Category: blog

Physiotherapy In Delhiblog
Laser therapy
By Arunalaya 0 Comments blog

Laser therapy

INTRODUCTION

LASER is an acronym for light amplification by stimulated emission of radiation. Radiation is the process by which energy is propagated through space. The common characteristics of all forms of radiant energy are.

  • They are produced by applying electrical or other forces to various forms of matter .
  • They all may be transmitted without the support of a sensible medium.
  • Their velocity of travel is equal in a vacuum but may vary within different media.

A laser is generally used as a source or generator of radiation. The low power laser is used in physical rehabilitation for pain control and soft tissue injury.

Bio-stimulating, regenerating and pain killing in its effect, laser treatment opens up an extraordinarily large indication spectrum, and it has uncomplicated, completely painless, fascinating and pleasant effect upon patients and is used in the following:

  • Orthopaedics, traumatology, rheumatology (treatment of inflammatory or degenerative rheumatic disease, post-traumatic conditions, bones Pathologies, oedemas, haematomas).
  • Neurology (neuralgias, migraines, neuritis).
  •  Dermatology (treatment of chronic ulcers, burns, herpes infections, rhagades).
  • Surgery (post-operative complications, regen- eration of ruptured or severed nerves and tissues).
  •  Odontology (complex treatment stomatitis, aphthae, herpes infections, gingivitis, treatment of the pulp, alveolitis, pathology of the temporomandibular joint).
  •  ENT (treatment of acute and chronic otitis, sinusitis).
  • Gynaecology (inflammatory diseases of the pelvic region, post-operative complications, conditions. After abortions).

DOSAGES

Actual dosage with the cold laser depends on the power factor, duration of radiation, and tissue resonance. Focusing the beam properly will bring into play the inverse square and cosine laws, so that distance-to-target and angulation of beam-to-target will affect the dosage administered.

PAIN CONTROL

At acupuncture trigger points, nerve roots and pain sites, a dosage of 15 to 30 seconds for each point is recommended. Unlike for the open wounds, the probe tip is held in contact with the skin at these points during the procedure.

MODES

Current laser equipment offers the clinician two modes -continuous and pulsed beams.

  • Continuous Beam: The continuous mode is recommended for acute pain and fresh wounds.
  • Pulsed Beam: The pulsed mode has been found more effective with chronic conditions. Pulsed models vary from 1 to 80 pulses per second, depending on the manufacturer. One suggested technique for chronic pain or long-standing open lesions would be in the range of 4 to 10 pulses per second.

INDICATIONS

1. Wound healing-The photo-biostimulation of wound healing remains the cardinal indication for therapeutic laser in physiotherapy. In this, laser therapy has come to be recognized by many therapists as superior to a range of other alternative electrotherapeutic modalities including ultrasound .In case of scarring, it has been reported by some therapists that laser therapy may not only accelerate remodelling of the scar tissue but also give a more cosmetically acceptable result.

In soft tissue injuries – traumatic, inflammatory and overuse type injuries. While variable results have been reported for the laser treatment of bursitis and muscle spasm, other common soft tissue injuries such as muscle tears, haematomas and tendinopathies would seem to respond particularly well to therapeutic laser, which has led to its wide use in sport medicine.

For pain relief – including both acute pain (e.g., post- operative pain) and more chronic pain syndromes such as herpes zoster/post-herpetic neuralgia, laser application is common but for the lack of an obvious mechanism of action and the conficting findings of clinically based research.

In arthritic condition – various aetiologies, particularly where these have affected the small joints of the hands and/or feet.

  • Reduction of the oedema and hyperaemia
  • Promotion of the wound healing .

CONTRA-INDICATIONS

  • Do not radiate the eye directly.
  • Whether pregnancy is a contra-indication to use of the laser has not yet been determined, but the laser is suspected due to its mobilizing effect on steroids in the human system.

Do not use laser with patients who are naturally photosensitive or who are photosensitized by the medications.

PRECAUTIONS

Poor results may ensue in those patients:

  • Extreme age
  • Under heavy medication
  • With thick eschar
  • With considerable scar tissue
  • With extremely dry skin
  • With active infection.

“At Arunalaya Healthcare, we pride ourselves on being the best physiotherapy center in Delhi. Our dedicated team of experts offers top-notch physiotherapy treatment tailored to your needs. Experience the difference with the leading physiotherapy clinic in Delhi area. Our commitment to excellence ensures that you receive the best physiotherapy care possible. Trust Arunalaya Healthcare for the best physiotherapy treatment in Delhi. Our advanced physiotherapy solutions set us apart as the premier choice for your rehabilitation needs. When it comes to physiotherapy, our center stands out as the best in Delhi. Choose Arunalaya Healthcare for comprehensive physiotherapy solutions that deliver results. Visit Arunalaya Healthcare today and discover why we are the best physiotherapy center in Delhi.”

Role of Physiotherapy in Chronic Pain Management
By Arunalaya 0 Comments blog

Role of Physiotherapy in Chronic Pain Management

Introduction

Chronic pain is a very complex and persistent condition which can affect millions of people worldwide, which often leads to a significant and a long term decline in quality of life of individuals suffering from it. First the patient suffers from acute pain which serves as a warning signal for injury which further changes with time into chronic pain persisting for weeks,  months or even years, even long after the initial cause has resolved. Managing these  chronic pain effectively requires a multidisciplinary approach, and skills of a physiotherapy which can play a critical role in the process of treatment. We at ArunaLaya put our efforts with our skills and through targeted interventions and personalized treatment plans help patients to regain their mobility, reduce discomfort, and improve their overall well being.

How ArunaLaya Helps Manage Chronic Pain

Our approaches are non medicinal and we work with evidence based practice in which we focus on addressing your underlying causes of pain rather than merely masking the symptoms and treating them vaguely without any scientific proof. Chronic pain can often result from a combination of factors which includes musculoskeletal imbalances, poor posture, lack of physical activity, or nerve dysfunction or injuries from the past which has not been treated. Firstly our Physiotherapist assesses each patient’s condition comprehensively to identify their root cause and then we create a tailored treatment plan which differs from patient to patient.

Some of the key benefits which we at ArunaLaya gives you  in treating the chronic pain

– Pain Relief : Techniques such as electrical stimulation, mobilization, moist heat, manual therapy, tapping and dry needling can help you to reduce your pain. 

– Improved Mobility : Stretching exercises and then tailored strengthening exercises enhance your joint function and muscle flexibility. 

– Education and Awareness:  We educate patients on pain management strategies and preventive measures which are to be taken in account of day to day living for better management.

– Psychological Support: Chronic pain often affects mental health, and we offer a sense of friendly environment at our facility which empowers and control over one’s condition.

Physiotherapy Modalities for reducing the Chronic Pain:

At our facility we have a variety of modalities to target your chronic pain effectively. Our advanced techniques are often combined to provide a comprehensive approach in treating your condition.

  1. Manual Therapy: Our hands on techniques such as deep tissue release, joint mobilization, soft tissue mobilization, KKMT, 3-D manipulation can improve circulation, reduce stiffness, and relieve tension. 
  • Heat and Cold Therapy: Moist Heat promotes blood flow and reduces muscle tightness, while patients who have joint soreness and fracture contractures are treated with cold compression therapy to minimize inflammation and numbs pain. 
  • TENS, IFT, Wireless devices : in these  methods we use electrical impulses to block pain signals and stimulate the release of endorphins which further leads to decrease in the sensation of pain. 
  • Ultrasound Therapy: High-frequency sound waves are used to penetrate deep tissues, alleviating inflammation and promoting healing. 
  • Class 4 Laser: We at our facility use high intensity laser therapy  which is a non invasive treatment that uses light energy to treat a variety of chronic conditions. It helps in reducing pain, increasing the blood flow, promotes healing, nerve regeneration, cell metabolism and also increases the immune system.
  • Shock wave therapy: Our BTL shockwave therapy is a non-invasive treatment that uses acoustic waves to treat a variety of chronic pain conditions. Which reduces the deep knots and promotes heeling.
  • Dry Needling and cupping therapy: Dry needling techniques target trigger points to relieve muscle knots and tension, whereas cupping therapy is used to suction and to draw blood away from specific areas of the body. This further helps in healing, reduces pain.

Exercise for Chronic Pain

Exercise is the further step which is taken by us in managing the chronic pain. It’s scientifically proven that regular, low impact physical activity improves strength, flexibility, and endurance, all of which are essential for reducing pain and preventing future injuries and laps in the body. For you we design exercise programs which are tailored to the patient’s specific condition and fitness level. 

Key types of exercises for the management of chronic pain relief include: 

  • Stretching: It enhances your flexibility and also helps to reduce stiffness in affected muscles and joints. 
  • Strengthening Exercises: We focus on building muscle which will  support the surrounding joint which will further help in increasing the strength and reducing the pain. 
  • Aerobic Activities: We focus on low impact activities like walking on a trademill and aerobic exercise with BFR cuffs on static cycling and elliptical machines can improve cardiovascular health and release natural painkillers which are known as endorphins.
  • Mind Body Exercises: We help patients to practice things like tai chi and Pilates which will help in reduce stress and improve body awareness. 

Conclusion

Chronic pain can be a debilitating condition and can lead to depression and lowering self esteem, but with the right approach and evidence based practice  it is possible to manage and alleviate its impact on daily life. ArunaLaya physiotherapist offers you a holistic non medicinal  and effective solution for treating and managing your chronic pain. By combining with our various modalities, manual therapy and exercises, with educating patients, we ArunaLaya physiotherapists can empower patients to take control of their life and restore their quality of life.

If you’re struggling with chronic pain, seeking out our help with our skilled physiotherapist team could be the first step toward lasting relief. 

Can Stretching and Exercises Help Groin Pain?
By Arunalaya 0 Comments blog

Can Stretching and Exercises Help Groin Pain?

Groin pain is a common issue affecting athletes, fitness enthusiasts, and even individuals with a sedentary lifestyle. Whether caused by a strain, muscle imbalance, or an underlying medical condition, proper stretching and exercises can play a crucial role in pain relief and recovery. But how effective are they? Let’s explore how physiotherapy-based stretching and strengthening exercises can help manage and prevent groin pain.

Understanding Groin Pain: Causes and Symptoms

Groin pain is often the result of muscle strains, ligament injuries, or overuse. Some common causes include:

  • Groin Strain: A sudden stretch or tear in the muscles of the inner thigh.
  • Adductor Tendinopathy: Overuse injury of the adductor muscles.
  • Hernia: A bulge in the lower abdominal or groin area causing pain.
  • Hip Joint Issues: Conditions like hip impingement or arthritis can contribute to groin discomfort.

Symptoms typically include sharp pain, stiffness, difficulty in movement, and tenderness in the affected area.

How Stretching Helps in Groin Pain Relief

Stretching helps improve flexibility, reduce muscle tightness, and promote blood circulation, which aids in healing. Here are some effective stretches for groin pain relief –

1. Butterfly Stretch

  • Sit on the floor with your feet together.
  • Gently push your knees toward the ground.
  • Hold for 20-30 seconds and repeat.

2. Hip Flexor Stretch

  • Kneel on one knee with the other foot forward.
  • Push your hips forward gently to stretch the hip flexor and groin area.
  • Hold for 30 seconds on each side.

3. Adductor Stretch

  • Stand with your legs wide apart.
  • Shift your weight to one side, bending the knee while keeping the other leg straight.
  • Hold for 20-30 seconds.

Best Exercises to Strengthen Groin Muscles

Strengthening exercises help stabilize the muscles, reducing the chances of reinjury. Some key exercises include:

1. Seated Adductor Squeeze

  • Sit on a chair with a soft ball between your knees.
  • Gently squeeze the ball for 5 seconds and release.
  • Repeat 10-12 times.

2. Side-Lying Leg Lifts

  • Lie on your side and lift your top leg upward while keeping it straight.
  • Perform 12-15 reps on each side.

3. Resistance Band Hip Adduction

  • Attach a resistance band to a sturdy object and your ankle.
  • Move your leg inward against resistance.
  • Perform 10-12 reps on each side.

When to See a Physiotherapist?

If your groin pain persists for more than a few weeks, worsens with activity, or is accompanied by swelling or bruising, it’s best to consult a physiotherapist. They can assess your condition and design a customized treatment plan, including manual therapy, dry needling, or shockwave therapy for faster recovery.

Final Thoughts

Stretching and strengthening exercises are essential for managing groin pain, improving mobility, and preventing future injuries. However, performing them correctly is key to avoiding further strain. If your pain doesn’t improve, professional physiotherapy intervention can provide effective relief.

Would you like a personalized rehabilitation plan? Visit Arunalaya Physiotherapy for expert guidance and treatment!

How Physiotherapy Supports Joint Health and Mobility
By Arunalaya 0 Comments blog

How Physiotherapy Supports Joint Health and Mobility

Introduction 

Joint health of every individual plays a very crucial role in maintaining an active and pain free lifestyle of people around us. With the increasing rate of joint related issues which are the most common such as arthritis it causes stiffness in the joint and further leads to injuries, there’s a growing need for effective solutions to improve mobility and overall well-being. Here at ArunaLaya our Physiotherapy has emerged as a powerful tool to support you and enhance your joint health. This blog will help you explore the importance of joint health and the role we play as a physiotherapist with our advanced techniques to improve your joint mobility.

Understanding the Joint Health 

Joints are the connections between the bones which facilitate movement and provide the structural support to our body. Healthy joints allow you to have smooth motion and help your body to absorb shock from physical activities such as jumping and running. However major factors which lead to degradation of your joint health are aging, poor posture, sedentary lifestyles, injuries, and chronic conditions such as osteoarthritis these put  negative impact on your joint health. Common symptoms which most of the population faces of having poor joint health include pain, swelling, stiffness, and limited range of motion with decreased mobility.

(Maintaining joint health is essential to prevent long-term complications, ensure flexibility, and support overall physical activity. Strengthening surrounding muscles, reducing inflammation, and ensuring proper alignment are some ways to keep joints in optimal condition.)

Role of Physiotherapy in Joint Health

At our Physiotherapy center we use non-medicinal and recent advancement with evidence-based approach in managing your joint related issues. It focuses on improving the function of joints, relieving pain, and enhancing your mobility, where we address the root cause of the discomfort and then treat it therapeutically and helps every individual to regain their strength, to prevent further damages and make them more active to live their lifestyle at ease.

Key benefits of our physiotherapy for your joint health include: 

  1. Pain Management : Reducing pain through modalities such and manual therapy such as mobilization, deep release of the tighten structures. 
  • Improving your Flexibility and helps you to gain Strength: Strengthening muscles around the joints to provide better support, by giving you tailored exercises which are the targeted exercise.
  • Post Injury/ Surgical stiffness Recovery : By facilitating faster recovery and preventing you from getting reinjury. 
  • Chronic Condition Management:  Managing and treating symptoms of arthritis, post fracture chronic stiffness and other joint disorders effectively.

Techniques we use at ArunaLaya to improve your Joint Mobility 

A variety of techniques are used by us to improve the joint mobility and health, customized by us according to an individual’s needs. 

  1. Manual Therapy: 

This involves hands on techniques like joint mobilization, soft tissue manipulation, deep issue and dry needling which release to improve joint movement and reduce stiffness. 

2. Stretching and Strengthening Exercises :

Targeted and tailored  exercises are designed by us to stretch the tight muscles and strengthen weak ones, and improve the range of motion. 

3. Electrotherapy:

Modalities like ultrasound, TENS, Wireless, IFT, Laser class 4, shockwave to release the deep knots and electrical stimulation are used by us to help reduce inflammation and improve tissue healing. 

4. Posture training:

First we assess and then we correct the postural imbalances and make you train, teach how to maintain the posture while sitting, walking and change the faulty patterns which will reduce stress on the joints. 

5. Assistive Devices and Ergonomic Advice :

The advice to use braces, orthotics, or ergonomic tools are given by us which can provide additional support to joints during recovery or daily activities and ergonomic design are suggested accordingly.

Conclusion 

Joint health is an integral part of life to maintaining mobility and quality of your life. At Arunalaya we offer a personalized and effective way to support joint health by addressing your pain, improving your flexibility, and preventing further issues, by integrating physiotherapy treatment into your routine, you can ensure long-term joint health and continue to enjoy an active and fulfilling lifestyle.

If you’re experiencing any joint discomfort or mobility challenges in your day to day life, consulting us as a qualified physiotherapy is a step in the right direction toward better joint health and overall well being.

Top 10 Exercises for Cerebellar Ataxia Patients
By Arunalaya 0 Comments blog

Top 10 Exercises for Cerebellar Ataxia Patients

Introduction

Cerebellar ataxia can impact a person’s coordination, balance, and motor control. The management of this condition involves physiotherapy and specific exercises that help improve motor functions, strengthen muscles, and enhance stability in general. The following are ten effective exercises for patients with cerebellar ataxia to regain better control over their movements.

1. Sit to Stand

Sit in a chair with your feet hip-width apart. Lean forward, shift your weight onto your legs, push up to stand, and then return to the seated position.

2. Supine Bent Knee Rotations

 Lie on your back with your knees bent and your feet flat. Slowly rotate your knees from side to side, keeping the upper body stable.

3. Quadruped Weight Shift

On all fours, extend your one arm forward and the opposite leg backward, taking a few seconds before returning to the starting position.

4. Kneeling Press-Up

Assume a high kneeling position. Lower your hips down to rest on your heels and back up into an upright kneeling position.

5. Standing Heel-to-Toe Balance

Stand with one foot in front of the other, touching your heel to your toes. Hold for several seconds, engaging your balance.

6. Anterior-Posterior Weight Shifts

Stand with feet hip-width apart. Shift your weight forward onto your toes and backward onto your heels while keeping your posture upright.

7. Single-Leg Stance

 Shift your weight onto one leg and lift the other foot off the floor. Maintain balance, then switch legs.

8. Lateral Lunges

Stand with feet hip-width apart. Step to the side, bending one knee while pushing your hips back, and then return to standing.

9. Lateral Shift

 The posture will be upright with shifting of weight from one foot to another but keeping the upper body in line.

10. Vestibular Ball Exercises

With feet, separate by sitting on an exercise ball, one shifts the weight from side to side. Sometimes physiotherapist has to guide them for exercise.

Conclusion

By making these exercises an integral part of a regular rehabilitation program, one can improve their coordination and balance. These must be done only under professional care, especially initially, to guarantee safety and effective execution. Constancy and guidance are the pillars that can aid in the control of cerebellar ataxia.

“At Arunalaya Healthcare, we pride ourselves on being the best physiotherapy center in Delhi. Our dedicated team of experts offers top-notch physiotherapy treatment tailored to your needs. Experience the difference with the leading physiotherapy clinic in Delhi area. Our commitment to excellence ensures that you receive the best physiotherapy care possible. Trust Arunalaya Healthcare for the best physiotherapy treatment in Delhi. Our advanced physiotherapy solutions set us apart as the premier choice for your rehabilitation needs. When it comes to physiotherapy, our center stands out as the best in Delhi. Choose Arunalaya Healthcare for comprehensive physiotherapy solutions that deliver results. Visit Arunalaya Healthcare today and discover why we are the best physiotherapy center in Delhi.”

Chiropractic Treatment
By Arunalaya 0 Comments blog

Chiropractic Treatment

Introduction

Chiropractic treatment is a hands-on therapy performed by licensed chiropractors to help improve joint mobility and reduce pain. Using manual techniques and specialized instruments, chiropractors realign joints, a practice also referred to as spinal or joint manipulation.

This non-invasive approach promotes physical well-being and helps correct body posture and alignment without the need for medications.

What Does a Chiropractor Do?

Chiropractors specialize in addressing issues related to the musculoskeletal system. They help alleviate discomfort caused by aches, pains, strains, and stiffness. If your condition involves joints, muscles, or bones, a chiropractor may offer solutions that don’t require medication or surgery.

Treatments Offered by Chiropractors

  • Joint Manipulation: Gentle adjustments to realign joints, reduce pain, and improve flexibility.
  • Stretching & Exercises: Targeted movements to restore stability and mobility.

Conditions Treated by Chiropractors

Chiropractic care can help manage a variety of health concerns, including:

  • Arthritis
  • Joint pain and dysfunction
  • Low back pain
  • Neck pain
  • Sciatica
  • Chronic headaches

Risks of Chiropractic Treatment

When performed by a qualified and licensed chiropractor, chiropractic adjustments are generally safe. However, some rare complications may include:

  • Nerve Compression: Pressure on nerves in the lower back.
  • Stroke: A specific type of stroke may occur in rare cases following neck adjustments.

When to Avoid Chiropractic Treatment

Chiropractic care may not be suitable if you have:

  • Severe osteoporosis
  • Cancer affecting the spine
  • A heightened risk of stroke

By seeking treatment from a qualified chiropractor, you can safely benefit from enhanced joint mobility, reduced pain, and improved physical function.

At Arunalaya Healthcare, we pride ourselves on being the best physiotherapy center in Delhi. Our dedicated team of experts offers top-notch physiotherapy treatment tailored to your needs. Experience the difference with the leading physiotherapy clinic in Delhi area. Our commitment to excellence ensures that you receive the best physiotherapy care possible. Trust Arunalaya Healthcare for the best physiotherapy treatment in Delhi. Our advanced physiotherapy solutions set us apart as the premier choice for your rehabilitation needs. When it comes to physiotherapy, our center stands out as the best in Delhi. Choose Arunalaya Healthcare for comprehensive physiotherapy solutions that deliver results. Visit Arunalaya Healthcare today and discover why we are the best physiotherapy center in Delhi.

Guide to Goniometry: Types, Uses, and Measurement Techniques
By Arunalaya 0 Comments blog

Guide to Goniometry: Types, Uses, and Measurement Techniques

Introduction to Goniometry

Goniometry is an integral tool in a physical therapy regimen: it measures the ROM of a particular joint. It assesses limitations in movement; it trails and tracks rehabilitation progress and directs treatment plans. The main device used, the goniometer, has two limbs- one fixed in place; and the other able to move- joined by a hinge. By orienting the limbs at meaningful anatomical landmarks, therapists can accurately take the degree measurement of the angle of a joint.

Types of Goniometers

Universal Goniometer Types

Short Arm: Used for the measurement of smaller joints like the wrist, elbow, and ankle.

Long Arm: Used for longer levers of the knee and hip. It is more accurate.

Gravity Goniometer (Inclinometer)

It has a weighted pointer that remains vertical due to gravity. It is used for the measurement of the spine and limbs.

Smartphone-Based Goniometer

It uses the accelerometers of the smartphone to calculate the angle of the joint.

It is easy to use, accessible, and digital tracking through dedicated applications.

Arthrodial Goniometer

Specifically designed to measure cervical spine movements, such as rotation, flexion, and lateral flexion.

Twin Axis Electrogoniometer

Offers greater inter-rater and intra-rater reliability than universal goniometers.

Used more in research than in routine clinical assessments because of the difficulty in applying it.

How to Measure Joint Range of Motion with a Goniometer

Example 1: Shoulder Flexion (0° – 180°)

Testing Position:

  • The patient lies supine with knees flexed. The palm faces medially with the thumb pointing up.
  • The arm begins at the patient’s side

Goniometer Placement

  • Axis Location: Middle of the humeral head, laterally.
  • Stationary Arm: Parallel to the trunk.
  • Movement Arm: Aligned with the midline of the humerus.

Example 2: Hip Flexion (0° – 120°)

Testing Position:

Patient is supine

Goniometer Placement

  • Axis Location: Greater trochanter of the femur.
  • Stationary Arm: Parallel to the trunk.
  • Movement Arm: Parallel to the longitudinal axis of the femur, parallel to the lateral femoral condyle.

Conclusion

Goniometry is an essential component of the assessment in physiotherapeutic practice, and use becomes crucial for proper measurement of the active ROM of the joint. Correct placement by the therapist allows better diagnosis and improves monitoring of patient-based outcomes. Modern tools in the form of smartphone-based goniometers provide a means of simplification while measuring, thus making goniometry a useful and dynamic tool in rehabilitation.

“At Arunalaya Healthcare, we pride ourselves on being the best physiotherapy center in Delhi. Our dedicated team of experts offers top-notch physiotherapy treatment tailored to your needs. Experience the difference with the leading physiotherapy clinic in Delhi area. Our commitment to excellence ensures that you receive the best physiotherapy care possible. Trust Arunalaya Healthcare for the best physiotherapy treatment in Delhi. Our advanced physiotherapy solutions set us apart as the premier choice for your rehabilitation needs. When it comes to physiotherapy, our center stands out as the best in Delhi. Choose Arunalaya Healthcare for comprehensive physiotherapy solutions that deliver results. Visit Arunalaya Healthcare today and discover why we are the best physiotherapy center in Delhi.”

Load and Shift Mechanism
By Arunalaya 0 Comments blog

Load and Shift Mechanism

The Load and Shift Test is a commonly used diagnostic tool to assess anterior and posterior shoulder instability. It provides insights into the mobility of the shoulder joint and helps identify potential instability issues.

How to Perform the Load and Shift Test

Positioning the Patient

  • Have the patient lie comfortably in a supine position.
  • The therapist stands beside the patient, using one hand to stabilize the scapula against the thorax.

Placement of the Therapist’s Hands

  • The therapist places their hand over the glenohumeral joint line and humeral head.
  • The little finger should rest along the anterior glenohumeral joint line and humeral head.

Loading the Joint

  • Carefully push the humerus anteriorly or posteriorly to seat it properly in the glenoid fossa. This step is referred to as the “load” phase of the test.

Shifting the Humerus

  • To assess anterior stability, translate the humeral head in an anteromedial direction.
  • To evaluate posterior stability, shift it in a posterolateral direction.
  • Observe the amount of translation and the quality of the end feel.
  • Always compare the results with the contralateral (unaffected) side for accuracy.

Grading the Load and Shift Test

The test is graded based on the amount of anterior translation observed:

  1. Grade 0: Minimal or no movement.
  2. Grade 1: The humeral head slides up the glenoid slope but does not pass over the rim.
  3. Grade 2: The humeral head glides over the glenoid rim but returns to its position spontaneously when stress is removed.
  4. Grade 3: The humeral head moves over the rim and remains dislocated even after removing stress.

Identifying a Positive Test

The Load and Shift Test is considered positive if:

  • The patient’s symptoms are reproduced.
  • The tested shoulder exhibits significantly more translation compared to the opposite side.

Normal translation ranges:

  • Anteriorly: Up to 25% of the humeral head diameter.
  • Posteriorly: Up to 50% of the humeral head diameter.

Translation Grades for Load and Shift Test

Grade 1: Translation occurs up to, but not beyond, the glenoid rim.

Grade 2: The humeral head moves over the glenoid rim but spontaneously reduces.

Grade 3: Subluxation occurs, and the humeral head does not return to its position.

“At Arunalaya Healthcare, we pride ourselves on being the best physiotherapy center in Delhi. Our dedicated team of experts offers top-notch physiotherapy treatment tailored to your needs. Experience the difference with the leading physiotherapy clinic in Delhi area. Our commitment to excellence ensures that you receive the best physiotherapy care possible. Trust Arunalaya Healthcare for the best physiotherapy treatment in Delhi. Our advanced physiotherapy solutions set us apart as the premier choice for your rehabilitation needs. When it comes to physiotherapy, our center stands out as the best in Delhi. Choose Arunalaya Healthcare for comprehensive physiotherapy solutions that deliver results. Visit Arunalaya Healthcare today and discover why we are the best physiotherapy center in Delhi.”

Difference Between Oedema and Swelling
By Arunalaya 0 Comments blog

Difference Between Oedema and Swelling

Oedema is a medical term used to describe swelling caused by the accumulation of fluid in the body’s tissues. It is most commonly observed in the feet, ankles, and legs but can also affect the face, hands, and abdomen. On the other hand, swelling refers to the enlargement of a part of the body due to fluid buildup or inflammation, affecting both internal and external areas.

Symptoms of Oedema

  • Increased size in a specific body part compared to the previous day.
  • Skin appears stretched and shiny over the swollen area.
  • Difficulty walking when legs, ankles, or feet are affected.
  • May experience coughing or breathing difficulties.
  • A sensation of fullness or tightness in the swollen area.
  • Mild pain or soreness in the affected region.

Causes of Oedema

  1. Gravity: Prolonged standing or sitting can cause fluid to accumulate in the lower extremities due to the pull of gravity.
  2. Venous Insufficiency: Weakened vein valves make it difficult for blood to return to the heart, leading to fluid buildup in the legs and varicose veins.
  3. Medical Conditions: Diseases such as heart failure, liver or kidney disorders, and thyroid issues often list oedema as a symptom.
  4. Medication Side Effects: Certain medications, including those for blood pressure or pain management, may cause oedema.
  5. Poor Nutrition: Diets high in salt or lacking in essential nutrients can result in fluid retention.
  6. Pregnancy: Pressure from the uterus on blood vessels in the lower body often causes leg swelling during pregnancy.
  7. Immune Response: Allergies, infections, burns, trauma, or blood clots can trigger oedema.

Grading Scale for Oedema

  • Grade 1: Immediate rebound with a 2mm pit.
  • Grade 2: Less than 15-second rebound with a 3–4mm pit.
  • Grade 3: Rebound between 15–60 seconds with a 5–6mm pit.
  • Grade 4: Rebound lasting 2–3 minutes with an 8mm pit.

What is Swelling?

Swelling occurs when organs, skin, or tissues enlarge, usually due to inflammation or fluid buildup. It can be internal or external, and its severity may vary.

Symptoms of Swelling

  • Itching
  • Vomiting
  • Flatulence
  • Pain in the affected area
  • Nausea
  • Dizziness
  • Fever
  • Fatigue
  • Insomnia
  • Flu-like symptoms

Causes of Swelling

External swelling can result from inflammation in bones, tissues, or muscles. Cysts and tumors may also cause visible swelling.

Common causes of external swelling include:

  • Insect bites
  • Rashes
  • Hives
  • Injuries
  • Fluid retention
  • Pregnancy
  • Menstrual cycle
  • Hormonal changes
  • Infections

Types of External Swelling:

  • Localized Swelling: Affects a specific area, such as swelling around the eyes due to an infection or an insect bite.
  • Widespread Swelling: Covers a large body area, often linked to serious conditions like fluid retention or allergic reactions.

“At Arunalaya Healthcare, we pride ourselves on being the best physiotherapy center in Delhi. Our dedicated team of experts offers top-notch physiotherapy treatment tailored to your needs. Experience the difference with the leading physiotherapy clinic in Delhi area. Our commitment to excellence ensures that you receive the best physiotherapy care possible. Trust Arunalaya Healthcare for the best physiotherapy treatment in Delhi. Our advanced physiotherapy solutions set us apart as the premier choice for your rehabilitation needs. When it comes to physiotherapy, our center stands out as the best in Delhi. Choose Arunalaya Healthcare for comprehensive physiotherapy solutions that deliver results. Visit Arunalaya Healthcare today and discover why we are the best physiotherapy center in Delhi.”

Arthrokinematics
By Arunalaya 0 Comments blog, Bow Leg, knee pain, Knock Knees, Osteoarthritis

Arthrokinematics: Understanding Joint Surface Movements

What Is Arthrokinematics?

Arthrokinematics refers to the intricate movements that occur between joint surfaces. These movements are essential for proper joint function and are classified into three primary types:

  1. Roll: A rotary motion where one bone rolls on the surface of another.
  2. Spin: Another rotary movement, where one bone spins on the axis of another.
  3. Slide: A translator motion where one joint surface glides over another.

These motions work together to facilitate angular bone movement, ensuring smooth and efficient joint mobility.

The Convex-Concave Rule: A Key Principle in Joint Mobilization

The convex-concave rule is a foundational concept used in joint mobilization techniques. It determines the direction of the mobilizing force required to enhance joint motion.

  • Concave Surface: Hollowed or rounded inward.
  • Convex Surface: Curved or rounded outward.

The direction of sliding during joint movement depends on the nature of the moving surface:

  • Convex moving on concave: Sliding occurs in the opposite direction of the bone’s angular movement.
  • Concave moving on convex: Sliding occurs in the same direction as the bone’s angular movement.

Types of Arthrokinematic Motion

Arthrokinematics is further categorized into:

  1. Joint Play: Involuntary movements that cannot be controlled actively. These passive movements are essential for overall joint health and mobility.
  2. Component Movement: Involuntary joint motions that accompany active movements. For example, scapulohumeral rhythm supports shoulder mobility by coordinating scapular and humeral movements.

Examples of Arthrokinematic Movements

  1. Glenohumeral Joint (Shoulder):
    • The concave glenoid fossa interacts with the convex humeral head.
    • Posterior glide: Improves flexion and internal rotation.
    • Anterior glide: Enhances extension and external rotation.
  2. Tibiofemoral Joint (Knee):
    • The concave tibial plateaus articulate with the convex femoral condyles.
    • Posterior glide: Increases flexion.
    • Anterior glide: Promotes extension.

Understanding arthrokinematics is vital for professionals in physiotherapy and sports rehabilitation, as these movements play a crucial role in restoring joint function and ensuring pain-free mobility.

“At Arunalaya Healthcare, we pride ourselves on being the best physiotherapy center in Delhi. Our dedicated team of experts offers top-notch physiotherapy treatment tailored to your needs. Experience the difference with the leading physiotherapy clinic in Delhi area. Our commitment to excellence ensures that you receive the best physiotherapy care possible. Trust Arunalaya Healthcare for the best physiotherapy treatment in Delhi. Our advanced physiotherapy solutions set us apart as the premier choice for your rehabilitation needs. When it comes to physiotherapy, our center stands out as the best in Delhi. Choose Arunalaya Healthcare for comprehensive physiotherapy solutions that deliver results. Visit Arunalaya Healthcare today and discover why we are the best physiotherapy center in Delhi.”