chiropractic patient into a flexion or extension biased category to determine the variety that is best for that patient.

  • If a patient feels best on bending over (flexion biased), exercises which promote low back flexion such as pulling the knees to the chest, posterior pelvic tilts, bending forward from a sitting position and others are usually helpful.
  • If a patient is least symptomatic in extension, especially if leg pain centralizes or diminishes (extension biased), prone press-up type exercises usually yield the best results.

Other exercises that can help reduce lower back pain include:

  • Strengthening of the pelvic stabilizing muscles (trunk muscles)
  • Stretching of the hamstrings, adductors, and other overly short or tight postural muscles
  • Proprioceptive or balance promoting.

According to the Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP):

  • Strong evidence supports on exercise as being at least as effective as other non-surgical treatments for chronic low back pain
  • Moderate evidence supports the use of a graded-activity exercise program in occupational settings for sub acute lower back pain
  • Some evidence shows that exercises are more effective than other nonsurgical treatments for acute lower back pain.

As with any chiropractic treatment, it is important for chiropractors to perform a focused re-evaluation of an exercise program following its initial therapeutic trial to determine its effectiveness. Using spinal range of motion as a measurement in the effectiveness of exercise is just one way in which chiropractors can make such determinations.

When you visit Ortho Neuro Physiotherapy & Chiropractic Clinic, Ghaziabad for your chiropractic appointment you’ll be greeted by our friendly staff while you fill out your quick & easy paperwork & take Consultation. You’ll be seen right away and as you can see, the treatment on your first visit is effective and provides immediate relief with visible results.

So now that you know what to expect during your first time at the chiropractor, what are you waiting for?

Questions to Ask About Chiropractic Techniques

  • Is the chiropractor friendly and courteous?
  • Does the patient feel comfortable talking with the chiropractor?
  • Does the chiropractor fully answer all questions asked by the patient?
  • Does the chiropractic doctor listen to the patient’s complete explanation of symptoms and treatment concerns/preferences?
  • How many years has the chiropractor been in practice?
  • Does the chiropractor have a specific undergraduate or post-graduate specialty?
  • Although not necessary, some chiropractors pursue post-graduate diplomat programs in various specialties, such as orthopedics, sports medicine, rehabilitation, neurology, nutrition

Chiropractic & X-Rays Relation:-

There are arguments on both for and against the use of X-rays as a part of chiropractic health care.

But in Ortho Neuro Physiotherapy/Chiropractic Adjustment Clinic Many patients do not require X-rays; however, some chiropractors take them as a standard procedure, either as a defensive practice to rule out pathology (such as a possible tumor or fracture) and/or to aid in determining where to adjust the spine.

In most cases of non-traumatic musculoskeletal low back pain, an X-ray is not needed. One retrospective review found that in a sample of 350 X-rays, only 15% showed a significant pathology that changed treatment recommendations. For the other 85%, there were no clinically significant findings on the X-ray. The conclusion of this review and other similar reviews is that unless a thorough clinical evaluation specifically indicates the need for X-ray testing, it is not warranted and exposes the patient to unnecessary radiation.1 With that said, it may be reasonable to consider an x-ray after several weeks if there is an absence or plateau in symptom improvement.

As a general guideline Ortho Neuro Physiotherapy/Chiropractic Adjustment Clinic X-rays are recommended in the following cases:

  • If the patient sustained a significant traumatic injury, as a bone may be broken or a joint may be dislocated.
  • If an infection may be the cause of the patient’s pain.
  • If any significant disease is suspected, such as cancer or a possible tumor
  • If any type of joint disease is suspected, such as arthritis causing joint pain.
  • If the patient is over age 50 and has experienced any type of trauma (even a minor one)
  • For patients over 65 years of age.
  • Anyone who has been diagnosed with or who may be at risk for osteoporosis. The X-ray may be important to identify or rule out a possible vertebral fracture from osteoporosis.
  • Any suspected spinal instability.
  • If the patient has had long-standing pain that has not responded to or resolved with previous health care treatment

As a general guideline, an X-ray is indicated if it is likely to inform the type of treatment recommended for the patient. In any of the above cases, an X-ray would likely provide critical information that will direct treatment protocols and/or referral options for the patient.

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]]> Osteopathy Treatment https://www.orthoneurophysioclinic.com/service/osteopathy-treatment/ Tue, 27 Jul 2021 11:26:56 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=837 Osteopathy Treatment Osteopathy is a complete system of diagnosis and treatment for a wide range of musculoskeletal conditions. Osteopaths take a case history in detailed manner and perform a thorough clinical examination to help and understand the nature of your pain and symptoms so that they can be diagnosed . Physiotherapist use touch, physical manipulation, stretching and massage to help increase in the mobility of joints, to relieve muscle/joint tension[…]

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Osteopathy Treatment

Osteopathy is a complete system of diagnosis and treatment for a wide range of musculoskeletal conditions.

Osteopaths take a case history in detailed manner and perform a thorough clinical examination to help and understand the nature of your pain and symptoms so that they can be diagnosed . Physiotherapist use touch, physical manipulation, stretching and massage to help increase in the mobility of joints, to relieve muscle/joint tension and pain. Osteopaths often combine a range of various other treatment techniques in their approach, such as rehabilitation exercises, advice about how person can self-manage their condition and educational approaches to help and understand their pain and the factors which influence them. Dr. Ravinder Kumar, Ortho Neuro Physiotherapy Clinic, Ghaziabad having many facilities in clinic like Physiotherapy at Home, chiropractic/chiropractor, Dry Needling, Osteopathy & many other modern medicine like Manual Therapy, Nerve Mobilization, Manipulation etc.

Who can avail the benefits

Osteopathy is a form of complementary and alternative medicine. Patients can use osteopathy at the same time as they are taking other medical care (this is the complementary approach) or on its own (the alternative approach). You do not need a referral from your Doctor to consult an osteopath but you are encouraged to keep your Doctor informed so that your medical records are completed.

Osteopathy is also suitable for newborn babies, toddlers, children, and adults, including pregnant women and elderly people. Doing the same activity frequently can lead to symptoms and patients can often include dancers, musicians, factory workers, those who sit at a desk or in the same position for long periods of time, and sports people.

Treatment is always based on the patient’s age and body. For more information on osteopathy treatments please select a (.pdf) leaflet from the list below:

  • Osteopathy for the elderly
  • Treatment for back pain
  • During pregnancy
  • Common sports injuries
  • Work and driving-related pain

Osteopathy treatment with below symptoms

Osteopathy is complementary to other conventional medicines and many patients are referred to by their Doctors. It treats what are known as “functional” problems.

Below are some Examples of symptoms:
  • Generalised aches and pains

NECK AND BACK

  • Backache
  • Back pain (acute and chronic)
  • Lumbago
  • Sciatica
  • Neuralgia
  • Mechanical neck pain
  • Muscle spasms
  • Arthritic pain and rheumatic pain
  • Minor sports injuries and tensions

UPPER LIMBS

  • joint pains, muscle spasms, frozen shoulder, shoulder pain, elbow pain
  • tennis elbow (lateral epicondylitis)
  • arthritic pain and rheumatic pain, neuralgia, minor sports injuries, and tensions

 

LOWER LIMBS

  • joint pains, muscle spasms, hip and knee pain from osteoarthritis
  • arthritic pain and rheumatic pain, neuralgia
  • minor sports injuries and tensions

 

HEAD

  • headache arising from the neck, migraine prevention

ABDOMEN

  • Circulatory problems, cramp, digestion problems
  • OTHER- fibromyalgia, inability to relax

 

Techniques use in Osteopathy Treatment

One method often used by DOs is called osteopathic manipulative treatment (OMT). Your doctor will use his hands to move your muscles and joints with stretching, gentle pressure, and resistance. The osteopathic belief is that OMT improves circulation, which may help trigger the body’s power to heal.

Osteopathy considers the patient from a mechanical and functional point of view to allow the body to work with minimal stress, strain and energy. The mechanical problems occuring within the body can create imbalances within the normal tension of the spine. Misalignments of spinal vertebrae may cause irritation to the nervous system and affect not only the functioning of the musculo-skeletal system but also the organs that drive our bodies.

Below is an overview of ailments that a patient can present with spinal misalignment.

Below is an overview of ailments that a patient can present with spinal misalignment.

C1Headaches, nervousness, insomnia, head colds, high blood pressure, migraine, chronic tiredness, amnesia, dizziness
C2Sinus trouble, allergies, eye troubles, earache, fainting spells, deafness
C3Neuralgia, neuritis, acne or pimples, eczema
C4Hay fever, catarrh, hearing loss
C5Laryngitis, hoarseness, sore throat
C6Stiff neck, upper arm pain, tonsilitis
C7Bursitis, colds, thyroid conditions
T1Asthma, cough, difficulty breathing, pain in lower arms & hands
T2Upper back pain
T3Bronchitis, pleurisy, pneumonia, congestion
T4Gall bladder conditions, jaundice, shingles
T5Liver conditions, fevers, low blood pressure, anaemia, arthritis
T6Stomach troubles, nervous stomach, indegestion, heartburn
T7Ulcers, gastritis
T8Hiccoughs
T9Allergies, hives
T10Kidney troubles, hardening of arteries, chronic tiredness, nephritis
T11Skin conditions such as acne, pimples, eczema
T12Rheumatism, gas pains
L1Constipation, colitis, diarrhoeas, hernias
L2Cramps, difficulty breathing, acidosis, varicose veins
L3Bladder troubles, menstrual troubles such as irregular or painful periods, bed wetting, knee pains
L4Sciatica, low back pai, frequency of urination
L5Poor circulation in the legs, swollen ankles, weak ankles, cold feet, leg cramps
SACRUMSacco-iliac lesions, spinal curvatures
COCCYXHaemorrhoids (piles), pruritis (itching), coccyx pain when sitting

A living curve – an osteopathic approach

Give a prescriptive list of areas to treat when faced with a patient with scoliosis is to do an injustice to both osteopathy and the scoliosis. After all, a scoliosis is a general term for a lateral curvature of the spine but a variety of scolioses exist, all of which have unique characteristics that are necessary for the osteopath to consider when assessing, diagnosing and treating.

Idiopathic scoliosis is a scoliosis that has no known pathological cause. Of all the scolioses it is the most worrisome due to its potential compression of the viscera; the lungs and pericardium. The scoliosis begins normally during childhood or adolescence and stops once spinal growth ceases. The scoliosis can be either thoracic, thoraco-lumbar or lumber. It is normally thoracic and is identified by the involvement of the ribs which which produce a so-called “high-side”, a phenomena in which the ribs are thrust backwards on the side of the convexity.

Compensatory scoliosis is one where there is nothing intrinsically wrong with the spine per se but rather external forces affect the spine, such as a tilted pelvis from shortened adductor or abductor muscles, a leg-length difference or a fixed abduction or adduction deformity of the hip. Usually, once the cause has been removed, the scoliosis dissappears unless the scoliosis has been left untreated for many years and resulted in tissue shortening around the spine.

Secondary scoliosis is normally secondary to an underlying pathology such as poliomyelitis or cerebral palsy where unequal muscular contracture as a result of the pathology results in extreme angulation of the spine.

Sciatic scoliosis is a temporary form of scoliosis which is normally a person’s attempt to protect oneself by reducing pressure on an irritated nerve. Once the acute phase is over the scoliosis normally disappears.

In the First phase of osteopathic consultation, Dr. Ravinder Kumar will start with a few questions to understand what has made you to the practice. In discussing your symptoms, the osteopath will firstly ensure that osteopathy is the only correct therapy for you. Otherwise you may be referred to another therapy like osteopathy, Chiropractor, Physiotherapy or health professional.

The osteopath may also carry out a physical examination, If you prefer, you can also wear shorts or loose trousers and a thin top. Don’t hesitate to contact to the osteopath if you have any concerns. The osteopath will perform various tests including blood pressure or neurological tests if he needs to be sure that osteopathy is safe for you and the only best option. He might then perform other orthopaedic and mobility tests on your symptomatic area and possibly at other parts of your body as the source of the symptoms may lie elsewhere.

After his examination, he will explain his researches to you and will work with you to prepare for best treatment plan. You can also ask questions any time during the consultation.

The osteopathic examination should focus on assessing the movement of the axial skeleton. The osteopath should try and determine to what extent the axial skeleton, that is, the sacrum, the spine, the ribs, the sternum and the cranium are being dragged away from the mid line. The osteopath needs to examine these areas both passively and actively in order to assess which of these areas show most restriction of mobility. It is often the case that the thoraco-lumber area and the cervico-occipital junction display most restriction.

Once the osteopath has observed the axial skeleton, the peripheral areas should be observed. For example, observation of the foot-arches, knees, hips, the pectoral girdles. Osteopathic examination should involve comparing the shoulders and the pelvic girdles, assessing inequality. The osteopath should be aware of the Adam’s test, a test which involves flexing the spine forward as if to touch the toes. This test exaggerates the high-side and shows the extent of the scoliosis.

Factors for the osteopath to consider:

The pelvis – The osteopaths needs to observe the pelvis for tilting. A tilted pelvis will result in a lateral curvature of the lumber spine. Therefore the osteopath needs to decide what is causing the imbalance in the pelvis and if necessary to treat the muscles that connect to the pelvis such as the hip adductors and abductors. Similarly the osteopath should check for a leg-length difference.

Pelvic and Shoulder girdles – The osteopath can develop a good understanding of how the body is adapting to the scoliosis by observing the pelvic and shoulder girdles. Any raised shoulder could well be coming from a lateral curvature in the spine. So too a raised posterior superior iliac spine could be causing an imbalance in the spine and shoulders.

Occipital protuberance – The occipital protuberance should be directly above the gluteal crease. Any deviation from the line indicates a lateral curve in the spine.

The diaphragm – The diaphragm should be observed both passively and actively as the patient breaths. The osteopath should check the lower 6 ribs and the upper lumber spine where the crura of the diaphragm attach. A lateral curvature of the spine that involves rotation through the thoracic spine will inevitably affect the ribs and the diaphragm.

From a cranial-osteopathy view much emphasis is placed on a few areas:

The spheno-basilar-symphisis – the body’s attempt to overcome the scoliotic changes in the spine results in the cranium shifting in order to keep the vestibular and optic senses balanced. This may mean that the cranium is tilted slightly, causing alteration in the natural position of the occipital condyles. This will then be reflected in the movement of the spheno-basilar-symphisis. The osteopath needs to assess each person individually to check to what degree and in which direction the occipital condyles have adapted and so too, what type of strain is reflected through the spheno-basilar-symphisis.

The abdominal muscles are a doorway to palpating the viscera. So often the lateral curvature of the scoliosis results in compression and compensation of the visceral contents. Using cranial and visceral osteopathic techniques in particular, the abdominal muscles give a good indicator as to the internal changes occurring from the change in weight bearing.

The osteopath should mainly focus on the somatic dysfunction that occurs as a result of the scoliosis, paying particular attention to the postural decompensation that occurs. The treatment should then be aimed at focusing as much as possible on restoring the biomechanical changes and helping them do compensate. The osteopath should try to reverse the postural decompensation and try and strengthen any areas that will help strengthen the curve and prevent it from collapsing. Similarly, the osteopath will do well to pay attention to balancing the sacrum and pelvis and as much as possible restoring symmetry. Finally, the osteopath should include work around the neck and cranium in order to remove any possible dysfunction in the proprioceptive units within the cranium.

In Dr. Ravinder Kumar,Ortho Neuro Physiotherapy, chiropractic/chiropractor, Osteopathy Clinic, Ghaziabad The term scoliosis means a distortion of the body structure into a curvature. This is usually recognized in the spine but may also be found in the pelvis, and occasionally in the mechanism of the cranialbones. Spinal scoliosis may be structural dueto a bony developmental defect as for example the absence ofa rib on one side, or an incomplete development of a vertebra. It may be the result of a neuromuscular isease such as cerebral palsy in which the spinal muscles are more spastic on one side than the other or a paralytic condition in which the muscles are much weaker on one side. In these conditions the spinal muscles exert a greater contraction or side-bending force on one side of the spine than the other. Abdominal surgery in infancy or childhood may leave a scar on one side of the abdominal wall which may, as the child grows, cause a curvature in the back because the soft tissues around the scar are hardened with fibrous tissue and cannot lengthen equally with those of the other side.

But these structural causes of scoliosis are rare. Far more common are the idiopathic adolescent functional spinal curvatures. “Idiopathic” means that the cause is unknown, “adolescent” implies that it is most commonly found as the child enters the adolescent or teenage years; and functional indicates that there is no bony deformity.

There are however some causative factors recognized by the osteopathic physician that are responsive to osteopathic manipulative treatment. In order to appreciate them regard this patient as a dynamic unit of function from head to feet and not merely a vertebral column with an unusual curve in it. Examining the standing patient from the back the level of ears, the shoulders, the scapulaeor shoulder blades, the crests of the ilia are noted for their symmetry, is one side higher than the other. If the patient then bends one knee but keeps the weight equally on two feet it is possible to observe side-bending in the lumbar area – do they move symmetrically or is the side bending greater to one side. Next ask the patient to balance on one leg and note how far the pelvis drops on the opposite side. Is the range of motion equal to that when standing on the other leg. Less motion indicates restriction of physiological motion in the sacroiliac joint. How far can the patient bend forward toward touching the toes without bending the knees. As the patient uncurls note whether the rib cage is symmetrical on the two sides. Aprominence of one side may be the earliest evidence of a scoliosis of the spine. Is there freedom of motion to permit elevation of the straight arms beside the head.

Is the scoliosis still evident when the patient is seated? Standing behind the seated patient place hands on the front of the chest or the sides of the chest to note whether the ribs move symmetrically.

Asymmetric expansion on one side may be due to scoliosis. The patient is then examined lying on the back, to evaluate leg length symmetry, pelvic balance, symmetrical motion of the sacrum within it, and to evaluate the spinal muscles for symmetrical tension or vertebral rotation.

The cranial mechanism is then palpated for distortion of position or asymmetry of motion. The question may be asked, what has the head to do with a spinal curvature. From a functional point of view the body hangs from the head and distortion of the cranial mechanism, commonly from a long or traumatic birth, predisposes to curvature in the spine by way of unequal fascial drags on the body. Orthodontic treatment which endeavors to change and intends to improve the relationship of the jaws may also induce or aggravate spinal curvatures.

The diagnosis will also include a standing X-ray which not only evaluates the nature anddegree of the spinal curvature, but also provides a study of the equality of leg lengths.

The treatment will include osteopathic manipulative treatment to the pelvis and the head, the rib cage, the abdominal wall and the fascial mechanism of the body as well as the area manifesting the spinal curve. If there is an anatomical shortness of one leg a corrective lift might be added to that shoe. In addition to, but not in place of the manipulative treatment some simple exercises may be given to perpetuate the benefit of the treatment.

Carrying a backpack must be carefully monitored. If used it must not be overloaded and must be equally balanced across both shoulders.

The fitting of a brace may be indicated in a severe structural scoliosis. Surgery may be indicated if the condition has rapidly deteriorated or structural anomalies exist. But in our experience if osteopathic treatment is administered first these more drastic measures are needed less frequently.

Many of know what stress is and know that it is detrimental to our health. It raises blood pressure, weakens the immune system and can result in headaches and IBS, but how does it affect our musculo-skeletal system (muscles and joints) and nervous system?

Breathing

When you breathe, do you take long calm breaths or short shallow ones? Many of us breathe shallowly from our upper chest, rather than from the diaphragm. If we’re breathing correctly, as we breathe in our tummy should expand and the diaphragm (the domed muscles under your ribs) should flatten as it contracts and pushes downwards on our abdominal cavity. This downward pressure helps with lymphatic drainage and circulation, stretches our lungs and draws in more air and also helps to massage and push food along the gut.

Digestion

Stress also results in a tightening of the circular sphincter muscles which line the gut which, in turn, restricts the ability for materials to pass along the gut. Gas and matter then builds up behind these restrictions leading to bloating and alternating constipation and diarrhoea and potentially Irritable Bowel Syndrome (IBS).

The nervous system

When you’re stressed the parasympathetic nervous system (part of the autonomic, non-voluntary, nervous systems) is switched off or dulled down together in favour of the sympathetic, fight-or-flight, nervous system, which slows down or halts the action of the reproductive and digestive systems. This happens because, when we perceive a threat, the body needs to focus on responding to the perceived threat with a fight-or-flight response – whether it’s a long or short term stress. Short term adrenaline is released as an appropriate response by the body. The problem is that a lot of us hold on to that perceived threat for a lot longer and continue on to a chronically stressed state. This weakens the immune system and, ultimately, can lead to adrenal fatigue where the adrenal glands become unable to respond, digestion problems like IBS and reproductive issues like infertility.

Posture

You raise your shoulders up to your ears, hunch forward, clench the muscles around your jaw, neck, shoulders, back and arms when you’re stressed. This long term tension requires a lot of energy throughout the day which leads to muscle fatigue and aching.

What’s the answer?

we get used to a certain level of stress and the adrenaline ‘hit’ it gives us and find it very difficult to slow down – perhaps by introducing exercise and relaxing things like reading and meditation into our lives. The key to effective stress management is to look at the situation long term and deal with the both the physical and mental aspects via a multidisciplinary approach. Osteopathy can help by rebalancing the fight-or-flight sympathetic nervous system and vegetative state parasympathetic nervous system mentioned above, to reduce muscle tension (particularly of the diaphragm), encourage joint mobility and improve motility in the digestive system which, in turn, leads to a better state of mind. You may not need that many sessions to ‘reboot’ the body and mind to a calmer, more contented, state. More advice and exercises can then be given for you to do at home to maintain the more peaceful equilibrium.

Every week at the Not Just Backs clinic, we get patients complaining of headaches, neck strain, shoulder aches, tennis elbows, mid and lower back pain… but would you believe it if I said the most common root-cause is quite simply work stress?

Annually, 5 million people report suffering from work-related stress, which has physical as well as psychological effects. Combine this with poor work posture and it’s no wonder so many of us suffer pain.

Despite many people choosing to ignore or diminish the seriousness of stress, it is very much a real condition with numerous causes and symptoms.

Consider this scenario: you’re sat at your desk, and you have an important deadline looming at close of business today, which you and your colleagues have been straining towards for an entire week. Long days, short nights, breakfast on the go, packed lunches at your desk, late dinners, loads of coffee to keep you awake, water only when you think of it… sound familiar?

How does your body react to this pressure?

Maybe somewhat like this: your head is peering forward, neck craned and extended, your shoulders thrust up and forwards. Your ribcage is compressed as your back hunches, your lower back and pelvis compressed into the cushion of your chair, and maybe even your legs are crossed to relieve some pressure in the lower back…

Then add a layer of uneven muscle tension: extremely tight in the back of the neck, chest, abdominals and groin area; stretched and weak across the middle and lower back.

Osteopathic treatment is highly effective at addressing the symptoms of body stress at any point in time.

However the real challenge is managing these symptoms long-term, which shapes the way we help and support our patients here at Not Just Backs.

So if you suffer from workplace stress and it is manifesting itself as pain, do not put up with it any longer.

Headaches and osteopathy

Many people suffer from headaches and migraines, often for many years without finding a solution. A large proportion of these people also resort to headache pills and migraine preventatives which can build up stress within the digestive tract such as the liver and stomach.

The ‘mechanical’ causes of various types of headache are frequently overlooked. Muscular tension in the neck and shoulders can be a major factor and is often the underlying cause. This is usually a symptom of a joint problem in the neck that creates chronic muscular tension and can easily develop into a full blown headache. A history of neck pain is usually also present.

Stress and tiredness can also be a factor but this is more likely to lead to a headache when there is an underlying problem in the neck which has never been treated.

Causes of neck problems

  • Trauma (whiplash, for example)
  • Childhood injuries such as a fall on the head
  • Lower back problems which create neck problems over years due to asymmetry
  • Occupational – such as manual labour or poor ergonomics at the work desk
  • Eyesight – particularly true when lenses are not properly adjusted and cause protruding of the neck
  • Postural – rounding upper back and shoulders causing a kinking in the back of the neck

How Osteopathy can help

Osteopathy can make a big difference to a long term neck problem and alleviate a headache, even ones that have been troublesome for years. A medical history and osteopathic examination can discover problems in the body and check on spinal alignment. Treatment is then aimed at improving alignment, muscular imbalances and posture.

How osteopathy works

Osteopathy works by restoring normal mobility to joints and reducing muscular tensions. These two problems usually go hand in hand. This why massage on its own can be limited in its effects.

Long term joint stiffness also can compress or ‘pinch’ nerves which can then be the major source of a headache or migraine. By releasing pressure on a compressed nerve, the results can be almost immediate in relieving neck pain and stiffness.

What does osteopathic treatment involve?

You can expect some or all of the following during an osteopathic treatment:

  • Soft tissue massage and stretching
  • Joint mobilisation and/or manipulation to stiff areas
  • Exercise advice – this can be what to avoid as well as what to do
  • Postural advice
  • Dietary advice when relevant (for example, avoiding foods that may trigger migraines)
  • Suggested amount of treatment needed and optimal intervals between treatments
  • Treatment addresses the body as a whole, not just the neck

So why not try it out? In one visit to an osteopath you can find out if your headaches or migraines have a deep cause from a neck problem.

At The Chelsea Osteopathic Practice, we have three registered osteopaths with appointments available from Monday to Friday. Early mornings and late evenings are available.

Migraine and osteopathy

Migraines, we never know what might set one off, but once it’s there, it’s persistent.

More than 80% of those with migraines never seek treatment although there are simple and quick solutions to be found!

It has to be said, are migraines doing your head in?!

Well today we will teach you the osteopathic methods to treat this very common condition

Symptoms of migraine

  • Only on one side, the right or the left
  • Who evolves by crisis
  • That changes with each event and can last up to 72 hours if left untreated
  • The migraine is pulsatile, meaning that you can feel your heart beating in your head
  • The pain increases during physical activity
  • This pain can be accompanied by nausea or vomiting
  • You become more sensitive to light or noise

5 common causes of migraines

Biomechanical cause

You can suffer from a migraine following a severe trauma such as a car accident, a concussion, or a fall from a bicycle.

This, or these traumas create muscular, joint or skeletal biomechanical tensions in the regions of the spine or skull.

These biomechanical tensions are equally found in osteopathy after a series of wrong moves, poor posture, poor ergonomics that can in the long-term cause you to have recurring migraines.

Nervous cause

Because of a pinching of the nerve

This is the case in occipital neuralgia, which, if it is pinched, will create a burning sensation or electric discharges that go from the nape of the neck to the top of the skull and sometimes to the eye.

Other nerve compressions can also be found in the origin of neurological migraines such as:

• Great auricular neuralgia

• Neuralgia of the lesser occipital nerve

Biochemical cause

In women, menstruation can bring on head pains due to hormonal changes, most notably in response to a lowering of oestrogen levels and/or tensions in the lower pelvic organs (via the fasciae).

Vascular cause

This cause is linked to a reduction in intra-cranial circulation of blood. Remember that the arteries and veins play an important role in the distribution of oxygen and the nutrients necessary for proper functioning of the organism.

Ophtalmic cause

In this case there are visual symptoms that appear first and foremost. There is usually a spot of light that slowly gets bigger and occurs in both eyes. This can last for anywhere between 10 minutes and a half-hour.

Osteopathy treatment

Osteopathy is used to treat the patient in a holistic manner, that is, globally. This takes into account the symptoms evoked by each individual and adds to this the results of a manual examination to propose an optimal therapy that is customized to the patient.

The aim of the treatment, if it is complete and well done, is to avoid recurrence or to increase the period of time between events.

For migraines, a belief that was handed down from the founder of osteopathy, Andrew Taylor Still applies “The Rule of the Artery is Supreme”. In fact, migraines are generally linked to defective cranial vascularization. The intention is therefore to reset the circulation at the level of the various arteries by various methods.

The treatment can also be multidisciplinary with the intervention of another discipline to best optimise treatment; notably the neurologist or the orthoptist.

 

Whether it be posture related issues or pain, spinal injury, bulging disc or pain in the spine or from the nerves originating at the spine our osteopaths are your spinal technicians and we can help.

Our Osteopaths will work to assess your problem area by performing any relevant tests and examination in the consultation. This will allow them to come to a diagnosis and they will then provide relevant hands on treatment during your consultation, which may include massage, stretching, joint mobilisation or loosening, and ligament work.

You may then be given some tips or further rehabilitation exercises for at home to speed up your recovery.

Our Osteopaths are able to refer you for X-ray or MRI if required to get the answers needed.

Things the osteopath will consider when working with you are:

  • Why did this problem start?
  • Is there other areas in the body affecting or contributing to the issue?
  • How can we resolve the pain or problem area and help the results to last?

Cervical spine (neck)

“Ipad neck” forward head carriage

Forward head carriage or as we like to call it “ipad neck” is the posture of the head jutting forwards in front of the shoulders from hours spent everyday looking down at mobile phones and ipads or sitting at a computer based work station. This in turn stretches the spinal cord, nerves, important ligaments and muscles which can then refer pain to the head.

. Neck pain/strain, Disc bulge, Wry neck, Pins and needles or numbness in the arms or hands

. Headaches associated with neck,Muscle tightness

Thoracic spine (mid back)

. Pain, Rib pain, Disc bulge, Postural tension, Muscle tightness,Pins and needles

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Lumbar spine (lower back)

Pain, Strain, Sciatica, Muscle tightness, Disc bulge/slipped disc

Pins and needles or numbness in legs, Arthritic pain

AS- Ankylosing spondylitis

Back Pain

Back pain is very common and is the main reason patients consult osteopaths. We see a lot of low back pain patients. Jerry has a particular interest in it and completed his Doctorate on it and the different factors that may influence it.

What is SI joint Dysfunction?

What does SIJ Dysfunction mean and how does it affect me?

SIJ – stands for the sacro-illiac joint, and is the joint in the pelvis between the sacrum (lowest part of the spine) and the ilium (pelvic bone). There are actually two SI joints, located either side of the sacrum.

There are a number of strong muscles and ligaments that surround the SI joint. The muscles that surround the SI joint don’t actually act directly to produce active movement of the joint as its primary function is to act as shock absorber and transmit forces from the upper body and spine sideways into the pelvis and then into the lower limbs.

Causes of SIJ Dysfunction:

Alteration in the normal motion of the SI joint will result in pain. This can be too much movement (hyper-mobility) and too little movement (hypo-mobility). People that have suffered from SI joint dysfunction know how excruciating it can be and how it can manifest itself in the low back, the hip, and even down the leg. It can make simple daily activities such as getting in and out of a car; turning over in bed; standing up from a sitting position difficult and troublesome.

A common example of SI joint hyper-mobility is during pregnancy as the muscle and ligamentous structures stabilising the joint get affected due to altered hormone levels. The hormones released during pregnancy relax the ligaments of the body to allow the pelvis to enlarge, in preparation for childbirth. Due to the growing uterus, some of the core muscles around the pelvis get ‘stretched’ and weakened. The additional weight gain and altered gait lead to an increased mechanical strain on the SI joints which may cause pain over the joint and can manifest itself as low back pain, hip pain or even sciatica.

Hypo-mobility can result from direct trauma to the joint, such as a fall onto the buttocks, motor vehicle accident or even as simple as missing step when walking downstairs.

Abnormal movement from sports can directly injure the SI joints by stretching/straining the SI ligaments. An interesting study undertaken by Dr

An interesting study undertaken by Dr Stuart McGill looked at the forces transmitted to the SIJ during a 27kg squat. He found the total force transmitted to this SI joint during this activity was 6.5 kN – which is surprisingly enough to lift a small car off of the ground! No wonder SI dysfunction can lead to significant pain…

Our Osteopaths treat this condition by working on the soft-tissue and ligamentous structures around this joint, along with joint mobilisation and manipulation. This can often give immediate relief. We would also work on optimizing your posture and working on your core and hip stability. Appropriate self management advice would also be given.

If you would like further information about SI Joint Dysfunction or if you think you might suffer from this condition, please do not hesitate to contact our clinic and speak to one of our Osteopaths:

Why is it so common?

There is probably no one answer to why you have back pain. 85% of patients with back pain are diagnosed with non-specific low back pain. There are lots of possible contributors, including:

• physical factors such as heavy lifting, twisting, or bending

• psychological factors. These do not imply that the pain is “in the head” of the patient! We know now that the way we process information is more complex than just “I knock my knee against the table. Ouch! I feel pain”. The context in which we are is going to influence how we process information and our sensibility to painful events. In broad terms, the same person facing the same painful event may experience more or less pain depending on how tired, stressed, anxious or sad they are.

• previous back pain. Low back pain has recently been compared to asthma. Not in the sense that they are related to each other but more because their recurrence pattern is somewhat similar. If we look at asthma to start with, patients tend to have asthmatic episodes (for which they probably have an inhalator – or two – to help with the symptoms) separated by symptom-free periods. The same happens with low back pain where patients may have symptoms, manage the symptoms (through self-management or seeking help from a healthcare professional) and then have a period symptom-free. We know that there is a high chance for that patient to develop a new episode of low back pain in the future.

• lifestyle. There are several factors that are related with low back pain. One of them, when patients have or have had experienced back pain is the lack of activity. It can be related to a fear to provoke pain or to injure him/herself but we know that it is a contributing factor to back pain. Another one is smoking. The underlying mechanism is not clear: is it because someone is stressed that he/she smokes and the stress is the one responsible of the low back pain or is it the effect of smoking on tissue health (muscles, discs, back joints to name just a few) that is responsible of the low back pain? There are other factors that were believed to be strong predictors of back pain, such as obesity, which in fact when researched are not. I always enjoy it when research challenges conventional wisdom.

The main thing is not to worry too much about why we have back pain but more to find a way to make it better.

What to do?

There are many things you can do to help with your pain. If you have begun to experience pain recently (acute pain), the most important thing is to remain as active as possible. Perhaps surprisingly, rest actually increases pain! You can also use ice packs and of course seek help from an osteopath. Click here for more information on an initial consultation and the techniques used during treatment.

If you are experiencing long term pain (what healthcare professionals call “chronic pain“), the advice is pretty similar but will probably be more specific to your own history and experiences. Your osteopath will talk to you about this to find out what will suit you best. Click here for more information on an initial consultation and the techniques used during treatment.

Info on how to seat comfortably.

Osteopathy in Sports

Osteopathy has much to offer professional and amateur sportsmen and women.

Sporting activity is of benefit to body functions such as breathing, the working of the heart and circulatory system, movement of joints and muscles. Sporting activities differ, and their impact on the body varies accordingly, but all have a beneficial effect on these areas to a greater or lesser degree.

A range of factors will have a bearing on the wellbeing of the sportswoman/man: the sport itself (perhaps involving strenuous use of a particular part of the body such as the arms or the legs); the level to which the sport is performed (professional, semi-professional, or amateur, and the frequency of training); where it is performed (indoors, outdoors, a mix) and the nature and quality of the equipment used (footwear, type of racquet). All of these are important factors.

Osteopathic advice can be of help – frequently in connection with simple factors usually known about but not always acted on appropriately. Proper consideration and application of this advice can make a big difference to health and comfort in sport and lead to the avoidance of most sports injuries. Typically these will include consideration of warming up before exercise and stretching afterwards, appropriate fluid intake before, during and after sport, and the correct approach to physical symptoms which may arise during and after sporting activity, such as pain, aches and stiffness.

Osteopathy is frequently of benefit following physical problems in sport and exercise. During an initial consultation Jerry would perform tests on the area where pain is experienced in order to find out what provokes the symptoms, and might also carry out an assessment of the whole body in order to try to establish what other factors may be involved. He would also be likely to discuss with you your approach to sport and training, and might offer advice if he thought changes could help you.

Osteopathy and babies

Osteopathy uses gentle manual techniques to test the mobility of different parts of the body, and to improve and give back mobility when needed. The gentle techniques used may include cranial osteopathy, visceral osteopathy and gentle mobilization of joints.

From what age?

Osteopathy is a gentle treatment suitable for children and babies. Gentle manipulation could help soothe and relax your baby.

Is osteopathy appropriate for babies?

Undergraduate training for osteopaths includes paediatrics and osteopaths are qualified to work with babies and children. Osteopaths are trained to screen for medical conditions and will tell you if you need to see another health professional such as your doctor or midwife.

What happens during a consultation?

I will check over different parts of your baby’s body. Babies’ skeletons are softer than an adult’s: I will therefore use gentler techniques such as cranial osteopathy when treating babies. I can also talk over any worries you may have and give you helpful advice.

Osteopathy and pregnancy

Why?

A woman’s body changes during pregnancy. Those changes include the softening of ligaments, weight increase and changes to posture. That can lead to additional pressure on joints in various parts of the body, including the spine or pelvis.

What for?

Osteopathy may help relieve the stresses and strains on your body during pregnancy and after birth. Pregnancy can cause general aches and pains including joint and back pain and osteopathy could help.

When?

Osteopathy may provide relief from pain and symptoms throughout pregnancy. It can also help with any discomfort that may arise from looking after the newborn.

How?

Osteopathic practice is a healthcare approach that provides a package of care that can include one or more of the following: manual therapy, health information, self-management advice and support, and/or exercise therapy, as determined by the individual needs of the patient.

Treatment Techniques

Osteopathic practice is a healthcare approach that provides a package of care that can include one or more of the following: manual therapy, health information, self-management advice and support, and/or exercise therapy, as determined by the individual needs of the patient.

Osteopathic techniques are never painful. If pain is already present, techniques which will exacerbate that pain can be avoided and an alternative technique can be used.

The manual therapy techniques include:

  • Stretching muscles
  • Articulatory techniques involving movement and manipulation of joints.
  • Techniques performed on the abdomen for organs such as the stomach or intestine (also called visceral techniques or visceral osteopathy).
  • Techniques performed on the fascia (the membranes which envelope all structures in the body), including the fascia of the head (also called cranial techniques or cranial osteopathy).

These are gentle and non-manipulative. They are often used when treating young children and newborn infants

Rehabilitation

This range of techniques enables the osteopath to provide patient-centred care, aimed at answering the individual patient’s needs and expectations. For this reason two patients attending with the same condition may not have the same treatments and advice after the consultation but will benefit equally from the experience.

Rehabilitation

When is rehabilitation useful?

When you can’t do a movement easily because of:

  • A condition (such as osteoarthritis)
  • Surgery
  • An injury

What is Osteopathic Neuromuscular Rehabilitation?

It is a painless form of rehabilitation that uses exercises developed from specific challenges you face in your daily life to encourage movements/activities that are lacking.

We call exercises or specific movements from specific activities or sports that are outside your everyday movement extra-functional. It’s difficult and sometimes impossible to use movements learned from extra-functional exercises in daily life, i.e. if you just lift weights to build up a muscle, it’s difficult to learn to do this movement in your daily life.

Osteopathic neuromuscular rehabilitation uses only functional movement to make the rehabilitation more effective.

“Functional rehabilitation [i.e. Osteopathic neuromuscular rehabilitation] is defined as the process of helping a person to recover their movement capacity by using their own movement repertoire (whenever possible). Hence, for a person who has motor losses at the knee and is unable to walk or run, the rehabilitation will be in walking, then running, jumping and stair-climbing, etc. If this person plays tennis, this activity will also be used in the rehabilitation programme. However rehabilitation is likely to be less effective if the remedial movement patterns or tasks are outside the individual’s experience (extra-functional). For example, it would be less helpful for a tennis player with a leg injury to be given rehabilitative exercise such as football, or leg presses in the gym or leg exercise lying on the floor.

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]]> Dry Needling https://www.orthoneurophysioclinic.com/service/dry-needling/ Tue, 27 Jul 2021 11:10:50 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=828 What is Dry Needling? Dry needling is a treatment technique whereby a sterile, single-use, fine filament needle (acupuncture needle) is inserted into the muscle to assist with decreasing pain and improving function through the release of myofascial trigger points (knots in muscle). What is a Myofascial Trigger Point? According to Dr. Ravinder Kumar, ortho neuro Physiotherapy Clinic, Ghaziabad. A myofascial trigger point, also known as a knot in the muscle, is[…]

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What is Dry Needling?

Dry needling is a treatment technique whereby a sterile, single-use, fine filament needle (acupuncture needle) is inserted into the muscle to assist with decreasing pain and improving function through the release of myofascial trigger points (knots in muscle).

What is a Myofascial Trigger Point?

According to Dr. Ravinder Kumar, ortho neuro Physiotherapy Clinic, Ghaziabad. A myofascial trigger point, also known as a knot in the muscle, is a group of muscle fibres which have shortened when activated but have not been able to lengthen back to a relaxed state after use. A myofascial trigger point develops a sensitive nodule in the muscle (Simons, Travell & Simons,1999). This hypersensitivity occurs as the muscle fibers become so tight that they compress the capillaries and nerves that supply them ( McPartland, 2004; Simons et al., 1999). As a result, the muscle is unable to move frequently, obtain a fresh blood supply containing oxygen and nutrients, or flush out additional acidic chemicals (McPartland, 2004; Simons 1999). In addition to this nodule, the remainder of the muscle also tightens to compensate. The presence of a myofascial trigger point in a muscle can lead to discomfort with touch, movement and stretching; decreased joint motion; and even a temporary loss of coordination.

How Does Dry needling assist with decreasing local muscular pain and improving function through the restoration of a muscle’s natural ability to lengthen and shorten by releasing myofascial trigger points?

What Does Dry Needling Do?

When the delicate filament needle inserts into the centre of a myofascial trigger point, blood pools around the needle triggering the contracted muscle fibres to relax. It also helps to provide those fibres with fresh oxygen and nutrients, as well as by flushing away any additional acidic chemicals. This reaction, in turn, leads to the decompression of the local blood and nerve supply. Other then Ddry Needling, Dr. Ravinder Kumar, ortho neuro Physiotherapy Clinic, Ghaziabad using other modern technique like Chiropractor or Chiropractic Adjustment Treatment & Osteopathy etc.

What Causes a Myofascial Trigger Point?

Myofascial pain syndrome is caused by a stimulus, such as muscle tightness, that sets off trigger points in your muscles. Factors that may increase your risk of muscle trigger points include Muscle injury. An acute muscle injury or continual muscle stress may lead to the development of trigger points.

Dry Needling Work?

A myofascial trigger point develops as part of the body’s protective response following:

  • Injury – the muscle will tighten in an attempt to reduce the severity of an injury
  • Unexpected movements, e.g. descending a step that is lower than initially anticipated
  • Quick movements, e.g. looking over your shoulder while driving
  • Change in regular activity or muscle loading, e.g. an increase in the number or intensity of training sessions for sport
  • Sustained postures, e.g. prolonged sitting for work or study
  • Nerve impingement – the muscle will tighten to protect the nerve
  • Stress
  • Illness (bacterial or viral)
  • Nutritional deficiencies, or
  • Metabolic and endocrine conditions.

What is the Difference Between Dry Needling and Acupuncture?

Dry needling is not the same as acupuncture, although there are similarities between the two techniques. The main difference between dry needling and acupuncture is the theory behind why the methods work. Dry needling’s primarily focused on the reduction of pain and restoration of function through the release of myofascial trigger points in the muscle. In comparison, acupuncture focuses on the treatment of medical conditions by restoring the flow of energy (Qi) through critical points in the body (meridians) to restore balance.

When Is Dry Needling Treatment Recommended?

  • Dry needling can assist in treatment: to help release myofascial trigger points (muscle knots)
  • To assist with pain management, and
  • To restore movement at a joint if inhibited by myofascial trigger points.

What Will You Feel During Dry Needling Treatment?

During a dry needling treatment, you may feel a mild sensation as the needle inserts and withdraws. Patients don’t report any discomfort during needle manipulation.

A brief muscle twitch may occur during a dry needling treatment. This twitch may happen when the needle directly stimulates a myofascial trigger point.

Where Does Dry Needling Fit Within Your Rehabilitation Program?

Dry needling is one of many techniques that can be utilized by your physiotherapist to assist with your rehabilitation. We combine dry needling with other physiotherapy techniques, including massage, manual therapy, and exercise prescription.

What are the Side Effects of Dry Needling?

Every form of treatment can carry an associated risk. Your physiotherapist can explain the risks and can determine whether dry needling is suitable for you based on your injury and your general health.

When dry needling occurs, single-use, sterile needles are always used and disposed of immediately afterIs Dry Needling Safe?

Everybody is different and can respond differently to various treatment techniques, including dry needling. In addition to the benefits that dry needling can provide, some side effects may occur, including spotting or bruising, fainting, nausea, residual discomfort or even altered energy levels. However, these symptoms should last no longer than 24 to 48 hours after treatment.

Can You Exercise After Dry Needling?

We recommend avoiding strenuous or high impact activities immediately after dry needling, to allow the body time to recover, and to maximise the benefits of the treatment.

At Ortho Neuro Physiotherapy, Chiropractic, Osteopathy, Clinic, most of our physiotherapists are qualified and skilled in dry needling and would be happy to discuss your treatment with you.

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]]> Elder Age Care https://www.orthoneurophysioclinic.com/service/elder-age-care/ Tue, 27 Jul 2021 10:10:07 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=393 Intellectual Companionship Why is intellectual companionship important as we age? For many elderly, getting older can be a difficult and lonely experience. As they age, the elderly often become less active, have fewer social interactions, and find it difficult to keep themselves engaged. Even if they live with their family, a hectic lifestyle and busy work schedule means many families have little quality time to spend with elderly parents. Loneliness[…]

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Intellectual Companionship

Why is intellectual companionship important as we age? For many elderly, getting older can be a difficult and lonely experience. As they age, the elderly often become less active, have fewer social interactions, and find it difficult to keep themselves engaged. Even if they live with their family, a hectic lifestyle and busy work schedule means many families have little quality time to spend with elderly parents. Loneliness among the elderly is a silent disease, but it can have serious consequences. Here are some facts:

  • Loneliness among the elderly is associated with a 60% higher chance of dementia
  • 1/5 elders in India report being lonely
  • 2/3 of elderly living more than 300 km away from their children report being lonely

How can ONPC Elder Care Help?

When our Elder Care Specialists visit the elderly, they are equipped with an individualized set of activities, outings and interests, tailored to each individual. We work to nurture and drive each of our elderly to explore passions, interests and hobbies that they may have left behind. By reigniting a passion for life, our Elder Care Specialists ensure that the elderly are enjoying life just as much as they were when they were younger.

1. Staying Active and Occupied

We at ONPC believe that hobbies form the core of an individual. Our ECS work towards rekindling those passions and giving them a new meaning. Be it painting on canvas, cooking a cherished delicacy or knitting a sweater for their grandchild, we make sure that hobbies do not remain their past but something they look forward to everyday.

Documenting life experiences help the elderly to share their knowledge with family members, friends and the world in a way they never knew they could. Creating blogs and memoirs encourages them to engage in tangible work that they can show to others while taking great pride in the work they created with the help of our ECS.

2. Staying Socially Connected

Research shows that social interaction not only stimulates the brain through conversation and activities, but it also contributes to overall wellbeing. Having engaging conversations with the elderly related to recent news, their childhood memories, lifelong experiences and other interests can be exciting and intellectually gratifying.:

Group events are organized by our ECS to encourage social interaction. Organizing salon visits or a fun-filled game day helps the elderly interact with one another and have a good time. These experiences create fond memories which are cherised forever.

Regular meetings with old friends and neighbours keep the elderly connected and informed. Helping to arrange get-togethers that are enjoyable and relaxing keep the elderly in touch with the important people in their lives.

3. Going On An Outing

Going out for coffee or shopping helps the elderly maintain a sense of independence, all while enjoying activities they previously used to engage in.

Selecting a birthday gift for a grandchild or a dear friend makes the gift all the more special. Elderly who were once very independent may have to rely on others for daily necessities, but the chance to go with one of our ECS to pick the perfect shade of nail polish or buy vegetables help them to maintain their individuality and personal choice. Shopping puts them into the shoes of a decision maker and builds their self-esteem while also making them more independent.

A fresh environment inspires lively conversations, boosts observations and creates enthusiasm. Chatting over coffee gives the elderly a new environment to engage and interact in while reminiscing their own days in coffee shops. It reignites the youthfulness and a lot of interesting stories about their college days follow suit.

Watching a movie on the big screen always has its own charm. Most elderly keep up with the latest movies on television, so watching movies in the theatre can make for a fun packed day.

4. Learning Technology

In today’s era, technology plays a major part in our everyday lives. Our ECS helps the elderly understand the changes that have come about since their days and give them a hands-on experience on the the new and latest in the online world. They take them through emailing, Facebook, Skype and blogging to keep them more connected with their family and friends. Many elderly continue to be unfamiliar with technology, but our ECS can help your elderly learn email, Skype, Facebook, and blogging to keep in touch with family & friends.

Email and Skype help keep the elderly stay connected with family and friends. Our ECS can help guide the elderly to become familiar with using email and Skype. Receiving and sending out emails helps to keep the elderly feel connected with modern technology and reap the satisfaction of learning a new skill. The smile that an email from your elderly father/mother can bring to your face is priceless.

Keeping up with the yesterday’s missed TV serial or watching an old music video is no longer a daunting activity for our seniors. Depending on the interest of the elderly, they watch the videos together and the ECS guides them on how to use it on their own.

Playing games on the computer can be a wonderful source of entertainment, while fine tuning concentration, memory and hand-eye-coordination. A game of “matching the cards” is a memory game which exercises their short term memory by making them identify identical cards, while challenging others’ time scores.

5. Intellectual Discussions

For the elderly, intellectual discussions about news, history, politics or an array of different topics are invaluable to keeping them engaged and informed. Our ECS’s discuss topics of interest with the elderly and on each visit plan something new and exciting to talk about – be it news, ideas or experiences. Discussions like these not only keep the elderly informed, but also help them generate new ideas and keep them mentally active and engaged.

6. Helping out with day to day chores

Keeping a track of electricity and telephone bills, buying groceries, or updating the pillbox can be quite stressful on a daily basis. We help ease out this process and take care of these needs in an organized manner.

7. Providing Health Service

Our ECS can monitor the elderly’s vitals, medication management, hygiene levels, risks in their environment and the general condition of the elderly’s health. They provide email reports to the family after every visit to ensure proper feedback is being provided.

How does ONPC customise its care?

We tailor our services to each elderly’s needs. Elderly that are physically and mentally independent seek intellectual stimulation, whether it be through playing a game of rummy or a friendly debate on global warming while taking a walk in the park. For those with physical limitations, we orient our ECS’s to their health concerns and engage the elderly in creative cognitive activities such as chess, sudoku and trivia. For somebody who is suffering from dementia, our ECS’s are trained to understand their unspoken needs and help them communicate to exercise their mental faculties.

What reports do the ECS provide after each visit?

After each interaction, notes are sent to the customer to update them on the session and maintain transparency. These provide the customer with a window into the daily life of their parents and cover the activities carried out and the plan for next session.

How often does the ECS visit?

Elder Care Specialist visit for 1 hour, 2-3 times a week, depending on the elderly’s schedule. On days in between visits, ECS’s make a phone call to the elderly to ensure their well being and to socialize. Phone calls and weekly visits help to construct a strong and meaningful relationship between the ECS and the elderly.

What should I do next?

Elder Care Specialist visit for 1 hour, 2-3 times a week, depending on the elderly’s schedule. On days in between visits, ECS’s make a phone call to the elderly to ensure their well being and to socialize. Phone calls and weekly visits help to construct a strong and meaningful relationship between the ECS and the elderly.

  • To set up a meeting with our elder care team, Call or email us today
  • Find out more about our Elder Care Specialists (ECS)
  • Learn about our Dementia Care Services

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]]> Corporate Physiotherapy https://www.orthoneurophysioclinic.com/service/corporate-physiotherapy/ Tue, 27 Jul 2021 10:06:25 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=397 Corporate Physiotherapy Services Ortho Neuro Physiotherapy Clinic has provided corporate physiotherapy services to a variety of companies for over a decade is a known Is a known fact that work-related musculoskeletal disorder, including strain, sprain, and back injury, account for 60% of injuries and for more than one-third of lost workday injuries They are the most prevalent, expensive and preventable work- related injury in the word today. An employee’s health and[…]

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Corporate Physiotherapy Services

Ortho Neuro Physiotherapy Clinic has provided corporate physiotherapy services to a variety of companies for over a decade is a known Is a known fact that work-related musculoskeletal disorder, including strain, sprain, and back injury, account for 60% of injuries and for more than one-third of lost workday injuries They are the most prevalent, expensive and preventable work- related injury in the word today.

An employee’s health and well-being in the workplace is a crucial factor in determining their level of performance and efficiency. This factor, combined with an optimal recruiting process to ensure employees are matched to the demands of the job, can determine the success or failure of a business.

It as hours spent at work increase, so do levels of employee ill health and stress. Small wonder then that healthcare today has become a major concern for all corporations. We pride ourselves on having addressed this area of corporate health through a range of flexible and customized options. Our healthcare delivery system is specially designed to suit employee needs.

Treatment

At Ortho Neuro Physiotherapy Clinic we have male and female practitioners with many years of experience who cover various areas of expertise. This includes all types of traumatic or sporting injuries, acute and chronic back, neck and joint problems, car accident victims, work related injuries, ergonomics, post-surgery and so on.

We have a varied client base that includes those with neurological problems such as stroke and head injury patients. We also treat children (not infants). All our clinicians are experienced and treat on a regular basis. We have clinicians who have additional training in Cognitive Behavioural Therapy (CBT), acupuncture (members of the AACP), pain management, Manual therapy, Yoga /Pilates, and many other forms of rehabilitation. We also offer Osteopathy if required.

We can also provide return to work programs, vehicle and ergonomic assessments if required. We have physiotherapists who carry out semi to fully customized orthotic provision. We access a GP (offsite) for injection therapy and can refer clients to psychotherapy and counseling if required. Patient education forms a large part of what we do. Client expectations are discussed and addressed from the outset. During the assessment, the therapist will formulate appropriate goals of treatment with the client and case manager/other practitioners if appropriate.

Our Corporate Physiotherapy Services include the following

A. Corporate Physiotherapy Services

Improve you injury management program by having a qualified Physiotherapist attend your workplace, to provide professional treatment to your employees. All equipment and consumables are provided to ensure your staff members are pain free and performing at their peak.

  • Sitting posture guidelines
  • Adjusting your chair to suit individual characteristics
  • Correct positioning and alignment of computer monitor, mouse, keyboard and accessories
  • Postural correction and stretching exercises for the neck, shoulders and upper limbs
  • Recommendations regarding ergonomic aids to minimise repetitive strains

Your employees can also be treated at our clinic where we have a spacious private treatment room within a modern office park.

ONPC can provide a valuable insight to your recruiting process, by developing a specific pre-employment musculo-skeletal screening for potential candidates. This will enable you to determine if a candidates’ physical status and functional capabilities are suited to the demands of the job. The service includes an on-site visit to review the physical demands associated with the job, before developing an appropriate assessment and screening tool. Common screening parameters may include;

  • Past injury history
  • Range of Motion
  • Posture
  • Functional Strength
  • Orthopaedic tests
  • Abdominal strength/endurance
  • Lifting and manual handling ability and technique
  • Cardio-vascular fitness rating

A detailed report is provided, along with an overall risk rating for the nominated job description.

Functional assessments to ascertain the physical ability and safety of your staff

Return to work and independence program is ensuring your staff are able to return to work, following an injury, in a timely and safe manner.

Preferred provider relationship is where we will work directly with you to ensure your staff have access to timely high quality physiotherapy services to ensure a seamless and timely return to work

Job demand analysis is where one of our physiotherapists comes out to your workplace to assess an injured staff member’s capacity to return to the worksite and to identify any physical demands of the job which may prevent a safe and timely return to work Manual material handling training seminars are based around practical work scenarios pertinent to your staff needs. Seminars are based in your work environment for a period of two hours.

Pertinent to your staff needs. Seminars are based in your work environment for a period of two hour. 

Having structured injury prevention and reporting systems in place is a valuable tool for any business. Early detection and treatment of minor problems can save businesses thousands of dollars in future lost productivity and insurance payments. ONPC Port is able to develop such systems for businesses.

B. A typical system may include

  • Visit the work place environment to assess the different work stations and identify potential injury concern
  • Review previous injury statistics for patterns
  • Rate injury identified areas and plan strategies for injury prevention
  • Review previous injury statistics for patterns
  • Rate injury identified areas and plan strategies for injury prevention
  • Appropriate lectures/workshops for workers/ team leaders to inform of injury risks
  • Report detailing potential injury risks and preventative measures taken
  • Create platform for early injury reporting and appropriate management
  • Create platform for early injury reporting and appropriate management
  • Creation of home/ work programme for self-management and continuity in the work place
  • Create communication pathways for early assessment
  • Initiate onward referral for other medical services if requiret
  • Initiate onward referral for other medical services if required.
  • Dr. Kumar Physiotherapy lecture/ workshop to workers
  • Development of worker specific strengthening/ fitness programmes
  • Review ongoing statistics for prevention effectiveness
  • Regular reviews with workers to maintain prevention effectiveness
  • Report detailing potential injury risks and preventative measures taken
  • Initiate referral to appropriate medical specialist
  • Early PhysioPort Physiotherapy consultation for assessment/ advice/ rehabilitation
  • Rehab fitness and strength to return/ maintain worker in workplace environment
  • Progress Reports to workplace

Prevention of injuries is always more cost effective than the continual loss in productivity when workers are regularly injured through poor hazard and early injury identification. Knowing that your staff can access expert physiotherapy care if they are injured and the knowledge that one provider is managing your staff’s care is invaluable to any business. Our previous involvements with businesses have shown to have resulted in a positive outcome from risk education to early injury assessment and appropriate management of injuries.

Requirement for In-company Physiotherapy setup for corporate

  • One Time Presentations (Ergonomics & Muscular Skeletal Disorder at workplace
  • Periodic Presentations and workshops (Ergonomics)
  • In Company Physiotherapy Setup

Conference Room with Projector and Screen

Conference Room with Projector and Screen Separate room with couch for physical assessment and demonstration of exercises

  • Separate Medical Room for consultations
  • Separate room with couch for Exercises
  • Electric Points for Instruments

Various packages of treatment at costs to suit most needs. Written reports at various stages thought out the employee’s treatment. Employee assessments can be carried out at the A Physiotherapy clinic in Stirling, in the employee’s own home, or in the workplace depending on your wishes.

The central clinic is open from 09.0 AM until 2.PM Monday to Saturday and from 05.PM-9.00 PM Sunday from 9 AM to 2 PM. We also have other satellite clinic locations available across the country.

Referred clients are called within 24h to make an appointment and our operations staff pro-actively manage each case to ensure that the client is rehabilitated as quickly as possible and that the administrative processes are thorough and to agreed timescales.

All of our staff are passionate about the quality of service that we provide. We pride ourselves on being a client-focused company, both in our dealings with corporate customers and our privately funded clients.

At Physique Physiotherapy we provide an extensive range of services to help keep your staff healthy and pain-free. As well as working towards preventing pain/injury we also provide quick access to physiotherapy when it is needed preventing long-term sick leave and helping employees quickly back to work.

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]]> Medical Tourism https://www.orthoneurophysioclinic.com/service/medical-tourism/ Tue, 27 Jul 2021 10:04:43 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=796 Medical Tourism / International Patients & NRI patients for Physiotherapy How we can help you Welcome to Ortho Neuro Physiotherapy Clinic (ONPC) Exclusive Home Visit Physiotherapy and Spine, Sports Injury Clinic’s International Helpdesk. Having arrived in Delhi, Noida, Ghaziabad, Gurgaon (NCR) or anywhere in India if You are not sure whom to call for medical assistance, we can help you make an informed decision about your medical condition. You can call[…]

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Medical Tourism / International Patients & NRI patients for Physiotherapy

How we can help you

Welcome to Ortho Neuro Physiotherapy Clinic (ONPC) Exclusive Home Visit Physiotherapy and Spine, Sports Injury Clinic’s International Helpdesk. Having arrived in Delhi, Noida, Ghaziabad, Gurgaon (NCR) or anywhere in India if You are not sure whom to call for medical assistance, we can help you make an informed decision about your medical condition. You can call us by phone to discuss your condition or we will reach your place to discuss your condition.

According to your needs, we will arrange for a consultation with a specialty doctor if the need arises or if we can treat your condition, we will be pleased to do so right away. We thank you in Advance for the time taken to browse our services.

Treatment at your place

WE ARE A HOME VISIT

CLINIC: HENCE WE REACH YOUR PLACE OF STAY TO TREAT YOU.

At Ortho Neuro Physiotherapy Clinic (ONPC) we aim to cure rather than merely treat you. At Our Clinic, we offer comprehensive rehabilitation services for international and NRI patients. Having in-depth expertise we offer a wide range of services covering orthopedics, cardio-pulmonary, neurology as well as sports physiotherapy, ergonomic physiotherapy, industrial physiotherapy, Sports Physiotherapy, Elder age Care, Child Development Care, etc. We always keep updating our treatment protocols and follow internationally accepted treatment procedures to ensure we treat and cure you of your ailments.

“Why choose outdated physiotherapy treatment when we provide advanced physiotherapy treatment.”

Physiotherapy treatment methods are constantly being updated, but unfortunately, most health practitioners are not aware of the updates and hence Ortho Neuro Physiotherapy Clinic (ONPC) have taken the initiative to bring in advanced physiotherapy treatment to Delhi NCR.

We aim to bring about normal movement as quickly as possible through pain-relieving techniques using manipulation, soft tissue, and joint mobilization, muscle energy technique, taping, and advice on how to get back to normal activities or your level of sport as soon as possible.

We are offering Advanced Physiotherapy Treatment

Muscle Energy Technique is a type of manipulative treatment used in diagnosis and treatment in which the patient’s muscles are actively used on request, from a precisely controlled position, in a specific direction, and against a counterforce.

BENEFITS

  • No negative side effects
  • Very few contraindications
  • Totally safe
  • Effects felt after just a few sessions
  • Is effectively used in the treatment of sports injury, back pain, shoulder pain, neck pain, pelvic imbalance, edema, limited range of motion, somatic dysfunction, respiratory dysfunction, cervicogenic headache, etc.

Trigger point therapy is a branch of alternative medicine that deals with the correct stimulation and treatment of pain associated with trigger points in the body. Trigger points, also known as muscle knots, are those areas of tenderness in a muscle that represent the problem areas associated with pain and debilitating illness

BENEFITS:-

  • Resolution of the source of pain rather than just the symptomatic relief provided by allopathic medicines.
  • Enhanced circulation and blood flow throughout the body.
  • Totally safe
  • Effects felt after just a few sessions
  • Is effectively used in the treatment of back pain, shoulder pain, neck pain, pelvic imbalance, edema, limited range of motion, somatic dysfunction, headache, sports injury, etc.

Within the physical therapy profession, manual therapy is defined as a clinical approach utilizing skilled, specific hands-on techniques, including but not limited to manipulation/mobilization, used to diagnose and treat soft tissues and joint structures for the purpose of modulating pain; increasing range of motion (ROM); reducing or eliminating soft tissue inflammation; inducing relaxation.

BENEFITS :-

  • Decreased pain.
  • No negative side effects
  • Very few contraindications
  • Totally safe
  • Effects felt after just a few sessions
  • Is effectively used in the treatment of back pain, shoulder pain, neck pain, pelvic imbalance, limited range of motion, sports injury., etc.

PNF therapy is a integrated approach utilizing sensory receptors, nerves and muscles to bring about highest level of function, used to treat paralysis, soft tissues and joint structures for the purpose of reducing pain; increasing range of motion (ROM); reducing or eliminating soft tissue inflammation; inducing relaxation.

BENEFITS :-

  • Decreased pain.
  • Treat Paralysis
  • No negative side effects
  • Totally safe
  • Effects felt after just a few sessions
  • Is effectively used in the treatment of paralysis, stroke, nerve system disorders, Parkinsonism, sports injury, sports injury prevention,. etc.

Taping therapy is a integrated approach to reduce pain to injured joints, muscles and reduce swelling in acute stage, used to treat muscles and joint pain, increasing range of motion (ROM); reducing or eliminating soft tissue inflammation.

BENEFITS :-

  • Decreased pain.
  • Treat injured joints
  • Protect injured structures
  • No negative side effects
  • Totally safe
  • Effects felt after first session
  • Is effectively used in the treatment of pain, sprain/strain, injuries, sports injury, and sports injury prevention. etc.

Patients Question?

We visit your home to treat you, saving your travel time. Individuals who want to relieve pain and improve movement, wanting their body to function more efficiently, those suffering from paralysis and individuals who want to stay fit will benefit from calling ORTHO NEURO PHYSIOTHERAPY CLINIC and getting treated.

We treat almost all conditions which have one of these symptoms; pain, weakness, stiffness and loss of movement.

Initially through assessment, we provide you with the diagnosis of your condition; an individual treatment plan with approximate duration and likely prognosis. We discuss every treatment process with you. The treatments effects will be monitored and if necessary adjusted to ensure realistic outcomes can be achieved.

No two individuals are the same; hence do not have a set number of treatments for any condition. However, following your first appointment we will discuss the anticipated number of treatments. You will be reassessed on each visit and if progress is made or if no improvement seems apparent then your treatment will be altered accordingly or you will be referred to a specialist.

No, we can usually see you on same day of appointment. Sometimes within 20 minutes in case of emergencies. We are available on all days, around the clock all through the year to get appointments as well as treatments.

Yes you can call us by phone or log-in to social network or if we needed will reach your place to discuss your condition which is done without any charges.

No, anyone can refer themselves for treatment.

No, we will examine you and decide what physiotherapy treatment is best for you and treat you based on our assessment. Physiotherapist is the right person to decide what physiotherapy treatment is best for you.

Quite simply, dress comfortably in loose fitting clothes as the therapist will need to see the affected body part.

Physiotherapists have undergone the required training and passed the necessary exams to enable them to practice. They will have the letters MIAP after their names showing that they are registered. We will also be pleased to show you the registration document.

Payment can be made after each consultation either by cheque, cash or through internet banking. We will invoice you for your treatment.

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]]> Manual Therapy https://www.orthoneurophysioclinic.com/service/manual-therapy/ Tue, 27 Jul 2021 09:54:15 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=786 Manual Therapy Manual therapy is defined as a clinical approach utilizing skilled, specific hands-on techniques, including but not limited to manipulation/mobilization, used by the physical therapist to diagnose and treat soft tissues and joint structures for the purpose of modulating pain; increasing range of motion (ROM); reducing or eliminating soft tissue inflammation; inducing relaxation; improving contractile and non-contractile tissue repair, extensibility, and/or stability; facilitating movement; and improving function. Manual Therapy[…]

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Manual Therapy

Manual therapy is defined as a clinical approach utilizing skilled, specific hands-on techniques, including but not limited to manipulation/mobilization, used by the physical therapist to diagnose and treat soft tissues and joint structures for the purpose of modulating pain; increasing range of motion (ROM); reducing or eliminating soft tissue inflammation; inducing relaxation; improving contractile and non-contractile tissue repair, extensibility, and/or stability; facilitating movement; and improving function.

Manual Therapy introduces a new concepts to the body giving the opportunity to heal itself. It adds, “Life to years” as opposed to. “Years to life”. In manual therapy, we stick to the notion that a positive environment plus a positive attitude and equally positive results. Manual Therapy consists of manipulations and mobilizations via various accessory glides of different skeletal joints through the hands of a skilled Physiotherapist in the form of single controlled High velocity thrusts beyond the physiological range but within anatomical range or Small amplitude, accessory glides within the physiological range.

The main purpose of this intervention is to reduce skeletal soft tissue pain, increase the range of motion of the Hypo mobile joint, to realign the altered biomechanical or faulty posture with a safe and logical approach. Manual Therapy deals with the neurological and muscular problems as well as assessment, evaluation, and treatment plans of the patient.

Some common techniques used in Manual therapy

  • NAGS
  • SNAGS
  • SELF SNAGS
  • MWM
  • BLR
  • SMWLMS

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]]> Laser Therapy https://www.orthoneurophysioclinic.com/service/laser-therapy/ Tue, 27 Jul 2021 09:46:17 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=780 Laser Therapy Laser is an acronym for Light Amplification by the Stimulated Emission of Radiation. Albert Einstein originally developed the theory for laser. Low level therapeutic laser has been around since the 1960s. Therapeutic laser aims to bio-stimulate cells by putting laser light energy into the tissues. HPLT is a painless, safe and side effect free treatment for the relief of Neuro-musculoskeletal pain. There are many studies that show the[…]

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Laser Therapy

Laser is an acronym for Light Amplification by the Stimulated Emission of Radiation. Albert Einstein originally developed the theory for laser. Low level therapeutic laser has been around since the 1960s. Therapeutic laser aims to bio-stimulate cells by putting laser light energy into the tissues. HPLT is a painless, safe and side effect free treatment for the relief of Neuro-musculoskeletal pain. There are many studies that show the effectiveness of laser therapy to promote rapid healing of a wound or injury. 

HPLT is placed in contact with the skin allowing the photon energy to penetrate tissue, where it interacts with various intracellular bio molecules resulting in the restoration of normal cell function. HPLT also enhances the body’s natural healing processes. Immune system response is stimulated, lymphatic drainage is improved, and body’s natural healing processes are enhanced.

HPLT is a technological advancement to the older Low Level Laser Therapy or Cold Laser Therapy as it has the ability to deliver vastly larger amounts of healing light energy to much greater depths of penetration as well as being able to treat a vastly larger surface area than its predecessors. Results come from the laser’s ability to “bio-stimulate” tissue growth and repair. This results in accelerated wound healing as well as a dramatic decrease in pain, inflammation and scar tissue formation. Unlike all other treatment modalities, a laser treatment actually “heals” tissue. The laser’s superior results come from its ability to deliver healing laser energy to the targeted tissues.

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]]> Speech Therapy https://www.orthoneurophysioclinic.com/service/speech-therapy/ Tue, 27 Jul 2021 09:05:00 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=762 Speech Therapy Treatment of speech defects and disorders, especially through use of exercises and audio-visual aids that develop new speech habits. Common Condition STAMMERING MIS-ARTICULATION 1. Stammering is it Deases ? Stammering is not a disease but a habit of speaking in a wrong way which is not by birth. It is due to shortened breath because of some reason during childhood. The breath is shortened for the following reasons;[…]

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Speech Therapy

Treatment of speech defects and disorders, especially through use of exercises and audio-visual aids that develop new speech habits.

Common Condition

  • STAMMERING
  • MIS-ARTICULATION

1. Stammering is it Deases ?

Stammering is not a disease but a habit of speaking in a wrong way which is not by birth. It is due to shortened breath because of some reason during childhood. The breath is shortened for the following reasons;

  • Physical weakness due to any kind of disease
  • Any kind of fear,
  • Imitating other stammerers,
  • Accident or mishappening

The breath is shortened due to the above-mentioned reasons and you start speaking with pauses. You do not want to speak with pauses, but not knowing the reality, and you try to speak more and more in a shortened breath. Speaking in shortened breath increases your speed of speech and start speaking with pauses. Speaking with pauses is ‘Stammering’

What is the Psychology in stammering?

Anything happens always casts its impression in your mind. Speaking with pauses since childhood casts impression in your mind that you are a stammerer. This is psychology

Some children after growing up give more attention on this problem. The words which are frequently used in the speech, you feel more uncomfortable due to high speed and stammer more. Ultimately you select these words as problematic words

Treatment of stammering is not available in most of the places in India. Only the person who remains affected due to stammering in his life, can understand the problem and research on it.

2. MIS Articulation is not a disease

Mis-artculation is not a disease but a wrong habit developed during childhood. Children start speaking by imitating elder members of their families. In the beginning whenever children mis-articulate, parents and other family members should correct their pronunciation by repeating words. Parents and family members who correct the pronunciation of their children are successful in curing them and those who do not, their children become habitual of mis-articulation.

Children who mis-articulate are having normal tongue and other speech organs. However there is a mis-conception among some people that mis-articulation is due to the reason that tongue of such children is stuck somewhere in the mouth. If a person can move his tongue out of mouth then there is nothing wrong with the tongue.

Treatment of MIS-Articulation

Candidate are taught about correct pronunciation of words and then practiced regularly in the Centre. Speaking correctly regularly, he becomes habitual of talking correctly.

Treatment of Stammering

There is no shortcut method to cure Stammering. However, Therapy will help

  • To learn about speech organs and their role in easy speaking.
  • Removing the psycho-fear of Stammering by analyzing the mistakes step by step and developing normal speech habits and a positive attitude.
  • Total behavior modification.
  • Fluency maintenance

Before we start our therapy program, we initially diagnose the case; for that you need to visit our speech & physiotherapy center at Vasundhara Ghaziabad. We assess the case and test him/her on our predefined methods and programs. This assessment helps us to plan the Therapy.

Following is our Therapy.

  • NECK EXERCISE (FOR VOICE BOX MUSCLES)
  • TONGUE EXERCISE
  • LIPS EXERCISE
  • JAWS EXERCISE
  • BREATHING EXERCISE, THORACIC BREATHING, (NOSE & MOUTH)
  • ABDOMINAL BREATHING
  • PHONATION EXERCISE / STEP PHONATION EXERCISE
  • ARTICULATORY EXERCISE C.V. B.V., WORDS & SENTENCES
  • RATE OF SPEECH (READING)
  • RATE OF SPEECH (SPONTANEOUS)
  • RATE OF SPEECH (INTERACTION)
  • GROUP THERAPY/ PSYCHO THERAPY
  • MAINTENANCE THERAPY

Period of Treatment

If your child is of the age of 5 to 8-9 and stammers, you should come to the center with the child for 5 or 7 days only. You will be explained about the treatment and the practice methods so are to able to treat your child at home.

If your child is of the age of 10 to 15 years, then you should come to center for 20 days only, In the Centre child will practice for 20 days in your presence and you will be able to understand the treatment completely (speaking correctly without stammering). Your child will get cured up to 80% to 90% during the period of 20 days and the rest of the practice will be done by the child at home. Speech Therapy says that the patient must be the Specialist of the Subject. If the patient is a child then his father and mother should be the specialist of the subject.

If you are more than 16 and can visit alone, then you may come to the center. You can meet the students first and get satisfaction. If you have a shortage of time, then you may come here for at least 10 days, to become the specialist of the subject. Sincere and intelligent students, after learning the treatment procedure can continue practice at home and cure themselves fully. If you have enough time, you should come for the complete course of 30 days. Psychology may be lesser, but your habit of stammering is 10 to 15 years old and your breath and speed are unbalanced. We suggest that for 100% success, the full course of 30 days should be taken. Hardworking and sincere students become satisfied in 20 days.

Your Questions & Answers

If you have selected problematic words your psychology is more than 30% and if not selected, less than 30%. Those whose psychology is less than 50%, do not stammer while singing and if they stammer on problematic words during singing, psychology is more than 50%. This is how you assess your psychology.

Due to your high speed of the speech, you try to speak out 4 to 6 words in a single go which we term as a four or a six. Your tongue can not go for four or six letters at a time so you stammer on the first letter of the word.

Stammering is due to shortened breath, high speed and psychology. While starting singing, you take full breath, speed is controlled, and attention is towards the tune of the song. That is why you do not stammer while singing.

Because a stammerer despite of having all capabilities cannot perform fully which give him feelings of frustration, anger and discontentment

Whenever we try to hide this weakness and speak correctly, more stammering occurs. Because in this situation your mind becomes more attentive towards this problem and due to fear you become uncomfortable resulting increase in the speed of the speech. That is why you stammer more in front of strangers, higher officers, ticket windows, telephone, mobiles etc.

Stammering not due to hereditary. However if some of your family member is a stammerer and becomes angry frequently, a child by imitating him and due to his fear become habitual of stammering. Therefore, some people consider it as hereditary.

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]]> Acupressure & Acupuncture Rehabilitation https://www.orthoneurophysioclinic.com/service/acupressure-acupuncture-rehabilitation/ Tue, 27 Jul 2021 08:23:50 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=738 Acupressure & Acupuncture Rehabilitation Acupuncture is a traditional form of oriental medicine which originated in China and is being practiced by therapists all over the world now. Acupuncture treatment consists of inserting very fine needle Methods of Treatment A. With Needles Classical Acupuncture Acupuncture is a traditional form of oriental medicine which originated in China and is being practiced by therapists all over the world now. Acupuncture treatment consists of[…]

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Acupressure & Acupuncture Rehabilitation

Acupuncture is a traditional form of oriental medicine which originated in China and is being practiced by therapists all over the world now. Acupuncture treatment consists of inserting very fine needle

Methods of Treatment

A. With Needles

Classical Acupuncture

Acupuncture is a traditional form of oriental medicine which originated in China and is being practiced by therapists all over the world now. Acupuncture treatment consists of inserting very fine needles at specific points on the skin, which are located near nerve endings. This has two effects - First it stimulates specific nerves which transmit electrical impulses via the spinal cord and brain, to the diseased area. Secondly, it stimulates release of chemical substances from brain centres to form the body's own mechanism for pain relief.

Ear Acupuncture

Ear acupuncture therapy is to treat diseases by stimulating certain points of the auricle with needles. Ear is not a separate organ but closely connected with channels and collaterals . Clinically, diseases of various parts of the body can be cured by needling the corresponding auricular points, which may promote free circulation of qi and blood in the channels and collaterals and adjust the internal organs. When disorders occur in the internal organs or other parts of the body, various reactions may appear at the corresponding parts of the auricle, such as tenderness, decreased resistance to electric current, morphological changes and discoloration. Distribution of Auricular points

Plum Blossom Needling

There are many methods for treating diseases in Chinese traditional medicine, for instance, acupuncture, cupping, massage and kneading spine, etc. including the “plum-blossom” needle therapy. “plum-blossom” needle therapy is superficial tapping merely on the skin, but not the flesh. “Plum-blossom” means five needles bound in a bundle like a plum-blossom, and “seven-star” needle is seven needles bound in a bundle. It is not so painful. It is suitable for children also. It is thus also called “children needle”. This therapy has a wide scope in curing diseases, so it is worthy of popularization and application. Indications for Plum Blossom needling are:- common cold, bronchitis, asthma, colitis, constipation, hypertension, impotence, arthritis, backache, shoulder pain, trigeminal neuralgia, facial paralysis, migraine, stiff neck, eczema.

Scalp Acupuncture

Certain areas of the brain cortex are functionally related to different organs and physiological functions and are also represented topographically on the scalp. There are 15 such stimulation areas in scalp. These areas are needled for various disorders for example:- Motor area for Paralysis, Sensory area for Loss of sensations and numbness, Speech area for speech problems, Auditory area for hearing loss and optic area for loss of vision.

B. Without Needles

Modern techniques of Acupuncture

There are some modern techniques in Acupuncture which can be utilized in conditions in which Classical Acupuncture with needles can not be used. These are more suitable for children, for people who are averse to needles, at sites where needle acupuncture is better avoided etc. Some of the techniques are:

  • Electro Acupuncture

  • Laser Acupuncture

  • TENS Acupuncture

  • Ultrasonic Acupuncture

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]]> Orthosis and Prosthesis https://www.orthoneurophysioclinic.com/service/orthosis-and-prosthesis/ Tue, 27 Jul 2021 07:25:48 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=704 Orthosis and Prosthesis A brace, splint, or other artificial external device serving to support the limbs or spine or to prevent or assist relative movement Why Orthosis From Clinic Patient AssessmentPerform a comprehensive assessment of the patient to obtain an understanding of the patient’s orthotic/prosthetic needs: Formulation of the Treatment Plan Create a comprehensive orthotic treatment plan to meet the needs and goals of the patient: Evaluate the findings to[…]

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Orthosis and Prosthesis

A brace, splint, or other artificial external device serving to support the limbs or spine or to prevent or assist relative movement

Why Orthosis From Clinic

Patient Assessment
Perform a comprehensive assessment of the patient to obtain an understanding of the patient’s orthotic/prosthetic needs:

Formulation of the Treatment Plan

Create a comprehensive orthotic treatment plan to meet the needs and goals of the patient:

  • Evaluate the findings to determine an orthotic treatment plan.
  • Formulate treatment goals and expected orthotic/prosthetic outcomes to reduce pain, increase comfort, provide stability, prevent deformity, address aesthetic factors, and/or promote healing to enhance function and independence.
  • Consult with physiotherapist/referral source to modify, if necessary, the original prescription and/or treatment plan.
  • Identify design, materials, and components to support treatment plan.
  • Develop a treatment plan based on patient needs, including patient education and follow-up.
  • Communicate to patient and/or caregiver about the recommended treatment plan and any optional plans, including disclosure of potential risks/benefits in orthotic/ prosthetic care.
  • Document treatment plan using established record-keeping techniques.
Cervical Collar
ARM Sling (Immobilisers)
Elbow Brace
Spinal Orthosis
Foot Orthotics
Foot Orthosis
Contracture Brace (Without Finger Separator)
Lenox Hill Patellar Pull (Knee Support)
Quad Walking Stick
Wheelchair

Following are the reasons why experts are required for orthosis

  • Asses the patient requirement.
  • Perform a diagnosis-specific functional clinical and cognitive ability examination that includes manual muscle testing, gait analysis, and evaluation of sensory function, range of motion, joint stability, and skin integrity.
  • Evaluate the findings to determine an orthotic treatment plan.
  • Educate patient and/or caregiver about the use and maintenance of the orthosis (e.g., wearing schedules, other instructions)
  • Assess patient’s achievement of planned treatment outcomes.
  • Reassess patient knowledge of goals and objectives to ensure proper use of orthosis relative to modifications
  • Create a professional, cooperative working environment to improve patient care
  • Verify patient care by documenting history, ongoing care, and follow-up, using established record-keeping techniques.

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]]> Cardiopulmonary Rehabilitation https://www.orthoneurophysioclinic.com/service/cardiopulmonary-rehabilitation/ Mon, 26 Jul 2021 12:37:07 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=676 Cardiopulmonary Rehabilitation Cardiac rehabilitation (rehab) is a medically supervised program that helps in improving the health and well-being of people who have heart problems. Rehab programs include exercise training, education on heart healthy living, and counselling to reduce stress and help you return to an active life. Cardiac rehab can help you: Recover after a heart attack or heart surgery. Prevent future hospital stays, heart problems, and death related to[…]

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Cardiopulmonary Rehabilitation

Cardiac rehabilitation (rehab) is a medically supervised program that helps in improving the health and well-being of people who have heart problems.

Rehab programs include exercise training, education on heart healthy living, and counselling to reduce stress and help you return to an active life.

Cardiac rehab can help you:

  • Recover after a heart attack or heart surgery.
  • Prevent future hospital stays, heart problems, and death related to heart problems.
  • Address risk factors that can lead to coronary heart disease and other heart problems. These risk factors include high blood pressure, high blood cholesterol, overweight or obesity, diabetes, smoking, lack of physical activity, and depression and other emotional health concerns.
  • Adopt healthy lifestyle changes. These changes may include following a heart healthy diet, being physically active, and learning how to manage stress.
  • Improve your health and quality of life.

The Cardiac Rehabilitation Team

Cardiac rehab involves a long-term commitment from the patient and a team of health care providers.

The cardiac rehab team may include doctors (such as a family doctor, a heart specialist, and a surgeon), nurses, exercise specialists, physical and occupational therapists, dieticians or nutritionists, and psychologists or other mental health specialists. Sometimes a case manager will help for your care. 

Working with the team is an important part of cardiac rehab. You should share questions and concerns with the team. This will help you reach your goals.

People of all ages can benefit from cardiac rehab. The lifestyle changes made during rehab have few risks. These changes can improve your overall health and prevent future heart problems and even death. 

Exercise training as part of cardiac rehab might not be safe for all patients. For example, if you have very high blood pressure or severe heart disease, you might not be ready for exercise. However, you can still benefit from other parts of the cardiac rehab program.

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]]> Diabetes Education https://www.orthoneurophysioclinic.com/service/diabetes-education/ Mon, 26 Jul 2021 12:10:28 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=654 What is Diabetes ? More than 51 million people in India are afflicted with diabetes, and the figure is likely to touch 80 million by 2030. It is no wonder then, that India has been tagged as the ‘Diabetes Capital of the World. Physiotherapists treat a wide range of conditions and injuries. Many people believe that physiotherapists only treat sports injuries and help rehabilitate patients after surgery. While this is[…]

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What is Diabetes ?

More than 51 million people in India are afflicted with diabetes, and the figure is likely to touch 80 million by 2030. It is no wonder then, that India has been tagged as the ‘Diabetes Capital of the World.

Physiotherapists treat a wide range of conditions and injuries. Many people believe that physiotherapists only treat sports injuries and help rehabilitate patients after surgery. While this is a big part of what physiotherapists do, they also help in a number of other ways that you might not have expected.

Diabetes carries a heavy burden on patients, the healthcare system, and society. Over the next decade, diabetes rates will rise from population growth, an aging population, and declining mortality rates. However, diabetes can be prevented, treated, controlled, and the risk lessened via various health and lifestyle interventions including physiotherapy. Physiotherapists can assess, diagnose, treat, and manage musculoskeletal (MSK) manifestations and complications of type 2 diabetes. They can also counsel patients and provide advice on appropriate and effective exercise, physical conditioning, and active, healthy living.

Types of Diabetes

  • Diabetes Mellitus (T1DM or 'Juvenile Diabetes')
  • Diabetes Mellitus (T2DM or 'Adult-onset Diabetes')

Diabetes facts

Physical activity is a crucial intervention to prevent and manage type 2 diabetes. Thirty minutes of moderate physical activity/day plus a 5-7% reduction in body weight cuts type 2 diabetes risk by 58% (and 71% for those over age 60).

The benefits of physical activity in people with type 2 diabetes include improved glycemic control, reduced cardiovascular complications, and a 30-50% reduction in mortality. Supervised physical activity programs are more effective than general exercise counseling, home-based exercises, or flexibility exercises. Complications or co-morbidities including cardiovascular disease, obesity, joint pain, neuropathies, skin breakdown, and amputation present barriers to regular physical activity.

Diabetes Nerve Disease (Neuropathy)

Diabetic nerve disease (neuropathy) is the damage caused to the nerves of the body due to high blood sugar levels from diabetes. Those who have long term, uncontrolled high sugar levels are at high risk of developing weak nerves in all the vital organs of the body (Autonomic Neuropathy) like brain, heart, stomach, bladder, intestines, lungs, etc. When the extremities, especially the leg and foot nerves are affected, it is called Peripheral Neuropathy.

Symptoms

  • Loss of sensation in toes, feet, arms, and legs; you may not feel the pain if you have a small blister or cut and may find it difficult to distinguish between hot and cold temperatures;
  • Very few contraindications
  • Deep pain in feet and legs;
  • Tingling and burning sensation in arms and legs;
  • Sluggish digestion causing diarrhea, constipation, and bladder problems;
  • Sexual problems – difficulty in achieving and sustaining an erection long enough to complete the sexual act (erectile dysfunction) in men; vaginal dryness and inability to achieve orgasm in women;
  • Changes in skin color;
  • Fast heart rate;
  • A sudden drop in blood pressure when you stand up after sitting or lying down;
  • Dizziness and nausea.
 

Recommended tests

Diabetic Peripheral Neuropathy Filament test & Biothesiometry to detect nerve damage in early stages;

How do Physiotherapists help in treating Diabetes?

Did you know physiotherapists can help with type 2 diabetes Seeking the help of a physiotherapist may not be your first thought if you have diabetes, but you may be surprised to learn what physiotherapists can do to help you manage the disease? Physical activity helps manage diabetes by improving glycemic control and reducing cardiovascular complications. But getting started is not always easy or straightforward. People with diabetes often have other conditions like cardiovascular disease, joint pain, skin breakdown, nerve pain (neuropathy) or leg ulcers that can make physical activity challenging.

Physiotherapists Treatment in helping patients with diabetes

Prescribing a safe and graduated exercise program: if you are overweight, have joint pain, or have the cardiovascular disease it’s important to start with medically supervised exercises that consider these complications. A physiotherapist can provide suitable activities that are safe and gradual.

Providing specific treatment for joint pain: if you have knee, back, or foot pain that limits your mobility, a physiotherapist can assess the problem and determine if a specific rehabilitation program will help the joint pain and allow you to get moving again.

Assisting with pain management: if you suffer from nerve pain caused by diabetic neuropathy, the physiotherapist can assess if electrical stimulation, desensitization, or targeted exercises will help manage the pain.

Educating you on good footwear: a physiotherapist can assess and advise you on appropriate footwear if you have ulcers or blisters on your feet and show you how to adjust your walking technique to reduce pressure on the feet.

Providing skin and wound care: some specialized physiotherapists can help if you suffer from leg ulcers. Physiotherapists involved in wound care can debride the wound, apply compression bandaging to help circulation, consider if electrical stimulation or laser therapy will help, and provide advice on appropriate exercises and activities.

Health promotion – Support diabetes prevention including physical activity and healthy eating programs for all ages, removal of high sugar foods/drinks from schools, adequate food labeling, and smoking prevention and cessation.

With a strong medical background, physiotherapists work closely with physicians and other healthcare providers involved in your care. Many physiotherapists do not require a doctor’s referral. To find a physiotherapist that treats diabetes

Eat low fat foods like

Dairy and dairy-like products: Low-fat (1%) or fat-free (skim) yogurt, cottage cheese, or milk Sorbet, sherbet, gelatin ices, and low-fat or fat-free frozen yogurt Fish, meat, and poultry: Egg whites or egg substitutes; Crab, white fish, shrimp, and light tuna (packed in water); Veal, chicken and turkey breast (without skin), and lean cuts of other meats (look for “loin” in the name) – braise, roast, or cook them without adding fats; Extra-lean ground beef such as ground round, or ground turkey breast (check the labels)

Veggie burgers; Grains, cereals, and pasta; Hot (oatmeal or grits) and cold cereals (except granola types); Low-fat crackers; Soft tortillas – corn or whole wheat; Toast, English muffins, or bagels with jelly or honey (no butter); Pretzels, soda crackers, or plain bread; Fruits and vegetables

Fruits and fruit juices, applesauce; Vegetables and vegetable juices (again, watch out for fat in sauces you may add)

Snacks and sweets: Danish pudding and fruit pie fillings; Vanilla wafers and ginger snap cookies.

Gelatin; Angel food cake; Puddings made with skim milk

Baked chips, tortilla or potato; Low-fat microwave popcorn; Hard and jelly candies

Broth type soups with a vegetable base; Sauces, pudding, or shakes made with skim milk; Salsa

Light margarine and mayonnaise; Reduced-calorie or fat-free salad dressings

• Eat high fiber and small amounts of fruit

• Eat 5-6 small meals throughout the day. Eating small meals puts less demand on the pancreas

Diabetic Foot and Wound Healing & Hyperbaric Oxygen Therapy (HBOT)

Sometimes, foot ulcers and non-healing wounds result in gangrene and may necessitate amputation of limb..

Treatment Procedure

Hyperbaric Oxygen Therapy (HBOT) which refers to using pressurized pure oxygen to treat conditions such as wounds that won’t heal in patients with diabetes or radiation injury.

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]]> Wellness Program https://www.orthoneurophysioclinic.com/service/wellness-program/ Mon, 26 Jul 2021 11:57:24 +0000 https://www.orthoneurophysioclinic.com/?post_type=thsn-service&p=648 Wellness Programme Regular physical activity helps improve your overall health and fitness, and reduces your risk for many chronic diseases. Regular physical activity is one of the most important things you can do for your health. It can help: Control your weight. Reduce your risk of cardiovascular disease. Reduce your risk for type 2 diabetes and metabolic syndrome. Reduce your risk of some cancers. Strengthen your bones and muscles. Improve your[…]

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Wellness Programme

Regular physical activity helps improve your overall health and fitness, and reduces your risk for many chronic diseases. Regular physical activity is one of the most important things you can do for your health. It can help:

  • Control your weight.
  • Reduce your risk of cardiovascular disease.
  • Reduce your risk for type 2 diabetes and metabolic syndrome.
  • Reduce your risk of some cancers.
  • Strengthen your bones and muscles.
  • Improve your ability to do daily activities and prevent falls.
  • Everyone can gain the health benefits of physical activity - age, ethnicity, shape or size do not matter

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