Doctor in Gamma Physiocare & Pain Clinic
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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I found the answers provided by the Dr. Jitender Singla to be caring. I heartily thankful of it before treatment my hand not picked a glass of water bt now 70% relief,
Dr. Jitender Singla provides answers that are very helpful. Thanks
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.
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.
Physiotherapy can greatly help a patient of paralysis by making him/her independent to the maximum extent. Physiotherapy also plays an important role in negating potential complications after a paralysis. Although the process of rehabilitation can take time, it produces significantly encouraging result for a patient to continue with it until full recovery. The recovery depends on the type of paralysis a person has undergone. Notably, there are four types of paralysis:
Role of Physiotherapy-
The process of physiotherapy should resume as soon as the patient is stabilized. It not only helps in relaxing muscles, but also helps in smooth blood circulation. Long-term therapy can ensure muscle tone and overall well-being of an individual.
In the case of an external injury related to the brain, physiotherapy can speed up the recovery and reduce swelling to a significant extent. Some of the benefits are-
Physiotherapy can help a person regain the highest possible mobility.
Physiotherapy can increase the respiratory function of a person.
It helps the person in bringing down blood pressure and contracture.
A physiotherapist also focuses on unaffected area and works on them to ensure that the unaffected part of the body, in no way, loses mobility and retains the natural strength.
Physiotherapy also helps to manage a paralyzed bladder.
A physiotherapist suggests proper wheelchair, splint, braces, orthosis etc. These help a person to reintegrate quickly after the paralysis.
Physiotherapy lifts the morale and motivation of a patient by addressing post-traumatic experiences such as denial, anger, hostility, depression and anxiety.
It also serves as a perfect guide for the family of the patient.
Exercises that a Physiotherapist Suggests-
Aerobic Exercise: This is a set of physical exercises that lets the muscle tissues exchange oxygen at a rapid rate. The goal is to enhance the function of the motor neuron and the aerobic capacity of a patient. Support straps and gain belts might be required for a patient to stand on feet. A handrail helps to walk during this phase.
Physical Conditioning: Balance, stability, and coordination is the motive of any physical program for a paralyzed individual. Passive or active motion exercises help an individual to regain function of the limbs. Passive exercise also helps to regain strength. A physiotherapist rotates the thumb of a patient in such a way that the back of his hand faces forward.
- Leg Rotations: One common exercise that is tried by a physiotherapist is to make the patient lie down on a mat with his/her legs straightened. Supporting the knee joint and the ankle, the right leg is moved outward and pulled backward. This is again repeated with the other leg. If you wish to discuss about any specific problem, you can consult a physiotherapist and ask a free question.
Most of us suffer from lower back pain at some point in our lives; be it from a sedentary lifestyle, spending hours at the office desk or from strenuous physical exercises. In most cases, a little bit of rest does the trick. However, if the lower back pain persists for 3-6 weeks, physiotherapy is recommended.
How does physiotherapy help?
The main purpose behind physiotherapy is reducing lower back pain and increasing muscle and bone function, so that such instances are avoided in the future. Physiotherapy is the first line of defence against lower back pain. More drastic measures such as surgery are undertaken once physiotherapy fails to do is job.
Physiotherapy is often recommended when the back pain is caused due to lifestyle factors, a minor injury like a fall or other moderate factors. For more severe back injuries, doctors recommend surgery straight away when there is no scope of performing physiotherapy.
Low-intensity back pain can be cured using a combination of heat packs, ultrasound wave therapy and Iontophoresis (using a localized current source to introduce medical ionic compounds to the body).
A physical therapy program for back pain usually has two components:
Passive physical therapy to help reduce the patient's pain to a more manageable level
Passive Physical Therapy - Modalities
The physical therapist may focus on decreasing pain with passive physical therapy (modalities). These therapies are considered passive because they are done to the patient. Examples include:
Active Physical Therapy - Back Pain Exercises
In addition to passive therapies, active physical therapy (exercise) is also necessary to rehabilitate the spine. Here are some of the common exercises for back pain:
Back Stretch: Put your hands underneath your head while lying back. Bend your knees but put your feet on the ground. Roll your legs to one side and hold them there for 10 seconds. Repeat three times for each side.
Deep Lunge: For this, you need to kneel on one knee with the other foot pointed towards the front. Lift the back knee up and hold it there for five seconds and then bring it down. Repeat this exercise three times for each side.
One Leg Stand: This is the simplest of exercises. Hold on to a wall for support while standing and face towards it. Then slowly hold one leg and bend it behind you. Hold in the same position for five seconds before bringing it down. Repeat the process three times for each leg in five second gaps.