Carpal Tunnel Syndrome: Symptoms, Treatment, and Prevention

Carpal tunnel syndrome is compression or irritation of the nerve that passes through the carpal tunnel. It generally results from a repetitive movement of the wrist resulting in friction. The problem usually occurs in the transverse ligament which, for one reason or another, will tighten on the nerve located in the carpal tunnel, thus reducing space.

According to this article by physiotherapy doctor in Dwarka, tunnel syndrome affects between 1 and 3% of the population. The syndrome is more observed in people performing repetitive work with the hands, such as regular use of a computer mouse or performing repetitive movement.

Risk factors and symptoms

The main cause of carpal tunnel syndrome is the repetitive movement that causes friction.

In addition, there are also predisposing factors such as:

• neck problems: if it gets stuck in the neck, the carpal tunnel nerve leaves less play in the wrist which will cause stress which can lead to the syndrome;
• general health problems: for example, rheumatoid arthritis and diabetes are two diseases that can cause some damage to the nerves, including that of the carpal tunnel;
• pregnancy: can cause edema causing swelling and compression in the nerve which causes more friction;
• wrist injuries (old or recent): in particular a wrist fracture modifying the dynamics of the bones, thus tightening directly or indirectly the space at the level of the carpal tunnel.

Carpal tunnel syndrome is generally characterized by the numbness of the hand it generates. A person with this condition will usually have the following fingers numb: the thumb, index, middle and half of the ring finger.

The other related symptoms are:

• pain (often at night, even waking the person up)
• weakness or decrease in grip strength (when the index and middle fingers become weaker, the syndrome is often considered to be fairly advanced).

Treatment and prevention

It is recommended to consult a physiotherapist in Dwarka in case of pain or the appearance of other symptoms related to the carpal tunnel. This will assess the source of the symptom, for example by examining your neck and wrist movements or by performing specific tests such as the Phalens maneuver (examination performing maximum flexion of the wrist for a time ranging from 30 seconds to one minute). He will then tell you which treatment to favor.

For mild and moderate cases

• wearing a wrist brace is often recommended. However, the choice of orthosis is important. It is preferable to favor an orthosis specially designed for the carpal tunnel which will be completely straight. The right orthosis causes less pressure than the inclined model. Ideally, the right orthosis should be worn at rest, since at work it can limit movements due to its neutral position;
• ultrasound;
• mobilization of the carpal bones to increase space and reduce pressure on the nerve;
• specific neural mobility exercises to improve nerve mobility.

In more advanced cases

• surgery can be considered: if the nerve is damaged, in case of loss of strength or if the basic treatment does not work, surgery is a solution. It is a rather simple operation during which the surgeon makes a small cut about 2 cm wide at the transverse ligament in order to relax it, reduce compression and friction of the nerve;
• exercises to strengthen the gripping movement: following surgery, the physiotherapist in Janakpuri works to restore the muscular strength necessary for the wrist through specific exercises.

Carpal tunnel syndrome: some prevention tips to remember

Here are a few things to consider:

• Take frequent small breaks (about 30 seconds to 1 minute) when your work requires repetitive wrist movement (for example: someone who is entering data all day).
• Vary tasks as much as possible to minimize repetition.
• Optimizing your workstation to make it more ergonomic.
• Have good posture at work and everyday.
• Consult the best physiotherapy doctor in Dwarka at the onset of the first symptoms to identify the source of the disease and thus treat it before the situation gets worse.
• Keep in mind the factors predisposing to carpal tunnel syndrome and be extra vigilant if you know you are at risk.

Understand the benefits of physical therapy for your health

Contrary to popular belief, the benefits of physiotherapy in Dwarka are visible not only in treating injuries and illnesses. It is possible to perceive the positive impact on the whole body, on daily actions and on their physical and spiritual behavior.

It is important to mention that physical therapy should not only be used in cases of recovery but should be part of your health care routine. With that in mind, we decided to create this post so that you understand everything about this treatment, especially its main benefits. Come on?

After all, what is physical therapy?

We can say that physical therapy is a study that is directly related to the diagnosis, recovery, and prevention of movement disorders that occur in the systems of the human body, be they body or physical.

There are several possible techniques. Among them, it is essential to quote:

• RPG: Global Postural Reeducation;
• Kinesiotherapy;
• Electrothermophototherapy;
• Mechanotherapy;
• Crocheting;
• Myofascial release.

What are the advantages of treatment?

There are several reasons why you should look for a clinic that has a specialized physiotherapist in Dwarka. This is because the benefits and advantages of treatment are mega-variable, especially when the process is introduced into your routine. Some of them are:

Posture Improvement

We know that with the daily rush, it is common not to worry about posture, is not it? However, having a body symmetry is critical to prevent lower back pain, discomfort in the central spine and more serious problems in the future, such as cervical lordosis.

Thus, introducing physiotherapy in your routine is a way to reestablish your posture, improve postural habits and, consequently, your quality of life.

Decreased pain

You may have already felt some uncomfortable pain in your body, right? This is because it is common to have injuries.

These problems occur for various reasons, whether due to physical activity or sports (also called sports injury) or because of some physical exertion (such as weight-bearing), bad postural habit, constant use of technological means (which may cause bad posture) or any incident such as a bruise. Injuries like these are known as derivatives.

Against this, a physiotherapy doctor in Dwarka is highly qualified to perform this physical and functional rehabilitation, significantly reducing pain, even muscle.

Preventing Possible Injury

When the treatment of a particular injury is over, it is essential to continue with a careful follow-up and process, preferably with top physiotherapy in Dwarka itself. This is important so that the problem does not recur, let alone become worse, longer and more painful in the future.

Preventing other possible injuries also happens because, with the process, your body and muscles will strengthen and remain more balanced, having less impact when there is a situation that could cause a physical problem.

Treatment and prevention of chronic diseases

Physical therapy has a great functional aspect. In the cardiopulmonary area, with specific and technical exercises and health maintenance, it is possible to treat and prevent risk factors and chronic diseases, such as obesity, pneumonia, hypertension, diabetes and even cancer.

This is because, with treatment, it is possible to have a positive impact on the body and mind of patients.

Aid for proper physical training

If you are looking to practice a balanced exercise, it is interesting that you seek a physiotherapist in Janakpuri. In this way, it will be possible to perform a correct, sensible and appropriate practice of the activities, without exaggerating any muscles. This will prevent damage that could be irreversible throughout your life.

Remember that exercise is superb for both physical and emotional health. However, its practice should be supervised, moderate and stable.

Insomnia Control

Insomnia, characterized by difficulty in falling asleep, can be caused by several reasons, including bruxism, breathing problems, poor body symmetry and also restless leg syndrome.

Nowadays, there are physical therapy processes capable of treating these problems and ensuring the quality of sleep as they are able to act on the whole body, mind, and body.

Improvement of respiratory diseases

With the help of respiratory physiotherapy in Janakpuri, which optimizes oxygen transport, some breathing problems may improve or be treated. These include asthma and bronchitis.

Aid in reducing urinary problems

Today urinary problems, such as incontinence, attack women and men at various times. However, treatment may be much simpler than imagined, specifically if done through urogynecological physiotherapy. This type of physical therapy is responsible for treating various types of perineal disorders.

Strengthening Self-Esteem

A person who introduces physical therapy into their routine has better health, disposition, flexibility, coordination, and balance. All this generates higher self-esteem, because of the quality of life increases, and a lot! In addition, the feeling of feeling happier, jovial, safe and less stressed is noticeable, as the body, as well as the mind, tends to be strengthened.

It is also worth mentioning that the whole process is a great ally for the health of anyone: men, women, children, elderly, pregnant women, people with disabilities, people who have suffered trauma, whether emotional or physical, with breathing disorders, cardiac and neurological and injured patients.

That's it, now that you know the incredible advantages and benefits of physiotherapy, look for a specialized spot and include this treatment in your routine! Do not forget that it should not only be used when you notice an injury but throughout your life, after all, you will have much more quality in your days.

It is worth mentioning that this change of habit is indicated especially for people who seek to live healthier, more calm and calm and who want to take care of the body, organism, and mind.

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.

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.