• Physiotherapy role in post covid recovery.

    Covid19 is having largely negative impact on the physical abilities of the patient. The disadvantages include difficulty in performing normal physical activities like walking, running and many more. These impacts are due to compromised body functions by drastic impacts of #Coronavirus. The weakness prevails for a longer period of time if not dealt with proper care and attention. The most important requirements of #PostCovid19 patients is physical exercise which will not only stimulate their muscular system but also will boost the circulation, improving the blood flow to the vital organs. Improved blood flow in lungs in turn increases the pulmonary capacities of the patients. #Coronavirus infection largely impacts the lung volumes which leads the insufficient oxygenation of blood. This reduces the normal functioning of body. The problems faced by patients also include lethargy and breathlessness, fatigue, reduction in physical strengths and many more. #Physiotherapy postcovid19 will help the patient get back to the normal lifestyle with appropriate strength and capacities. It will improve the lung functions and thus will help in appropriate oxygenation of blood. The reduced strength can get back to normal with regular exercises and pulmonary training. The disadvantages faced by the patients can therefore be cut down to zero. Regular walk starting from slow to brisk walk can also help the situation well. Hence, regular fitness training will help getting back to the normal routine after a person has suffered the infection.

    We are providing Physiotherapy support to post covid patients in chandigarh ,mohali and zirakpur to regain strength and jump back to normal life.


  • Physiotherapist in Mohali

    Physiotherapy profession started back in 1887 after the orthopaedic branch came into existence. 'Per Henrik Ling ' who founded Royal Central Institute of Gymnastics in 1813 is called as father of physiotherapy.Professionals who practice physiotherapy or physical therapy are called Physiotherapists.Physiotherapist use different exercises,manual techniques ,electronic machines to provide relief to the patients suffering from various problems not limited to musculoskeletal ,neurological,cardiac,gynae. Physiotherapy is being provided by many professionals in mohali at physiotherapy centers or as a part of hospitals. Various electronic machines are used to treat patients in physiotherapy that includes

     

    1. Transcutaneous Electric Nerve Stimulation TENS,
    2. Interferrential Therapy IFT,
    3. Traction  
    • Intermittent Lumbar traction ILT
    • Intermittent Cervical Traction ICT,

        4. Ultra sound US,

        5. Therapeutic Laser ,

        6. Hydrocollator Packs,

        7. Paraffin Wax bath,

        8. Microwave,

        9. Long Wave Therapy,

       10. Short wave diathermy SWD.

    and various Manipulation and mobilization techniques are used along with therapeutic Kinesiology Taping, Dry Needling etc.

    It's been more than a decade since we are providing physiotherapy services in mohali. Our centers in mohali are well equipped with machines and qualified,expierenced doctors.Along with physiotherapist in mohali at our centers we also provide physiotherapist at home for patients who want to get treatment in comfort of their home.

     

     

     

     

     

     

     

     


  • Cervical Spondylosis

    Cervical Spondylosis

    The natural wearing down of cartilage, disks, ligaments and bones in your neck is known as cervical spondylosis. The most common symptoms are pain in the neck or stiffness. First to be tried approaches include physiotherapy, ice or heat massage, soft collars or drugs. Injections or surgery or used to treat severe cases like herniated disk, bone spurs or pinched nerves.

    What do you understand by the term cervical spondylosis?

    Cervical spondylosis is the common term given to age related wear and tear of the cervical spine. This can result in neck pain, neck stiffness and other symptoms also. This condition is sometimes also called arthritis or osteoarthritis of the neck.

    How common cervical spondylosis occurs?

    Changes in the spine because of age are considered normal. The wearing process down the spine probably starts in the 30s. By the time people reach the age of 60, 9 in 10 people suffer from cervical spondylosis.

    Who is most prone at getting cervical spondylosis?

    Older age is one of the factors for cervical spondylosis. Other People that are at high risk of getting a neck Problems are:

    • Still smoke cigarettes or they did it earlier
    • One or more members in their family have such condition
    • Giving strain on the neck for long hours in a day because of the job, e.g. painters, plumbers or working professionals
    • Earlier suffered from a neck injury
    • Lifting of heavy weight like construction workers
    • Have to experience a lot of vibration like drivers

    What are the reasons for cervical spondylosis?

    As the age increases, the spine goes through changes because of the normal wear tear in the spine from past so many years. In a person’s middle age, the disks between the vertebrae begin to change. The changes can be of various types. Some of them are:

    • Degeneration: There is a possibility of eventually wearing down spinal desks in the neck. As the time goes, there is thinning of the disks and the soft tissues lose its elasticity. It is not normal collapsing or setting of the disk if anyone measures a little shorter in height than they did a few years ago.
    • Herniation: Part of spinal disks’ tear or crack can be attributed to normal ageing. It can result in the disk to bulge out, pressing on the tissues that are nearby or a spinal nerve. Pain, tingling or numbness can be caused by this pressure.
    • Osteoarthritis: It is an ongoing condition which leads to cartilage in joints to wear down as the time passes. In case of osteoarthritis, cartilage wears down than in normal ageing.
    • Bone spurs: In the situation where cartilage in the joints of vertebrae in spine begins to wear down, and bone tissue rubs directly against other bone tissue, abnormal bone growths develop along the edges of vertebrae. As you age, these growths called osteophytes or bone spurs are common. Usually these cause no symptoms.

    What are the symptoms seen in patients of cervical spondylosis?

    There is a possibility that a person is suffering from cervical spondylosis and he is not even aware of it. It’s very common that there are no symptoms in a patient. Yet, some common symptoms are:

    • Main symptom is neck pain or stiffness. When moving, pain may get worse.
    • Irritating stinging feeling in the neck.
    • Spasm in muscles.
    • Dizziness.
    • Headaches.
    • Sound of clicking, popping or grinding when a person moves his neck.

    PhysioTherapy for the treatment of cervical spondylosis

    • Massage: A variety of techniques are used in it. Sufficient pressure is used through the superficial tissue to reach the deep lying structure. It can be used to increase blood flow, reduction in swelling, decrease muscle spasm and promote normal repairing of tissues.
    • Mobilization: It is a manual technique. Here, the physiotherapist slowly moves the joints and soft tissues to restore their normal age, lubricate joint surfaces and relieve pain.
    • Manipulation: In this, a high speed, short movement pressure is provided at the end of available range. It is used for the breaking of fixings, removal of blockage within a joint and bringing back full painless movement. Patients can feel a click or noise during this treatment.
    • Ultrasonic therapy: Here, sound waves are transmitted through the tissues. It stimulates the chemical reactions in the body and thus a healing process.
    • Interferential therapy: Small electric currents are introduced into the tissues. Different frequencies can be used for different treatment effects.  

     


  • Hot Fomentation or Heating Therapy

    Hot Fomentation  is very commonly used word when you visit to a doctor for musculoskeletal problems. It is  part of primary treatment plan in case of injuries related to soft tissue that includes muscles ,ligaments, tendons etc. In this section we l discuss the meaning, Correct application time, Different Techniques of application ,benefits and adverse effects of heating.

    Hot Fomentation is the process of making the part of body warm or in other words we can say it’s the process of increasing temperature of local area by application of heat from outside the body to get relief from pain and stiffness. Increasing the temperature lead to vasodilatation i.e. widening of blood vessels that lead to increased blood flow in the target area. This will help in flushing of dead , worn cells and increased availability of nutrients required for healing. Heating can be done by Moist heat and Dry heat. There are different methods of application of both of them.

    Moist Heating can be done by :

    • Paraffin Wax baths.
    • Hydro collator Packs.
    • Warm Soaks.
    • Sitz bath.
    • Poultices.

    Dry Heating Application can be done by:

    • Electric Heating Pads.
    • Shot Wave Diathermy.
    • Hot Water Bottles.
    • Infrared Lamps.
    • Chemical Heating Pads.
    • UV Lamps.
    • Other Heating Lamps.

    Dry heat products are popular because they heat up quickly, can be less of a mess, and the heat tends to longer than moist heat packs. But moist heat is preferred over dry heat because dry heat dehydrate the skin and it can become dry and irritable. On the other hand Moist heat tends to penetrate deep and helps to get better response from temperature receptors. There is no dryness and irritation on the skin. Some of the dry heating techniques like Short Wave Diathermy provides deep penetration and lesser skin dryness.

    Can we use Heating in any case of pain and stiffness?

    Answer is No, heating is not the choice for every pain and stiffness. In some cases it can worsen the condition. In Acute injuries it is not advisable to give heating in first 3 to 5 days . In many other conditions Heating is contraindicated ,like

    • Open Wounds.
    • Swelling.
    • Area affected by diabetic neuropathy.
    • Red or inflamed skin.
    • Fresh muscle and ligament injuries.

    What is Adequate time for heating Session?

    It can vary according to area and size of target area. In general Heating produces maximum Vasodilatation in 20 to 30 minutes. So a session of 15 to 35 minutes can provide required effects of heating therapy. Exceeding Heating session of 45 minutes can cause congestion in tissue and vasoconstriction also known as Rebound Phenomenon. This will give negative effects and can worsen the condition. Moreover Longer heating sessions cause skin damage and increased irritation.

     

     

     

     

     

     

     

     

     

     


  • Myofascial Release Technique

    Myofascial release is a hands-on soft tissue technique that facilitates a stretch into the restricted fascia. A sustained pressure is applied into the tissue barrier; after 90 to 120 seconds the tissue will undergo histological length changes allowing the first release to be felt. The therapist follows the release into a new tissue barrier and holds. After a few releases the tissues will become softer and more pliable. (Barnes 1997)

    Mock (1997) describes a hierarchy of MFR stages or ‘levels’:

    1.

    Level 1 involves treatment of tissues without introducing tension. The practitioner's contact (which could involve thumb, finger, knuckle or elbow) moves longitudinally along muscle fibers, distal to proximal, with the patient passive.

    2.

    Level 2 is precisely the same as the previous description but, in this instance, the glide is applied to muscle which is in tension (at stretch).

    3.

    Level 3 involves the introduction to the process of passively induced motion, as an area of restriction is compressed while the tissues being compressed are taken passively through their fullest possible range of motion.

    4.

    Level 4 is the same as the previous description but the patient actively moves the tissues through the fullest possible range of motion, from shortest to longest, while the practitioner/therapist offers resistance.

    For example, the practitioner might apply moderate digital pressure to the involved tissue in a direction proximal to distal while the patient actively moves the muscle through its range of motion in both eccentric and concentric contraction phases. This modification of basic MFR has been called active release technique (ART) (Leahy 1999).

    It can be seen from the descriptions offered that there are different models of myofascial release, some taking tissue to the elastic barrier and waiting for a release mechanism to operate and others in which active or passive force is applied to induce change.

    we are Providing Myo fascial release ,Muscle energy techniques, Positional release technique,Deep Tranverse Friction at physiotherapy center in zirakpur and mohali and also during home visit physiotherapy in mohali,chandigarh and zirakpur.

     

    Ref. Leon Chaitow ND DO, ... Nick Buratovich ND, in Naturopathic Physical Medicine, 2008