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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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These consist of exercises to strengthen the lower limb muscles in case of lower motor neuron type of palsy. Strengthening of the upper limb is essential as this will help the patient to enable efficiency in activities like transferring,use of walking aids like crutch, and also helps in over all functional rehabilitation. Strengthening of trunk muscles is essential for better trunk control and stability which will help in better balancing in sitting or standing.
Quadratus lumborum is the most important trunk muscle in case of spinal cord injury that has got no hip flexors because it enables the patient to hike the pelvis.
Use of tilt table: In the initial stages when there is no trunk stability patient can be trained for weight bearing on lower limbs by using tilt table.In this the patient’s trunk and the lower limbs are strapped to the tilt table and then the table is tilted such that the patient is in erect position.Moreover tilt table can also be used in the initial stage to prevent the chances of orthostatic hypotension.
For preventing hypotension in the initial stages the patient is made to lie on the tilt table and the table is gradually tilted everyday at increasing range so that the autonomous nervous system is made to get conditioned as a result the reflex vasoconstriction can bestimulate d in erect position. This will help in preventing or treating orthostatic hypotension.
Transfer activities: To make the patient independent in ADL, it is necessary to train him to use the wheelchair. Easy ways of transfer from bed to wheelchair from wheelchair to low stool and from low stool to floor and back to wheel chair should be taught to patient. The patient also should be trained for balance in sitting position if his trunk muscles are also affected. Patient should also be taught various ways of locomotion in emergency situation like shuffling in sitting position, semi crawling in prone position with the help of weight bearing on the forearm.
Spinal cord injury can be made to ambulate with the help of crutches and calipers. There are various types of gait that can be taught with the assistance of axillary crutches like shuffling gait, dragging gait and swing gait. However walking should be trained in a gradual manner. The lower limbs are supported with appropriate orthosis and the patient is made to sand in the parallel bar. The patient is advised to do hyperextension at the hips and trunk to maintain erect posture and balance.
Hyperextension of the hip locks the hip with the help of ischio-femoral ligament and thus provides stability. Once the patient is confident in standing gait training is started by instructing the patient to lift one leg and take weight on other extremity. Stepping forward is taught next and the physiotherapist progresses to walking in parallel bars.After this patient is made to walkout of the parallel bar with the help of walker.Depending on the trunk stability and confidence of the patient progression can be made to axillary crutches. Elbow crutches or canes can be given only if the upper limb musculature becomes quite strong to weight bear efficiently and within the safely limit of the patient.
Even if the patient is not going to be a community walker, it is important to give him gait training so that can achieve some independency in activities of daily living and to maintain his self-esteem. Weight bearing on the lower limbs in erect posture also acts to slowdown the process of osteoporosis and prevent tightness.
Use of orthosis or appliances: lower limb orthosis or gaiter may be used depending on the muscular status in the lower limbs.
Hi, My Dad has Uric Acid problem. His uric acid level came out to be 8. Yearly or within 2 years, he usually gets gout attack. Currently, he is having swelling, pain and redness in his knee. I wanted to know what vegetables and fruits are preferable for him which do not increase the uric acid level and which all vegetables/fruits he should basically avoid. Can you help with a proper diet chart to follow? Also, are mangoes preferable to eat in such condition?
My wife had been suffering from low back pain since few years back. Recently doctor here suggested to go through surgery for lumber disc herniation (L5). As of now my wife can walk some distance but high difficulty in sudden movements. Is there any temporary measure for getting some relief from pain during our journey to delhi by flight. Thanks (husband of patient)
My back pain started 3 months ago, after some days of back pain, weakness in my hands started. Now I also have stiffness in my neck. I have undergone MRI of back and neck, they are normal. Also my vitamin b12 level is fine. And D3 was low but I took injections of D3. And also many mecobalamin tabs, now also my condition is not good. Should I go to neurologist and should undergo EMG test? What should I do?
Gastric problem from many years but from 1 week it's getting worse. I am getting back pain due to this.
My hand was fractured one month ago. I had a plaster for 7 days but still after one month there is so much pain in my hand I can't pull a heavy objects and my hand also not twisting normally. please suggest me treatment.
Leg cramps is a very common condition which is characterized by tight and painful leg muscles. The calf muscles are the most commonly affected; it can spread further down to your thighs and feet. Once the cramping gets better, you might experience a tender leg coupled with a numbing feeling for a few minutes.
The causes of leg cramps are varied. If it is caused due to an underlying condition, it is known as secondary leg cramps. The causes of secondary leg cramps include vigorous exercises, pregnancy and usage of certain medications. The cramps cause the muscles of the leg to shorten and contract, thus making you lose control of the affected muscle.
How can homeopathy help?
Homeopathy is a system of medicine which is very holistic in nature. The goal of homeopathy is to focus on the causes of a disorder rather than just curing the symptoms. Homeopathic remedies do not yield any side effect unlike the conventional treatments. Apart from treating the symptoms, homeopathic remedies also help improve your overall wellbeing.
There are many homeopathic remedies that can be used to treat leg cramps. The remedies are focused on treating any underlying condition that may be causing these leg cramps, apart from relieving the symptoms. The first step of the treatment is to diagnose the condition, which is done by a trained practitioner. You will be asked questions pertaining to the cramps and your diet. Once the diagnosis is complete, the medications are prescribed based on the diagnosis.
There may be certain dietary restrictions that you may have to follow for the medicines to work at their optimum best. This system of medicine might also require you to not carry out any form of heavy work that involves the legs as rest is required to boost the process of recovery. If you wish to discuss about any specific problem, you can consult a Homeopath.