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Treatment of Numbness
Treatment of Epilepsy
Treatment of Muscle Weakness
Treatment of Ankylosing Spondylitis
Treatment of Neurological Problems
Speech Therapy Treatment
Treatment of Scoliosis
Treatment of Autism
Treatment of Paralysis
Cognitive Behavioral Therapy
Treatment of Cerebral Palsy
Treatment of Multiple Sclerosis
Neuro Physiotherapy Treatment
Treatment of Stroke
Treatment of Parkinson's Disease
Treatment of Carpal Tunnel Syndrome
Treatment of Bell's Palsy
Treatment of Autistic Spectrum Disorder
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Patient Review Highlights
Motor neuron disease is a neurodegenerative disorder that affects motor neurons in the brain, spinal cord and cells that control voluntary muscles. In motor neuron disease the working of muscles, therefore, stops which leads to muscle weakness and decreased function. When a movement of part of the body is restricted the joints become stiff, painful and can cause muscle tightness which hampers day-to-day activities. When the particular muscle is weakened which is under control of motor neuron, daily exercise keeps weakened muscle strong. As such there is no cure for motor neuron disease physiotherapy helps to maintain the quality of life by keeping you mobile. Strengthening healthy muscles which are not yet affected helps to compensate for the muscles that are weakened. Daily exercise improves muscle elasticity thus improving range of movement for joints and preventing muscle tightness.
How can physiotherapy help?
Physiotherapy helps to reduce stiffness, pain, muscle spasms and increase mobility.
Breathing exercises reduce the chance of chest infections and help with chest clearance.
Exercise helps to ease movement of limbs and body enable us to perform daily activities. Exercise helps to maintain muscle strength, maintains range of motion, and keeps muscle flexibility thereby reducing spasm. It increases the energy levels.
Advising on various modes of compensation for loss of movement and conserving energy.
Providing walking aids which will help to keep you mobile and as safely as possible.
Teaching how to pace up your exercise and to stop when you start experiencing pain.
Advise being given for pain relief.
Physiotherapy helps in maintaining posture and positioning by keeping a straight back and neck in standing and sitting. Collars, splints and a specialized chair is beneficial to maintain posture.
What exercises should be performed?
Breathing exercises help in breathing easily thus helps clearing the chest.
Performing range of motion exercises to maintain mobility in your joints. First one joint is exercised in a systematic manner then the other joint is exercised. The aim of performing a range of motions is that it prevents stiffening of joints.
Massage and other hands-on technique are performed to increase circulation thereby reducing pain to aid relaxation, assisting muscle tone and thus reducing stiffness. It relieves tension from muscle cramps.
The exercises are categorized in 3 categories
Active exercises to be performed where the patient is able to make his muscles perform without anyone’s help.
Active - assisted exercise is performed where you are unable to move your muscles and someone accompanying assists with the movement.
Passive exercises to be carried out wherein you are not able to move your joint & the helper guides joints by supporting and moving your limb.
Do not perform exercise vigorously which will cause you pain. If you experience pain contact your physiotherapist. In case you have a concern or query you can always consult an expert & get answers to your questions!
A neurological disorder characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.
Role of physiotherapy in epilepsy
It helps improve strength, mobility, and increases the range of motion and sphere of movement.
It helps improve sensory awareness, response, balance, and coordination.
It helps to improve quality of movement and physical performance.
The goals of physiotherapy
To develop strength enough to support one’s head upright
To have balance and motor control to maintain their trunk at midline
To use many different muscle groups
To assist necessary motion in their trunk and extremities
The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals
To understand what the patient is good at and does well
To focus on what he or she capable of doing rather than on what they can’t do
To educate and provide awareness with a view to prevent injuries
For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
Padding out sharp corners in the house to prevent damage if fallen on
Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.
How can physical exercise help with seizures?
Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and well-being in this way can help reduce seizures.
- It can also help people feel more in control of their health.
- It also helps release ‘feel good’ hormones into the brain, keeps muscles active, reduces fat levels in the body, and increases oxygen flow to the brain.
- It can also increase the bone density.
- A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks can result in a significant reduction in the number of seizures they had.
- Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.
- Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence.
- Making new friends may help with any feelings of isolation.
- Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk.
In case you have a concern or query you can always consult an expert & get answers to your questions!
When a sudden bump, blow, or jolt occurs to the brain, it results in a traumatic brain injury. According to the area involved in the traumatic brain injury, the patient may lose his consciousness, or he may lose the function of any part of the body. In the first few weeks following a traumatic brain injury, rapid recovery occurs but slows down over the following years. Hence, in order to gain rapid recovery, physiotherapy treatment should be started immediately.
Why physiotherapy is helpful in traumatic brain injury?
Along with the proper medication, physiotherapy assists in rapid recovery of the patient in the following ways:
It improves balance and co-ordination, thereby, decreasing the risk of fall.
It increases the ability to move in the bed, sit, stand, or to do activities for daily living.
It reduces muscle spasms, pain, and stiffness in cases of muscle involvement with traumatic brain injury.
It increases strength of the paralyzed (non-functioning, weakened muscles) limbs in cases of paralysis which occur after traumatic brain injury.
Continuous and persistent practice of physiotherapy ultimately results in independence and increased quality of life.
What therapies are included in physiotherapy for patients with traumatic brain injury?
The therapy needs to be followed on a daily basis under a proper guidance of a physiotherapist. It includes following methods:
Sensory stimulation: It includes application of specific stimuli, such as tactile (touch), proprioceptive, vestibular, auditory, visual, or olfactory stimuli. It is given in comatose patients. It acts by stimulating the brain and improving stimulus transmission, and it results in overall a rapid and better recovery.
Respiratory therapy: It is given to ICU patients. The main aim of this therapy is to promote ventilation, to improve oxygen saturation, and to improve thoracic mobility.
Therapies for prevention of contracture: Contractures mean that there is a loss of joint mobility. Hence, for the prevention of the contracture, active or passive movement of the joint or stretching exercises is generally advised.
Use of a serial cast: Serial casting is widely used to reduce stiff muscles and to improve the range of motion. They are changed in an interval of 4 to 7 days.
Mobilization: Mobilization therapies, such as bringing the patient into an upright seated position at the edge of the bed, outside the bed, or to a standing position are advised to improve the mobility of the patient.
Training for self-care: Training for improving the activities of self-care and the activities of daily living (ADL) is generally taught to the patients with sensory, motor, or cognitive dysfunction.
Use of tools: Various tools, such as walking aids and supports are generally advised to improve and maintain the balance of the patient.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Peripheral neuropathy (PN) is damage to or disease affecting nerves, which may impair sensation, movement, gland or organ function, and affects other aspects of health, depending on the type of nerve affected. The treatment by a physical therapist helps in reducing symptoms and improves an individual’s quality of life. As the cause, type, and symptoms of peripheral neuropathy can vary, the approach to care also varies. Physical therapy is helpful in maintaining strength, mobility, and function.
Strengthening exercises for peripheral neuropathy moderately improve muscle strength. Exercising can help, when done regularly. They further reduce the neuropathic pain and also helps in controlling the blood sugar levels.
Objectives of physiotherapy include:
Maintaining and improving functions via a range of motion through stretching.
Strengthening muscles which include exercising against increasing resistance, use of weights and isometric exercise.
Balance training helps in providing stability and prevents falls.
Braces or splints can be used to enhance balance and posture.
Following recommendations and care are provided by physiotherapist:
Moderate intensity exercise- It helps to improve strength and physical function.
Never gliding activities- Includes exercises shown by a physiotherapist who will help you move and glide your nerves.
Balance and coordination activities - Your physiotherapist works on strategies to improve your balance and coordination. Improving balance and coordination helps to decrease your risk of falling and injuries that arise due to it. Balance exercises are a crucial part of the recovery of peripheral neuropathy. Balance training is important in overcoming the feeling of stiffness and unsteadiness, especially among elderly people.
Education – Your physiotherapist educates you on how to safely manage peripheral neuropathy. It mainly focuses on improving your safety, preventing further complications, and finding alternative ways to perform certain tasks.
Kinetic therapy in peripheral nerve injuries- It should not be started until the late stage of nerve regeneration when progressive strength return can be seen. After an injury to the nerve, physiotherapeutic methods are used to eliminate paresis and to restore normal function of muscles as well as to improve circulation.
Electrostimulation – It plays an important role in the treatment of various neuromuscular dysfunctions.
Magnetotherapy- It is used where a pulsed low-frequency magnetic field is applied. It has well-known effects on enhancing enzymatic activity, oxy-reductive processes and proper blood circulation resulting in better oxidation and conduction characteristics of regenerating peripheral nerves. It enhances the regeneration of nerve fibers.
Bio-laser stimulation- where low energy biostimulation lasers are used in palatial, continuous manner. Laser radiation can also be used to rejoin the nerve stumps.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Multiple sclerosis is a neurological condition and is caused by damage to myelin, which protects the nerve fibres of the central nervous system.
Symptoms indicating multiple sclerosis
Loss of sight and mobility
Blindness in one eye
Trouble with sensation
Trouble with coordination
How can physiotherapy help you?
Physiotherapy can help in cases of multiple sclerosis by providing:
Increased chances of staying in employment
Improved general health and quality of life
Ways of therapy for multiple sclerosis
By putting the right muscle in the right place and at the right time to help it work efficiently.
This is required for balancing, walking, and improving arm and hand function.
Multiple sclerosis can alter the way in which a person moves, making him/her feel as if he/she is more likely to fall.
Neurological physiotherapy helps rebuild poor balance.
Walking is affected because of general or specific muscle weakness.
The general weakness can be addressed by exercises.
In specific weakness, the treatment is likely to be more specialized with rehabilitation technology.
The most common treatment method for a drop foot or a floppy foot is with functional electrical stimulation (FES).
Muscle spasms, pain, or stiffness in the muscles are experienced by these patients.
The physiotherapist can help reduce the problems associated with this type of altered muscle function and leg weakness.
The therapy involves stretches to help you maintain mobility and prevent muscle spasms. It also includes training on how to use mobility aids like a cane, walker, or a wheelchair.
For rehabilitation exercises, splints or orthoses are used.
Fatigue is a symptom of multiple sclerosis; however, people also get fatigued because of the extra effort they have to invest in all their activities.
Neurological physiotherapy will work with you to help you manage the fatigue so you can save your energy for the good stuff.
During a relapse
A relapse — also called a flare or exacerbation — is a period of time when symptoms of multiple sclerosis are more frequent or severe.
During this period, you may have greater difficulty with everyday tasks that include working, cooking, walking, or bathing.
Progressive multiple sclerosis
If you have primary progressive multiple sclerosis, you don’t experience relapses. Instead, your disease is on a gradual, constant decline.
For advanced multiple sclerosis
People with advanced multiple sclerosis have severe multiple sclerosis symptoms.
People with advanced multiple sclerosis are non-ambulatory.
It means they cannot walk or get around without help from another person or a motorized device. Also, people at this stage have an increased risk of developing other health conditions such as osteoporosis or epilepsy.
Stroke is a medical condition in which the flow of blood towards the brain is poor and causes the death of certain cells. There are two common types of stroke:
1. Ischemic- due to lack of blood flow
2. Hemorrhagic- due to bleeding
Signs and symptoms of stroke
- Problems with movement
- Inability to feel on one side of the body
- Problems understanding or in speech
- Loss of vision
- Difficulty in carrying out everyday activities
Role of Physiotherapy for Patients with Stroke
- The main focus of physiotherapy is to help you use your arms and legs to regain as much strength and movement as possible.
- If you have one-sided paralysis, correct positioning is important to prevent spasm or injury.
- It helps you to sit up as this will help you avoid blood clots in your legs, improve your breathing and help you recover quickly.
- If you are unable to move, you may be given chest physiotherapy to keep your lungs free of infection.
What does a Physiotherapist do?
- A physiotherapist advises you on how you should be positioned when lying or sitting, and how often you need to be moved.
- Motivates you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement
- Decides when you should begin to start walking and what equipment is needed to move or support you
- Provides therapy to strengthen your limbs and teach you how to move again as independently as possible
- Takes care of the fact that no complications should arise and you have a smooth recovery.
- Strength Training: It is evident that strength training can improve upper-limb strength and function without increasing tone or pain in individuals with stroke.
- Gaming: Goal orientated computer gaming has proven to significantly reduce upper limb impairment in stroke survivors.
- Virtual Reality: Virtual reality training has been shown to be effective in restoring upper limb motor impairments and motor-related functional abilities.
- Mirror Therapy: Mirror therapy has been shown to have a beneficial effect on motor control and function compared to conventional therapy.
- Robot-Assisted Therapy: It has been shown to have a beneficial effect on motor recovery and function.
In the upper extremity with severe impairment and/or poor prognosis for recovery, Chedoke McMaster Stroke Assessment (CMSA) of Arm and Hand < Stage 4) treatment should focus on maintaining a comfortable, pain-free, mobile arm and hand. Engage in repetitive and intense use of novel tasks that challenge the stroke survivor to acquire necessary motor skills to use the involved upper limb during functional tasks and activities. Engage in motor-learning training including the use of imagery.
Paraplegia is an impairment in the motor or sensory function of the lower extremities which is usually caused by spinal cord injury or a congenital condition that affects the neural (brain) elements of the spinal canal. This usually occurs after an injury to the nervous system. Paraplegia can involve complete or partial paralysis of the legs and/or the trunk. The area of the spinal canal that is affected in paraplegia is either the thoracic, lumbar, or sacral regions. In the last 10 years, physiotherapy techniques in case of paraplegia have developed considerably. The aim of physiotherapy is the complete rehabilitation of the patient.
Neurological physiotherapy is specific to your needs as a patient and will be focused towards the specific problems you may face. Rehabilitation depends on the level and severity of the damage to the spinal cord.
Physiotherapy treatment will be determined after an initial assessment of the patient is completed. It includes the following components:
Prevention of complete immobilization: Stretching is the most important exercise as stretching helps to improve flexibility, reduce muscle spasticity and cramps. Stretching helps to move the parts of your body to their full range of motion. Sudden jerking or bouncing should be avoided. Stretching should also be done before, and after other exercises to prevent muscle strain and soreness. It also helps in avoiding injuries.
Exercise to increase muscle strength, and co-contraction: Strengthening exercises which help increase muscle tone, and improve the quality of muscles. This helps improve mobility and provides energy. Strong hip and leg muscles help to lift the legs to walk and carry out daily physical activities.
Activities to improve balance, and coordination of body
- Maintaining joint range of movement, and preventing muscle shortening and tightness through stretching.
- Physiotherapy offers advice on how to maintain position to increase comfort, and to improve posture in lying, sitting and standing. This helps to reduce pressure areas, and prevent secondary complications such as pressure sores.
- Teaching transfers (between wheelchair, bed, car, toilet) help to improve safety and promote independence.
- Therapeutic electrical stimulation helps to reduce pain, and build muscle strength
- Functional Electrical Stimulation helps you to walk if you have muscle weakness in the lower legs
- Parallel bars help to practice walking and balancing in a safe environment
- Tilt Table (if you are wheelchair bound and would like to stand up, this piece of equipment will stand you up safely to get some weight through your legs with no effort required by the patient) It also helps in improving confidence and building self-esteem.
Paralysis can be concluded as the state when the muscles lose functioning in any part of the body. Any kind of disruption in our nerve system can be responsible enough to cause paralysis. Our central nervous system and peripheral nervous system communicate and control our senses of movement. But interruption in nerve impulses can cause weakness in muscles which leads to muscle paralysis.
A paralysed patient will encounter symptoms like:
- Decreasing the motor power
- Decreasing vasomotor control
- Loss of sensation
- Decreasing bowel and bladder control
- Losing the ability of sexual function.
When it comes to treating a paralysis patient, physiotherapy is proven to be the best remedy. Physiotherapy has thoroughly helped patients with paralysis in getting to feel confident and independent. Physiotherapy includes various exercises and techniques which are developed with time in order to provide a complete rehabilitation to the patients.
Types of paralysis:
There are mainly four types of paralysis
- Monoplegia: when one limb gets paralysed
- Hemiplegia: when arm and leg of a single side get paralysed
- Paraplegia: when legs get paralysed
- Quadriplegia: when both sides get paralysed
Treating paralysis with physiotherapy
- Physiotherapy is advised to patients with any type of paralysis. It should be started soon in order to improve blood circulation in the muscles. It also helps in relaxing the stiff muscles. This treatment improves the overall health condition of the patient.
- Physiotherapy is also responsible for reducing any kind of swelling which takes place due to external brain injury.
- Physiotherapy is helpful in making the patient stable and independent.
- It also helps in maintaining the blood pressure.
- It helps to improve the respiratory system.
- Physiotherapy maintains the affected muscles and nerves. It provides strength to the affected muscles and works to prevent the limbs from getting deformed.
- One major symptom of paralysis is a loss of bladder and bowel function. Physiotherapy helps in managing the paralysed bowel and bladder.
- Physiotherapy involves different techniques which can be learnt from a physiotherapist in order to transfer a paralysed patient.
- Othorsis, canes, braces, splints are the equipment that are advised to the patient by a professional physiotherapist.
- Physiotherapy helps in resolving problems such as anxiety, anger, depression, denial which takes place after post-paralysis mental trauma.
- Physiotherapist provides safeguarding tips to the patient and his or her family in order to avoid accidents.
- Physiotherapy has a big role in creating the motivation in patient's mind.
Carpal Tunnel Syndrome can be said to be one of the most painful disorders to have. There is a high likelihood that a lot of people can agree with this statement as the number of people who suffer from this issue is just so high! Yet, a funny thing to take note of is the fact that even people who are experts on CTS, which is the abbreviation of Carpal Tunnel Syndrome, are not really aware as to what its causes are!
That being said, it really does not mean that a person whose life has been affected negatively by it does not make a conscious effort to get better so that the condition is not as painful. In order to do this, what he or she would do is to commit to doing some exercises which directly address the problem at hand.
- To start with the exercises, it makes sense, to begin with, the one which is the simplest and this happens to be an exercise which is often known as the shake. What this requires the person to do is to shake his or her hands while making sure to keep them flexible. This action is pretty much the same as a person would do, if he or she were to try to air dry his or her hands without making use of a towel.
- Another simple exercise which is prescribed by quite a lot of doctors who are accomplished experts when it comes to Carpal Tunnel Syndrome is one in which the person who has the condition makes his or her hands a fist. After this is done, what he or she needs to do is to release the fist and go on to stretch the fingers out as wide as possible. The extension should attempt to be in the shape of a fan.
It may be surprising, but it can be said that the ill effects of something which is as troublesome as Carpal Tunnel Syndrome can be improved if these simple exercises are done with regularity. However, if a person is looking for a drastic change, it can be expected that he or she would have to do more by the way of complex exercises, at least on a relative scale.
One of these exercises is to join the hands in a prayer position and then separate the palms, but make sure the fingers stay pressed to each other; an act known as steepling the fingers. With these simple exercises in place, you can avoid the pain of dealing with Carpal Tunnel Syndrome for good! If you wish to discuss about any specific problem, you can consult a Physiotherapist.