Mulligan Manipulation Tips

There is hardly any individual across the world, who has not experienced abdominal pain. In most instances, these aches are not very serious and can be diagnosed and treated by addressing the underlying condition. It is very crucial to recognize the symptoms which are severe and know when an individual should seek medical assistance. 

Most common causes of abdominal pain: 

Some of the most common causes of abdominal pain include indigestion, infection, menstrual cramps. It may also be due to food poisoning and allergies, irritable bowel syndrome, gas formation and bloating, lactose intolerance, pelvic inflammatory disease or ulcers and hernia, gallstones and kidney stones, urinary tract infection, Crohn’s Disease or gastroesophageal reflux disease & many more but most important reason is STRESS. It is well documented that stress/ our emotions have a great impact on how our body functions, and this is greatly due to how receptive organs are to our feelings. 

Different emotions affect different organs. Emotional reactions can translate into simple spasms in the gallbladder to heartburn, vomiting, feeling faint, ulcers, and serious diseases. 

When your brain receives negative emotions it sends tension to the related organ, the organ then sends tension back to the brain resulting in a vicious cycle. Conversely, a physically damaged or imbalanced organ can stimulate emotional upset. Visceral Manipulation can break this cycle, enhance the health of the organ, and restore emotional balance. Some patients have abdominal pain but the source of pain lies in the spine & any where else in the mental body. These patients are often seen by multiple doctors and have undergone many tests but their diagnosis is never established. These patients should visit a pain specialist to reach a diagnosis and treatment plan. They have conditions like neuropathies or facet joint arthritis which causes abdominal pain due to a condition known as referred pain. 

Symptoms of abdominal pain that are cause for concern: 

1. Abdominal pain along with any sign of dehydration or fever or is unable to pass stools. 
2. Abdominal pain associated with tenderness in the abdomen, painful and frequent urinations or persistent loose motions or bloody/ tarry stools. 
3. Severe or recurrent/undiagnosed abdominal pain. 

Determining the cause of abdominal pain and treating it:

1. Detailed medical history and thorough physical examination would be performed. Further tests like USG, Endoscopy etc may be needed to reach a diagnosis. 
2. The treatment of abdominal pain is entirely dependent on the cause of the pain. 

What is Visceral Manipulation- 

"Viscera" relates to the internal organs of the body, such as the liver, kidneys and intestines. Visceral Manipulation is a gentle therapy that aids your body's ability to release restrictions and unhealthy compensations that cause pain and dysfunction. Visceral Manipulation, or VM, does not focus solely on the site of pain or dysfunction but evaluates the entire body to find the source of the problem. The VM therapist feels for altered or decreased motion within the viscera, as well as restrictive patterns throughout the body and then apply VM techniques. VM therapy re-establishes the body's ability to adapt and restore itself to health. 

Besides above mentioned reasons, VM is also effective in Chronic musculoskeletal pain Headaches and Migraines Sciatica Back, hip and knee pain Shoulder periarthritis and capsulitis Vertigo Post-surgical pain and Scar tissue Post-cardiac surgery Swallowing difficulties Acid Reflux and Heartburn Women's health issues including PCOD Bladder incontinence Crohn's Disease Liver disorders Digestive disorders Emotional disorders Anxiety and Depression Post Tramatic Stress Disorder and much more. In case you have a concern or query you can always consult an expert & get answers to your questions!

There are many yoga trainers who claim to treat joint pain or muscle pain with the help of yogic exercises while on the other hand there are many physiotherapist who claim to treat every problem with the help of physiotherapy. First of all we will have to understand the definition of true professional, a true professional is that who knows about his strength as well as limitation of his field/ area as well as refer the client or patients to that person who is more expertise in particular field intead of taking or deal with all kinds of patients only for the shake of money or fame. Now come to the point, if someone is already healthy or fit enough for his work he need yoga to maintain this as one of the part of his exercises program but if he feel any kind of discomfort or pain during any activities or performance he must go to a qualified physiotherapist as physiotherapy involve many manual technique which can't be done by a yoga therapist at all such as osteopathy, mulligan technique, chiropractice, glides, joint mobilisation etc similarly a yoga therapist can train a person well in cardiorespiratory fitness better than a physiotherapist.

 Most of the common back pains we experience are mechanical in origin and therefore are affected only by drugs and medication with pain-relieving capabilities. There are no medicines or drugs capable of removing the causes of our common backaches and pains. Therefore, medication should only be taken when your pains are severe or when you must find relief.Certain medications such as aspirin and non steroidal anti inflammatory drugs (NSAIDS) have been found to be the most useful for alleviation of acute back pain and have fewer side effects than some other commonly prescribed medications. Both have been recommended by the United States Federal Government Agency for Health Care Policy and Research.

1. BED REST 

When your back pain is so severe that bed rest is required, you should restrict this period of rest, if at all possible, to two or three days.A recent study conducted in the United States demonstrated that those patients resting in bed for two days recovered as well as those remaining in bed for seven days. However, those patients remaining ambulant and moving were able to go back to work sooner than those who rested for either two or seven days. Nevertheless, I have seen many patients who could still not arise from bed after ten days. 

2. ACUPUNCTURE

Acupuncture is able to relieve pain and, when all else has failed, is well worth a trial. You should be aware, however, that as with taking medication, you can obtain relief from acupuncture, but acupuncture itself does not correct the underlying mechanical problem. 

CHIROPRACTIC

In the past, the treatment of back and neck problems by adjust mentor manipulation of the spine was considered one of the most popular forms of treatment, and it was demonstrated by chiropractors and osteopaths in the first half of the century that a short-term benefit could be obtained from this form of treatment. However,much research has now shown that from spinal manipulation or adjustment there are no long-term benefits, and its use can create dependency.A recent study by internationally renowned researchers from the University of Washington in the United States has shown that one month after completing treatment, patients taught the McKenzie method improved to the same degree as patients receiving manipulation by chiropractors. However, the patients receiving the McKenzie method had fewer treatments to achieve that improvement,and 72% of them reported that in the event of recurrence they would manage their own problem. This has great significance for those patients with recurring problems.About 80% of patients with common back problems can be taught the self-manipulation methods outlined in this book. The other 20% of the population are the only ones who will require any form of manipulative therapy.I think it is important that people who are suffering from back pain are aware that spinal manipulation or adjustive treatments should not be given to the whole population with back pain in order to deliver it to the few who really need it. Spinal manipulation should certainly not be used before self-treatment measures have proven unsuccessful.Manipulative phyiotherapists, chiropractors and osteopaths all dispense spinal manipulation or "adjustment."

ELECTROTHERAPY

Recommend various forms of heat, shortwave diathermy,and ultrasound, all of which are commonly used in the treatment of back pain.You should be aware that these treatments provide no long-term benefit and do nothing to treat the underlying problem, nor is there any scientific evidence that they can accelerate healing.

A backache is one of the most common conditions affecting 8 out of 10 people at some point during their lives due to a sedentary lifestyle, not maintaining proper posture, etc. The lower back is the area most often affected.

Chiropractic treatment usually involves treatment of common lower back pain conditions as well as treatment of lumbar herniated disc, radiculopathy and neck pain, and other conditions, manually. It is used for the non-surgical treatment of disorders of the nervous system and/or musculoskeletal system. Chiropractic treatment plan is driven by the patient's pain, disability issues, and activity intolerance.

What Is Chiropractic therapy?
Chiropractors use hands-on spinal manipulation and other alternative treatments, for proper alignment of the body's musculoskeletal structure, especially the spine. This enables the body to heal itself without surgery or medication.

Manipulation is used to restore mobility to joints restricted by tissue injury caused by a traumatic event, such as falling, or repetitive stress, such as sitting without proper back support.

Chiropractic therapy is primarily used as a pain relief alternative for muscles, joints, bones, and connective tissue, such as cartilage, ligaments, and tendons. It is sometimes used in conjunction with conventional medical treatment.

Chiropractic Therapy consists of the following:
Spinal manipulation and manual manipulation: It is also commonly known as "Chiropractic adjustment". This is a technique where a high-velocity, short lever arm thrust is applied to an abnormal vertebra. This helps in improving function, reducing nerve irritability and restoring range of motion in the back. It also includes exercise, massage, and physical therapy that can provide mild-to-moderate relief from low-back pain. It is a safe treatment for low-back pain when performed by a trained and licensed practitioner.

Mobilization: It is also known as "Chiropractic mobilization". It refers to low-velocity manipulation, movement and stretching of the muscles and joints, with the goal of increasing the range of motion within those areas.
Manual adjustments: Here the doctor manipulates the joints, using a controlled, sudden force to improve the range and quality of motion.
Nutritional counseling and exercise /rehabilitation: Most often, it is also included in the treatment plan.

Steps of the treatment include:
Taking a detailed medical history including ongoing medical conditions:

• Traumatic/surgical history
• Lifestyle factors
• Current medications
• Physical examination
• Laboratory investigations or diagnostic imaging to determine if treatment is appropriate for your back pain

Benefits and Risks of Chiropractic Care:
It is a safe and effective treatment for acute low back pain or sudden injury that results from moving furniture or getting tackled.

Limitations of Chiropractic treatment:
People suffering from the following conditions should not undergo spinal manipulation:

• Osteoporosis
• Spinal cord compression
• Inflammatory arthritis
• People taking blood-thinning medications

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

Today’s lifestyle is full of stress, long commuting hours, staying back in office to meet that deadline. All this can lead to musculoskeletal problems. These top physiotherapist in Gurgaon, can help you with determining any kind of musculoskeletal problems as well as treatment. They can help you with the simplest of thing like posture correction to post surgery physio like in case of knee or hip replacement. They also help in treating as well as the training required for sports. Below is the list of Top 10 Physiotherapist in Gurgaon, you can refer in case you are suffering from any kind of muscle or joint injury, pain or discomfort. 

1. Dr. Deep Arya

BPT

Consultation fees: ₹500

Dr. Deep has 21 years of practice and runs his own clinic as Arya Physiotherapy Clinic, Gurgaon. His clinics are very well equipped with high facilities and world class technology. His areas of specialization are general, orthopedic, neurology, geriatric, sports injuries and joint pain.

2. Dr. Rajesh Pal (PT)

BPTh/BPT, MPT - Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics), MBA - Hospital Management

Consultation fees: ₹500-600

Dr. Rajesh Pal has 18 years of experience at  PAL Physiotherapy and GNH Hospital, Gurgaon. He is a trusted physiotherapist and a trusted name in Gurgaon. His areas of specialisation are backache related disorders and sport injuries. 

3. Dr. Ranjana Arora

B.P.T, M.P.T(ORTHO), Certification In Gym Instructor & Prenatal & Post Natal

Consultation fees: ₹500

Dr. Ranjana is known for her hardwork and dedication for her patients. She has 16 years of experience and currently practices at Physioslimfit Wellness Centre.. Her areas of expertise are trauma injury, paralytic care, parkinson's disease and treating rheumatoid arthritis. She also specializes in Pain management, Aerobics,  Gym Instruction and pre- post natal exercise.

4. Dr. Sachin Singh

BPT, Master of Hospital Administration

Consultation fees: ₹400-500

Dr. Sachin has 20 years of experience and is amongst the leading physiotherapist in Gurgaon. He is currently associated with Neurortho Physiotherapy Clinic, Gurgaon. He actively participates in various medical camps and specialises in dealing with back pain related issues like-  slip disc and cervical spondylosis. He also take sessions on postural training and frozen shoulder in different corporate offices.

5. Dr. Gaurav Tyagi

BPT, MPT- Ortho

Consultation fees: ₹500

Dr. Tyagi has around 9 years of experience in treating various types of musculoskeletal pain, orthopaedic and neurological conditions. He also treats sports injuries, geriatric care and rehabilitation. He is currently working as a HOD of Physiotherapy and Rehabilitation in Anahat Multispeciality Hospital, Gurgaon and was previously associated with some of the reputed hospitals like Brij Medical Center, Nu Tech Mediworld and Qi Spine.

6. Dr. Pallavi Jain

BPTh/BPT, MPT - Physiotherapy

Consultation fees: ₹900

Dr. Pallavi Jain has 7 years of experience as a physiotherapist in Gurgaon. She currently practices at W Pratiksha Hospital. Other than being a physiotherapist, she is a certified Mat Pilates Level 1 Instructor. Sh also has hands on experiment on treating cases of  trauma injury, paralytic care, parkinson's disease and rheumatoid arthritis.

7. Dr. Yogyata Gandhi (PT)

Antenatal and Postnatal Fitness Instructor, CSPT, BPTh/BPT, Certification in Lactation

Consultation fees: ₹400 - 600

Dr. Yogyata Gandhi is a consultant physiotherapist who is associated with paras hospital Gurgaon. She has 10 years of experience in this field and specialises as sports and musculoskeletal physiotherapist and antenatal physiotherapist.  She is a certified pregnancy yoga and fitness expert and runs her own prenatal yoga classes in association with gynecologists.

8. Dr. Geyata Shrivastava

BPTh/BPT

Consultation fees: ₹200

Dr. Geyata is a well known physiotherapist, with  9 years of experience and practices at Dr. Geyata Shrivastava clinic. Her clinic is known for using the best and latest technology in machines for treating any pain and bone related ailments. Areas of specialization are general, orthopedic, neurology, geriatric, sports injuries and joint pain.

9. Dr. Neha Mittal

MPTh/MPT

Consultation fees: ₹600

Dr. Neha is currently affiliated with Mayom Hospital, Gurgaon. She has 11 years of experience as  physiotherapist. She is expert in treating some very rare critical and challenging cases. She is a certified Kinesio Taping Therapist, qualified Mulligan mobilization practitioner and Thera Band Trainer. Her rares of experiment are treatment of Orthopedic, Post-Surgical, Neurological, Pediatric, Gynecological, Cardiopulmonary, Sports Physiotherapy, Lifestyle and Obesity conditions.

10. Dr. Neetu Rathi (PT)

MPTh/MPT - Neurological Physiotherapy, BPTh/BPT

Consultation fees: ₹500

Dr. Neetu other than being a physiotherapist, she is a certified in different procedures like clinical dry needling, workplace ergonomics, kinesio taping (CKTT), mulligans manual mobilization therapist, cupping and manual therapy and pilates. Her areas of interest are treating cases with low back pain, knee pain and neck pain, antenatal and postnatal cases, ACL Reconstruction Rehabilitation, Paralysis, Neuro Physiotherapy and Sports Injury.

Are you in a relationship with a manipulative person? Here are a few telltale signs:

If you are in a relationship where you feel that you are being taken for a ride, chances are, your partner is manipulating you. Dealing with such a partner is tricky because it’s often hard to detect this manipulation. Here, relationship experts & marriage counselor Shivani Misri Sadhoo give us points to call out a such a relationship.

The guilt trip If they send you on a guilt trip after every argument, even when it’s not your fault, it’s a high probability that you are being manipulated. They try to manipulate your emotions by making you feel as if you don’t care, even when you do.

As rainy season is round the corner, chances of getting fungal infection to ear is very high. Fungal infection of ear is called as otomycosis. Symptoms of otomycosis are ear itching, ear ache, discharge and finally ear drum perforation, which can cause decrease in hearing.

• Tongue a freely movable muscular organ lying partly in the floor of the mouth  partly on the pharynx. Its function is manipulation of food in mastication deglutition, speech articulation taste. Its surface is covered with mucous membrane. Symptoms a fungus like growth on the side or underneath the tongue. The tongue is hard there may be fissures on the tongue. The pains are like those produced by pricking of a needle extend to the throat the head. The cancer bleeds easily. Causes are obscure.
• Symptoms and signs base homeopathic medicine apply.
• Crotalus horridus 6, kalium cyanatum 3x, lemon juice 6, sempervivum tectorum 3x and other medicine apply.
   

THE PHYSICAL TREATMENT OF BACK PAIN

Physiotherapy, osteopathy and chiropractic treatment can all help to relieve back pain. All of these techniques involve manipulating parts of the backbone and some can involve exercise, massage and ultrasound therapy.All must be carried out by a suitably qualified professional. 

By correcting any underlying mechanical disturbances in the musculoskeletal system, manipulation can effectively relieve the pain and distress of back pain and minimize the need for drug treatment and the risks associated with this. However,manipulation is not recommended in some people, including pregnant women and people with osteoarthritis of the neck or osteoporosis of the spine. If manipulation is inappropriate for you then your GP will let you know.

It is important that you choose a physiotherapist, osteopath or chiropractor who is suitably qualified. There are a number of regulatory bodies in place to help you do this. By choosing  a therapist who is registered ,you are automatically ensuring that you receive the best standard of care. 

The first time you visit a therapist they will take a full medical history and ask you about your general health, lifestyle, and emotional state and family history. This may take an hour or so. Subsequent consultations will usually last about half an hour.

PHYSIOTHERAPY

Physiotherapy uses physical means (such as massage,exercise, heat or electricity) to maintain and restore your physical and mental well-being. It is an active rather than a passive treatment and is usually concerned with keeping your joints and muscles moving. As well as relieving back pain, physiotherapy can also be used to treat a large number of other common ailments like muscle sprains, sports injuries, incontinence,osteoporosis, depression and asthma. 

Physiotherapy is heavily based on the basic principles of medical science, and is therefore generally regarded as a conventional rather than a complementary kind of therapy. 

Physiotherapist working in all areas of the , private healthcare, industry and education, and physiotherapy is the fourth largest healthcare profession in the country.