Monthly Archives: August 2022

rehabilitation of whiplash

How Can Physical Therapy Help In The Rehabilitation Of A Whiplash?

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Whiplash, also called cervical pain or sprains, are muscle injuries produced in the neck area that can affect the spine. They are fairly common injuries and, although they can be chronic, they usually occur after a strong impact behind the neck, so it is very important to seek professional help to recover and not suffer possible sequelae that affect our mobility for life, what that makes physical therapy essential after whiplash.

WHAT IS A CERVICALGIA OR WHIPLASH AND WHAT ARE ITS SYMPTOMS?

We talk about whiplash or neck pain when the neck muscles suffer hyperextension or hyperflexion exceeding their limits of movement. As we have said, they usually occur after a sudden impact on the back of the neck, although they can be degenerative or chronic, causing progressive wear on the vertebrae, or of infectious origin after a disease such as meningitis or spondylitis.

It mainly affects muscles and tendons and its symptoms usually include dizziness, neck and back pain, headaches, cramps and ringing in the ears, among others.

The most common is neck and back pain

Since the injury is mainly concentrated in the neck and back, they are the two areas most likely to cause pain, although it is possible that these will not manifest after the first 24 or 48 hours after the injury. Whiplash also causes muscle contractures that cause joint movement limitation and difficulty in maintaining a straight posture, causing a postural change.

In more severe cases, pain can be caused by a breakdown of muscle fibers or ligaments due to hyperextension of the neck.

You may experience dizziness or cervical dizziness

If the injury has also affected the nerves, it is normal to feel tingling in the shoulder area and sometimes even the arms. Dizzying states, or dizziness, may also occur when the injury affects blood flow, or ringing in the ears, especially after impact.

Cervical rectification in more severe cases

As in all types of sprains, cervicalgia is divided into several types according to their intensity. In the most serious cases, there is usually a breakage and separation of the tissues, so it is possible that, after the resting time recommended by the doctor, our physiotherapist in Dwarka uses targeted electrotherapy, manual mobilization techniques, and postural exercises, among others. In no case should the orthosis -use of the collar- be prolonged for more than 72 hours as it can cause disuse atrophies and contractures of the soft parts of the back and neck.

GO TO A PHYSICAL THERAPY CLINIC TO TREAT CERVICAL PAIN

If you feel neck pain and think that it is not due to a sudden movement in the neck, you may suffer from some degenerative, bacterial, inflammatory disease or, in most cases, postural tension. If so, we recommend you go to your physiotherapy clinic in Dwarka since it is possible to live without cervical discomfort.

Do you suffer from cervical contracture?

Exerting repetitive tension on the muscles or the force maintained in a short period of time causes the formation of neck contractures. These can lead to postural disorders or simply episodes of pain and mobile rigidity that require manual therapies for improvement.

Cervical exercises

Our specialists will evaluate your injury and recommend the best physical exercises to recover as soon as possible according to your needs, to correct a possible postural deviation and relieve pain. Combining manual therapies with cutting-edge technology, our experts will help you pave the way for your recovery.

Physiotherapy in Dwarka

At Dr. Sarwar Physiotheapy Center, we are experts in both manual and technological physiotherapy treatments and we always bet on cutting-edge techniques to optimize your rehabilitation.

DO YOU SUFFER A WHIPLASH FROM AN ACCIDENT?

Car accidents are the most frequent causes of cervicalgia because the injury usually occurs after a sudden impact behind the neck.

Go to the physiotherapist urgently

If this is your case, we recommend you go to your physiotherapist in Janakpuri immediately to alleviate possible muscle and joint damage and start recovery immediately to avoid possible sequelae.

Will I need a cervical collar?

Although you may need to wear a brace, remember that the orthosis will not last longer than 72 hours so as not to worsen postural changes.

Could I need sick leave?

Depending on the severity of the injury, it is very possible that you need a work leave of 15 to 90 days.

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Physiotherapy In The Postoperative Period of Arthroplasty

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Physiotherapy after knee arthroplasty

With physiotherapy in Dwarka, it is intended a total functional recovery of the operated knee, which allows the patient’s global re-education and the return of his level of activity and functionality after performing knee arthroplasty.

Total knee replacement in Delhi, that is, the surgery that replaces this joint with a knee prosthesis, is the final solution for many patients and has a high success rate.

Degenerative joint disease at the knee, called knee arthrosis or gonarthrosis, is a very common joint pathology that often affects the patient’s health and well-being. As the osteoarthritis of the knee progresses, it becomes impossible for the patient to carry out his daily activities properly, whether due to pain or to the mobility deficit that originates.

Can Physiotherapy be started before surgery?

If he so wishes, the orthopaedic in Dwarka sends the patient for observation and guidance by the physiotherapist in Dwarka, so that the patient starts the appropriate Physiotherapy even before the surgery. The beginning of the rehabilitation program in the preoperative phase is ideal for many patients with gonarthrosis.

In order to establish the Physiotherapy program, it is very important that the Physiatrist knows all the patient’s diseases and evaluates possible pathologies in terms of other joints, in addition to knee arthrosis to be operated on. It is necessary to objectify the articular amplitudes of this knee, the type and degree of its deformities and also the state of the thigh muscles (especially the quadriceps). Deficits in the patient’s functionality should also be assessed. The other knee and the two hips are also the focus of special attention, as well as the patient’s gait pattern.

And after surgery, when should Physiotherapy start?

After knee arthroplasty, the Orthopedic in Delhi sends all the relevant surgical information to the physiotherapist in Janakpuri, and the close collaboration between these two Medical Specialties is essential to obtain the best results. The rehabilitation of a patient who has undergone not only the placement of a knee prosthesis but the total reconstruction of this joint, which also includes soft tissue surgery (ligaments, tendons, joint capsules) will be scheduled. This aspect is particularly important when before surgery there was a significant deficit in knee extension and/or joint deformity. The rehabilitation program is always adjusted to the reality of each patient.

The therapy should be initiated immediately on the day following knee arthroplasty, while the patient is still in the hospital. When the patient is discharged from the hospital and returns to his home, the continuation of the physiatric treatment should be scheduled immediately.

Objectives of physiotherapy

Physiotherapy in Janakpuri aims to fully recover the function of the operated knee, allowing the patient’s global re-education and the resumption of their level of activity and functionality.

It is often necessary to carry out muscle-strengthening work on the two upper limbs and the non-operated lower limb so that the activities of daily living are carried out with greater safety and that progress can be made more quickly in the rehabilitation program.
The most specific rehabilitation work at the level of the operated lower limb includes:

  • control of pain and edema;
  • gain in knee joint amplitudes (extension and flexion);
  • gain in overall muscle strength, especially at the quad-level;
  • gain of flexibility;
  • balance gain;
  • re-learning the correct gait pattern.

The knee flexion so that the patient can comfortably sit in a chair should be around 90º and to get up from the chair it should be around 105º.

During the evolution of arthroscopic changes in the knee joint, the quadriceps, muscle of the anterior aspect of the thigh (front), also undergoes changes. The decrease in the activity of this muscle causes it to become progressively hypotonic (“weak”). After knee prosthesis surgery, the atrophy of the quadriceps muscle increases and its contraction capacity decreases, also due to neuro-reflex inhibition of this muscle by surgical intervention in the joint. Post-operative exercises to strengthen the quadriceps should then be started as soon as possible.

The evolution of knee arthrosis also causes a shortening of the soft structures of the posterior region of the knee, namely of the ischio-tibial muscles, so the flexibility exercises of these structures are essential.

The re-education of the gait pattern is a very important facet of the rehabilitation program, and, if it is not carried out soon after the surgery, it can imply an alteration of the global posture and insecurity in walking.

The risks and complications of physical therapy are rare. It is always necessary to keep a close watch on the skin and inflammatory signs.

What does physiotherapy consist of?

Physiotherapy after knee prosthesis surgery is done through a set of techniques and methods that speed up and optimize the patient’s recovery so that the maximum performance of this surgery can be removed.

During the entire rehabilitation process after knee arthroplasty, it is necessary to frequently evaluate the results obtained and the proposed objectives, since it is often necessary to adjust these objectives and alter the treatment, depending on how each patient is evolving. The internationally accepted and instituted rehabilitation protocols are fundamental as guidelines, but it is the knee and the patient that was operated on that impose the evolution of the Physiotherapy program, that is, the passage or not to the next phase of the protocol.

Right after surgery

In the immediate postoperative period, it is very important to teach the patient and his family how to get out of bed, get up, sit and move to a chair, as well as the correct way to walk, always with the help of a walker.

Adequate exercises for mobilizing the knee and the remaining lower limbs and also for muscle strengthening must be initiated, namely the quadriceps and hip extensors.

When the orthopaedic surgeon in Delhi understands this and following his instructions, continuous passive knee mobilization with an arthrometer device is included in the treatment, which is usually only performed while the patient is hospitalized.

The patient and family should also be taught not to place a pillow behind the operated knee when lying down, but under the heel, in order to achieve complete knee extension. Another very important aspect is the teaching of techniques that protect the operated knee, such as on the stairs, where the operated lower limb must be the first one when descending and the reverse must be done when climbing.

The application of static ice is indicated for the control of inflammatory signs, and should not exceed 12 minutes. Dynamic ice (continuous movement of an ice cube in the region) is an excellent option.

After hospital discharge

The various massage techniques are extremely useful, namely for draining, reducing healing adhesions and releasing muscles and fascia.

Electrostimulation currents are used mainly at the quadriceps muscle level, as a complement to muscle strengthening exercises. All active muscle work will be progressively adjusted, that is, the exercises will increase in difficulty and intensity.

If possible, part of the rehabilitation program should be carried out in the form of hydrotherapy.

When the orthopedic in Dwarka understands that the patient can now start using only one Canadian in walking, it is essential to train the patient for this situation.

The neuro-muscular reeducation of the quadriceps is essential for the gait to have controlled knee flexion in the support phase, making it safer.

The balance and proprioception training (awareness of position) of the knee allows a faster adaptation to the prosthesis.

Walking backward or moving the bicycle pedals backward are important exercises, especially in cases where there is a deficit in knee extension.

The final phase of the rehabilitation program is the reconditioning of the effort (cardiovascular training) and the training of playful and / or sporting activities, aiming at resuming or even improving the patient’s level of functionality.

Home rehabilitation

At home, after each Physiotherapy session, the patient should pay attention to aspects previously mentioned, such as the posture of the lower limb in extension (without a pillow behind the knee) and the correct way of going up and downstairs.

Muscle-strengthening exercises that were taught to be performed at home should also be performed according to the instructions. As long as you feel pain or edema (“swelling”), you can apply ice, always with care.

After physiotherapy, that is, after the rehabilitation program at the hospital or physiotherapy clinic in Dwarka has ended, the patient must maintain the specific exercises indicated, especially for strengthening the quadriceps muscle and flexibility.

Physical activity

Physical activity should be appropriate to the patient’s cardiovascular taste and condition.

The exercise should always increase very gradually in time and intensity. In general, high impact exercises on the knee should be avoided.

Walking is one of the most recommended exercises, as well as exercise bikes, swimming and golf.

muscle-tears

Physiotherapy Recovery of Partial Muscle Breaks

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Partial muscle rupture can be defined by the breakdown of several muscle fibers accompanied by localized bleeding.

First aid in the case of muscular breaks:

  1. Any physical activity must be interrupted ;
  2. Applying cryotherapy to reduce pain and stop bleeding.

Symptoms

As a symptom, the lesion is accompanied by violent pain and the impossibility of the limb movement. In a more severe rupture, the formation of a depression in the muscles can be observed, which can be felt by touch, reaching a hematoma and inflammation of the area. Partial muscle breakdown can occur as a result of severe physical exertion or excessive stretching.

Treatment

A partial muscle rupture should be analyzed by an orthopaedic in Dwarka, who can determine the severity of the trauma, based on the results of additional investigations (X-rays, ultrasound, MRI, ultrasound of soft parts), and depending on the severity of the injury can be applied a local treatment based on physiotherapy in Dwarka. In the case of partial muscle rupture, physiotherapy has the effect of recovering, improving and maintaining mobility, strength and muscle tone, reducing until the pain disappears so that the patient can resume normal daily activity.

Physiotherapy in Janakpuri can be applied in the partial muscular rupture having antiallergic effects (pain reduction), myorelaxant(muscle relaxation), decontracting, anti-inflammatory (elimination of muscle inflammation), anti-inflammatory (elimination of edema resulting from the accumulation of fluid from subcutaneous cellular tissue), by means of electrodynamic procedures of biodynamic, interferential, ultrasound, laser, and short waves.

Discovered and treated in time, the muscular rupture heals in a short time, the muscle tissue recovering faster than any other tissue. Generally, the patient can resume his activity within one, up to two weeks after the accident.

neck-pain

Simple Exercises To Relieve Mild Pain In The Neck And Cervical Area

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A bad posture when sleeping, a sudden movement or spending hours reading or in front of the computer, with the fixed gaze and remaining static, are common causes of that annoying pain in the neck that causes real discomfort.

It is something that already happens that, in principle, should not be given too much importance, but if that pain is persistent, repeats frequently or appears just when we move, and not at rest, it could be a symptom of some pathology that would need a specific treatment. The physiotherapist in Dwarka explains that cervicalgia is one of the signs that could indicate cervical osteoarthritis.

How to ease the discomfort of poor posture

When it comes to simple pain, which is clearly the result of temporary muscle contracture or accumulated tension in the cervical area after a stressful day, the physiotherapist in Janakpuri advises a series of simple exercises that can greatly relieve the discomforts that arise when moving the neck, also managing to speed recovery so that the pain disappears as soon as possible and we recover our well-being.

When doing neck exercises, it is important to be in a comfortable position, better seated, with a straight back without straining it and maintaining, at all times, normal and fluid breathing. The experts also remember that it is normal to feel discomfort when starting the exercises, although, logically, that pain can never become unbearable and should decrease as the muscles adapt to the demand that we are demanding. If your neck hurts too much when doing the exercises, you should stop immediately.

If you’ve gotten up with torticollis, try sitting in a chair and then roll your neck to the right trying not to raise your shoulders. Hold the pose for a few seconds, and then make the turn to the opposite side. It is a simple movement, but doing it with the neck absolutely stiff is not so easy. The effectiveness lies in making the turn very slowly, to give time to both the cervical and the neck muscles, to gradually eliminate the accumulated tension and regain their normal position.

A second exercise consists of doing the same thing, but this time, slowly tilting the head forward and then repeating backward. In this case, the important thing is to avoid throwing the whole head (and half a trunk) forward.  Effective movement involves getting only the first vertebrae in your spine to move.

To complete the session, act in the same way, but now, turning your head laterally, so that it is those muscles on the sides of your neck that stretch slowly and little by little, you notice relief.

Hemiplegia-treatment-in-Dwarka

Physiotherapy in Parkinson’s Disease

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Parkinson’s disease is a heterogeneous disease, it does not affect two individuals in the same way, nor does it manifest itself with the same symptoms in some as in others. Furthermore, there is no correlation between evolution time and symptoms. Age plays a very important role, we will say that the later the appearance of the disease, the more benign its evolutionary course will be.

Olfactory capacity is reduced in the early stages. Non-motor symptoms limit more than motor processes, such as: difficulty in expressing yourself verbally, cognitive decline, depression.

PHYSIOTHERAPIC TREATMENT

These patients have lost automation, so it is important to them that they perform extensive, repetitive, rhythmic, and harmonic active movements.

We apply the following treatment to our patient, divided into two types of sessions:

JOINT SESSION: Group of four patients with severe involvement.

1. Breathing exercises: Breathing must be present throughout the session, so they are performed at the beginning, during the other exercises and at the end of the session. We promote diaphragmatic breathing through exercises.

2. Joint mobilization: They are carried out analytically, joint by joint, and we perform them in a sitting position:

  • Neck: flexion-extension, lateralization, and rotation.
  • Shoulder girdle: elevation and descent of the shoulders, antepulsion, and retropulsion of the shoulder, flexo-extension, and abduction-adduction of the shoulders.
  • Elbows: flexion-extension, prone supination.
  • Wrists: flexion-extension, ulnar and radial deviations, and circumduction movements.
  • Fingers: manual clamp and abduction-adduction.
  • Spine: flexion-extension, lateralization, and rotation.
  • Lower limbs: flexion-extension of the hips, flexo-extension of the knees, and dorsal and plantar flexion and prone supination of the ankles.

3. Coordination exercises: We work in a sitting position due to the impossibility of working standing with these specific patients. We perform ball tosses and exercises with alternating movements of legs and arms.

4. Basic cognitive session: The main objective is to improve the subject’s level of communication, as well as to stop mental deterioration as much as possible.

We carried out this work in collaboration with the psychologist, while each of the patients received individual physiotherapy in Dwarka.

Two cognitive techniques are distinguished inside and outside the sessions:

  • Orientation to reality: A continuous process is established where each interaction with the elderly is an opportunity to provide them with current and common information, introduce them to what is happening around them. You should always remember your name, where you are, events that have occurred recently.
  • Reminiscences and life review: Communication technique and activity that focuses on the intact memory or memories of the patient and constitutes a pleasant form of debate or talk. The term usually refers to the memory of events that occurred in a person’s life.

There seems to be a tendency to believe that regular (aerobic) physical exercise is beneficial. for patients with Parkinson’s disease, as it reduces symptoms such as hypokinesia, bradykinesia, gait disturbances, neuronal degeneration; being then recognized as a tool that helps treatment by medication.

INDIVIDUAL SESSION: This work session was directed to the needs of the “special”, let’s call them this specific patient.

1. Rehabilitative treatment of Dupuytren’s Disease: The exercise program consists of flexion and smooth passive and active extension of all the finger joints. Full flexo-extension movement patterns of all the fingers, including the thumb, and also the wrist were emphasized, as there is movement restriction at this level as well.

2. Upper limb passive and active-assisted mobilizations: We try to prevent, through passive and active-assisted mobilization, disuse atrophy of the right biceps brachii.

With physical therapy, we aim to preserve, and if possible, increase the mobility of the arm, trying at least functional movements for the life of the patient, such as shoulder flexion and abduction, and elbow flexion.

3. Techniques of motor unlocking: Only with the voice command and the mark of the steps by the physiotherapist in Dwarka simulating a military march, it served the patient to overcome the blockages when walking. At the end of the physiotherapy session, we accompanied the patient to the car that transported him to his home, carrying out this activity, thus speeding up the walk of the old man.

diabetes-and-physiotherapy

The Relationship of Physiotherapy And Diabetes

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Diabetes is a disease defined as a chronic disease that appears when the pancreas does not create insulin, a substance necessary for humans. Due to the increase in diabetics, it is necessary to reflect on this.

There are two types of diabetes, type 1 and type 2, while the first is characterized by the fact that the body is unable to create insulin or produces very little, so insulin must be administered and cannot be prevented. However, the second type does secrete insulin but not enough, and is related to being overweight and can be prevented with healthy habits.

How physiotherapy can help prevent diabetes

Physiotherapy can help prevent diabetes, since it is a moderate physical activity that forces the body to burn fat and toxins, that is, it is like playing sports at a low frequency. In this way, we can avoid or delay type 2 diabetes, but the physiotherapist in Dwarka must accompany the patient while doing personalized exercises.

On the other hand, people who have diabetes usually have other problems throughout their lives, as a consequence of the disease, for example, they suffer from carpal tunnel syndrome, osteoarthritis or neuropathies, they are usually pathologies palliated and treated with physiotherapeutic techniques. that greatly improve patient life.

It is important to remember that all this must be supervised by a professional, who gives us advice on healthy habits, a daily exercise chart that does not damage our joints or muscles and that we can achieve, and above all take into account the diet and eliminate bad habits like tobacco or alcohol.

How to perform a good warm-up that helps exercise?

Warm-up our muscles and joints are all those exercises or slight movements that we perform so that our body is prepared, like our mind, before large overexertion that we are going to perform. The goal of this is to prevent injuries.

This is done by all professional athletes since it is important for them to avoid problems that prevent them from practicing the sport, so even if you are a runner or volleyball player, you always have to warm up, to avoid injuries such as ligament rupture or problems such as sprains.

In a good warm-up, we must include different exercises. The first thing is joint movement, move all the joints that we are going to force while exercising and thus avoid breakage or sprains. Cardiovascular, it is necessary to activate the heart, with a career at small intensity will be more than enough, increasing our pulse is essential.

On the other hand, gentle stretching and if you can be moving, no static stretching, this way we prepare ligaments and body tissues. Relative movements especially in those parts of the body that you are going to use the most, such as shoulders or wrists, or perhaps ankle.

The objectives of warming are:

Prepare the muscles for intense sport, have active coordination, prepare the system in general and the group of muscles that we are going to use in particular, and above all it helps us to concentrate.

To do sports, to do sports well, it is necessary to concentrate. In the same way that to study we cannot start with the most complicated because we would not get to understand anything, with this the same thing happens, our body collapses, our mind becomes frustrated and in the end we abandon, so it is necessary to go slowly, increasing the intensity, for our mood and for our mental state.

To all this you have to contribute more factors, such as the age of the person, since, at older age, you will need more warming, in the same way, an overweight person will do sports at low intensity and will need help from a physiotherapist in Janakpuri to do their sports sessions and its warming, in this way it will prevent any type of injury.

For all these reasons, whether you are a professional athlete or not, I advise you to go to a professional, a physiotherapist who knows how to set the necessary warm-up guidelines to prevent injuries and that best adapt to the type of sport you do.