Musculoskeletal Injury Physiotherapy
Range Of Motion Exercise Treatment
Post Surgery Rehabilitation
Sensory Integration Therapy
Treatment Of Meniscus Injury
Neuro Physiotherapy Treatment
Computerised Traction Procedure
Column Traumatology Procedure
Treatment of Mckinzie Treatment For Spine
Rf Neurotomy Procedure
Manual Therapy Treatment
Treatment Of Lumbago
Custom Splinting Bracing Procedure
Achilles Tendon Rupture Treatment
Submit a review for Paramount General Hospital & I.C.C.UYour feedback matters!
Patient Review Highlights
Child care is often one of the crucial aspects that have to be given due consideration during the growth of a child. Children now are susceptible to a variety of impairments, and even though there are medications and treatments to take care of their needs, they would still require a personal touch. This is where pediatric physiotherapists come in. Their primary job is to work with people of different ages from premature babies to young adolescents to ensure that they interact optimally and address their development stages. Like any physiotherapist, they are also concerned with the movements of the child, their postures and their coordination with the outside world. Let us have a look at their profession in depth.
Role of Pediatric physiotherapists
The major role of the pediatric physiotherapist would be to assess the child and make a detailed physiotherapy plan according to his/her needs. They are also required to work in close collaboration with parents, teachers, doctors and other health care professionals. Based on the length and the gravity of the treatment, it can either be done at home or at the designated health care centers. Some of the conditions they address can include:
- Cerebral palsy
- Developmental delay
- Visual handicaps
- Premature babies
- Postural problems
- Respiratory problems such as asthma
They also give across treatments in older children for:
- Brain injury and spinal injury
- Neurological diseases
- Post trauma injuries, such as fractures, sports injuries
- Burns and plastic surgery
- Limb deficiency conditions
- Chronic pain
Their major focus would be in imparting guidance for the movement that the child might be hampered with. Since children would not be having the necessary control to fight a disease, they can also focus on strength training in a child. They can also slowly groom up your child to let them feel at ease with the physical world. Most of the exercises and session would focus on one critical issue their confidence level. Pediatric physiotherapists would always concentrate on this aspect, apart from the training. They always encourage the children to take part in a wide variety of activities and will also groom them to be independent. Also in older children when they have the capacity to understand, the pediatric physiotherapist should always inform the child about his/her physical nature and that there is nothing wrong with him. The more open they are to the child, the more the child would reciprocate.
There are also many medications and physical treatment plans that can be given when the child is undergoing the therapy. These can include wheelchair assist, walkers or canes. Most of the children who are affected by the conditions may also have a poor development of their vision. The pediatric physiotherapist should liaise with the ophthalmologist to take care of their needs as a sense of right vision can sometimes go a long way in how the child responds to a treatment. They also have an added commitment of making the child respond to a treatment in which he/she is comfortable in.
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.
I am 42 years old and working on computer for about 8 hours (sitting job). I am suffering from severe pain in the back side right ribs specially in the morning when I wake up. After woke up it becomes somewhat normal but in the morning (wake up) having severe pain in the back right hand side ribs. Pls. Help me to solve this.
I am a state level player of cricket. Before one month I was suffering from slip disc. Now I am feeling better. I just want to know can I play cricket again if yes then how much rest I need to take.
Know how Knee and Back injuries can be treated
Neck pain is a common medical condition, which can be easily treated if proper care and medications are taken. It usually occurs due to strained neck muscles, often caused bad posture, though there might be other causes as well. Rarely, neck pain can be a symptom of a more serious problem as the condition is relatively mild in nature. The symptoms of a neck pain are very obvious which refers to any kind of discomfort in moving your neck on a daily basis. Along with this you might also have headache, stiffness of the head and muscle tightness.
Some of the most common causative factors of neck pain are listed below:
- Muscle strains: A muscle strain generally happens when you exert too much pressure on your neck continuously for long periods. It also happens when you have your neck fixed in the same position for long hours of the day. Muscle strains in the neck may occur when you keep your neck bent in the wrong way while doing activities like reading a book, looking at your mobile phone or working over your laptop for extended hours.
- Worn joints: Just like all the other bodily joints, the neck joint also tends to wither and degrade with age. This phenomena is known as the wear and tear of the joints. The bones of the neck joint tend to wither with time, thereby making your joint frail and exposing it to various pains and medical conditions.
- Nerve compression: Nerve compression is a medical symptom whereby, there is excessive pressure put on one particular nerve in the body. Herniated discs or bone spurs in the vertebrae of your neck can press on the nerves branching out from the spinal cord, hence causing a long lasting neck pain. Damage caused from a nerve compression may be minor or severe depending on the pressure applied. It may cause temporary or long lasting problems depending on the degree of damage caused. The earlier you get a diagnosis and treatment for nerve compression, more quickly you will find relief.
- Whiplash: Neck related injuries are common phases of pain and discomfort caused due to an external damage to the neck as a result of a tragic sports related or vehicular accident. A neck injury is also known as a whiplash and it refers to an injury due to forceful, rapid back-and-forth movement of the neck, like the cracking of a whip. Whiplash mostly occurs during accidents, physical abuse or other trauma.
Sciatica is a very common neuropathic pain that is caused by damage to the sciatic nerve, a large nerve that runs from the lower back region down the end of each leg. It is the largest single nerve in the body.
This condition affects around 4 out of 10 people at some point of their lives. The nature of the pain varies from a mild ache to a sharp stinging sensation and may cause feelings of numbness and extreme weakness.
Causes of Sciatica
The causes for the onset of Sciatica are numerous. Some of them are as follows:
- Slipped lumbar disc
- Muscle inflammation
- Internal bleeding
- Awkward sleeping position
- Uncomfortable footwear
- Spinal injury
How can physical therapy help?
There are many ways of treating Sciatica, such as medication, acupuncture and surgery, which can provide relief. The most common and easy treatment method however is physical therapy. A progressive and controlled exercise routine that is specifically tailored to the nature of the condition in consultation with a physical therapist acts as an effective remedy in treating the problem. It alleviates pain and also eliminates the chances of relapse.
Physical therapy exercises used to treat Sciatica are of many types. They are a combination of core strengthening, muscular stretching and aerobic conditioning routines, which aim at correcting the root of the problem.
The different types of exercises employed to treat Sciatica include the following:
- Strengthening exercises: These aim at strengthening the spinal column and the pelvic region, which includes the hips and buttocks. They help in making the muscles and ligaments in this region more robust and allow for improved flexibility and support.Lunges and squats are some of the examples.
- Stretching exercises: These provide pain relief through improved agility and flexibility. The most important aspect of these routines is stretching and exercising the hamstring. Hamstring, stretches, calf stretches and tricep stretches are a part of stretching exercises.
- Aerobic conditioning: These are cardiovascular exercises of low intensity, which provide pain relief through the release of endorphins and the facilitation of fluid and nutrient exchange. Examples of these are swimming and brisk walking.
Yoga vs gym
Any form of regular exercise is a must for a healthy lifestyle. While some people prefer to work out in a gym, others like the calmness of their own house where they can practice yoga or a walk in the park. Each style of exercise has its own pros and cons. Let's take a look at working out in the gym vs yoga and regular walks.
Benefits of yoga and walking over going to gym:
Good for both - the mind and the body
Yoga is a lifestyle and not merely an exercise routine. Thus, it not only builds and tones muscles but also strengthens your lung capacity, digestive system etc. It is also said to increase the ability of the mind to focus and attentiveness.
You could walk on a treadmill in the gym but taking a walk outdoors does more good to your body. Being with nature when you walk outdoors is known to be an effective stress buster and helps you calm your senses. Walking can also help improve your moods and is a form of treatment for depression as well.
Does not need any special equipment
With yoga, there is no need for weights or special shoes. All you need is a flat, firm surface which could be the carpet in your bedroom or your lawn outdoors. The only equipment you need for a walk is a pair of sturdy, comfortable walking shoes. This makes yoga and walking budget friendly as well compared to gym membership costs.
Can be done anywhere
Since yoga does not need any special equipment, it can be practiced anywhere and at any time. Taking a break from sitting at your desk - try doing pranayam. Keep a pair of walking shoes handy and at lunch break take a quick walk around the block - there's nothing to stop you.
Less chances of injuring yourself
Once again, since yoga does not need specialized weights or equipment, there are less chances of injuring yourself. Yoga also does not focus on speed, allowing you to move comfortably - in a way that your body always feels good.
Walking again is an exercise that allows you to work at your own pace and does not make you compete with others. As long as you see where you are going and avoid walking on tarred surfaces, the chances of injuring yourself while walking are also very low.
Long term weight loss
A reason most gym enthusiasts prefer a strenuous workout to yoga and walking is faster weight loss. These techniques do help lose weight but the process is slow. However, since this weight has been lost gradually, it is more likely to stay off.