Physiotherapy plays a pivotal role in helping a person recover after a hip replacement surgery. It brings back the old flexibility and prevents blood clots in the area where the procedure has taken place. After the surgery team gives its green signal, a physiotherapist starts working with a patient for a full recovery. 

Here is a list of some common exercises that a physiotherapist suggests after a hip replacement surgery:

Walking: It is important to use the crutches for a time period of 4-5 weeks post the procedure. Until the surgeon or the physiotherapist advises against using the crutches, it makes sense to use it while walking. It makes sense to retain the normal walking posture by using the crutches rather than limping without it. A physiotherapist reviews the pressure exerted by the arm while holding a crutch, before advising the patient to get rid of the crutches.
Increasing hip flexibility: This is a basic form of exercise where an individual lies on one side of the body with knees and hips bent. A pillow is placed in between the knees. While doing this, it should be ensured that both the feet is kept together and the back muscle is not twisted. The top knee should be slowly raised like an opening of the calm shell. This position should be maintained for 4-5 seconds.
Strengthening the hips: The body should rest on the stomach. The buttocks should be tightened and one leg should be slowly lifted. This position should be maintained for a stretch of 3-5 seconds. The same should be repeated for both the legs.
Strengthening the hip and the stomach muscle: The body should rest on the back with a leg bent. The stomach muscle should be tightened and the bent leg should be lifted carefully while ensuring that the bend does not supersede more than 90 degrees. While keeping the stomach muscle tight, the lifted leg should slowly come down to touch the surface. This act should be repeated for 5-6 times.
Strengthening the thigh muscle: While sitting in a steady chair, an elastic loop should be wrapped around the ankles. The elastic loop should be stretched with one leg while keeping the other foot firmly rooted to the ground. The lifted foot should slowly come down to the normal position. The same act should be repeated for 4-5 times.
Improving balance: An elastic loop should be tied to one leg of a table and the other end of the loop should be tied to one ankle. The table should be held on for maintaining balance. Maintaining an erect position, the tied up ankle should be stretched sideways. The position should be maintained for 3-5 seconds to return back to normal standing position.

How Physiotherapy Can Improve Recovery After Hip Replacement Surgery?

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!

Why osteoporosis and osteopenia are fast turning into diseases of the young

Did you know that osteoporosis causes more than 8.9 million fractures worldwide every year? what is frightening is many of these fractures are now taking place among the youth due to deficit diet and poor lifestyle coupled with genetic predisposition. Both osteoporosis and osteopenia are two forms of bone loss conditions, with the latter being a precursor to the former. To distinguish between the two a bone mineral density test is usually performed.

What is the difference between osteoporosis and osteopenia?

A BMD (bone mineral density) t-score between -1 sd and -2.5 sd indicates osteopenia with a high chance of osteoporosis. On the other hand, a t-score of -2.5 sd and below stands for osteoporosis. A higher bone density (above -1sd) is usually indicative of stronger bones. Fragility index is more accurate way to assess the risk of fractures.

In osteoporosis the bone loss or weakening of bones take place over a long period of time, and results in unexpected fractures and severe bone problems. Disfigurement, fractures in the spine, loss of mobility and independence are usual characteristics of this bone disease once it progresses further.

Prevention is better than cure, always!

To keep bones strong and healthy, calcium and phosphate is continuously absorbed by the body. But after 30, the body?s ability to absorb calcium slows down and there?s a decrease in the production of new bones. In contrast, bone desorption (the process of transferring calcium from the bone to the blood) continues unabated.

When the body starts absorbing the store of calcium in the bones to meets its needs, it leads to calcium depletion and is one of the causes of the weakening of the bone.

At present, the age limit (50-60 years) for osteoporosis has seen a drop with many younger people increasingly suffering from the ailment. Factors like unhealthy lifestyle, late-night shifts, smoking and alcohol consumption have been found to be the culprits behind the rise in osteoporosis cases among the young. Recent studies have identified vitamin d deficiency as a major factor for poor bone health and bone mass density in the young.

How to keep your bones strong and healthy? and manage osteo - penia/porosis complications:

Bone loss can be prevented by adopting these very simple but effective ways:

- exercising can help in building strong bones and muscles, while preventing bone loss.

- maintaining a calcium intake of 1000 mg for pre-menopausal women and 1200 mg for women post menopause.

- staying out in the sun for 20 minutes to produce requisite amount of vitamin d for calcium absorption and using supplements of vitamin d.

- there are many safe medicines available to prevent and treat osteoporosis like alendronates, calcitonin, parathyroid, teriparatide preparation etc.

- in osteoporosis induced /associated fractures we have to to modify implants to negate weak purchase of implants in bone and improve mobility. We have been using these modifications in established osteopenia/porosis case in fractures treatment/joint replacement/ arthroscopic fixations and MIS spine fracture management.


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Are Osteoporosis and Osteopenia fast turning into diseases of the young?

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?

It is very challenging to find operative treatments for chronic pain that offer improved daily functioning. Spinal Cord Stimulation is an excellent pain management method that can be used for patients when their neck or back pain cannot be treated by surgery or other options.

Each year more than 14,000 patients undergo the spinal cord stimulator transplant. The procedure comprises of mild electrical stimulations to the spinal cord. This modifies the nerve activity reducing the pain sensation or sensitivity that reaches the brain.

Neurostimulation therapy recommended by doctors is very effective, especially for chronic pain sufferers. The benefit of this proven therapy is that the pain experienced by the brain is minimized to a great extent. The therapy was designed only after observing how pain is managed by the brain. The therapy approved by the FDA is used to treat the pain caused due to nerve damage in the legs, arms and in the trunk. Spinal cord stimulation for chronic back and neck pain is provided to patients in pain management centers. The staff taking care of patients in these centers are specialized and trained in pain relief -how it occurs and best ways to treat it. Injections are also used to ease the pain.

How to treat back Pain?
Probably the worst pain an individual can experience is back pain, in some cases so severe that it hampers daily life. The treatment options that are used for treating back pain include electrical stimulation to the back and medication to the spine. The most common reason for spinal cord stimulation is failed back surgery. The pain related to the following conditions can also be alleviated through this therapy, scarring of the protective layers of the spinal nerves, painful inflammation and arachnoiditis.

Devices Used for Spinal Cord Stimulation
The devices used for spinal cord stimulation are available in several types but they comprise mainly of three parts. The pulse generator with a battery, a lead wire with 8-32 electrodes and a hand-held remote control that is useful in adjusting the settings of the device, and to switch it on and off. Electrical pulses are delivered to the spinal cord through the electrodes. It is very important that the procedure is carried out by doctors who specialize in pain management or by neurosurgeons.


Spinal Cord Stimulation For Chronic Back And Neck Pain!

Exercises for Sciatica
Sciatica is often distinguished not as a medical condition but as a set of symptoms that underlie a more serious medical concern such as a slipped disc, degeneration of the spine or the lumbar region etc.
It is important to note the symptoms of Sciatica, as these are quite distinct -
1.Constant pain in one of the buttocks or leg (rarely are both legs affected)
2.The pain worsens on sitting
3.The pain is often described as a sharp & searing pain similar to a burning sensation
4.The pain is often accompanied by a heaviness or numbness that makes movement difficult
5.Shifting of postures (sitting to standing and back to sitting) becomes painful and laborious
An alternative to surgery would be to supplement the oral medication with certain specific exercises.
Reflexology, Acupuncture and Chiropractic manipulation are all considered effective to alleviate the pain to a large extent.
Patients are often encouraged to partake in daily exercise routine, incorporating strengthening and stretching exercises.
The strengthening exercises target the core or abdominal muscles along with the back muscles to provide more support to the back.
The stretching exercises will help to “loosen up” the surrounding muscle groups such as the hamstrings, which then allow for more blood and oxygen circulation alleviating the pain and giving the immune system a much needed boost.
When patients engage in a regular programme of gentle stretching and strengthening exercises, they can recover quickly (in comparison to those who do not exercise) from the flare ups and over time the painful episodes are known to reduce significantly, both in frequency as well as intensity.
Ancient holistic practices such Yoga and Tai-chi are often considered the best form of exercises for the afflicted because of the balanced and slow but controlled movements that complement the ‘breath’ rather than causing further exertion to the already fragile bone density.
It is recommended that expert advice be sought and the exercises should be undertaken only under trained supervision. Please do not attempt to “experiment” with Yoga or Tai-Chi on your own, as improper or wrong posture could lead to irreparable damage to the spine. 


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 Exercises for Sciatica To Keep It Under Check

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