Class 4 Laser Therapy

Your body has amazing systems that it can use to heal itself. However, sometimes it needs a little external help to get these systems fired up and working to your benefit. Class 4 laser therapy harnesses these processes using focused light. It stimulates a process called photobiomodulation (PBM).


Mechanism of action of class 4 laser:

  • The therapeutic effect of laser light is based on biostimulation and the acceleration of cellular processes that contribute to pain reduction and faster recovery after injury. The photomechanical wave stimulates nerve endings, which leads to pain relief. Biostimulation of the affected tissue increases oxygen uptake and improves blood circulation.
  • The unique combination of 30 W power and 1064 nm wavelength targets deep-lying tissues, maximises pain relief, and delivers strong thermic therapies within a short time.

Effects of class 4 laser therapy:

  • Reduced pain and swelling
  • Improved range of motion
  • To reduce pain and inflammation in musculoskeletal disorders and injuries and joint pain.
  • Increases tissue regeneration
  • Accelerates soft tissue and bone repair
  • Improve nerve regeneration & function as well as impact your cells to increase cell metabolism, enzymatic responses, collagen production, and promote angiogenesis
  • Improve your musculoskeletal health

What Are The Side Effects Of Laser Therapy?

  • Redness, swelling and itching. Treated skin may be itchy, swollen and red
  • Acne
  • Infection
  • Changes in skin color
  • Scarring
  • Turning of the eyelid

Rehabilitation of Hamstring Injuries

High-speed running, kicking, and sprinting frequently cause athletes to experience hamstring injuries, which primarily affect the muscle group known as the hamstrings.

To ensure successful rehabilitation for these injuries, it is important to adhere to the following general principles:

1. Train Movements and Muscles

The hamstrings, a muscle group consisting of three individual muscles, play different functional roles based on their anatomical positions. During sprinting, the biceps femoris (BF) undergoes the highest strain, the semitendinosus (ST) experiences the greatest lengthening velocities, and the semimembranosus (SM) primarily generates force. Therefore, it is important to target the injured muscle with specific exercises that aim to develop its particular functional role.

2. Prescribe Strength exercises to achieve a specific goal

Eccentric Training

The terminal swing phase of sprinting generates high eccentric forces. Modifying eccentric force deficits is essential as they contribute to the risk of future hamstring injuries. Hence, rehabilitation should prioritize training to develop the capacity for generating high eccentric force.

Get Long and Strong

The shortening of fascicles can predispose the hamstrings to (re-)injury, and eccentric training can help overcome this problem. Previous studies have demonstrated significant improvements in eccentric strength and fascicle lengthening with high-volume eccentric training programs incorporating the Nordic hamstring exercise. However, recent research has shown that similar improvements can be achieved with a low-volume program consisting of 2 sets of 4 repetitions once a week.

Isometric Training

During the swing phase’s conclusion, the hamstrings’ contractile element can remain relatively isometric, as the tendon primarily elongates the muscle-tendon unit. Maintaining a good isometric condition of the muscle reduces mechanical load and facilitates the tendon’s spring-like behavior during the stretch-shortening cycle.

As hamstring injuries are consistently associated with fatigue, and most injuries occur in the final third of sprint training sessions, incorporating strength training under fatigued conditions has shown substantial reductions in injury rates. Isometric training of the hamstrings, such as utilizing the single-leg Roman chair hold, can enhance hamstring muscle endurance and serve as a valuable addition alongside the traditional Nordic hamstring exercises.

After an injury, the body’s response involves reducing myoelectric activity in the muscle as a protective mechanism to unload healing tissues. In some cases, this selective inhibition may persist and requires targeted rehabilitation. Isometric contractions have been shown to elicit higher voluntary muscle activation, making them effective in overcoming selective muscle inhibition. It is advisable to incorporate high-load isometric exercises to improve motor unit recruitment. In injuries where pain and disability are the primary concerns, isometric loading may be a more feasible approach before progressing to eccentric loading of the tissues.

Apply a multivariate model and target contributing factors to injury risk

Poor motor control of the pelvis can increase strain on the hamstrings and contribute to deficits in force production. Therefore, it is advisable to incorporate training for the lumbo-pelvic region, targeting movement in different planes.

Apart from the lumbo-pelvic region, the hip plays a vital role in maintaining optimal hamstring function. Weakness and decreased activation of the gluteus maximus serve as risk factors for hamstring injuries. Insufficient hip flexion exposes the hamstrings to a higher risk of injury, as the body compensates by increasing pelvic rotation during high-speed running, consequently placing greater strain on the hamstring muscles.

Kegel Exercises: The Complete Guide

Kegel exercises are designed to strengthen the muscles of your pelvic floor, providing support for your bladder and bowel function. These exercises involve a simple clench-and-release technique that targets the pelvic floor muscles. The pelvic floor refers to a collection of muscles and tissues that form a sling or hammock-like structure at the bottom of your pelvis, supporting your reproductive organs. Weakness in the pelvic floor can contribute to problems like loss of bladder or bowel control. By regularly performing Kegel exercises, you can enhance the strength and functionality of your pelvic floor muscles.

Why Do Kegel Exercises?

  • Both women and men can benefit from performing Kegel exercises to strengthen their pelvic floor muscles.
  • Various factors, including pregnancy, childbirth, aging, and weight gain, can contribute to the weakening of the pelvic floor muscles in women.
  • The pelvic floor muscles are responsible for supporting the womb, bladder, and bowels. When these muscles are weak, the pelvic organs may descend into the vagina, causing discomfort and potentially leading to urinary incontinence.
  • Men can also experience a decline in the strength of their pelvic floor muscles as they age. This can result in both urinary and fecal incontinence, especially for those who have undergone prostate surgery.

Finding the pelvic floor muscles in Women

  • When beginning Kegel exercises, it can be challenging to identify the correct set of muscles to target.
  • One method to locate these muscles is by gently inserting a clean finger into the vagina and then tightening the vaginal muscles around the finger.
  • Another way is to attempt to halt the flow of urine while urinating. The muscles engaged in this action are the pelvic floor muscles.
  • Familiarize yourself with the sensation of contracting and relaxing these muscles.
  • However, it is important to note that stopping and starting urine regularly or frequently doing Kegel exercises with a full bladder is not recommended, as it can lead to incomplete bladder emptying and increase the risk of urinary tract infections (UTIs).
  • If you are unsure whether you have correctly identified the pelvic floor muscles, it is advisable to consult with your gynaecologist for guidance.
  • Your gynaecologist may suggest using a vaginal cone, which is inserted into the vagina and held in place using the pelvic floor muscles.
  • Biofeedback training is another helpful method for identifying and isolating the pelvic floor muscles. This procedure involves the insertion of a small probe into the vagina or the placement of adhesive electrodes on the external area of the vagina or anus.
  • During the training, you will be instructed to perform a Kegel contraction. A monitor will display whether you have engaged the correct muscles and the duration of the contraction.

Finding the pelvic floor muscles in Men

  • Men can encounter similar difficulties in identifying the appropriate group of pelvic floor muscles.
  • To locate these muscles, men can try inserting a finger into the rectum and attempt to squeeze it, while ensuring that the muscles of the abdomen, buttocks, or thighs are not tightened.
  • Another helpful technique is to contract the muscles responsible for preventing the release of gas.
  • If difficulties persist, practicing the interruption of urine flow can be a reliable method. However, it is important to note that this should not become a regular practice.

Goals and Benefits of Kegel Exercises

  • Always empty your bladder before performing Kegel exercises. As a beginner, find a quiet and private place to sit or lie down for your exercises. As you practice, you will discover that you can perform them anywhere.
  • When you start doing Kegel exercises, tense the muscles in your pelvic floor for a count of three, and then relax them for a count of three. Repeat this sequence for 10 repetitions. Over the next several days, continue practicing until you can hold the muscle tension for a count of 10. Aim to do three sets of 10 repetitions every day.
  • Do not be discouraged if you do not see immediate results. According to the Mayo Clinic, it may take a few months for Kegel exercises to have an effect on urinary incontinence.
  • Additionally, Kegels work differently for each person. Some people experience significant improvement in muscle control and urinary continence, while for others, Kegels may help prevent the condition from worsening.


  • If you experience pain in your abdomen or back following a session of Kegel exercises, it indicates that you are not performing them correctly. Remember that while contracting your pelvic floor muscles, the muscles in your abdomen, back, buttocks, and sides should remain relaxed.
  • Lastly, it is important not to overexert yourself during Kegel exercises. Working the muscles excessively can lead to fatigue and hinder their ability to perform their essential functions.

How Can you do Kegel Exercises?

  • Both men and women can perform Kegel exercises using the same approach.
  • To begin, it is important to locate your pelvic floor muscles, often referred to as PC muscles. You can identify these muscles by interrupting the flow of urine while urinating.
  • The muscles engaged in stopping the urine flow are your PC muscles.
  • These muscles also play a role in controlling the release of gas. In men, contracting the PC muscles may cause the testicles to rise.


Try the Easiest Kegel Exercises

  • After locating your PC muscles, you can begin practicing flexing them.
  • Contract and hold your PC muscles for a duration of 5 to 20 seconds.
  • Subsequently, release the contraction.
  • Repeat this exercise 10 to 20 times consecutively, three to four times a day.
  • Gradually increase the number of contractions and the duration of each contraction.
  • Over time, this straightforward exercise can contribute to strengthening your PC muscles.
  • This, in turn, may lead to improvements in bladder control and sexual function.

Add Variety to your Workout

  • To add variety to your Kegel workout, consider trying different variations of the basic exercise.
  • For instance, you can contract and release your PC muscles rapidly, performing several repetitions in quick succession.
  • Another option is to practice contracting the muscles slowly, emphasizing control and endurance.
  • Additionally, you can experiment with different positions while performing Kegel exercises, such as standing, sitting, or lying down.
  • While engaging in Kegel exercises, make a conscious effort to avoid tightening other muscles, such as your abdominal muscles, buttocks, or thighs.
  • It is also important not to hold your breath. Instead, maintain a relaxed and steady breathing pattern while keeping the rest of your body still and relaxed.

Cyclist’s Palsy

Cyclist’s palsy, also known by various names such as handlebar palsy, ulnar tunnel syndrome, ulnar nerve compression, Guyon Canal Syndrome (GCS), bicycler’s neuropathy, or tardy ulnar palsy, is an overuse injury that primarily affects the hands and fingers. It occurs when the nerves in the wrist or the side of the palm near the pinky finger become compressed due to repetitive stress.

Cause of cyclist palsy

  • Cyclist’s palsy can cause both motor and sensory symptoms.
  • The motor symptoms can include weak hand grip and difficulty using fingers for precise tasks.
  • Whereas the common sensory effects include numbness, tingling, and pain.

Although cyclist’s palsy is increasingly common, it is often underreported among cyclists. In fact, a study revealed that 7 out of 10 participants reported experiencing motor or sensory symptoms. Severe nerve injury can lead to paralysis or irreversible loss of sensation in the affected hand.

The pressure exerted on the handlebars during prolonged cycling can irritate the nerves in the palm. The highest pressure occurs where the median and ulnar nerves enter the hand, which corresponds to positions like “tops,” “ramps,” “hoods,” and “drops.” The “drops” position applies the most pressure on the ulnar nerve, while the “hoods” position applies slightly less pressure. The “tops” position places significant pressure on the palm at the base of the ring finger. The “drops” position can also cause excessive wrist extension, increasing pressure on the carpal tunnel. If a cyclist already has nerve compression at the neck or elbow, it can be more easily triggered at the palm, potentially leading to carpal tunnel syndrome or cubital tunnel syndrome.

Signs and Symptoms

  • include numbness, tingling, and sensory changes in the little finger and the ring finger on the side closest to the little finger
  • the palm in that area may also become numb, while there is no numbness on the back of the hand.
  • The symptoms can vary depending on the location of pressure. Sometimes manifesting as numbness or weakness, or a combination of both.
  • When the median nerve is affected, numbness and tingling occur on the palm side of the thumb, index, long, and ring fingers (on the side closest to the middle finger). But there is no numbness on the back of the hand.
  • Prolonged or severe pressure on the nerves can also weaken the associated muscles. Some cyclists may experience pain along with hand numbness.


Limiting cycling is the most effective treatment for cyclist’s palsies. However, there are other measures that can allow cyclists to continue their activity while reducing the risk of exacerbating the condition. These include :

  • Limiting the length or distance of the ride
  • Having enough rest between longer cycling sessions
  • Changing positions of grip on the handlebars
  • Changing to a transverse handlebar
  • Adjusting the seat height
  • Using gloves to reduce or distribute pressure. The pressure can be reduced with foam or gel padding in the palm of the glove.

Top 3 Cyclist Palsy Exercises

In addition to these measures, exercises play a crucial role in long-term recovery and preventing recurrence of cyclist’s palsy. These exercises primarily focus on strengthening the muscles, ligaments, and tendons in the hands. The top three recommended exercises for cyclist’s palsy are as follows:

  1. Finger bending exercise: Begin by stretching your hand and then bend the fingers of the affected hand at a right angle, holding them in that position for approximately 10 seconds. Ensure that your fingers remain straight during the exercise. Repeat this process five times.
  2. Finger squeeze: Take a small object like a coin or a sheet of paper and squeeze it between two fingers, holding the grip for 10 seconds. Repeat this exercise five times for each set of fingers.
  3. Grip strengthening exercise: This exercise targets a weak hand grip. Squeeze a rubber ball with the affected hand and hold for 10 seconds and then release. Repeat 10 times, and that’s one set. Aim for 3 sets of 10 as you gradually build up grip strength.


Low Back Pain Relief

Most types of low back pain are often referred to physical therapy as one of the first-line treatments. Physical therapy for low back pain includes guided therapeutic exercises that strengthen the lower back muscles and condition the spinal tissues and joints.

The short- and long-term goals of physical therapy for back pain typically include the following:

  • Decrease painful symptoms in the lower back and/or leg
  • Improve low back function to tolerate daily activities as independently as possible
  • Increase the spine’s flexibility and improve its range of motion
  • Formulate a maintenance program to prevent the recurrence of back problems

The exercises are intended to provide flexibility and strength training to the entire kinetic chain—groups of body segments, joints, and muscles that work together to perform bodily movements.

Physical therapy helps restore the patient’s ability to perform daily activities with little-to-no discomfort. Large-scale studies have shown that physical therapy can provide up to 60% improvement in lower back pain and other symptoms.

Four Categories of Therapeutic Exercises for Back Pain

Therapeutic exercises are typically performed or learned under the guidance of a physical therapist and use a combination of the approaches described below.

  1. Core-Strengthening Exercises

In simple terms, the body’s core can be described as the area surrounded by the stomach muscles in front, the spinal and buttock muscles at the back, the bottom of the lungs or the diaphragm on top, and the muscles of the pelvis and hip at the bottom.  A weak core distributes weight unequally throughout the spine and into the legs, causing back pain or worsening existing back pain. Core-strengthening exercises help build strength and endurance in the core muscles, significantly reducing pain and improving functionality in the lower back.

Easy-to-perform core-strengthening exercises to relieve back pain include the pelvic tilt, cat-cow pose, bird dog, high and low planks, crunches, and exercises performed using a Swiss Ball.

  1. Lumbar Stabilizing Exercises

A strong spine needs strong hips and legs to support the lower body, and to walk, bend, and twist effortlessly. Inefficiency of the muscles in the hips and legs has been proven to cause spinal instability and pain. Stretching exercises can activate and strengthen these muscles, such as the iliopsoas and hamstrings; improve coordination between the hip and spine; and aid in the transfer of forces across the lower back, pelvis, and legs.

Hip and leg exercises for beginners with lower back pain typically include hamstring stretches, squats, downward dog, planks with leg lifts, and lunges.

  1. Aerobic exercises

Aerobic or cardiovascular exercise not only helps maintain a healthy heart but also heals the spinal muscles. Cardiovascular exercise involves synchronized movement in the body, which increases the heart rate, thereby improving circulation, oxygen content within the cells, and energy production in the tissues. Through these mechanisms, the painful spinal muscles respond by becoming less stiff and more mobile.

Simple aerobic exercises for back pain include brisk walking, a stationary bike, and an elliptical trainer. Low-impact aerobic conditioning can be achieved through aquatic exercise. The buoyancy of water supports the body’s weight, reducing stress on the spine and allowing for a greater range of motion.

  1. Postural Training

Supported posture minimizes strain on the body by maintaining a balance of the muscles and bones.  Unsupported posture can result from habit, painful symptoms, or ergonomics at work or home. Specifically in the spine, using incorrect posture can limit the movement of the tendons and muscles, making regular day-to-day movements difficult and painful.  Posture correction exercises aim to stretch and strengthen the back and abdominal muscles and the kinetic chain, which help stabilize the spine.

Common posture correction exercises include calf stretching, seated squats, pelvic tilts, and abdominal strengthening exercises.

Physical therapy is a multi-component program that includes education, training, strength, flexibility, and endurance. A physical therapist plays a key role in designing a program suitable to the needs and limitations of the patient. A therapist’s goal is to teach the proper exercise technique, so the patient can perform the exercise on their own.

Duration of a Physical Therapy Program for Low Back Pain

The total length of an exercise program depends on the severity and duration of the low back symptoms.

  • For chronic low back pain, physical therapy typically starts with an 8-week program performed under the guidance of a physical therapist.
  • A longer-term maintenance or rehabilitation therapy is prescribed after the guided phase, which can be done at home.

The duration of the guided program may increase or decrease based on the outcome of the treatment.

Physical therapy may be combined with other nonsurgical treatments for the lower back to improve the overall pain outcome. Hands-on alternative treatments, such as massage therapy, manual therapy, and accupuncture may be beneficial when performed in combination with a physical therapy regimen.

Understanding Asperger’s Syndrome: Insights into a Unique Neurodevelopmental Condition

Asperger’s Syndrome is a developmental disorder characterized by challenges in social interaction and rigid, repetitive behavior and thinking patterns.

Children and adolescents with Asperger’s Syndrome generally have the ability to communicate verbally and perform reasonably well academically. However, they struggle with comprehending social situations and subtle forms of communication such as body language, humor, and sarcasm. They may exhibit a tendency to focus excessively on one particular topic or interest and prefer a limited range of activities. These intense interests can become all-consuming and disrupt daily life.


The symptoms of Asperger’s Syndrome include difficulties in social interactions, obsessions, unusual speech patterns, limited facial expressions, and other distinctive mannerisms. Children with Asperger’s Syndrome may engage in repetitive routines and display heightened sensitivity to sensory stimuli.

While every child with Asperger’s Syndrome is unique, their notable traits lie in their atypical social skills and fixated interests. When observing a child with Asperger’s Syndrome, one may notice one or more of the following symptoms:

  • Inappropriate or minimal social interactions
  • Conversations that almost always revolve around themselves or a certain topic, rather than others
  • Not understanding emotions well or having less facial expression than others
  • Speech that sounds unusual, such as flat, high-pitched, quiet, loud, or robotic
  • Not using or understanding nonverbal communication, such as gestures, body language and facial expression
  • An intense obsession with one or two specific, narrow subjects
  • Becoming upset at any small changes in routines
  • Memorizing preferred information and facts easily
  • Clumsy, uncoordinated movements, including difficulty with handwriting
  • Difficulty managing emotions, sometimes leading to verbal or behavioral outbursts, self-injurious behaviors or tantrums
  • Not understanding other peoples’ feelings or perspectives
  • Hypersensitivity to lights, sounds and textures

Children with Asperger’s Syndrome typically demonstrate normal language development without significant delays. They often exhibit strong grammar skills and possess an extensive vocabulary. However, their use of language may be characterized by a literal interpretation of meaning, making it challenging for them to navigate social contexts effectively.

Regarding cognitive development, there is typically no noticeable delay in children with Asperger’s Syndrome. While they may struggle with attention span and organization, their intelligence quotient (IQ) tends to fall within the average range.


  • The causes of Asperger’s Syndrome are unknown.
  • Genetics and brain abnormalities may be involved.
  • We do know that Asperger’s Syndrome is NOT the result of a child’s upbringing or poor parenting.
  • It is a neurobiological disorder, meaning it is just a part of the child’s brain development, whose causes are not fully understood.


Treatment usually includes:

  • Social skills training
  • Behavior supports
  • Cognitive behavioral therapy
  • Parent education and training
  • Speech-language therapy
  • Occupational therapy

Physiotherapy Treatment

  • Physical therapy for individuals with Asperger’s Syndrome primarily focuses on improving gross motor skills such as crawling, sitting, rolling, walking, and running.
  • As children with Asperger’s Syndrome grow older, physical therapy may involve more advanced tasks like jumping, stair climbing, throwing, and catching.
  • These motor skills are crucial for both physical development and active participation in play and sports.
  • During physiotherapy sessions, the individual’s physical abilities will be assessed and evaluated to determine the nature and extent of any challenges, leading to the formulation of an appropriate treatment plan.
  •  The physiotherapist will develop a personalized treatment plan based on the individual’s specific needs and abilities.
  • Physiotherapy will encompass a range of exercises and therapeutic programs aimed at improving physical abilities, coordination, and balance.
  • Collaboration between physiotherapists and educational professionals is vital to ensure awareness of any gross motor skill challenges and to provide effective strategies and interventions for managing these difficulties.

Beyond Traditional Therapy: Harnessing the Potential of Dry Needling

Dry needling is a therapeutic technique that involves using a thin needle to target and treat muscular trigger points and areas of tissue tenderness.

It is commonly used to address various issues :

  • musculoskeletal issues like neck pain, low back pain
  • sciatica
  • muscle strains
  • IT band syndrome
  • plantar fasciitis
  • fibromyalgia, and more.

Every year, new treatment techniques claiming to be the latest and greatest in pain reduction and improved function emerge, but many of them fade away over time.

How is Dry Needling Different?

While dry needling may have recently caught your attention, it has been around for several decades. In the early 1940s, trigger points were injected with different substances to alleviate tender points. However, a study in 1979 revealed that needling alone, without injections, produced a unique pain-relieving effect. This discovery led to the development of dry needling as we know it today.

Understanding this brief history is crucial because it is not a new concept and has been used in some form for over 40 years. It is increasingly prevalent in physical therapy practice.

Effectively Releases Trigger Points

  • Dry needling specifically targets taut muscle bands known as trigger points, commonly referred to as muscle knots.
  • Trigger points can result from various factors such as tissue trauma, overuse, prolonged bed rest, stress, tension, and poor posture.
  • They can cause pain that radiates to other parts of the body. For example, a trigger point in the upper back can cause headaches, neck pain, back pain, or jaw pain.
  • By stimulating and releasing these muscle knots, it reduces tightness, alleviates pain, and improves muscle flexibility.

Reduces Reliance on Medications

Dry needling has become an integral part of pain management programs due to its effectiveness in addressing both acute and chronic pain, thereby reducing the need for medication reliance. It is often used in conjunction with other therapeutic modalities to achieve optimal outcomes such as :

  1. manual therapy
  2. massage
  3. exercise
  4. heat therapy/ hydrotherapy and
  5. kinesiology taping

The technique can also be employed to treat latent trigger points, which may not be causing evident pain yet but can become problematic if left untreated.

It is a generally well-tolerated procedure with very minor side effects, such as :-

  • soreness
  • discomfort, which subside just within a few hours after the treatment.

Dry Needling in Patel Nagar, Delhi

For exceptional physical therapy services in Delhi, we invite you to visit Arunalaya Health Care Physiotherapy Centre. We employ dry needling as one of our innovative treatment modalities to ensure the best possible outcomes for a wide range of musculoskeletal, neurological, and pediatric issues.

To learn more about dry needling and whether it is right for you, consult Dr. Chakshu Bansal (PhD. , MPT, BPT).

Contact us at: 8090080906, 8090080907


Hip dysplasia or developmental dislocation of the hip (DDH), is an abnormal formation of the hip joint. In hip dysplasia, the femoral head (the ball) fits too loosely into the acetabulum (the socket), causing instability. The disorder typically develops during gestation or shortly after birth, but may develop later in childhood. In the past, this condition was referred to as congenital dysplasia of the hip (CDH).


Many people are born with hip dysplasia but are likely unaware because symptoms don’t often present themselves until adulthood.

Other times, it is typically developed within the first year of a person’s life.

Adults can develop hip dysplasia, but it is most often a diagnosis that wasn’t determined in childhood likely from a lack of symptoms.


Someone suffering from hip dysplasia may:

  • Have legs that are different lengths
  • Have a leg that turns outward
  • Have uneven skin folds on their groin or thigh
  • Lean to one side when standing
  • Have minimal or complete loss of range of motion in the hip
  • Limp when walking


Someone suffering from hip dysplasia may have internal symptoms like:

  • Pain when sleeping on the affected hip
  • Pain in the groin that increases with activity
  • A sensation of popping, snapping or catching at the hip
  • A stiff hip joint


Weight loss and other lifestyle changes can improve the condition.

Physiotherapy includes

  • leg stretching particularly hip abductions

  • Banded lateral walk

  • Glute activation

When engaging in physical therapy exercises, it is usual for patients to be provided with applied heat before the exercise regimen and ice packs afterwards.

Physical therapy is a great option for patients to help:

  • Strengthen muscles surrounding the hip
  • Joint mobility
  • Correct poor posture
  • Tendon inflammation
  • Gait
  • Body awareness

Advance physiotherapy treatment

  • MFR
  • Kinesiology tape
  • Dry needling

Medical professionals also may recommend:

  • Including low- or non-impact exercises into your weekly routine to strengthen muscles and increase range of motion like:
  • Swimming
  • Aquatic therapy
  • Cycling
  • Bodyweight exercises
  • Losing or maintaining weight to reduce the stress and pain in the hip
  • Hippotherapy to improve motor function

Reverse Clamshell Exerise: Benefits and Instructions

If you’re seeking exercises to strengthen your hips, one often overlooked option is the Reverse Clamshell exercise. This variation targets a different set of hip muscles compared to the traditional version and offers numerous benefits.

Benefits of the Reverse Clamshell Exercise

The Reverse Clamshell exercise is a variation of the clamshell, renowned for its ability to enhance hip stability. While similar, it possesses unique advantages that make it a valuable addition to your exercise routine, alongside other individual exercises. These advantages include:

  1. Enhanced hip joint strength, with a specific emphasis on internal hip rotation.
  2. Strengthening of the gluteal muscles, particularly the Gluteus Medius, which leads to improved muscle function and activation.
  3. Stabilization of pelvic muscles.
  4. Increased muscle definition in the thighs and buttocks.

By incorporating the Reverse Clamshell exercise into your workout regimen, you can reduce the risk of injuries and alleviate lower back pain.

What Muscles Does the Reverse Clamshell Target?

This exercise primarily targets the following muscle groups:

  1. Inner thighs (hip abduction)
  2. Gluteal muscles, specifically the deep Gluteus Medius muscle.
  3. Pelvic muscles.

Clamshell Exercise Vs. Reverse Clamshell Exercise

Here is an image illustrating the regular clamshell exercise:

Different Benefits

Although both starting from a similar position, the clamshell and reverse clamshell exercises offer distinct benefits for the body. While the clamshell primarily strengthens the gluteus minimus and gluteus maximus muscles, the reverse clamshell works the inner rotators of the him. Incorporating both exercises into physical therapy can be beneficial for the hip flexors.

Different Muscle Groups

These exercises target different muscle groups. Unlike the clamshell, the reverse clamshell does not engage the gluteus maximus or the external rotators of the hip. Instead, it focuses on the inner rotators, which play a crucial role in stabilization and balance. During the reverse clamshell, you will feel the activation more in your outer thighs.

How to Perform the Reverse Clamshell Exercise

To perform the reverse clamshell exercise:

  1. Lie on your exercise mat on one side, with your legs stacked on top of each other and your knees bent at a 45-degree angle, as you would for the regular clamshell exercise.
  2. Keep your feet together. Rotate your top foot outward and raise it toward the sky. Take one second to lift your leg and three seconds to lower it, maintaining slow and controlled movements.
  3. Repeat for 10 to 15 repetitions before switching sides.

Some Tips

Here are some tips for performing the exercise:

  • Keep your upper body aligned and engage your abdominal muscles throughout.
  • Exhale as you engage your inner thighs, and inhale as you relax your muscles.
  • Avoid rolling forward, as having your top leg slightly more forward than your lower leg makes it easier to lift your foot. This can result in less activation of your glutes.

Make it Easier

If you find the exercise challenging, you can start with an easier exercise called the Single Leg Windshield Wiper stretch. Follow these steps as a beginner:

  1. Lie flat on your back, with your knees bent at a 90-degree angle and your feet flat on the floor.
  2. Move your feet slightly wider than hip-width apart.
  3. While keeping your left knee still, allow your right leg to fall toward the left leg. This inward rotation of your hip will create a stretch on the outside of your buttocks and hip.
  4. Hold this position for 20 to 30 seconds before returning to the starting position.
  5. Perform 10 to 15 repetitions before switching sides and allowing the left leg to fall. Ensure your core muscles are engaged throughout the exercise for added benefits.

W-Sitting: The Negative Impact on your Child

The w-sitting posture is sitting on the floor with both thighs rotated inwards and the feet outwards on both sides of the body (the legs make a W shape, hence the name).”

As we age, achieving the w-sitting posture becomes challenging for adults due to the gradual loss of hip mobility. This decline in mobility can be attributed to the natural growth of our muscles and bones, as well as the lack of exposure to extreme hip flexion in Western cultures.

In contrast, children find it easier to adopt the w-sitting posture. Their hip joints possess greater mobility, and they often spend significant amounts of time in positions with flexed hips. It is common for many typically developing children to occasionally transition into this posture during their playtime.

Children who have low resting muscle tone and/or joint hypermobility, characterized by “floppy” muscles, often find it effortless to adopt the w-sitting posture. They may even find it comfortable. Children with tight leg muscles, such as those with cerebral palsy, may have limited options and find the w-sitting posture as the only sustainable position for them.

Why Do Toddlers/Children W Sit?

  • Bone alignment/positioning in utero (how your child is built can predispose them to W sit)
  • Core/trunk weakness
  • Excessive hip flexibility and/or joint hypermobility
  • Low muscle tone (check out these exercises for hypotonia)
  • It’s easier! A wider base is easier, requires less muscle work, and is less fatiguing

Why physiotherapist don’t like W sitting?

Physiotherapists generally discourage the practice of W sitting for the following reasons:

  1. Inward rotation of knees: W sitting places the knees in a position of increased inward rotation. This can result in added stress on the knee joints, potentially leading to knee pain and discomfort over time.
  2. Potential for in-toeing: W sitting has the potential to contribute to in-toeing, particularly in children who are already hypermobile. In-toeing refers to a tendency for the feet to turn inward instead of pointing straight ahead. W sitting can exacerbate this condition, affecting the alignment and stability of the lower limbs.
  3. Leads to turned in toes: Feet turning in while they W sit day after day for several years can lead to turned-in toes in other activities, like standing, cruising, and walking.
  4. Makes walking difficult
  5. Limits Core strength and rotation
  6. Decreases Mobility in hips and ankles

To promote optimal musculoskeletal development and minimize the risk of knee-related issues and in-toeing, physiotherapists generally encourage alternative sitting positions that maintain proper alignment and promote healthy joint positioning.

What Can You Do About W Sitting ?

  1. Stretch

 You won’t be successful getting rid of W sitting if your child is tight. A good stretch needs to last at least 30 seconds. Singing songs or watching short videos can help pass the time!

  • Butterfly stretch
  • Hamstring stretching
  • Ankle stretching
  • Prevent in-toeing of the foot

  1. MFR
  5. Break the habit