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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:

  • Cardio-pulmonary conditions such as COPD, myocardial infarction and cystic fibrosis
  • Hand therapy in conditions such as trigger finger and CTS (Carpal tunnel syndrome)
  • Tears in the rotator cuff, lower or upper back pain and TMJ (Temporomandibular Joint Disorders)
  • Injuries to the spinal cord, stroke, multiple sclerosis, Parkinson's disease, trauma to the brain and vestibular dysfunction
  • Cerebral Palsy and other developmental disorders in children
  • Tennis elbow and other injuries related to sports
  • Urinary incontinence

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

Role of Physiotherapy in Diabetes

Physiotherapist, Kolkata
Role of Physiotherapy in Diabetes
Physiotherapists play an important role in helping people to overcome disability and pain related to orthopaedic, musculoskeletal, neurological and rheumatological illnesses. Physiotherapists are able to help people, to plan an individualized exercise programme in order to maintain good blood glucose control and achieve optimal weight. Effective exercise counseling ensures both cardio-respiratory and musculoskeletal fitness. This helps people with diabetes improve their quality of life, and contributes to overall control of blood glucose. Most people with diabetes suffer from musculoskeletal complications, which might include frozen shoulder, back pain or osteoarthritis. Carpal tunnel syndrome and sciatica are other neurological conditions that are commonly suffered by people with diabetes. In all these conditions, physiotherapy plays a pivotal role in returning people to normal levels of health and well-being. The physiotherapist uses a combination of active and passive exercises, and mechanical and electrical aids to improve musculoskeletal and neurological functions. Physiotherapy can play an important role in preventing and managing foot problems Teaching the importance of correct gait and posture, along with the basic principles of off-loading when required, can prevent or stabilize a number of foot complications.
2 people found this helpful

Ways To Manage Knee Pain With Physiotherapy!

Dr. Yogitaa Mandhyaan 89% (461 ratings)
DNHE, BPTh/BPT, weight management specialist
Physiotherapist, Kolkata
Ways To Manage Knee Pain With Physiotherapy!
Knee pain is one of the most common and painful ailments that can limit mobility. Injuries can result in cartilage or meniscal tears or sprains too. Obesity is another reason knee pain is on the rise. Also, regular wear and tear of the ligaments and tendons around the knees due to old age is another cause. These days, with reduced physical activities and sedentary lifestyles, the rate at which knees are wearing out has also become accelerated. Whatever the reason, a correct diagnosis followed by prompt treatment can help. Over the years, physiotherapy has been playing an important role in treating knee injuries. Whether to supplement the various drugs to reduce pain and inflammation or to avoid surgery, physiotherapy has helped many and its popularity is growing every day. Here are some ways that physiotherapy can help reduce pain. 1. Improve flexibility of tendons - The knee cap is an area where there are lot of tendons and ligaments coordinating to enable movement. Careful exercising can ensure that the flexibility of tendons and ligaments is improved, thereby making your knee movement easier and less painful. 2. Improves blood supply - As we all know, proper movement requires good blood supply. Exercising with special focus on the knee ensures that blood supply is improved, and thereby the supporting ligaments and tendons function optimally. 3. Enhances the knee cap function - The knee cap is that portion which joins your thigh bone to your calf bones. This is prone to slip out of place, especially with arthritis and injuries. This can be painful and limit movement to a great degree. Focused exercises aimed at improving knee cap function will ensure that the knee cap has a wider range of function, and does not slip out of its socket easily. 4. Reduce rigidity - Once you start physiotherapy, you will feel your knees getting more flexible. The rigidity that had set in as a result of injuries and/or old age will also reduce over a period of time. 5. Slow down the wear and tear - When you start physiotherapy after knee damage, continuing the exercise routine, of course with expert guidance, can reduce the pace at which further damage might happen. A word of caution though. Be sure to consult an experienced physiotherapist before you begin. Exercising in a bad manner can do equal or more harm than the original injury or old age itself. Contact us for a private consultation if required.
2 people found this helpful

Lower Back Pain - Can Physiotherapy Help Control It?

Dr. Rajesh Pal 86% (55 ratings)
BPTH/BPT, MPTH/MPT-Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics)
Physiotherapist, Gurgaon
Lower Back Pain - Can Physiotherapy Help Control It?
Low back pain is one of the most common medical problems and occurs due to injury associated with the nerves, bones, and muscles of the back. The pain can vary from a sharp shooting pain that happens at various intervals to a gnawing pain that can last for weeks on end. While the former can go away with some muscle relaxant, the latter may need a combination of medications and exercise. Common reasons include improper sleeping posture, lifting, fracture, lack of exercise, disk injuries, arthritis, and many more. Most of these instances would lead to medium to long term pain that will not subside on its own. Physiotherapy has been proven to provide very good relief and render it pain-free. The aim of physiotherapy is 3-fold - reduce pain, improve movement, and maintain the spinal function in the long run. Most often, the therapy sessions would last for about 4 weeks when the regular course of medications have not helped much. The nerves, muscles, bones, and disks of the low back are supported by the abdominal muscles and the back muscles. The intent of the exercise is to strengthen these two sets of muscles so that the spine/low back per se is not very susceptible to injury. The exercises would be a combination of stretching followed by strengthening and conditioning, all aimed at these two sets of muscles. Some common exercises include bottom to heels stretch, knee rolls, back extensions, deep abdominal strengthening, and pelvic tilts. In addition to being used a sole means of treatment, physiotherapy also is used in back pain to treat severe cases both pre and post surgically. What is corrected by surgery needs to be enhanced by the regular exercises as prescribed by the doctor. One disclaimer that a doctor might want to give is that the physiotherapy may not be beneficial if exercises are not done properly or if the patients don't adhere to the scheduled prescription. The long-term success depends not just on getting the relief but on following the maintenance exercises that are prescribed. This is more important and helps avoid relapse of the back pain. A good posture and improved core stability with ongoing exercises is the key to success of physiotherapy in low back pain. While most people consider low back pain as a chronic condition, it can be managed effectively. It is important to realize that there is no overnight cure and that it may not get better on its own. Physiotherapy is a very good intervention; however, it will depend on the severity of pain and how it affects the patient's lifestyle.
3 people found this helpful

4 Symptoms Of Shoulder Impingement And Its Treatment!

Dr. Abhishek Kumar Mishra 85% (11 ratings)
MS - Orthopaedics, MCH, Membership of the Royal College of Surgeons (MRCS), MBBS, FJR
Orthopedist, Delhi
4 Symptoms Of Shoulder Impingement And Its Treatment!
Shoulder impingement occurs when there is impingement or change in the position of the tendons or a bursa (fluid filled sac or cavity, which causes friction in the joints) in your shoulder. Repeated overhead exercises or intense physical activity concentrated around your shoulder is a common risk factor for shoulder impingement. The examples of such activity would include playing outdoor sports like tennis, swimming etc. or painting for long hours. How it may affect your daily life? Shoulder impingement pain is severe in many cases and may affect your everyday activities. In fact, any activity, which involves your shoulders can cause intense pain. You should consult a doctor or a professional medical facility to get relief from pain as well as to avoid aggravating the injury. Symptoms of shoulder impingement: You will have difficulty in completing tasks which involve your back. There may be a weakness in your shoulder muscles. Pain associated with overhead use of your arm. Anytime you lift your arm there would be pain and would make many day to day activities difficult. Intense injury to the tendons can cause them to tear into two and would result in a rotator cuff injury and would make your arm movements next to impossible. Diagnosis of shoulder impingement: Physical exam and review of medical injury previously sustained on some other occasion is the first step of treatment. Your doctor may also diagnose shoulder impingement by X-rays or MRI of shoulder to see changes in the bone that may indicate any injury. Other changes in the normal contour of the bone may also be checked which may help in further diagnosis and treatment. Treatment of shoulder impingement: NSAIDs are anti-inflammatory medicines that are commonly prescribed for shoulder impingement syndrome. These are prescribed for two weeks. Shoulder impingement requires a long time to heal and would require regular consultation with your doctor. If the medications fail to provide any relief in a span of maximum two weeks it may compel your doctor to change the course of treatment. Shoulder impingement is a serious injury and requires proper rest for your shoulder as well as patience as it may take quite some time to come back to normal. Physiotherapy for Impingement: Physiotherapy is usually the first line of treatment for subacromial impingement (tendonitis, bursitis) of the shoulder; along with anti-inflammatories and analgesia. It is very successful in treating shoulder impingement syndrome. You will work with your physical therapist to devise a treatment plan that is specific to your condition and goals. Your individual treatment program may include: Pain Management Manual techniques, such as gentle joint movements, soft-tissue massage, and shoulder stretches to get your shoulder moving properly. You will learn exercises and stretches to help your shoulder and shoulder blade move properly. Strengthening Exercises The therapist will teach you the proper posture which is an important part of rehabilitation When Is Surgery Required? Recalcitrant cases of shoulder impingement require surgery. If the symptoms do not improve over a period of time with medicines and physio or if it deteriorates patient might need a surgery. The surgery which is done usually is an arthroscopic ( keyhole ) surgery in which the structure causing impingement is debulked and a space is created for the structures to move freely. This surgery usually gives significant pain relief and cure.
4 people found this helpful

Physical Therapy Benefits For Back Pain!

Dr. Punnam Gupta 87% (156 ratings)
Diploma In Physiotherapy, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
Physical Therapy Benefits For Back Pain!
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 Active exercises 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: Heat/ice packs TENS units Iontophoresis Ultrasound 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.

Popular Questions & Answers

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 90% (3321 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 91% (16039 ratings)
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
1 person found this helpful

Can anybody please mention a list of Main physiotherapy exercises to be done after ACL SURGERY.

Dr. Nikita Paprunia 90% (242 ratings)
Physiotherapist, Latur
Icing and elevation to reduce swelling Use of knee brace and crutch to strengthen hams and quads. after 5 weeks start with mobilization
1 person found this helpful

I've grade 1 spondylolisthesis (anterior displacement of l5 over s1, having physiotherapy for last 20 days but no relief. What should I do now.

Dr. Vishwas Virmani 91% (16039 ratings)
Physiotherapist, Noida
Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day. Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.
1 person found this helpful

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