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Physiotherapy Tips

Different Ways You Can Prevent Yourself From Osteoarthritis!

Dr. Akhilesh Rathi 90% (45 ratings)
MCh Ortho, DNB Ortho, MS Ortho, MBBS
Orthopedist, Delhi
Different Ways You Can Prevent Yourself From Osteoarthritis!

Osteoarthritis is among the most common ailments that people on the other side of 50 are affected with. Few of the primary reasons behind osteoarthritis are age, obesity, lack of exercise and weakened bones. Sometimes, osteoarthritis stems from joint injury or some sort of stress on the bones. It leads to acute pain and stiffness and can only be cured through medication and exercise.

The symptoms may vary from mild creakiness in the joints,swelling,mild pain to deformity of the joint,stiffness, difficulty in movement and severe pain. Long periods of inactivity can also trigger extreme stiffness. While it is an extremely painful disease, it does not spread to the other parts of the body. Inflammation of various degrees in the ligaments and joints is the primary cause of osteoarthritis and sustained treatment can only result in abating of pain.

Osteoarthritis is usually treated through detecting the symptoms and through other imaging tests, while joint replacement is a viable solution in severe cases, majority of the patients are managed with non-surgical processes that reap fruitful results while battling osteoarthritis. It usually involves an optimum mixture of exercises and drug therapy. While there are several cures available, prevention should always be a priority.

  • Physical activity: Obesity is one of the primary causes of osteoarthritis. Certain prescribed exercises can go a long way in improving muscle strength and reducing joint pains. However, excessive exercises must be avoided. Lifestyle modifications like avoiding high stress activities (e.g. squatting, sitting crosslegged, stairs and prolonged standing) also help in decreasing the pain. Physiotherapy with a trained physiotherapist is beneficial.
  • Medicines and drugs: Osteoarthritis can be kept under control and averted through specific medications. Drugs can be consumed orally or can be injected directly as per the prescription of the doctor if he or she forebodes an onset of osteoarthritis. Knee lubricants have also been helpful in curing osteoarthritis. For more severe conditions, specified medical attention may be required.
  • Nutritional Supplements: For obtaining relief from joint pains, a proper and healthy diet is necessary. An enhanced supply of calcium, vitamin D and Omega-3 fatty acids is thus mandatory for remedying and preventing osteoarthritis. A healthy diet builds your immunity and prevents such diseases.
  • Surgery: It is done in those patients whom other treatment fails. Surgeries vary from high tibial osteotomy (HTO) to unicondylar knee replacement and total knee replacement. HTO and Unicondylar knee replacement are preferred in younger patients and Total knee replacement is considered in elderly. They provide excellent outcomes in patients suffering from severe Osteoarthritis and rheumatoid arthritis. These are relatively hassle-free surgeries which go a long way in providing relief. However, you must follow the advice of the doctors thoroughly before opting for this. You should consider surgery if other measures are not working.

Many indications of knee replacements include severe osteoarthritis in x-ray with deformity of the knee causing significant problems in lifestyle of the patient despite all conservative means.

3431 people found this helpful

Physiotherapy For Sports Injury!

Dr. Gaurav Mohan 91% (18 ratings)
Physiotherapist, Delhi
Physiotherapy For Sports Injury!

There are many sports injuries commonly treated by physiotherapists such as muscle strains, ligament sprains, dislocations and fracture.The type of physiotherapy treatments will vary according to the sports injury.

What Happens at the First Visit?

During your first visit to your physiotherapist, you will be asked about your activity that led to your injury, your past medical history and other related data. The therapist will perform a thorough physical examination of your injured body part. Based on the results of physiotherapy evaluation and examination, also on your particular needs and goals, your physiotherapist will formulate a comprehensive treatment plan specifically made for you.

Physical Therapy Treatments for Sports Injuries

  1. Ice pack application: Ice application is often prescribed for acute sports injuries.Icing helps minimize your pain and swelling that result from the injury. The physiotherapist will wrap an ice pack with the towel and apply it to your injured part for about 20 minutes.
  2. Hot pack application: The physiotherapist uses a hot pack wrapped in the towel if you do not have swelling. The pack will be applied for about 20 minutes. Hot pack application can help relieve your pain and muscle or joint stiffness. This helps to hasten the healing by increasing blood flow to your injured body part.
  3. TENSTENS, or transcutaneous electrical nerve stimulator, is a small battery-operated device that directs small amounts of current to the skin over your injury. You will feel a tingling sensation when the device is turned on. TENS can help temporarily relieve your symptom of pain.
  4. Ultrasound: An ultrasound is a machine that drives sound vibrations to your tissues. It is a deep heating apparatus or modality. This means that this physiotherapy apparatus can heat up deeper tissues or bulky body areas. An ultrasound may be used by your physiotherapist to soften your deeper tissues or to aid in your healing process.
  5. Massage: Massage also called soft tissue mobilization, is a hands-on therapy that the physiotherapist may use. Massage may be employed to relax tight muscles, decrease swelling, reduce tissue adhesions, or pain relief.
  6. Range of motion exercises: Range of motion (ROM) exercises can help improve or maintain your joint range of motion. By performing ROM exercise whenever possible, you can prevent your joints and muscle from becoming stiff.
  7. Strengthening exercises: Being inactive for a long time can make your muscles weak. Strengthening exercises can help you maintain the strength of your uninjured muscles and improve the strength of your weakened muscles.
  8. Gait or walking training: You may need gait or walking training using a walking device like a walker or crutches to avoid putting stress on your injured lower limb. The physiotherapist will fit you with a proper walking device and train you on how to properly use it.

Bone & Joint Pain Care - Ayurveda!

Dr. Jeevan Sampat Jadhav 87% (80 ratings)
Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Ayurveda, Nashik
Bone & Joint Pain Care - Ayurveda!

Care for Bone & joint pain According Ayurveda:-

  •  After active phase is over, physiotherapy can also be started.
  •  Then to boost the immunity in nirama avastha
  • We should be very careful that oil should not be applied and kriyas not be done in ama avasta. 
  •  We should not apply lepas, when there is jvara. 
  •  In infectious arthritis even valuka svedam need not be done.

Some Remedies:-

  • Use 'VATSHAMAK LADU' for fast cure.
  • Fasting is very beneficial for digesting the ama. The fasting be complete or partial depending on the strength of the person, season and place. Two tea spoons of lemon juice mixed in 250 ml. of warm water and a tea spoon of honey is good to take twice a day -morning and evening.
  • Body massage with sesame or mustard oil helps to reduce the vata and thus reduce the pain. The joints affected by pain can be massaged for longer time.
  • Light exercise is useful but you must know your limits: as a general rule if any exercise, including walking, causes pain after one hour, you have crossed your limit.
1 person found this helpful

Common Orthopaedic Disorders - 4 Types You Must Be Aware Of!

Dr. Mukesh Nakum 86% (10 ratings)
MS - Orthopaedics, Fellowship in Joint Replacement
Orthopedist, Surat
Common Orthopaedic Disorders - 4 Types You Must Be Aware Of!

Orthopedic disorders include all the health issues and ailments that are related to the muscles, joints and ligaments. Orthopedic disorders are so widespread and so large in number that it is very difficult to list all of them down. However, among them the four most common orthopedic disorders are:

  1. Arthritis: It is a chronic and a long lasting orthopedic disorder in which you witness the swelling or inflammation of one or more joints in the body. This condition is very painful in nature and it tends to deteriorate gradually. This condition usually affects elderly people and it also worsens with age which ultimately causes stiffness of the joints and limits your routine body movements.
  2. Osteoarthritis: This is a degenerative joint disorder which leads to immense pain and discomfort in the joints of the body. This is one of the most serious forms of orthopedic disease that has been noticed. This disease involves degradation and decline in the overall quality of the bones and joints in the affected areas.
  3. Lower back pain: This condition refers to periods of pain and discomfort in the lower part of your spinal area. This condition is very common nowadays and as a result of this pain, your back usually becomes tender, swollen and stiff. This pain also stops you from doing your overall routine activities.
  4. Rheumatoid arthritis: It is an orthopedic disorder in which there is severe swelling in a particular joint, accompanied by small lumps on the affected area that further degrade the external appearance of the skin. In case of adults, this disorder lasts for a lifetime and worsens with time, if left untreated.
2662 people found this helpful

Physiotherapist Can Reduce Joint Stiffness!

Dr. Mukesh Vyas 91% (612 ratings)
Physiotherapist, Pune
Physiotherapist Can Reduce Joint Stiffness!

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

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

Procedure for treating joint stiffness through physiotherapy-

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

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

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

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

Heel Pain - All About It!

Dr. Mukesh Vyas 91% (612 ratings)
Physiotherapist, Pune

Heel pain is a common problem in the body where the affected person experiences pain radiating from the heel bone. Heel pain usually progresses slowly over time, it is recommended to consult a medical professional, if heel pain turns severe. The pain tends to most severe after one has been inactive for some time such as after waking up in the morning.

Heel pain is usually caused when tissues present in the bottom of the heel (plantar fascia) is damaged. These tissues connect the heel bone with the bones of the feet and help in absorbing shocks. Tears are formed in these tissues when they are damaged or when they get thicker. These tissues are at an increased risk of wear and tear for those who are over 45 years old. The risks also tend to increase if the person is obese or whose occupation requires standing for lengthy periods of time.
Among other causes of heel pain are heel bone fractures, fat pad atrophy (a condition where a layer of fat present under the heel bone is reduced) and bursitis (inflammation of the fluid-filled sacs present around the joints). Peripheral neuropathy is a condition where damage occurs in the peripheral nerves (that transmits signals between the central nervous system and the rest of the body), this can cause pain in the heel.

The symptoms of heel pain include:

1. Experiencing pain while jogging or walking

2. A feeling of pins pricking the heels after waking up in the morning

3. Inability to bend the heel

4. Painful swelling

5. Pain in the heel accompanied by fever

Prevention and treatment-

Heel pain can be prevented by taking certain preventive measures such as restricting usage of high heeled shoes without proper support and stretching the heel regularly. Medications such as painkillers are used to treat symptoms of heel pain
Physiotherapy treatment - 
1. Some instructions have to follow 
2. Manual therapy 
3. Ift +ultrasound therapy 
4. Calf stretching 
5. Contras bath 

Benefits Of Physiotherapy For Osteoarthritis Patients!

Dr. Ranjana Arora 87% (217 ratings)
B.P.T, M.P.T(ORTHO), Certification In Gym Instructor & Prenatal & Post Natal
Physiotherapist, Gurgaon
Benefits Of Physiotherapy For Osteoarthritis Patients!

With age our body begins to show signs of wear and tear, wrinkles appear on the skin, movement slows down etc. Osteoarthritis is one such condition that is a result of advancing age. This is a musculoskeletal condition where the cartilage between the bones at a joint gradually wears down and disintegrates. As a result, the bones have no cushioning and moving the joint becomes hard and painful. There is no cure for osteoarthritis and no way to prevent it either. However, physiotherapy can help improve the patient’s quality of life.

Here are some of the benefits of physiotherapy for osteoarthritis patients.

  • Better pain management: A doctor may prescribe painkillers but these narcotics are addictive and hence should not be used for long-term pain. Instead, physiotherapy exercises and massages should be used to reduce and relieve pain in the joints. Heat and cold therapy can also help. This also helps reduce inflammation around the joint.
  • Increased range of motion: As the cartilage disintegrates, the amount of motion possible for a joint reduces. Many people suffering from this condition find themselves unable to close their fist completely or have a lot of pain while walking. Physiotherapy exercises can help preserve the cartilage between bones and increases the range of motion.
  • Stability: Along with exercises, massages etc., physiotherapists also employ aids and support devices such as walkers, canes, braces, and splints. Depending on the patient’s condition, a physiotherapist can help identify the support device best suited for the patient and teach him or her how to use it. This keeps the patient safe while walking and promotes stability.
  • Weight managementControlling weight becomes difficult when moving is painful. Many osteoarthritis patients find themselves putting on weight as the amount they exercise reduces. However, this only aggravates the problem. Being overweight puts more pressure and stress on joints and speeds up the disintegration of cartilage. Thus by teaching the patient the correct way to exercise and improving their range of motion, physiotherapists can help patients manage their weight better.

Physiotherapy must always be conducted by an experienced physiotherapist. It is equally important to listen to your body and to challenge it. Only a good physiotherapist will know when you can push your body out of its comfort zone and when you should simply rest. So do not overdo an exercise as it could harm the muscles and joint. If you experience any pain while exercising, it must be brought to the notice of the physiotherapist immediately.

3396 people found this helpful

Heel Pain Physiotherapy Tips!

Dr. Aparna Pradhan 91% (111 ratings)
Physiotherapist, Pune
Heel Pain Physiotherapy Tips!

What should you do if your heels hurt?

  • Change shoes - avoid flat flexible flimsy shoes, find a shoe with good support.
  • Avoid barefoot walking.
  • Stretch your calf.

Give it a few days and call your physiotherapist you still have pain.

Physiotherapy For Knee Arthritis!

Dr. E. Logesh 92% (10 ratings)
BPTh/BPT, MSPT (Master of Physical Therapy)
Physiotherapist, Chennai
Physiotherapy For Knee Arthritis!

Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.

Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people. There are 2 types of arthritis the knee joint in the human body can get afflicted with. They are:

  • Osteoarthritis: The form of arthritis which, with increasing pain, slowly wears down the joint cartilages is called osteoarthritis. This form of arthritis usually affects people after the age 40. The symptoms of osteoarthritis include:

    • severe pain in the knee joints

    • pain after walking up the stairs and it subsiding once you are on rest

    • severe pain after the movement of joints for a long time

    • pain that becomes worse in rainy days

    • joints becoming stiff after waking up in the morning but they improve in the latter part of the day

    • pain which also occurs in the thighs and the genital regions coupled with joints swelling and joints getting stiff after rest.

  • Rheumatoid Arthritis: Rheumatoid arthritis is a chronic form of arthritis caused because of the knee joint inflammations. This form of arthritis can occur at any age. Being an auto-immune disease, its symptoms include, but are not limited to:

    • severe pain in the morning

    • mild fever accompanying the pain

    • joints suddenly becoming swollen, red and warm causing, immense pain

    • sudden stiffness of the joints

    • pain that increases in cold weather

    • mild fever, extreme tiredness and weakening of the muscles

Doctors are still doubtful about what exactly causes the disease; but the deformation of the immune system might cause the damage of the joints, causing people who are already suffering from obesity, smokers, and women, in general, more prone to this disease.

When the knee pain is diagnosed as a form of arthritis, the following treatments are suggested:

  1. If you are overweight or obese, losing some of those extra pounds can go a long way in reducing the pain.

  2. Muscle-stretching exercises are effective in keeping the knee joints flexible.

  3. Acupuncture and devices such as knee braces and knee caps can relieve the pain.

  4. Prescribed dosage of anti-inflammatory drugs such as Tylenol, Motrin, and Advil or injections of hyaluronic acid might relieve your pain.

  5. If regular treatments do not work, you might opt for knee-replacement surgery and osteotomy (the process of cutting a bone with the help of surgery) which might better the alignment of the knee by transforming the bone shapes.

Physiotherapy For Knee Arthritis-

Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions.

The main goals of physiotherapy for your knee arthritis are:

  1. Reduce your knee pain and inflammation.
  2. Normalise your knee joint range of motion.
  3. Strengthen your knee: esp quadriceps (esp VMO) and hamstrings.
  4. Strengthen your lower limb: calves, hip and pelvis muscles.
  5. Improve your patellofemoral (knee cap) alignment and function.
  6. Normalise your muscle lengths.
  7. Improve your proprioception, agility and balance.
  8. Improve your technique and function eg walking, squatting.
3653 people found this helpful

Stroke - Its Treatment With Physiotherapy!

Dr. Aparna Pradhan 91% (111 ratings)
Physiotherapist, Pune
Stroke - Its Treatment With Physiotherapy!

If the stroke has affected the part of your brain that controls movement, one may have weakness or paralysis on one side of your body or problems with moving and doing your everyday activities.

The process of physiotherapy should resume as soon as the patient is stabilized

Symptoms like muscle spasms, balance problems, and joint pain. This guide explains some of the ways that physiotherapy can helps recovery. 

Treatment techniques:

Strength training - There is evidence that strength training improves function without increasing tone or pain in individuals with stroke.

Voluntary control development terms (" voluntary" and" involuntary" apply to the human nervous system and its control over muscles) is the major work of a physiotherapist and its done through different techniques of neuro physiotherapy

Orthotics - Basic splinting at night time to prevent contracture in initial stage helps.
 Long-term use of static orthoses requires complimentary appropriate treatment, to prevent clenched fist.

Gaming - Goal orientated computer gaming has proven to significantly reduce upper limb impairment in stroke patients. 

Virtual reality - Virtual reality training has been shown to be effective in restoring motor impairments and motor-related functional abilities

Mirror therapy - Mirror therapy has been shown to have a beneficial effect on motor control and function compared with conventional therapy

Robot-assisted therapy - Has been shown to have a beneficial effect on motor recovery.


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