Dr. Saroja. K

Pain and sleep together contribute to be a dreadful cycle. Pain and sleep are two aspects, which go hand in hand. The effect of the pain coupled with stress and tension causes detrimental effects on sleep.

• Relationship between the two: Studies show that more than half the percentage of people with chronic pain disorders suffer from sleep problems and more than half of insomniac patients suffer from pain. Pain affects the duration of sleep and pain inflicted people have poor sleep hours. Pain also affects the quality of sleep. While trying to fall asleep, environmental factors such as light, external noise and temperature affect a pain inflicted person more. People suffering from pain have much less control on sleep. They worry about their disrupted sleep cycle, which causes more stress.
• Medications: Medications which treat chronic pain sometimes are responsible for causing sleep disturbances because of the presence of certain chemicals. It is perceived that pain medications would reduce pain and sleep would improve. However, this is not the case and people who take medicines for pain treatment, suffer from disrupted sleep. Sleeping pills do not work effectively in people suffering from pain.
• Effects: Lack of sleep affects your quality of life to a great extent, especially when it is due to pain. Lack of sleep combined with pain will affect any kind of work you undergo and your performance will be dull and sloppy. There will be a degradation in the person's mood, activities and even relationships are affected.
• The disastrous cycle: Sleep and pain create a dangerous cycle. The relationship between sleeplessness and pain is reciprocal in the sense that pain affects and causes difficulty in sleeping, in a continuous pattern and poor sleep further enhances or affects pain. Pain causes disturbances in sleep, gives rise to stress and fatigue and leads to even more pain, which again affects sleep. This process keeps on occurring like a cycle.
• Treatment: For treatment of sleeping disorders due to pain, both the aspects should be addressed. A multidisciplinary approach has to be taken. You can try interventional treatment procedures, which will help you to decrease your level of pain. Along with this, you should consult a behavioral health specialist to get the best remedies on coping with stress. Working these two out will result in decreased pain, decreased stress and your normal sleep will be revitalized.

Pain and sleep together work like a cycle. Excess pain leads to reduced sleep, which causes more pain in return and the cycle carries on. Proper remedies should be taken to get rid of the pain, which would revive good sleep.

Dementia is a general classification of a brain disease that causes a long haul and frequently steady abatement in the capacity to think and recall that is sufficiently incredible to influence a man's everyday  functioning. Other normal manifestations incorporate passionate issues, issues with dialect, and a lessening in motivation. An individual's awareness is not influenced. The most common example of dementia is the Alzheimer's disease.

PHYSIOTHERAPY FOR DEMENTIA:

A patient with dementia can benefit from physiotherapy regardless of the possibility that the patient can't perceive their own family. Physiotherapy, notwithstanding, can be of good advantage to the individual who has dementia, and also their family and parental figures at different stages. The principle explanation behind this is that recovery administrations can help the dementia patient to be as utilitarian as would be prudent for whatever length of time that is conceivable. Here are 5 ways physiotherapy benefits an Alzheimer's patient:

-  Physiotherapy can keep up the Alzheimer's patient's freedom and mobility as much as one could expect reasonably. A physiotherapist can outline a home activity program and work intimately with relatives to administer to the Alzheimer's patient.

-  Physiotherapists, as independent experts, embrace much detailed, separately custom-made 
appraisals of the disorders, action confinements and restrictions imposed upon individuals with dementia.

-  The caretakers of individuals with dementia regularly show weakness when contrasted with their same aged companions. Physiotherapy helps with diminishing the weight of consideration by instructing caregivers to provide encouragement and upliftment to individuals with dementia.

-  Patients with dementia are always at a risk of falling down, and hurting themselves. Poor balance accounts for the danger of falls. This can be worked upon and improved by physiotherapy-driven exercises. Exercise can have a huge and positive effect on behavioral and mental indications of dementia, enhancing psychological capacity and mindset, which can decrease the doses of strong medicines. Special exercise routines are assigned to the patients which help improve their body balance while walking.    

-  Physiotherapy has crucial influence in advancing and keeping up portability of individuals with dementia. It assumes a basic part in the end of life consideration by overseeing situations, seating and complicated muscle contracture. Individuals with dementia regularly experience issues in communicating pain. Pain influences cognizance, inspiration and reaction to any intervention. Physiotherapists are specialists in recognizing and treating pain in dementia patients and give training to care home staff and caregivers of the patients.

Physiotherapy is very important for dementia patients. Regular physiotherapy sessions are beneficial for patients for improvement in condition.