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?

Arthritis is a painful joint condition that leads to pain and stiffness as well as lack of proper mobility due to inflammation and swelling. Usually, an orthopaedic specialist will prescribe anti-inflammatory and pain relieving medication for this condition, but there are various things that you can do to ensure that this condition does not become a debilitating one in the long run. One of the best ways of doing this is by limiting your diet in certain ways when it comes to inflammation producing food. 

Here are a few types of food to avoid if you are suffering from arthritis.

Fried food: Fried and processed food is packed with too much of salt in order to better preserve it so that it has longer shelf life. Also, the use of oil in order to deep fry can have a detrimental effect on the inflammation that is already causing problems for your joints. Therefore, it is best to avoid fried, fatty and processed or packaged food that has been frozen for too long.
AGEs: When we speak of AGEs, we are not talking about the number of birthdays that you have celebrated. AGEs are actually Advanced Glycation End products that are a toxin released by food when it is heated, grilled, fried or pasteurised. These toxins can render damage to the proteins in your body. Once this process starts, the body retaliates by sending forth cytokines which are basically inflammatory messengers. This can lead to inflammation and arthritis.
Sugar: Sugar and other refined carbs also have a large amount of AGEs as discussed above. These types of food should also be avoided by patients suffering from arthritis. Also, artificially sweetened drinks and too many baked goodies should be avoided by these patients.
Dairy products: Owing to a certain kind of protein that most dairy products contain, these kinds of food are considered harmful for patients of arthritis. These proteins can encourage inflammation and irritation of the tissue that surrounds your joints. Switching to a vegan diet is considered helpful for arthritis patients.
Alcohol: Excessive drinking is a major problem that can aggravate your arthritis situation. Smoking and drug abuse also leads to such problems. Drinking excessively can lead to the development of gout.
Corn oil: This kind of oil is a part of most packaged, processed and fried food. It also leads to inflammation. Arthritis patients should switch to omega fatty three oils which can be found in fish.
Taking care of your body is a matter of maintaining a good diet with lots of activity that will be congenial for your condition. This will also help in keeping the painful symptoms of arthritis away.

Arthritis - 6 Foods You Must Avoid!

When you think about a healthy diet, you wonder how much carbohydrate, protein, fats and minerals you need to stay fit. However, are you neglecting the importance of vitamins in your daily diet? Research suggests that vitamins play a crucial role in muscle building and bone health.

Here is a look at the different vitamins that will help you enhance your muscles and bones using vitamins.

1. Vitamin D-

You may have heard about the importance of calcium for proper bone health. However, only consuming calcium-rich foods will not help you develop stronger bones. If you do not have enough vitamin D in your body, you will not be able to use the excess calcium for bone health. Vitamin D helps your body utilize the calcium for bone growth and enhancement.

Apart from strengthening your bones, vitamin D also works wonders for your muscles. It helps the body absorb calcium and phosphorus, both of which are essential elements in the production of adenosine triphosphate or ATP. ATP is the only form of energy that your muscles can use during movements and activities.

Best sources for vitamin D are cheese, egg yolk, certain fatty fish, shrimp, mushrooms, soya milk, orange juice and cereals.

2. Vitamin K2-

Vitamin K2, also known as menaquinone, improves your cardiovascular health. Vitamin K2 is also a coenzyme that helps your bone use proteins. Additionally, a study performed in 2013 revealed that vitamin K2 improves bone metabolism in post-menopausal women. At such an age, women s bone health starts to deteriorate and osteoporosis sets in. Therefore, vitamin K2 becomes all the more important for women at such an age.

Best sources of vitamin K2 are butter, cheese, egg yolk, dark chicken meat, and fermented soy.

3. Vitamin C-

Vitamin C is a great choice if you work out regularly. A powerful antioxidant, it helps your body metabolise proteins in the body, leading to muscle growth. Additionally, vitamin C helps in the absorption of iron, which is an essential component of blood.

Best food sources for vitamin C are citrus fruits, such as oranges, lemons and more. Additionally, green capsicum, broccoli, and blackcurrants also provide ample amounts of vitamin C to your body.

Even though vitamins have a role to play in building stronger bones and muscles, the only diet will not be enough for a fit body. You need to start exercising along with eating a balanced diet if you want to stay healthy. Furthermore, exercising helps improve your musculoskeletal health.

Vital Vitamins For Musculoskeletal Health!

Sports injuries are a common problem, where various types of musculoskeletal injuries can occur during the physical activities. These injuries can either be acute or chronic in nature. In athletes, such injuries can pose as a risk to their careers, which makes it essential for the physicians to provide the most appropriate treatment. It is mandatory to provide a prompt, safe and quick treatment that can restore the athlete s preinjury level of participation in sports.

Various treatment approaches are present for treating sports injuries. The use of intra-lesion blood injection is being made for addressing the musculoskeletal injuries. An easy and minimally invasive method of using concentrated autologous growth factors in treating sports injuries is the use of platelet rich plasma (PRP). It is a fraction of the blood plasma that contains a higher concentration of platelets than normal plasma, along with growth factors.

PRP is used in the treatment of both soft tissue and bone injuries. Growth factors have a positively influencing effect on the healing process of connective tissue components.
There is a huge difference between the anatomy and functions of tendons, ligaments, muscles and joint capsules. Hence, the site of injection of PRP also varies.
The cellular tension in the tissue and the collagen structure is affected after the administration of PRP.
Use of PRP is popular in the treatment of an Achilles tendon. For injecting PRP, an ultrasound scan is done, the site of injection is accurately identified and then PRP is administered.
Proper location of the site of injury and deciding the accurate injection zone prior to the injection of PRP makes it easier to facilitate treatment and eliminate discomfort.
Administration of PRP should be considered secondary to physical therapy and other conservative means of treatment.
Enthesopathy is a discomfort in the area where the attachment of tendons, ligaments and the articular capsule is present. The use of PRP is increasing in the treatment of this condition. It has an inflammatory nature and presents as epicondylitis or capsulitis.
Studies have proved that PRP is an effective alternative to injection of steroids for an anti-inflammatory effect. Steroids majorly provide only symptomatic relief, whereas PRP is more definitive.
PRP has also found an increased use in the area of surgical procedures of knees. It is used to increase the efficiency of the healing grafts placed in the knee during reconstructive surgeries.
For treatment of bone injuries, use of PRP has shown an improved quality and rate of bone healing. Even in cases of an infected injury, PRP aids in healing efficiently.
No known side effects or complications after use of PRP have been observed, which makes it a sought after option in management of sports injuries.


Platelet Rich Plasma In Sports Injuries

A meniscus tear is a common injury associated with the knee. The meniscus acts a defensive shield, providing a much-needed cushion to the knees, keeping it stable and injury free. Each knee joints contain two menisci located between the tibia and the femur. In this article, we will discuss important details related to meniscus tear to help you understand the injury better.

Facts related to a Meniscus Tear

A meniscus tear can affect all and sundry. However, sports persons (especially those associated with soccer, tennis, football, and basketball) and aged people are more susceptible to the condition.
As per Boston Children's Hospital, of late there has been a steady rise among children suffering from the meniscus tear.
Osteoarthritis may act as a catalyst, accelerating the chances of a meniscus tear.
In most of the times, a meniscus tear occurs when you exert immense pressure on the knee joints such as lifting a heavy object or suddenly standing up from a squatting position. With age, the meniscus is known to suffer from a natural wear and tear resulting in the injury.
As already mentioned, there are two menisci present in each knee joints. The one present inside the knee joint is called Medial Meniscus. Lateral Meniscus is the one present on the outer part of the joint.
Depending on the extent and severity of the injury, a meniscus tear may be
A minor tear: This is a small injury accompanied by mild pain and swelling which may last for not more than 2-3 weeks.
A moderate tear: The injury results in pain that are concentrated mainly around the center or the sides of the knee. The swelling goes from bad to worse over the next 2-3 days, with the person facing discomfort while bending their knee. The knee also stiffens. You may be relieved of the symptoms within a week or two but overusing the knee or twisting it may cause a relapse.
A severe tear: True to its name, your knee is the worst affected in this case. The cartilage tear may be such that the torn pieces get lodged in between the joint spaces causing the knee to lock, pop or even catch. A person experiences unbearable pain and discomfort along with stiffness and swelling (can be immediately following the injury or within 2-3 days). In the case of a severe meniscus tear, a person may not be able to straighten the knee at all (without treatment and medical intervention)
Treatment for a meniscus tear may be surgical or nonsurgical.
The nonsurgical treatment involves the application of cold compress on the affected area. The person needs to take ample rest exerting minimum pressure on the affected knee. Physiotherapy and strengthening exercise can go a long way in improving the condition. To reduce the pain and swelling, the doctor may prescribe painkillers and NSAIDs (Nonsteroidal Anti-Inflammatory Drugs). Keep the knee elevated. The use of elastic wraps may be helpful.

In extreme cases, surgery may help to treat the injury and the associated symptoms.

Facts About a Meniscus Tear!

Gout is a disease of the joints. It is a kind of arthritis, which is caused by the deposition of uric acid in the joints. The deposited uric acid causes inflammation of the joints. The disease occurs when our body fails to eliminate the excess uric acid in blood by excretion or the production of the acid is increased.

The level of uric acid in our bodies goes up when the amount of purines in our meals is increased. Purines are responsible for the production of uric acid. They are found in meats, alcohol, sea food and other food items. When digestion of these foods takes place inside the body, purine is released into the blood stream. Uric acid level is also increased by a sedentary lifestyle. Sometimes other factors like intake of insufficient water, consumption of medicines and obesity can also affect the uric acid level in the blood.

Symptoms of Gout

One will notice a redness and swelling around the affected joint. Gout commonly affects the big toe, ankles, hands and wrists. The patient has to deal with intense shooting pain in the joint. The patient also feels some itching in the affected region. Some patients develop nodules called tophi in the joints.

Homeopathy Treatment for Gout

In most cases, patients seeking allopathic treatment for gout take frequent pain killers to get rid of the pain. The pain killers will provide temporary relief. But the main problem persists. However, homeopathy treats the root cause of the problem and aims at eradicating the disease completely. In this article, three commonly used homeopathic medicines used for treating gout have been listed. However, these medicines may not suit all individuals with gout. The effectiveness of the medicines largely depends on the patient s lifestyle. These medicines are listed below:

    Colchicum: It is the primary medicine given to patients suffering from gout. It is good for the treatment of the chronic cases. It is given to patients who suffer from pain in the big toe. The pain is unbearable, when the affected area is touched. The region turns hot, red and swollen. In these patients, the pain starts from the left side usually. The patient feels feverish. Their problem will intensify in warm weather. Their joints get stiffer.

    Ledum Pal: It is for patients who suffer from gout pain travelling upwards. The pain is likely to start from the patient s feet and travel towards the knees. The patient will not be able to bear external warmth. The patient feels better with cold application.

    Benzoic Acid: This medicine is for patients who suffer from gout along with offensive urine. The odour of the urine is intolerable. The colour of the urine is unusual brown in colour sometimes. There is a cracking sound in the joints.

Homoeopathic medicines can be a big boon for all those who suffer from high uric acid. These medicines work by reducing the uric acids overproduction by the body and accelerating the removal of this waste product from through the kidneys.

Homoeopathy is known to control the uric acid diathesis and is also useful in acute attacks. Homeopathy helps in controlling the pain during the acute attack of gout as well as helps in preventing the recurrence of such episodes. It helps in reducing stiffness and improves the mobility of the joints.

One big advantage that homoeopathy offers in the treatment of high uric acid is that once treated the chances of relapse are very less, this is also subjected to the condition that diet and Alcohol and weight are well controlled.

With continued treatment from a specialised homeopath, the patient notices reduction in the frequency of attacks and intensity of pains with gradually leading to complete cure.

Suffering from Gout - Can Homeopathy Help in Treating it?

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