• Winters , Joint Pains and Physiotherapy.

    In INDIA ,It's not uncommon to hear from our parents and grandparents that Joint Pains get worse with winters.But WHY ? joint pains or arthritic pains worse with drop in temperature? Inadequate research on why joint pain increase with temperature drop make it unclear but the most common and obvious reason for increased joint pains in winters is because in cold weather body tends to keep vital organs warm so most the blood supply is to the center parts of body thus decreasing the blood supply to the appendages.Decrease in blood circulation is as a result of constriction of blood vessels. Because of lesser blood supply the nutrion supply and wastage removal work around joints decreases as its important function of blood along with distribution of warmth.Thus making joints less flexible,painful  and stiff. Joints those are already affected by Arthritis or other conditions are more prone to get affected,because their is already damage to the articular surfaces and decreased blood supply and movement add insult to the injury.There is another theory that explains change in barometric pressure in winter also affects the joint functioning.

    We can't Avoid Winters but we can decrease the harmfull effects of decreased temperature on joints by taking few easy measures.

    • Proper Warmup before exercising : helps in increasing blood flow to support stress on joints during exercises.
    • Morning 'on bed' exercises: helps to regain flexibility.During sleep joints are at rest so before going off the bed basic stretching and isometric exercises helps joints to regain flexibility.
    • Increase Water Intake : because of cold weather there is lesser sweating or fluid loss from the body so we tend to drink less water but lack of hydration affects in wastage removal from the body so adequate hydration is equally important in winters.
    • Warm Water Baths: helps in decreasing discomfort because of arthritis and it also helps by relaxing the muscles.
    • Balanced diet: Balanced diet  containing proper micro and macro nutritients help us by decreasing  muscles cramps, stiffness and maintaining bones mineral density.
    • Physiotherapy: helps with exercise therapy  and electrotherapy  by targeting the joints involved with arthritis,thus decreasing risk of winter complications on joints.
  • Understanding core and exercises to make core muscles strong.

    'Core' as the name explains refers to something deep inside in the centre.In our body core muscles are muscles around lower spine and they are important in providing stability to the lumbar spine. strong core is very important for healthy body.Lets learn more about it.

  • Physiotherapy and covid 19

    Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a new coronavirus that emerged in 2019 and causes coronavirus disease 2019 (COVID-19). SARS-CoV-2 is highly contagious. It differs from other respiratory viruses in that it appears that human-to-human transmission occurs approximately 2 to 10 days prior to the individual becoming symptomatic, , The virus is transmitted from person to person through respiratory secretions. Large droplets from coughing, sneezing or rhinorrhoea land on surfaces within 2 m of the infected person. SARS-CoV-2 remains viable for at least 24 hours on hard surfaces and up to 8 hours on soft surfaces.The virus is transferred to another person through hand contact on a contaminated surface followed by touching the mouth, nose or eyes. Aerosol airborne infected particles created during a sneeze or cough remain viable in the air for ≤ 3 hours. These airborne particles of SARS-CoV-2 can then be inhaled by another person or land on the mucosal membranes of the eyes.

    Individuals with COVID-19 can present with an influenza-like illness and respiratory tract infection demonstrating fever (89%), cough (68%), fatigue (38%), sputum production (34%) and/or shortness of breath (19%). The spectrum of disease severity ranges from asymptomatic infection or mild upper respiratory tract illness through to severe viral pneumonia with respiratory failure and/or death. Current reports estimate that 80% of cases are asymptomatic or mild; 15% of cases are severe (infection requiring oxygen); and 5% are critical requiring ventilation and life support.

    Preliminary reports indicate that chest radiographs may have diagnostic limitations in COVID-19. Clinicians need to be aware that lung computed tomography (CT) scan findings often include multiple mottling and ground-glass opacity.Lung ultrasound is also being used at the bedside with findings of multi-lobar distribution of B-lines and diffuse lung consolidation.

    The current mortality rate is 3 to 5%, with new reports of up to 9%, which is in contrast to influenza at around 0.1%.The rates of admission to an intensive care unit (ICU) are approximately 5%. Around 42% of patients admitted to hospital will require oxygen therapy.Based on emerging data, individuals at highest risk of developing severe COVID-19 disease requiring hospitalisation and/or ICU support are those who are older, male, have at least one co-existing comorbidity, higher severity of illness scores (measured via SOFA scores), elevated D-dimer levels and/or lymphocytopenia.

    Physiotherapists who work in primary healthcare facilities are likely to have a role in the management of patients admitted to hospital with confirmed or suspected COVID-19. Physiotherapy is an established profession throughout the world. Globally, physiotherapists often work in acute hospital wards and ICUs. In particular, cardiorespiratory physiotherapy focuses on the management of acute and chronic respiratory conditions and aims to improve physical recovery following an acute illness. Physiotherapy may be beneficial in the respiratory treatment and physical rehabilitation of patients with COVID-19. Although a productive cough is a less common symptom (34%), physiotherapy may be indicated if patients with COVID-19 present with copious airway secretions that they are unable to clear independently. This may be evaluated on a case-by-case basis and interventions applied based on clinical indicators. High-risk patients may also benefit, for example: patients with existing comorbidities that may be associated with hypersecretion or ineffective cough (eg, neuromuscular disease, respiratory disease and cystic fibrosis). Physiotherapists who practise in the ICU environment may also provide airway clearance techniques for ventilated patients who show signs of inadequate airway clearance and they can assist in positioning patients with severe respiratory failure associated with COVID-19, including the use of prone position to optimise oxygenation.

    Given the intensive medical management for some COVID-19 patients – including prolonged protective lung ventilation, sedation and use of neuromuscular blocking agents – those who are admitted to ICU may be at high risk of developing ICU-acquired weakness; this may worsen their morbidity and mortality.It is therefore essential to initiate early rehabilitation after the acute phase of respiratory distress in order to limit the severity of ICU-acquired weakness and promote rapid functional recovery. Physiotherapy will have a role in providing exercise, mobilisation and rehabilitation interventions to survivors of critical illness associated with COVID-19 in order to enable a functional return to home.

    workforce planning and preparation, including screening to determine indications for physiotherapy; and delivery of physiotherapy interventions, including both respiratory and mobilisation/rehabilitation as well as personal protective equipment (PPE) requirements.

    It is recognised that physiotherapy practices vary across the world. When using these recommendations, the scope of practice within the local context should be considered.a

     
  • IFT or Interferential therapy

    IFT or interferential therapy is a part of electrotherapy in Physiotherapy.It uses therapeutic electrical currents to stimulate tissue to provide relief from pain,discomfort,swelling,spasm.IFT is widely used as non invasive pain relief therapy in cases as trauma,body pains,muscle sprains.As it increases circulation it helps in healing and haste the recovery from injuries.Because of negligible side effects it has become the choice of doctors to give relief to patient without side effects. We provide IFT or interferential therapy with latest machines in zirakpur,mohali,chandigarh,panchkula,kharar.

  • Fracture

    Fracture is a condition in which there is breakage in continuity of bone.Fracture can be result of sudden force on bone , as in trauma  and it can be because of some medical probem like osteoporosis. Fractures as a result of trauma are called traumatic fractures and becuase of some underlying medical condition are called Pathologic fracture. Fractures are differentiated by the type of mark it makes on the bone ,it can be very mild  as in Hairline Fracture where there is very fine fracture line on bone or very complex as in comminuted fracture where bone gets broken in small pieces at fracture site. Other types of fractures include spiral,transverse,compression,oblique fracture.

    Once bone is fractured the healing process started at same time.Healing of bone or joining of fractures depend on various factors like type of fracture,age of patient,suppliments,other underlying diseases,gender,type of bone,location of fracture etc.Factures can be managed conservatively by giving plaster cast or splints and surgically by open reduction also.in both ways of management there is a phase of immobility ,that lead to tight muscles ,fascia and stiffness in joints.so post fracture rehabilitation is imortant part of fractures management.Physiotherapy play vital role in rehab. and physiotherapist helps patient to regain mobility of joints around fracture.we provide physiotherapy for fractures in mohali,zirakpur,panchkula,chandigarh,kharar.

  • Cervicogenic Headache and Migraine

    Cervicogenic Headache are type of headaches that have a underlying cause in neck.It can be because of tightness of sub occipital muscles,intervertebral joint pathology in cervical spine ,injury,high blood pressure.Physiotherapy can help in headaches by various mobilisaion and manipulation techniques.We Help to get rid of cervicogenic headaches and migraines.

  • Sport Injuries

    Sports Injuries are injuries that occur while playing various sports.They are more common in games that involve sudden stopping ,twisting and hitting like soccer,hockey,gymnastics,cricket,badminton,boxing etc.Lack of stretching,proper warm up and rest can lead to sports injuries.They can vary from bruises,strains,sprains,ligament tears,muscle tears to dislocated joints and broken bones.Distil joints like ankle,knee,wrist ,elbow are more prone to get injured.

    Proper Rehabilitation under expierenced physiotherapist is very important to recover from injuries without affecting performance.Physiotherapy guidance is again important in improving performance after recovering from injuries.we provide physiotherapy for sports injuries in mohali,zirakpur,panchkula,chandigarh.

  • Lumbar Traction and Cervical Traction

    Traction is the process that ivolves the pulling of body part to decrease the pressure on the nerve.It includes weights,pulleys,string or traction machine . In physiotherapy traction is used to relieve pressure on nerve because of intervertebral disc protrusion ,to relieve neck and back tigtness.Traction can be given in two modes ,one is continues mode and other is intermittent mode.Intermittent traction inclused Intermittent Cervial Traction or ICT and Intermittent Lumbar Traction or ILT.As name explains cervical traction or ICT in physiotherapy is given at Cervical area and Lumbar traction or ILT is given for lower back or lumbar spine.

    Most common area affected by Disc protrusion is L4-L5 ,L5-S1 because this area has no support and its one of most flixible segment in spine so chances of disc protrusion are more.We provide physiotherapy for PIVD in zirakpur,mohali,panchkula,chandigarh,kharar.

  • Team of Well Qualified and Experienced male and female Physiotherapist

    We are providing physiotherapy services in Chandigarh ,Panchkula ,Mohali and zirakpur since a decade .Our team has both male physiotherapists and female physiotherapists for clinical assessment ,treatment and home physiotherapy for female patients in mohali,chandigarh,zirakpur,kharar,panchkula. so stay assured and get the best treatment from our doctors.expierenced lady physiotherapists in zirakpur are already providing treatment to many female patients.

  • Rotator Cuff Injury

    Rotator cuff muscles are group of 4 muscles around shoulder that help in rotational movements in shoulder.The muscles are Teres Minor,Subsacpularis,Supraspinatus ,Infraspinatus.Repetitive stress injury lead to tendonitis and traumatic injuries can lead to tear of the muscles.

    Physiotherapy help in recovering from its symptoms , making muscles strong and increase rate of healing.we provide physiotherapy for rotator cuff injury in mohali,zirakpur,chandigarh and Panchkula.