Author: Arunalaya

Physiotherapy In DelhiArticles by: Arunalaya
By Arunalaya 0 Comments blog, Exercise

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.
By Arunalaya 0 Comments blog, Exercise, Physio, Therapy

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
  2. KINESIOLOGY TAPING
  3. DRY NEEDLING
  4. STRENGTHENING CORE
  5. Break the habit
By Arunalaya 0 Comments blog, Physio, Therapy

Happy Puppet Syndrome

Introduction

Happy Puppet Syndrome is a rare and complex genetic disorder that primarily affects central nervous system characterized by severe learning difficulties, motor dysfunction, seizure disorder, and often a happy, sociable demeanour.

People with Happy puppet syndrome often smile and laugh frequently, and have happy, excitable personalities.

Happy puppet syndrome was first described in 1965 by British paediatrician Harry, who identified a group of children with similar symptoms that he termed “happy puppet syndrome.” The term “puppet” referred to the jerky movements and uncoordinated gait that are characteristic of the condition.

The initial indicators of happy puppet syndrome are usually developmental delays that appear between the ages of 6 and 12 months. Seizures might start between the ages of two and three.

The condition is causes by a genetic mutation or deletion on chromosome 15, which leads to deficiency of protein called ubiquitin ligase E3A (UBE3A). This protein is important for normal functioning of nerve cells in brain, and its absence or deficiency can result in the neurological symptoms of happy puppet syndrome.

The prevalence of happy puppet syndrome is estimated to be around 1 in 12,000 to 20,000 individuals, although it may be underdiagnosed or misdiagnosed. The condition can affect individuals of any race or ethnicity, and there is no known gender predilection.

SYMPTOMS

  • Developmental delay and intellectual disability including no crawling or babbling at 6 to 12 months.
  • Seizures, usually beginning between 2 and 3 years of age.
  • Absence or minimal speech.
  • Hyperactivity and excitability.
  • Unsteady or jerky gait.
  • Difficulty in balance.
  • Sucking or feeding difficulty.
  • Trouble going to sleep and staying asleep.
  • Happy demeanour, frequent smiling and laughter, and an easily excitable personality.
  • Stiff or jerky movements.
  • Small head size, with flatness in the back of the head.
  • Tongue thrusting.
  • Hair, skin and eyes that are light in colour.
  • Unusual behaviours, such as hand flapping and arms uplifted while walking.
  • Curved spine (scoliosis).

Diagnosis

The diagnosis of happy puppet syndrome is usually made based on clinical signs and symptoms, along with genetic testing to confirm the deletion or mutation of the UBE3A gene on chromosome 15.
A diagnosis is based upon:

    • a thorough clinical evaluation and identification of distinctive findings; and
    • a full history of patients.

Genetic testing, such as DNA methylation, must be conducted in order to confirm a suspected diagnosis. These tests may review:

    1. Parental DNA pattern: screens for three of the four known genetic defects that cause happy puppet syndrome.
    2. Missing chromosomes: A chromosomal microarray (CMA) can detect missing chromosomes.
    3.  Gene mutation: If your child’s DNA methylation test findings are normal, your doctor may request a UBE3A gene sequencing test to look for a maternal mutation.

Differential Diagnosis

  • Prader-willi syndrome
  • Rett syndrome
  • Mowat wilson syndrome
  • Pitt-hopkins syndrome

TREATMENT

The treatment for happy puppet syndrome is primarily supportive and focuses on addressing specific symptoms, such as seizures, sleep disorders, and behavioral problems. Early intervention with physical, occupational, and speech therapy is important to improve mobility, communication, and social skills. Educational support and specialized services may also be required to help individuals with the syndrome reach their full potential.

PHYSIOTHERAPY MANAGEMENT

Physiotherapy is an important part of the multidisciplinary approach to managing happy puppet syndrome.

The goals of physiotherapy are to improve movement, balance, and coordination, prevent joint contractures and deformities, and enhance overall physical function.

The physiotherapy treatment typically includes:

  • Assessment: The physiotherapist will perform a comprehensive assessment of the individual’s physical abilities.  It will include range of motion, strength, balance, and gait analysis.
  • Treatment plan: Based on the assessment results, the physiotherapist will develop an individualized treatment plan that addresses the specific needs of the individual.
  • Exercises: The physiotherapist will prescribe exercises to improve muscle strength, flexibility, and balance. Exercises may include stretching, strengthening, and balance training exercises.
  • Assistive devices: The physiotherapist may recommend the use of assistive devices such as walkers, orthotics, or braces to help improve mobility and prevent falls.
  • Hydrotherapy: Water-based exercises can be particularly beneficial for individuals with happy puppet syndrome. The buoyancy of the water can reduce the risk of injury while allowing for a full range of motion.
  • Functional training: The physiotherapist will work with the individual to improve their ability to perform daily activities, such as sitting, standing, and walking.
  • Education: The physiotherapist will educate the individual and their caregivers on safe movement techniques, fall prevention, and the importance of ongoing exercise and physical activity.
By Arunalaya 0 Comments blog, Physio

Pain-Free Periods: The Transformative Influence of Physiotherapy on Menstrual Cramps

Menstrual cramps are a major problem for many women. The pain connected with the menstrual cycle can be debilitating in certain situations. Cramps are caused by a variety of factors, and understanding these factors might help you find relief.
Women are increasingly resorting to physiotherapy to alleviate period discomfort.
Many of the pain-related symptoms that women encounter each month can be reduced or eliminated with physiotherapy.

Minimising Menstrual Cramp Discomfort

Menstrual cramps can be relieved in a variety of ways:

  • Many women benefit from stretching treatments that focus on the low-back and abdominal muscles.
  • Furthermore, contract-and-relax techniques can be utilised to enhance blood flow to muscles and aid in the reduction of stress.

How Physiotherapy Helps with my Menstrual Cramps?

Muscle cramping is commonly felt in the lower back, abdomen, and hips soon before or during menstruation. Physiotherapy can help relieve cramps by using the therapies listed below.

1. Heat Pack

Heat packs help to relieve pain by increasing circulation and relaxing strained or tight muscles. Heating pads have the similar impact on uterine muscles when used to ease cramps, allowing them to relax more.

2. Modalities

Modality like transcutaneous electrical nerve stimulation (TENS) units can help reduce pain with periods. it is usually applied on the abdomen, hip, pelvis and low back.

3. Manual Therapy

If you are having pelvic pain with your periods, manual therapy like connective tissue release and massage done by physiotherapists can help in relieving the pain and also relaxing the tension around the pelvic area.

  • Pelvic floor muscles
  • to reduce muscle sensitivity and tenderness (both in the pelvic floor muscles as well as muscles around the pelvis) does seem to reduce cramping during menses.
4. Exercise

Period cramps can be relieved by exercises such as the cat cow and child pose. Pilates and breathing exercises can also help with menstruation cramps.

5. MOVEMENT- BASED APPROACHES

Movement is what we do in physical therapy, and certain exercises which help with movement of the spine and abdomen can be very helpful in improving pain levels.

There are few exercises that are contraindicated to do during menstruation cycle. Here is the list of few such exercises you should avoid.

To Avoid:

1. Intense cardio

    • Intense cardio can frequently cause excessive menstrual flow. As a result, this should unquestionably be avoided throughout periods. For healthy periods, some women must make little alterations to their workout.
    • Avoid engaging in strenuous cardiovascular exercises as they may place additional strain on your mind and body.

2. Cut the Duration

    • In addition to increasing the intensity, you should reduce the duration of your workout. It may take you a few days to get back into shape. So, for at least 4-5 days, *don’t workout for 90 minutes straight, but rather for 30-40 minutes with breaks.
    •  This reduces the likelihood of cramping and menstruation symptoms. Additionally, shortening the duration will allow your body to recoup and rest.

3. Weight Training

    • If you are suffering period cramps from the first day, skip the weight training portion.
    • Lifting weights will not help you and will instead disrupt your menstrual flow. This will also assist you in maintaining your strength and avoiding excessive exertion.
    • Lift light weights and take precautions to avoid injuries.

 

By Arunalaya 0 Comments blog, Physio, Therapy

Shock Wave Therapy: How it Works?

Shock Wave therapy is a technique that uses high-energy sound waves rather than electrical shocks to aid in the healing process following an injury.

SWT is a cutting-edge treatment that uses acoustic shock waves to break up soft tissue calcifications, boost collagen production, release growth factors, and accelerate your body’s healing process in order to reduce pain and keep you active.

It’s a lesser-known physiotherapy technique, yet it can be beneficial.

Injuries that can be treated

Shock wave therapy is used to treat musculoskeletal injuries, particularly those areas involving connective tissue and bone.
The following are some examples of common injuries treated with shockwave therapy:

  • tennis/golf elbow
  • rotator cuff tendonitis
  • calcification
  • stress fractures
  • trochanteric bursitis in the hip
  • patellar tendonitis
  • jumper’s knee
  • hell spurs
  • Achilles tendonitis
  • Morton’s neuroma in the foot

Shock wave therapy treatment has been shown to be an excellent approach to start the body’s healing process and reduce discomfort while regaining movement.
Most people require only three treatments per week.

This therapy improves blood circulation and hastens the repair of chronic musculoskeletal disorders in the bones, tendons, ligaments, and muscle.

How does it work?

  • Shockwave treatment stimulates self-healing by using radial acoustic shockwaves.
  • These shockwaves, which are not electrical but rather sound shockwaves, are administered through a special wand hand piece that dispenses the waves for a brief amount of time directly to the affected injured tissue areas.
  • The pressure from the shockwaves will be transferred to the tissue. As a result, special micro-cavitation bubbles form, expand, burst, and produce a force known as a resultant force.
  •  This passes through the tissue and stimulates the cells responsible for connective tissue and bone mending, so activating the body’s inherent self-healing mechanism.
  • These processes involve increased metabolism and blood circulation. It means that your damaged tissue receives better healing treatment from your body, and the damaged tissue will begin to regenerate itself, with an accompanying inflammatory response allowing the healing process to take effect.
  • Some people find it slightly uncomfortable to go through. However, these people are frequently in the minority, and the majority are able to handle the five-minute treatments with ease.
  • Though there will be no pain immediately following the treatment, there is a potential of discomfort in the hours that follow.
  • This discomfort can last for up to two days, therefore patients should limit their physical activity and avoid using anti-inflammatory drugs or ice.

How does it feel?

ESWT hurts, and the degree of pain varies from person to person. The majority of patients perceive it as slightly uncomfortable but not painful.
It also affects where we treat you. Body portions with less skin and muscle, such as above the hip bone, can be more sensitive than meatier areas, such as the calves.

By Arunalaya 0 Comments blog, Physio, Therapy

OSTEOPOROSIS MANAGEMENT IN PHYSIOTHERAPY

Osteoporosis is a condition in which the bones in the body become weak and brittle as a result of tissue loss over time. This illness is most common in the elderly, but it can also occur in middle-aged patients.

Although this condition can affect any bone in the body, it most commonly affects the following:

  • Spine
  • Hips
  • Waist

Because of bone fragility, people with osteoporosis are susceptible to fractures.

Causes

While weak bone structures are caused by ageing factors, smoking, and excessive alcohol use, a prolonged sedentary lifestyle can also play a role. Cigarettes contain toxic substances that interfere with the bones’ natural ability to repair, while alcohol interferes with calcium absorption.

Habitual physical inactivity promotes the activity of osteoclasts (the cells responsible for bone resorption).

Another factor that contributes to osteoporosis is hormonal change associated with ageing. Women going through menopause may be more likely to develop osteoporosis later in life due to lower oestrogen levels (a hormone that helps manufacture bone mass).

Anyone can get osteoporosis, and the risk rises with age.

Role of Physiotherapy

Physiotherapy can aid in the prevention and management of osteoporosis.
Over the course of weeks and months, a physical therapist will design a personalised training programme to strengthen your bones and muscles.
This improves your balance and reduces your chances of falling.

Physical therapy can also aid in the recovery from an osteoporosis-related accident.

Physical therapy often involves performing stretches or exercises, usually done in repetition or sets. But physical therapists also use a variety of other techniques to improve movement.

These include:

  • Manual therapy
  • Kinesiology taping
  • Dry needling
  • suggestions for lifestyle changes
  • MFR
  • heat or cold therapy
  • ultrasound / electrical stimulation
  • Stability training

Benefits of PT

  • Physiotherapy treatments aid in the strengthening of bones and muscles
  • Regular and targeted exercise is essential for the prevention and management of osteoporosis.
  • Working with a physiotherapist can help you with the following:
    1. improve your balance
    2. lower your chances of falling
    3. stretch and strengthen your muscles
    4. correct stooped posture
    5. prevent further bone loss
    6. reduce pain
By Arunalaya 0 Comments blog, Physio, Therapy

Understanding Lateral Ligament Injury of the Ankle

Lateral ligament injury is among the most prevalent types of sports injuries addressed by physiotherapists. Men and women are estimated to suffer from lateral ankle sprains at roughly the same rates.

A lateral ligament injury of the ankle is a common injury that occurs when the ligaments on the outer side of the ankle are damaged. The most frequently affected ligaments are the anterior talofibular ligament (ATFL), the calcaneofibular ligament (CFL), and the posterior talofibular ligament (PTFL). These ligaments are responsible for providing stability to the ankle joint.

Lateral ankle sprains are also known as inversion or supination ankle sprains. The complex of ligaments on the lateral side of the ankle is torn by varied degrees as a result of a forced plantarflexion/inversion movement.

Individuals who sustain multiple recurrent ankle sprains have been documented to have functional and mechanical instability, as well as an increased risk of re-injury. Small fractures surrounding the ankle and foot (e.g. Pott’s fracture) and straining or rupture of the muscles around the ankle (e.g. calf, peroneii, tibialis anterior) should also be avoided even if they are the less prevalent causes of ankle pain.

Lateral Ankle Ligament Tear Types:

Lateral ligament injuries of the ankle can be classified into three main types based on the ligaments involved and the severity of the tear:

Anterior talofibular ligament (ATFL) injury: This is the most common type of lateral ligament injury and often occurs in isolation. It involves the stretching or tearing of the ATFL, which connects the talus bone to the fibula. It is commonly associated with ankle inversion injuries.

Calcaneofibular ligament (CFL) injury: The CFL is located slightly below the ATFL and connects the calcaneus (heel bone) to the fibula. CFL injuries typically occur along with ATFL injuries or in more severe sprains. In some cases, the ATFL and CFL can be injured together, resulting in a higher-grade ligament tear.

Posterior talofibular ligament (PTFL) injury: The PTFL is the least commonly injured ligament in lateral ligament injuries of the ankle. It connects the talus bone to the fibula at the back of the ankle. PTFL injuries usually occur in severe ankle sprains or high-energy trauma.

CAUSES

Ankle sprain: The most common cause of a lateral ligament injury is an ankle sprain, which typically occurs when the foot rolls inward, resulting in stretching or tearing of the ligaments on the outer side of the ankle.

Sports injuries: Activities that involve quick changes in direction, jumping, or running on uneven surfaces increase the risk of ankle sprains and ligament injuries.

Trauma: Direct trauma or impact to the ankle joint, such as a fall or a collision, can cause damage to the lateral ligaments.

CLINICAL FEATURES

  • Pain on the outer side of the ankle
  • Swelling and bruising
  • Difficulty walking or bearing weight on the affected foot
  • Instability or a feeling of the ankle giving way
  • Limited range of motion in the ankle joint.

RISK FACTORS

Body mass index, slow eccentric inversion strength, quick concentric plantar flexion strength, passive inversion joint position sense, and peroneus brevis reaction time were all linked to an elevated risk of lateral ankle injury.

ASSESSMENT OF ANKLE JOINT

  • Amount of instability present by assessing the grade of the sprain;
  • Loss of Range of motion (ROM);
  • Loss of the muscle strength;
  • Level of reduced Proprioception.

OBSERVATION

Any symptoms of injury, inflammation, skin colour changes, or muscle atrophy or hypertrophy are noted. Following that, the foot and ankle are observed in two separate positions: non-weight bearing and weight bearing. Take note of the gait pattern, degree of limp (if any), and facial expression when bearing weight.

HISTORY

Mechanism of injury: A plantarflexion/inversion injury would indicate damage to the lateral ligament, whereas a dorsiflexion/eversion injury would indicate damage to the medial ligament. Previous history of injury on the same side will give clues as to whether the ankle was unstable to begin with, or that a previous injury wasn’t properly rehabilitated.

History of injury on the other side as well may indicate a biomechanical predisposition towards ankle injuries.

GRADES

Grade 1: Mild sprain with minimal stretching or tearing of the ligament fibers. There may be slight swelling, tenderness, and minimal loss of function.

Grade 2: Moderate sprain with partial tearing of the ligament fibers. This grade is characterized by increased swelling, bruising, pain, and difficulty walking or bearing weight on the affected ankle.

Grade 3: Severe sprain with complete tearing or rupture of the ligament. Significant swelling, bruising, pain, and instability are commonly observed. Walking or weight-bearing may be extremely difficult or impossible.

SPECIAL TEST

An anterior draw is performed to assess the ATFL and CFL integrity. The heel is grabbed with the ankle in plantarflexion, and the tibia is stabilised and dragged anteriorly.
The talar tilt is used to evaluate the integrity of the ATFL and CFL laterally, as well as the deltoid ligament medially. The heel is grabbed again, the tibia is stabilised, and the talus and calcaneus are pushed laterally and medially.
Beginning with a simple single leg stance, proprioception can be measured in a variety of more challenging methods. The patient can do it on the normal side first to give the therapist a sense of what is typical, and then try it on the injured side.

DIFFERENTIAL DIAGNOSIS

  • Ankle fracture (medial/lateral malleolus, distal tibia/fibular)
  • Damage to the medial ligament
  • Dislocated ankle
  • Other soft tissue damage (peroneal tendons, muscle strain)

TREATMENT

REDUCE PAIN AND SWELLING

The RICE regimen (Rest, Ice, Compression, and Elevation) can be used to minimise pain and swelling in the first 48-72 hours after an acute lateral ligament damage.

If weight bearing is too painful, the patient can use elbow crutches for 24 hours and remain non-weight bearing. However, it is critical to begin at least partial weight bearing as soon as possible, along with a regular heel-toe gait pattern, since this will help to reduce pain and swelling.

Gentle soft tissue massage and light stretches can be conducted to help with the clearance of oedema, as long as they are painless.

Range of motion exercises: These exercises aim to restore the normal range of motion in the ankle joint and may involve gentle ankle rotations, ankle pumps, and alphabet exercises.

Strengthening exercises: Strengthening the muscles around the ankle joint helps provide support and stability. Common exercises include calf raises, toe raises, ankle inversions and eversions (using resistance bands or manual resistance), and single-leg balance exercises.

Proprioceptive and balance exercises: These exercises improve the body’s awareness of joint position and enhance balance and stability. Examples include standing on one leg, balance board exercises, and wobble board exercises.

RETURN TO FUNCTIONAL ACTIVITY

  • Twisting
  • Jumping
  • Hopping on one leg
  • Running
  • Figure of 8 running

Before returning to full functional activity the patient should have full range of pain free movement in the ankle, normal strength and normal proprioception. If returning to sports, the athlete should be encouraged to wear an ankle brace or to tape the ankle for a further 6 months to provide external support.

By Arunalaya 0 Comments blog, Physio

Revitalize Your Knees: The Art of Patellar Mobilization

Patellar mobilization is the application of pressure or force on the kneecap in order to restore normal up and down movement in trochlea. The patella, often known as the kneecap, is the biggest sesamoid bone in the body. A sesamoid bone is one that is embedded in a tendon, such as the quadriceps tendon in the patella.

This tendon, along with other muscles in and near the quadriceps, helps hold the patella in place so that it may accomplish its most crucial role, which is to protect the knee joint.

Location

The patella sits between the femur and tibia, protecting the knee joint while also connecting muscles in the femur’s front to the tibia.

  • Articular cartilage exists beneath the patella and at the end of the femur, allowing the patella and femur bones to move in tandem.
  • This cartilage provides protection as well as increased mobility with every knee movement.
  • Patellar mobilisations are a type of hands-on treatment that is used to relieve movement restrictions in the knee joint.

The patella (or kneecap) is a bone positioned at the bottom of your thighbone (femur) in a shallow groove called the trochlea. This crucial anatomical structure connects to both the quadriceps muscles (through the quadriceps tendon) and the tibia bone (via the patellar tendon) and influences the knee’s capacity to bend and straighten. Patellar mobility restriction can change the range of motion and function of the knee joint, necessitating this treatment.

What Is Patellar Mobilization?

When you straighten or extend your knee, the patella is pulled upward in the trochlear groove in a fully functioning joint. When your leg is bent or flexed, your knee cap glides downward in the groove in the same way.

Patellar mobilization is the application of pressure or force on the kneecap in order to restore normal up and down movement in trochlea. If the kneecap is not tracking well in the groove, side-to-side mobilisations may be used. Depending on the goals of the mobilisation and the causes of the restricted mobility, movements applied by the therapist on the kneecap might be rhythmic and gentle or more vigorous and sustained.

Post-Operative Rehab

  • ACL or other ligament reconstructions
  • Partial or total knee replacements (arthroplasty)
  • Meniscal repairs
  • Partial meniscectomy
  • Microfracture procedures

ROLE OF PATELLAR MOBILIZATION

Patellar mobilisations are frequently used in:

  • Regaining any lost range of motion.
  • Bending and straightening your knee become simpler by restoring normal patellar mobility in the trochlear groove.
  • Everyday function improves.

Exercises

Along with hands-on knee mobilisation, exercises are usually prescribed to maintain your improvement moving forward.

By Arunalaya 0 Comments blog, Physio, Therapy

The Benefits of Physiotherapy at Home in Delhi and How to Find the Right Physiotherapist for You

Physiotherapy at home is becoming increasingly popular in Delhi due to its many benefits. Here are some of the benefits of physiotherapy at home in Delhi:

  1. Convenience: You don’t have to worry about traveling to a physiotherapy clinic, which can save you time and money.
  2. Personalized treatment: Physiotherapy at home allows for personalized treatment plans that cater to your individual needs.
  3. Privacy: You can receive treatment in the comfort and privacy of your own home.
  4. Family involvement: With physiotherapy at home, family members can be involved in the treatment process, which can lead to better outcomes.

To find the right physiotherapist for you, follow these steps:

  1. Ask for referrals: Ask your doctor, friends, or family members for recommendations.
  2. Check credentials: Ensure that the physiotherapist is licensed and has the necessary certifications.
  3. Experience: Look for a physiotherapist with experience in treating your specific condition.
  4. Communication: Choose a physiotherapist who communicates well and is able to explain the treatment process in a way that you can understand.
  5. Cost: Consider the cost of treatment and whether the physiotherapist accepts your insurance.
  6. Availability: Choose a physiotherapist who is available to provide treatment at a time and location that is convenient for you.

Overall, physiotherapy at home in Delhi can be a convenient and effective way to receive personalized treatment for your condition. By following these steps, you can find the right physiotherapist to help you achieve your goals.

What is Physiotherapy & What are the Benefits of Having it at Home?

Physiotherapy is a type of healthcare that involves the treatment of physical conditions, diseases, and injuries through exercise, manual therapy, and other modalities. Physiotherapy is designed to improve the movement, function, and quality of life of individuals who may be suffering from various conditions, including chronic pain, neurological disorders, sports injuries, and musculoskeletal conditions.

Physiotherapy at home involves receiving treatment from a physiotherapist in the comfort of your own home. This can be beneficial for a number of reasons, including:

  1. Convenience: Having physiotherapy at home means you don’t have to travel to a clinic or hospital for treatment, saving you time and effort.
  2. Personalized treatment: Physiotherapy at home allows for personalized treatment plans that are tailored to your individual needs and requirements.
  3. Comfort: Being in your own home can help you feel more relaxed and comfortable during treatment, which can help to improve the effectiveness of the treatment.
  4. Improved family involvement: With physiotherapy at home, family members can be involved in the treatment process, which can lead to better outcomes.
  5. Cost-effective: Physiotherapy at home can be a cost-effective alternative to receiving treatment at a clinic or hospital, as you won’t have to pay for transportation or parking fees.
  6. Greater privacy: Some people may feel uncomfortable receiving physiotherapy in a public setting, so having it done at home can be a more private and comfortable option.

In summary, physiotherapy is a type of healthcare that aims to improve the movement, function, and quality of life of individuals with physical conditions or injuries. Having physiotherapy at home can be beneficial in terms of convenience, personalized treatment, comfort, family involvement, cost-effectiveness, and privacy.

Types of Injuries & Conditions that can be Treated with Home Physiotherapy in Delhi

There are a wide range of injuries and conditions that can be effectively treated with home physiotherapy in Delhi. Here are some common examples:

  1. Back pain: Home physiotherapy can help to relieve back pain caused by issues such as herniated discs, sciatica, and muscle strains.
  2. Joint pain and stiffness: Joint pain and stiffness caused by conditions such as osteoarthritis, rheumatoid arthritis, and gout can be treated with home physiotherapy.
  3. Sports injuries: Home physiotherapy can help athletes recover from sports injuries such as sprains, strains, and fractures.
  4. Stroke and neurological conditions: Physiotherapy can be used to improve mobility, balance, and coordination for individuals who have suffered a stroke or have neurological conditions such as Parkinson’s disease or multiple sclerosis.
  5. Post-surgical rehabilitation: After surgery, home physiotherapy can help to speed up recovery, reduce pain and inflammation, and improve mobility.
  6. Respiratory conditions: Individuals with respiratory conditions such as chronic obstructive pulmonary disease (COPD) or asthma can benefit from home physiotherapy to improve breathing techniques and lung function.
  7. Posture correction: Poor posture can lead to a range of issues such as back pain, neck pain, and headaches. Home physiotherapy can help correct posture and improve overall alignment and balance.

Overall, home physiotherapy can be an effective treatment option for a wide range of injuries and conditions, helping individuals to improve their quality of life, reduce pain and inflammation, and regain mobility and function.

 

What is the process for starting physiotherapy at home in Delhi?

The process typically involves contacting a physiotherapy service provider, discussing your needs and requirements, scheduling an assessment with a physiotherapist, and creating a personalized treatment plan.

How do I know if physiotherapy at home is right for me?

Physiotherapy at home may be a good option if you have mobility issues, are unable to travel to a clinic or hospital, or prefer the comfort and privacy of your own home. It is best to discuss your needs with a physiotherapist to determine if home physiotherapy is appropriate for you.

How long does a physiotherapy session at home typically last?

The duration of a session can vary depending on the individual’s needs and requirements, but a typical session may last 30-60 minutes.

What equipment is needed for physiotherapy at home?

The equipment needed for home physiotherapy can vary depending on the individual’s needs and requirements, but may include exercise bands, weights, and balance aids such as stability balls or foam pads.

Are there any risks or side effects associated with physiotherapy at home?

While physiotherapy is generally safe, there may be risks or side effects associated with certain treatments or exercises. It is important to discuss any concerns with your physiotherapist and follow their instructions carefully to minimize the risk of injury or adverse effects.

How do I find a qualified physiotherapist for home treatment in Delhi?

You can find qualified physiotherapists in Delhi by asking for referrals from your doctor or friends and family, searching online, or contacting a physiotherapy service provider. Be sure to check the physiotherapist’s credentials and experience before starting treatment.

By Arunalaya 0 Comments blog, Physio, Therapy

The Ultimate Guide to Finding the Top Physiotherapists in Delhi

Physiotherapy is a form of healthcare that focuses on the treatment of physical injuries, disabilities, and impairments. It is a widely recognized medical field that helps patients with movement problems or dysfunction in their physical bodies. In Delhi, there are many physiotherapists, but finding the best one can be a challenge. In this guide, we will explore some of the key steps you can take to find the top physiotherapists in Delhi.

  1. Do your research

The first step to finding a top physiotherapist in Delhi is to do your research. You can start by looking up physiotherapy clinics or hospitals in Delhi and reading reviews online. Make a list of potential physiotherapists and clinics that have good reviews and ratings.

  1. Check their qualifications and experience

It’s important to ensure that the physiotherapist you choose is qualified and has experience in treating the specific condition or injury that you have. Check their credentials, education, and experience before booking an appointment. You can also ask for referrals from your doctor or friends who have undergone physiotherapy.

  1. Look for specialization

Different physiotherapists have different specializations. Some may specialize in sports injuries, while others may focus on back pain or neurological disorders. Depending on your condition, look for a physiotherapist who specializes in treating that specific condition.

  1. Check the facilities

The facilities at the physiotherapy clinic can also make a difference in your treatment experience. Check if the clinic has the necessary equipment and facilities for your treatment. Also, make sure that the clinic is clean and hygienic.

  1. Evaluate their communication skills

Effective communication is crucial in physiotherapy. A good physiotherapist should be able to explain your condition, the treatment plan, and the progress made in a way that you can understand. Evaluate the communication skills of the physiotherapist during the first appointment to ensure that you can work together effectively.

  1. Look for a customized treatment plan

Each patient is unique and requires a customized treatment plan. Look for a physiotherapist who can create a personalized treatment plan that is tailored to your specific needs and goals. This will increase the chances of a successful outcome.

  1. Consider the location

The location of the physiotherapy clinic is also an important factor to consider. Look for a clinic that is conveniently located near your home or workplace, so that it’s easier for you to attend appointments.

Conclusion

Finding the top physiotherapists in Delhi requires some effort and research, but it’s worth it in the long run. By following the steps above, you can find a physiotherapist who is qualified, experienced, specializes in your condition, has good communication skills, and can create a customized treatment plan. This will help you achieve your goals and get back to your normal routine as soon as possible.

What is Physiotherapy and How Can It Help You with Your Health and Wellbeing?

Physiotherapy is a healthcare profession that focuses on the assessment, diagnosis, treatment, and prevention of physical impairments, disabilities, and pain. Physiotherapists use a variety of techniques to help restore movement and function to the body, improve mobility, reduce pain, and prevent further injury.

Physiotherapy can be beneficial for a wide range of conditions, including musculoskeletal disorders, neurological conditions, respiratory problems, and cardiovascular diseases. It can also help with post-operative rehabilitation, sports injuries, and chronic pain.

The goal of physiotherapy is to help patients regain their physical independence and improve their overall health and wellbeing. Physiotherapists work with patients to develop personalized treatment plans that may include exercises, manual therapy, education, and lifestyle modifications.

Physiotherapy can help you with your health and wellbeing in the following ways:

  1. Reduce pain and discomfort: Physiotherapy can help reduce pain and discomfort by using techniques such as manual therapy, acupuncture, and ultrasound.
  2. Improve mobility and flexibility: Physiotherapy can help improve mobility and flexibility by using exercises and stretches to strengthen muscles and improve joint mobility.
  3. Prevent injuries: Physiotherapy can help prevent injuries by identifying and addressing risk factors that may lead to injury.
  4. Enhance sports performance: Physiotherapy can help enhance sports performance by improving strength, flexibility, and balance.
  5. Improve overall health and wellbeing: Physiotherapy can help improve your overall health and wellbeing by reducing stress, promoting relaxation, and improving your ability to perform daily activities.

5 Benefits of Seeking Professional Physiotherapy Services in Delhi

Here are five benefits of seeking professional physiotherapy services in Delhi:

  1. Personalized Treatment Plans: A professional physiotherapist in Delhi will provide a personalized treatment plan based on your specific needs and goals. They will assess your condition and develop a treatment plan that will help you achieve your goals and improve your overall health and wellbeing.
  2. Pain Management: A physiotherapist can provide effective pain management by using various techniques, such as manual therapy, electrotherapy, and dry needling. They can also provide exercises that help reduce pain and discomfort.
  3. Faster Recovery: A professional physiotherapy service in Delhi can help speed up the recovery process after an injury or surgery. They can provide exercises and techniques that can help improve mobility and reduce pain, helping you to recover faster.
  4. Improved Mobility: Physiotherapy can help improve mobility by increasing strength, flexibility, and range of motion. This can help you perform daily activities with more ease and confidence.
  5. Improved Quality of Life: Seeking professional physiotherapy services in Delhi can improve your quality of life by reducing pain and discomfort, improving mobility, and helping you to achieve your goals. This can lead to better physical and mental health, and an overall improved sense of wellbeing.