PHYSIOSEXOLOGY: HOW CAN PHYSIOTHERAPY HELP YOUR SEXUAL HEALTH?

Sexuality is an essential part of the identity of each human being, being described as an individual expression of feelings, thoughts, beliefs and desires. It is influenced by biological, psychological and social elements that interact with each other, conditioning the characteristics of each individual in a varied way throughout their lives.

When talking about sexuality, reference is not made only to sex, other points are also covered, such as identity and gender role, sexual orientation, sexual pleasure, eroticism, intimacy and reproduction, says the best sexologist in Delhi.

What is sexual health?

Sexual health represents a fundamental pillar in terms of the well-being and integral development of each human being, their relationships and their social expression. Enjoying good sexual health requires an environment that provides respect, freedom and security. The correct development and sexual practice in men and women depends on fundamental points such as the following:

• Access to information for the prevention of sexually transmitted diseases and infections
• Education about the prevention of unwanted pregnancies, teenage pregnancies and abortions
• Availability of sexual health care services
• Education and access to contraceptive methods, their forms of use and adverse effects on the body
• Safe environment that promotes acceptance and sexual well-being

For its part, it is important to clarify that sexology is the science responsible for the study and investigation of everything that encompasses human sexuality and its manifestations, as well as the alterations that represent a problem in the sexual field.

What is a sexual dysfunction?

The term sexual dysfunction refers to any type of recurring problem that hinders or prevents sexual activity, and can generate feelings of anxiety, stress or affect the quality of life of an individual and their personal relationships, says sexologist in Delhi.

The origin of a sexual dysfunction is not necessarily conditioned to an alteration in the structures involved, since, as mentioned above, there are multiple elements that participate in this complex process, such as sexual enjoyment and pleasure. The factors that can trigger sexual dysfunction are subdivided into:

• Physical factors: Many health conditions and diseases have a direct impact on the sexual sphere. Heart disease, cancer, multiple sclerosis and injuries of neurological origin stand out among these.
• Organic factors: In women, the hormonal changes associated with menopause produce a decrease in the sensitivity of the genital area, which can reduce the level of sexual desire and arousal. During the postpartum stage and lactation there are also a large number of hormonal changes that can cause variations in sexual response such as vaginal dryness.
• Psycho-emotional factors: Anxiety, depression or stress are the main factors that favor the appearance of sexual dysfunction, as well as trauma related to cases of sexual assault or abuse. Conflicts in couple relationships also favor the appearance of sexual dysfunction.
• Socio-cultural factors: Extreme religious beliefs, taboo and restrictive sex education can also negatively affect an individual's sexuality.

In most cases, the origin of a sexual dysfunction is not due to one of these groups of factors, but on the contrary, it is common for them to coexist causing a problem of multifactorial origin, says sexologist in Delhi.

Risk factors for sexual dysfunctions

Some of the risk factors that can increase the risk of sexual dysfunction are:

• Use of tobacco, alcohol or drugs
• sedentary lifestyle
• Certain drug treatments such as hypertension medications or selective serotonin reuptake inhibitors
• Bad nutrition
• Obesity or overweight
• Aging

It is estimated that around 40-60% of women suffer from some sexual dysfunction throughout their lives. Female sexual dysfunctions can be classified into different disorders that are characterized by affecting different stages of the sexual act, such as:

• Disorders of sexual arousal or desire
• orgasm disorders
• Genital-pelvic pain disorders during penetration

In the case of the male sex, it is estimated that around 40% of men may present sexual dysfunction throughout their lives, the most frequent being premature ejaculation and erectile dysfunction.

The approach to sexual dysfunction varies depending on the origin of the problem and must be carried out by a team of multidisciplinary professionals made up of specialists in the areas of sexologist in Delhi, psychology, kinesiology, psychiatry, gynecology and urology.

What is physiosexology and what is it for?

Physio-sexology is a branch of urogynecological physiotherapy or pelvic floor physiotherapy that focuses on the prevention, assessment, diagnosis and treatment of dysfunctions that can occur in the sexual field and erotic function in both female and male people.

How are sexual dysfunctions treated by physical therapy?

The participation of physiotherapist in Dwarka in the field of sexology focuses on addressing pain, changes in sensitivity, muscle weakness, decreased or increased muscle tone, postural imbalances and decreased or loss of mobility in the pelvic region.

In sexology the role of the physiotherapist in Dwarka, in the prevention and approach of sexual dysfunctions, is carried out mainly through:

• External and internal consultation therapies
• Application of techniques with the use of dilators, vibrators, electrostimulation, laser, dry needling, biofeedback, shock waves, diathermy, among others.
• Patient education about affective-sexual aspects and their relationship with pain
• Patient advice on hygiene measures
• Education in self-treatment techniques, partner techniques and different erotic-sexual approaches

How to identify when I should go for a consultation?

• Difficulty urinating
• Leakage of urine or stool
• Pain during intercourse
• Lack of sexual desire and anorgasmia

Main dysfunctions of sexual origin

There are multiple dysfunctions in both women and men that can alter the functioning of one or more of the elements that participate in everything that encompasses sexual activity. Among the main dysfunctions of sexual origin that can be addressed by physiotherapist in Delhi are the following:

Dyspareunia:

Dyspareunia or pain during sexual intercourse is a disorder that affects women, regardless of their age and sexual orientation, and is usually associated with a variety of causes, both physical and emotional. Dyspareunia usually generates varied symptoms depending on the case, among which the lack of vaginal lubrication, burning, bleeding, pain when urinating and anxiety prior to intercourse can be highlighted.

Among the most frequent causes associated with dyspareunia, the postpartum recovery stage, lactation, the presence of urine infections or vaginal infection, menopause, hysterectomy and the consumption of some pharmacological treatments stand out.

Urinary and fecal incontinence:

According to urologist in Noida, the term incontinence refers to accidental dribbling or leakage of urine or feces due to loss of control of the structures involved. This dysfunction usually disturbs beyond the physical point of view, since not keeping it under control can affect the quality of life of an individual. Urinary incontinence occurs more commonly in women than in men, associated with various anatomical and physiological factors, among which the following stand out:

• Pregnancy
• vaginal delivery
• Hysterectomy
• Menopause
• uterine prolapse
• Pelvic muscle weakness
• Constipation

There are certain diseases and injuries that are also often associated with urinary incontinence in both genders, such as cancer, the presence of a tumor near the bladder, neurological injuries, radiation treatment in the abdominal or pelvic area, intestinal obstruction and urine retention.

Pelvic floor weakness:

The weakness of the pelvic floor muscles is another of the problems that occur more frequently in the female sex and that can result in other alterations that impair the quality of life, among which the following stand out:

• uterine prolapse
• urinary incontinence
• low back pain
• dyspareunia
• Anorgasmia (inability to reach orgasm)

Vaginismus

Vaginismus is considered one of the less common female sexual dysfunctions, it occurs in the form of involuntary spasms of the vaginal muscles that narrow the vaginal canal, making penetration difficult or impossible, medical examination and the introduction of tampons or menstrual cups. When muscle contraction causes discomfort but does not prevent penetration, it is classified as dyspareunia.

The largest number of cases of vaginismus are associated with a psychological origin and only 10% of cases are attributed to physical alterations. In a lower incidence number, vaginismus can also occur without an apparent origin (idiopathic origin). The main causes described are:

Psychological origin:

• History of sexual assault or abuse
• Fear of sexual intercourse or pregnancy
• Little sex education
• Low self-esteem
• Negative perception of body image
• Rejection towards the partner

Physical origin:

The physical origin of vaginismus is mainly associated with pathologies or injuries that cause prior pain in the structures involved in the sexual act, among these are stenosis or narrowing of the vaginal canal, endometriosis, hemorrhoids, fibrous hymen, vaginitis.

Erectile dysfunction in men:

Erectile dysfunction is the repeated and persistent inability to achieve or maintain an erection that can be associated with both physical and emotional factors. The inability to maintain an erection is considered a sexual dysfunction when it is maintained for more than 6 months and is accompanied by emotional discomfort, anxiety, feelings of anguish and frustration.

It is estimated that erectile dysfunction affects approximately 20% of the male population, mostly affecting the adult population between 40 and 70 years of age, which makes it a frequent problem in male sexual health.

Premature ejaculation:

As its name indicates, premature ejaculation occurs when male orgasm and ejaculation persistently occurs sooner than desired, during or before penetration. This dysfunction usually leads to emotional discomfort, feelings of sexual dissatisfaction and problems in relationships.

Premature ejaculation is the most common sexual dysfunction in men. According to sexologist in Delhi, about 1 in 3 men suffer from premature ejaculation throughout his life. This dysfunction also has the characteristic that it can be primary, appearing from the beginning of sexual life, or secondary, which means that it is acquired at a stage of greater sexual experience.

Physio-sexology can participate in the treatment of premature ejaculation through techniques focused on delaying the onset of the reflex, working on the proprioceptive capacity of all the structures that make up the pelvic floor, toning the muscles of the perineum and breathing control.

Delayed ejaculation

Delayed or late ejaculation is a sexual dysfunction in which more than the desired time is required for the man to reach climax, or not reach it completely (anejaculation). 

There is no established time to consider delayed ejaculation as a dysfunction, it is considered as such when it represents a problem for the man and his partner, causing feelings of stress or anxiety. 

Delayed ejaculation can occur during sexual intercourse with a partner, during masturbation, or both. Sometimes, it is also possible that the man is only able to ejaculate through masturbation, which would fall under the concept of situational anejaculation.

Anejaculation is not exactly a frequent sexual dysfunction. This can be classified into two types:

• Total anejaculation: It refers to the total inability of the man to achieve ejaculation. Men with this condition are able to produce sperm and reach the sensation of orgasm.
• Situational anejaculation: In this case, the man's inability to ejaculate semen is only conditioned by factors that may be related to the environment, the partner or the type of act practiced.

Benefits of physiosexology

Physiotherapist in Dwarka offers the opportunity to enjoy a full and healthy sex life, attending to various problems that can affect the comprehensive well-being and self-esteem of men and women. Despite being a still little known area of ​​physiotherapy, evidence has shown that physiosexology provides very positive results in the treatment and prevention of various dysfunctions of sexual origin.

Importance of Physiotherapy in Stroke

 

Physiotherapy in the Rehabilitation of a Stroke

Stroke or cerebral infarction is a cerebrovascular disease, and its sequelae can include altered sensitivity, loss of strength and coordination.

Immediate physiotherapy treatment after diagnosis is essential for a good recovery.

Why is physiotherapy so important during the first six months after suffering a stroke?

What does a good physiotherapist in Dwarka bring to your side during your recovery journey? We will see it below, but first we will explain what a stroke is.

What is stroke or cerebral infarction?

Stroke, also called brain infarction, is a cerebrovascular disease that occurs when there is a rupture or obstruction in a blood vessel, thus reducing the flow of blood received by the different parts of the brain.

The blood does not reach the brain correctly and, as a consequence, the nerve cells do not receive oxygen, stopping to function. Stroke is also known as

Cerebrovascular Accident (CVA).

Symptoms are usually sudden in onset and rapidly developing: They include:

• Loss of strength or sensation
• Weakness in the face, arm, and leg on one side of the body
• double vision
• feeling of vertigo
• sudden disturbance of speech
• sudden headache

Why is physiotherapy essential for recovery from a stroke?

Physiotherapy in Dwarka plays a very important role in recovery and in reducing the sequelae of a stroke. Its main objective is to reactivate brain plasticity to recover lost functions or maintain those that remain intact.

The brain has the ability to learn through repetition. Therefore, the patient must insist on practicing, over and over again, the different daily activities from day to day.

The role of physiotherapy in the first 6 months after a stroke the neurorehabilitation process must begin as soon as possible, to take advantage of neuroplasticity, that is, the ability of neurons or groups of neurons to modify their activity and even their morphology in response to changes in the environment or use.

Rehabilitation programs must be specific and individual. They consist of a combination of physiotherapy, speech therapy, occupational therapy, and psychology techniques (according to the patient’s needs).

How does home physiotherapy accompany the rehabilitation of a stroke patient?

Ideally, the best physiotherapist in Dwarka starts working with the patient in the hospital itself few hours after the stroke occurs. Physiotherapy treatment will begin with mobilizations and postural care while the patient is in bed. Within 48 to 72 hours after the stroke, the physiotherapist in Delhi should help the patient to move to a sitting position.

After this first phase, another important phase must begin:

Physiotherapy at home. The first step will be to set some goals to achieve that have to be related to your day-to-day life. It is essential that the patient feels that these objectives are his own to make him a participant in his recovery.

It is not about setting goals like raising an arm or improving finger mobility. The key is to mark closer challenges that collaborate in improving the quality of life of the patient.

The key role of the family for a stroke patient

Overcoming the mobility obstacles that the patient’s own home presents in the development of their daily tasks is the first objective of a good physiotherapy treatment at home in Dwarka. In this sense, the patient improves not only in the physical and cognitive aspect, but also in the emotional one to improve her quality of life.

A stroke patient should lead as active a life as possible. His relatives must understand that helping him excessively in all his tasks does not favor his independence and recovery from him.

The rehabilitation of a stroke patient should be based on helping the patient to adapt to their deficits, seeking to minimize or completely eliminate them. An active treatment will require the collaboration and learning capacity of the patient and her family.

The role of physiotherapy in cardiovascular rehabilitation

Cardiovascular diseases are among the diseases with the highest morbidity and mortality in the world. And they are very prevalent diseases in the Brazilian population. Affected people experience a loss in quality of life and often demand care, such as what can be accomplished by cardiovascular rehabilitation.

The physiotherapist in Dwarka is an important element in regaining the well-being of people affected by heart, coronary and cerebrovascular diseases. When prescribing exercises, the professional must observe, among other factors, the clinical risk of each patient.

The role of the physical therapist in the multidisciplinary team

In cardiovascular rehabilitation, the best physiotherapist in Dwarka works with doctors and nurses trained to address clinical conditions. Cardiologist in Delhi explains that the prescription of the programs is based on a multifocal approach (exercise and physical activity, control of risk factors, occupational, sexual counseling, education, etc.) and promoting autonomy.

The service begins with the application of ergometric, cardiopulmonary exercise or clinical tests, which assess the patient's responses to physical exertion. Metabolic variables should be measured, in addition to heart rate, blood pressure, perceived exertion and oxygen saturation.

According to physiotherapist in Delhi, possible physical limitations – such as osteomioarticular injuries – should be considered when prescribing training. “Whenever possible, we professionals should try to adapt the schedule of physical exercises to the patient's preference”, he adds.

Psychological factors should not be ignored. "Anxiety, depression, among other behaviors, can also be limiting factors for the patient's evolution in cardiovascular rehabilitation", says the postdoctoral researcher. In these cases, the physiotherapist in Dwarka must make the referral to a professional qualified to offer specialized support.

In addition to gaining specific knowledge about diseases, physiotherapist in Dwarka need to keep up to date in the use of basic life support equipment, such as the automated external defibrillator. 

Exercise prescription based on clinical risk

The exercise prescription should also consider the clinical risk, classified as low, intermediate and high – according to each individual's health history, limitations and training objectives.

• Low: Long-term training can be done at home, with face-to-face or distance supervision. The goal is to maintain overall health and make greater gains in physical fitness.
• Intermediate: Seeks to improve aerobic and non-aerobic physical fitness (muscular strength, flexibility and balance). The patient can perform home treatment with indirect professional supervision.
• High: These patients should be constantly monitored – with checking heart rate, blood pressure, oxygen saturation, capillary blood glucose and electrocardiogram – during exercise to allow rapid response to any signs of risk. Therefore, face-to-face, clinical or outpatient care, for example, is essential to ensure patient safety. The program should consider intensity, duration, frequency, training modality and progression appropriate to individual clinical conditions.

It is important to emphasize the need for special care in remote or home care. “We must always evaluate the resources that the patient has available at home and adapt them so that he can have the greatest benefits from the physical exercise program”, explains best physiotherapist in Dwarka. In the physical absence of the professional, the execution of the training must be accompanied by a family member, in case some type of support is needed or for a quick reaction to intercurrences.

All cases must undergo reassessment. And, if necessary, by indicating a new exercise program. Furthermore, it is essential to act with a focus on promoting well-being, improving quality of life and reducing the risk of clinical complications, such as smoking cessation, dietary reeducation and body weight control.

Physiotherapist in Najafgarh should also advise all patients to maintain the prescribed medication administration.

Physical exercises for cardiovascular rehabilitation

Physical exercises should preferably take place in open spaces, such as athletics tracks, multi-sport gyms and parks. Indoors used for sessions should contain non-slip properties to minimize the risk of accidents and falls.

For aerobic practice, the most used equipment are treadmills and cycle ergometers for lower and upper limbs, rowing machines, ski ergometers, elliptical trainers, among others. As for muscle strengthening, cases of more debilitated patients demand, mainly, the use of body weight to perform exercises such as sitting and standing – assisted by a bench or a chair.

Other cases have a wide variety of resources, most commonly free weights, dumbbells and shin guards with varying weights, which allow the execution of different muscle groups. Bars, poles, weighted balls, Swiss balls and elastic bands or bands with different degrees of resistance are also widely used in cardiovascular rehabilitation.

Other exercises may be indicated to improve overall health, such as manual isometric and inspiratory muscle training and to improve balance and flexibility. Whatever the prescribed training, the physiotherapist in Uttam Nagar has a duty to guide the proper execution of all movements to avoid injuries, as well as when handling equipment.

Physiotherapy for back pain and low back pain

 Does your back hurt and does that pain affect you in your day-to-day life? You probably think that the time has come to visit a physical therapy professional. In this article we are going to tell you about the benefits of physiotherapy to relieve back pain.

Pain in the lower back can be associated with various causes, from age and diet to aspects related to lifestyle, such as a sedentary lifestyle.

However, most back pain is caused by poor posture habits, but it can also be due to sudden changes in temperature or insufficient hydration. More rarely, behind low back pain there may be a more severe pathology that requires immediate attention, such as vertebral prolapse, herniated discs or fractures. That said, in most cases its origin is unknown (idiopathic).

Back pain is one of the most frequent musculoskeletal pathologies and is the first chronic health problem in India. In fact, it is the one that causes a greater number of primary care consultations within disorders of the musculoskeletal system. It is estimated that between 60% and 80% of the population will suffer from low back pain at some point in their lives.

SYMPTOMS OF BACK PAIN

Back pain can be localized in one area, spread throughout the lower back or radiate down the leg, and in terms of intensity, it can be deep, superficial or resemble a burning, cramp or prick.

Pelvic pain, on the other hand, generates high degrees of disability, usually related to gait disturbances and the transition from sitting to standing.

Some of the most common symptoms of back pain and low back pain are:

• Severe back pain, especially when bending over.
• Morning stiffness in the lower back after sitting.
• Sensation of pins or needles in the buttocks, legs or feet.
• Pain radiating down the back or front of the leg.

Other more infrequent symptoms, such as back pain accompanied by unexplained weight loss and fever or difficulty controlling the bladder or bowels or numbness in any area, require an urgent visit to the urologist in Delhi.

WHY SHOULD YOU GO TO THE PHYSIOTHERAPIST IN DELHI IF YOUR BACK HURTS?

If your back pain is giving you a lot of trouble or isn’t getting better after a few weeks, you should see a physiotherapist in Dwarka.

Physiotherapy in Dwarka can be very useful in the following cases of back pain:

• Nonspecific back pain, such as an injury, infection, or herniated disc.
• Sciatic pain: it is a pain that extends from the back to the legs and can even reach the foot.
• Back pain caused by the wear of the vertebral discs, very common as we age.
• Lumbar spinal stenosis – when spaces in the spine narrow and put pressure on the spinal cord and spinal nerve roots.

BENEFITS OF PHYSIOTHERAPY IN THE TREATMENT OF BACK PAIN

• Reduces pain, improving quality of life.
• It helps to improve the mobility of the back, so that the patient can resume their daily routine normally and minimizing discomfort.
• It effectively contributes to strengthening the back muscles, toning and reducing the risk of having painful episodes again.
• It favors the stability and function of the spine, reduces the risk of injury to the intervertebral disc and improves mobility, avoiding poor posture that can cause chronic back pain.
• Increases the vascularization of the area, favoring the de-inflammation of the region and a better recovery.

TREATMENTS FOR BACK PAIN

Immobilization and absolute rest as a method of dealing with back pain is an obsolete concept. The effectiveness of individualized exercises and training guidelines for each patient based on factors such as their muscular condition, the characteristics of their spine or the condition they suffer from has been demonstrated.

To find out the possible origin of the pain, the physiotherapist in Dwarka will perform a physical examination. Once you know the origin of the pain and the underlying pathology, you will determine the type of physiotherapy treatment to follow.

Physiotherapy for back pain offers a response adapted to each patient. Depending on the causes, the best physiotherapist in Dwarka specialized in traumatology will provide a treatment that combines different therapies in each session.

Some of the most used techniques are:

• Active therapy (rehabilitation). They are exercises and movements that you do yourself to improve flexibility, mobility and strength in the lower back. It includes proprioception exercises and muscle strengthening for lasting relief from discomfort.
• Manual therapy (mobilizations, massage therapy, manipulations). It is intended to reduce pain and improve joint mobility. Typically, manual therapy is combined with an exercise program.
• Osteopathic Manual Therapy. Massages and spinal manipulations are useful to mitigate pain and possible associated symptoms.
• Invasive therapy (dry needling, percutaneous electrolysis). Only when back pain is caused by high-grade muscle contractures.
• Means or physical agents (electrotherapy, ultrasound, short wave, bandages), which can help in certain pathologies.
• Diathermy. The application of heat to damaged tissues improves the vascularization of the area and speeds up recovery from injuries. Generally, this therapy is combined with others to create a more effective overall treatment.

As we have seen, through physiotherapy we can treat different back injuries, both at the lumbar, dorsal and cervical levels. Depending on your diagnosis, physiotherapist in Najafgarh will apply the physiotherapy treatment that best suits you to achieve a better recovery and avoid relapses.

If you suffer from back pain and seek relief from your symptoms through physiotherapy, at Dr Sarwar Physiotherapy Centre, we are the best physiotherapy clinic in Dwarka, with more than 10 years of experience. You can visit us or ask us your questions.

What are trigger points and how are they treated?

 

Today musculoskeletal disorders are one of the main causes of consultation with our physiotherapist in Dwarka. There are many soft tissue problems: trauma or blows, inflammation, loss of strength… and Myofascial Pain and Dysfunction Syndrome, which mainly affects the muscles and is caused by the Myofascial Trigger Point.

What is a myofascial trigger point?

A Myofascial Trigger Point is a palpable nodule within a taut band of skeletal muscle, the most significant feature of which is pain.

It is called the trigger point, alluding to the trigger of a firearm, since when we press the trigger, the impact of the bullet occurs at a distance. Thus, in a trigger point the pain produced is radiated.

This phenomenon explains why in many patients a muscular problem, such as hypertonus or contraction of the sternocleidomastoid, causes referred or distant pain in the area of ​​the head in the occiput or in the orbicular area (around the eye). We would speak in this case of a tension-type headache.

The presence of trigger points is quite common in the posterior muscles of the neck and back. This is due to the fact that, due to their morphology, biomechanics, and function, they are muscle groups that are very prone to fatigue and hypertonia.

What symptoms do trigger points cause?

To find out if it is a trigger point that is causing your injury, in addition to intense pain, you will be able to perceive:

• Contractures.
• Rigidity.
• Muscle weakness.
• Muscular fatigue.
• Imbalances.
• dizziness
• dizziness
• Chronic headaches.
• and many other symptoms depending on each individual.

When a patient has trigger points, the band where the trigger point is lodged feels tense. Sometimes a nodule will be visible and sometimes not.

Myofascial Pain caused by Trigger Points is different in each muscle. The severity and extent of the pain pattern will depend on the degree of trigger point irritability and not on the size of the muscle. On the other hand, their irritability can vary according to the time or day and the stress threshold.

What causes or factors cause the appearance of a trigger point?

Muscles are made up of many muscle fibers and these fibers in turn are filled with sarcomeres which are what allow contraction. When a muscle is in permanent contraction due to muscular overload, a trigger point is activated in the area.

Trigger points thus reflect points where sarcomeres become overactive.

Possible triggers:

• Physical factors:

• • Postural fatigue due to maintained postures (the muscles of the back are usually fatigued).
  • Direct or repetitive trauma.
  • Acute overload.
  • Joint alterations
  • Fatigue due to overexertion in muscles subject to excessively sustained or repeated contractions.
  • By action of other trigger points of muscles that are in the area of ​​referred pain.

• Emotional factors: stress, anxiety…
• Visceral factors: Stomach or liver problems from poor diet or stress can activate upper back trigger points.

Treatment of myofascial trigger points

The treatment of myofascial trigger points can be done using different methods, since they can be conservative or invasive.

Among conservatives, physiotherapy techniques based on manual therapy can be performed, such as digital pressure on trigger points, decontracting massage therapy, stretching and cryotherapy (application of ice). Regarding its invasive treatment, dry needling in Dwarka is postulated as one of the most effective techniques in the approach of myofascial pain syndrome.

There are also other invasive physiotherapy techniques such as intratissue percutaneous electrolysis, neuromodulation, which help the physiotherapist in Dwarka in dealing with pain.

The benefits of invasive techniques are that, although they are more aggressive, they help speed up recovery periods.

Dry needling

It consists of the percutaneous application of acupuncture needles to the myofascial trigger point area with the aim of breaking the adhesions of the nodule.

Dry needling in Dwarka is a very effective technique since after 24-48 hours the pain has disappeared and the muscle has managed to relax, recovering its normal state.

Is dry needling the same as acupuncture?

Due to their similarities in the therapeutic approach, many patients confuse acupuncture with dry needling since both are performed with needles.

The main difference between the two is the mechanism of action: As we have mentioned before, dry needling seeks to break the muscle contraction mechanism that is generating the pain. However, acupuncture is based on the principles of traditional Chinese medicine and seeks to release and normalize the energy flow of the body through the energy meridians.

If you report muscle pain, it is best to see a qualified physiotherapist in Delhi for evaluation. In order for a physiotherapist to perform the dry needling technique, they must be trained and accredited to perform this invasive technique.

PHYSIOTHERAPY TREATMENT FOR ADHESIVE CAPSULITIS

 

Adhesive capsulitis, also known as “frozen shoulder”, is a painful syndrome of the shoulder, which causes a progressive reduction in the range of motion of the shoulder, being one of the main causes of functional disability of the shoulder. 

One of the structures that make up the shoulder complex is the joint capsule. This collagen-based, elastic and flexible structure contributes to the stability and function of this joint.

Adhesive capsulitis is an inflammatory condition of the joint capsule that courses with contracture, pain and stiffness and promotes significant restriction of active and passive movement of the shoulder.

In many cases the cause is unknown, but it is known that it is more common in women (40 to 60 years old), it can also be related to diabetes mellitus, thyroid disorders, previous trauma and almost always with reports of a previous episode in the other shoulder.

Adhesive capsulitis is a pathology that has a beginning, middle and end cycle. This cycle is divided into 4 phases:

==>> Inflammatory phase: usually in the first 3 months. In this phase, the patient presents acute pain on active or passive movement and limitation for flexion, abduction and rotations.

==>> Freezing phase: occurs between the third and ninth month of the disease and the patient has chronic pain on movement, in addition to significant limitation of movement.

==>> Frozen shoulder: at this time, which usually occurs between the ninth and fifteenth month of the disease, the pain is minimal, but the limitation of movement (especially rotations) is quite significant.

==>> Thawing phase: last phase of the disease, the patient already has a considerable improvement in range of motion and the pain is almost zero.

The treatment of Adhesive Capsulitis is basically conservative, and the most important thing is to respect the patient’s symptoms in decision making. In the initial phase, the patient usually seeks a medical service and performs serial blocks of the subscapular nerve.

When arriving at physiotherapy, if the patient has a lot of pain and inflammatory signs, it is worth investing in resources such as combined therapy, laser, US and analgesic currents. The range of motion must be maintained and manual therapies with the aim of recovering them will be introduced after the blockade, as well as the gain in muscle and sensorimotor strength.

Physical Therapy in Adhesive Capsulitis

The goal of physical therapy in adhesive capsulitis is to eliminate discomfort and restore shoulder mobility and function. Considering the pathophysiology of adhesive capsulitis of the shoulder, there are several modalities of Physiotherapy in Dwarka. Each procedure is an integral part of the physiotherapy program and must be in accordance with the clinical aspects and the stage of the condition.

At first, cryotherapy is performed for 30 minutes two to three times a day, then transcutaneous electrical neurostimulation (TENS), with the aim of reducing pain and mobilization with pendular exercises and gentle passive mobilization of the shoulder, which can and should be repeated at home by the patient.

Although heat applications help to reduce pain, they are not necessarily the most indicated, due to some factors, passive or active mobilization is the most effective measure, as they significantly help to increase the range of motion.

Kinesiotherapy

Initially, inflammation control is sought in the treatment, for this it is necessary to eliminate any activity that may worsen the condition.

The use of analgesics and non-hormonal anti-inflammatory drugs can help with recovery, and intra-articular corticoid infiltration is a very indicated measure to reduce pain and consequently improve mobility.

Another treatment option is manipulation of the glenohumeral joint under anesthesia, aiming to reduce the period of joint stiffness, being a technique that favors the early restoration of movements and accelerates the return of function in the primary form.

This procedure, although indicated, should be done with caution as it can cause aggravation in patients with osteopenia in the humerus, osteoporosis and diabetes, in addition to other complications.

Analgesia makes it possible to perform Codmann pendular exercises for decoaptation, relaxation of muscle spasm, bringing pain relief and maintenance of minimum joint amplitude.

Stretching

Stretching is used to increase the length of the soft tissue structures that were affected by the problem and consequently shortened, which causes mobility deficit. This procedure makes it possible to increase the range of motion.

There are several stretching techniques that can be used, and they are determined by the specialist Physiotherapist in Dwarka based on the assessment of the patient’s condition and needs. We can cite as examples the posterior capsular stretching and stretching with the hands behind the back.

It is recommended that these exercises be practiced with the individual standing with the lumbar spine flexed at 90º. Movements are performed clockwise, counterclockwise, latero-lateral and anteroposterior.

It is important that, at the time of execution, the patient has the scapular muscles relaxed as much as possible, this allows the movements to extend as far as possible.

The professional physiotherapist in Dwarka can also guide the patient to reproduce the exercises at home with the help of a specific object and in an appropriate way. In general, a stick is used for this.

Stretching seeks to increase the length of shortened tissue structures thereby increasing range of motion. There are several stretching techniques that can be applied, which will be indicated by the professional according to the patient’s need.

Stretching exercises, whether active or passive, aim to restore movement in the affected limb, improving not only symptoms such as pain, but also your activities of daily living.

Cryotherapy

Cryotherapy is a treatment that uses cold for therapeutic treatment, very common for problems related to the musculoskeletal system, especially in the acute phases of inflammatory processes.

The cold applied to the affected limb helps to reduce the inflammatory process and helps to reduce edema, relieving pain. The explanation for this reaction is the effect of cold on nerve fibers, since it slows down impulse conduction, decreasing sensitivity.

Ultrasound

Ultrasound as a therapeutic method has been used due to its deep heating effects, which causes an increase in blood flow, and increases the speed of tissue repair and consequent improvement of the lesion. 

When ultrasound penetrates the body, it can have an effect on cells and tissues through two physical thermal and athermal mechanisms, in thermal effects the ultrasound travels through the tissues, where a part of it is absorbed, and this leads to generation of heat within the tissue, where they lead to pain relief, decreased joint stiffness and increased blood flow, being of fundamental importance in the acute phase.

In athermic effects, stimulation of tissue regeneration, soft tissue repair, increased blood flow in chronically ischemic tissues, protein synthesis and bone repair can be observed. It is assumed that one or more of the following physical mechanisms are involved in the production of these athermal effects, such as cavitation, acoustic currents and standing waves.

TENS

Tens or electrotherapy is a treatment that uses electrical current to improve injuries, promoting pain relief, as it normalizes circulation in the affected region, while activating the system that inhibits pain.

TENS (Transcutaneous Electrical Nerve Stimulation) is an analgesic current where peripheral nerves are stimulated through electrodes attached to the skin for therapeutic purposes.

The intensity of the current will depend on the parameters used during the treatment, according to what was directed by the physical therapist.

Regardless of the associated measure, Physiotherapy in Dwarka is an indispensable treatment in these cases, and should be started as soon as possible It is important to understand that treatment done properly and as soon as possible allows for a faster improvement and reduces the chances of a possible functional limitation of the member.

If you identify any of the symptoms listed above, look for a doctor immediately, he will certainly, in addition to requesting appropriate tests and prescribing pain relief medication, refer you to a Physiotherapist in Delhi for adequate treatment of the problem.

The procedures listed above must be performed by a specialized professional Physiotherapist in Delhi, and in the case of the use of anesthetics, follow-up by an anesthetic team.

Physiotherapy sessions in Dwarka for the treatment of Adhesive Capsulitis are usually prolonged and performed daily. For this reason, the understanding and cooperation of the patient in relation to the exercises is also a predominant and essential factor for the improvement and recovery of the patient.

Also remember to be careful when doing exercises and other activities that can cause injury to the muscles and joints of the body. Always seek the follow-up of a professional in the case of gyms for example.

Physiotherapy in temporomandibular joint dysfunctions

 

Jaw pain? Ringing in the ears? Dizziness? Neck and shoulder pain? Blockage when opening or closing the mouth?…

Many of these symptoms are caused by dysfunction of the temporomandibular joint.

Temporomandibular joint concept

When we talk about the temporomandibular joint, we refer to a joint that is made up of two bones, the temporal and the lower jaw.

They constitute, therefore, two joints that, like a hinge (one on each side of the face), connect the jaw with the skull. It allows us to move our mouth up and down and to the sides, making possible such important functions for the human being as digestion and speech.

Therefore, starting from this premise, we can imagine how much repercussion the dysfunction of said temporomandibular joint can have for a patient.

What is a temporomandibular dysfunction?

When we talk about temporomandibular dysfunction (TMD), we are referring to a functional type of alteration that causes pain around the TMJ and surrounding muscles.

This dysfunction affects all the structures that are related to and give shape to this joint, as is the case of the bony parts, muscles (such as the masseter) and the entire vascular-nervous package (nerves, arteries).

TMD can affect the ability to speak, eat, chew, swallow, make facial expressions, and even breathe.

According to the most current scientific evidence, a very high percentage of the population suffers or has suffered from a dysfunction at this level. There is a prevalence in the population between twenty and forty years of age and a higher incidence in women than in men.

Causes of TMJ dysfunctions

There are many factors that cause and generate TMJ dysfunction, thus being considered a disease of multifactorial origin.

Among the most frequent, we find:

• Biomechanical causes: dental malocclusion, lack or loss of a dental piece and some dental treatments.
• Psychological causes: Increased stress, anxiety; which leads to somatization and increased muscle tension at this level.

If you are so stressed that you clench your jaw and grind your teeth, you may develop temporomandibular joint (TMJ) related pain.

• Metabolic type alterations.
• Infections and autoimmune diseases.
• Various forms of arthritis.

Symptoms of TMJ dysfunction

TMJ dysfunctions, due to the complexity of the joint itself, will generate a large number of symptoms, very different from each other. This can cause confusion and make an accurate diagnosis difficult.

For this reason, it is important to go to a qualified professional (dentist in Delhi, physiotherapist in Delhi expert in TMJ) to establish a good clinical diagnosis and propose the best treatment for each case.

As the most important symptoms of said injury, we find:

• Local pain in the joint area.
• Stiffness of the jaw muscles.
• Pain radiating to the neck and shoulder area.
• Clicking, crackling, or grinding sound of the TMJ when you open or close your mouth.
• Headache or headaches, of great intensity, with the possibility of irradiation to the eye area.
• Limitation in the functionality of the TMJ, with difficulty chewing, opening and/or closing.
• Alterations at the hearing level, with the possibility of tinnitus or ringing in the ear, pain, dizziness and vertigo and even decreased hearing capacity.
• Dysphagia or difficulty swallowing (trouble swallowing, making it difficult to eat).
• Paresthesias or tingling of the entire facial area.
• Tooth sensitivity.
• Psychological alteration, depression and/or anxiety type.

Treatment of TMJ dysfunctions

As we have been able to observe, temporomandibular dysfunction can present with very different causes and symptoms in different regions of the body.

For this reason and given the complexity of the joint, it is necessary for the patient to receive joint treatment by a multidisciplinary team of specialists: dentist in Delhi, physiotherapist in Dwarka, neurologists, among others. In order to receive a comprehensive and integrated program of care.

Within physiotherapy in Dwarka, treatment begins with:

1. A good clinical diagnosis.

To do this, a clinical history of the patient will be made, with a correct anamnesis. We will also perform neurodynamic tests where we will ask if you have pain in the joint, difficulty opening or closing your mouth, if you have joint sounds or clicks, headache or dizziness…

2. Later we will carry out a complete evaluation of the joint: joint mobility and functional examination.

With all these data we establish:

3. Most suitable treatment.

This will consist of:

• Massage therapy techniques for all the muscles involved.
• Joint mobilizations.
• Stretches.
• manipulative techniques.
• Dry needling of muscle trigger points.
• applied electrotherapy.
• Home exercise guidelines.

All of this will help relax the affected muscles and tendons with consequent pain relief and improvement in range of motion.

It has been proven that after adequate physiotherapy treatment, the muscles of mastication and the neck achieve a more normal muscle tone, reducing signs and symptoms.

Conclusions

The temporomandibular joint (TMJ) is one of the most complex and most used anatomical structures in our body. It is responsible for chewing, swallowing and phonation and must work in a balanced and symmetrical way to achieve proper function.

In TMJ injuries, even more so, a good clinical diagnosis is extremely necessary. This will allow us to discern and rule out other more serious injuries that may be causing the pain in this region. Thus, later, we can establish a good treatment to improve function.

Interdisciplinary work is of the utmost importance. Only a coordinated and qualified team of physiotherapist in Dwarka will manage to treat your pathology with assured success.