What is paralysis?
Paralysis is a loss of muscle power and function of any part of the body. It is seen in the form of weakness of body parts, loss of sensation, and loss of movement of that part.

What is physiotherapy and why it is used?
Physiotherapy includes massage, therapeutic physical activities, scientific procedures, and education. Physiotherapy should be started as soon as possible, and it needs to be regularly followed, on a daily basis to see its best results. If it is not done under the proper guidance, it may worsen the condition of the patients. It is helpful in the following ways:

Helps to improve blood circulation and relax muscles
Slows down the progress of paralysis
Improves muscle tone
Maintains the respiratory function
Prevents pressure sores and contracture in the bedridden patients
Helps to build up strength in the affected muscles which helps to prevent the limbs from becoming deformed
Helps in building up the motivation and morale of the patient
Helps improve balance and coordination of the muscles
What therapies are included in it?
It includes the following therapies:

Aerobic exercises: It encourages a rapid exchange of oxygen to muscle tissues which increases sensory and motor function.
Method of physical conditioning: It is conducted via active or passive ranges of motion which help improve the muscle strength and also help the patient to adapt or learn how to use the paralyzed limb.
Exercises: Exercises, such as hip rotation exercise and its variation, ankle rotation exercises, and toe rotation exercises are advised in lower limb paralysis.
Electric stimulation therapy: It helps restore the motor function in paralyzed patients where electrical stimulation is done via a low-frequency device.
Mobility aids: Mobility aids, such as a wheelchair, help to move from one place to another place.
Hydrotherapy pool: It helps assist patients to overcome conditions where movement is limited because of paralysis and where muscles are weakened.
Massage therapy: Massage therapy helps regain control of muscles and boost the range of motion by improving blood circulation to the affected part.
Hand muscle exercises: It includes exercise with the balls or any other toy to improve hand grip and muscle power.
Speech therapy: In patients with aphasia, speech therapy is given to improve the speech.
Parallel bars: It helps practice walking and balancing when there is impairment.
Physical training: In physical training, various exercises are taught to improve the muscle strength of the affected part.
Use of teaching transformers (wheelchairs, bed, car, or toilet): It helps improve safety and also promotes independence.

Role Of Physiotherapy In Patients With Paralysis!

Facial paralysis can happen due to many factors. Sometimes inflammation develops around the facial nerve as it passes through the skull from the brain. This presses on the nerve and makes it stop functioning. As the nerve stops functioning, so does the muscle it controls.


This is what happens in Bell s palsy, the most common cause of facial paralysis.


Bell s palsy can happen to anyone and its cause is, hold your breath, a viral infection. Herpes zoster, Varicella zoster and HIV viruses can cause Bell s palsy.


Bell's palsy is a common cause of a facial paralysis but there are many others too that affect or damage facial nerve. These include head injury, sarcoidosis, lyme disease, growths in the ear, tumours in the parotid gland, brain tumours and stroke.


The weakness of the face usually one-sided is a symptom of Bell s palsy. The face may droop to one side, chewing food is also tough, drooling, dry eyes and difficulty wrinkling forehead and speech are other symptoms of Bell s palsy, the most common reason for facial paralysis.


Treatment:
The type of therapy you receive for facial paralysis will depend on its cause. It will also develop on how long you ve suffered from facial paralysis and the extent of damage to the facial nerve.


Your physiotherapist can help and so can speech and language therapists to deal with the issue.


In physiotherapy, a treatment called 'facial retraining' with facial exercises helps with facial palsy. It is important that you seek help from a therapist who specialises in facial rehabilitation only.


This is what you can expect from facial rehabilitation therapy-
Exercises for eye care
Exercises for dry mouth management
Exercises to make drinking and eating easier
Speech therapy
Your physiotherapist will educate you on how the facial nerve works and how it recovers. This is important to make you recover. A home therapy programme plays an important role too. It includes massages to keep face muscles mobile and healthy, stretches to lengthen muscles, exercises to help re-learn balanced facial movements and relaxation of your facial nerve and muscles.


The physiotherapist will work on your facial movement to make muscles fit. The basic idea is to slowly rewire the brain-to-nerve-to-muscle pathway. The physiotherapist s first step is to retrain you to do correct movements voluntarily, while mentally focusing on the movement.


Physiotherapy may take months but keep at it to recover completely, especially the home exercises.


Injections of botulinum toxin or Botox also help especially if you suffer from spasms in facial muscles. Surgery is also an option for chronic cases.


Remember that exercises should be done gently as well as daily to reap benefits. Always do these exercises with the help of a therapist only. Doing exercises by yourself can be counter- productive.


Facial Paralysis - How Can Physiotherapy Help You Get Better?

Paralysis means the loss of normal muscle function in a part of the body. It can occur to any part of the body such as just the legs, just the arms, or complete lower or upper body paralysis. The signals from the brain to that part of the body will stop, as a result of which, the person will not be able to move that part of the body. There will be a complete loss of sensation in that body part, the person will not be able to feel any pain or anything else.

Types of Paralysis:
Based on which part of the body is affected by paralysis, you can classify paralysis into four types:

When just one limb is paralyzed, it is called MONOPLEGIA.
When one side of the body is paralyzed, such as a leg and an arm, then it is called HEMIPLEGIA.
When the lower part of the body is paralyzed, then it is called PARAPLEGIA.
When both your legs and arms are paralyzed, it is called QUADRIPLEGIA.
How is Paralysis caused?
Our sensation and movement are controlled by the peripheral nervous system and the central nervous system. So, when there is any disruption in the communication between the brain and the muscles, muscle movement and control will be affected. In the long term, this will cause weakness in the muscles and finally, end with paralysis.

How does physiotherapy help with paralysis?
Basically, there is one important thing that you need to know about paralysis and that is there is no treatment available for paralysis. But physiotherapy offers a ray of hope. It may not help in treating this problem totally, but the person with paralysis will be able to get independent and more mobile.

The first thing you need to do is, you should start the physiotherapy treatment as soon as a person is affected with paralysis. You should not waste a lot of time. Early treatment can offer better results.
The main objective of physiotherapy for any patient is to make them as mobile as possible.
When you are undergoing physiotherapy treatment for paralysis, it will stop the progress of the paralysis.
If the paralysis is due to an external injury to your brain, then you will be highly benefited by physiotherapy. The physiotherapist will start working on the external swelling and also on the muscles that are not affected by the trauma. This will result in making a paralyzed person more mobile.
Physiotherapy is always considered as one of the best treatments for many health conditions. Many experts recommend physiotherapy for paralysis.

How Does Physiotherapy Help In Paralysis?

Facial paralysis is when there is a loss of voluntary movement of the face on one or both sides. The following are the most common causes of facial paralysis.

Bell s palsy, the most common cause of facial paralysis
Stroke is another major cause of facial paralysis, could be combined with right side arm/leg paralysis
Tumours, affecting the facial region can exert pressure on the nerves and lead to paralysis
Infections such as herpes zoster infections cause paralysis
Symptoms:

Difficulty in speech, eating and drinking
Closing eyelids, movement, and expressions become difficult
Loss of sensation, which may be temporary or permanent
Ayurveda believes in not just correcting the paralysis but improving overall health so that there is no recurrence and other areas are also prevented from being affected. According to it, increased vata causes paralysis and so treatment includes correction of it plus prevention of vata accumulation through diet and lifestyle changes.

Dietary and lifestyle changes:

Avoid cold and sour foods like curd, buttermilk, ice creams, cold foods like cucumber, banana, watermelons, etc.
Avoid fermented foods as they aggravate Vata
Reduce or avoid pulses like dal as they can worsen gas accumulation
Substitute rice with wheat
Substitute cow s milk with buffalo milk
Avoid smoking and alcohol completely
Diet must be easily digestible and simple with lot of green leafy vegetables
Avoid foods which can cause constipation
Ayurvedic remedies:

Beejband or country mallow: This has nerve stimulating properties and so useful in paralysis of any sort
Kali Mirch or black pepper: Used as a water gargle, it is beneficial in correcting paralysis
Lavanga or cloves: People with Bell s palsy were given water to which some drops of clove oil were added, and they showed remarkable benefits.
Mulethi or licorice: This is proven to be effective in stopping the progression of paralysis. People with Bell s palsy, in whom there was involuntary tearing, had a stoppage of the symptom.
Ashwagandha capsules: They treat paralysis and also reduce anxiety and stress and depression. It helps by calming and rejuvenating the entire nervous system. It also helps control muscle and joint pains and reduces stiffness. It also helps control insomnia and allows for improved blood pressure.
Curcumin: This is very beneficial in Bell's palsy patients. With its rich antioxidant content, it reduces free radical release and helps control inflammation and reduces oxidative stress.
Nirgundi oil: It also cures the imbalance between Vata and Kapha in the body. Massaging with this oil heals injured facial muscles and nerves and improves paralysis. It also eliminates toxins and prevents greying of hair. Its anti-inflammatory properties provide relief from inflammation and pain.
Pranayam, meditation is sure useful in this condition. Do start asanas, slowly begin with surynamaskar. Along with this, one can take Shastrokta medicine, that are-- 1. Ekangvir Ras vati 1 or 2 bd + Maharasnadi kashay ghan vati 2+2 during the day.

Paralyses - Can Ayurveda Treat It?

As children, you have probably learnt that paralysis is complete inability to move, sense, touch or control other bodily sensations. But little did we know that paralysis comes in many forms depending on the extent to which a person is immobilized. So, what is the difference between partial and total paralysis?

What is Total Paralysis?
Whether temporary or permanent, paralysis is the inability to move part of the body due to nerve damage. However it does not mean that people with total paralysis cannot move any parts of the body   they can still use their faces and necks. The extensive form of paralysis is typically referred to as quadriplegia, which involves diminished or absence of movement in the trunk, arms, legs, hands and feet. Some common symptoms of total paralysis are as follows:

Difficulty swallowing
Unable to control bowels and bladder
Pain anywhere in the body
No sensation below the site of injury
Difficulty breathing
What is partial paralysis?
A smaller portion of the body is affected by partial paralysis. One of the most common types of partial paralysis is Paraplegia that occurs below the waist. If affects both the legs, hips and other functions. Other forms of partial paralysis can be Monoplegia where a single area like one limb gets affected and Hemiplegia where parts of the body on the same side get affected. Some common symptoms of partial paralysis are as follows:

Inability to walk
Difficulty with sexual functioning
Pain below the site of injury
Unable to feel or move your legs or arms
How to Predict the type of paralysis?
The location of the injury or site of nerve damage will usually determine the type of paralysis. Damages in the cervical spinal cord almost inevitably lead to total paralysis associated with quadriplegia. The higher the injury is located, the more extensive the paralysis will be. Lower injuries commonly lead to partial paralysis. The prognosis is generally much better with this type of paralysis. With proper care and therapy, individuals may experience intermittent difficulties with movement and can regain.

Can paralysis be treated?
Whether it is total paralysis or partial paralysis, the positive prognosis is certainly possible, given the condition of the patient and other factors. Physical therapy involves teaching the brain and spinal cord to work around the damage and also aid neuron healing over time. Paralysis can be classified under a number of ways and the most basic classification is that of partial or complete paralysis. Talk to your doctor to understand what type of paralysis you have and adopt a positive outlook to help you towards recovery.

Partial Vs Complete Paralysis - Know The Difference!

There are various forms of Paralysis. Paralysis of the lower limbs is one of the most severe forms of Paralysis. It is also known as Paraplegia. People suffering from such Paralysis lose all sense below the waist. They cannot move their legs or hips, cannot void without help, and cannot have intercourse. They barely feel anything below their waist. However, the degree of inability may vary from one person to another.

In people suffering from such Paralysis, there is usually substantial impairment in movement. Though such inability is not necessarily permanent, rarely do people recover from such inability. Lower Limb Paralysis may put people at risk of deep Vein Thrombosis.

Causes of Lower Limbs Paralysis:

Paralysis of the lower limbs usually results from injury to the spinal cord or the brain. However, spinal cord injury is the most common cause of such Paralysis. Such injuries inhibit the ability of the brain to receive and send signals from lower limbs. Causes of such inability may include:

Infections in the spinal cord

Lesions of the spinal cord

Tumors in the brain

Infections in the brain  

Nerve damage at the hip or waist.

Oxygen deprivation in the brain or spinal cord due to choking, violence, or surgical accidents.

Stroke

Congenital spinal cord deformities such as Spina Bifida etc.

However, the most common cause of Lower Limb Paralysis is congenital spinal deformity, such as Spina Bifida. The degree of Paralysis depends on the location of the spinal lesion and the extent of spinal cord or nerve damage. Some people with spinal lesions may even walk independently if the lesion is lower down the spine. However, people with upper spinal lesions are usually not able to do that. They may require ortho shoes as well as walking aids in order to ambulate. If these don t work, they may need wheelchairs for mobility. Usually these people learn to ambulate with the aid of ankle foot orthoses.

Treatment of Lower Limbs Paralysis:

There is no treatment for Paralysis. However, in some cases, people suffering from Lower Limb Paralysis are able to regain some of their ability with the help of physical therapy. What physiotherapy does is that it retains the spinal cord and the brain to strengthen nerve connections and muscles so that patients can work around their limitations. If paralysis is due to some underlying cause, removal of the cause can treat the patient.

If an infant is found to be suffering from Spina Bifida, doctors can operate on his spinal cord and bring down the severity of the problem. Such children are less likely than others to use walking devices.

Bowel and Bladder Management:

This is a serious aspect of Lower Limb Paralysis. Patients need to undergo routine bladder and bowel evaluation and device management plans to reduce the risk of organ damage.

Conclusion:

There is hardly any treatment for Lower Limb Paralysis. However, physical therapy may solve some of the problems. If it does not, management of bowel and bladder and watching out for deep Vein Thrombosis should be done on a regular basis.

One can also use alternative methods like Acupuncture, Chiropractic, Massage, and other holistic treatments. However, it is always recommended to consult an orthopedic doctor before opting for any methods.

Paralysis Of Lower Limbs!

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