Doctor in Dr. Himadri H Dave's Physiotherapy and Rehabilitation Centre
Spinal Surgery Disorders
Treatment of Neurological Problems
Treatment of Knee replacement
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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Frozen shoulder (also known as adhesive capsulitis) is a condition in which the shoulder is stiff, painful, and has limited motion in all directions.
Stretching exercises are usually the cornerstone of treating frozen shoulder.
Always warm up your shoulder before performing your exercises. The best way to do that is to take a warm shower or bath for 10 to 15 minutes. You can also use a moist heating pad or damp towel heated in the microwave, but it may not be as effective.
In performing the following exercises, stretch to the point of tension but not pain.
1. Pendulum stretch-
Do this exercise first. Relax your shoulders. Stand and lean over slightly, allowing the affected arm to hang down. Swing the arm in a small circle — about a foot in diameter. Perform 10 revolutions in each direction, once a day. As your symptoms improve, increase the diameter of your swing, but never force it. When you're ready for more, increase the stretch by holding a lightweight (three to five pounds) in the swinging arm.
2. Towel stretch-
Hold one end of a three-foot-long towel behind your back and grab the opposite end with your other hand. Hold the towel in a horizontal position. Use your good arm to pull the affected arm upward to stretch it. You can also do an advanced version of this exercise with the towel draped over your good shoulder. Hold the bottom of the towel with the affected arm and pull it toward the lower back with the unaffected arm. Do this 10 to 20 times a day.
3. Finger walk-
Face wall three-quarters of an arm's length away. Reach out and touch the wall at waist level with the fingertips of the affected arm. With your elbow slightly bent, slowly walk your fingers up the wall, spider-like, until you've raised your arm as far as you comfortably can. Your fingers should be doing the work, not your shoulder muscles. Slowly lower the arm (with the help of the good arm, if necessary) and repeat. Perform this exercise 10 to 20 times a day.
4. Cross-body reach-
Sit or stand. Use your good arm to lift your affected arm at the elbow, and bring it up and across your body, exerting gentle pressure to stretch the shoulder. Hold the stretch for 15 to 20 seconds. Do this 10 to 20 times per day.
5. Armpit stretch-
Using your good arm, lift the affected arm onto a shelf about breast-high. Gently bend your knees, opening up the armpit. Deepen your knee bend slightly, gently stretching the armpit, and then straighten. With each knee bend, stretch a little further, but don't force it. Do this 10 to 20 times each day.
Starting to strengthen-
As your range of motion improves, add rotator cuff–strengthening exercises. Be sure to warm up your shoulder and do your stretching exercises before you perform strengthening exercises.
6. Outward rotation-
Hold a rubber exercise band between your hands with your elbows at a 90-degree angle close to your sides. Rotate the lower part of the affected arm outward two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day.
7. Inward rotation-
Stand next to a closed door, and hook one end of a rubber exercise band around the doorknob. Hold the other end with the hand of the affected arm, holding your elbow at a 90-degree angle. Pull the band toward your body two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day.
For more exercises to improve your balance and prevent falls, increase your flexibility, and even help relieve arthritis, back, and knee pain, buy the Harvard special health report stretching: 35 exercises to improve flexibility and reduce pain.
Sir my mother is suffering from back, pain and also has a pain in left leg. It is serious pain .from a mother suggestion it was identified as squats. Sir please suggest some medicine for it.
Back pain is a common source of pain and can be acute, sub-acute or chronic in nature. Back pain is classified along the segments of the spine and can be divided into neck pain, middle back pain, lower back pain and coccydynia or tail bone pain. Back pain can be quite troublesome as it disables a person to move about freely due to constant ache.
Here are some procedures for the treatment of back pain.
- Give your back some rest: Most people who get back pain become obsessed with it and end up getting MRI scans and x-rays done. Some even take injections and other such measures without recognizing the intensity of the pain. It is advised not to rush into the matter immediately and the simplest way to cure the pain is by resting. 90% of pains in the back resolve by themselves in 6 weeks and so you must give your back a break instead of taking medical actions and let time do the healing.
- Pills: While you let time treat your back pain, sometimes the pain increases and gives you a bad time. In this case, you can take anti-inflammatory medicinal pills such as ibuprofen or naproxen. These pills will help you ease the pain. However, using such pills for a continued period of time causes side effects such as gastrointestinal disorders. Hence, you should not take them for more than ten days at a stretch.
- Hot and cold compress: Apply a bag of frozen peas or an ice pack to the affected area for 48 hours after the pain appears. Every session should be about 20 minutes, and you should take more than two sessions each day. After two days, repeat the same procedure using a heat pad instead of ice. The cooling procedure shuts down your blood capillaries and reduces the flow of blood to that area. The swelling is eased as a result. The heating, on the other hand, loosens tight muscles and increases the blood circulation, providing extra oxygen.
- Change your mattress: People who sleep on firm mattresses and cushions on their beds are at a higher risk of having a back pain. According to studies, it has been observed that people sleeping on medium-firm mattresses have healthier backs. In case your mattress in sagging or is over 8 years old, you should replace it.
- Acupuncture: When your back pain is very severe, you can resort to acupuncture, which provides efficient pain relief. The procedure changes the way your nerves react and reduces inflammation.
Back pain arises from various reasons and should always be taken care of. Unattended back pain worsens and makes the affected person suffer.
Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:
Help the hip joint work better
Improve walking and other movements.
The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:
Osteonecrosis (a disease that causes the bone in joints to die)
Injury of the hip joint
Bone tumors that break down the hip joint.
Your doctor will likely suggest other treatments first, including:
Walking aids, such as a cane
An exercise program
These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x-ray to look at the damage to the joint. If the x-ray shows damage and your hip joint hurts, you may need a hip replacement.
Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.
An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted so that the hip joint is exposed.
An equipment is then used to remove the ball socket of the joint by cutting the thighbone.
The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.
Once the joint is fixed, the ball of the thighbone is then put in the hip socket.
The fluids from the incision area are then allowed to drain.
The hip muscles are then put in place and the incision is closed.
After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.
It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid-portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.