From marathon runners to footballers, amongst athletes, 'pulling a hamstring' is the most common type of injury. The hamstring is a group of four muscles at the back of your thigh. When one of these muscles gets overloaded or begins to tear, it is known as a hamstring injury. While a hamstring injury is painful, it does not indicate the end of an athlete's career.

Minor hamstring injuries may heal by themselves. In cases where one of the muscles is torn, surgery is required to repair and reattach the muscles. Recovery time depends on the severity of the injury. Stretching and exercising the muscles of the leg are the most important parts of rehabilitation. The healing of a hamstring injury can be divided into four stages.

1. Acute phase: The first five days after a hamstring injury is known as the acute phase of rehabilitation. The aim of treatment at this phase is to reduce inflammation and keep the other muscles from atrophy. For minor hamstring injuries resting the leg, using ice packs and keeping the leg elevated can accelerate the healing process. Once the pain and swelling has decreased, patients can use a cane or crutch to exercise the leg.

2. Subacute phase: From the fifth day to the 3rd week after the injury, the focus of the treatment shifts from minimizing swelling to strengthening the leg and increasing the range of possible motions. At this time, an athlete can resume cardiovascular training. Swimming and other forms of aquatic training are said to be especially beneficial to the treatment of hamstring injuries.

3. Remodeling phase: The remodeling phase continues upto 6 weeks after the injury. Strengthening the leg is the focus of this stage of treatment. Using ankle weights can be beneficial towards strengthening the leg muscles. It is important to be careful about the weight being used and to gradually increase this weight to avoid an added injury.

4. Functional stage: This stage can last upto 6 months until the athlete can regain full function of his or her leg. As the athlete's gait gets back to normal, they may start jogging and short sprints. Gradually, more sport specific exercises may be added to the workout.

There is no fixed time when an athlete can return to active sports after a hamstring injury. While players with minor injuries may return to the field after 3 weeks, athletes with muscles tears may take upto 6 months to recover completely. Hamstring injuries tend to reoccur and hence before they can get back to active sports, an athlete must pass an isometric strength test and flexibility test. This ensures that there are no subtle after effects of the injury that can increase the risk of a repeat injury.

Hamstring Injury Recovery and Return to Sports

Facial paralysis is a loss of facial movement because of nerve damage. Your facial muscles may seem to hang or may become distinctly weak. It can happen on one or both sides of the face. Usual reasons for facial paralysis include:

Infection or swelling of the facial nerve
Head injury
Head or neck tumor
Stroke
Facial paralysis can increase all of a sudden or happen slowly over a span of months (mostly if one has a head or neck tumor). Based upon the cause, the loss of movement may keep going for a short or a long period of time. However, physiotherapy can prove to be very beneficial. Here is how:

1. Electrical stimulation: A few specialists suggest utilizing electrical stimulation and biofeedback as technique for physiotherapy for facial paralysis, yet different specialists believe that it does help in recovery. Talk with your specialist or advisor about whether electrical stimulation is ideal for you. Electrical stimulation uses little amounts of electricity to relieve the muscles in your face. This causes your muscles to jerk as though electrical signals from your brain reacted to them. During this time, your face is most incapacitated, which might be the main cause for you to enact these facial muscles.

2. Manual massage: Face rub can be performed in conjunction with other treatment choices. It is possible to enhance mental relief. Massage methods on the face include:

Effleurage
Finger or thumb massage
Tapping
Stroking
3. Kabat rehabilitation: Kabat recovery is a sort of engine control restoration procedure. During Kabat, specialists increase the compression of the weakened muscle by applying a global stretch and then massaging the solid segment. They encourage movement by verbal info and manual contact. While performing Kabat, there are namely three phases - the upper (temple and eyes), intermediate (nose), and lower (mouth). Before Kabat, ice compression needs to be performed to the particular regions, with a specific end goal to build its contractile power.

4. Icing: Ice helps in decreasing the aggravation surrounding the facial nerve, which might be in charge of the loss of nerve movement or conduction leading to facial paralysis. You can either use an ice pack or any cold compressor.

5. Facial exercises: These include doing essential activities with the distinctive muscle surrounding your face. In case you consult a specialist or physical advisor for your facial paralysis, he or she will suggest particular exercises for your level and stage of paralysis. If not, have a go at flexing the different muscles in your face through and through. Frown, raise your eyebrows, gradually flicker your eyes, and proceed down to your jaw.

Facial Paralysis - How Can Physiotherapy Help You Get Better?

After a tough workout session or a strenuous day at the office, your muscles may feel floppy and exhausted until you have given them a chance to rest. However, persistent muscle weakness with no apparent cause or explanation can be a sign of an underlying medical problem.

What causes muscle weakness?
Voluntary muscle contractions and movement are generated when the brain sends a signal through your spinal cord and nerves to the particular muscle. If there are any hindrances in the connections between them, it can result in muscle weakness. However hard you try, the muscle is such cases becomes abnormal.

Here are some common causes of muscle weakness:

Lack of Use: One of the most common causes of muscle weakness, lack of muscle fitness may occur as a result of a sedentary lifestyle. If the muscles are not used, then the fibers are partially replaced with fat.
Ageing: As we age, our muscles tend to get weaker and lose strength. Muscles become bulky and recovery times during injury are greater. However, with physical activity, it is still possible to increase the muscle power. So stay active and instill strength in your muscles.
Infections: Infections and inflammation can cause temporary muscle fatigue. Even though recovery is quick, if the infection is severe the weakness can last for some time. Without proper care, it can lead to permanent damage.
Pregnancy: During and just after pregnancy, high levels of steroid in the blood and low levels of iron can cause muscle tiredness. Lower back pain is common during pregnancy and all your muscles may feel floppy.
Chronic Diseases: With conditions of diabetes, heart disease, kidney disease and anemia, it can lead to muscle weakness by thwarting the essential blood or nutrient supply to the muscles. Also, chronic pain related ailments cause weakness.
Injuries: Injury or trauma such as sporting injuries, pulls and sprains can deter the muscles. Along with localized pain, it can also lead to muscle weakness if not taken care of properly.
Sleep Disorders: With disturbed or reduced sleep there is a general sense of tiredness that leads to fatigue in the muscles. Insomnia, anxiety, depression and other mental disorders also affect the muscles a great deal.
Conditions affecting Nerves: Conditions like Myasthenia gravis or motor neuron disease affects the nerves and thereby fail to relay signals to the muscles, leading to weakness.
Genetic disorder affecting muscles: There are also certain inherited diseases which can affect the muscles like muscular dystrophy.
Spine-related disorders: Conditions like slip disc and other disorders affect the muscles served by the irritated or compressed nerves of the spinal cord.

Muscle Weakness - 10 Common Reasons Behind It!

If you have a desk job that involves sitting right in front of your computer throughout the day or for a major part of the day, you could be unknowingly putting yourself at augmented risk of reduced hip mobility. The hips are one of the major muscles in your body that are used in a number of activities you do everyday.

Causes of Hip Immobility-

1. Sitting for long hours at the same place and working. This is common to people who work in front of the computer screens for extended hours continuously.

2. Toxic Synovitis, which is an inflammation of the hip joint. It causes pain and stiffness.

3. Juvenile Arthritis

4. Rheumatoid arthritis

5. Tendinitis or inflammation of the tendons that causes severe discomfort in movement

6. Ankylosing spondylitis that mainly affects the spine. It can cause extreme pain and discomfort in the movement of the hips. This makes it difficult to sit, stand or lie down.

7. Injuries

8. Fractures and breakage

9. Muscle and tissue ruptures near the hip region

10. Sprains and strains

11. Lack of proper blood circulation

12. Pain and injuries in the lower back region which can spread to the hip, causing stiffness and swelling

Physiotherapy for Hip Mobility-

Physiotherapy alias physical therapy is considered as one of the fastest growing allied areas of present generation medicine. Being an important rehabilitative service needed in a community and a vital therapeutic supplement of the medical profession, it's the treatment of diseases and disabilities using physical exercises, heat radiations, cold therapy, hydrotherapy, acupuncture and therapeutic massage. 

As doctors, physiotherapists or physical therapists are essential in helping the patient to recover and rehabilitate from a state of incapacity, due to genetic defect or the result of an accident or an illness. Physiotherapy for Hip Mobility involves certain exercises. Below give are some of the most common exercises for hip mobility-.

Lying Hip Rotations. One has to lie on the back on a padded mat, then put one leg over the other, exactly over the knee on one s lower thigh. Now, use either a towel or the hands to get to the leg that is placed below and without hyperextending, slowly pull this leg s knee closer to the chest.

Butterfly Movements and The Frog Posture.

The Kneeling Lunge. Here, one has to lunge forward with one knee on a padded mat. Then position the foot carefully beyond the knee that is put forward. Place your hands over the knees; straighten hip of the rear leg while leaning with the hips forward. Hold this particular stretch and repeat with the opposite side.

The Squatting Position.

The Pigeon Posture. In this, your knees need to be right below the hip on the padded mat. Then lower the outer side of the right buttock to the mat. You have to position your right heel in such a manner that it is exactly in front of the left hip. Hold this stretch for about 5-6 breaths and exhale deeply through the nose.

Bending forwards or backwards, guided and assisted by a physiotherapist.

Stretching Exercises.

Hot compresses on the area of inflammation.

Ice packs can also be applied alternately on the spot of injury.

Massage helps to regulate blood circulation and is an important part of physiotherapy.

Physiotherapy for Hip Mobility

The entire humanity is now used to a fast paced, stressful life without time to think about their physical and mental health. Your body can adapt to this kind of lifestyle for a while. After which, one fine day, it might breakdown, with or without warning. Emotional stability is lost, and physical trauma is felt, and everyday activities may seem to be scary. Yoga comes to the rescue for all your problems. Be they physical or mental.

The real essence of Yoga lies around improving the life force at the base of the backbone. It attempts to achieve holistic goodness through various physical and mental workouts. Coming to the physical level, the procedures comprise of several postures or yogic asanas which can keep the body healthy, while on the mental level, there are some breathing techniques which helps in disciplining the mind. The benefits of Yoga are almost endless, and this is the reason why it has received international acclamation even when it had originated in India centuries ago.

How can Yoga aid you to live a better life?
No matter whether you are from the West or East, regular practice of Yoga can will offer tons of benefits which include:

Improvement of flexibility: This is the most significant benefit of Yoga where you can improve your posture with each practice sessions. Inflexibility can bring about a lot of movement issues; tight hamstrings can flatten the lumbar spine while tight hips can cause strain to the knee. Daily Yoga can relieve the connective tissues while improving posture.
Builds muscle strength: Strong muscles are not just meant for making you look good; it can protect you from conditions such as back pain, arthritis and falls among aged people. With regular practice of Yoga, you can see your muscles becoming stronger and flexible within a short span.
Prevention of joint and cartilage breakdown: While practicing Yoga, all the major joints of the body runs through a roller coaster of motion. This can prevent degenerative arthritis and squeeze the parts of the cartilage which are not usually used.
Improve the health of the bone: Several postures of Yoga demand you to bear your own weight such as the downward and the upward facing dog which also helps in making the bones in the arms stronger. Plus, Yoga is known to lower the cortisol levels which can boost the level of calcium in the bones.
Protection of the spine: The spinal disks which help in absorbing shock crave for movement through which they get the nutrition. Yoga can get you optimum backbends, twists and forward bends to keep the disks in a supple condition.
How has Yoga helped in improving health condition?
Timothy McCall, MD, wanted to come to India to research and investigate on the benefits of Yoga in 2002. Weeks before that he developed tingling sensation along with numbness in his right hand. He was scared and thought that it was something serious like multiple sclerosis or a brain disease but found that he had a nerve blockage in the neck and chest.

Even though it was incapacitating to some extent, this ailment was a blessing in disguise as he could allow Yoga experts to evaluate the cause of the problem and treat it and his experiment reaped benefits. He practiced Pranayama which is a breathing exercise, different moves and chanting to restore vital energy to the affected parts. This had not only helped him to get rid of these problems but also made his body even more flexible, improved his postures and relieved him of various symptoms.

Basic Yoga asanas that can help maintain health 

Sukhasana
Shavasana
Balasana
Vajrasana
Bhujangasana
Trikonasana
Uttanasana
Pashcimottanasana
Eka Pada Rajakapotasana
Ushtrasana
More real life examples can be cited where people suffering from chronic illness have gotten a complete relief by practicing Yoga. Across the world, this ancient Indian therapy has been acknowledged as an effective alternative therapy. If you wish to discuss about any specific problem, you can consult a doctor.

Yoga - Practice It Daily For A Stress Free Life!

What does neck and shoulder pain indicate?

The stabbing pain that you experience around the neck and shoulder region should never be ignored as they may indicate health problems that require medical attention. There are certain points that you need to keep in mind the if you experience prolonged pain in these areas of the body.

1. Neck injury? your neck and shoulder pain should be seen as a warning sign that you need to take a look at the neck injury you may have sustained during a rear-end automobile accident. More specifically, whiplash injuries that happen when the head experiences a sudden backward and forward jerk, straining the tissues of the neck. 

2. Pain in these areas of the body could indicate abnormalities in the vertebrae of your neck such as herniated disc, causing added pressure on the nerves of the spinal cord.

3. Your neck and shoulder pain complaint may also point towards muscle strains. Lifestyle factors like working long hours in front of laptops or desktops leave you with no time and zero energy to exercise, resulting in serious neck and shoulder pains.

4. Your neck and shoulder pain may also indicate the problem of cervical spondylosis. This is a degenerative disc disease, which is characterised by severe pain that originates from the neck and radiates till the shoulders.

5. Even heart problems, such as a heart attack can cause pain in the shoulder and the neck. When this happens, the condition is known as referred pain.

6. Adopting an improper body posture during lifting of heavy materials can induce pain in your body parts, with neck and shoulders being the most vulnerable areas.

7. You may be suffering from a condition known as rotator cuff injury in which the group of ligaments and muscles that support the shoulder get injured during lifting or playing any sport.

To avoid aggravating the pain from becoming more severe, you shouldn't ignore any ache that arises from these areas.

If you would like to consult with me privately, please click on 'consult'.

Related Tip: 6 Effective Ways to Keep Away Body Pains, esp. When Temperatures Dip

What Does Neck and Shoulder Pain Indicate?

Don't wait any longer, manage your Hand Surgeon online with a Lybrate doctor today

Consult for Hand Surgeon - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES