Physiotherapy treatment for patients with spinal cord injury

 

Spinal cord injury is a public health problem, which produces disability and dependency, physiotherapy plays a very important role in the treatment of patients with this type of condition.

What is spinal cord injury?

Spinal cord injury is defined as any pathological process of diverse etiology (accidents, illness, among others) that directly affects the spinal cord and that causes, therefore, an alteration of sensory, motor or autonomic functions below the level of the spinal cord injury.
 
In general, the patient with this type of injury is classified with tetra and according to the name of the limbs that are affected, thus indicating the level of injury, also distinguishing between the concepts of paresis and plegia, depending on whether or not there is preserved motor capacity, therefore, the deficit experienced by the patient will be conditioned by the extent of his injury, extension and involvement of the substance.

What is the treatment through physiotherapy for this type of alteration? 

The consequences of accidents that produce a spinal cord injury and its complications turn the user with this condition into a subject who undergoes multidisciplinary rehabilitation and constant control and treatment supervised by professionals.

In our physiotherapy clinic in Dwarka we have professionals who treat patients with this type of illness, allowing them to develop their activities satisfactorily and that they obtain the best recovery.

Physiotherapy in relation to pain control and trophic disorders will be based on improving muscle tone, avoiding muscle atrophy as much as possible and reducing or controlling the pain that may arise from the injury. Pains that are originated due to myofascial trigger points.

They are treated through myofascial release techniques, as well as assisted passive kinesitherapy in the extremities in order to relax the limbs and maintain function. In addition, physiotherapist in Delhi can apply to denervated muscles or those that are healthy. 

Electrotherapy makes it possible to avoid muscle atrophy and increase the strength of the muscles that are preserved, in addition to this it is also applied to patients with spasticity, stretching and electrotherapy with ultrasound, massage, among other techniques… Dry needling is also used, technique applied by physiotherapist in Dwarka. 

Regarding the control of respiratory infections, inspiratory muscle training shows numerous benefits, infections must be prevented through physiotherapy using mobilization and daily activation of the respiratory muscles, in addition to this, a plan is also applied in the different sessions. Sloped in order to facilitate the movement of mucus from the apical bases, in the same way respiratory exercises combined with assisted or passive active movements of the upper limbs are also performed in patients with decreased respiratory muscle strength.

Respiratory muscle training with technical strength and resistance exercises and airway clearance such as autogenous drainage, manual and electrical techniques, as well as manual chest compression, volume-enhancing techniques, and practical exercises are the most commonly used for this. Diaphragmatic and chest breathing exercises and the use of inspiratory and expiratory volume incentives are used.

Regarding the treatment for the control of the alterations of the renal, digestive and urinary system, the treatment should allow the patient to stand up even walking with the purpose of achieving a movement of the intestinal tract through the free suspension system, other techniques used For patients with paraplegia, abdominal massages, Valsalva maneuver, flexion of the upper trunk, among other exercises focused on improving the patient’s quality of life, are used to increase pressure at the abdominal level.

At the level of the renal and urinary system, the best physiotherapist in Delhi must work the pelvic floor muscles, so that it has the ability to recover its strength, stimulation is encouraged either with manual, electrical or electropure stimulation, in this way the patient with exercises of the pelvic floor can perform these movements autonomously.

People who suffer from this type of spinal cord injury can have greater functionality through physical therapy rehabilitation. In our clinic we have best physiotherapist in Dwarka who will address this and other types of pathologies, in addition to that, we work based on integrative physiotherapy in Dwarka, which is a methodology which is based on working the body as a whole, from a holistic view, where a large part of the injuries or pathologies that affect the musculoskeletal system are originated through an emotional factor or an incorrect diet that ends up affecting an organ in one way or another, causing not a disease but a dysfunction of the same, which has repercussions on a muscular, nervous or bony structure that affects the patient.

Muscle contracture: Definition, symptoms, treatment and prevention

Muscle contractures can affect the performance of the person who suffers from it, in this article we will talk about them and their treatment and prevention through physiotherapy in Dwarka.

What is muscle contracture?

Muscle contracture, as its name indicates, is a continuous and involuntary contraction of the muscle or some of its fibers that appear when making an effort, this manifests as a bulging of the area that develops pain and alterations in the normal function of the muscle.

Muscle contracture usually appears when the muscle performs an activity that is inappropriate in intensity or function, as well as when more weight is taken in the gym than it should be, contractures may appear or when a sustained effort is made over time without taking on so much weight, such as case of poor placement on the spinning bike.

Muscular contractures can appear at the moment in which an exercise is being performed or after…

It occurs because there is an accumulation of metabolism that causes inflammation or because there is not enough blood supply in the area, it can also be due to excessive fatigue of the fibers that at the end of the exercise see their relaxation capacity diminished.

The first method of intervention of a contracture is its prevention and for this a good warm-up must be carried out in order to prepare the muscle before the effort, a progressive programming in intensity of the loads also helps from less to more.

Muscle contracture as the main cause of back pain

In cases where back pain is triggered, the contracture appears essentially when the muscle is required to work more than it can perform and makes it intense and punctual, such as a sustained and less intense effort such as maintaining for hours an inadequate posture, on the other hand, some alterations of the spinal column or imbalance can favor certain muscle groups that are constantly working more than necessary, which predisposes them to contract the same thing that happens when the muscles lack power and it is required exert forces that exceed their capacity. In some scientific studies it has been shown that the paravertebral musculature is symmetrical on the left and right sides.

In patients who have undergone surgical interventions in the back area or who have suffered chronic back pain, the paravertebral muscles can atrophy up to 80% with respect to that of the healthy side, facilitating an asymmetric distribution of loads, muscular overload or distal and the appearance of new painful episodes. In this situation, it is essential to exercise appropriately for each specific case in order to counteract this tendency and avoid recurrence of crises.

However, muscle contracture can be triggered as a result of back pain regardless of the reason, back pain itself can cause muscle contracture due to a reflex mechanism, in these cases the contracture is not the main cause of pain, however, is an added factor which can aggravate. The contracture can worsen some of its causes, for example, in a painful herniated disc, the muscular contracture can increase the compression force on the disc and thus facilitate the output of the nucleus pulposus.

What is the symptomatology of muscle contracture?

The characteristic and common symptoms of muscle contracture are pain and limitation of movement, both parameters offer a wide range of severity because in some cases the contractures go from being minor annoyances without impediment to completely disabling injuries.

The symptomatology revolves around two parameters: the affected area and the extension of the contracture. Focusing on the first parameter, we find, for example, that in upper regions of the body, such as the cervical area, the contractures can trigger symptoms truly aggressive such as dizziness, vertigo and migraine, a scalene syndrome, that is, the entrapment of the neurovascular bundle of the neck due to inflammation or contracture of the muscle belly of the scalene causes a feeling of heaviness in the arm, deep pain, paresthesia and hands cold.

A pyramidal muscle that increases its thickness due to a contracture can compress the adjacent structures and cause false sciatica...

In relation to the second parameter, the extension of the contracture, it is evident that a greater dimension of the contracture can aggravate the effects mentioned above.

How is a muscle contracture diagnosed?

A correct diagnosis interprets the symptoms manifested by the patient, later the diagnosis focuses on the palpation of the affected area in search of muscular bulges with greater tension, a muscular rod offers a certain resistance to palpation while the fingers slide over it and finding a point with greater resistance means that that specific point of the muscle fibers is contracted. This assessment, together with the pain signal caused to the patient, palpation of this muscle or this muscle point will confirm the presence of a muscle contracture.

The injured muscle does not achieve the same great mobility as the healthy muscle on the opposite side…

What are the causes of muscle contracture?

The contracture may be caused by any of the following problems: brain and nervous system disorders with cerebral palsy or stroke, hereditary disorders such as muscular dystrophy, nerve damage, reduced use (such as lack of mobility) and scarring after a traumatic injury or burn.

From the point of view of oriental medicine, a theory applied in the Fiit concept, this type of alteration can also be triggered not only by physical factors, but also by emotional factors such as those related to stress (such as tension headache) or people. nervous and visceral factors that can trigger alterations in the stomach causing gastritis, this can also be caused by a poor diet such as excess coffee, excess fat, among others.

What is the treatment of muscle contracture?

In the first place, it is necessary to move away from the injury mechanism, if an exercise or the execution of a gesture triggers a muscular contracture, it is necessary to avoid executing them, relative rest is often the best method of healing and when we refer to relative is that the patient does not remain in very long periods of immobilization, but also remains active, because immobilization can cause adverse effects.

A treatment for the first stages of the contracture is the application of heat on the affected area because this provides vasodilation and contributes to the blood purification of the muscle segment, adding this causes a sensation of relief thanks to its analgesic and relaxing effect.

The massage therapy applied in our physiotherapy clinic in Dwarka is an effective and natural method because it allows us to eliminate the ailments that this alteration triggers.

From the point of view of integrative physiotherapy, assuming that the origin of this alteration may be due to emotional factors, it is advisable to reduce the levels of stress that may occur in people. These emotional factors can trigger contractures, therefore, we must work to reduce their presence as well as reduce the consumption of foods that cause irritability in the digestive segment, such as excessive consumption of coffee or high-fat foods.

Therefore, adequate nutrition is recommended by physiotherapist in Delhi in order to reduce or prevent the onset of muscle contracture...

How can a muscle contracture be prevented?

Whether it is because the patient has just come out of a contracture or because he has a tendency to suffer, the best way to prevent them and avoid relapses is by taking into account the following points:

• Avoid repetitive gestures or movements, if the contracture is produced due to a sustained contraction over time, a constant repetition of a contraction favors its appearance, if it is unavoidable to repeat a gesture for sports or work reasons, it is convenient to carry out small routines of stretching and joint mobility exercises that last between 5 and 10 minutes in the areas exposed to the injury, this routine would be repeated periodically throughout the working day or in a training session, for example, a routine of 5 minutes every 2 work hours.
• Adopt correct postural hygiene, whether while studying, watching television, in the office chair or even at bedtime. A bad posture can trigger contractions continuously, the longer the adoption of an incorrect posture the greater the contracture will be, in addition to adopting correct postures, a material must be used that guarantees its principles such as the use of ergonomic chairs at work time or a quality mattress for rest. 
• Before undertaking any physical activity, it is essential to warm up according to the effort to be made. Acquiring the right muscle temperature through exercise is the best way to prevent possible injury.

This article explained a little about this alteration, its possible causes, treatment and prevention. If you present recurrent muscular contractures, visit our physiotherapy and osteopathy clinic we have experienced physiotherapist in Dwarka who will satisfactorily address these alterations to improve your health and quality of life.

PHYSIOTHERAPY AS A TECHNIQUE FOR THE RECOVERY OF OSTEOPOROSIS

 

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

WHAT IS OSTEOPOROSIS?

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

The word osteoporosis means “porous or leaky bone”.

Who is affected by osteoporosis?

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

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

Types of osteoporosis

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

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

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

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

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

Symptoms of osteoporosis

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

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

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

Causes of osteoporosis

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

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

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

BENEFITS OF PHYSIOTHERAPY FOR THE TREATMENT OF OSTEOPOROSIS

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

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

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

Exercises to strengthen bones

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

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

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

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

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

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

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

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

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

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

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

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

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

Classification of Ligament Injuries

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

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

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

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

How an Ankle Injury Occurs

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

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

Signs and Symptoms of Ankle Sprain

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

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

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

What are the main causes of Ankle Sprain?

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

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

Diagnosis

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

Some of them are:

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

Types of Treatment for Ankle Sprains

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

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

The conservative protocol follows:

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

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

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

Conclusion

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

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

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

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

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

What is muscle stretching

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

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

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

When does a pulled muscle occur?

The elongation has several characteristics:

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

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

How to prevent muscle strains

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

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

What to do when you have a pulled muscle

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

The treatment can be carried out in two phases:

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

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

HOW TO TREAT CARPAL TUNNEL SYNDROME WITH PHYSICAL THERAPY?

 How to treat carpal tunnel syndrome with Physiotherapy?

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

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

What is carpal tunnel syndrome?

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

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

Electrothermy Phototherapy

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

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

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

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

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

Physiotherapeutic Treatment

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

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

Manual Techniques

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

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

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

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

Cryotherapy

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

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

7 posture care to end back pain

Do you suffer from constant back pain? Some care can be taken in everyday life to relieve the annoyance and avoid future problems. Check out!

It's hard to go a day without complaining about back pain, right? Nowadays, men, women and children end up, due to routine, being exposed to a series of situations that are not suitable for the human body.

Jobs that require a lot of time sitting or standing, uncomfortable chairs and shoes and a host of problems that can have future effects. But, reducing the annoyance is not that difficult, see? Keeping an eye on your posture is one of the best ways to end daily pain.

Below, check out some essential care to take care of this sensitive part of our body.

1. Keep your spine straight

The first, and, perhaps, the most important posture care you must have to end the pain, is to keep the spine straight. Not doing so, especially in the long term, can harm your health and quality of life, causing discomfort in the lumbar and cervical region, as well as increasing the risk of injury.

The ideal is to leave the legs a little apart, without crossing them and with the feet well supported on the floor. The back must be straight, but without losing the normal curvatures of the spine: the natural lordosis must persist and, when viewed from the side, it must have a smooth “S” shape. The shoulders should be slightly back, with the arms hanging along the body, or, depending on the activity being performed, the forearms should be supported on the table or desk.

Also try not to lower your head to read or write and, if necessary, lift the screen with the help of a support.

2. Strengthen the muscles of the region

If you don't go to a gym or do some type of strength training, it's time to invest in a nice change in habits. Physiotherapist in Delhi is increasingly convinced that this is the most suitable type of exercise, at any age, to maintain health.

In large part, this is due to the maintenance or increase of lean muscle mass, which is a noble tissue and has a protective function in the human body. Even when we have a strong abdomen and lower back, we are better able to avoid the wrong postures of everyday life and to position ourselves correctly while sitting.

3. Get ready at bedtime

Even if you don't suffer much from back pain, it is very likely that, sometimes, you have already woken up with some discomfort in the region or with the famous torticollis. This is because you may have spent hours with improper placement, forcing some structures.

The best way to sleep on your side is with a pillow between your legs. The mattress must also have a good density and don't forget to buy only products from brands recognized by the best physiotherapist in Delhi. Another option for a change is to sleep on your back, with a pillow positioned below your knees.

4. Avoid heavy bags and backpacks

It's not news to anyone that excess load is one of the great enemies of a healthy spine, right? Therefore, one of the posture cares that you must have to end the pain is not to carry heavy bags and backpacks.

When you go to work or to your place of study, be sure to take only the essentials among the materials, separating only what you need to use according to the activities of that day. If heavy weight is unavoidable, opt for a model that has a center handle and wheels.

5. Carry out specific activities

There are some specific activities, in addition to weight training and weight training, that can go a long way toward helping you maintain more balanced health and slow aging.

A good physiotherapist in Dwarka, for example, can make the tension and pain in the lower back decrease considerably. Another excellent alternative for those with back problems is to bet on Pilates classes. These options bring more body awareness, flexibility and relaxation. However, a medical evaluation is always recommended before beginning any exercise.

6. Bet on constant stretching

There are a few types of stretches you can do without leaving your home or even sitting at your own desk. Often, a simple calf stretch, an arm roll, or even a short walk down the aisle will bring tremendous relief to your body.

7. Consider a rest period

Finally, another posture care that you must have to end the pain is to simply accept that it is not iron and provide yourself with a period of rest. The best thing about it all is that, currently, you can find spaces designed for this, with physiotherapy doctor in Dwarka who can contribute to your well-being.

It is possible, for example, to go on a detox program, book a massage or simply take a break from the routine and enjoy a healthy and balanced diet. You can stay at such an establishment, learning how to lead a healthier and more fruitful life to increase longevity.

By following these posture care, you can minimize your discomfort and improve your quality of life, even without having to make major changes to your routine.

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Physiotherapy For Hemiplegia

 

At Dr Sarwar Physiotherapy Centre in Dwarka we have great physiotherapists who have worked for years with patients with hemiplegia, noting a great improvement in their disease.

If you, or someone you know or a family member, suffers from hemiplegia, do not hesitate to contact physiotherapist in Dwarka, and without any commitment on your part, we will inform you of everything we can do so that person can recover their functionality.

What is Hemiplegia?

Hemiplegia is the paralysis of one side of the body after a brain or spinal injury, such as a stroke or caused by trauma. When there is a decrease in strength or partial paralysis, it is usually referred to as hemiparesis.

If hemiplegia is caused by damage to the left part of the brain, it is the right half of the body that will be affected. If, on the other hand, the right part of the brain is damaged, the left half of the body will be affected.

Symptoms

These patients have an inability or deficit to move the affected side, which causes:

1. Rigidity.
2. Difficulty walking, or walking in a coordinated way.
3. Balance problems.
4. Impossibility or difficulty in picking up and holding objects, as well as making precise movements.

Stages

The hemiplegic patient normally goes through three phases:

Acute or stroke phase: this is the most critical phase, as soon as the stroke occurs. The main objective is the medical stabilization of the person. Nowadays, there are specialized stroke units in many hospitals, which carry out the most immediate treatment.

Sometimes, the cerebrovascular accident does not take place suddenly, but there are some previous signs such as vision problems, speech problems, changes in behavior, headaches or dizziness, among others. If these patients come to the hospital early, it can be detected without the most acute phase taking place.

Stabilization phase: in it the patient, who has come out of the stroke phase, shows signs of confusion and disorientation in space-time. This is also where alterations in language are appreciated, if any, especially if the affectation has been on the left side of the brain.

Recovery phase: in this stage the patient evolves towards an improvement.

After the most acute phase, during the stabilization and recovery phases, hemiplegia goes through two phases:

1. Flaccid phase: in it the patient cannot move the damaged side, tends not to use it due to decreased sensitivity and awareness of it. In this first stage the passive movements of the joints are not limited.
2. Spastic phase: progressively spasticity appears. This means that muscle tone increases greatly and steadily. This causes a fixed posture, which can make the joints stiffer. Normally, the arm tends to be close to the body, in internal rotation with flexion of the elbow, wrist and fingers. In the lower limb, both flexors and extensors are affected, which can make standing and walking possible.

Rehabilitation work with physiotherapy in Dwarka should be as early as possible, starting once the patient is in the stabilization phase. The first six months after the damage occurs, the brain has a greater capacity for recovery, but in more advanced stages the patient will also be able to continue to progress in their recovery thanks to plasticity.

In this type of pathology of neurological origin, it is important, in the early stages, to maintain mobility to avoid incorrect postures or deformities. In successive phases of treatment, our goal will be mainly to improve mobility and increase the patient’s independence.