SHOULDER DISLOCATION: WHAT IT IS AND HOW IT IS PREVENTED

 

Shoulder dislocation is a very common injury among athletes, caused by forced postures for the shoulder joint. A complete treatment of the injury is important so that the patient can recover the full mobility of the joint, as well as avoid a chronic injury that may affect their quality of life, says the physiotherapist in Janakpuri.

WHAT IS A SHOULDER DISLOCATION?

Shoulder dislocation is understood as that injury in which the head of the humerus comes out of the cavity of the scapula called glenoid, causing pain and instability in the patient’s joint. It is a common injury in sports practice, and as a result of dislocation a tear can occur in the nerves and tendons of the area.

Depending on the characteristics and symptoms presented by the patient’s injury, different types of shoulder dislocation can be differentiated. First of all, dub-coracoid dislocation, is the most common. In this case, the head of the humerus moves below the scapula. It is usually caused by a fall on the elbow when the arm is in extension.

Secondly, sub-glenoid dislocation, in which the head of the humerus does not exceed the humerus. It is usually caused by falls or trauma when the arm is in an internal rotation position. Finally, sub-clavicular shoulder dislocation could be differentiated, in this case, the head of the humerus moves over the ribs. It is usually caused by trauma or falls on the arm, explains the orthopaedic in Delhi.

Causes of shoulder dislocation

As explained above by the orthopaedic in Delhi, the most common causes of shoulder dislocation are related to falls or trauma. Therefore, they are common during sports practice, as well as in sports that involve contact.

In addition, shoulder dislocations can be caused by sudden movements that suppose a forced position for the joint. In these cases, the tearing of muscles and tendons is common.

Symptoms of shoulder dislocation

The symptoms of shoulder dislocation can vary depending on the causes and the patient’s injury. However, the most common symptomatology is based on acute pain in the joint that, in some cases, appears accompanied by inflammation and stiffness. In addition, the patient usually experiences immobility.

In cases where the shoulder dislocation causes damage to the nerves or nerve endings in the area, it is common for the patient to experience nudity, as well as a tingling sensation in the area.

DIAGNOSIS OF SHOULDER DISLOCATION

Once the patient goes to the specialist traumatologist manifesting symptoms of shoulder dislocation, a physical examination of the area will be carried out first by the orthopaedic doctor in Delhi. It will study the points at which the patient experiences the greatest degree of pain, as well as the degree of mobility of the patient’s joint.

In some cases, it will be necessary to subject the patient to diagnostic tests that allow to expand the information available. The most common is usually to perform an X-ray or, in the cases mentioned above, in which it is suspected that there may be nerve involvement, a CT scan will be performed.

Treatments for shoulder dislocation

Once the patient has been diagnosed with a shoulder dislocation, an appropriate treatment should be prescribed to help relieve the pain. First of all, it is advisable to cease sports activity, as well as, minimize the activity of the shoulder joint. In this first phase, an anti-inflammatory treatment is usually prescribed, which relieves pain in the area.

Once the inflammation of the area has been reduced, the patient may be subjected to reduction manoeuvres, carried out by a professional physiotherapist in Dwarka. The objective of these is the relocation of the joint. If these manoeuvres do not provide the expected result, the patient may undergo surgery, says the orthopaedic surgeon in Delhi.

Physiotherapy treatment for shoulder dislocation

Once the first phase of rest is finished, one of the treatments that provides the best results for the treatment of shoulder dislocation is physiotherapy in Dwarka. This treatment should always be applied by a specialized physiotherapist in Janakpuri, and is based on the recovery of the mobility of the joint, as well as on the strengthening of the muscles of the area that helps prevent the injury from occurring again.

In the case of patients who are operated on by microsurgery or microdiscectomy to treat shoulder dislocation, a rehabilitative physiotherapy treatment in Dwarka is usually recommended, which helps to recover mobility after surgery.

GUIDELINES TO PREVENT SHOULDER DISLOCATION

In some cases, shoulder dislocation is inevitable, however, there are certain guidelines and recommendations that can significantly reduce the chances of suffering a shoulder dislocation.

First, the strengthening of the muscles of the shoulder area, through scheduled exercises, which protect the joint and reduce the risk of dislocation. In addition, it should be avoided to make sudden movements that involve forced positions for the joint, as well as avoid heavy loads.

In addition, a good technique acquires special importance when performing sports activities.

As explained, physiotherapy in Delhi is one of the most effective treatments for shoulder dislocation. In addition, following certain guidelines can significantly reduce the chances of suffering from this injury.

OSTEOARTHRITIS OF THE HIP: CAUSES AND EFFECTIVE REHABILITATION TREATMENTS

 

The hip joint is formed by the junction between the pelvic bones and the femur. In the part of the femur that is attached to the pelvis, a “sphere” is created called the head of the femur. In turn, this head fits into a hole that exists in the pelvis, creating a perfect gear that allows the bone to move in many of its directions.

Both the head of the femur, and the hollow of the pelvis in which it articulates, are covered with cartilage. Cartilage is a tissue that facilitates movement between bones and prevents them from rubbing directly against each other. Over the years and, as a consequence of the progressive deterioration of these cartilage, its thickness and texture are lost, even disappearing.

All this can cause a loss of the correct interlocking between the femur and the pelvis and consequently, symptoms of hip osteoarthritis, explains the Best Physiotherapist in Dwarka.

Best rehabilitation treatments for hip osteoarthritis

In Physiotherapy clinic in Dwarka, we offer exercises that tone and keep the hip in good condition, although we always study the patient before starting any program to see if they are able to perform these exercises, or if they need to make modifications to them, omit them or perform other more personalized.

Our physiotherapist in Dwarka will be able to recommend an alternative or complementary exercise program to relieve the pain of hip osteoarthritis such as: riding a bicycle, walking frequently or climbing stairs.
In case the rehabilitation treatments are not enough for the patient and therefore he continues to notice severe pain in the hip, it would be advisable to perform a hip operation.

Active hip mobilization exercises

These are exercises in which the hip joint is actively and freely mobilized by the patient himself, with the help of the physiotherapist in Dwarka. Its objective is to maintain maximum joint width to promote correct mobility during the different activities of daily life such as going up and down stairs or walking.

Exercises to strengthen and enhance the hip muscles

They are exercises designed to strengthen all the muscles of the hip and lower limb, in order to achieve a correct position for walking and moving. In short, it is intended to establish correct daily life with little pain, explains the Physiotherapist in Janakpuri.

Stretching exercises to relax the muscles as a whole

It consists of performing exercises to elongate musculotendinous structures. The joint width must be respected without causing pain, avoiding doing them abruptly, always with prior preparation and progressively. Physiotherapist in Janakpuri would move the limb to the point where the patient feels tension and hold the position for approximately 20 seconds.

TIPS TO ALLEVIATE HIP OSTEOARTHRITIS IN PATIENTS WHO SUFFER FROM IT

With the aim that patients suffering from osteoarthritis can better understand their disease and improve their lives with small gestures, the Best Physiotherapist in Dwarka has prepared a catalog with recommendations that can be carried out in your day-to-day life.

Preventive measures for hip osteoarthritis

1. Maintain a correct body weight

Obesity is one of the causes of the disease, and it also makes it progress more quickly. No special diets are necessary when suffering from this disease, nor are there completely forbidden foods. A low calorie diet is sufficient.

2. Hot and cold

In general, heat is beneficial to alleviate pain in osteoarthritis. It can be applied at home, with the electric mat or the hot water bottle placed on the sore joint. They relieve pain and relax the muscles . Sometimes, the joint can have an intense inflammatory outbreak, so in these cases we must apply cold locally, using ice packs or cold baths.

3. Suitable footwear

A thick-soled shoe should be used that absorbs the force of the impact of the foot against the ground when walking. This can also be achieved with silicone inserts or heel pads that are placed on the shoe. You should not wear shoes with excessive heels. It is preferable to use flat shoes or with a slight heel.

4. Avoid overloading the joints

Do not take excessive weights, try not to walk on uneven terrain and not stand excessively without resting. Use a cart to carry the purchase. Using a cane to walk also helps reduce stress on those joints, suggests the Physiotherapist in Uttam Nagar.

Before any slight suspicion of pain, it is recommended to go to a specialized center where a rheumatologist can study your case, establish the diagnosis of hip osteoarthritis and differentiate it from other joint diseases. This professional will refer you to other specialists such as physiotherapists at Physiotherapy centre in Dwarka to begin your physical therapy or rehabilitation treatment for arthritis if your condition has worsened and you have had to operate.

The Close Relationship Between Chronic Pain and Physiotherapy

 

The appearance of chronic pain can often have negative consequences on the quality of life of the patient. Therefore, it is important to approach it from different disciplines to ensure that the patient can carry out their usual activities, without feeling incapacitated, explains the Best Physiotherapist in Dwarka.

WHAT IS CHRONIC PAIN?

Chronic pain is one that lasts for more than three months, normally it is pain that is maintained, even if the cause that originates it is eliminated. It is related to changes in the nervous system and is characterized by the fact that the nerve in the affected area sends pain messages to the brain.

In many patients, chronic pain remains, although the cause that causes it disappears, therefore, in many cases it is difficult to establish a treatment.

Chronic pain can appear in any part of the body and can be disabling for the patient and prevent him from carrying out normal activities. Being a pain that lasts over time, it can have psychological consequences in the patient, and can directly affect their quality of life.

Types of chronic pain

Regarding the types of chronic pain, it is possible to differentiate, first of all, nociceptive pain, which implies that nocioceptors detect noxious stimuli. These receptors are located in the skin, in this case we speak of somatic pain, and in internal organs, which is known as visceral pain. This type of pain is characterized by being constant and sharp. For example, pain after surgery.

On the other hand, neuropathic pain differs. In this case, the pain is related to the abnormal interpretation of nerve impulses by the brain. In many cases, it is related to a nerve injury. In this case, it is a pain that is difficult to diagnose and treat, since in many cases it is difficult for the patient himself to detect and explain the symptoms he presents.

Third, there is psychogenic pain, caused by mental processes and not by physiological causes. In these cases, the patient usually needs psychological treatment.

Diagnosis of chronic pain

For the diagnosis of chronic pain, it is essential to carry out a study of the patient’s medical history, in which the possible causes related to the appearance of pain are observed.

In addition, a physical examination of the patient will be carried out and necessary diagnostic tests will be carried out, such as, X-ray, MRI or CT.

CHRONIC PAIN TREATMENT

Once the diagnosis of chronic pain has been made, the patient undergoes treatment. In the first place, an anti-inflammatory treatment is usually prescribed, which relieves pain in the patient.

In other cases, physiotherapy in Dwarka or acupuncture treatment is used, with the aim of treating the patient’s nervous system. In addition, as explained above, the patient usually requires psychological treatment, which helps him to live with the pain, so that it does not affect his quality of life to a great extent.

Physical therapy to treat chronic pain

In patients with chronic muscle or joint pain, physiotherapy treatment in Dwarka is one of the most used, since it offers good results and allows the patient to carry out their usual activities. In addition, this treatment teaches the patient to control pain through various techniques, and thus increases the patient’s self-confidence.

Physiotherapy treatment in Dwarka focuses on strengthening the muscles, which helps to avoid injuries derived from the main injury and helps the patient to achieve a balance of the musculoskeletal system.

One of the key points of Physiotherapy in Dwarka is postural re-education, which can help prevent injuries and help relieve pain.

GUIDELINES FOR LIVING WITH CHRONIC PAIN

Usually, dealing with chronic pain can be a hard experience for the patient, which directly affects their quality of life. Therefore, although chronic pain is unavoidable, there are certain guidelines that can help the patient to live with chronic pain.

In the first place, it is important that the patient follow the prescribed treatment, and that he changes certain lifestyle habits: he must have a routine, a healthy diet and, it is advisable, carry out a constant moderate exercise that, among other things, will help to manage the stress that this situation can cause.

In addition, the patient, in many cases, will have to resort to psychological treatment, which helps to control anxiety and stress generated by chronic pain. In many cases, it is advisable to resort to associations, with the aim of dealing with people who are in the same situation.

As explained, chronic pain is unavoidable. However, it is important that the patient follow certain guidelines and go to the appropriate specialist, to avoid significantly affecting their quality of life. Says the physiotherapist in Delhi.

PHYSIOTHERAPY AND POST-OPERATIVE REHABILITATION

 

Many times, when we talk about rehabilitation, we quickly associate it with physical therapy. However, they are not the same, explains the best physiotherapist in Dwarka.

When there has been an injury or an operation, the muscles or joints involved lose mobility and flexibility.

Physiotherapy, collects in its field various techniques used to treat from injuries and traumas, to chronic pathologies or neurological problems. While physical rehabilitation is usually related to sports injuries, trauma or post-operative recoveries. Among all rehabilitation cases, those related to joints such as the knee or shoulder, usually require several compulsory sessions of physiotherapy in Dwarka, and a series of adapted physical exercises.

There are also treatments focused solely on improving the well-being of the patient. Although it is not possible to eliminate all pain at all levels caused by operations, it is possible to experience minimal discomfort and a rapid return to daily life.

In any case, it is about studying each patient individually, assessing their discomfort and post-operative evolution and planning personalized treatments that, with the minimum of sessions, allow us to obtain a prompt and complete return to normality, says the physiotherapist in Dwarka.

ADVANTAGES OF POST-OPERATIVE PHYSIOTHERAPY

 Mainly 2 objectives:

• Achieve a speedy recovery, since it works to reduce and counteract the most common postoperative discomforts, such as edema, pain and mobility limitation.
• Avoid complications, because it focuses on working the areas in which there may be some risk, as would be the case of capsular contracture in the case of breast augmentation surgery mainly.

Thanks to this improvement, the patient is physically and emotionally improved and can return to normal activity in a shorter period of time. Although it is not possible to eliminate all the pain at all levels caused by the operations, it is possible to experience a minimum of discomfort and a quick return to daily life, says the physiotherapist in Uttam Nagar.

Operations and injuries that require rehabilitation with physical therapy.

• Injury the knee ligament.
• Runner’s knee (or iliotibial band syndrome)
• Tendinosis or tendonitis of the knee, shoulder, or wrist.
• Postoperative after patella fracture.
• Postoperative after shoulder or knee surgery.
• Herniated vertebral or lumbar discs.
• Rotator cuff injury.

A program is established to relieve discomfort and reduce inflammation. The purpose is to accelerate or re-establish the functions of each one, explains the physiotherapist in Uttam Nagar.

The benefits of physiotherapy in rehabilitation.

When there has been an injury or an operation, the muscles or joints involved lose mobility and flexibility. It depends on the severity, it will be a total or partial loss, and to recover them, it is necessary to be patient and advance little by little with the selected rehabilitation treatment by physiotherapist in Janakpuri.

The importance of putting yourself in the hands of a physiotherapist in Janakpuri is decisive, he will know which techniques are the most appropriate for our speedy recovery, he will decide according to the characteristics of each person.

What is physical rehabilitation?

When we talk about Rehabilitation, we are talking about a level of medical care that is in the third level of care of the disease, the first level is Prevention, the second is Diagnosis and Treatment and the third is Rehabilitation.

Physical Rehabilitation is in charge of recovering to the maximum the capacities of the individual who has suffered an injury or illness and reincorporating the patient to his activities of daily life. This is what a Rehabilitator does, he works with a multidisciplinary team made up of a group of doctors from various specialties who analyze the clinical case and determine what is the best treatment for the patient, and channel it to the corresponding Physical Therapy and Rehabilitation area.

Fibula fracture and physiotherapy treatment

 

Physiotherapy in Dwarka can treat fibula fractures to ensure better walking. It is important to treat this type of condition as soon as possible to ensure optimal results.

What is the fibula?

The fibula is a long bone in the leg, parallel to the tibia, which connects the knee to the foot. These two bones are similar, although the fibula is much thinner.

Fractures of the fibula are sometimes associated with fractures of the tibia, but some injuries are unique to them. The isolated fracture of the external malleolus of the fibula is caused by a force that brings the foot into abduction (lateral deviation of the forefoot) and external rotation (eversion of the foot) causing an impact between the external malleolus (fibula). and the embankment.

The deltoid ligament located medially to the ankle can also be damaged, making the fracture unstable, explains the Physiotherapist in Dwarka.

Signs and symptoms of a fibula fracture

The fibula fracture usually presents with complete inability to weight the affected limb due to pain, localized pain in the external malleolus, swelling that appears quickly, bruising / bruising, and significant loss of muscle mass. amplitude in all movements at the ankle. A deformation (misalignment) can sometimes be visible. Morning stiffness may be reported due to swelling and increased pain during the night (inflammatory process), states the Best Physiotherapist in Dwarka.

Physiotherapy treatments

After the intervention of a doctor to ensure the reduction and immobilization of the fractured bone (plaster / splint / surgery), physiotherapy in Dwarka is essential to recover from a fractured fibula.

During immobilization, physiotherapy treatment in Dwarka aims to control edema and pain, avoid complications (thrombophlebitis, complex regional pain syndrome, etc.), protect the ankle by not being loaded, maintain the amplitudes of hip and knee muscle movement and strength, ensure a safe walking pattern, maintain the person’s autonomy in transfers and movements, and maintain good cardiovascular condition.

After immobilization (period of approximately 2 months), the physiotherapist can begin the rehabilitation of the affected limb while respecting the contraindications and precautions issued by the orthopedist. Different modalities can be used: advice on activity dosage, pain and inflammation management, use of a walking accessory; modalities to reduce pain and edema and promote the healing process; teaching flexibility, mobility, strengthening, motor control and weight-bearing exercises; manual orthopedic and soft tissue therapy techniques; correcting the pattern of walking and on the stairs.

Recovery from a fibula fracture typically takes three to four months, after which it is possible to walk and walk up and down stairs normally, says the Physiotherapist in Janakpuri.

Predisposed people

Although anyone can suffer a fibula fracture from some type of trauma, many people are more prone to it. Older people may be, as may people with osteoporosis or osteopenia, using steroids or drugs that decrease bone density over a long period of time, or having a history of ankle sprains or strains, other ankle or foot injuries, says the Physiotherapist in Uttam Nagar.

Athletes may also be at greater risk of being affected by fibula fractures. If necessary, the sports physiotherapy services offered at Physiotherapy clinic in Dwarka can help relieve these injuries during the practice of a sport at the recreational or professional level.

Physiotherapy and Rehabilitation

 

Physiotherapy is one of the basic treatments to help improve the quality of life of patients with Fibromyalgia and Chronic Fatigue Syndrome, by considerably alleviating the symptoms of the disease. It can be of great importance in controlling the pain that these pathologies cause to patients and in addressing most of the pathologies that may appear associated.

On the other hand, thanks to this specialty, it is possible for the patient to significantly reduce the pharmacological treatment that at first is essential to relieve their pain. This is of enormous benefit, since these long-term treatments can lead to problems of a very diverse nature and severity (as an example, mentioning the harmful long-term effects that anti-inflammatories produce on the stomach and liver).

Objectives of the Physiotherapy and Rehabilitation Service

The main objective of Physiotherapy in Dwarka is undoubtedly to improve the quality of life of people affected by FM and / or CFS.

To do this, we work on:

• Improve the conditions of patients to carry out their activities of daily living
• To alleviate the pain of patients as much as possible.
• Improve the physical capabilities of patients.
• Improve the psychological state of patients by promoting adequate physical activity and performing exercises.
• Improve postural hygiene of those affected.
• Inform patients about the pathology they suffer.

Treatment Methods and Techniques: The Patient-Physiotherapist Work

Spine and stretching table –

They are a series of gentle and progressive exercises and stretches that seek to improve the physical condition, mobility, and muscle tone of patients.

Given that not all members have the same physical condition or the same associated problems, performing the exercises in the table is valued in each case.

They are performed both in groups twice a week in the Association, as well as individually, in which case the physiotherapist in Dwarka prescribes the exercises individually to be carried out on their own, according to the needs of each patient. Part of these individual exercises, especially those aimed at improving the patient’s aerobic capacity, are offered to be carried out in the Gymnasium that the Physiotherapy centre in Dwarka has.

Hydrotherapy –

Twice a week, a series of exercises for muscle toning, stretching and relaxation are performed in a hot pool (approx 25ºC).

Two enormous advantages of working in the water are the muscle relaxation that occurs in this environment and the fact of being able to perform exercises that would not be possible out of the water.

Individual session

Individual sessions of an approximate duration of 1 hour are also held. During these sessions, the individualized assessment of each patient is made possible, and the adaptation of the appropriate treatment to each case to get the maximum benefits from it.

The techniques used are:

• Mechanotherapy: it will take place during the hours in which patients come to the physiotherapy service to use the different treatment devices available to the Association. Each indication is evaluated by the professional, and subjected to regular monitoring.
• Thermotherapy: thermotherapy is the use of heat as a therapeutic means. This technique can be used to reduce muscle contracture, activate circulation, improve muscle tone and prepare the muscles for the application of other techniques.
• Ultrasound: it is a very suitable technique for the treatment of FM, since the high frequency waves penetrate to the muscle, achieving a double effect: the thermal, and the micromassage that produce the waves in the part where it is applied.
• Electrotherapy (TENS): the use of electrical currents in FM can achieve both an increase in strength and muscle tone, and a decrease in pain.

Strengthening techniques

• Massotherapy: consists of the use of massage with a healing purpose. Among other techniques, rubbing, rubbing, kneading, lymphatic drainage, myofascial technique and manual tractions are used to improve the patient’s condition.
• Kinesitherapy: is the use of movement as a therapeutic means. The mobilizations can be active, passive or resisted, depending on the case.
• Cryotherapy: it is the treatment of choice in some associated pathologies that present with inflammation.
• Postural hygiene seminars: these seminars try to correct the bad habits adopted during the activities of daily life, which are causing or aggravating many of the musculoskeletal problems that patients suffer.
• They try to teach good postural hygiene habits, showing the best postures to carry out daily activities (scrubbing, ironing, washing, carrying loads, …) These seminars are made available to anyone who requests it.
• Home treatment: Physiotherapy Service also performs home care work in order to offer treatment and try to reduce the symptoms of patients when they cannot go to the Association due to an acute phase of the disease.

In these sessions manual therapies are used fundamentally.

Monitoring of the Patient in Coordination with other Professionals

When a patient attends the physiotherapy service in Dwarka, a diagnostic-therapeutic unification is carried out between the different professionals who deal with his problem: in order to obtain an idea of ​​the degree of disability to which the person affected by the pathology he suffers may be subjected, The professional collects all those data that may influence the general state of the person (plates and reports from other professionals that provide information on possible associated pathologies, symptoms, physical capacity, how they carry out activities of daily living,…).

After conducting a physical examination and evaluating the data collected, Physiotherapist in Janakpuri develops an appropriate treatment plan for each patient, setting goals to achieve.

The main objective of treatment is always to improve the quality of life of the patient, choosing the appropriate intervention methods and techniques in each case.

To make possible an adequate follow-up of the evolution of the disease in each patient and that he can get the maximum benefit from the treatment, the physiotherapist in Uttam Nagar regularly re-evaluates all the data described above and reflects the impressions of other specialists that may be of interest for the treatment of the patient (multidisciplinary treatment).

Sexuality And Chronic Pain: How Can Physiotherapy Help You?

Sexuality is a subject that is sometimes taboo and that it is often difficult to approach it as well with those around you as with a sexologist in Delhi. However, this act occupies an important place in couple relationships and is an integral part of the daily life of many individuals. 

Although often associated with pleasure, sexual relations must also be perceived as a physical activity since they require certain physical capacities to be carried out. This is why, when a person suffers from chronic pain, it can be difficult to continue practicing normal sexual activity.

Physiotherapist in Dwarka frequently works with people with chronic pain to help them better manage their pain. In this article, he discusses the impact that chronic pain can have on sexuality and the role that physiotherapy in Dwarka can play in such circumstances.

What is chronic pain?

Pain that persists beyond the normal healing time of more than three months is generally categorized as chronic pain. Several types of chronic pain exist and certain types are more frequently observed than others (e.g. chronic lumbar pain).

Several causes, often unidentified, can be the cause of the problem. In some cases, a physiological component (eg sensitization of the central nervous system, the excitability of the nerves, etc.) plays a role in the pain felt. This is why, even when an injury is considered healed, the brain can continue to send a pain signal to the body of varying intensity, causing chronic pain.

The impact of chronic pain on sex

As we know, sexual activity, like physical activity in general, requires a minimum of effort. If you suffer from chronic pain, this effort can cause or increase the pain and create discomfort during sexual activity. There are various factors related to the pain that can have an impact on sexuality:

• Changing physical abilities: Chronic pain can affect your physical abilities, even at the sexual level, in two different ways. The bad feeling can limit certain movements or even lead you to inactivity. This can affect your joints (which become stiffer) and your muscles (which become weaker). Your physical capacities will be reduced and your movements will be more painful. In the end, you may abstain from having sex to avoid getting hurt.

• Fear of being in pain: The pain experienced during physical exertion, such as during sex, can cause you to be afraid of moving, which will ultimately make you less sexually active.

• Decreased energy and fatigue: Whether it is out of fear or simply because of the pain felt, being less active or even inactivity, leads to deconditioning (reduction in physical capacity). This deconditioning can lead to fatigue and thus decrease energy during sexual activity and even extinguish your libido.

If you suffer from chronic pain, the ailment can take up all the space in your life, causing tension in your relationship and can even lead to isolation.

You may then end up in one or other of these situations and enter what is called a deconditioning loop.

Sexuality and chronic pain: how can physiotherapy help me find satisfactory sexual activity?

The physiotherapist in Janakpuri can help you find or maintain regular and pleasant sexual activity despite the pain. By addressing the problem with him, he will be able to help you identify the source of your problem (physical aspect) and then offer you personalized solutions.

Are my problems due to pain?

By helping you to better understand your pain (eg: Is it increased during physical activity? If yes, by which movements, which positions, etc.? Is it the fear of injury that prevents activity? ), the physiotherapy doctor in Dwarka will guide you towards various solutions:

• Better plan your sexual activity: Choose the right time according to your pain onset cycle (morning, evening, etc.). This tip will help you better plan and maintain your strength for this day.

• Control your pain: Find ways to relieve your pain by physically preparing for the activity (e.g., applying ice or heat, adjusting room temperature, massage, breathing, etc.).

• Respect the limits of your pain: Recognize your limits and find balance, because a slight increase in pain is not necessarily a sign of injury. This awareness will help you reduce the fear of injury.

• Favor comfort positions: Favor sexual positions that suit you. Use accessories that will help you feel good (e.g. pillows, towels, etc.). At this stage, it is also important to express your needs to your partner so that he understands your situation and can adapt to it.

Are my problems due to mobility?

After assessing whether your general mobility is reduced or whether it is a localized decrease, the best physiotherapist in Dwarka will recommend various mobility and flexibility activities. Here is an example of an exercise program for lumbar mobility and an exercise program for lumbar flexibility. These exercises will facilitate the mobility necessary for your sexual activities.

Are my problems due to lack of strength?

Depending on the assessment of your current condition, the physiotherapist in Uttam Nagar will suggest a specific training program to increase your muscle strength. Here is a lumbar strengthening and stabilization exercise program that will help you in the practice of your sexual activities. For example, in the case of lower back pain, it will work to strengthen:

• The transverse abdomen: This deep abdominal muscle helps stabilize your lumbar region (lower back). It helps reduce your pain and helps prevent new episodes of low back pain.

• The pelvic floor: This stabilizing muscle in the pelvis (often weakened following childbirth) contributes to better lumbar stabilization and therefore better control of your pain.

Are my problems due to my physical condition?

The physiotherapist in Dwarka can also help you improve your physical condition (cardiac, pulmonary and respiratory capacity) which will have an impact on your endurance during sexual activity. He will gradually offer you different endurance activities specific to your level of conditioning (ex .: walking for some, aquafitness or cycling for others).

In closing, according to Dr. Sarwar, "the hardest part is often to take the first step and talk to your healthcare professional about it." Once this step is successful, you will have solutions adapted to your situation that will allow you to live better with pain and manage it better.

This will allow you to resume your sexual activities and continue practicing physical activities despite the pain. Your quality of life, as well as that of your partner, will be greatly improved.

Back Pain Physiotherapy

It is very likely that to more effectively relieve your back pain you should go to physiotherapy. The best physiotherapist in Dwarka will work with you to help you recover mobility in the affected areas of your body as they heal faster.

A very important aspect of physiotherapy in Dwarka is that the therapist will also teach you different ways to minimize the possibility of future pain.

Physical therapy includes active and passive treatments. The passive treatments help your body relax and decrease pain. They are called passive because the patient does not have to participate actively (with physical activity) to be effective.

Usually, a physiotherapy program begins with passive treatments. However, the goal is to recover the body or the affected area so that it is prepared for active treatments, which are nothing more than guided therapeutic exercises that make the body more flexible and stronger.

Passive Treatments

The physiotherapist can start with you the following treatments:

• Deep Tissue Massage This technique acts on the contractures of the muscles that may have their origin in the stress of everyday life. You may also suffer contractures or tension in the muscles due to muscle tears or sprains. The therapist exerts direct pressure with his hands and rubs to try to relieve tension in soft tissues such as ligaments, tendons, and muscles.
• Cold and heat therapies. The physiotherapist in Janakpuri can alternate between hot and cold therapies. When using heat, look for more blood to flow to the affected area: an increase in blood flow brings more oxygen and nutrients to the area. The waste products that generate muscle contractures are also removed by the blood, which helps to heal.
• Cold therapy, also called cryotherapy, helps reduce inflammation, muscle contractures, and pain. They could put a cold bag in the designated area or even give you an ice massage. After cold therapy, the therapist can work with you to stretch the affected muscles.
• Transcutaneous nerve electrical stimulation (TENS). A TENS machine uses variable low-intensity electric current to stimulate the muscles. It sounds scary, but it's really nothing painful. Electrodes adhere to the skin and they send a gentle electric current to key points.
• TENS helps reduce muscle contractions and is believed to activate the secretion of endorphins, which are the pain relievers that the human body naturally produces. There are even small TENS appliances for domestic use that can be used at home, as long as the specialist considers it convenient.
• Ultrasound. By increasing blood circulation, ultrasound helps reduce muscle contractures, cramps, inflammation, stiffness, and pain. This effect occurs because the ultrasound machine sends sound waves that reach deep into the muscle tissues, generating a gentle heat that facilitates circulation and healing.

Active treatments

In the active part of physiotherapy, the physiotherapist in Dwarka will teach you various exercises to improve the flexibility, strength, and stability of the abdominal, back and gluteal muscles, as well as the range of motion of your joints.

Each physical therapy program is individualized, based on the history and health status of each patient. The type of exercises you do may not be appropriate for another person with back pain, especially since the pain may not have the same cause.

If necessary, you will learn how to correct your posture and incorporate ergonomic principles into your daily activities. The idea is that you are aware of your bad postural habits, that you learn good habits and postural principles and then put them into practice to take care of your back.

Your physiotherapist in Uttam Nagar can also suggest a personalized exercise program that you should do periodically. In this way, you reduce the possibility that back pain will reappear while maintaining good overall health.

Physiotherapy in Neurological Conditions

Neurological physiotherapy in Dwarka is the branch of physiotherapy that treats the pathologies of the central or peripheral nervous system, caused by congenital or acquired causes, with consequences in terms of movement, posture or balance. Having dysfunctions of this type can generate significant inconveniences in the development of an autonomous life, reducing the independence of the patient when performing any daily activity, explains the best physiotherapist in Dwarka.

Unfortunately, the percentage of patients, both children and adults, who develop neurological diseases or suffer mishaps that have triggered them has been growing in recent years, and is expected to continue increasing in the coming decades. In spite of this, every day there is a greater awareness of this and, consequently, a greater scientific implication.

Neurological pathologies represent a heterogeneous group of conditions with different incidence . Some of them are cerebral palsy, spinal cord injury, ALS , spina bifida or Parkinson's ; the latter with more than 150,000 patients diagnosed in our country.

The objective of the physiotherapist in Dwarka specialized in these cases, therefore, will be to improve as much as possible the autonomy and independence of those affected, working on the adverse symptoms of each condition, such as spasticity, tremor, fatigue, dizziness, difficulties in gait, stability or posture ; In short, improve the quality of life of those who suffer from this type of disease. For this, different tools are available; in this case, the treatments and exercises Kabat, Vojta or Bobath , among others, with different results and application.

The work of the physiotherapist in Uttam Nagar in this field is complex; It must start from a global and multidisciplinary concept, valuing the response of both cognitive or emotional aspects, as well as those of a motor nature. At the same time, you should assess the patient's abilities and agree, if possible, with this or his family the objectives that will be achieved before addressing any possible treatment.

In this sense, the joint involvement in therapy is essential, but so is the personalization that the physiotherapist in janakpuri must make of each element used when applying it to the patient. Something that should not be forgotten to achieve positive results is to work empathy. In this sense, we must create a climate of trust, tranquility, optimism and comfort conducive to maximize the benefits of the treatment ; A really differentiating fact when it comes to children.

According to different studies, the brain reaches its highest degree of plasticity during the period of 0 to 6 years, but never disappears. It is precisely this capacity that bases the rehabilitation work and will be during that stage when it becomes more important. The urgency at the time of initiating a treatment, as well as the continuity in the time of this will significantly influence the recovery of the functions. It is therefore necessary to raise awareness about the need for early attention, especially when it comes to children.

Responding to how or when to apply the techniques to provide a service adapted to each case implies a constant update and learning work of the physiotherapist in Uttam Nagar; a commitment of great importance to help recover as much as possible the autonomy of patients with pathologies as limiting as these.

Definition and Causes of Herniated Disc

When we talk about herniated disc, we do it with a relatively common pathology that affects the intervertebral disc, a gelatinous structure that allows the flexibility of the spine and acts as a buffer against daily activities. With the passage of time, the disc can suffer alterations, compromising its functionality and reducing the quality of life of the people who suffer them, explains best physiotherapist in Dwarka.

Each disk is composed of two elements: the nucleus pulposus and a fibrous ring that surrounds it. Repeated pressures or inappropriate movements can cause the ring to suffer some wear, causing an alteration in the core.

The herniated disc would appear when this wear supposes the rupture of the ring and, therefore, the migration of the nucleus, generating compression in the adjacent structures: the medulla, if it is a central hernia, or the nerve root that is located on both sides of the vertebra, if it is radicular.

Depending on the area, severity and deviation of the migration, the extent of the pathology in the patient will be assessed, says physiotherapist in Dwarka.

Symptomatology and origin

As we say, the presence of a herniated disc usually involves pain. However, not in all cases it happens in the same way or with the same intensity. In some, it even remains hidden for a while until the first symptoms appear. In short, it depends on each case.

Depending on the place in the spine where the condition originates, the herniated discs can be classified as lumbar, dorsal or cervical. The most frequent occur in the lower back, especially L4-L5, L5-S1.

A herniated disc, in addition to pain, can cause loss of strength, cramps, tingling or numbness in the arm and leg, depending on whether it is in the cervical or lumbar area. But why does it occur?

When assessing the origin of wear and subsequent breakage of fibrous rings, it is important to take into account certain mechanical factors; that is to say, they may arise from the repetition of some incorrect activities or postures.

However, these causes should not be disassociated from deeper ones, which can cause changes in the patient and that are often present in their day to day. We refer to prolonged stress, sedentary lifestyle, poor eating, certain visceral disorders or obesity. These factors can generate an initial spiral that drives the onset of pathology.

Physiotherapy in Dwarka

Before facing the delimitation of a treatment, the physiotherapist in Janakpuri will thoroughly explore the patient, assessing the associated limitations, deciphering the various causes and factors, and dismissing other pathologies with identical symptoms.

From here, the physiotherapist in Uttam Nagar would address the condition from an integral point of view; that is, manual therapy will be as necessary, as the prescribed physical activity or the modification of postural habits in the patient, and therefore its involvement in the process, to achieve its improvement.

Physiotherapy in Dwarka after knee prosthesis surgery

After a knee surgery in which a prosthesis is placed to replace the cartilage, a rehabilitation process is necessary. Recovery must be done as soon as possible, according to the best physiotherapist in Dwarka. That is why some recommend supporting the operated leg 24 hours after the operation, and even start taking steps with the help of some support such as crutches or a walker, after 48 hours.

First steps

The goal of physiotherapy in Dwarka after knee prosthesis surgery is to ensure that the patient can move with the greatest possible stability and reduce pain.

The first thing the physiotherapist in Dwarka can tell us, in addition to trying to stand up, is that we begin to walk around the room. It is also recommended to go up and down stairs. This movement will provide strength and more flexibility to the damaged knee. It is advisable to go down with the operated knee and go up with the one that has not undergone the operation. To do these maneuvers it will be necessary to rest on a cane.

Advanced exercises

Once the physiotherapist in Janakpuri sees that the previous movements are carried out normally, such as walking with crutches or a cane, we will move on to a second phase of rehabilitation that involves working the joint on a stretcher.

The main exercises are as follows:

• Lying on the stretcher lift the operated leg while the quadriceps (the muscle of the front of the thigh) is contracted. Hold it in this position for about 5 or 10 seconds. Then lower it and repeat several series, until we notice exhaustion or the physiotherapist tells us to.
• In the same position, move the foot back and forth for two or three minutes. During the execution we must try to tighten the muscles of the tibia and fibula.
• Again lying down, contract the quadriceps as much as we can, trying to press with the lower part of the knee against the base of the stretcher, to work the extension of the joint. Stay like this for 5 to 10 seconds, and repeat according to what is stipulated.
• In the same position as all the previous cases, try to bend the knee by sliding the foot on the surface of the bed or stretcher, and be like this for a few seconds and then stretch and repeat several times.

These are some of the basic exercises that will be done in the second phase of rehabilitation of a knee prosthesis, experts say, although some may be added while we are sitting. The physiotherapist in Uttam Nagar will explain to us what we should do at home to continue the recovery. As for the sports to be practiced after this type of intervention, it is generally advisable to avoid high impact sports that may have risks of falls such as basketball or handball.