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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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Dr. Narendra Kr Singhal provides answers that are very helpful. Thank you
Sex ke baad do mhine tk regular period ane ke baad tisre mhine agr period late ho to pregnancy ke kitne chances h? Kya ye kisi v condition me possible ho skta?
If a boy put his penis inside nd do just 2 times in out not so badly but he does. Does that sperm comes out so is there any chance of pregnancy
I am a 20 years old female. I had sex with my boyfriend on 26th july without condom and then on 31st July with condom. My periods date are approaching between 10-15th August. Are there any chances of me getting pregnant?
I rubbed and fingered my girlfriend vagina near clitoris .but my sperm is dried in my hand .is there any possible of she becoming pregnant.
I am 5 days away from my period and I had sex today using the pull out method. He came on my stomach 2 days after he pulled out. Could I be pregnant?
Hello doctor I had sex with my partner on June 16 and after that I got my periods on time but the flow was very less and also lasted for only 2 days. So is there any chance that I can be pregnant? I'm worried.
A fracture is a complete or incomplete crack, which appears on a bone due to application of intense pressure or force. A fracture results in extreme pain, and the bone becomes immobile. Any kind of movement boosts the pain. Fracture pain occurs in three distinct stages. Acute pain is felt immediately after a fracture while sub acute pain occurs over the weeks that follow after a fracture. The third stage or chronic pain occurs when the fracture and soft tissues around it have healed.
Fracture pain is quite intense in nature and proper precautions should be taken while dealing with them:
- Development of fracture pain: When a bone undergoes a fracture, the ligaments and tendons are also damaged. While the bone slowly heals, ligaments and tendons fail to heal equally well or completely. Post fracture pain also develops when the outside of the bone does not heal completely. This usually does not appear in an X-ray.
- Treatment of fracture pain: Modern medications can be utilized to treat a fracture pain. Steroid injections and prescribed anti-inflammatory medicines help in treating a fracture pain. However, these remedies cause side effects, which are harmful for the body. Cortisone shots are utilized for the same purpose as well.
- Prolotherapy: Prolotherapy is an approach where ligament and tendon strengthening is stimulated along with repairing. This technique ensures complete treatment of the fracture, and the risk of long-term complications like arthritis is absent. In cases of fracture pain, which occurs due to the incomplete healing of the outer part of the bone, Prolotherapy helps in strengthening the fibro-osseous junction at the source of the pain. This will stop the nerve endings from firing. Prolotherapy provides speedy recovery and accounts for making the injured bone stronger than before. This process is often undergone by athletes. The procedure is undertaken only after thorough examinations for detection of the root cause of the pain. Prolotherapy is considered to be the best treatment for repairing tendons and ligaments, which commonly cause fracture pain. The body is simply stimulated and the painful areas are repaired. This is done by the introduction of a mild inflammatory reaction to the area of the weak tendons and cartilages. The results obtained after Prolotherapy are permanent and the fracture pain is unlikely to reoccur.
- Splints are utilized to stop the movement of fractured bone and braces can be used to support the bone. Plaster cast also supports and immobilizes the fractured bone. Traction and surgical implants are other treatment measures.
- Fracture pain occurs not only because of the broken bone, but also because of the weakened ligaments and tendons around the bone. Fracture pain should be handled very carefully, and proper control measures should be applied. If you wish to discuss about any specific problem, you can consult a physiotherapist.
The back bone or spine is made of a series of bones extending all the way from the neck (cervical) to the tail (coccyx). These joints, like others, are prone to inflammation, sprain and strain, some more than the others. The coccyx in particular is highly prone to inflammation and can lead to localized pain, which is very typical, with the pain in the tailbone. This is known as coccydynia. Read on to know more about this common condition.
What is Coccydynia?
- Literally, coccydynia translates to tailbone pain.
- It is characterized by a sharp, localized pain between the buttocks in the tail bone.
- It is often caused by injury to the pelvic area or the tail bone.
- Sitting and/or leaning against the buttocks make it worse.
- Pregnancy, when the additional hormones relax on the pelvic floor, also leads to increased pain of the tailbone.
Diagnosis: The pain can be easily confused with other conditions like sciatica, fractured tailbone, tailbone infections like shingles, etc. However, for a trained medical person, the symptoms of tenderness and pain are quite diagnostic. Pilonidal sinus, fistula, pudendal Neuralgia is also same as Coccydynia and show same symptoms.
- If there is a rash or inflammation, it needs to be evaluated further for additional problems.
- Where possible, rest completely for a short period of time till the acute phase of pain subsides.
- In case of injury, ensure there is no repeat injury to the same area.
- Pain medications are used to relieve pain, where it is severe and intolerable.
- In severe cases, cortisone injection may be given in the doctor’s office. In addition to pain relief, it may even take care of the underlying problem per se.
- Avoid sitting for prolonged periods where possible.
- After the acute phase is over, when sitting for prolonged periods, sufficient padding is advised. This could be in the form of pillows or padded seats.
- Sleeping on the sides is difficult, so sleep straight. If required, take a pillow in the middle.
- Physiotherapy is also helpful in some people who have repeat attacks. This helps in pain management and controlling acute phases. There are specific tailbone stretches, which should be done under supervision.
- Walking is one of the many effective ways to keep the tailbone “unlocked”, which helps in getting rid of the pain and avoiding spasms of the muscles around the tailbone.
- Best internal manipulation and pain management can be done with Coccyx exercise.
The time taken for healing of the tailbone depends on whether it is a simple bruise or a severe one. The former would heal completely in about four weeks, while the latter will take about 12 weeks. If you wish to discuss about any specific problem, you can consult a physiotherapist.
Yoga is recommended for people with joint inflammation or arthritis. In the case of certain individuals with different sorts of arthritis, studies have shown that consistent yoga practice can lessen joint pain, improve flexibility of the joint and release the stress and strain to provide better rest. Yoga comes with a wide range of practices; however, for the most part, it includes adopting specific bodily postures. It also includes breathing and meditation exercises.
Some of the yoga postures to cure arthritis are as follows:
- Sun salutations: They are the perfect way to begin a day. They can be reflective and calming as you develop the strength to breathe fresh air. Stand with both feet touching, and afterwards, join your hands, palm-to-palm, and place them on your chest. Breathe out and raise your arms upward. Gradually twist backwards and extend your arms over the head. Unwind your neck and breathe in. You must keep in mind that it is one breath for every movement.
- Kid's pose and child's pose plus: This is a truly gentle and simple approach to stretch the lower back. Get into the stance by dropping down onto your knees, spread your knees wide and join your toes. Place your hips back onto your feet or heels and stretch your arms forward onto the ground.
- Bovine pose (cow pose): Get on all fours with your hands; keep your wrists directly under the shoulders, and spread your fingers wide. Your knees need to be at the hips' width and directly under your hips. Point your abdomen upwards, as your shoulder bones push down towards your abdomen, and tilt your pelvis up and back so that you are sitting.
- Furious cat: Turn around the cow pose to do the furious cat pose. From all fours, pull your belliy in and your back arches into a back bend. Point your hips back toward your lower legs to build the space between every vertebra.
- Prostrate twisting: Bending should be very useful, but if the bending or twisting brings on any pain, leave it quickly. Lie on your back, draw your knees toward your abdomen, and wrap your arms around your legs, giving yourself a little hug. Shake yourself from side-to-side or forward and backward.
- Bridge pose: Lie in a straight position on the floor, twist your knees, and set your feet on the floor. Breathe out and press the inner parts of your feet and your arms into the floor. Push your tailbone up, tighten your hips, and lift them off the floor until your thighs are parallel to the floor. Keep your knees right above your heels and lift the upper part of your hips toward your stomach. If you wish to discuss about any specific problem, you can consult a physiotherapist.
Concentrated pain in the neck can be especially tormenting. Before you look for a cure for this pain and start treating it, it is important that you try and find out the underlying cause behind it as well. Contacting a physiotherapist in time will allow you not only to avoid any and every side effect posed by neck pain, but also assist you to get good riddance from it.
Causes of Neck Pain:
There can be multiple causes of neck pain. The treatment of the same depends wholly on the factor that is causing the pain. Some of these causes of neck pain include
- Misaligned hips,
- Misaligned Spine,
- Misaligned shoulders,
- A constantly forward-tilted head,
- Lack of movement of the head from one specific position,
- Tensing up of the muscles in the upper back,
- Tensing up of the muscles in the neck region, etc.
- It is all these factors and a few more that end up resulting in stiffening of muscles in and around the neck and causing you intermediate to unbearable pain.
Side effects of neck pain:
Neck pain also has some side effects, which includes temporary loss of consciousness, nausea, vomiting, blackouts, temporarily blurred vision, headache, spondylitis, etc.
Exercises for neck pain:
Neck exercises are a predominant part of the treatment extended by every physiotherapist, to cure neck pain. Some of the most vital and effective exercises for neck pain are listed below.
- Frog: Funny as it way sounds, the frog is one of the best exercises when it comes to treating neck pain. All you have to do is lie down on the floor with your knees apart, your feet joined, your hands laid upward on the floor at a 45-degree angle to your body and just stay there in that position for two minutes. This will force your back to arch naturally, slowly giving some relief to your neck.
- Sitting floor: Try sitting floor for neck pain. All you have to do is sit straight with your back rested on a wall, with your legs laid straight forward. Bring together your shoulder blades and bend to help them meet your knees while curling the toes outward to optimal. Stay in this position for a good 3 minutes, without bending the legs.
- Static wall: Lie down on the floor with your bottom against a wall and your legs up it. You can always scoot back a bit if there is the slightest of discomfort. The aim here is to help the tail bone lie comfortably on the floor. Tighten your thigh muscles but curling your toes outward and pointing your feet straight out from its previous position. Maintain this position for 3 minutes for maximum effect.
- Static back: The static back is the most common and most helpful exercise for neck pain. All you got to do is lie down on the floor, while placing your legs on an elevated surface, such as an ottoman or a chair at a 45-degree angle to your body. Now put your arms at an angle of 45 degrees to your body as well, only sideways on your shoulder. Follow this position by lifting your palms and staying in that position for five to ten minutes.
All these exercises are aimed to positively influence one muscle or the other in and around the neck region and to help you get rid of that pain. Consult a physiotherapist first, and he/she will advise you on the best neck pain exercises.
What is Osteoarthritis of Knee?
Osteoarthritis of the knee (knee OA) is a progressive disease causing inflammation and degeneration of the knee joint that worsens over time. It affects the entire joint, including bone, cartilage, ligament, and muscle. Its progression is influenced by age, body mass index (BMI), bone structure, genetics, strength, and activity level. Knee OA also may develop as a secondary condition following a traumatic knee injury. Depending on the stage of the disease and whether there are associated injuries or conditions, knee OA can be managed with physical therapy. More severe or advanced cases may require surgery.
Symptoms of knee OA may include:
- Worsening pain during or following activity, particularly with walking, climbing, or descending stairs, or moving from a sitting to standing position
- Pain or stiffness after sitting with the knee bent or straight for a prolonged period of time
- A feeling of popping, cracking, or grinding when moving the knee
- Swelling following activity
- Tenderness to touch along the knee joint
Physiotherapy For OA Knee
Here are 5 exercises to help you take control of your knee OA. These exercises are recommendations. Before doing them, get your doctor's okay. Never push through pain with these exercises—you may be doing your joints more harm than good. Soreness is normal when starting an exercise program, but if it doesn't go away, call your doctor.
1. Knee OA Exercise #1: Standing Quadriceps Stretch
Stretching your quadriceps can ease tension in the knee joints.
- Stand with feet hip-distance apart.
- Bend your right knee and hold the top of your right foot with your right hand.
- Bring your right heel as close as possible to your glutes. You can use a wall for balance.
- Hold for 30 seconds, and repeat on the left leg.
- Do 3 times once a day.
Knee OA Exercise #2: Standing Calf Stretch
This gentle calf stretch increases flexibility in your leg muscles and knee joints.
- Bring your right foot a few feet in front of your left foot. Bend your right leg, making sure your knee doesn't go past your toes.
- Keeping your left leg straight, press your left heel toward the ground to stretch the calf of your back leg.
- Hold for 30 seconds. Repeat on opposite leg.
- Do 3 times daily.
Knee OA Exercise #3: Seated Leg Raise
The seated leg raise exercise helps strengthen muscles around your knees.
- Sit on a chair with both legs bent at 90°.
- Slowly raise your right leg so that it's parallel to the floor, keeping your left foot on the ground.
- Hold for 30 seconds, then slowly bring the right foot back to the floor, and repeat on left leg.
- Do 10 times twice a day.
Knee OA Exercise #4: Step-ups
Step-ups strengthen your legs, making it easier for you to do everyday things like climb stairs. You'll need an exercise step, or use a bottom stair in your house.
- Stand in front of the stair with feet hip-width apart.
- Step onto the stair with your right foot, then with your left foot.
- Step down in reverse: Your left foot reaches the ground first, then the right foot.
- Go at your own pace for about 30 seconds at a time. For balance, use a railing.
- Do 10 times twice a day.
Knee OA Exercise #5: Static Quadriceps Contraction
- With your knee relatively straight, slowly tighten the muscle at the front of your thigh (quadriceps) by pushing your knee down into a small rolled up towel.
- Put your fingers on your quadriceps to feel the muscle tighten during the contraction.
- Hold for 5 seconds and repeat 10 times as firmly as possible without increasing your symptoms.
What if I Need Surgery?
In some cases of knee OA, the meniscus (shock absorber of the knee) may be involved. In the past, surgery to repair or remove parts or all of this cartilage was common. Current research, however, has shown in a group of patients who were deemed surgical candidates, 60-70% of those who participated in a physical therapy program, instead of surgery, did not go on to have surgery. Further, after 1 year those outcomes were unchanged. This study suggests that physical therapy may be an effective alternative for those patients who would like to avoid surgery. If you wish to discuss about any specific problem, you can consult a physiotherapist.
The point of doing a workout is to put your body through the motions and phases before you hit an intense spot of persistent action before cooling down. This helps in giving your body a well balanced workout. But what many of us do not know is that a good workout schedule will also involve a well paced warm up session with exercises that will warm up the body and its various areas as well as the muscles so that the intensity does not hit the body suddenly and result in some sort of injury or undue fatigue.
So get it right with these eight warm up exercises that you aren't doing, but totally should!
- Dynamic: Follow a dynamic routine and mix it up a little with various kinds of movements that will work the different areas of the body. Start with squats and move on to lunges before you do a few skips to warm up!
- Jump: Try the jumping rope the next time you hit the gym and watch your heart rate go up just enough to get you all warm and loose and ready for that heavy duty work out. You can start with five minutes of this motion before moving on to your first set.
- Dance: Did you know that switching on your favourite music and shuffling your feet before you start to gyrate a little can actually get you in the right frame of mind for a workout? So next time, warm up with a little dancing!
- Balance: Warm up with a balancing act or two. Stand on one leg and do deadlifts with a dumbbell. Repeat the same motion for both arms. This helps in imitating the actual workout that you will be indulging in, which helps in warming up the relevant areas.
- Stretches: Try doing stretches and jumping jacks for stability and to work your core strength before you hit the gym equipment. This will bring about better blood circulation and help you get your heart ready for the work out.
- Swing: Use swinging movements with your arms and legs with circles and marches to help loosen up the muscles.
- Walk: Do animal walk with crab walks, frog jumps, bunny hops, inch worm motions and much more to unleash your energy.
- Medicine Balls: Grab some medicine balls and do a few moves like the rotational twist, the front body push, the reverse eight and many more to get your body pumped up.
Warming up is an important part of working out, so remember to get your warm up routine right! If you wish to discuss about any specific problem, you can consult a physiotherapist.
Cubital Tunnel Syndrome is also known as Ulnar Neuropathy, a nerve compression syndrome where the Ulnar nerve, also known as the funny bone nerve, gets compressed due to heightened pressure or stretching. It can lead to numbness or a tingling sensation in little and ring fingers, sometimes pain in forearm and an overall weakness in the hand. Ulnar nerve is one of the three main nerves in the arm. It runs in a groove on the inner side of the elbow. Since it travels through a narrow space and has very little protective tissue, the nerve is quite vulnerable to compression
The symptoms of this condition may range from mild to severe. Some of the mild symptoms include:
Numbness in little and ring finger as the fingers fall asleep
- A tingling sensation, usually like the pinch of pins and needles in ring and little finger
- Pain in forearm
- Weakness in the hand
- Some of the severe symptoms include:
- Reduction in overall hand grip
- A claw like deformity in hand
- Wasting of muscles of the hand
Generally, doctors diagnose this condition through the symptoms. However, nerve tests are also conducted to check the level of nerve compression. Electromyography is a procedure in which electrodes are placed on the skin and muscles to measure muscle health. Determining muscle health and level of compression helps decide the mode of treatment.Generally, Generally, the symptoms of cubital tunnel syndrome are managed through a conservative treatment. However, in cases of severe compression, surgery can be considered as an option to relieve pressure, moving nerve to the front of the elbow or removing a part of the bone
For mild cases, a towel or a protective cover for elbow is recommended. The towel should be wrapped around the elbow loosely. An elbow splint can be worn at night to protect the elbow from being bent for long time
- How can a physical therapist help?
A physiotherapist has an essential role to play in treatment of this syndrome. A therapist can help the patient to learn ways of avoiding pressure to the nerve. After surgery, with restrictions of movement, a therapist can help achieve smooth recovery and movement of the elbow. Your physical therapist will determine the activities that bring on your symptoms. The recommendations at this point will be to avoid those activities for a time. Remember, the nerve is irritated and at times swollen. If the irritation and swelling are reduced, the symptoms should resolve.If If you wish to discuss about any specific problem, you canconsult a physiotherapist.
Carpal tunnel syndrome is a painful disorder of the hand caused by pressure on your median nerve as it runs through the carpal tunnel of the wrist. Symptoms include numbness, pins and needles, and pain (particularly at night). Anything that causes swelling inside the wrist can cause carpal tunnel syndrome, including repetitive hand movements, pregnancy and arthritis.
Cause of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome symptoms begin when the pressure inside the tunnel becomes too high. This results in your median nerve becoming compressed as it passes through the small tunnel.
The carpal tunnel pressure increase occurs when either of two things happens:
- The tunnel space decreases, such as when the wrist swells eg after a traumatic injury, partial subluxation of the carpal bones or fracture or tenosynovitis.
- When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge.
- Both of these situations increase the pressure on the nerve, leading to the carpal tunnel symptoms.
Symptoms of Carpal Tunnel Syndrome
Carpal Tunnel Syndrome (CTS) sufferers will usually experience the following symptoms in their hand or fingers:
- hand pain or aching
- pins and needles
- numbness esp at night of with wrist flexing
- weakness or cramping
- perceived swelling
The symptoms are usually worse at night and your grip will weaken as the condition progresses. Eventually you will notice muscle atrophy of the thenar (thumb) muscles and loss of hand function or clumsiness. If this sounds like you, suspect carpal tunnel syndrome.
Physical Therapy Treatment
- Gliding Exercises: Moving your fingers in a specified pattern of exercises may help your tendons and nerves glide more smoothly through your carpal tunnel. While there’s some evidence that gliding exercises can help relieve symptoms when used alone, these exercises appear to work better in combination with other treatments -such as splinting.
- Graston Technique/Manual Therapy: The Graston Technique incorporates a patented form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and restrictions that effect normal function. Manual therapy techniques such as myofascial release or Active Release Technique are hands-on techniques that release tight tendons and musculature.
- Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
- Traction: Some people obtain relief from carpal tunnel symptoms by using a hand traction device, called C-Trac. You might try this device, which can be purchased for home use, if other conservative treatment options have failed.
- Splints: Splints (braces) are the most commonly used nonsurgical treatment for carpal tunnel syndrome. Splints that immobilize the wrist in a neutral (unbent) position are most likely to relieve discomfort. An unbent wrist maximizes the size of the carpal tunnel, which reduces pressure on the median nerve, relieving your symptoms. If you wish to discuss about any specific problem, you can consult a physiotherapist.
Low back pain is one of the most common medical problems and it occurs due to injury associated with the nerves, bones, and muscles of the back. The pain can vary from a sharp shooting pain that happens at various intervals to a gnawing pain that can last for weeks on end. While the former can go away with some muscle relaxant, the latter may need a combination of medications and exercise.
- Common reasons include improper sleeping posture, lifting, fracture, lack of exercise, disk injuries, arthritis, and many more. Most of these instances would lead to medium to long term pain that will not subside on its own and for long Physiotherapy has proven to provide good relief.
- The aim of physiotherapy is to reduce pain, improve movement, and maintain the spinal function in the long run. Most often, the therapy sessions would last for about 4 weeks when the regular course of medications have not helped much.
- Nerves, muscles, bones, and disks of the lower back are supported by the abdominal and back muscles. The intent of the exercise is to strengthen these two sets of muscles so that the spine/lower back per se is not very susceptible to injury. The exercises would be a combination of stretching followed by strengthening and conditioning, all aimed at these two sets of muscles.
- Some common exercises include bottom to heels stretch, knee rolls, back extensions, deep abdominal strengthening, and pelvic tilts.
- In addition to being used as a sole mean of treatment, physiotherapy is also used in back pain to treat severe cases both pre and post surgically. What is corrected by surgery needs to be enhanced by the regular exercises as prescribed by the doctor.
- One disclaimer that a doctor might want to give is that physiotherapy may not be beneficial if exercises are not done properly or if the patients do not adhere to the scheduled prescription. The long term success depends not just on getting the relief, but on following the maintenance exercises as prescribed. This is more important and helps avoid relapse of the back pain. A good posture and improved core stability with ongoing exercises is the key to success of physiotherapy in low back pain.
- While most people consider low back pain as a chronic condition, it can be managed effectively. It is important to realize that there is no overnight cure and that it may not get better on its own. Physiotherapy is a very good intervention; however, it will depend on the severity of pain and how it affects the patient's lifestyle. If you wish to discuss about any specific problem, you can consult a physiotherapist.