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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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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!
- 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.
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.
Role of Physiotherapy in Epilepsy
- 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!