Category: blog

Physiotherapy In Delhiblog
By Arunalaya 0 Comments blog, Physio, Therapy

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.

By Arunalaya 0 Comments blog, Physio, Therapy

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.

Symptoms

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.

Causes

  • 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

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.
By Arunalaya 0 Comments blog, Physio

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

By Arunalaya 0 Comments blog, Exercise, Physio

ROLE OF PHYSIOTHERAPY IN HIP DYSPLASIA

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).

CAUSES

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.

PHYSICAL 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

INTERNAL SYMPTOMS

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

PHYSIOTHERAPY TREATMENT

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
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