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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

2 Best Physiotherapy Exercises for Hip Flexibility

Dr. Vishwas Virmani 91% (18099 ratings)
MPT, BPT
Physiotherapist, Noida
2 Best Physiotherapy Exercises for Hip Flexibility
I Forward Lunge Forearm to Instep It s very important to keep the hips flexible and strong, as they take considerable stress from everyday activities like walking and climbing stairs. This lunge goes beyond the usual range of motion to open the hip joints and provide a deep stretch in the hips and thighs. 1. Standing tall with your feet shoulder width apart, step your left leg forward with a longer than normal stride. Land softly with weight evenly distributed over the heel and mid-foot,extending your right leg behind. 2.Move into a deep lunge by lowering your hips to the floor, bending your right knee, and placing your left hand on the floor for support. 3.Don t allow your knee to cross over your ankle as you bend the front leg Feel the stretch through both Move your right fore- sides of the hips arm inside the left leg to stretch deeper. Keep your back straight and hold for 15 to 20 seconds, and then repeat on the opposite side. 4. For more strength and better balance,contract your glutes on both sides throughout this movement. As an added bonus, you ll train your glutes to be engaged in other everyday movements. II Forward Lunge with Overhead Reach Performing stretches that combine multiple muscle groups can be very effective.Not only does this allow you to multi-task as far as stretching is concerned,it s also practical because most activities involve more than one major muscle group. 1.Stand with your back straight, with feet and legs aligned and hands on hips. Engage your core muscles as you move into the lunge Step forward 3 or 4 feet with your left leg. 2.Keep a slight bend in your right knee back behind you.Slowly shift your weight on to the front foot and find a balance without wobbling. 3. Keeping your torso squared, raise your right arm overhead and drop your hips slightly lower to the floor until you feel the stretch throughout your body.Hold for 15 to 20 seconds. Repeat on the opposite side with your right leg in front, left leg behind, and left arm overhead.
3 people found this helpful

2 Important Points in Rehabilitation/physiotherapy Following Meniscal Surgery

Dr. Vishwas Virmani 91% (18099 ratings)
MPT, BPT
Physiotherapist, Noida
2 Important Points in Rehabilitation/physiotherapy Following Meniscal Surgery
REHABILITATION FOLLOWING MENISCAL SURGERY Meniscal injuries are common in today's exercise minded world. The medical meniscus is oval or C-shaped and is larger in diameter than the lateral meniscus. The entire border of the medical meniscus is attached to the tibia by thick coronary ligaments. Meniscal tissue is hydrated, soft, and fibrocartilagenous is slightly greater than that in articular cartilage. The menisci function to: 1) distribute weight bearing loads 2) increase joint congruency, thus aiding stability 3) limit abnormal motions, and 4) possibly improve articular nourishment. A. MECHANISM OF INJURY Non contact stresses are the most frequent mechanism of injury to the menisci. These stresses result from a sudden acceleration or decelerations in combination with a change in direction (eg. when a soccer or lacrosse player plants and cuts to elude an opponent). In jumping sports such as volley ball or basket ball, the additional element of vertical force with angular momentum upon landing can contribute to a Meniscal tear. Meniscal lesions may have clinical symptoms. Displaced tears, such as bucket handle tears, can produce locking and giving way. Non displaced tears can alter meniscus mobility and produce abnormal traction stresses to the capsule and synovium, accounting for the pain associated with such lesions. B. TREATMENT PLAN The final component of implementing an individualized rehabilitation program is the formation of a treatment plan. The underlying message of the treatment plan should be a functional orientation to exercise. It is important that the rehabilitation program follow a functional progression. In association with a functional progression, the therapist should follow the SAID principle(specific adaptation to imposed demands). The body adapts to specific activities based on the type of stress experienced, and the type of stress experienced, and the type of adaption that takes place will be specific to the type of training performed. This concept is demonstrated throughout the rehabilitation process in various closed kinetic chain (body movement performed with one or both feet in a stationary position) exercises, which impose different forces at the knee in multiple planes. Therefore, in following a functional approach to rehabilitation, emphasis should be placed on treatment in a closed kinetic state when appropriate.To initiate the treatment plan, it is imperative to follow certain rehabilitation rules. These have been described as : 1) create a safe environment for optimal healing. 2) don t hurt the patient. 3) be as aggressive as you can without breaking rule. 4) The treatment plan can be made effective by understanding the specific effects of the treatment, the cause of the patient s symptoms, the functional biomechanics of the knee joint, stages of tissue healing, and the patient s specific injury or surgery.

5 Physiotherapy Exercises For Spinal Cord Injury

Dr. Vishwas Virmani 91% (18099 ratings)
MPT, BPT
Physiotherapist, Noida
5 Physiotherapy Exercises For Spinal Cord Injury
1.Maintaining Passive and Active Range of Motion The patient s lower limb should be moved passively by the therapist through full range of motion if the patient is not able to perform the movement actively. Wherever the patient is likely to put his active efforts to perform the movement, the therapist should encourage it as this will not only maintain the active range but will also help the patient to maintain the properties in his muscles. Passive movements need to be given every two hourly hence the patient s relative attending him should be taught the correct way of handling and giving passive movements without producing undesired movement of the spine.Passive movement helps to maintain the normal physiological length of soft tissues and prevents tightness. It maintains the memory of the movement pattern in brain which may help in the later stages of recovery. Passive movements also help in reducing spasticity if given in a gentle, slow and rhythmic manner.Along with passive movements, all the biarticular muscles of the lower limb should be stretched. 2.MAINTENANCE OF GOOD BRONCHIAL HYGIENE As the patient is totally bedridden it leads to deconditioning of the respiratory system. Moreover in higher cord lesion due to respiratory muscle weakness, the patient needs ventilatory support which further increases the chances of lung infection. Hence proper lung hygiene should be maintained by given proper positioning, nebulization and regular suctioning. If the patient is not on ventilatory support then he should be taught 3.BREATHING EXERCISES and encouraged doing it every hour. 4.ACTIVE EXERCISES As soon as the patient shows signs of active contraction of muscles and active participation, all the exercises that needs active cooperation of the patient should be started. These exercises are essential to make the patient functionally independent. The common exercises which are incorporate into the treatment program consist of Mat exercises, strengthening techniques, weight bearing exercises, normalizing tone in the lower limb, gait training and transfer activities. 5.MAT EXERCISES To prepare the patient for gait training and erect posture mat exercises play a very important role. These exercises consist of those activities that may help the patient to achieve some functional independency. The activities consist of turning to each side, rolling and bridging. Similarly in prone position the patient may be given activities such as coming on to the forearms,coming on to extended forearms, quadripedal position with the help of some external support, kneeling with support, half kneeling etc.

Physiotherapy Treatment for Spinal Arachnoiditis

Dr. Vishwas Virmani 91% (18099 ratings)
MPT, BPT
Physiotherapist, Noida
Physiotherapy Treatment for Spinal Arachnoiditis
SPINAL ARACHNOIDITIS Arachnoiditis of the spinal cord is a non specific inflammatory disease of the arachonoid membrane which is characterized pathologically by thickening of the arachnoid membrane with adhesion or adherence to the dura matter and manifested clinically through roots or radiclar signs and symptoms. CLINICAL FEATURES Arachnoiditis is usually seen in 40 to 60 years of age but rarely below 20years. Onset: it can be acute or sometimes it may take months.Pain: pain is usually localized type with a burning character. Later the painstarts radiating down the lower limb due to nerve root irritation. Paresthesia: this also takes place due to irritation of the sensory nerve roots. Sensory loss: this occurs when the sensory nerve roots get completely blocked. Muscle weakness with atrophy: although the anatomy of the motor nerve roots make them less prone to get compressed, it can happen in the later stage which will then give rise to weakness and wasting of the corresponding muscles. MANAGEMENT The medical management usually consists of corticosteroids in acute stage of inflammation. NSAID for pain relief and inflammation. Surgical management consists of Rhizotomy in cases of unbearable pain.Surgical decompression for removal of cyst. PHYSIOTHERAPY MANAGEMENT comprises of Moist heat mainly for reducing the muscle spasm. SSF also relieves pain by reducing spasm and by increasing the blood supply to the area. In case of radiating pain due to involvement of nerve roots the patient may be treated with TENS. Even in cases of paresthesia TENS is usually used. Laser has been found to reduce the inflammation and also break the adhesion in the deep seated structures which helps in setting free the irritation on the nerve roots thereby relieving the discomforts of the patient. Active exercises like static exercises for the abdominus, back extensor, gluteus and quadriceps helps in reducing pain in the initial stages and also maintains the tone in the muscles. Dynamic exercises may be started once the pain level comes within the patient s tolerance level. These exercises may be continued by the patient throughout the life for preventing any chances of recurrence. SLR: Active and passive SLR is given to lengthen the neural structures and relieve the tension in them. This is a type of neural mobilization that helps in relieving the signs of radiculopathy. Gait training in cases of muscular weakness.

Best Physiotherapy Exercises for In-Coordination--Frenkel s Exercises

Dr. Vishwas Virmani 91% (18099 ratings)
MPT, BPT
Physiotherapist, Noida
Best Physiotherapy Exercises for In-Coordination--Frenkel s Exercises
Best Physiotherapy Exercises for In-coordination--Frenkel s Exercises Frenkel s exercises are a very effective means of improving the coordination. In fact it is very beneficial for patient with sensory ataxia.This technique established control of movement by use of alternate sensory mechanism, which is intact, usually visual, sound and touch. The main principles of Frenkel s exercises are as follows: Concentration or attention Precision Repetition The patient is positioned in such a manner that he can see the movement.The therapist gives a concise explanation and even demonstrates the exercises so that the patient obtains a good mental picture of what he is expected to do.The patient should concentrate to perform a smooth and accurate movement. The speed of the movement is regulated by the therapist through the use of rhythmic counting, movement of her hand or the use of suitable music. The range of the movement is indicated by marking the spot on which the foot or hand is to be placed. The exercises are repeated many times until the patient perfect it and is able to perform it with ease. The exercises are made more difficult by incorporating more movements and more joints into the exercise. Slower movements need more control than rapid movements hence alteration in the speed of consecutive movements is very essential to offer challenge to the patient. In sitting position one can even use technique of joint approximation or rhythmic stabilization in order to bring about contraction of the neck muscle that in turn can stabilize the neck. Biofeedback can also be tried out to facilitate contraction of postural muscles of the neck and trunk. Good trunk control can be achieved by giving activities like prone on elbow, prone on hand, on all fours, bridging, trunk rotations etc. putting the patient prone on vestibular ball also helps in developing control of the trunk extensors. side sitting by taking weight already on both the hands also stimulates trunk stabilization.

Popular Questions & Answers

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 91% (18099 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 90% (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 89% (4897 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% (18099 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

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

Dr. Nikita Paprunia 92% (252 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

Health Quizzes

Back Pain - How Physiotherapy Can Help?

Dr. Mahesh G 89% (10 ratings)
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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181 people took this quiz

Why is Physiotherapy Essential For Recovery From Bone Injury?

Dr. Nithin Kumar Bejjanki 89% (117 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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68 people took this quiz

Lower Back Pain - Do You Think You Need Surgery?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Back pain can return even after surgical correction. True or false? Take this quiz to know more.
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310 people took this quiz

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