Dr. Aneeta Verma

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
• Pregnancy
• Obesity
• 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:

1. 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.
2. 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.
3. 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.

In general, anterior cruciate ligament injuries or ACL injuries, are understood as tears in any of the several knee ligaments joining the upper leg bone and the lower leg bone. This can vary from minor injuries, such as small ligament tears, to more serious cases like complete tears or when the ligament and one of the bones gets displaced from the other. These injuries usually occur during sports activities, like soccer, basketball, football, gymnastics, tennis, volleyball, etc. An untreated ACL injury can lead to a condition called an ACL deficiency. This can cause a lot of problems with regard to knee movements as the bones may rub against each other, causing a lot of pain. In some cases, the cartilage covering the ends of the bones may get damaged, eventually tearing and trapping the cushion pads supporting the knee joints.

Symptoms:
Signs and symptoms of anterior cruciate ligament may include:

1. You are unable to move properly.
2. You experience immense pain while walking up and down stairs.
3. You are unable to engage much in physical activities.
4. Your knee begins to swell gradually.
5. You can sense a loud popping sensation when moving your knee.
6. You experience feelings of instability.

Causes:
Anterior cruciate ligament injuries generally occur during sports. Here are some common possible instances that might happen during a game:

1. Sudden arrest in motion
2. An unsteady landing from a jump
3. Direct blows to the knee from tackles
4. Sudden shifts in direction

Treatment:
Treatment of ACL injuries normally involves the following:
1. Immediate medical attention along with intense first aid care
2. Sincere adherence to the R.I.C.E model of self care

• Rest: proper rest for a couple of weeks or months depending upon the severity of the injury
• Ice: using ice packs to help cool the nerves
• Compression: ice treatment further helps in compression
• Elevation: when lying down in bed, it is strongly recommended that you keep your affected leg at a slightly higher position, through the use of pillows or cushions

3. Success rehabilitative therapy for several weeks
4. Anterior cruciate ligament surgery or reconstruction

Hello!

I am Dr. Anita from Eva Physiocare. Welcome once again. Today I am going to talk about preventive healthcare. Basically, we are targeting from last 7 to 8 years since we opened the first clinic in Dwarka. We are basically working in preventing measures for those lifestyle disorders which are very much common nowadays. We are into obesity management, arthritis management, preventive measures for back pain, cervical and thyroid. So many diseases we are covering up in preventive healthcare. As of now, I am going to talk about Arthritis which is very common, patients getting an early age. So for this, we need some new advanced treatment at our clinic.

Arthritis basically is a degenerative disorder. I am targeting the knee arthritis. Knee arthritis is in four stages. There is a degeneration in the knee. There are four stages or grades in our medical language. When we see the patient, first of all, we make a diagnosis that what is the grade of arthritis. So if the patient is having grade 1 arthritis, we keep our patient on physiotherapy exercise, therapy and nutrition therapy that makes up major role in the prevention of arthritis and to manage it really well. When the patient is in grade 2 and grade 3 then we introduce a new advanced procedure which takes your own blood and acts as a stem cell therapy. We take your own blood, collect platelets and introduce them to your knees that helps to regain the joint. It helps to build up the soft tissues inside and it is not a 1-2 day procedure. It takes time but it is very helpful. Generally, the patient takes 2-3 settings for it and it takes 2-3 months to build up the soft tissues but it is very effective. Under the guidance you can regain from these without surgery. You can contact through Lybrate.com

Thank you so much!

Frozen shoulder is a condition when somebody encounters continuous shoulder stiffness and pain. It could last for weeks. It is likely to occur when swelling increases around the shoulder which reduces inability to move or stretch properly. This ordinarily happens when somebody is recovering from an injury. Frozen shoulder at times happens when somebody is wearing a sling or a cast. It also occurs, if someone is recovering from surgery, experiencing joint pain or facing restraint of movement for other reasons.

A frozen shoulder can go on from a couple of months to as much as 3 years and the precise cause is unknown. Physiotherapy is often to treat this condition. It has been found that posture plays a huge part in your recovery from a frozen shoulder. The urgent goal is to get the shoulder join moving once again. The sooner this is done, the better are the odds of a quick recovery. Anti-inflammatory medicines, heat application and delicate stretching activities are performed with the assistance of a physiotherapist.

Physiotherapy is very crucial for a frozen shoulder since it is very difficult to get movement in the stiff joint without any exercise, stretching or other methods used by a physiotherapist. It is mostly crucial to get physiotherapy to:

1. To reduce pain in the shoulder
2. To increase the flexibility and strength of the shoulder
3. To enhance movement of the shoulder.
4. To increase endurance of the muscles

Physiotherapy treatment for a frozen shoulder depends on the stage you are on and is customized according to the needs of your condition. Physiotherapy treatments for a frozen shoulder include:

1. Pain relief: Pain diminishing techniques including gentle shoulder movement exercises, muscle releases, needle therapy, dry needling and kinesiology taping for pain can help during the painful swelling phase.
2. Defrosting: Shoulder mobilization and stretching are the best in order to achieve a full shoulder recovery. As your scope of movement increases, your physiotherapist will then be able to give you muscle strengthening exercises to control and keep up your recently found range of movement.
3. Warm Up: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder keeping in mind the end goal. That is to help blood supply in the affected area and avoid future injuries. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.

Physiotherapy does not bring out immediate results, but gradually. Flexibility will increase gradually. One should keep in mind, not to stretch their shoulder too quickly at once. This can lead to a ligament tear. The exercises should be tender and gradual.

Hello,

I am Dr Anita. We founded Eva Physiocare in 2009 with the mission to provide Holistic Wellness and to Cater the crowd which is not getting exact solutions for their problems specially in case of pain knee pain back pain cervical and nutritional deficiency that we were getting the early aging these were the area which was sometimes missing in Healthcare sector not because of lack of knowledge or a lack of assessment or lack of treatment we have because of actual we are fixing on the major issues of the patients instead of guiding them the minor things which are causing major issues.

At Eva Physiocare, we are focusing on minor issues which are basic course for those elements which gives so many problems to the patients like diabetes thyroid chronic backaches, chronic cervical, early aging Arthritis these are things which can easily cure by right Management by simple exercise and through the Physiotherapy Management. We do it away physiocare and the Holistic approach. We adopt after the proper assessment of the patient. So I just wanted to say you all nowadays these are growing like Indian things and everybody is just concerned about how to keep ourselves healthy and productive and active basically?

Because these are now part of lifestyle. You know if somebody is getting back leg they are dragging it dragging it for a longer period of time and not Consulting with anybody because every third person is complaining about it. Every third person is talking about I have been backache. I have I started taking it as a normal thing but it is not normal if 11% of the crowd is suffering from Thyroid. It doesn't mean, it is the common thing it is just 11% of the crowd is suffering from thyroid and we are taking it as everybody is suffering from Thyroid.

Not everybody is suffering from Thyroid it is just 11% of the crowd is suffering from thyroid and why they are? So we need to understand this and how these elements causing other things are Other Side Effects to the body. We need to understand so at Eva we approach in a way that we do proper assessment and after that we proper protocol that will include the exercise and the nutrition therapy and the counselling sessions health counseling relationship counselling stress counselling also including it is a psycho symmetric disorder so we are here focusing Holistic integrated way to the patient thank you so much for watching this video and I want to give tip for health, your fitness you need to work on it as a whole as a society we need to work on it.

Thank you so much!

Back pain is common for usually everyone. Research shows that 80% of the adults suffer from back pain every year. Back pain can occur in people of any age group. But it is common between people aged between 35 and 60. There is no particular reason for back pain. External injury, internal injury, deformation in bones, accidents and many more factors can be responsible for causing back pain.

Upper back pain can occur due to inflammation of the neck and spine. Lower back pain can be associated with lower back muscles, nerves, and spines, abdomen region, vertebrae discs etc.

What are the risk factors for having a back pain?
There are several physical and mental issues that cause back pain. These are as follows:

• Mental stress and tension
• Inactive lifestyle
• Depressed condition
• Anxiety disorders
• Too much physical activity
• Women are more prone to back pain than men.
• Pregnancy- in pregnancy, women tend to suffer from back pain easily.
• Smoking
• Obesity
• Too much physical labour

Symptoms of back pain

1. The major symptom is pain, which can be mild or chronic. The pain can occur in any part of the back, buttocks or legs.
2. Apart from ache, another common symptom is weight loss
3. Fever
4. Inflammation in spine
5. Difficulty in passing urine
6. Feeling numb around anus, buttock and genitals.
7. Sudden trauma or injury
8. Low immunity system

A strain is believed to be the most common reason which causes back pain. Strained muscles and ligaments, lifting heavy objects, an abrupt movement or a muscle spasm, everything can end up causing back pain.

Apart from this, some factors mentioned below can be responsible for causing back pain:

 

• Structural problems- Ruptured disks, bulging disks, sciatica, arthritis, irregular curvature of spine, osteoporosis.
• Cauda equina syndrome
• Spine cancer
• Inflammation of spine
• Sleep disorders
• Sleeping on a bad mattress
• Daily activities
• Poor posture

Experts diagnose back pain with the help of X-ray, CT scan, bone scan etc followed by some blood tests.

Treatment of back pain
Depending upon the test results and the severity of pain, the treatment of back pain can be prescribed.

1. Medication: If painkillers don't work well, then the doctors prescribe nonsteroidal anti-inflammatory drugs. A few antidepressants have proven to work well for relieving symptoms of back pain.
2. Physiotherapy: Physiotherapy can treat back pain effectively. Applying ice, heat, electric stimulation to the back muscles can help in decreasing the pain. Apart from this,some physical exercises and maintaining a good posture can help in alleviating the pain.
3. Cortisone injection: It is an anti-inflammatory drug which helps in decreasing pain.
4. Surgery: Surgery is performed if the patient builds up herniated disk.
5. Cognitive behavioral therapy: Cognitive behavioural therapy is helpful for patients having chronic back pain.

Apart from the above discussed methods, there are a few complimentary therapies that are known for treating back pain. Osteopath, shiatsu, chiropractic, acupuncture are the therapies which can help in reducing back pain. In case you have a concern or query you can always consult an expert & get answers to your questions!

Osteoarthritis (OA) occurs due to maturing joints, damage, and over-weight. OA indications include joint pain along with stiffness. Treatment relies upon an influenced joint, such as the hand, wrist, neck, back, knee, and hip, and includes exercise and work out. In case you are overweight, weight reduction may help get rid of OA side-effects.

Many people with osteoarthritis start with simple stretching exercises such as low-affect heart stimulating exercises and muscle building. People with arthritis can take part in a range of specific games and programs. The specialist will let you know in case there are any games, which are beyond your capacity. Here are some of the exercises that have proven to be helpful:

• Hamstring stretch
Stretching keeps you flexible and enhances your scope of movement, or how far you can move your joints to specific angles. It additionally helps you bring down your chances of injury and pain. Start with a warm up of a five-minute walk. Rest after stretching your hamstring. Circle a bed sheet around your right foot. Utilise the sheet to pull the straight leg up. Hold for 20 seconds, then lower the leg. Repeat twice and at that point, switch legs.

• Calf stretch
Take support of a chair for balance. Twist your right leg. Bend back with your left leg, and gradually fix it behind yourself. Press your left heel on the floor. You need to feel the stretch in the calf of your back leg. Hold for 20 seconds. Repeat twice and then switch legs.

• Quad stretch
If a straight leg raise is extensively painful for you, opt for the quad stretch. In this, you do not raise your leg. Fix the thigh muscles, also known as the quadriceps, of one leg at once. Begin by lying on the floor. Keep both legs loose on the ground. Flex and hold the left leg tense for five seconds and then relax. Do two sets of 10 repetitions. Switch legs after every set.

• Hip march
Tighten your hips and thigh muscles. It can help you with your everyday exercises like walking or simply standing up. Sit up straight on a chair. Kick your left foot back, yet keep your toes on the floor. With your knee bowed, lift your right foot off the floor. Hold the right leg in the air for around three seconds. Gradually lower your foot to the ground. Do two sets of 10 repetitions. Switch legs after every set.

• Cushion squeeze
This exercise strengthens your legs to help support your knees. Lie on your back with both knees bent. Put a pad between the knees. Crush your knees together, squishing the cushion between them. Hold for five seconds and then relax. Do two sets of 10 repetitions. Switch legs after every set.

Sciatica, which is pain along the huge sciatic nerve that runs through the lower back to the back of each leg, can bring about serious, weakening pain. The term sciatica depicts indications of leg pain along with potential shivering, weakness, or numbness that starts in the lower back and goes through the butt cheek and down the vast sciatic nerve in the back of every leg. However, here are some top ways to get pain relief from sciatica:

1. Chiropractic/manual control
Spinal adjustment and manual control performed by properly trained health experts, for example, chiropractors and osteopathic doctors, are centered around giving better spinal cord alignment. These are intended to address various basic conditions, which can bring about sciatic nerve pain.

2. Acupuncture
This practice is based on the goal of achieving or keeping up the strength through an open stream of energy by certain pathways in the body. Hair-thin needles (which are generally not felt) are embedded into the skin, close to the zone of pain.

3. Subjective behavior therapy
This treatment for taking control and evolving self-defeating behaviors can be useful in overseeing sciatica pain, especially in the short term. Sessions with an advisor might be face-to-face or on the web.

4. Massage treatment
Certain types of back rub treatments have proven to have various advantages for back pain, including expanded blood flow, muscle relaxing, and release of endorphins (the body's regular pain relievers).

5. Strengthening activities
Many activities can strengthen the spinal cord and the surrounding muscles, tendons, and ligaments. The greater part of these back exercises center around the lower back, as well as the (stomach) muscles and gluteus (butt cheek) and hip muscles.

6. Stretching
Stretching is usually prescribed to mitigate sciatic pain. Stretching for sciatica is intended to target muscles that cause pain when they are tight and unyielding. Hamstring stretch is very often an essential part of a sciatica exercise program. As part of everyday exercises, many people do not stretch these muscles, which extend out from the pelvis to the knee in the back of the thigh.

7. Low-impact aerobic activity
Some types of low-impact cardiovascular workout, for example, walking, swimming, or pool therapy, are generally parts of the recovery, as high-impact action increases the exchange of liquids and nutrients to make a better environment for healing.

8. Micro-disectomy
In situations where the sciatica pain is because of a lumbar disk herniation, a microdiscectomy is the most widely recognized surgical approach. It is an open surgery done using magnification techniques. In this surgery, just the bit of the herniated disk that is squeezing the nerve is evacuated. Whatever is left of the plate is left in place.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Soft Tissue Injuries occur when soft body tissues of the likes of muscular tissue, ligaments or tendons receive a dose of stress or strain caused by sudden impact, which is far greater than the load the soft tissues are able to withstand. The occurrences of soft tissue injuries are far greater than the probabilities of suffering a fracture, as the soft tissues absorb the majority of the impact, before passing it onto the bones. Swelling, edema, tendon or ligament break, etc. are some of the immediate effects observed following a soft tissue injury in the majority of victims.

If the whole process of tissue damage to regeneration new tissue is observed, this is how the process would appear to us:

1. Damage to the tissue would almost immediately be followed by bleeding internally, and inflammation, which would be highly painful if touched. The damaged tissue would then be gradually removed and replaced with a live, healthy tissue by the body, without any external intervention.
2. Based on the severity and extent of damage, the process of removal and repair can take a few weeks to a couple of months. This transition is highly painful and tends to affect the normal functioning of the whole surrounding region, irrespective of how minuscule the damage may seem.
3. The duration when remodeling of the tissue occurs, is most susceptible to fresh damage, as the live cells are not yet ready to develop the full potential of stress-bearing capability. The remodeling phase generally does not require any external aid in the form of supportive drug therapy or physical therapy.
4. Though the application of physiotherapy in soft tissue injuries are sometimes contested, physical therapy may come in handy for patients who put up a delayed response in regeneration than usual. Physiotherapy takes care of the little details such as an inability to resume normal body functions, as well as stiffness of the affected area. Physical therapy ensures normal blood flow has been restored, a stiffness of the surrounding soft tissues is addressed, and normal functioning of the area begins to restore.
5. Generally, patients who experience a disrupted mechanism of removal and repair of soft tissues require any sort of medical help in the form of drugs and/or physical therapy. While drugs reduce the turnaround time in terms of boosting the chemical balance, physiotherapy addresses the trauma experienced by the patients. In addition, physiotherapy may indirectly boost the activity of chemical mediators which further speeds up the recovery process as a whole.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Fractures constitute one of the most challenging aspects of healthcare sector - clocking the most number of lost work hours after lifestyle diseases. These injuries though appearing innocuous in nature because of their initial mild swellings and pain can bring untold sufferings in the long run, if left unchecked. Since fractures are concealed from the naked eye, and the extent of damage is never revealed during the first few days; the damage done if left untreated may cost the victim quite a fortune when measured in monetary terms.

1. Physiotherapy is often the treatment of choice for secondary complications which pop up, followed by implementation of procedures for healing. Healing of bones requires a long period of immobilization of limbs or the affected region such that the bones of the affected region do not experience any stress which may impair the healing process.
2. The duration during which the limb is kept immobilized, there is a gradual buildup of calcium layers around the joints, which result in stiffness and joint pains, associated with loss of muscular strength. Generally, the duration of immobilization may range from somewhere between two to three weeks based on the extent and nature of the fracture. During the 3rd or the 4th week, physicians generally recommend commencing of physical therapy sessions to overcome limb stiffness, increase blood flow to the affected area, as well as improve the flexibility of nearby joints.
3. Physiotherapy sessions once commenced, would greatly improve the particular functions, albeit slowly. This is an area of treatment where progress is rather slow, and which is monitored closely by physicians and physiotherapists alike. Though the affected bones are allowed to move gently and subjected to a gradual increase in stress, an estimated duration of four to six weeks is generally recommended for the bones to strengthen as well as for the limbs to function in a perfect manner.
4. Though physiotherapy is highly sought after following a fracture, only experts should be allowed to decide when to begin the sessions. If such sessions begin too early in the healing period, secondary damage may occur. Physical therapy is continued till the body displays optimum mobility and the subsequent response to such treatment.

Physiotherapy can be regarded as a supplementary course of treatment, which is essential as a ‘force multiplier’ of the treatment regime. Overall, the victim’s physiology the type of fracture and treatment regimen followed plays a more decisive role in deciding the duration of physical therapy.

In case you have a concern or query you can always consult an expert & get answers to your questions!