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Exercise Therapy Tips

Physiotherapist Can Reduce Joint Stiffness!

Dr. Mukesh Vyas 90% (603 ratings)
BPTh/BPT
Physiotherapist, Pune
Physiotherapist Can Reduce Joint Stiffness!

Joint stiffness is a feeling that the movement of a particular joint is getting restricted. The stiffness is generally accompanied by pain and occurs mainly due to arthritis or as a result of an injury to joint. Appropriate and regular exercises can help reduce stiffness and pain, increase flexibility, improve endurance, develop muscle strength and keep bone and cartilage in healthy condition.

What physiotherapy is all about? How it can be helpful in treating joint stiffness?
One of the allied health professions is physiotherapy, which by using mechanical force and movements, exercise therapy and electrotherapy, acts as a remedy for impairments and promotes a person’s mobility and joint function. The kind of physical therapy treatment which people receive for their joint stiffness mainly depends on the exact cause for the condition and other symptoms such as pain and inflammation.

Procedure for treating joint stiffness through physiotherapy-

  1. When you go for physiotherapy, the first thing a physical therapist would do is to ask you about the exact condition with respect to the symptoms, which you might be experiencing along with the joint stiffness. You should clearly state to the physiotherapist since when have you been experiencing stiffness. The very next thing which a therapist would ask is, your medical history if you have been suffering from arthritis.
  2. After all the preliminary diagnosis through the question-answer session, the physiotherapist would conduct a thorough physical examination and look to evaluate the joint and other structures associated with it to find out what exactly is causing joint stiffness and other symptoms like, pain, inflammation etc.

Now, after the completion of his questioning and physical examination, the comprehensive physical therapy treatment plan would be prepared as per the exact of your stiffness, symptoms and your needs.

Treatment options-
First, by determining the exact cause of joint pain and then treating it with highly effective therapies, physiotherapy acts as a preventive mechanism for reducing joint stiffness and the pain associated with it.
The treatment options which physiotherapists generally go for are as follows:

  • Manual therapy: this manual therapy generally involves soft tissue and joint mobilization to provide relief from joint restriction and muscle tension.
  • Soft tissue massage: soft tissue massage involves therapists only using their hands o reduce back muscle tension and restore mobility to stiff joints, as an effort to allow the patient more flexibility.
  • Acupuncture: the physical therapy of acupuncture helps in restoring the balance of energy in the body and thus provides relief from pain, inflammation and proceeds with the healing process. This is done through single-use fine needles, which are used at different ‘trigger’ points on the body, as per your symptoms, thus helping to stimulate the flow of energy.
  • Ultrasound: while conducting an ultrasound, physiotherapist uses a transducer to send a stream of high-frequency sound waves into one’s body. These waves bounce off one’s organs, muscles, and tissues.
  • Exercises: physiotherapist would instruct you to do some stretching exercises where you would require moving your limbs without support and muscle strengthening exercises which would make you kneel, stand and sit to maintain your own balance.

Treatment of Cystic fibrosis!

Dr. Radhika A (Md) 85% (10 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Treatment of Cystic fibrosis!

Treatment of Cystic fibrosis
Homeopathic Treatment of Cystic fibrosis
Acupuncture & Acupressure Treatment of Cystic fibrosis
Psychotherapy Treatment of Cystic fibrosis
Conventional / Allopathic Treatment of Cystic fibrosis
Surgical Treatment of Cystic fibrosis
Dietary & Herbal Treatment of Cystic fibrosis
Other Treatment of Cystic fibrosis
What is Cystic fibrosis
Symptoms of Cystic fibrosis
Causes of Cystic fibrosis
Risk factors of Cystic fibrosis
Complications of Cystic fibrosis
Lab Investigations and Diagnosis of Cystic fibrosis
Precautions & Prevention of Cystic fibrosis

Treatment of Cystic fibrosis

Homeopathic Treatment of Cystic fibrosis

Homeopathy helps in getting healthy lung tissue and improvement in complaints like breathing difficulty, cough etc. Homeopathic treatment for cystic fibrosis helps the individual to feel better. It helps in reducing pain. Some of the homeopathic remedies for cystic fibrosis are:

Thuja
Calc
Silicea
Sang

Acupuncture & Acupressure Treatment of Cystic fibrosis

Acupuncture may help stimulate respiratory function, and improve immunity against infections in cystic fibrosis suffers. It involves inserting fine needles into specific points on the body.

Psychotherapy and Hypnotherapy Treatment of Cystic fibrosis

Some children with cystic fibrosis experience severe anxiety and depression. Different forms of psychotherapy and hypnotherapy are used to help children, including psychodynamic therapy, cognitive behaviour therapy and play therapy.

Conventional / Allopathic Treatment of Cystic fibrosis

Allopathic Treatment of Cystic fibrosis involves the following medications:

Antibiotics
Mucus-thinning drugs
Bronchodilators

Surgical Treatment of Cystic fibrosis

Surgical Treatment of Cystic fibrosis involves the following surgeries:

Lung transplant
Bowel surgery
Feeding tube

 Dietary & Herbal Treatment of Cystic fibrosis

Drink lots of fluids
Take high-calorie nutrition
Add seaweed and nutritional yeast to your diet
Avoid refined sugar
Avoid animal origin products
Other Treatment of Cystic fibrosis

Regular exercise helps loosen mucus in your airways and strengthens your heart and lungs.

What is Cystic fibrosis?

Cystic fibrosis is an inherited disorder that causes severe lung damage and nutritional deficiencies. It causes your mucus to be thick and sticky.

Symptoms of Cystic fibrosis

Persistent cough
Wheezing
Repeated lung infections
Repeated sinus infections
Belly pain from severe constipation
Foul-smelling, greasy stools
Delayed growth
Loss of appetite
Shortness of breath
Causes of Cystic fibrosis

Cystic fibrosis (CF) is caused by a defective gene which causes the body to produce abnormally thick and sticky fluid, called mucus. This collection of sticky mucus results in life-threatening lung infections and serious digestion problems. The disease may also affect the sweat glands and a man’s reproductive system.

Risk factors of Cystic fibrosis

Family history
Common in white people of northern European ancestry

Complications of Cystic fibrosis

Chronic infections
Collapsed lung
Bronchiectasis
Respiratory failure
Nasal polyps
Nutritional deficiencies
Osteoporosis
Electrolyte imbalances
Diabetes
Rectal prolapsed
Blocked bile duct

Diagnosis of Cystic fibrosis

Diagnosis of Cystic fibrosis involves the following tests:

Newborn screening test
Sweat test
Sputum tests
Genetic testing
Organ function tests
X-rays
CT scans and MRI
Lung function tests

Precautions & Prevention of Cystic fibrosis

There is no prevention for cystic fibrosis, but treatments can ease symptoms and reduce complications.

Exercise And Air Quality - Tips

Dr. Hemant Kalra 88% (370 ratings)
MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi
Exercise And Air Quality - Tips

Exercise And Air Quality - Tips

6 people found this helpful

Benefits Of Exercise

Dt. Neha Suryawanshi 90% (14865 ratings)
M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Benefits Of Exercise

Benefits Of Exercise

Facial Paralysis- How Can Physiotherapy Help You Get Better?

Dr. Pankaj Das 88% (168 ratings)
Master of Physiotherapy, Bachelor in Physiotherapy
Physiotherapist, Guwahati
Facial Paralysis- How Can Physiotherapy Help You Get Better?

Facial paralysis can happen due to many factors. Sometimes inflammation develops around the facial nerve as it passes through the skull from the brain. This presses on the nerve and makes it stop functioning. As the nerve stops functioning, so does the muscle it controls. This is what happens in Bell’s palsy, the most common cause of facial paralysis.

Bell’s palsy can happen to anyone and its cause is, hold your breath, a viral infection. Herpes zoster, Varicella zoster and HIV viruses can cause Bell’s palsy. Bell's palsy is a common cause of a facial paralysis but there are many others too that affect or damage facial nerve. These include head injury, sarcoidosis, lyme disease, growths in the ear, tumours in the parotid gland, brain tumours and stroke.

The weakness of the face usually one-sided is a symptom of Bell’s palsy. The face may droop to one side, chewing food is also tough, drooling, dry eyes and difficulty wrinkling forehead and speech are other symptoms of Bell’s palsy, the most common reason for facial paralysis.

Treatment:

The type of therapy you receive for facial paralysis will depend on its cause. It will also develop on how long you’ve suffered from facial paralysis and the extent of damage to the facial nerve.

Your physiotherapist can help and so can speech and language therapists to deal with the issue.

In physiotherapy, a treatment called 'facial retraining' with facial exercises helps with facial palsy. It is important that you seek help from a therapist who specialises in facial rehabilitation only.

This is what you can expect from facial rehabilitation therapy-

  1. Exercises for eye care

  2. Exercises for dry mouth management

  3. Exercises to make drinking and eating easier

  4. Speech therapy

Your physiotherapist will educate you on how the facial nerve works and how it recovers. This is important to make you recover. A home therapy programme plays an important role too. It includes massages to keep face muscles mobile and healthy, stretches to lengthen muscles, exercises to help re-learn balanced facial movements and relaxation of your facial nerve and muscles.

The physiotherapist will work on your facial movement to make muscles fit. The basic idea is to slowly rewire the brain-to-nerve-to-muscle pathway. The physiotherapist’s first step is to retrain you to do correct movements voluntarily, while mentally focusing on the movement.

Physiotherapy may take months but keep at it to recover completely, especially the home exercises. Injections of botulinum toxin or Botox also help especially if you suffer from spasms in facial muscles. Surgery is also an option for chronic cases. Remember that exercises should be done gently as well as daily to reap benefits. Always do these exercises with the help of a therapist only. Doing exercises by yourself can be counter- productive. In case you have a concern or query you can always consult an expert & get answers to your questions!

2243 people found this helpful

How Exercise Can Help In Keeping Your Bones Healthy?

Dr. Shrenik Shah 89% (1273 ratings)
Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
How Exercise Can Help In Keeping Your Bones Healthy?

Did you know that in addition to your diet, exercise is one of the best ways to make sure that you never lie on a hospital bed with a surgeon treating you for a bone disorder? Medical expertise has constantly pointed out to the fact that regular exercise makes your bones less likely to suffer from wear and tear during old age.

As you exercise, your muscles become stronger, your bone density increases and your balance improves. Of course, it goes without saying that you need to follow certain precautions before you exercise to avoid certain injuries.

Before starting any exercise program, make sure that you prepare your body for exercise. A brief warm up helps you to get your muscles ready for exercise. It also makes sure that your chances of injury are drastically reduced.

Here are some tips to keep your bones healthy:

  1. Weight lifting: Weight lifting is a type of exercise that, if done correctly, will be extremely beneficial for your bones. You can opt for simple bodyweight exercises such as pushups and squats, which build muscle as well as strength. Avoid using very heavy weights as it causes back-related problems such as slipped disk.

  2. Yoga: Yoga is another method of exercise which is very beneficial for bones and joints. The premise of yoga is static strength building wherein you hold a pose or an exercise for a certain period of time; this helps in strengthening your muscles. Along with your muscles, your bones also become stronger as you get fitter. Yoga is repetitive stress which is good for flexibility and hence keeps your joints supple and muscles in good shape. There are certain asanas which are weight bearing and anti-gravity postures can strengthen your bones. 

  3. Swimming: Swimming again is a good aerobic exercise and is good for back and over all fitness but doesn't strengthen bone per se. It is a way to keep you healthy. Swimming is a cardiovascular exercise, which is also known for its calorie burning capabilities. It is also very effective is incinerating fat and keeping your skeletal system healthy. Whereas walking and jogging and running certainly build your bones as they are weight bearing exercises.

  4. Pilates: Pilates is a new form of exercise that has been gaining a lot of steam lately. It does not require much equipment, as you can get started with just a mat. It is very effective in working your spine and the hips, thus keeping your lower back strong. A weak lower back increases the chances of bone disorders drastically. If you wish to discuss about any specific problem, you can consult an orthopedist.

3356 people found this helpful

Lower Back Pain - Do I Need Physical Therapy?

Dr. Gautam Das 92% (2264 ratings)
MD, FIPP
Pain Management Specialist, Kolkata
Lower Back Pain - Do I Need Physical Therapy?

Lower back pain is fast becoming an epidemic not just among elderly, but across all age groups. Primary causes of back pain are quite a few including lumbar hernia, disc degenerative disease (DDD), spondylosis etc., but the symptoms are usually the same excruciating pain in the lower region of the spine, followed by stiffness. Since back pain is caused due to a number of spinal problems, it manifests differently in different patients. The pain may be dull, burning or sharp. It could also be felt at a single point or over a broad area and could be accompanied by muscle spasms or stiffness or even shooting pain in one or both legs.

Back pain can also be differentiated according to time period:

  1. Acute: Pain lasts for less than three months.
  2. Recurrent: Acute symptoms reoccur over time.
  3. Chronic: Pain lasts longer than three months.

Sometimes symptoms resolve on their own, but in many cases conservative treatment, such as physiotherapy, which often work better than surgery, becomes essential. Alternate therapies like surgery, acupressure, acupuncture as well as yoga and Ayurveda also help.

Physiotherapy - Exercises that work
Since the reason for low back pain is not always same, a patient’s treatment too should be tailored for his specific symptoms and condition. This is what the physiotherapist will do design an exercise plan based on the patient’s specific problem and its cause.


Physiotherapy treatments may include:

  1. Manual therapy, which includes direct spinal manipulation aimed at improving the mobility of joints and soft tissues
  2. Strengthening and flexibility exercises
  3. Education about what do and what not to do
  4. Training for proper sleeping positions, lifting, bending, and sitting as well as for working at home and at work
  5. Use of heat/cold treatments or electrical stimulation to help relieve pain

Physiotherapy exercises help support the back and strengthen muscles so that the spine is cushioned properly. This is why physiotherapy is relevant as a treatment for backache. Treatments like traction help in lengthening the spine and relieving compression of nerves that cause sciatica, radiating pain into legs largely due to lumbar herniation. If back pain is extreme, a patient will require physical therapy along with medication, which will help in managing pain and bringing inflammation down. But in the long term, being physically active, going for walks, sitting properly and maintaining a good posture will help the most. If you wish to discuss about any specific problem, you can consult a physiotherapist.

3793 people found this helpful

Get Relief From Arthritis Pain Naturally!

Dr. Pravesh Kumar Taneja 88% (24 ratings)
DA, Dnb anaest, Fipm pain
Pain Management Specialist, Bikaner
Get Relief From Arthritis Pain Naturally!

One of the most common ailments the elderly suffer from is arthritis. However, arthritis can affect people of all ages. It is a rheumatic disease as in, it affects joints and bones. It can be of many types and the term covers a number of inflammatory and non-inflammatory joint diseases. Some of the most well-known types of arthritis are rheumatoid arthritis, bone spurs, gout and osteoarthritis.

The causes of arthritis have not been defined but there are a number of factors that increase a person's chances of getting it. Foremost amongst these is increasing age and excess weight. Arthritic conditions such as rheumatoid arthritis, ankylosing spondylitis, and lupus are said to be hereditary and linked to certain genes. Sometimes, injuries can also cause arthritic conditions. Misuse of steroids can also result in arthritis.

Here is a look at the most common symptoms of the disease :-

  • Pain around the joints is the most well-known symptom of arthritis. Along with pain, you may also notice swollen or stiff joints.
  • Increased body temperature around the affected joints and redness in the area is also a symptom of arthritis. These symptoms range from mild to severe, and can be constant or may come and go.
  • Everybody suffers from occasional joint pains but if any of the above symptoms persist for a long duration, it is best to consult a doctor. The sooner you seek treatment, the easier it becomes to deal with arthritis. If left untreated for too long, arthritis can result in permanent joint damage.
     

While there is no single cure for arthritis, it can be effectively controlled if treated in time. Since the type and severity of arthritis differ from person to person, treatment for the same must also be tailored to the needs of the individual.

  • Drugs for arthritis can be categorized as those that treat symptoms such as pain and stiffness, and those that suppress inflammatory conditions.
  • In some cases, surgery may be advisable.
  • Physical therapy and regular exercise are very important when dealing with arthritis.
  • It is equally important to eat a healthy, nutritious and well-balanced diet. If you are overweight, try and lose the excess kilos.
  • You must also look after your joints to ensure that there is no further degradation of bone or muscle tissue. Avoid staying in one position for a long time, and try and maintain a good posture.

These simple techniques can be very effective when dealing with all types of arthritis.

2540 people found this helpful

Physiotherapy For Carpal Tunnel Syndrome

Dr. Jitender Singla 90% (92 ratings)
MPT - Orthopedic Physiotherapy
Physiotherapist, Palwal
Physiotherapy For Carpal Tunnel Syndrome

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:

  1. 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.
  2. When the contents of the tunnel (median nerve, blood vessels and tendons) enlarge. 
  3. 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:

  1. hand pain or aching
  2. pins and needles
  3. numbness esp at night of with wrist flexing
  4. burning
  5. weakness or cramping
  6. 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

  1. 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.
  2. 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.
  3. Ultrasound: Deep, pulsed ultrasound directed at the carpal tunnel can reduce pain and numbness, and improve hand strength. Continuous superficial ultrasound doesn’t help.
  4. 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.
  5. 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.
4810 people found this helpful

Know Everything About Hip Replacement Surgery

Dr. Anshu Sachdev 92% (56 ratings)
MNAMS (Orthopedic Surgery), Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics), MBBS
Orthopedist, Pune
Know Everything About Hip Replacement Surgery

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:

  • Relieve pain

  • Help the hip joint work better

  • Improve walking and other movements.

Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

  1. Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)

  2. Osteonecrosis (a disease that causes the bone in joints to die)

  3. Injury of the hip joint

  4. Bone tumors that break down the hip joint.

Your doctor will likely suggest other treatments first, including:

  1. Walking aids, such as a cane

  2. An exercise program

  3. Physical therapy

  4. Medications.

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.

The Procedure-

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.

  1. 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.

  2. An equipment is then used to remove the ball socket of the joint by cutting the thighbone.

  3. The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.

  4. Once the joint is fixed, the ball of the thighbone is then put in the hip socket.

  5. The fluids from the incision area are then allowed to drain.

  6. The hip muscles are then put in place and the incision is closed.

Post -surgery-

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.

After care-

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. If you wish to discuss about any specific problem, you can consult a orthopedist.

4443 people found this helpful
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