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Paterson Cancer Center
No. 175, NSK Salai, Vadapalani, Land Mark: In Vijaya Health Centre Premises, Chennai, Chennai Get DirectionsServices
Anesthesia Techniques
Cancer Pain Management
Epidural And Spinal Anesthesia Techniques
Diagnostic Cardiac Procedures
Treatment of Transcutaneous Electrical Nerve Stimu
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A Typical Physiotherapy (Manual) Treatment for Locked Back
A TYPICAL TREATMENT FOR ACUTE FACET JOINT (Locked Back) ARTHROPATHY
Purpose:
To disperse joint swelling and inflammation, relieve muscle spasm
Rocking knees to the chest (60 seconds)
- Rest (30 seconds)
- Rocking knees to the chest
- Rest
- Rocking knees to the chest
- Rest
- Rocking knees to the chest
- Rest
- Reverse curl ups (five times)
- Rest
- Reverse curl ups
- Rest
- Reverse curl ups
- Rest
- Rest in bed and use medication under the direction of your doctor. NSAIDS are particularly effective in reducing the pain from the inflamed joint so painkillers are not usually necessary.
- Repeat exercises every 2 hours throughout the day.
When resting, you may be more comfortable in the foetal position with a pillow between the knees to decompress the joint.
For how long?
You can progress to the sub-acute regimen when there is no flooding pins and needles pain down the leg, either when standing up from sitting or when taking weight on the leg. This can take a week to ten days, though it may be sooner.
A TYPICAL TREATMENT FOR SUB-ACUTE FACET JOINT ARTHROPATHY
Purpose:
To disperse inflammation, relieve muscle spasm,disengage the jamming of the segments.
- Rocking knees to the chest (for 60 seconds)
- Rolling along the spine (15-30 seconds)
- Curl ups (five times)
- Rest
- Rocking knees to the chest
- Rolling along the spine (pivoting on sore spot)
- Curl ups
- Rest
- Rocking knees to the chest
- Rolling along the spine
- Curl ups
- Rest
- Rocking knees to the chest
- Rolling along the spine
- Curl ups
- Rest
- Repeat the regimen three times daily. After each session,rest on the floor for ten minutes with your lower ,legs supported on a sofa or soft chair, and a pillow under your head.
Do not be alarmed if pivoting on the problem level causes a sharp pain in the back, or even leg pain. When up and about, avoid sitting in one position, or standing for too long. (this will usually bring on the pain down the leg).
Have two brief walks per day (less than fifteen minutes): you should walk tall and light and let your hips swing freely so the low back twists from left to right.
For how long?
You should progress to the chronic treatment regimen when there is no leg pain. This usually takes a week to ten days but it may be much sooner.
ACL Surgery is basically Anterior Cruciate Ligament reconstruction, which is carried out for patients suffering from damaged ligaments which can lead to stiffness, pain and decreased mobility among a host of other symptoms and ailments. This kind of surgery aims at repairing the ACL with the use of grafts taken from other parts of the patient’s body. These grafts are used to replace the damaged ligaments.
Read on to know what you can expect in the recovery phase following an ACL surgery.
- Rehabilitation exercises: The rehabilitation process starts right after the surgery when the patient is given muscle strengthening exercises right after being wheeled back into the room from the operation theatre. These exercises will be given to the patient by the doctor or the physiotherapist who will show the correct way to do them and what all to avoid while doing them. Also, a gradual walking program will be started where the patient will first be helped when it comes to walking indoors, and then taken outdoors to practice walking on more natural terrain. Other motions can also be introduced gradually to exercise.
- Crutches: The patient may be asked to use crutches for a while right after the surgery. This is usually done to ensure that the body and the knees are strong enough to support full weight carriage and bearing without putting pressure on the newly operated region. Full weight bearing usually comes about within ten days after the surgery, and until then the patient is asked to take it easy.
- Knee extension: In the first few weeks after the procedure, the patient will experience swelling or inflammation in the area as well as some amount of trepidation when it comes to using the knee extension. The patient will be asked to do ninety degree knee flexicons before graduating to full knee extension gradually. In this phase, right after the surgery, the patient will also be encouraged to gain back control of the quadriceps as well as patellar mobility.
- Swelling: In the first two to three weeks after the surgery, there will be some amount of swelling. Usually, in the first two weeks after the surgery, the focus is on controlling and preventing any undue swelling and inflammation with elevation and ice.
- Strength and confidence: Once the initial three to four weeks are over, the focus will shift towards strengthening the core muscles with running and jogging for short periods. This will also improve the patient’s confidence in the restructured knee.
Ensure that you have a detailed discussion with your caregiver and orthopaedic specialist so that you are mentally prepared for recovery and rehabilitation.
In case you have a concern or query you can always consult an expert & get answers to your questions!