PHYSIOTHERAPY AS A TECHNIQUE FOR THE RECOVERY OF OSTEOPOROSIS

 

Osteoporosis is usually associated with bone aging, but currently, poor lifestyle habits also lead to the appearance of this disease. It usually occurs in women around the time of menopause. In this article we tell you what osteoporosis is, its symptoms and causes, and how physiotherapy treatment in Dwarka helps in osteoporosis.

WHAT IS OSTEOPOROSIS?

Osteoporosis is a disease that weakens the bones, so that there is a decrease in bone mass density.

The word osteoporosis means “porous or leaky bone”.

Who is affected by osteoporosis?

Osteoporosis mainly affects women. There is a certain relationship between the lack of estrogen after menopause and the development of this disease. Thus, when hormone levels are low and there are few periods of menstruation, a loss of bone mass density is caused.

Therefore, women over 50 years of age are the risk group for osteoporosis.

Types of osteoporosis

There are several types of the disease that weakens the bones.

Primary osteoporosis is the most common type of osteoporosis. As already mentioned, it is due to the rapid loss of bone mass after menopause. This makes it a common disease in women, generally between the ages of 45 and 55 years old.

On the other hand, secondary osteoporosis presents the same symptomatology as the previous one. It has the particularity that it can appear at any age and can be caused by the intake of medications that cause bone decomposition.

Osteogenesis imperfecta is a particular form of osteoporosis that occurs at birth, so that bones break easily and, in many cases, for no reason.

Finally, idiopathic juvenile osteoporosis (IJO) appears between 8 and 14 years of age and is characterized by pain in the back and extremities, as well as the presence of fractures.

Symptoms of osteoporosis

Osteoporosis is also known as a silent epidemic, since in the early stages there are no symptoms.

As the bones weaken, the symptoms evolve, being characterized by:

• Bone fragility.
• Vertebral fractures.
• Back pain and back deformities.
• Back and stooped posture.
• Loss of height due to crushing of the vertebrae.

Causes of osteoporosis

Sometimes, the appearance of this disease happens without a known cause. In general terms, age, and therefore aging and bone loss, cause the manifestation of osteoporosis.

As already mentioned, menopause accelerates bone loss, which multiplies the risk of suffering from osteoporosis.

The intake of alcohol and tobacco and a sedentary lifestyle are other of the most frequent causes of osteoporosis.

BENEFITS OF PHYSIOTHERAPY FOR THE TREATMENT OF OSTEOPOROSIS

The treatment of osteoporosis through physiotherapy in Dwarka plays an important role, in a way that favors the density of bone tissue.

It is essential to put yourself in the hands of Best Physiotherapist in Dwarka to see the results. One technique is magnetic therapy for the treatment of osteoporosis. The magnetic fields will help generate low and high intensity currents in the bone tissue, thus increasing the density of bone mass and helping bone recalcification.

As a key point to prevent osteoporosis, it is recommended to have adequate lifestyle habits, such as postural education, moderate physical exercise and a diet rich in calcium, suggests the top physiotherapist in Dwarka.

Exercises to strengthen bones

Exercising can help prevent osteoporosis. Muscle strengthening for osteoporosis is a clear example of this. Using weights and resistance bands, muscle groups can be strengthened, just like the muscles of the spine.

On the other hand, aerobic activities such as dancing or aerobic training machines benefit the bones, in addition to improving cardiovascular health.

Training flexibility with osteoporosis helps maintain good muscle function. Therefore, it is important to move the joints in their full range of motion.

In addition, performing exercises for balance and stability is a key point. This helps prevent falls while improving stability and balance.

Now that you know what the main causes of osteoporosis are and what its best treatment is, you will have been able to verify that the practice of sports exercise in patients with osteoporosis is a way of staying active in a safe way that also helps prevent the onset of osteoporosis. of osteoporosis. At Physiotherapy centre in Dwarka we have a team of specialists in physiotherapy and rehabilitation who can help you in the treatment of osteoporosis. Make an appointment at our Physiotherapy clinic in Dwarka and put yourself in the hands of our best physiotherapist in Delhi.

WHAT IS ANKLE SPRAIN? FIND OUT HOW TO TREAT IT!

You know that sharp pain, that happens after an ankle sprain? An ankle sprain is a sudden movement, which leads to a strain or tear of ligaments in a joint. This type of sprain is the most common injury in the universe of musculoskeletal pathology.

The ankle is the joint between the foot and the leg and is made up of 3 bones: tibia, fibula, and talus. Patients tend to disregard these injuries, which can cause local symptoms and even permanent sequelae.

Ankle sprain is a common cause in young adults (ages 15 to 35) and athletes. According to physiotherapy doctor in Dwarka, ankle sprain is one of the most frequent diseases in orthopedic emergencies. It occurs most frequently in soccer, basketball, volleyball and athletes, accounting for about 10% to 15% of all sports injuries.

In an ankle sprain, the anatomical structures of the joint are usually affected, such as muscles, tendons and, in more severe cases, bones and cartilage, which can progress to ligament complications.

In a normal state, the ligaments, which are elastic structures, stretch to their limit, then return to their initial position. Ligaments have a specific range of motion that allow joint stability.

Ligaments are made up of whitish fibrous connective tissue (contains collagen) and have the function of joining two or more bones, protecting, and stabilizing the body’s joints and acting as shock absorbers.

In this text we will present everything you need to know about an ankle sprain, the main causes, its symptoms and the most appropriate form of treatment with promising results. Keep reading!

Classification of Ligament Injuries

Depending on how affected the ligament is and the degree of damage, an ankle sprain can range from mild to severe. Pain and swelling are common; however, it is possible to walk with little pain. In a more severe sprain, tenderness and bruising around the ankle may occur, causing difficulty in walking.

Grade I (mild): ligament strain occurs. Generally, the patient should feel improvement after three days, with asymptomatic or little tissue pain.

Grade II (moderate): partial tear with mild laxity and moderate pain, instability, swelling, and tenderness.

Grade III (severe): complete rupture, severe pain, with local swelling, significant laxity and, most of the time, the joint is unstable.

How an Ankle Injury Occurs

In ankle injuries, there is an accidental inversion of the foot with plantar flexion, especially when stepping on an irregular step or surface, using unstable shoes, such as high heels or even falling from one’s own height.

This anomalous movement causes an injury that starts in the anterior talofibular ligament, and can progress to an injury to the calcaneofibular ligament, with the increase in the energy of the trauma.

Signs and Symptoms of Ankle Sprain

In ankle sprain, pain occurs in the foot, from mild to very severe.

Usually, the ankle immediately begins to swell, and ecchymosis and joint effusion may develop in the area of ​​swelling. The pain increases with movement and is tender to the touch.

The more severe the injury, the more visible the signs.

What are the main causes of Ankle Sprain?

There are many causes, and some factors may involve the appearance of the lesion, such as:

• sudden movements with the feet;
• Wearing inappropriate footwear, such as very high heels;
• Carrying out physical activity without preparation;
• loose ligaments;
• Walking on uneven ground;
• Weak muscles;
• Nerve injuries;
• Previous injuries.

Diagnosis

The orthopedic professional usually performs the medical diagnosis of ankle sprain, as it is the most suitable to deliver the result and carry out a reliable analysis of the injury, through the patient’s clinical history, complementary exams that help in the exact and precise diagnosis of the injury.

Some of them are:

• X-ray: allows the orthopaedic doctor in Delhi to obtain images with details of the region where the injury occurred, helping the specialist to exclude the possibility of a fracture in any bone of the foot or located in the ankle itself, thus allowing an assertive and complete diagnosis;
• Magnetic Resonance Imaging: the specialist requests it when there is a more serious injury, which involves fractures in the articular bone;
• Ultrasonography: allows observation of the ankle ligament while moving it, making it possible to visualize details of the joint injury;
• Tomography: useful for a better assessment of the fracture pattern.

Types of Treatment for Ankle Sprains

Physiotherapy in Dwarka is the most effective method of treatment for sprains, especially when it comes to proprioceptive re-education, as it will prevent instability and new fractures.

Treatment can be either conservative or surgical. The choice depends on the severity of the injury. Conservative treatment will depend on the type and severity of the trauma.

The conservative protocol follows:

• Rest: Do not support with the fractured limb;
• Ice: Place on the injury site for 15 minutes every 2 hours for the first few days;
• Compression: Bandages or elastic stockings help control edema;
• Elevation: Keep the affected limb at heart level;
• Immobilization: Immobilizing boot or plastered splint always in the initial care;
• Medications: To control swelling and relieve pain in the first few days of trauma, such as anti-inflammatories and analgesics.

In the minority of cases, the treatment is surgical. However, depending on the type of fracture, more than one surgical intervention, called ligament repair, may be required.

When surgery is performed in the chronic phase, with patients with a history of repeated sprains, it is usually performed by fixing the injured ankle ligament to the bones, using implants such as anchors, which can be metallic or made of bioabsorbable material.

Conclusion

It is noted that from the articles studied there are different types of treatment for ankle injuries , such as the use of splints, immobilization with functional orthosis, elastic bandage, and others. The intervention criterion after an ankle sprain can be chosen according to the time of the event.

It is likely that there is an understanding in the literature when selecting the best practices for the treatment of injuries in the region, an understanding that assesses that the faster the choice of treatment type, the faster the patient’s recovery, says the best physiotherapist in Dwarka.

Muscle stretching: What to do when you suffer from the classic 'pull'

Muscle injuries are the most common type of injury in an athlete. In this article we want to focus on muscle elongation or muscle pull, the mildest muscle type injury, a priori.

Muscle strain is the famous “pull”. As Dr Sarwar, physiotherapist in Delhi, explains, it occurs when the muscle is stretched “beyond its possibilities”. It is usually considered the previous step to a muscle rupture and is considered a minor injury. "It is the most benign of muscle injuries," says Dr Sarwar, physiotherapy doctor in Delhi.

What is muscle stretching

Elongation occurs as a result of eccentric muscle contraction at the two ends of the muscle. It normally occurs in polyarticular muscles, such as the quadriceps and hamstrings. The fundamental difference with the break is that in the elongation the fiber does not break, or a minimal break occurs. “The rupture produces a hematoma, which takes longer to reabsorb and always leaves a scar, larger or smaller”, explains the physiotherapist in Dwarka. In contrast, stretching does not leave a scar, so the muscle does not lose functionality.

"It always occurs as a function of muscular overloads and imbalances ", illustrates the doctor. There are very characteristic examples. For example, in a short race: the explosive contraction of the quadriceps can produce an excessive lengthening of the hamstring. In soccer players it can occur when hitting the ball with force, which produces a sudden stretching of the posterior thigh muscles.

The sport most affected by muscle strain or pull is precisely football. "It generally occurs in the hamstring," explains the best physiotherapist in Dwarka, "followed by the rectus femoris, the adductors, and the twins."

When does a pulled muscle occur?

The elongation has several characteristics:

• It occurs as a consequence of physical activity. It does not appear at rest but is the consequence of an eccentric contraction that is a little stronger than usual.
• It usually appears when the muscles have not been properly warmed up.
• Sometimes it occurs when explosive work is required of a previously excessively fatigued muscle. It is more frequent in the first phase of the season, when few training sessions have been carried out, or at the end, when fatigue accumulates.
• External factors may influence. The case of excessive heat, humidity, a change in food or hydration defects do not help.

Symptoms of muscle strain are mild. The pain is usually diffuse, so that it is difficult to locate the exact point. Unlike a muscle tear, which usually generates rapid functional impotence, elongation can allow practicing sports, although with less intensity. "You can tell that something has happened, and sometimes it is not distinguishable from an overload because it is not excessively painful," Dr Sarwar abounds.

How to prevent muscle strains

Elongation is a type of injury that can be largely prevented, as long as some basic guidelines are taken into account:

• Perform eccentric muscular work. "In any muscle injury, eccentric strengthening work is important, which improves flexibility and contraction capacity," says Albaladejo.
• Pay attention to muscle rebalancing. Dr. Sarwar comments that it is common to find athletes with the quadriceps and little hamstring, and vice versa. "This ratio is very important to have balanced," physiotherapy doctor in Dwarka warns.
• Do a good job of dynamic stretching in the warm-up phase. This will serve to increase your body temperature and your muscles' range of motion. Recent studies seem to indicate that stretching prior to exertion weakens the muscles and exposes them more to injury, as we explain in this article. For this reason, stretching should be accompanied by a movement that warms up the muscles.
• Good hydration and a good diet. Low hydration hinders the transport of minerals, through which the brain sends electrical impulses that muscle cells transform into movement. Dehydration can cause muscle spasms, and these lead to the dreaded cramps or elongation of the fibers.
• Avoid overtraining. Especially if you are returning to sports activity after a long period. Overtraining is reflected in muscle pain because the muscles need rest to recover and regenerate. Contractures, pulls or cramps can be related to excess. It can also cause muscle tears or tendinopathies.

What to do when you have a pulled muscle

Despite the apparent lightness of the muscle strain, it is advisable to stop practicing sports for a few days.

The treatment can be carried out in two phases:

• The first two or three days it is convenient to control the inflammation by applying ice, in several daily sessions of twenty to thirty minutes. "Studies agree that in the first three days what you have to do is rest, ice, elevation and compression," says the physiotherapist in Delhi. In this way, the bleeding of the possible microtear is limited, which will reduce the scar.
• As soon as the pain allows it, generally after the third day, you can move on to an activation phase. The goal is "to activate the circulation, begin to vascularize and work on strengthening with a smooth and controlled progression," says Dr Sarwar. Isometric contraction can also be worked on. That is, the contraction of the muscle without altering its length.

"Properly diagnosed, it should not take more than ten days to return to normal activity," concludes the physiotherapist in Dwarka.

HOW TO TREAT CARPAL TUNNEL SYNDROME WITH PHYSICAL THERAPY?

 How to treat carpal tunnel syndrome with Physiotherapy?

A tingling, numb sensation in the forearm and wrists. Very common in people who perform manual work using repetitive movements, carpal tunnel syndrome can also be related to hormonal changes. Therefore, it is perhaps more registered in women between 35 and 60 years old, says the best physiotherapist in Delhi.

But even before talking about the physiotherapeutic procedures to treat carpal tunnel syndrome, it is necessary to understand the concept of the term.

What is carpal tunnel syndrome?

Carpal tunnel syndrome or CTS is a very common neuropathy in the upper limb (wrists and hands). It consists of compression of the median nerve, which passes through the carpal tunnel. Inside the tunnel are the median nerve and the tendons of the finger flexors, from the forearm to the hand.

Any situation that increases pressure within the canal causes compression of the median nerve and, consequently, carpal tunnel syndrome. Among the main symptoms are the sensation of tingling and numbness (paresthesia) and in the most severe cases, difficulty in daily activities such as holding a glass, nailing a button, threading a needle or even getting dressed.

Electrothermy Phototherapy

One option is electrothermy phototherapy – a set of electrical stimulation techniques used to relieve pain, in addition to controlling inflammation and acting on tissue healing. These include ultrasound, short waves, laser and transcutaneous electrical nerve stimulation (TENS). Each of these techniques works differently.

Ultrasound: in Physiotherapy in Dwarka, it is used to produce a movement in longitudinal waves in the form of mechanical vibration, increasing metabolism and blood flow. The technique nourishes and regenerates tissues, contributing to the decompression of nerve endings and pain reduction.

Short waves: high-frequency electrical waves that generate heat. Used therapeutically, they warm the tissues, increasing blood flow and reducing pain and inflammation.

Laser: phototherapy resource that generates analgesia and anti-inflammatory effect, stimulating cells and modulating connective tissue in the regeneration and healing processes. It is commonly applied to injuries to tendons, muscles and ligaments, as well as helping to heal open wounds.

TENS: acronym for transcutaneous electrical nerve stimulation, it is used for the relief of pain in acute or chronic processes, low back pain, neuralgia, pain related to arthritis, etc. An electrical device controls the intensity of the stimuli to be applied. Meanwhile, small electrodes attached to the skin make the current reach the muscles.

Physiotherapeutic Treatment

Among the lines of treatment for the problem are the surgical procedure, the clinical (medication) and the Physiotherapy doctor in Dwarka. Today, we will address the latter.

Initially, a physiotherapeutic evaluation by the Physiotherapist in Dwarka will make it possible to outline the goals to be achieved during the treatment and a specific conduct according to the type and severity of the injury.

Manual Techniques

The use of manual physical therapy techniques has physiological effects on pain, with relief of symptoms, reduction of edema in the chronic and acute phases and greater mobility of contracting tissues.

Osteopathy – physiotherapeutic treatment that aims to correct dysfunctions and recover from musculoskeletal injuries and organic changes, and can act in the treatment, minimizing discomfort and pain.

Osteopathic maneuvers are performed on tissues and involve joints, muscles, fascia, ligaments, capsules, viscera, nervous, vascular and lymphatic tissue.

Neural mobilization is a manual therapy technique directed at neural tissue. The purpose is to restore the movement and elasticity of this tissue, in addition to promoting the return to its normal functions. It acts on the nerve root and path, improving neural physiology. The result is reduced pain. Generally, its use is associated with other physical therapy techniques.

Cryotherapy

A group of physiotherapeutic techniques and procedures in which low temperatures are applied to the affected site. Known as 'cold therapy', it is based on applications of ice. It has an analgesic effect, provides a reduction in neural transmission, in addition to reducing muscle spasm and consequently pain.

Therefore, several physiotherapeutic procedures can be used by the Physiotherapist in Delhi for the treatment of carpal tunnel syndrome – some associated, others not. If the symptoms are not normalized, other therapeutic modalities such as the placement of orthoses to immobilize the wrist and the use of anti-inflammatory drugs may be effective. As a last resort, surgery is indicated.