Physiotherapy management of traumatized diaphragm

The diaphragm is a double – domed musculoskeletal partition separating the thoracic and abdominal cavities. It helps you inhale and exhale. In addition to helping you breathe, your diaphragm increases pressure inside your abdomen.

Traumatic diaphragmatic injuries (TDI) include wounds and diaphragm ruptures due to thoraco – abdominal blunt or penetrating traumas.

 

Causes :

  • Blunt trauma : RTA’s , fall from height
  • Penetrating trauma : gun shot injuries , stab wounds, lesions .
  • Iatrogenic causes like surgery
  • Phrenic nerve injury – diaphragm paralysis

Physiotherapy management :

Assessment –

Evaluate respiratory function , diaphragmatic excursion and the presence of associated injuries.

Assessment is primarily focused on physical examination, chest expansion, Arterial blood gases (ABG) analysis, pulmonary function test, chest x-ray, oxygen saturation, peripheral muscle strength and cardiopulmonary exercise testing.

 

The main aim in the postoperative phase
are to maintain adequate ventilation, to assist in the removal of any excess lung secretions and to aid in
the general positioning, bed mobility and early ambulation of the patient.

 

  1. Soft tissue mobilization –

Soft tissue techniques, such as myofascial release, to remove any restrictions or adhesions in the soft tissues surrounding the diaphragm.

Gentle, targeted pressure can help improve tissue extensibility and reduce muscle tension.

  1. Diaphragmatic Release Techniques:

Utilize manual techniques to release tension in the diaphragm itself.

This may involve specific hands-on methods to encourage relaxation and optimal function of the diaphragmatic muscle fibers.

  1. Diaphragmatic Breathing exercises :

The patient is instructed to relax the shoulder and upper chest, take a slow deep breath in to fill up the lungs as fully as they can, hold breath for 3 sec, and breathe out slowly through the mouth.

  1. Lymphatic drainage :

Incorporate lymphatic drainage techniques to reduce swelling and promote optimal fluid dynamics in the affected area.

Gentle manual maneuvers can support the body’s natural lymphatic drainage processes.

  1. Pain management:

Implement pain control strategies like manual therapy to facilitate patient comfort during rehabilitation.

Use modalities such as ice, heat, or transcutaneous electrical nerve stimulation (TENS) to manage pain.

  1. Active cycle of breathing :

Combination  of breathing control, thoracic expansion exercise and forced expiratory technique. Used in airway clearance and improving pulmonary function.

Huffing and coughing are also used in clearing secretions from large airways.

Physiotherapy and Pilates to improve pulmonary function

Pilates is a total body exercise method that is highly effective for strengthening and lengthening the entire body.

 

Pilates is most commonly known to improve core strengthening , posture and range of motion .

Pilates is highly effective to improve respiratory function in those suffering from respiratory disease .

The Benefits of Pilates is –

  • Reduced stress.
  • Lowered blood pressure.
  • Improved focus.
  • Activation of  specific muscles.
  • Improved circulation & respiration.
  • Improving respiratory muscles and lung volume .
  • Lowering the risk of cardiovascular disease .
  • Improves thoraco abdominal mobility.
  • Improves circulation to deliver oxygenated blood more efficiently.

 

The Pilates breathing method –

  •  Lateral breathing :

The main goal for Pilates breathing is to breathe deeply expanding the ribcage without raising the abdominal muscles training.

Proper breathing is inhaling through the nose and exhaling forcefully through the mouth. When one inhales, the ribcage expands out to the sides using the intercostal muscles, and then when exhaling the ribcage knits together like one is being sinched in a corset.

  • Set breathing pattern :

Set breathing patterns are coordinated with each exercise or movement. Inhalation occurs during one phase of a specific movement/ exercise, and exhalation during another phase of the movement.

  • Active breathing:

Active breathing aims to consciously activate respiratory muscles to enable the lungs to expand and transport oxygen. This method of breathing assists contraction or activation of certain targeted muscles. Inhalation occurs through the nose and exhalation through the mouth with pursed lips.

 

Pilates can improve pulmonary function in following ways :

  •  Core strengthening:

Pilates focuses on strengthening the core muscles, including those around the abdomen and lower back. A strong core provides support for the diaphragm and helps maintain optimal posture for breathing.

  • Strengthens respiratory muscles:

Pilates can significantly improve maximal inspiratory – and maximum expiratory pressures. Pilates emphasizes diaphragmatic breathing, enhancing the function of the primary respiratory muscle responsible for efficient inhalation.

  • Rib cage expansion:

Pilates exercises often involve lateral and rotational movements, promoting increased mobility in the ribcage. This aids in expanding the lungs and improving respiratory capacity.

  • Cardiovascular fitness :

Regular Pilates practice contributes to overall cardiovascular fitness. Improved cardiovascular health supports efficient oxygen transport and utilization, benefiting respiratory function.

  • Posture alignment:

Pilates promotes proper spinal alignment and posture, reducing strain on respiratory muscles. Improved posture allows for better lung expansion and more efficient breathing.

Piriformis Syndrome :

Piriformis syndrome occurs when your piriformis muscle compresses your sciatic nerve and results in inflammation. It can cause pain or numbness in your buttock and down the back of your leg. It can happen on one side of your body or both.

Piriformis muscle located deep in the buttock , causes buttock pain .

Symptoms of Piriformis syndrome :

  • Swelling in the Piriformis or the tissues around it .
  • Muscle spasms
  • Scarring in the muscles
  • Aching
  • Numbness
  • Pain

Causes of Piriformis syndrome :

  • Sitting for long period of time
  • Having tight muscles from lack of physical activity
  • Climbing stairs , walking or running without strong Piriformis
  • Performing repetitive motions
  • Lifting something improperly

 

Physiotherapy management:

  •  Manual therapy :

Hand on techniques like myofascial release , can help to release muscle trigger points and release tension in Piriformis muscle .

  • Electrotherapy :

Modalities such as IFT , TENS , Ultrasonic and Laser therapy , shock wave therapy will help to reduce pain and inflammation .

  • Stretching exercises:

Specific stretches targeting the piriformis muscle and surrounding muscles can help release tightness and improve flexibility. These may include the Piriformis stretch.

  • Strengthening Exercises:

Strengthening the muscles surrounding the hip and pelvis can help improve stability and support for the piriformis muscle. Exercises may include hip abduction, clamshells, and bridges.

  • Dry Needling :

Dry needling can be helpful to release trigger points and release Piriformis muscle .

  • Postural correction :

Any postural imbalances or dysfunctions that may be contributing to Piriformis syndrome can help prevent recurrence. This may involve ergonomic assessments and corrective exercises.

Why physiotherapy is important before and after surgery ?

The goal of physiotherapy is to restore , maintain and improve the mobility , function of patients .

A physical therapist helps in injury prevention and physical rehabilitation. Physical therapist encourage their patients to take an active role in rehabilitation.

Why is physiotherapy important before surgery ?

 

1.  Having strong and toned muscles before surgery helps you get back to your routine much quicker. Some low intensity exercises improve blood circulation and help in recovery . So, Physiotherapy before surgery decreases recovery time .

 

  1. Physical therapist can help you increase your strength and endurance , so that general immunity will boost that decrease your risk of developing complications after surgery.

 

  1. Physical therapist before surgery can help you relieve pain . There is a range of techniques such as exercise , manual therapy , advanced modalities, cold and heat treatments may be used .

 

  1. With the help of advanced techniques in ARUNALAYA, there is a chance you may be able to avoid surgery completely. Physical therapy before surgery helps you gain strength , relax muscles , increase mobility and correct your posture.

 

  1. Physical therapy before surgery can help to improve patient’s balance , lowering the risk of a future fall.

 

Why is physiotherapy important after surgery ?

 

Physiotherapy after surgery is important for reducing pain and helping individuals safely return to routine activities.

Physiotherapists do a thorough post-surgery evaluation and develop a specific treatment plan to prevent surgery-related side effects and restore normal flexibility and mobility.

 

Benefits of physiotherapy after surgery –

  • Reduces pain and swelling:

With the help of manual therapy or electrical stimulation , blood flow is improved. Electrical stimulation therapy works by passing an electrical current to the surgical site where nerve conduction has been altered. The increased blood flow and muscle contractions result in reduced pain and inflammation in patients.

  • Improve mobility, strength and balance :

In post surgery rehabilitation, physical therapy such as strengthening exercises , stretching exercises , myofascial release, movement etc help patients regain mobility and strength. In addition to strengthening the affected area, physical therapy improves overall balance and stability by strengthening the core, back, and pelvis muscles.

  • Reduce scar tissue formation :

The physical therapist use manual therapy , ultrasound therapy and various types of tissue mobilisation techniques to soften the scar tissue , improve flexibility and promote healing . Physical therapist will focus on the internal scarring of the muscles , ligaments and tendons to improve overall mobility.

  • Improves flexibility:

Physical therapist such as stretching exercises, range of motion exercises  and manual therapy helps improve flexibility and improves the range of motion.

  • Reduces the risk of complications:

Patients who stay at bed after surgery are more prone to risk of complications like bed sores , reduce muscle strength , reduce lung and heart capacity . Physical therapist helps in rebuilding strength , increase circulation and decrease the risk of secondary issues by regular exercises , range of motion exercises .

Physiotherapy guidelines for injury prevention.

Physiotherapy is a great way of preventing injuries since most sports injuries happen when there is an imbalance between muscle strength and weakness.
Physiotherapy can help deal with injuries by restoring strength and mobility to the affected part of the body. In addition, it can also help prevent future injuries.

They will examine your lifestyle, medical history, or any previous injuries to come up with a plan for you.

Here are few ways how physical therapy can prevent injuries –

Assessment: Physiotherapists evaluate an individual’s movement patterns, flexibility, strength, and overall functional abilities. Based on this assessment, they develop

exercise programs aimed at strengthening weak areas, improving flexibility, and correcting any imbalances that may predispose an individual to injuries.

Bio mechanical analysis: Physical therapist conduct a bio mechanical analysis to identify any abnormal movement pattern . Knowing these irregularities physical therapist can prevent overuse injuries through corrective techniques and promote efficient movement .

Manual therapy: Manual therapy is often used by physiotherapists to stimulate muscles, nerves, and soft tissues to promote healing. It can also be used to relieve stress from any affected area of the body.

Improve flexibility and range of motion : One of the most common ways that people get injured is by not having a good range of motion. This can lead to strains, sprains, and other serious injuries. Physical therapy can help to improve your flexibility and range of motion, which can help to prevent those injuries from ever happening.

Reduces pain : Physical therapist can help to reduce pain. When you’re in pain, you’re more likely to be less careful and more likely to get injured. Manual therapy can help to reduce pain and increase circulation.

Increase strength and muscles : Physical therapy can help you to build up the strength in your muscles, which can help to prevent injuries. Physical therapist recommended you some strengthening exercises and to build up strength in your muscles.

Posture correction: Physiotherapists can also recommend proper postures and body positioning that can help patients avoid any pain or injuries.

Education and lifestyle modification : Physiotherapists educate clients on proper ergonomics, posture, and lifestyle modifications that can contribute to injury prevention

Soothing Solutions for Trapezius Muscle Discomfort

Introduction: Dealing with pain or soreness in the trapezius muscle is a common challenge, often resulting from muscle strain in this critical area. At PhysiotherapistInDelhi.com, we understand the significance of addressing trapezius muscle discomfort, and our expert physiotherapists in Patel Nagar are here to guide you through effective exercises and techniques for relief.

 

Understanding the Trapezius Muscle: The trapezius muscle, a triangular-shaped muscle located at the base of your neck, plays a pivotal role in shoulder and neck movement. Extending across the width of your shoulders and attaching to your mid-back (thoracic spine) and the back of your skull, maintaining the health of this muscle is crucial for overall well-being.

Exercise Strategies for Trapezius Muscle Relief:

  1. Trapezius Stretch: Incorporate gentle stretches into your routine to prevent tightness in the trapezius muscle. Hold each stretch for 20-30 seconds without bouncing, ensuring that it doesn’t cause any pain. If discomfort arises, cease the stretch immediately, adjusting your position as needed. One effective stretch is the Cat Stretch:
    • On your hands and knees, assume a tabletop position.
    • Inhale and engage your core while looking forward.
    • Exhale, tuck your chin into your chest, and round your spine towards the ceiling.
    • Hold for a few breaths before returning to the starting position.
  2. Self Massage: Combat pain and tightness in the trapezius muscle through self-massage or regular sports massages. Stress management is key to reducing tension and muscle spasms. A simple yet effective self-massage technique involves using a tennis ball:
    • Place a tennis ball between your upper back and a wall or floor.
    • Roll the ball in small circles into the trapezius muscle, aiming to soften the muscle without causing pain.

Our Approach at PhysiotherapistInDelhi.com: At our physiotherapy clinic in Patel Nagar, we emphasize a holistic approach to trapezius muscle relief. Beyond exercises, our experienced physiotherapists provide personalized care, incorporating self-massage techniques and stress management strategies.

Conclusion: Addressing trapezius muscle discomfort requires a comprehensive approach, and at PhysiotherapistInDelhi.com, we are dedicated to providing effective solutions. Whether you seek the best physiotherapist at home in Patel Nagar or a top-notch physiotherapy clinic in Delhi, our expert team is committed to promoting your well-being through proven methods. Experience relief and rejuvenation with our tailored physiotherapy services.

CONVENIENCE AT YOUR DOORSTEP: PHYSIOTHERAPY FOR HOME VISITS IN PATEL NAGAR

Looking for the Best Home Physiotherapists in Patel Nagar, Delhi?

At Arunalaya Physiotherapy & Sports Rehabilitation Center,  We take a holistic approach to care and ensure convenience of accessing Home Visits service in Patel Nagar,  Delhi from Consultation to treatment and post-treatment care.

With Expertise, Our Clinic is equipped with the latest approved technologies in healing and rehabilitation to ensure that you get the best Home Physiotherapist in Patel Nagar, Delhi.

The hassles of traveling to a clinic or hospital can be a significant barrier for many patients. Arunalaya Physiotherapy and Sports Rehabilitation Center steps in to offer a solution – physiotherapy services right at your doorstep in Patel Nagar.

Doorstep Physiotherapy

The Need for Home-Based Physiotherapy:

The demands of daily life can sometimes lead to neglecting our physical health. Whether you’re a working professional with a busy schedule, a senior citizen with limited mobility, or someone recovering from an injury, getting to a clinic may not always be easy or convenient. This is where home-based physiotherapy becomes a game-changer.

Benefits of Home Visits:

  1. Time and Convenience

Home visits save you the time and effort of traveling. You can schedule appointments at your convenience, making it easier to stick to your treatment plan.

  1. Comfort Zone

 Being treated in the familiar surroundings of your own home can help reduce anxiety and enhance the effectiveness of the therapy.

  1. Family Involvement

Family members can be more actively involved in the rehabilitation process, learning exercises, and providing support.

Why Choose Arunalaya Physiotherapy and Sports Rehabilitation Center?

Arunalaya stands out as a premier physiotherapy center in Patel Nagar, known for its commitment to patient care and well-qualified physiotherapists. Here’s why you should consider our home-based services:

  1. Experienced Physiotherapists

Our team of experienced physiotherapists is trained to handle a wide range of conditions, from sports injuries to post-operative recovery.

  1. Cutting-Edge Equipment

 We bring along the necessary equipment and techniques to provide effective treatment in your home, ensuring you receive the same quality of care as you would in a clinic.

  1. Holistic Approach

Arunalaya’s physiotherapy isn’t just about managing symptoms but addressing the root causes of your discomfort. We focus on long-term well-being.

  1. Flexible Scheduling

We understand that your schedule is unique, so we work around your time constraints to provide treatment when it’s most convenient for you.

Conclusion:

When it comes to your health, convenience should never be a hindrance. Arunalaya Physiotherapy and Sports Rehabilitation Center in Patel Nagar offers a solution to this dilemma by bringing top-quality physiotherapy to your doorstep. Whether you’re dealing with a nagging injury, a chronic condition, or simply looking to maintain your physical well-being, our home-based services can make a significant difference. Prioritize your health and well-being with Arunalaya, where convenience and quality care come together to support you on your journey to better health.

FINDING THE BEST SPORTS PHYSIOTHERAPIST IN PATEL NAGAR, DELHI: A COMPREHENSIVE GUIDE

ARUNALAYA PHYSIOTHERAPY AND SPORTS REHAB CENTER by DR. CHAKSHU BANSAL in Patel Nagar provides the best treatment.

ABOUT DR. CHAKSHU BANSAL (CEO of Arunalaya Healthcare and Physioneeds Academy)

DR. CHAKSHU BANSAL, PhD(S), MPT(MS) an author (Magical Manus), Co-Author (KKMT) and three times world record holder. She is one of the best Sports Physiotherapist in Patel Nagar Delhi. She is the only instructor of advanced Manual Therapy KKMT, Certified Dry Needling Practitioner and instructor (South Africa), Certified Manual Therapist, Certified Taping Master Trainer (Canada), Certified Pilates Instructor, Certified EMG-NCV therapist (USA), Certified Sports sector Trainer (Govt. of India), Academic Head & Instructor (KKMT ASIA), Developer Tapedia.

She has trained more than 20,000 Physios around the globe. She has helped numerous patients in her 15 years of experience as a Physiotherapist. She diagnoses and designs a special treatment plan for every patient.

ABOUT Arunalaya Physiotherapy and Sports Rehabilitation Center

Whether you are an athlete recovering from an injury or an individual looking to enhance your overall well-being, Arunalaya Physiotherapy and Sports Rehabilitation Center is your ultimate destination. At Arunalaya, we offer Physiotherapy treatments across Neuro/Ortho/ Chiro/Pediatrics/Geriatrics/Sports related issues covering a wide range of conditions and Symptoms.

THE COMPREHENSIVE APPROACH:-

The team of skilled Sports Physiotherapists works to address a wide range of needs, from acute injury recovery to long-term fitness enhancement. Our Expertise covers various areas including- Injury Rehabilitation, Sports Performance Enhancement, Pain Management, Preventive Care etc. Arunalaya Healthcare stands as a shining example of what a Physiotherapy and Sports Rehab Clinic should be.

If you want to recover from an injury, enhance your Sports Performance; or lead a healthier life, Arunalaya is the place to be….”Your Path to Optimal Health and Performance starts here.”

Treating knock knee ..The Road to Straighter Legs and Improved Mobility

A condition in which the knees bend inward, touching (or “knocking”) even when a person is standing with their ankles apart, knock knee can affect people of all ages. Knock knee, also known as genu valgum, is a mal-alignment of the knee with various causes, often leading to pain and degeneration of the knee if left untreated.

Knock knee is a condition in which a person’s knees angle toward each other and touch (“knock”), even when the person is standing with their ankles apart. While temporarily knocked knees is a standard developmental stage in most children, this often self-corrects by age seven or eight. Knock knees that persist beyond six years of age, are severe or affect one leg significantly more than the other may be a sign of knock knee syndrome.

Knock knee that falls outside the normal developmental patterns may be caused by disease, infection, or other conditions.

How is knock knees related to a child’s development?

Many children go through stages of bowlegs and knock knees in their early years. As their legs grow and become stronger, the vast majority of children outgrow both bowlegs and knock knees.

  • Knock knees in infants: Knock knees are not typical in infants. However, many infants have bowlegs, a condition in which both legs curve outward, up until they are about 24 months old.
  • Knock knees in toddlers: Knock knees usually become apparent when a child is 2 to 3 years old. The knees may tilt increasingly inward up until about age 4 or 5.
  • Knock knees in young children: Children’s legs usually become aligned by the time they are about 7. Some children continue to have knock knees into adolescence.

The symptoms of knock knees are visible when a child stands with their legs straight and toes pointed forward. Symptoms include:

  • symmetric inward angulation of the knees
  • ankles remain apart while the knees are touching
  • unusual walking pattern
  • outward rotated feet

What causes knock knees?

Many children develop knock knees during early childhood. As they begin to walk, an inward tilt at the knees can help children balance. This stance also helps if one or both of their feet roll inward or turn outward.

Less often, knock knees is caused by a more serious disorder:

  • Genetic conditions such as skeletal dysplasia or metabolic bone disease such as rickets can cause knock knees.
  • Obesity can contribute to knock knees or cause gait abnormalities that resemble knock knees.
  • An injury to the growth area of the shinbone (tibia) or thighbone (femur) may result in just one inward-tilting knee.

How To Make Diagnosis

  • If your child is older than 7, or if their legs aren’t the same size and shape on both sides, an x-ray of their legs may help determine if an underlying condition is causing their knocked knees.
  • Doctors do not usually order x-rays for children within the normal age range for knock knees if they have no problem walking, running, or playing, and have typical appearing legs. This avoids exposing the child to unnecessary radiation.

How Knock Knees Being Treated at “ARUNALAYA”

We at Arunalaya offer a comprehensive treatment protocol depending on the deformity and the cause. Dr. Chakshu Bansal Ph.D. (S), MPT, an author, 3 times world record holder, pain management practitioner herself diagnosed and designed the treatment plan. We as a team are committed to delivering rapid results with high quality and advanced techniques. which makes it easier to exceed our patients’ expectations.

MANUAL THERAPY

– Myofascial release to address any restrictions in the fascia.

Muscle Energy Technique -MET

Active Release Technique- ART

DRY NEEDLING

Dry Needling involves inserting a tiny filiform needle into a taut band of muscle tissue, also known as a trigger point.  This causes the muscle to momentarily cramp and eventually release.  This treatment option is extremely effective in releasing muscle tension and restoring normal flexibility and function rapidly.

K – TAPING

It helps to limit movement around specific joints without restricting the range of motion. It is used to facilitate and inhibit muscle.

WIRELESS

  • Retarding or preventing disuse atrophy
  • Maintaining or increasing range of motion
  • Re-educating muscles
  • Relaxation of muscle spasms
  • Increasing local blood circulation

EXERCISE THERAPY

Exercise to strengthen the muscles around the joint and improve posture and balance in order to maintain the overall mobility of the joint.

OPTIMAL RECOVERY AT OUR PHYSIOTHERAPY CENTER IN PATEL NAGAR

Recovery is one of the most important training variables. Strength training breaks down your muscles alongside other tissues and systems in your body. The time spent maximizing recovery helps us adapt from our training past our original levels — this is how muscle, strength, and endurance are acquired.

But when we say “recovery” we aren’t talking about foam rolling, massage, or stretching – while those can be helpful tools, they shouldn’t be our go-to’s or the only methods.

We at Arunalaya offer Comprehensive treatment across Neuro/Ortho/ chiro/ Geriatric / Pediatric/sports related issues covering a wide range of conditions and symptoms. We believe in practice that is all about your potential, health, and comfort.

Our patients are important to us and we strive to help them in every and any way we can…their recovery is of utmost importance to us.

Recovery from injuries, surgeries, or health conditions is a journey that often requires expert guidance and Treatment. At Arunalaya Physiotherapy & Rehabilitation Center in Patel Nagar, we understand the importance of achieving optimal recovery. Our dedicated team of expert Physiotherapists is committed to helping you regain your health and well-being.  We are here to make you understand the key factors that contribute to optimal recovery at our center and how we can assist you in your journey to a healthier, more active life.

Our experienced physiotherapists assess your specific needs, considering your medical history, current condition, and personal goals. This individualized approach ensures that your recovery plan is designed to address your unique requirements.

Physiotherapy & Rehabilitation Center

Comprehensive Range of Services

At Arunalaya, we offer a comprehensive range of services to address a variety of conditions and needs. Our services include:

– Advanced physiotherapy

– Post-surgery rehabilitation

– Pain management

– Sports injury rehabilitation

– Neurological rehabilitation

– Pediatric rehabilitation

– Geriatric rehabilitation

– Women’s health rehabilitation

No matter your age, condition, or rehabilitation goal, we have the expertise and services to support your recovery journey.

We believe that optimal recovery goes beyond physical rehabilitation. It involves addressing mental and emotional well-being as well.

Your comfort and satisfaction are of the utmost importance to us. We strive to create a patient-centered environment where you feel heard and valued. Our team takes the time to educate you about your condition and treatment plan, ensuring you are an active participant in your recovery.

At Arunalaya Physiotherapy & Rehabilitation Center in Patel Nagar, we are dedicated to helping you achieve your best recovery.  Your health and well-being are our top priorities, and we are here to support you every step of the way. Don’t let injuries or health conditions hold you back; come to Arunalaya and take the first step towards optimal recovery.