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.

Physiotherapy after the Hip Operation

The number of joint operations such as the hip or knee replacement in Delhi has grown exponentially and widely in Delhi, India in recent times, and this trend is expected to continue. The progressive aging of an increasingly longer population is undoubtedly one of the main causes of this new reality.

In Delhi about 30,000 new cases occur every year, as a result of degenerative diseases such as osteoarthritis - the most common - osteoporosis or rheumatoid arthritis, among others. Therefore, the most common age range for this type of intervention is usually around 50-80 years. In this sense, falls pay special attention, a direct cause of hip fractures in elderly people. According to data, 30% of people over 65 and 50% of those over 80, suffer some kind of mishap of these characteristics once a year.

The effectiveness of the method guarantees a better quality of life for those who suffer from this type of conditions, stopping the inherent chronic pain and the daily limitations that they produce.

The hip joint is one of the largest structures in the body. This is presented surrounded by soft tissues of great importance that complete it and must be taken into account. The hip replacement in Delhi may be partial or total, depending on factors such as age, although the latter is the most common.

Once the operation is performed, the patient will generally need between 3 and 6 months to recover; recovery in which physiotherapy in Dwarka will intervene decisively.

The role of physiotherapy

When facing rehabilitation after an operation of this nature, it is important not to neglect time. Therefore, the first contact with the patient should be made, if possible, prior to the operation. This will help us build confidence and inform the patient of the procedure, thus assimilating the rehabilitation guidelines that will be followed right after the intervention, and the precautions to be taken into account.

In this first contact, it is essential to assess your general condition, physically, to establish a treatment as personalized as possible.

An early therapy will not only favor toning and strengthening the muscles, but also help limit pain . At this time, it is crucial, in turn, to apply respiratory physiotherapy techniques under the guidance of the best physiotherapist in Dwarka to avoid subsequent complications that can lead to pneumonia.

The physiotherapist in Janakpuri will carry out an activity plan with active-assisted mobilizations and strengthening exercises through controlled flexion of the operated limb , among others, and will apply massages on the leg and buttocks, in addition to the area of ​​the scar, to restore well-being General structure and prepare the patient for the next step: stand up. It is important to start the process gradually, sitting at the edge of the bed, and trying to keep the involved leg always stretched. It will help to achieve this goal of the healthy leg and arms, as well as the physiotherapist in Uttam Nagar, who will assist the movement on the first occasions.

The patient will have an active role at all times, also after discharge. At home you should continue the exercises and care started in the hospital. Activities such as sitting in a chair, stretching the leg and placing on the toes, among others, and following certain guidelines when using the walker or crutch will be essential to improve the response and reduce the Recovery time.

Physical Therapy in Ankle Fracture

Ankle fractures are among the most common in the lower limbs. It is usually caused by a low-velocity trauma such as twisting injuries, falls, car accidents and injuries related to sports activities.

The incidence of this type of fracture is estimated at 100 fractures per 100,000 people per year. This number has steadily increased both in active young and in the elderly over the past decades.

The orthopedic treatment may be conservative or involve surgical fixation, reduction and immobilization, depending on the severity of the fracture presented. Recalling that, in all cases, the physiotherapist in Janakpuri will act in the recovery process of the functionality and decrease the symptoms of inflammation for early return to activities of daily living.

The best physiotherapist in Dwarka starts already in the immobilization treatment period using various techniques in order to rehabilitate a patient. So that the patient can return safely to their activities, including leisure and work, getting better their quality of life.

Ankle fracture

Ankle fractures can be caused by several mechanisms of action, and the forces that may contribute to the occurrence of injury are external rotation, vertical compression, abduction and adduction. But the most common cause of this type of fracture is the misstep associated with a twist. There are other possibilities as in contact sports, car accidents, falls, strong strokes among other situations.

This type of fracture is observed generally that the ankle may have broken bones in the medial tibial malleolus, the posterior margin of the tibia (posterior malleolus) and the lateral malleolus to the lower end of the fibula.

Often the fracture occurs along with the tear of the medial ligament, lateral collateral and lower tibiofibular, presenting five degrees of severity of injury:

• ligament injury in isolation;
• ligament injury fracture of a malleolus;
• ligament injury to fracture two malleoli;
• ligament injury fracture three malleoli;
• ligament injury more diastasis of more lower tibiofibular joint fracture.

Treatment of Ankle Fractures

The treatment of ankle fracture may be surgical or conservative, with reduced foot maintenance goal and inversion of the movement that caused the injury. Seeking to maintain good standing in line, since at times a good position is only achieved through manipulation.

Already in the surgical treatment internal fixation will promote bone reconstruction and ligament repair. Its main objectives to create a joint that is stable and reconstitute articular cartilage. Note that reaching the goals early movement can be started and need not restraint, otherwise it will be cast.

Upon conservative treatment the patient is often monitored by radiological examinations to make sure stability. It is important that the patient be maintained with the plaster cast for at least eight weeks. In the case of the present stability weight support is allowed for at least four weeks.

Types of physical therapy in Ankle Fracture

The physiotherapeutic treatment on ankle fracture will develop according to the type of treatment performed. Treatment can be conservative or surgical, which depend on the health conditions of the patient.

In physical therapy is initially included pipelines to reduce pain, swelling, inflammation and prevention of future injuries. Then ducts order to increase muscular strength, range of motion gain, increased mobility. And at the end of the treatment is working the body burden, proprioception, gait training and neuromuscular training of the ankle.

It is observed in functional association with the physiotherapy in Dwarka, other therapeutic modalities for the purpose of accelerating the patient recovery. Some resources used, as the contrast bath, shortwave, ultrasound. In some competing therapies such as pacing electroplating, dynamic and interference current therapy. Always remembering that the choice for the resource to be used as regards the electrotherapy is important to note the type of surgery performed and whether there was use of synthesis for fracture fixation.

Best techniques for mobility recovery

A major problem after removing the plaster cast is the lack of joint mobility. It is observed that the time of immobilization to consolidate the fracture causes muscle atrophy, proprioceptive deficits and capsular restrictions. In conducting exercises to gain mobility should have knowledge about the mechanics of injury or surgical fixation to avoid excessive stress on the initial injury.

The manual therapy techniques facilitate the process after the injury because of the normal remodeling and tissue regeneration depends on mechanical stimulation.

The mobilization extends through drifts and normalizes shortened tissues promoting the following results:

• Increased range of motion;
• Reduction of abnormal voltages;
• Reduction of the above pain and edema;
• Aids in the repair process;
• Dynamic and facilitates flow of fluids in the tissue;
• Stimulates removal of the inflammation process byproducts.

Here are some techniques to restore movement to articulate:

• Traction the ankle joint to increased mobility of the ankle;
• With the patient in the prone position above the slide stem to increase range of motion in plantar flexion;
• With the patient in the lateral position, the medial heel slip for increasing eversion;
• With the patient in supine position, the rear sliding stem to increase range of motion in dorsiflexion;
• With the patient in a prone position, traction subtalar joint to increased mobility of the subtalar joint;
• With the patient in the prone position, the heel slid laterally to increase the inversion;
• Increased mobility of the calf and myofascial release of the plantar fascia;
• The stretching of the soleus and gastrocnemius;
• ankle mobility exercises as active assisted and active dorsiflexion, plantar flexion, inversion and eversion, while respecting the conditions of the patient.

The Physical Therapist Practice in Treatment

The physiotherapy in Janakpuri in ankle fractures will promote a very positive effect on the patient's functionality due to the recovery of movement, mobilization and load-bearing on the affected limb.

After all, long periods of standing can cause bone loss and bone properties, leading to weak growth. Furthermore, they can also occur in the cartilage tissue ulceration, weight loss, volume and cartilage proteoglycans.

Therefore, it is noted that physical therapy will work satisfactorily in all functional changes caused by ankle fracture through the pain reduction, increased muscle strength and range of motion, improved functionality, increased gait quality, return to activities of daily living, becoming a great therapy for the improvement of dysfunction caused by the injury.

What is Low Back Pain: Types And Treatment

In this article we will try to explain low back pain and role of physiotherapy in Dwarka, pathology that is extraordinarily frequent in the society in which we live and we will try to give the guidelines in the prevention and treatment of this problem.

First of all, its definition, pain located in the lower part of the back, referred or not to the buttocks or the posterior proximal part of the thighs, and without exceeding in the vast majority of cases the knees. It affects 60% -80% of individuals at some time in their lives, with a peak incidence in 45 years. It is one of the most frequent causes of pathology that cause low back pain.

Types of low back pain

Acute back pain, lumbago, without irradiation, (or simple lumbalgia)

It is defined by physiotherapist in Dwarka as that back pain of sudden onset referred to the lower back. The pain may be of mechanical characteristics, that is, improve with rest and worsen with movement, or not be modified by effort (not mechanical), pointing to a cause outside the spine. It is very frequent due to the lack of good postural habits in daily life and at work.

It almost always starts abruptly when making an effort to lift a weight or making a false move. This produces a blockage in the lumbar spine, with pain and attitude or important antalgic posture. It will be acute in pain processes less than 12 weeks. According to the best physiotherapist in Dwarka, it is less than 15 days long. Being subacute for 15 to 30 days.

Chronic low back pain or recurrent acute low back pain

It causes a pain that can be continuous, intermittent or accentuated in certain positions (sitting, standing, lying down, in anterior flexion, etc.), lasting more than 30 days. Sometimes it manifests as diffuse and vague pain located in the lumbosacral region. It usually gets worse at night and even causes fatigue, or in the morning when getting up. There is no blockage as such, so the person who suffers can walk and move with some freedom, and are actually prolonged static postures that become intolerable. In many occasions the cause of this type of lumbago is an imbalance of forces in the spine in general, which can be caused in turn by overweight and poor posture, explains physiotherapist in Janakpuri.

They are low lumbar pains, diffuse and often unilateral, that radiate towards the buttocks, which increase with effort and fatigue and decrease with rest

Psychosomatic or emotional low back pain

It is one that occurs without apparent cause and does not follow any kind of logical pattern, so that the person who suffers does not know how to clearly explain the place of pain or the situations in which it appears or disappears. Anxiety, anger and sadness are the emotions that most often cause lumbago of emotional origin. Although most low back pain have associated emotional factors.

Lumbosciatica

This disc pathology can be caused by a herniated disc or a simple disc protrusion. This problem is usually located between L4 - L5 and L5 - S1.

It is important to know what are the risk factors in order to avoid them. According to top physiotherapist in Dwarka the most frequent we have: sedentary lifestyle, overweight, lack of abdominal tonicity, smoking, people who lift weight, drivers, constipation, depression, anxiety, contained negative emotions, painful rules, vitamin B and vitamin B deficiencies. omega 3 and 6 fatty acids, bad gesture when running, technical deficit, among others.

Treatment of low back pain

We will now explain the treatment that will depend on the cause that produces it, but in general it will be symptomatic. The most indicated is to prevent them and once a cause has been ruled out, we will help to alleviate the pain with the following methods of physiotherapy in Dwarka:

• Electrotherapy: physiotherapy doctor in Dwarka can apply both the microwave and the infrared. Both with the main goal of soothing and reducing pain. In the case of the microwave, we will work at the joint level. And with the infrared, at the level of the musculature.
• Lumbar tractions: to release nerve roots and as a consequence get an increase in joint travel.

Exercises of flexibilization of the column; Best physiotherapy doctor in Dwarka explain some examples:

• Isometric abdominal and paravertebral: We perform a deep inspiration through the nose. Then we exhale slowly through the mouth, so that we press the lumbar area against the stretcher or floor (BREATHING DIAPHRAGMATIC). Keep the contraction 5-7 seconds and inspire to relax the posture.
• Abdominals: In this exercise, we will place our hands on the back of the neck, placing one hand on top of the other. The cervical spine will be raised as a board.
• Loin of cat: Starting in quadruped (supported on the hands and knees and with the column in a straight position) to catch the air round the back pulling the column up. We return to the starting position and perform the exercise in reverse, that is, we will sink the back trying to bring the column down. We have to draw with the column a convexity and then a concavity.

Another modality of this exercise is starting in quadrupeds, we will take air and stretch the left leg and the right arm keeping them up. When releasing the air, we will rest, and we will do it again with the opposite arm and leg.

• Mahoetana position: We stand on all fours, with our arms extended in front of our head. The exercise will consist in that we will take air by the nose and when releasing it, we will try to go growing by extending our fingers of the hand forward. Taking care not to drop the weight of our body towards the arms.
• Masotherapy: to relax the lumbar and gluteal muscles.
• Postural hygiene: With the aim of correcting the vicious posture. It refers to the correct use of the body at all times. In fact, the muscles, joints, bones and ligaments must not strain for the body to function in a healthy way.

When the body position is correct, the internal organs have enough room to function normally and the blood circulates more freely.

Learning to live with good posture will make our muscles protect and support the back in intense efforts.

Finally, it is important to remember how important it is for the treatment of low back pain, prevention, and for this each person must acquire good postural habits to carry out the activities of daily life, without damaging the back, in addition to fleeing sedentary lifestyle. With all this, we will get a muscle free of muscle tension.

How the Use of Tablets and Mobiles Influences the Cervical Spine

In less than a decade the technology has advanced so fast in terms of lighter and more portable electronic devices with the creation of tablets or Smartphones, to be connected to the network at any time of the day, whether at home, office, during a walk, etc. But it has also had a direct impact on our health, specifically in our cervical spine, producing pain at the level of the neck, due to the postures we adapt while handling these devices. Such has been the increase of the pain that has been described by physiotherapist in Dwarka as Text Neck Syndrome.

Neck pain has increased exponentially according to the best physiotherapist in Dwarka at least 42% of minors and almost 50% of adults use this device regularly during the day in unhealthy positions. body, producing changes in the natural anatomy of the body. But what is the real reason for this? 

The anatomy of the cervical spine.

Constituted by 7 vertebrae, between each of 6 intervertebral discs and no less than 30 muscles by their sides, back (nape) and anterior (area of ​​the throat), support and discharge directly and correctly the weight of the head.

The vertebrae joined together, have a natural curvature called lordosis, which relates harmoniously all the muscles of the area. In this way the head is aligned in its natural state and with less use of energy that produces wear to the body. This correct posture can be easily observed if we have the ear lobe aligned with the shoulder.

Due to the effect of gravity, the head goes forward, but the muscles of the back of the neck are constantly in action "pulling" back to the same and avoid changing the natural anatomy of the neck itself, thus maintaining a healthy balance

The movements that we can make thanks to these muscles are the rotation and inclination towards the right and left, flexion and extension of the neck.

Can the use of the tablet cause pain in the neck?

An investigation carried out in India where top physiotherapist in Dwarka reveal that due to the habitual postures that we adapt at the moment of using these devices cause a greater tension of the neck when it is lying down or It is placed on the lap, which can eventually cause discomfort or pain along the neck. Each year the acquisition of the mobile and its presence in the homes of India increases, with 42% of the minors being those who remain using the devices with more time and adults with ages between 35 and 49 years at least one they use it once a day.

What is cervical disc herniation and what are its causes and symptoms?

Discal protrusions or fiscal hernias at the cervical level or in the cervical vertebrae is a problem of increasing relevance due to the frequency with which it occurs in modern society, due in part to life stress, and partly to the adoption of bad postures of work origin, as well as the use of tablets and mobiles. It produces a variety of symptoms: such as radiculopathy or radiculalgia or cervicobrachialgia with loss of strength in the arm and hand and loss of sensitivity, warns physiotherapy doctor in Dwarka.

What is cervical pain and what are its causes and symptoms?

The term cervicalgia refers to a set of symptoms and affections that have in common are the pain of the cervical area of ​​the back.

While we use a mobile we change slowly with our postures the natural shape of the neck, flattens its lordotic curvature, especially when sitting and lowering the head to see better. Producing what is called "neck protrusion" or head forward.

The protrusion of the head happens when the ear lobe is much anterior to the position of the shoulders, not being correctly aligned with the rest of the body, and may produce future negative effects such as:

• Pain at the level of the neck, due to the use of the posterior musculature.
• Muscle contractures in the lateral or posterior area of ​​the neck.
• Appearance of herniated discs by pressure of the vertebral discs.
• Each centimeter that we advance the head can increase 5 g the weight that support our vertebrae, reaching a dangerous number of 13 Kg.
• The advanced head can, over the years, produce osteoarthrosis or osteoarthritis.

We are all prone to suffer from these bad positions, but we must pay attention to children and young people, because every year they increase the use of these devices at an early age and we do not pay attention to their positions, suggests physiotherapist in Janakpuri.

Recommendations to avoid pain in the neck while using the tablet.

• Use these devices as much as possible, at the level of our eyes to avoid lowering the head and keep the neck straight and straight.
• Use a base on the table that can raise the view a little more and avoid loading the device with the arms.
• We must avoid long journeys using these devices, every 15 or 20 minutes take a break, to stop, walk, and thus promote a change of position.
• Maintain a regular physical activity to promote proper circulation and blood supply to our muscles. 
• Create a schedule of use for the little ones in the house, since from an early age they can develop pains characteristic of adulthood. 
• Correct the bad postures we observe in the minors when using the tablet, muscle shortening can be established from the early years of childhood and adolescence.
• Avoid using these screens before sleep, directly affects sleep cycles causing greater difficulty in sleeping and increase the chances of suffering from diabetes, obesity, depression or heart problems.
• In the same way avoid using the tablet as soon as your eyes open early in the morning, as it produces fatigue and visual stress.
• Every year the number of people sensitive to electromagnetic waves generated by electronic devices increases, therefore it is better to turn them off at night.

Neck pain every year has a high percentage of prevalence as one of the factors that produce discomfort on people at least once a day. Ignoring the discomfort from the first moment can lead to wear and produce pathologies so diverse that increase the chances of performing a surgical procedure over the years. Therefore, it is very important that you take these recommendations with caution for you and your loved ones, so that in a simple way you can keep your neck healthy and begin to change your bad postural habits.

Contact us today to know how to avoid discomfort of neck by physiotherapy in Dwarka.

Suffering From Low Back Pain? Read This

What is it

Low back pain is pain located in the lower or lower part of the back, whose origin has to do with the musculoskeletal structure of the spine.

According to the best physiotherapist in Delhi, it is a local pain accompanied by referred or irradiated pain that does not occur as a result of fractures, spondylitis, trauma or neoplastic, neurological, infectious, vascular, endocrine, metabolic, gynecological or psychosomatic causes.

This pathology affects both young people, adults and seniors and appears both in sedentary jobs, and in those that involve great physical effort.

Approximately 80 percent of the population has had or will have some low back pain during their life and up to 70 percent of the young people before their 16th birthday have experienced this back pain.

Causes

Formerly it was believed that the pain appeared because there was some alteration of the structure of the spine, such as scoliosis or herniated disc. However, physiotherapy doctor in Dwarka says that this is a mistake.

The pain of low back pain appears due to a neurological mechanism that involves the activation of the nerves that transmit pain and the triggering of muscle contracture and inflammation. Sometimes, it can also involve compression of the nerve root.

This mechanism can be triggered by an alteration in the structure of the spine, such as a herniated disc or significant degeneration of the intervertebral joint, but in most cases the initial cause that triggers it cannot be ascertained, and It is attributed to pain due to contracture or muscle overload, says physiotherapist in Dwarka.

Symptom

The most common manifestations of low back pain explained by top physiotherapist in Dwarka are local or irradiated pain, inflammation and the presence of muscle contractures.

On the other hand, depending on the degree of radicular involvement and compression, alterations in sensitivity can occur (anesthesia, hypoanesthesia, hyperesthesia, tingling, etc.) and movement disorders (paresis, paralysis, among others).

Prevention

"To avoid back pain is advisable to exercise or, in any case, stay physically active, avoid sedentary lifestyle, adopt a brave mental attitude to pain and meet the standards of postural hygiene designed to perform daily activities so that the back support the least possible load, "explains best physiotherapy doctor in Dwarka.

Physiotherapist in Dwarka points out that, in general, they can increase somewhat the risk of suffering from back pain those that subject the body to vibrations, those that require flexion-extension or torsion movements and those that force to maintain flexion or hyperextension postures. However, performing physical exercises that develop a balanced musculature can alleviate the adverse effects.

Types

At present there is no specific classification of low back pain. However, many specialists distinguish two categories:

• Specific back pain: This type includes the diagnosis of low back pain with a known cause, approximately 20 percent of cases.
• Nonspecific low back pain: It is the remaining 80 percent and includes all cases in which the specific cause of the pain is not known.

Diagnosis

The most important sources of information to know the causes of back pain are the patient's medical history and physical examination.

The rest of the tests (radiological, analytical or functional) only have value if the results correspond to those of the physical examination. Since some are painful and others involve certain risks, home physiotherapist in Dwarka recommends resorting to them only when the results of the interrogation or physical examination determine their convenience.

Treatments

Physiotherapy clinic in Dwarka recommends:

General measures

Avoid resting in bed, if possible

The patient should avoid resting in bed as a treatment for back pain. If the pain forces to keep it, it should be as short as possible. Studies show that this measure delays recovery.

Stay as active as possible

Physiotherapist in Janakpuri points out that the patient should maintain as much activity as possible and try to normalize it as soon as possible.

Postural hygiene: Avoid overloading the back

During the painful episode, the patient should try to keep the rhythm of activity within normal but, always avoiding overloading the back.

To achieve this it is convenient to know and apply postural hygiene rules, which describe how to adopt postures and perform movements or efforts so that the back supports the least possible load and the muscles reduce their work. This allows that, if at any given moment the patient has to make an effort, he knows how to do it reducing the risk of overcoming his possibilities.

"Whatever the reason, studies agree that education focused on active management (avoiding rest and maintaining the highest level of activity that pain allows) and exercise (interrupting only in the most acute phase of pain and restarting progressively as soon as possible) have an effect of a clinically relevant magnitude and much greater than postural hygiene. In fact, it is impossible to constantly comply with the rules of postural hygiene, but when the musculature is trained and well developed, it does exercise its protective function automatically and constantly, " physiotherapy doctor in Dwarka adds.

When transmitting knowledge of postural hygiene it is important to insist that these norms are only theoretical coadjuvants in the context of active management and exercise and never the essence of a treatment or prevention program. In addition, the rules of postural hygiene have to be clear, understandable and applicable, so that the method of transmission of knowledge is as important as its content. 

Apply heat or cold

If relieved, the patient can apply heat or cold in the painful area, although no scientific studies have been done to evaluate its effect. In general, the cold is applied immediately after the injury and the heat in the exacerbation of chronic ailments.

Pharmacotherapy

It is applied in three phases:

• Phase 1 : In the beginning, and especially if the pain is not very intense and only affects the back -and there is no pain radiating to the arm or leg-, analgesics are recommended .
   
• Phase 2 : If analgesics are not effective, their replacement by nonsteroidal anti-inflammatory drugs should be considered. In general, its use is not recommended more than 14 days in a row.
   
• Phase 3 : If it is not enough to control pain, the specialist should consider adding a short course of muscle relaxant, for less than 1 week.

Neuroreflexotherapy intervention (NRT)

If the back pain, with or without irradiated pain, persists after 14 days of pharmacological treatment, it is indicated to perform an NRT intervention.

It is also advised as an option in those cases in which pharmacological treatment is contraindicated, such as pregnant women.

If the first intervention NRT achieves the total disappearance of the symptomatology and the normalization of the physical examination, it is not necessary to repeat it unless in the future new painful episodes reappear. In the event that a partial or transitory improvement is achieved, it can be repeated until a complete and definitive one is obtained. If it does not get any effect, it does not make sense to intervene again.

Exercises

In patients who have not returned to their usual activities after 6 weeks, an attempt should be made to begin an exercise regimen & physiotherapy in Dwarka.

Initially they can try soft and generic activities, such as walking or swimming, to avoid weakening the musculature. Later, specific exercises for the back can be started.

Once the painful episode has passed, exercise and postural hygiene reduce the risk of a crisis appearing or reproducing.

Surgery

In patients in whom there are specific selection criteria, in specific cases of disc herniation, spinal stenosis or spondylolisthesis or progressive scoliosis in children or adolescents, orthopaedic surgeon in Delhi can assess the performance of a surgery.

Rhizolysis can be considered in a small subgroup of chronic patients if they are selected very rigorously with specific criteria.

Approach of physiotherapy in stenosis of the lumbar canal

What is a lumbar stenosis? What treatment options are there? How is it approached from the point of view of physiotherapy?

As explained by Physiotherapist in Dwarka, stenosis of the lumbar canal is defined as a narrowing of the diameter of the spinal canal due to morphological changes, which produces a compression of the neural elements that run through it. It can affect one or several vertebral levels.

The CAUSE of onset can be congenital (rare) or arthritic degeneration. Within the morphological changes that produce it, we can find:

• Hypertrophy of the bony or ligamentous system.
• Degeneration of the joint facets of the interapofisary joints.
• Spondylolisthesis.
• herniated discs.

The most characteristic SYMPTOM of stenosis of the lumbar canal is intermittent claudication, which we discuss below. Other clinical signs and symptoms may include low back pain (with or without irradiation to the lower limbs), loss of range of motion or sensations of paraesthesia or weakness.

Once the diagnosis has been confirmed by an orthopaedic in Delhi specialized in traumatology, with the help of imaging tests such as magnetic resonance imaging (MRI), the treatment approach can be conservative or by lumbar surgery.

Within the conservative treatment, physiotherapy in Dwarka plays a fundamental role in the reduction of symptoms, always bearing in mind that it is a chronic pathology. Depending on the intensity and severity of the symptoms, it can help to delay and, sometimes, avoid surgery.

Physiotherapic Treatment in A Patient with Stenosis of The Lumbar Channel.

The biomechanics of the lumbar spine produces modifications in the diameter of the spinal canal depending on the position of our lumbar spine. Thus, during the movement of trunk flexion this channel increases its diameter and during the extension movement decreases.

The intermittent claudication is caused by a further decrease of the diameter of the medullary canal due to compression of the circulatory system during prolonged running. This occurs because when we walk our lumbar spine is in an extension position (Lordosis), so the spinal canal is compressed. Pain and fatigue disappear when sitting, position in which our spine is usually more flexed.

The approach of this type of pathologies from the point of view of physiotherapy in Dwarka should include techniques and exercises that favor the movement of lumbar flexion, thus facilitating the increase in the diameter of the medullary canal. On the other hand, patient and physiotherapy doctor in Dwarka has to focus on the work which should be done to avoid favoring that the lumbar flexion may cause the appearance of other symptoms and to improve the general physical condition of the patient, thus allowing the improvement obtained to be perpetuated.

Therefore, rehabilitation should focus on performing mobilizations and exercises of lumbar flexion by both the best physiotherapist in Dwarka and the patient, such as:

- Work in pelvic retroversion.

- Bring the knees to the chest in the supine position, both simultaneously and alternatively.

- Lumbar flexion in quadruped.

- In a sitting position, bend down with your hands between your legs.

In addition, since part of the symptomatology has an important neural component, a neurodynamic work of the medullary canal and the peripheral nerves of the lower limbs will improve the adaptability of these tissues to their possible compression or elongation.

This should be combined with cardiovascular work (bike), strength and elasticity of lower limbs (MMII) and postural aimed at avoiding postures in hyperextension.

What is congenital multiple arthrogryposis?

At Dr Sarwar Physiotherapy Centre in Dwarka, we approach problems from the area of ​​paediatric physiotherapy in Dwarka that affect the smallest among which are rare neurological diseases or rare diseases, such as multiple congenital arthrogryposis.

What is congenital multiple arthrogryposis?

Congenital Multiple Arthrogryposis or AMC is a non-progressive congenital neuromuscular syndrome, that is, it occurs during pregnancy and becomes evident at birth.

It is a rare disease, it is estimated that in India it occurs in 1 of every 10000 births and affects children equally.

It is estimated that there are many types of AMC, about 400 types, the most frequent being neuropathic arthrogryposis, myopathic arthrogryposis and amyloplastic.

Why is it produced and what signs/symptoms appear?

It is usually due to a restriction of the movement of the foetus during pregnancy, which can occur for several reasons, such as inadequate development of the foetus' musculoskeletal system during pregnancy, insufficient amount of amniotic fluid or little intrauterine space, alteration of the central nervous system or peripheral of the foetus, etc.

In short, any things that limits the movement of the foetus during pregnancy can produce muscle contracture and its subsequent joint limitation with greater or lesser severity, affecting upper and/or lower limbs (especially in shoulders, elbows, wrists, hands, hips, knees and feet), spine, jaw, etc.

These symptoms can be compared to the placement of a cast on an arm for a fracture, which after a short period of time can generate immobilized joint stiffness and muscle atrophy. In this case, the symptoms are temporary, resolving spontaneously and with the help of physiotherapist in Dwarka. However, if this limitation of movement occurs during pregnancy, it causes greater severity and therefore requires a specific and individualized approach.

Which is the treatment?

- Orthopaedic treatment: use of splints or orthopaedic devices that are progressive and adaptable to the child's growth. They can be used during the day or at night, being important to prevent the increase of the deformity of the affected joint.

- Physiotherapy: will be a basic pillar in the treatment of this problem, both to improve joint range, as to increase the strength of the muscles and prevent the onset or worsening of the stiffness of affected joints. This will allow the child to improve his movement during the activities of daily life, for which reason an adapted and individualized treatment should be elaborated to the needs of the child and his family.

• Hydrotherapy or aquatic therapy: a specialty that is approached from physiotherapy in Janakpuri and that will help improve the joint range of the affected joints (the aquatic environment allows greater freedom of movement thanks to the mechanical properties of water such as flotation and the elevated temperature that provides greater flexibility to the musculoskeletal system), in addition it will also help to increase the strength and resistance of the muscles and improve the gait, coordination and balance of the child.
• Respiratory physiotherapy: the child may present respiratory distress due to deformity of the thoracic cage or by alteration of the inspiratory and expiratory muscles. The objective of these techniques is the mobilization and fluidification of mucus that favours the expulsion of mucus, improving pulmonary ventilation and decreasing the risk of infections and bronchopulmonary complications.

- Surgical treatment: sometimes it is necessary to perform surgery by orthopaedic surgeon in Delhi to correct the position of the affected joints, if conservative treatment is not enough.

At Physiotherapy clinic in Dwarka, we have the best physiotherapist in Dwarka who will approach the child from a multidisciplinary approach, being able to perform hydrotherapy or aquatic therapy, respiratory physiotherapy and child or paediatric physiotherapy.

How Home Physiotherapy in Dwarka Helping People

What is Home Physical Therapy

The Home Physiotherapy in Dwarka or also called Physiotherapy Home Care has become a trend increasingly growing and present in the lives of patients, making more humanized and individualized care. Also called physiotherapy services at home in Dwarka. This technique has emerged with the intention of offering a more comfortable environment and a more particular treatment for each patient.

People who opt for the presence of the physiotherapist for home visit in Dwarka do so for a variety of reasons, such as flexibility of schedules, the impossibility of locomotion, especially in the case of injured or elderly patients, and even the comfort and practicality our homes offer.

Advantages of home physical therapy

Many physicians have increasingly recommended their patients to opt for home physiotherapy in Janakpuri, since in some cases the presence of family and caregivers during sessions can mean a great deal in rehabilitation.

In home care physiotherapy in Dwarka, there is no shortage of resources for the patient to recover from injuries or illnesses. The techniques employed, as well as resources such as appliances and equipment, are moved to the patient's home, making the home a true office, with the best to be offered so that there is full recovery of health.

How Home Care Physiotherapy Works

Home care physiotherapy in Dwarka works basically like conventional physiotherapy, but with greater flexibility of schedules in order to meet the needs of each person. In addition, some patients are unable to be removed from the home for treatment to start, so it is extremely important that they receive therapy in the comfort of their home, with the presence of family members or caregivers.

The techniques used for physical therapy at home by the best physiotherapist in Dwarka are, among the main ones: massage, gymnastics and specific exercises, treatments with hot or cold water and also with own equipment for rehabilitation, such as swings, balls, elastics, ultrasound, among others. All these possibilities are aimed at restoring health and promoting the rehabilitation of patients.

The Physiotherapy Centre in Dwarka has highly trained and trained professionals, ready to offer the best of physical therapy for the elderly, children, pregnant women, people with disabilities and other patients who need care in their own home.

Physical therapy at home provides the patient with:

• Individual and specialized treatment
• Convenience, convenience and well-being
• Saving time and financial resources
• Ease of adapting the home environment to the new needs of the patient
• Acceleration of recovery

The Physiotherapy clinic in Dwarka is totally specialized in home physiotherapy, transforming the home of our patients into real rehabilitation clinics. For this, we have numerous equipment and devices so that the consultation at home is effective and brings the best results.