Bringing Physiotherapist Home | Experiencing The Benefits Of In-home Physiotherapy Services In New Delhi

In-home physiotherapy services in New Delhi have become increasingly popular over the past few years due to the numerous benefits they offer. Physiotherapy is an essential part of healthcare that focuses on the prevention, treatment, and rehabilitation of injuries and diseases using various physical methods such as exercises, massages, and manual therapy. In-home physiotherapy services in New Delhi are convenient, cost-effective, and provide personalized care to patients who need it. These services provide numerous benefits to patients who require physiotherapy treatment but are unable to attend a clinic or hospital. In this blog, we'll discuss the benefits of in-home physiotherapy services in New Delhi.

Convenience
One of the biggest benefits of in-home physiotherapy services is the convenience they provide. Patients who are unable to attend a clinic or hospital due to mobility issues, lack of transportation, or other reasons can receive physiotherapy treatment in the comfort of their own homes. This means they don't have to worry about traveling to appointments or arranging transportation, which can be particularly difficult for those with disabilities or chronic conditions.

Personalized Care
In-home physiotherapy services provide patients with personalized care that is tailored to their specific needs. A physiotherapist will assess the patient's condition and develop a treatment plan that addresses their unique needs and goals. This means that patients receive treatment that is specifically designed for them, rather than a one-size-fits-all approach that may not be as effective.

Reduced Risk of Infection
Another benefit of in-home physiotherapy services is that they reduce the risk of infection. In a clinic or hospital setting, patients are often exposed to a variety of germs and bacteria, which can increase the risk of infection. By receiving treatment at home, patients are not exposed to these risks, which can be particularly important for those with compromised immune systems.

Improved Outcomes
Studies have shown that in-home physiotherapy services can lead to improved outcomes for patients. This is because patients are more likely to stick to their treatment plans when they can receive treatment at home. In addition, patients often feel more comfortable in their own homes, which can lead to better results.

Cost-Effective
In-home physiotherapy services can also be cost-effective, particularly for those who require long-term treatment. By receiving treatment at home, patients can avoid the costs associated with traveling to appointments, such as transportation, parking, and time off work. In addition, in-home physiotherapy services may be covered by insurance, which can further reduce costs.

Increased Independence
In-home physiotherapy services can help patients maintain their independence. By receiving treatment at home, patients are able to continue with their daily routines and activities, which can be particularly important for older adults or those with disabilities. In addition, in-home physiotherapy services can help patients regain their mobility and strength, which can also improve their overall independence.

Improved Quality of Life
Finally, in-home physiotherapy services can improve the quality of life for patients. By receiving treatment at home, patients are able to maintain their relationships with family and friends, pursue their hobbies and interests, and generally enjoy their lives. In addition, in-home physiotherapy services can help patients manage pain, improve their mobility and strength, and reduce the risk of falls, all of which can lead to a better quality of life.

CB Physiotherapy is a well-known provider of in-home physiotherapy services in New Delhi. Their experienced physiotherapists provide personalized treatment plans for patients in the comfort of their own homes, at reasonable rates. They offer convenience, personalized care, reduced risk of infection, improved outcomes, cost-effectiveness, increased independence, and improved quality of life. If you or someone you know requires physiotherapy treatment but is unable to attend a clinic or hospital, consider CB in-home physiotherapy services as a viable alternative.

 

Proning: Self-Care Breathing Exercise For COVID-19 Patients

Coronavirus has reached its deadly stage. It has been observed that the patients suffering from COVID-19 have difficulty in breathing which causes a rapid decrease in their blood oxygen levels. Usually, the symptoms of this disease are visible after the lung gets damaged by 25%, resulting in a dip in oxygen saturation level to 80- 85%. In such a situation, an immediate oxygen supply is required. If oxygen is not available during this period, the patient may face complications. The cells in our body require at least 89% of the oxygen saturation level while healthy individuals have a saturation level of 95 and above. Any significant drop in this level causes breathlessness. With an increased demand for oxygen supply, medical institutes are overburdened and also the availability of ventilators is limited. Therefore, the best way to reduce our dependency upon hospitals and ventilators can be achieved by managing blood oxygen levels at our home by a natural method of proning. Proning is a technique used to optimize oxygenation, it is an easy to do home exercise. A method of attaining prone position is required when the patient feels discomfort while breathing and also when the oxygen level decreases below 94. In this blog, we will discuss proning and how it increases your oxygen supply.

 

Proning or Prone positioning:

Patients who are on ventilators due to pneumonia spend long hours lying on their back, due to which the fluid begins to enter the back of the lungs. The air breathed in cannot mix well with the blood flowing through the lungs. This is because of the pooling of fluid causing the lung tissue to collapse. The lung tissue in the back of the chest undergoes inflammation and infection-causing a decrease in the transfer of oxygen to the blood.  The patient ultimately becomes tired of breathing and exhausted with the effort of keeping the blood completely oxygenated. The best way to support breathing is by keeping the patient on a ventilator. But ventilators can often damage the lungs. Therefore, a safe and simple method to improve oxygenation is by prone position or proning. Prone position or proning opens up the collapsed airways and increases blood oxygen levels. In a prone lying position, the heart rests on the breast bone giving space for the lungs to expand, this increases the airflow to the back, where the blood circulation is the most. So, both blood circulation and more oxygen, lead to effective oxygenation.

 

Positioning

The patient lies in a prone posture on their abdomen or on their belly by facing down towards the bed. Keep a pillow below the neck and chest. Keep two pillows below each shin. Make sure that the patient lies comfortably, if not so the patient might feel suffocated. Do not spend more than half an hour in each position.

·         Lying on your stomach:

             Begin by lying on a bed by stomach facing towards the bed for 30 minutes.

 

·         Side-lying position to right side:

             For side-lying, lie on your right side for 30 minutes.

 

·         Sitting up:

             Sit up in the bed with your back supported and both legs extended for 30 minutes.

 

·         Side-lying position to left side:

             While lying in the bed lie on your left side for 30 minutes.

 

·         Lying on your stomach:

             Return to lying on your stomach by facing towards the bed for 30 minutes.

 

Benefits

·         It is a safe and simple home method to improve oxygenation.

·         It improves ventilation.

·         Helps the body to get air into all areas of the lungs.

·         Prevents worsening of complications due to decreased oxygen circulation.

·         Delays the use of mechanical ventilators by maintaining the supply of oxygen to the body tissues.

 

Safety measure

·         Avoid prone position or proning immediately after meals.

·         Maintain prone position till the patient feels comfortable.

·         Pillows should be kept under pressure areas especially around bony prominences.

 

Contraindications

Prone position should be avoided in conditions like:

·         Pregnancy.

·         Deep venous thrombosis.

·         Major cardiac conditions.

·         Fractures like spinal, femoral, or pelvic fractures.

 

In the current situation, Covid-19 cases are increasing and it has become obligatory for us to take necessary precautions and help prevent the further spread of the disease.

 https://cbphysiotherapy.in/blog/what-is-tailbone-pain-and-how-physiotherapy-can-help

What is Tailbone Pain and How Physiotherapy can help!

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People often experience a dull ache, which changes to sharp or throbbing pain with activities such as getting up from a sitting position or prolonged sitting. While most of people don’t know the actual cause of these symptoms, a condition called Coccydynia has often been linked to such chronic pains in the lower back. Identifying coccydynia and separating it from other types of lower back pain by Physiotherapists and Chiropractors is important for its pain management.

Coccydynia, or inflammation of the tail bone, is a unique type of lumbar pain that can cause patients a severe amount of discomfort and agony. Coccydynia/ Tailbone pain is a pain that occurs in or around the bony structure at the bottom of the spine (coccyx). The coccyx is much smaller than the sacrum, has an important weight-bearing role, and supports the body weight while sitting.

 

Physiotherapy has proven to be beneficial in teaching pelvic floor relaxation techniques (reverse Kegels) which help to get coccyx into better alignment and can relieve the pain experienced when urinating or defecating. For women, tailbone pain can make menstruation uncomfortable as well. As women may suffer injury to the coccyx or direct trauma to the coccyx during childbirth, these conditions have been more commonly reported with females.

 

Common causes of Coccydynia:

 

Coccydynia/ Tailbone pain can be caused by trauma to the coccyx during a fall, prolonged sitting on a hard or narrow surface, degenerative joint changes, or vaginal childbirth. Tailbone pain ranges from a dull ache to a fierce stab. It can last for weeks, months, or sometimes longer. A diagnosis of coccydynia will usually identify one of the following underlying causes of pain:

 

• Local trauma. A direct injury to the coccyx is the most common cause of coccydynia. A fall on the tailbone can inflame the ligaments and injure the coccyx or the coccygeal attachment to the sacrum. 
• Repetitive Strain Injury (RSI). Sports and activities that put prolonged pressure on the tailbone, such as horseback riding and sitting on hard surfaces for long periods of time or bicycling may cause the onset of coccyx pain.
• Childbirth/ Pregnancy. During delivery the pressure against the coccyx can sometimes result in injury to the coccygeal structures (the disc, ligaments, and bones. Some hormonal secretions during pregnancy may also soften the area between the sacrum and coccyx.
• Referred coccyx pain. In rare cases, the pain will be referred to the coccyx from elsewhere in the spine or pelvis, such as a lumbar herniated disc or degenerative lumbar disc

Physio-therapeutic Approach

 

The initial goal of physiotherapy treatment is focused on providing postural education. A proper sitting posture ensures weight is taken off the coccyx and is instead loaded onto the ischial tuberosities and the thighs. Physiotherapists may also recommend the use of cushions. Modified wedge-shaped cushions (coccygeal cushions), help to relieve the pressure placed on the coccyx during sitting. Other treatment modalities include:

 

• Mobilizations: This can help realign the posture of the coccyx. Mobilization techniques may be the preferred technique when the goal of treatment is to increase coccygeal mobility.
• Manipulation: Patients also find pain relief through manual manipulation of the coccyx. Through manual manipulation, the joint between the sacrum and the coccyx can be adjusted, potentially reducing pain caused by inadequate coccyx mobility.
• Massage:  Coccydynia may be reduced or alleviated by massaging tense pelvic floor muscles that attach to the coccyx. Tense muscles in this region can place added strain on the ligaments and sacrococcygeal joint, limiting its mobility or pulling on the coccyx.
• TENS unit. Transcutaneous Electrical Nerve Stimulator (TENS) units apply electric stimulation that interferes with the transmission of pain signals from the coccyx to the brain. These devices can be a good option for patients who wish to keep their intake of medications to a minimum. 
• Dry needling. It is surprisingly comfortable and very effective for specific conditions such as pelvic pain, incontinence, coccyx pain (tailbone), and other diagnoses. It helps in reducing muscle spasms and assesses the mobility and position of the sacrococcygeal joint.

 

Although the vast majority of patients who seek medical attention respond to conservative treatments, some patients require more aggressive treatments. A multidisciplinary approach employing physical therapy, ergonomic adaptations, medications (NSAIDs), injections, and, possibly, psychotherapy leads to the greatest chance of success in the patients.

https://cbphysiotherapy.in/blog/world-spine-day-managing-spine-health-with-physiotherapy

World Spine Day: Managing Spine Health with Physiotherapy

WORLD SPINE DAY

 

World Spine Day celebrates spine health annually on October 16th. The day aims to increase awareness for the prevention, diagnosis, and treatment of back pain and other spine issues. With an estimated one billion people worldwide suffering from spinal problems, it affects all age groups, from children to the elderly. It is the biggest single cause of disability on the planet. World Spine Day brings together people from all walks of life – patients, health providers, healthcare organizations, associations, and governments – to help ease the global burden of spinal disorders. World Spine day also provides a forum for on-going discussion about the burden of spinal disorders and sharing best practices. Spinal problems can be managed by the promotion of regular physical activity, encouraging good posture throughout all stages of life and teaching responsible lifting and developing healthy working conditions.

 

The Theme for World Spine Day 2020: Back on track

 

The 2020 theme for World Spine Day is ‘Back on Track’. The timely theme was inspired by the challenges of the COVID-19 pandemic, which have inevitably led to a decrease in physical activity, potentially leaving people susceptible to spinal pain. COVID-19 affecting the various people across the world followed by imposing restrictions on people’s movement has been linked to a range of health conditions. Back on Track highlights the importance of exercise, posture, movement, and good self-care to ensure a healthy spine. The activities can be as simple as ensuring to exercise daily, maintain a balanced diet, and get enough sleep. Practicing Straighten Up stretching program is also a great way to help you regain control over your health. The theme celebrates for the cause of people being able to reactivate and revitalize their bodies by getting out and focusing on effective spine care. The theme also highlights the importance of exercise, posture, movement, and good self-care to make the spine healthy.

 

 

 

 

PHYSIOTHERAPY IN MANAGING SPINAL HEALTH

 

Physiotherapists are trained in many different aspects of the spine, which are proved to be effective in managing spinal related health concerns, from rehabilitating patients with spinal cord injuries or systemic spinal conditions (such as Ankylosing Spondylitis) to treat conditions such as lower back and neck pain. Physiotherapy has a special interest in neuro-musculoskeletal conditions and treats patients with nerve irritations referred from the spine, muscle injuries and pain, and pain in all joints including the spine. Physiotherapy aims at helping regain normal movement patterns of the spine to aid in and prevent pain. This is usually carried out through joint mobilizations, soft tissue techniques, as well as teaching, improved movement through mobility, flexibility, and strengthening exercises.

 

The goal of physical therapy is to decrease back pain, increase function, and teach the patient a maintenance program to prevent future spinal problems. The patient may only need the treatment and education that patient receives during the initial assessment or the patient may need months of rehabilitation. Common forms of physical therapy include Passive physical therapy (modalities), which includes things done to the patient, such as heat application, ice packs, and electrical stimulation. While as the Active physical therapy focuses on specific exercises and stretching. For most spinal problems related to back pain treatments, active exercise is the focus of the physical therapy program. 

https://cbphysiotherapy.in/blog/world-arthritis-day-managing-arthritis-causes-prevention-treatment 

World Arthritis Day: Managing Arthritis – Causes, Prevention & Treatment.

Arthritis, the second most common rheumatologic problem is also the most frequent joint ailment affecting the quality of life with a prevalence of around 40% among the population. It is a serious disease with significant financial and socioeconomic implications. World Arthritis Day is celebrated every year on October 12th to raise awareness about one of the prevalent health conditions, as among the commonly found health conditions that come with age is perhaps arthritis (or joint pain). Arthritis describes the conditions of joint pain, where there is an inflammation in the joints that affects one or multiple joints. Most common in adults above the age of 60-65 years, joint pain cases are attributed to weak bones, excessive weight, lack of nutrients, an injury or wrong posture.

 Factors responsible for causing Arthritis 

Attributing to innumerable reasons including lifestyle changes, obesity and increasingly ageing population the prevalence and complications related to arthritis are rising. Joint pains are often neglected until it causes distress or impaired quality of life, but still a greater number of young patients are presenting with this problem. Obesity is a key modifiable factor which should not be overlooked as the joints are burdened with at least three to six times the load bearing capacity. Arthritis is progressive disorder which starts gradually and worsens with time. Though joint related problems have always been an issue related to aging, but for a variety of reasons including poor eating habits, sedentary lifestyle, consumption of body building supplements and steroids in excessive quantities, a number of younger patients have been diagnosed with joint related ailments.

How to Prevent Arthritis?

Despite the high level of public interest in knowing how to prevent arthritis, there is no single strategy for avoiding this disease. In case of autoimmune disorders such as rheumatoid arthritis it is impossible to know how to prevent arthritis because the reason for the inappropriate activity of the immune system is not yet known. However the kind of diet that contributes to a healthy weight may also provide nutritional support for healthy joints.

Naturally occurring substances in garlic, cruciferous vegetables and omega 3 fats present in fishes can reduce the inflammation of joints that is characteristic of osteoarthritis. Supplements such as glucosamine and chondroitin are commonly used to support joint health, but they seem to be most effective in the early stages of osteoarthritis. Excess body weight is one of the major risk factors for arthritis. High-impact exercises may predispose you to osteoarthritis and arthritis pain. Avoiding injuries reduce the risk of developing arthritis later in life. It has been found that regular exercises have been very effective ways to prevent arthritis. Regular exercise strengthens your whole body and helps keep your joints flexible.

How Physiotherapy can help against Arthritis?

Physiotherapy is an ideal treatment for people suffering from arthritis to help relieve pain and regain mobility. Physiotherapists are experts when it comes to assessing movement and can help show how to take proper care of your joints. Physiotherapists examine the joints that are giving trouble to the patient and the assessment helps to design the affective treatment that suits the particular need of a patient.

Treatment usually consists of an exercise program as well as advice on how to gradually increase your mobility and activity as well as how to avoid any injuries related to exercise. The various physiotherapy treatment modalities for a sufferer of arthritis depending on condition include ice and/or heat packs, TENS (transcutaneous electrical nerve stimulation) machines, hydrotherapy pools, manipulation, taping, massage, medications and acupuncture. Some patients are also prescribed splints or walking aids to help keep you independent and mobile.

 https://cbphysiotherapy.in/blog/physiotherapic-rehabilitation-in-times-of-covid-19

PHYSIOTHERAPIC -REHABILITATION IN TIMES OF COVID 19

 As the era of COVID-19 began with the global contagion engulfing the whole world, the healthcare systems across the world faced a daunting range of challenges. Scientific understanding of COVID-19 was considerably evolving since the World Health Organization declared it a “public health emergency of international concern” in late January 2020.  The combination of unpredictable patterns and incomplete knowledge meant that planning for and implementing both an immediate and sustainable long-term pandemic response was difficult—yet absolutely critical for the care of patients, employees, and organizational survival.

 

PANDEMIC CHALLENGING HEALTHWORKERS AND ROLE OF PHYSIOTHERAPY

The covid-19 pandemic landed all healthcare professionals across the world in an unprecedented situation, facing tremendous challenges to make impossible decisions and work under extreme pressures. These challenges ranged as how to allocate scant resources to equally needy patients and how to provide care for all severely unwell patients with constrained or inadequate resources.

Physiotherapists working in primary healthcare facilities played a significant role and faced huge challenges and being an established profession throughout the world had major contributions in assessing and treating the Covid-19 patients with comorbidities. Physiotherapy proved promising and beneficial in the respiratory treatment and physical rehabilitation of patients with COVID-19. Physiotherapists who practise in the ICU environment also provided 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 optimize oxygenation.

 

 ADAPTING TELE-REHABILITATION AT CB PHYSIOTHERAPY IN TIMES OF COVID

Tele-Rehab has emerged as a great tool to help deliver physiotherapy services remotely to patients. Tele- Rehabilitation has significantly contributed toward the sustainable care of patients who were looking for quality care at home in the global contagion. By embracing technology, physios are now able to offer recovery & pain management sessions remotely through online channels (aka Telehealth, Virtual Physiotherapy, online Consultations, and e-Health.

At CB Physiotherapy early adoption of tele-health was of immense help in adapting to the new normal. With our Exercise Prescription software TelePT, Our Physiotherapists were quick to adapt to the new normal and help patients in their recovery while staying at home. Physiotherapists at CB Physiotherapy & across the world were able to continue delivering physio care to patients even during lockdowns & stay at home guidelines. As the experts in the respective fields, physiotherapists at CB Physiotherapy guided patients in how exercise and various home-based treatment modalities can help recovery at home. Exercise Prescription software like TelePT by CB Physiotherapy should be leveraged to provide video instructions & make understanding exercises easy for the patients. At CB Physiotherapy, we also have conducted tele physiotherapy sessions to NRIs stuck in other parts of the world.

 

TAIL PIECE

Therefore, it is very important for us to identify, recognize and appreciate the efforts and importance of physiotherapy practitioners in their contribution to delivery of healthcare. Not only that but for the general health of population, awareness needs to be created to highlight the benefits of physiotherapy and how it can help people in management of pain, maintaining mobility & improving the overall quality of life.