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Spinal Surgery Disorders
Treatment of Neurological Problems
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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Patient Review Highlights
I have had a great experiance at Dr. Gaurav mohan's clinic. I have found him to be a gentleman and a great problem solver with good knowledge of his work. I recommend him for being an excellent physiotherapist around.
Gaurav you are a sincere doctor and our society need people like you keep up the good work all the best!
Dr. Gaurav Mohan provides answers that are very helpful. thanks sir
Cervical or Neck pain is very common now a day. It can affect anybody in their lifetime. Earlier it was more common in old age but now due to increased working hours and lack of rest and exercise it’s majorly seen in young age also. Cervical pain can be due to following reasons-
- Injury to neck muscles-like sprains, crampsInjury to neck joint
- Bone pathologies- like osteoporosis and spondylitis
- Nerve-related diseases- like cervical radiculopathy
- Disc-related diseases- like bulging, herniated disc
- Systemic diseases- like RA, ankylosing spondylitis
How Physiotherapy Helps In Cervical Pain?
Physiotherapy strengthens your neck muscles and vertebrae by doing stretching, exercises and other treatments. It relieves the stiffness and pain, increases the range of motion, mobility and also improves your posture. That’s why it is recommended in most of the cases, by your physician.
Physiotherapy includes two treatments - Passive and Active.
Passive treatment- It helps to relax your body and it also prepares your body for therapeutic exercise. It includes-
- Hot and cold therapies: Cold therapy is beneficial because it slows down the circulation. Thus it helps to reduce inflammation, pain and muscle spasm. Heat therapy increases the blood flow to the affected area which helps by increasing oxygen and nutrients to the affected area. It also removes the waste products created by muscle spasm. Thus, helping in healing.
- Deep tissue massage: In this massage, the therapist uses direct pressure and friction to decrease the tension in your soft tissues, muscles and ligaments. This is the main objective of this treatment. The tension on neck muscles is build up due to the daily heavy activities.
- Transcutaneous electrical nerve stimulation (TENS): A machine stimulates your muscles through variable (but safe) intensities of electrical current. It helps to reduce muscle spasms and increases the production of endorphins which is a natural painkiller.
- Ultrasound: Ultrasound also increases the blood circulation to the affected part, which helps to reduce swelling, stiffness, pain, muscle spasms and cramping.
- Traction: In this, the spine is stretched and mobilized so that you get less pain and then the movement becomes easier. This can be done manually or by using a traction device.
Active treatment- This mainly includes all the exercises which improve your flexibility, strength, stability, and range of motion.
- Flexibility exercises
- Neck flexion and extension
- Head tilt towards the left and right side
- Neck rotation, retraction
- Shoulder rolls Isometric exercises (Here resistance is applied by your hand).
- Neck extension, flexion
- Side bending of the head
- Stretching exercises-Neck stretching
- Sternocleidomastoid stretch
The plan of treatment may differ with the case. So, it’s advised to consult the physiotherapist for correct treatment.
There are many sports injuries commonly treated by physiotherapists such as muscle strains, ligament sprains, dislocations and fracture.The type of physiotherapy treatments will vary according to the sports injury.
What Happens at the First Visit?
During your first visit to your physiotherapist, you will be asked about your activity that led to your injury, your past medical history and other related data. The therapist will perform a thorough physical examination of your injured body part. Based on the results of physiotherapy evaluation and examination, also on your particular needs and goals, your physiotherapist will formulate a comprehensive treatment plan specifically made for you.
Physical Therapy Treatments for Sports Injuries
- Ice pack application: Ice application is often prescribed for acute sports injuries.Icing helps minimize your pain and swelling that result from the injury. The physiotherapist will wrap an ice pack with the towel and apply it to your injured part for about 20 minutes.
- Hot pack application: The physiotherapist uses a hot pack wrapped in the towel if you do not have swelling. The pack will be applied for about 20 minutes. Hot pack application can help relieve your pain and muscle or joint stiffness. This helps to hasten the healing by increasing blood flow to your injured body part.
- TENSTENS, or transcutaneous electrical nerve stimulator, is a small battery-operated device that directs small amounts of current to the skin over your injury. You will feel a tingling sensation when the device is turned on. TENS can help temporarily relieve your symptom of pain.
- Ultrasound: An ultrasound is a machine that drives sound vibrations to your tissues. It is a deep heating apparatus or modality. This means that this physiotherapy apparatus can heat up deeper tissues or bulky body areas. An ultrasound may be used by your physiotherapist to soften your deeper tissues or to aid in your healing process.
- Massage: Massage also called soft tissue mobilization, is a hands-on therapy that the physiotherapist may use. Massage may be employed to relax tight muscles, decrease swelling, reduce tissue adhesions, or pain relief.
- Range of motion exercises: Range of motion (ROM) exercises can help improve or maintain your joint range of motion. By performing ROM exercise whenever possible, you can prevent your joints and muscle from becoming stiff.
- Strengthening exercises: Being inactive for a long time can make your muscles weak. Strengthening exercises can help you maintain the strength of your uninjured muscles and improve the strength of your weakened muscles.
- Gait or walking training: You may need gait or walking training using a walking device like a walker or crutches to avoid putting stress on your injured lower limb. The physiotherapist will fit you with a proper walking device and train you on how to properly use it.
What do we mean by the term cerebral palsy?
A cerebral palsy is a group of permanent movement disorders which occur in early childhood. It is a neurological disorder which can occur due to many causes, such as hypoxia, injury, infection, hypoglycemia, or any other cause.
What are the symptoms of cerebral palsy?
Stiffness; tightness in the muscles of the extremities either upper or lower extremity; exaggerated movements; limited movements; abnormal gait; crossed knees; and abnormal reflexes are the common presentations of this disease.
How does physiotherapy help in cerebral palsy?
Physiotherapy is one of the best methods to assist patients with cerebral palsy. It helps in following ways:
- By reducing the exaggerated tone of the muscle
- By enhancing the development of milestones
- By maintaining the muscle length
- By correcting the posture
- By improving activities of daily living
What are the goals of the physiotherapy in patients with cerebral palsy?
The main goals of the physiotherapy are as follows:
- To make the patient independent by improving functional mobility
- To strengthen and stimulate the growth of muscles
- To improve the ability to move parts of the body
- To prevent the joint stiffness and muscle atrophy (wasting of the muscles) of the limbs
- To improve the balance and joint stability
What methods are used in physiotherapy for the patients with cerebral palsy?
It includes following methods:
- Stretching exercises to improve the mobility of joints and soft tissues
- Use of toys and games to make the therapy enjoyable for the child
- Use of special positions, exercises, and cushions to maintain the natural position
- Use of braces, casts, and splints to straighten the joint, support the joint, and to manage uncontrolled limb movements
- Use of a special plastic jacket to prevent exaggerated curvature of joints
- Use of equipment for constraint-induced movement therapy, to improve movements through presenting interesting activities, and giving praise and rewards when a child makes attempts to use the less-functioning muscles
- Use of tilt-tables and standing frames
- Serial casting to increase the range of joint motion and repeated applications of casts, typically every one to two weeks to restore it
- Passive stretching or prolonged manual stretching by using the effect of body weight and gravity or mechanically with a machine or splints
- Use of exercise balls, resistance bands, free weights, swimming pools, and hot and cold packs
- Electric stimulation to improve gait and upper limb function
- Hyperbaric oxygen therapy to improve the oxygen supply to the surrounding neurons
- Use of an ankle-foot orthosis (AFO) in foot drop to prevent tripping over the toes
- Use of walkers also may be prescribed to enhance mobility
As a person grows older, the body undergoes wear and tear. This can be experienced in many ways. It can be quite frustrating for an elderly person to realize that they cannot do the tasks they once completed with ease. Making a healthy choice when it comes to diet and lifestyle can help people live comfortably in their old age.
Some of the most common problems experienced by elderly people are:
- Arthritis: Arthritis is typically experienced in the form of joint pain. It can affect any joint of the body and typically worsens with time. There is no medical cure for arthritis but with the right lifestyle, it can be managed and its progression can be slowed. Exercise is crucial to dealing with arthritis. While it may seem counterintuitive, regular exercise can help the joints stay supple and protect the cartilage between bones. Since obesity, is one of the main risk factors for arthritis, exercise also helps with weight control and hence reduces the risk of suffering from this condition.
- Osteoporosis: Osteoporosis refers to brittle bones or hollow bones. This is marked by the lowering of bone density that makes them weaker and more prone to fractures. Very often, this condition is not diagnosed until the person has broken a bone. Osteoporosis can be prevented by eating the right diet. Calcium is the building block of our bones and hence, a calcium-rich diet can help prevent and manage osteoporosis.
- Depression: Many elderly people are affected by depression. In many cases, it is caused by the inability to perform tasks, they once did comfortably and the frustrations of seeing their body get weaker. Depression can lead to a number of other mental disorders if it is not nipped in the bud. The easiest way to prevent depression is by spending at least one hour outdoors every day. Going for a walk or even sitting in the park where the person gets to interact with other people can help improve their mental health.
- Heart disease: As one grows older, the risk of heart disease increases. People with high cholesterol levels or high blood pressure have an increased risk of heart diseases. Thankfully, eating right can help prevent these conditions. In addition to a well-balanced diet and regular exercise, adding herbs such as garlic, turmeric and cayenne to food have also been known to be beneficial for heart patients.
- Incontinence: As a person ages, the pelvic muscles weaken and he or she may find it difficult to control their bladder. This can create an embarrassing situation. Kegel exercises are ideal to strengthen the pelvic floor muscles and treat incontinence. Drinking a teaspoon of apple cider vinegar in a glass of water each morning can also be helpful in dealing with the problem.
Much of these conditions associated with chronic diseases can be avoided through home remedies and preventive measures such as healthy lifestyle, regular exercise, injury prevention and proper care.
What is Multiple Sclerosis?
Multiple sclerosis is a neurological condition and is caused by damage to myelin, which protects the nerve fibres of the central nervous system.
- Cognitive problems
- Loss of sight and mobility
- Double vision
- Blindness in one eye
- Muscle weakness
- Trouble with sensation
- Trouble with coordination
How Can Physiotherapy Help You?
Physiotherapy can help in cases of multiple sclerosis by providing:
- Physical independence
- Increased chances of staying in employment
- Improved general health and quality of life
Ways of Therapy for Multiple Sclerosis
1. Improve posture
- By putting the right muscle in the right place and at the right time to help it work efficiently.
- This is required for balancing, walking, and improving arm and hand function.
2. Improve Balance
- Multiple sclerosis can alter the way in which a person moves, making him/her feel as if he/she is more likely to fall.
- Neurological physiotherapy helps rebuild poor balance.
3. Improve Walking
- Walking is affected because of general or specific muscle weakness.
- The general weakness can be addressed by exercises.
- In specific weakness, the treatment is likely to be more specialized with rehabilitation technology.
- The most common treatment method for a drop foot or a floppy foot is with functional electrical stimulation (FES).
4. Improve Spasticity
- Muscle spasms, pain, or stiffness in the muscles are experienced by these patients.
- The physiotherapist can help reduce the problems associated with this type of altered muscle function and leg weakness.
- The therapy involves stretches to help you maintain mobility and prevent muscle spasms. It also includes training on how to use mobility aids like a cane, walker, or a wheelchair.
- For rehabilitation exercises, splints or orthoses are used.
5. Improve Fatigue
- Fatigue is a symptom of multiple sclerosis; however, people also get fatigued because of the extra effort they have to invest in all their activities.
- Neurological physiotherapy will work with you to help you manage the fatigue so you can save your energy for the good stuff.
During a relapse
- A relapse — also called a flare or exacerbation — is a period of time when symptoms of multiple sclerosis are more frequent or severe.
- During this period, you may have greater difficulty with everyday tasks that include working, cooking, walking, or bathing.
Progressive multiple sclerosis
- If you have primary progressive multiple sclerosis, you don’t experience relapses. Instead, your disease is on a gradual, constant decline.
- For advanced multiple sclerosis
- People with advanced multiple sclerosis have severe multiple sclerosis symptoms.
- People with advanced multiple sclerosis are non-ambulatory.
- It means they cannot walk or get around without help from another person or a motorized device. Also, people at this stage have an increased risk of developing other health conditions such as osteoporosis or epilepsy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A neurological disorder is characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.
- It helps improve strength, mobility, and increases the range of motion and sphere of movement.
- It helps improve sensory awareness, response, balance, and coordination.
- It helps to improve quality of movement and physical performance.
The Goals of Physiotherapy
- To develop strength enough to support one’s head upright
- To have balance and motor control to maintain their trunk at midline
- To use many different muscle groups
- To assist necessary motion in their trunk and extremities
- The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals
- To understand what the patient is good at and does well
- To focus on what he or she capable of doing rather than on what they can’t do
- To educate and provide awareness with a view to prevent injury. For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.
Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and wellbeing in this way can help reduce seizures. It can also help people feel more in control of their health. It also helps release ‘feel good’ hormones into the brain, helps keep the muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. It can also increase the bone density. A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks resulted in a significant reduction in the number of seizures they had.
Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.
Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. Making new friends may help with any feelings of isolation. Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk. In case you have a concern or query you can always consult an expert & get answers to your questions!
Motor neuron disease is a neurodegenerative disorder that affects motor neurons in the brain, spinal cord and cells that control voluntary muscles. In motor neuron disease, the working of muscles, therefore, stops which leads to muscle weakness and decreased function. When the movement of part of the body is restricted the joints become stiff, painful and can cause muscle tightness which hampers day-to-day activities. When a particular muscle is weakened which is under control of motor neuron, daily exercise keeps weakened muscle strong.
As such there is no cure for motor neuron disease physiotherapy helps to maintain the quality of life by keeping you mobile. Strengthening healthy muscles which are not yet affected helps to compensate for the muscles that are weakened. Daily exercise improves muscle elasticity thus improving range of movement for joints and preventing muscle tightness.
How Physiotherapy Treatment helps?
- Physiotherapy helps to reduce stiffness, pain, muscle spasms and increase mobility.
- Breathing exercises reduce the chance of chest infections and help with chest clearance.
- Exercise helps to ease movement of limbs and body enable us to perform daily activities. Exercise helps to maintain muscle strength, maintains range of motion, and keeps muscle flexibility thereby reducing spasm. It increases the energy levels.
- Physiotherapist gives advice on positioning and posture.
- Advising on various modes of compensation for loss of movement and conserving energy.
- Providing walking aids which will help to keep you mobile and as safely as possible.
- Teaching how to pace up your exercise and to stop when you start experiencing pain.
- Advise, to be given for pain relief.
- Physiotherapy helps in maintaining posture and positioning by keeping a straight back and neck in standing and sitting. Collars, splints and specialised chair are beneficial to maintain posture.
What exercises should be performed?
- Breathing exercises help to breathe easier thus clearing the chest.
- Performing range of motion exercises to maintain mobility in your joints. First one joint is exercised in a systematic manner then the other joint is exercised. The aim of performing range of motion is that it prevents stiffening of joints.
- Massage and other hands-on technique is performed to increase circulation thereby reducing pain aiding relaxation, assisting muscle tone and thus reducing stiffness. It relieves tension from muscle cramps.
The exercise has been categorised into 3 categories-
- Active exercises to be performed where the patient is able to make his muscles perform without anyone’s help.
- Passive exercises to be carried out wherein you are not able to move your joint the helper guides joints by supporting and moving your limb.
Do not perform exercise vigorously which will cause you pain. If you experience pain contact your physiotherapist.
In case you have a concern or query you can always consult an expert & get answers to your questions!