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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
Submit a review for Dr. Swati JhalaYour feedback matters!
Hello Doctor. I am posting this question for my husband. It has been 3 years we married and he is aged 33 and chartered accountant by profession. For past 3 months I am noticing that he is not having sound sleep, restless during his night sleep, wakes up at 2.30 or 3 keeps on reading books. Feeling very tired after coming from office, feels extreme pain on his legs and shoulders. I give in lots of greens, chapatti, millets, raagi, sprouts but still I am much worried about his health. Not sure what to do in this situation, please advice me.
I am 57 years old. I am having pain in the bottom of my feet (we call it Padam in Tamil). This happens when I get up after sitting for a long time in office or home. It pains and after some time it decreases. Can you help with some remedy.
Sir I am feeling heavy pain in ankle joint for 2 days unable to stand up, my TLC is 14100 and uric acid 7.8 other tested parameters are normal e.g DLC, HB,platelet 1.25,blood sugar fasting 94, kidney function test blood urea and serum creatinine ok, Please oblige and advice.
My health is quite normal. But its been since long time that whenever I lift heavy stuffs I feel pain right side of my waist, below the right chest around appendix. Although nothing happen after some time I feel better. But it happened. I, now always careful as I know this problem. I want to know why this strains pain I feel there. Please guide me.
I had problem my knees are every time when I sit and get up the ists gives sound every 4 minutes knees are sounding like tup.
I am 27 yrs old. Having chest pain at left side with pain in left hand and shoulder. Also heavy head and shaking in whole body with mild breathing problem from last 2 months. Dr. Did ecg twice, blood test n chest x Ray all are normal. Still have pain even now. Could you please assist me? Thanks.
My mom age is 50 years and she is having pain in bones, she is having lack of vitamin D please help.
I am using knee braces from last one week every after 8 to 10 hrs of duration I am suffering from knee swelling.what to do
I am 27 yrsof age having obesity as I can't do work more time. I feel pain and uncomfortable. I have pain also in my legs ankle.
I have been suffering from back pain, it's from left side my neck following to waist. I know it's because of hectic work schedule from 9 am to10 pm, even after taking break in-between of 2 hrs for post Lunch. Kindly suggest me the need full as I could not make it as neck pain (spondylitis) or back pain.
Mere pairon mein bahoot dard hota hai aur phir khada hone mein dikkat mahsoos hoti hai aur dil karta hai kahi baith jaaon and phir kmr mein bhi dard hone lag jata hai aur kmr bhari ho jati hai.
I have pain in my legs from four days and it's unbearable I even can't walk I just played cricked before 3 days and then its start paining a lot after I played. Now I can't even walk properly my weight is 86 kgs and height is 5'9" what can be the problem? Please tell me.
What is osteoporosis?
The components of the word 'osteoporosis' literally mean 'porous bones' - 'osteo' is for bones, and 'porosis' means porous - helpfully describing this condition that results in reduced bone density and increased fragility of the bones.The thinning of the bones in osteoporosis, combined with the formation of weaker bone crystals, puts people at a higher risk of Fall and Fractures.
It can affect anyone of any gender, but it is particularly prevalent in postmenopausal women due to the sudden decrease in protective oestrogen levels after menopause.
Signs and Symtom
Bone loss that develops slowly, leading to osteoporosis, does not cause any symptoms or outward signs.
As such, a patient may only discover that they have osteoporosis due to an unexpected fracture after a minor fall or a slip or strain - or even a simple cough or sneeze - may result in a fracture.Breaks in the spine can lead to altered posture, with compressed vertebrae creating the stooped appearance often seen in older people
- Osteoporosis may be diagnosed directly through the use of a bone scan that measures bone mineral density (BMD). Central or peripheral DXA.
- Osteoporosis is diagnosed when the T-score is -2.5 or below.
- Other methods of measuring bone density include x-ray, ultrasound, and CT scan
It is important to ensure the cause of low bone denisty has been properly diagnosed as the treatment will vary greatly.the decision about what treatment you need – if any – will also be based on a number of other factors. These include your:
- risk of fracture
- previous injury history
Treating osteoporosis involves treating and preventing fractures and using medication to strengthen bones.
How Can a Physical Therapist Help?
Your physical therapist can develop a specific program based on your individual needs to help improve your overall bone health, keep your bones healthy, and help you avoid fracture. Your physical therapist may teach you.
- Specific exercises : to build bone or decrease the amount of bone loss
- Proper posture
- How to improve your balance so as to reduce your risk of falling
- How to adjust your environment to protect your bone health
Typically, exercises are performed 2 to 3 times a week as part of an overall fitness program.Your exercise routine should include exercises in each of the following areas:
- Strengthening exercise
- postural exercise
- balance exercise
- Flexibility exercise
1) Strength training
Strength training is a type of exercise with the goal of improving muscular strength. It involves performing movements against resistance; it is sometimes referred to as resistance training. Exercise bands, weights, machines or even your own body weight can be used for resistance. Strength training may increase spine and hip bone mineral density.
2) Posture training
Posture training involves paying attention to how the parts of our body are aligned with each other. Some kyphosis, or curvature of the upper back, is normal, but fractures or weak back extensor muscles can cause the spine to curve more than usual, resulting in an exaggerated kyphosis or excessively curved upper back.Attention to alignment during activity and at rest, along with exercises targeting the back extensor muscles, can improve the alignment of the spine. Flexion exercises are often CONTRAINDICATED. .
3) Balance training
Balance training exercises are those that challenge your balance.Balance exercises are also important to incorporate to further reduce the risk of falls Examples include:Shifting weight to the limits of support (e.g., moving your weight more to one foot than another).
Physical activities like Tai Chi, that involve balance and coordination may also reduce falls and fractures.
Tai Chi is a very safe and effective low impact form of exercise that improves balance and reduces the risk of falls.
4) Weight bearing Aerobic (water) physical activity
Aerobic exercise is a rhythmic activity that you do for at least 10 minutes at a time continuously and it increases your heart rate and makes you breathe harder than you usually do during your daily activities.For individuals with osteoporosis, we often recommend weight-bearing aerobic exercise or physical activity like walking or cycling or swiming or guided exercises to be done in swimmimng pool
5 flexibility exercise:
These can help improve the individuals overall physical function and postural control
Start by speaking with a physical therapist or consult me to ensure you are choosing safe , specific and appropriate physical activities for you.
Remember: if you have osteoporosis, aerobic exercise is not enough. Strength training and balance training are essential to maintain bone and muscle, and prevent falls.
"Osteoporosis is not a inevitable part of aging it is preventable.So it is vital that all of us,start taking care of our bones now, before its too late"..quote by Camila Parler Bowles