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Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
Treatment of Nerve And Muscle Disorders
Treatment of Hip Disorders
Neuro Physiotherapy Treatment
Treatment of Knee Injury
Pregnancy Exercise Therapy
Treatment of Sports Injuries
Treatment of Splinting
Treatment of Spondylosis
Arthritis And Pain Management Treatment
Heat Therapy Treatment
Post Pregnancy Classes
Orthopedic Physical Therapy
Treatment of Shin Splints
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I am suffering from mild pain. i.e Muscle spasms in the middle of my back (spine. From almost three weeks. Though doctor had done x-ray & prescribed few medicines such as Myoril, Pansec & Dolonex. Pain had decreased. But had not alleviated overall as of now. The pain is still persisting. Please provide me a better suggestion to alleviate the pain overall!
Hi I recently had got 8 stitches on my left knee due to debridement. The stitches are not removed. What exercises must I do so that bending of the knee becomes as easy as bending the other knee? PS: It has been 4 days since driving stitches.
Hi doctor, I am a 44 year old male with a nagging lower back ache since past three days which is affecting my normal seating, working & sleeping cycles. Experiencing extreme discomfort while sitting, working or even sleeping on back & sides as well. Do please let me know what could be the possible reason & advise solutions to get rid of this pain in the back. Thanks & regards
I am 33 yr serving soldier. Last 2 month later I feel pain in my back just below waist. No pain in moving but change position in sleeping I feeling more pain and rare pain spread in my right calf.
I have knee pain for last 1 month, the pain usually occurs when I stand up from sitting position for example I use indian bathroom, and when I take stand I usually take support. Please suggest me proper diet chart also.
Sir sometimes I feel pain in my knee for an instant like while kicking the bike or running or going upstairs, What can be the reason for this and what is remedy?
Suffering from back pain from few days and fingers were shivering for no reason don't know what to do.
I am 25 years old, I am suffering one problem from last 2months, my problem is when ever I went to bathroom I am getting pain in my ass, same pain is continue next 15min also, could you please suggest me exactly what happened to me and suggest me further whom I need meet.
These consist of exercises to strengthen the lower limb muscles in case of lower motor neuron type of palsy. Strengthening of the upper limb is essential as this will help the patient to enable efficiency in activities like transferring,use of walking aids like crutch, and also helps in over all functional rehabilitation. Strengthening of trunk muscles is essential for better trunk control and stability which will help in better balancing in sitting or standing.
Quadratus lumborum is the most important trunk muscle in case of spinal cord injury that has got no hip flexors because it enables the patient to hike the pelvis.
Use of tilt table: In the initial stages when there is no trunk stability patient can be trained for weight bearing on lower limbs by using tilt table.In this the patient’s trunk and the lower limbs are strapped to the tilt table and then the table is tilted such that the patient is in erect position.Moreover tilt table can also be used in the initial stage to prevent the chances of orthostatic hypotension.
For preventing hypotension in the initial stages the patient is made to lie on the tilt table and the table is gradually tilted everyday at increasing range so that the autonomous nervous system is made to get conditioned as a result the reflex vasoconstriction can bestimulate d in erect position. This will help in preventing or treating orthostatic hypotension.
Transfer activities: To make the patient independent in ADL, it is necessary to train him to use the wheelchair. Easy ways of transfer from bed to wheelchair from wheelchair to low stool and from low stool to floor and back to wheel chair should be taught to patient. The patient also should be trained for balance in sitting position if his trunk muscles are also affected. Patient should also be taught various ways of locomotion in emergency situation like shuffling in sitting position, semi crawling in prone position with the help of weight bearing on the forearm.
Spinal cord injury can be made to ambulate with the help of crutches and calipers. There are various types of gait that can be taught with the assistance of axillary crutches like shuffling gait, dragging gait and swing gait. However walking should be trained in a gradual manner. The lower limbs are supported with appropriate orthosis and the patient is made to sand in the parallel bar. The patient is advised to do hyperextension at the hips and trunk to maintain erect posture and balance.
Hyperextension of the hip locks the hip with the help of ischio-femoral ligament and thus provides stability. Once the patient is confident in standing gait training is started by instructing the patient to lift one leg and take weight on other extremity. Stepping forward is taught next and the physiotherapist progresses to walking in parallel bars.After this patient is made to walkout of the parallel bar with the help of walker.Depending on the trunk stability and confidence of the patient progression can be made to axillary crutches. Elbow crutches or canes can be given only if the upper limb musculature becomes quite strong to weight bear efficiently and within the safely limit of the patient.
Even if the patient is not going to be a community walker, it is important to give him gait training so that can achieve some independency in activities of daily living and to maintain his self-esteem. Weight bearing on the lower limbs in erect posture also acts to slowdown the process of osteoporosis and prevent tightness.
Use of orthosis or appliances: lower limb orthosis or gaiter may be used depending on the muscular status in the lower limbs.