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Overview

Physiotherapy - Treatment, Procedure And Side Effects

What is the treatment?

Physiotherapy helps to restore mobility and normalcy in a patient's life after he/she is affected by any injury, disease or disability, in general.

Components of a physiotherapy session include manual therapy, advising and educating the patient. Physiotherapy can help a patient of any age to manage further pain and prevent subsequent injuries or diseases. In a nutshell, physiotherapy helps a patient improve and maximize his/her physical strength, functioning and general well-being while taking care of the underlying issues.

It adopts a more holistic approach to a patient's treatment process by taking into consideration his/her lifestyle and other dimensions of their lives.

Physiotherapy helps prevent disability and injury, manages chronic as well as acute health conditions, manages and betters physical performance of the patient, provides rehabilitation from the injury and educates patients on how to prevent any further recurrence.

How is the treatment done?

A physiotherapist may employ a variety of techniques, determined by the nature of the injury sustained and the particular problem that is being treated. The commonest of them are:

  • Manual manipulation: Moving the soft tissues and the joints betters circulation, flushes excess fluids from the body and relaxes overtly tight muscles and spasms.
  • Electrical stimulation of the nerves: Delivering electric currents in controlled intensity to the affected part helps to contain the pain signals, thus preventing them from reaching the brain.
  • Acupuncture: This is a great way of stimulating the CNS while dulling the pain and relaxing tight muscles.
  • Demonstration: Teaching and demonstrating proper movement patterns to the patient help them to recuperate on their own.
  • Functional testing: This involves examining the patient with regards to their physical movements to better assess his/her condition.

Who is eligible for the treatment? (When is the treatment done?)

Few conditions that can benefit from physical therapy are:

Who is not eligible for the treatment?

There is nothing as a non-eligibility criterion for physiotherapy. Anybody who has sustained an injury, disease or has been rendered disabled from a trauma can go for physiotherapy for improved functioning and mobility, obviously after due consultation with the doctor in charge.

Are there any side effects?

Yes, there are a few side effects associated with physiotherapy. It is absolutely essential to address these by talking it out with the physiotherapist. Some of the common side effects are:

  • Pain: It may happen that your pain increases while you recuperate and recover. To address such pain, oral pain medicines might be administered prior to a session of physical therapy. Heat/cold therapy or other topical methods can work as well.
  • Swelling: This is very common; it's because of the fact that the tissues, muscles and ligaments are stretched in order to strengthen them. This can result in swelling and further pain because of it. What are the post-treatment guidelines? The basic guideline here is to stick to the course and complete it. While there might not be fool-proof guarantee of outcome or resolution of the pain post physiotherapy, getting demotivated because of this and discontinuing the course prematurely can have adverse effects on the body. This can result in further pain and absolute non-resolution of the condition whatsoever. It is best to talk to the concerned physiotherapist and tell him/her precisely about your own personal objectives. The physio can then tailor the treatment plan according to your objectives and recommend you to make certain lifestyle modifications for quicker recovery. How long does it take to recover? It is important to keep in mind that every problem is different and the rate at which individuals recover will always vary. Physiotherapy may take longer to bring results in case the problem being dealt with is severe and on the other hand, may require a much shorter downtime if the patient had only sustained a minor injury. Typically, the body's softer tissues take about 6-7 weeks to heal completely; hence, physiotherapy will last for that time period. What is the price of the treatment in India? The cost of physiotherapy in India ranges from Rs.250- Rs.1500 per session. Are the results of the treatment permanent? While there is no fool-proof guarantee of results, physiotherapy is very important for holistic recovery of the patient post injury or disability of any kind. If stuck to the entire treatment course and done with diligence, physiotherapy usually helps the patient in ways more than one. To put it simply, the effects of physiotherapy are permanent, given the patient is clear about his/her personal goals and expectations and lets the physiotherapist know about the same as well. What are the alternatives to the treatment? The alternatives to physiotherapy are:
    • The intake of carbs should be kept in check as increased consumption of carbs results in inflammation because of spiked blood sugar levels.
    • Oils that are rich in LDL should be avoided. Also, foods rich in trans-fats and saturated fats should be cut out from the diet.
    • Eat more of plant-based foods and items rich in anti-inflammatory properties such as green tea, onion, garlic, lemon, mustard, horseradish, parsley, celery, etc.
    • Acupuncture
    • Acupressure
Safety: Very High Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Low Recovery Time: Medium Price Range: Rs.250 - Rs.1500 per session.

Popular Health Tips

Does Physiotherapy Help Reduce Back Pain?

Dr. Shantanu Kundgir 84% (75 ratings)
MBBS, D.Ortho, FCPS
Orthopedist, Mumbai
Does Physiotherapy Help Reduce Back Pain?
Back pain is a common ailment faced by men and women of all ages. It can range from a periodic dull ache to a constant stabbing pain. A pain in the lower part of the neck is also often categorized as back pain. This may be caused by a number of factors. Some of these include: Lifting weights incorrectly Handling excess stress Staying in one position for too long Patients suffering from frequent episodes of back pain or pain that lasts for more than six weeks are often advised to undergo physiotherapy. In cases of severe back pain, the earlier you start your physiotherapy, the more effective it will be. Physiotherapy aims at finding a way to reduce the pain being experienced and prevent it from recurring. When it comes to treating back pain, there are usually two parts of a physiotherapy program. The first is a passive physiotherapy that helps reduce the pain being experienced. The second part of the program involves exercises that help strengthen the muscles and keep the pain from recurring. Passive physiotherapy: This part of physiotherapy is termed as passive as the patient need not do anything himself. Using an ice pack or a heat pack to deal with the pain is one example of passive physiotherapy. This helps reduce inflammation and relieves pain. Hot packs and cold packs are usually used alternatively. Other examples include ultrasound therapy and a therapy that involves the use of a transcutaneous electrical nerve stimulator (TENS) unit. Active physiotherapy: Once the pain has been brought under control, the next step is to strengthen the muscles and nerves in the back. Stretching exercises are a basic element of active physiotherapy. These exercises need to be performed every day and should be made a habit. In cases of severe back pain, these exercises may need to be practiced under expert supervision in a hospital. But otherwise, it may be done at home. Along with stretches, dynamic lumbar stabilization exercises and exercises that strengthen the core muscles are also important. Some form of low-impact aerobics may also be prescribed to improve flexibility. Unlike the other exercises mentioned above, this need not be practiced every day. Physiotherapy can be a very effective way of treating back pain as long as it is used the right way. For example, when using a heat pack or an ice pack, the packs should not be placed in direct contact with the patient s skin. Similarly, when practicing physiotherapy exercises, the patient must not over-exert the muscles and stop immediately, if he/she experiences any pain or discomfort.

Physiotherapy and Soft Tissue Injuries - What Should You Know

Wellness Diploma, MBA (Healthcare), BPTh/BPT, Post Graduate Specialization In Preventive Health Care
Physiotherapist, Delhi
Physiotherapy and Soft Tissue Injuries - What Should You Know
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: 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. 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. 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. 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. 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.
1 person found this helpful

How Long Do You Need Physiotherapy Post Fracture?

Wellness Diploma, MBA (Healthcare), BPTh/BPT, Post Graduate Specialization In Preventive Health Care
Physiotherapist, Delhi
How Long Do You Need Physiotherapy Post Fracture?
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. 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. 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. 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. 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.
4211 people found this helpful

Motor & Sensory Impairment - How Physiotherapy Can Help?

Master of Physiotherapy (MPT-Neuro), Bachelor of physiotherapy(BPT)
Physiotherapist, Ahmedabad
Motor & Sensory Impairment - How Physiotherapy Can Help?
Paraplegia is an impairment in the motor or sensory function of the lower extremities which is usually caused by spinal cord injury or a congenital condition that affects the neural (brain) elements of the spinal canal. This usually occurs after an injury to the nervous system. Paraplegia can involve complete or partial paralysis of the legs and/or the trunk. The area of the spinal canal that is affected in paraplegia is either the thoracic, lumbar, or sacral regions. In the last 10 years, physiotherapy techniques in case of paraplegia have developed considerably. The aim of physiotherapy is the complete rehabilitation of the patient. Neurological physiotherapy is specific to your needs as a patient and will be focused towards the specific problems you may face. Rehabilitation depends on the level and severity of the damage to the spinal cord. Physiotherapy treatment will be determined after an initial assessment of the patient is completed. It includes the following components: Prevention of complete immobilization: Stretching is the most important exercise as stretching helps to improve flexibility, reduce muscle spasticity and cramps. Stretching helps to move the parts of your body to their full range of motion. Sudden jerking or bouncing should be avoided. Stretching should also be done before, and after other exercises to prevent muscle strain and soreness. It also helps in avoiding injuries. Exercise to increase muscle strength, and co-contraction: Strengthening exercises which help increase muscle tone, and improve the quality of muscles. This helps improve mobility and provides energy. Strong hip and leg muscles help to lift the legs to walk and carry out daily physical activities. Activities to improve balance, and coordination of body Maintaining joint range of movement, and preventing muscle shortening and tightness through stretching. Physiotherapy offers advice on how to maintain position to increase comfort, and to improve posture in lying, sitting and standing. This helps to reduce pressure areas, and prevent secondary complications such as pressure sores. Teaching transfers (between wheelchair, bed, car, toilet) help to improve safety and promote independence. Therapeutic electrical stimulation helps to reduce pain, and build muscle strength Functional Electrical Stimulation helps you to walk if you have muscle weakness in the lower legs Parallel bars help to practice walking and balancing in a safe environment Tilt Table (if you are wheelchair bound and would like to stand up, this piece of equipment will stand you up safely to get some weight through your legs with no effort required by the patient) It also helps in improving confidence and building self-esteem.
4564 people found this helpful

Frozen Shoulder - Ways Physiotherapy Can Be Of Help!

Dr. Pankaj Das 90% (145 ratings)
Master of Physiotherapy, Bachelor in Physiotherapy
Physiotherapist, Guwahati
Frozen Shoulder - Ways Physiotherapy Can Be Of Help!
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: To reduce pain in the shoulder To increase the flexibility and strength of the shoulder To enhance movement of the shoulder. 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: 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. 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. 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.
2099 people found this helpful

Popular Questions & Answers

I am having plantar fasciitis problem since last year. Initially it was in left leg with pain in heel. Gradually the pain subsided after physiotherapy. But since, last three months the pain is in right leg heel. I am not going to any physio now. I am wearing cushioned sport shoes of Asics. What is the permanent cure for it. I experience pain in left leg also if I walk more.

Dr. Julie Mercy J David Raja 92% (7138 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Get treated with Ultrasonic therapy which would directly heal the calcaneal spur (inflammation of the calcaneum bone) which causes the heel pain in majority of the cases. Along with ultrasonic therapy, shortwave diathermy also can be given. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the weight evenly in the feet so that the weight will be completely felt in the heel area. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the Plantar Fascitis weight evenly in the feet so that the weight will be completely felt in the heel area.
1 person found this helpful

I have 26 years I have job of long standing hours .so for some reason my left knee started paining .there was discomfort while climbing stairs squatting bending knee. I consult an doc andperformed an mri for the knee. The reports are saying that I have an cartilage thinning .thats the reason of pain. Doc suggested to take physiotherapy. I am doing physiotherapy form last 6 mnts .still no relif .doc suggest no knee transplant surgery coz you are too young .what should I do?

Dr. Vishwas Virmani 93% (18162 ratings)
MPT, BPT
Physiotherapist, Noida
Advice... Avoid sitting Cross legged. Avoid Squatting- Quadriceps Exercises- Lie straight, make a towel role and put it under the knee, press the keen against the role, hold it for 20 secs. Repeat 20 times twice a day. This will help relieve some pain. Core Strengthening Exercise- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.

Dr. I am suffering from frozen shoulder for the last 9 months. I consulted Ortho Dr. He advised me to undergo physiotherapy for 10 days. But still pain is not relieved. But pain was reduced to 70% It is an angular muscle pain.

Dr. Ankush Kaushik 89% (192 ratings)
BPTh/BPT, MPTh/MPT
Physiotherapist, Faridabad
Pain takes around 2 month's time to resolved completely in frozen shoulder cases. When your shoulder Will completely opens pain Will automatically go away.

I'm suffering from left knee pain as I fell down from chair my knee was twisted. Doctor suggested me to do physiotherapy. And I'm using knee brass and elastic band for knee there is no use. Since 9 months has gone there is some pain while walking. Standing. And going steps to go upstairs of my office I can't able to go upstairs please help.

Dr. Julie Mercy J David Raja 92% (7138 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
If your knee is paining since 2 weeks, then you have to rethink whether you had any injury in the previous years. I also advise you to use knee cap which would help to prevent the knee from damaging further and also to maintain the quadriceps muscle tone. As arthritis is very common if anyone would've neglected any injury in the previous years. You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Ice therapy would definitely help to reduce the inflammation.
2 people found this helpful

My mother's age is 48. She used to feel pain in her left leg whenever she sat down or while in the bathroom since a few weeks. We did an MRI scan. It showed that the disc L4-L5 & L3-L4 (a bit less) is suppressing the nerve which goes to left leg. The doctor (Neurologist) had given her medicines-season, esoflam, pantosec-d, neurobion temporarily and suggested her to get admitted in hospital for 7 days during which she will be treated on injections and medicines. He said there isn't any need for any operation. Now my mother has stopped bending forward since 10 days. She feels a bit of pain in left leg continuously now and more pain while sitting in toilet. So can physiotherapy treatment help her to get relieved of the pain PERMANENTLY & can it help in freeing the nerve which is suppressed. What treatment should be best for her right now- Physiotherapy or Getting Admitted. Or should she go with Physiotherapy now and if she still feels pain then get admitted? And what kind of treatment should she follow in physiotherapy? Thanks a lot for taking time out and going through the query.

Dr. Vishwas Virmani 93% (18162 ratings)
MPT, BPT
Physiotherapist, Noida
Apply Hot Fomentation twice daily. Avoid bending in front. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times
2 people found this helpful

Health Quizzes

Physiotherapy For Frozen Shoulder!

Dr. Nikita Paprunia 92% (252 ratings)
Physiotherapist, Latur
An armpit stretch is done to improve the strength of the affected shoulder. True or False. Take this quiz to know now!
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78 people took this quiz

Back Pain - How Physiotherapy Can Help?

BPTh/BPT, PGDPV
Physiotherapist, Bangalore
Back pain is very common and almost all of us experience it at some point of time in our lives. For patients suffering from back pain that lasts for more than two weeks or for patients experiencing it frequently, physiotherapy may be recommended. Take the following quiz to understand how physiotherapy can help patients suffering from back pain.
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226 people took this quiz

Why is Physiotherapy Essential For Recovery From Bone Injury?

Dr. Nithin Kumar Bejjanki 91% (120 ratings)
Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS), MBBS, Fellow of Academy of General Education (FAGE)
Orthopedist, Hyderabad
Physiotherapy does not help to increase the functionality of the joints and bones after a fracture. True or False. Take this quiz to know now!
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78 people took this quiz

Pains & Aches - What Should You Do To Manage Them?

Dr. Pankaj Das 90% (145 ratings)
Master of Physiotherapy, Bachelor in Physiotherapy
Physiotherapist, Guwahati
Regular use of the wonder herbs such as turmeric, ginger, and garlic comes as a much-needed relief for people struggling with body pain. True or false? Take this quiz to know more.
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92 people took this quiz

Appendix - Do You Think You Know These Facts?

Dr. Ajay Gupta 88% (145 ratings)
FIAGES, FMAS, MS - General Surgery
General Surgeon, Pune
The appendix is a tube-like structure, which is connected to the cecum. It is thought to be a vestigial organ as people do not notice any significant changes after its removal. Check out your knowledge level about appendix by taking the following quiz:
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257 people took this quiz

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