Rebuilding Strength | How Physiotherapy Aids in Hand Rehabilitation After Crush Injuries? | Blog by CB Physiotherapy, Active Healing for Pain Free Life.

Hand injuries can be debilitating, especially when they involve crushing forces. Crush injuries are common in industrial, agricultural, and household accidents, and they can lead to severe complications if not treated promptly and effectively. This blog delves into the nature of crush injuries to the hand and highlights physiotherapy’s essential role in recovery and rehabilitation.

What is a Crush Injury?

A crush injury occurs when the hand, is subjected to high compressive forces. This type of injury can involve multiple structures including bones, muscles, tendons, ligaments, nerves, and blood vessels. The severity of a crush injury can vary from mild bruising to complex fractures, nerve damage, and even tissue necrosis. In the worst cases, crush injuries can lead to amputation. Common scenarios leading to crush injuries include industrial accidents like heavy machinery, such as presses or rollers, which can cause severe damage to hands, agricultural work like farmers often use powerful equipment that can lead to hand crush injuries, even domestic incidents like doors, heavy furniture, or even accidents can lead to crushed fingers or hands.

When a hand is crushed, multiple layers of tissue are damaged. Key factors that influence the extent of injury include the duration of compression, the force applied, and the immediate management. Common damage observed includes torn muscles, tendons, and ligaments, leading to loss of function, swelling, bruising, and bleeding, high force impacts can break bones, leading to unstable fractures or comminuted fractures (bone shattered into multiple pieces), nerves running through the hand can be damaged, leading to sensory loss, weakness, or even paralysis of affected areas, blood vessels may be ruptured, leading to compromised blood flow, increasing the risk of ischemia and tissue necrosis, a serious complication where swelling within a muscle compartment increases pressure, leading to decreased blood flow, which can cause permanent tissue damage.

Immediate Management of Crush Injuries

The immediate goal is to prevent further damage and preserve life and function. This often includes:

1: First Aid: Controlling bleeding, stabilizing fractures, and ensuring that the patient is stabilized.
2: Emergency Medical Care: This may involve surgery to debride damaged tissue, repair fractures, and restore blood flow.
3: Amputation: In severe cases, where tissue viability is compromised, amputation may be necessary.

Once the acute phase is managed, the focus shifts to rehabilitation, where physiotherapy plays a vital role.

Role of Physiotherapy in Rehabilitation

Physiotherapy is integral to the rehabilitation of crush injuries, facilitating recovery, restoring function, and improving quality of life. The physiotherapist’s role involves assessment, treatment planning, and the implementation of specialized techniques tailored to each patient’s needs.

1. Pain Management
Post-injury pain can be significant and hinder progress in rehabilitation. Physiotherapists use a combination of modalities to manage pain, including:

Electrotherapy: Techniques such as transcutaneous electrical nerve stimulation (TENS) can help reduce pain.
Ice can reduce acute inflammation, while heat may be useful later in easing stiffness.
Manual Therapy: Gentle mobilizations and massage can reduce discomfort and improve circulation.

2. Edema Control
Swelling is a common issue following crush injuries. Physiotherapists employ various techniques to manage edema:

Elevation and Compression: Elevating the hand and using compression garments can reduce fluid accumulation.
Lymphatic Drainage: Manual lymphatic drainage helps move excess fluid out of the affected area.
Active Movement: Gentle movements can stimulate circulation and reduce swelling.

3. Restoration of Mobility and Joint Function
Stiffness and contractures are common after crush injuries, especially if immobilization was required. Physiotherapy focuses on regaining joint range of motion (ROM) and flexibility:

Joint Mobilizations: Techniques aimed at improving joint capsule mobility.
Stretching Exercises: Gentle stretches help maintain or improve muscle and tendon flexibility.
Splinting: Custom splints may be used to position the hand correctly and prevent deformities.

4. Strengthening and Muscle Re-Education
Once healing allows, strengthening exercises are introduced to rebuild muscle power and endurance:

Isometric Exercises: These exercises are started early when movement is limited.
Progressive Resistance Training: Gradual resistance exercises help rebuild hand strength.
Functional Strengthening: Activities mimicking daily tasks are used to ensure functional recovery.

5. Sensory Retraining
Nerve injuries can lead to altered or lost sensation, requiring specialized interventions:

Desensitization Techniques: Gradual exposure to various textures and temperatures helps normalize sensation.
Sensory Re-Education: Exercises that involve recognizing shapes, textures, or temperatures are employed to retrain the nervous system.
Mirror Therapy: For cases with sensory loss or phantom limb sensations post-amputation, mirror therapy can assist in recovery.

6. Functional Training and Occupational Therapy
Ultimately, the goal is to return the patient to daily activities and work. Functional training addresses:

Fine Motor Skills: Exercises to improve dexterity, precision, and hand-eye coordination.
Grip Strength: Training that targets various grips (e.g., power grip, pinch grip) for daily tasks.
Work-Specific Training: Exercises that simulate workplace tasks to ensure a smooth transition back to employment.

Crush injuries to the hand can have devastating consequences if not properly managed. However, with timely medical intervention and a structured physiotherapy program, significant recovery is achievable. Physiotherapy not only addresses the physical aspects of recovery but also plays a role in the psychological and functional reintegration of the patient, ensuring the best possible quality of life post-injury. 

Unlock Your Weight Loss Goals | The Essential Role of Physiotherapy in Achieving Optimal Health | Blog by CB Physiotherapy, Active Healing for Pain Free Life.

 

Weight loss is a common goal for many people, motivated by desires for better health, improved aesthetics, or enhanced physical performance. While diet and exercise are the primary pillars of weight loss, physiotherapy plays a significant and often underappreciated role in achieving these goals. Physiotherapy, with its focus on rehabilitation, movement optimization, and individualized exercise regimens, can help people not only lose weight but also maintain their weight loss and improve overall physical function.

Understanding Physiotherapy

Physiotherapy, or physical therapy, is a healthcare profession dedicated to improving movement and function. Physiotherapists are trained to assess, diagnose, and treat a variety of conditions that affect physical movement. They use a range of techniques including manual therapy, exercise prescription, and education to help individuals achieve optimal health and functionality. In the context of weight loss, physiotherapists can create personalized exercise programs, address underlying musculoskeletal issues, and provide guidance on maintaining an active lifestyle.

Benefits of Physiotherapy in Weight Loss

1. Personalized Exercise Programs
One of the main advantages of physiotherapy is the creation of personalized exercise programs. Unlike generic workout plans, these programs are tailored to the individual’s specific needs, capabilities, and goals. This personalization ensures that the exercises are safe, effective, and sustainable. For individuals with existing injuries or chronic conditions, physiotherapists can modify exercises to avoid exacerbating these issues while still promoting weight loss.

2. Injury Prevention and Management
Exercise-related injuries are a common barrier to maintaining an active lifestyle, especially for those new to regular physical activity. Physiotherapists are experts in biomechanics and can teach proper exercise techniques to prevent injuries. They can also identify and address muscular imbalances or weaknesses that may predispose someone to injury. If injuries do occur, physiotherapists can provide treatments to facilitate recovery, minimizing downtime and helping individuals stay on track with their weight loss goals.

3. Enhanced Mobility and Flexibility
Weight loss is not just about burning calories; it’s also about improving overall physical function. Physiotherapy can enhance mobility and flexibility, making it easier to engage in a variety of physical activities. Improved flexibility and range of motion can also reduce pain and discomfort, making exercise a more enjoyable and sustainable activity. This increased mobility helps individuals incorporate more physical activity into their daily routines, further supporting weight loss efforts.

4. Pain Management
Chronic pain can be a significant barrier to physical activity and weight loss. Conditions such as arthritis, back pain, or fibromyalgia can make movement challenging. Physiotherapy offers various pain management techniques, including manual therapy, therapeutic exercises, and modalities such as ultrasound or electrical stimulation. By reducing pain, physiotherapists help individuals become more active, which is crucial for burning calories and losing weight.

5. Behavioral and Lifestyle Coaching
Physiotherapists often provide education and coaching on lifestyle changes that support weight loss. This can include guidance on posture, ergonomics, stress management, and sleep-all factors that can influence weight. By addressing these broader aspects of health, physiotherapists help create a more holistic and sustainable approach to weight loss.

Physiotherapy Techniques in Weight Loss

1. Aerobic Exercise
Aerobic exercise is crucial for weight loss as it helps burn calories and improve cardiovascular health. Physiotherapists can design safe and effective aerobic exercise programs that consider an individual’s fitness level and any existing health conditions. Activities such as walking, cycling, swimming, and using elliptical machines can be incorporated and gradually intensified to promote weight loss.

2. Strength Training
Strength training is essential for building muscle mass, which in turn boosts metabolism and aids in weight loss. Physiotherapists can develop resistance training programs using bodyweight exercises, resistance bands, free weights, or machines. These programs not only aid in weight loss but also improve muscular strength and endurance, enhancing overall physical performance and preventing injuries.

3. High-Intensity Interval Training (HIIT)
HIIT involves short bursts of intense exercise followed by periods of rest or low-intensity activity. This form of exercise is highly effective for burning calories and improving cardiovascular fitness in a shorter amount of time. Physiotherapists can introduce HIIT routines that are safe and appropriate for the individual’s fitness level, ensuring that they reap the benefits without overexertion.

4. Flexibility and Stretching Exercises
Incorporating flexibility and stretching exercises helps improve the range of motion, reduces muscle tension, and enhances recovery after workouts. Physiotherapists can teach specific stretching techniques and routines that align with the individual’s needs, promoting overall physical well-being and enabling more effective and enjoyable exercise sessions.

5. Core Stability and Balance Training
A strong core is essential for overall stability and injury prevention. Physiotherapists can incorporate core stability and balance exercises into the weight loss program. These exercises not only aid in weight loss but also enhance functional fitness, making everyday activities easier and reducing the risk of falls and injuries.

Physiotherapy offers a unique and effective approach to weight loss by addressing individual needs, improving movement efficiency, managing pain, and enhancing motivation. By integrating physiotherapy into a comprehensive weight loss plan, individuals can achieve their weight loss goals more safely and sustainably. Whether you are starting your weight loss journey or looking to overcome specific physical challenges, physiotherapy can provide the support and guidance needed to succeed.

Optimizing Performance | How CB Physiotherapy Helps in Recovering from Sports Injuries? | Blog by CB Physiotherapy, Active Healing for Pain Free Life.

 

In the world of sports, injuries are almost inevitable. Whether you’re a professional athlete or a weekend warrior, pushing your body to its limits increases the risk of strains, sprains, and other injuries. However, what separates the champions from the sidelines is often not just talent or determination, but effective rehabilitation. This is where physiotherapy plays a crucial role, aiding athletes in their journey back to strength and agility. At CB Physiotherapy, the emphasis isn’t just on recovery; it’s about recovering stronger.

Understanding the Importance of Physiotherapy in Sports Injuries

Physiotherapy is a multidisciplinary approach to healthcare aimed at restoring movement and function when someone is affected by injury, illness, or disability. In the realm of sports, physiotherapy becomes indispensable. It’s not just about alleviating pain; it’s about addressing the root cause of the injury and enhancing performance to prevent future setbacks.
At CB Physiotherapy, the philosophy revolves around empowering athletes to take control of their recovery journey. Every step from initial assessment to personalized treatment plans is geared towards optimizing rehabilitation outcomes. The first crucial aspect is understanding each athlete’s unique needs and goals.

At CB Physiotherapy what do we provide?

At CB Physiotherapy, the philosophy revolves around empowering athletes to take control of their recovery journey. Every step from initial assessment to personalized treatment plans is geared towards optimizing rehabilitation outcomes. The first crucial aspect is understanding each athlete’s unique needs and goals.

1: Personalized Care for Optimal Recovery

No two injuries are the same, and neither are the individuals affected by them. CB Physiotherapy recognizes this fundamental truth and tailors treatment plans accordingly. Whether it’s a torn ligament, muscle strain, or overuse injury, the focus is on providing personalized care that addresses the specific challenges faced by the athlete.
The journey begins with a comprehensive assessment, where skilled physiotherapists at CB Physiotherapy evaluate the extent of the injury and identify any underlying issues contributing to it. This assessment serves as the foundation upon which a customized treatment plan is built.

2: Cutting-edge techniques and Modalities

Recovering stronger requires more than just traditional approaches to physiotherapy. At CB Physiotherapy, a wide range of cutting-edge techniques and modalities are employed to expedite recovery and optimize performance. From manual therapy and corrective exercises to innovative technologies, every tool at the disposal of the clinic is utilized to its fullest potential.
One such modality gaining traction in sports rehabilitation is dry needling. This technique involves the insertion of fine needles into trigger points within muscles, releasing tension and promoting healing. Combined with targeted exercises and hands-on therapy, dry needling can significantly accelerate the recovery process.

3: Holistic Approach to Rehabilitation

Recovering from a sports injury isn’t just about healing the body; it’s about nurturing the mind and spirit as well. At CB Physiotherapy, a holistic approach to rehabilitation is embraced, addressing not only the physical aspects of injury but also the mental and emotional challenges that accompany it.
Athletes are supported not just as patients, but as individuals striving to reclaim their passion and livelihood. Education plays a crucial role in this process, empowering athletes with the knowledge they need to understand their bodies better and make informed decisions about their health and performance.

4: Beyond Recovery: Enhancing Performance

While recovering from an injury is undoubtedly the primary goal, CB Physiotherapy goes a step further by focusing on enhancing performance beyond pre-injury levels. Through targeted strength and conditioning programs, biomechanical assessments, and sports-specific training, athletes are equipped with the tools they need to excel in their chosen field.
This proactive approach to rehabilitation ensures that athletes not only return to their sport but do so with a newfound resilience and strength. By addressing weaknesses and imbalances, CB Physiotherapy helps athletes reach new heights and minimize the risk of future injuries.

In the high-stakes world of sports, injuries are an unfortunate reality. However, with the right approach to rehabilitation, athletes can not only recover but emerge stronger and more resilient than before. At CB Physiotherapy, the focus isn’t just on healing the body; it’s about empowering athletes to take control of their recovery journey and reach their full potential.

Through personalized care, cutting-edge techniques, and a holistic approach to rehabilitation, CB Physiotherapy stands at the forefront of sports injury management. By embracing the principles of recovery and performance enhancement, athletes can confidently step back onto the field, knowing they have the support they need to succeed. With CB Physiotherapy, it’s not just about getting back in the game; it’s about winning it.

For inquiries, appointments, or further information related to sports injury recovery and performance optimization, please don’t hesitate to reach out to us at CB Physiotherapy or call us at 011–40846393.

10 Best Cable Exercises for Physiotherapy Rehabilitation | Blog by CB Physiotherapy, Active Healing for Pain Free Life.

 

Physiotherapy plays a crucial role in rehabilitation and improving the overall well-being of individuals recovering from injuries, surgeries, or chronic conditions. Among the various tools and techniques available to physiotherapists, cables are increasingly gaining popularity for their versatility and effectiveness in targeting specific muscle groups. In this blog, we’ll explore 10 important cable physiotherapy exercises that can significantly contribute to patients’ rehabilitation and enhance their overall physical health.

Below mentioned are the 10 best Cable Exercises:

1: Cable Rows for Posture Improvement:
This exercise targets the upper back muscles, by attaching a handle to the cable machine at chest height. Stand facing the machine, grab the handle with both hands, and step back.
Pull the handle towards your chest, squeezing your shoulder blades together. This exercise helps improve posture by strengthening the muscles responsible for maintaining an upright position.

2: Lateral Pulldowns for Upper Back Strength:
This exercise targets the upper back muscle latissimus dorsi, and upper back muscles. Attach a wide grip handle to the cable machine. Sit facing the machine, grab the handle with both hands, and ensure your knees are securely under the pads.

Execution: Pull the handle down towards your chest, engaging your upper back muscles. This exercise aids in building strength in the upper back, promoting better stability and reducing the risk of upper back pain.

3: Cable Chest Press for Pectoral Strength:
Cable chest press for pectoral strength targets the upper back and pectoral muscles. Attach handles to both sides of the cable machine at chest height. Stand facing away from the machine, grab the handles, and take a step forward.

Execution: Push the handles forward, extending your arms. This exercise helps in rebuilding chest strength after surgeries or injuries, promoting a balanced upper body musculature.

4: Cable Leg Press for Lower Body Stability:
Cable leg press for lower body stability exercise targets the quadriceps, hamstrings, and glutes. Attach ankle straps to the cable machine. Lie on your back, hook the ankle straps to your feet, and bend your knees at a 90-degree angle.

Execution: Press your legs forward, straightening your knees. This exercise is beneficial for lower body stability and strength, crucial for activities like walking and climbing stairs.

5: Cable Woodchops for Core Activation:
This exercise targets the core muscles (obliques, rectus abdominis). Attach a single-handled rope to the cable machine at shoulder height. Stand perpendicular to the machine, grab the handle with both hands and step away.

Execution: Pull the handle diagonally across your body, engaging your core muscles. This exercise enhances core stability, promoting better balance and preventing back pain.

6: Tricep Pushdowns for Arm Strength:
Tricep pushdowns for arm strength exercises target the Triceps. Attach a straight bar to the cable machine at chest height. Stand facing the machine, grab the bar with an overhand grip, and keep your elbows close to your body.

Execution: Push the bar down, extending your elbows. This exercise is essential for regaining strength in the triceps, commonly weakened after surgeries or prolonged periods of inactivity.

7: Face Pulls for Neck and Upper Back Mobility:
Face pulls for neck and upper back mobility exercise targets the trapezius and rear deltoids. Attach a rope handle to the cable machine at eye level. Stand facing the machine, grab the rope with both hands and step back.

Execution: Pull the rope towards your face, keeping your elbows high. This exercise is beneficial for improving neck and upper back mobility, reducing stiffness and discomfort.

8: Cable Lunges for Lower Body Flexibility:
This exercise targets the quadriceps, hamstrings, and glutes. Attach ankle straps to the cable machine. Face away from the machine, hook the ankle straps to your feet, and step forward with one foot.

Execution: Perform a lunge, ensuring your front knee stays above your ankle. This exercise enhances lower body flexibility and strength, crucial for activities like bending and kneeling.

9: Seated Cable Shoulder Press for Shoulder Stability:
Seated cable shoulder press for shoulder stability exercise targets the deltoids and trapezius. Attach two handles to the cable machine at shoulder height. Sit facing away from the machine, grab the handles with an overhand grip, and keep your core engaged.

Execution: Press the handles overhead, extending your arms. This exercise is vital for rebuilding shoulder strength and stability, commonly compromised after injuries or surgeries.

10: Cable External Rotations for Rotator Cuff Health:
The exercise targets the rotator cuff muscles. Attach a D-handle to the cable machine at waist height. Stand with your side to the machine, grab the handle with the hand closest to the machine, and keep your elbow bent at 90 degrees.

Execution: Rotate your forearm outward, away from your body. This exercise aids in maintaining rotator cuff health and preventing shoulder injuries.

Incorporating cable physiotherapy exercises into rehabilitation programs can significantly enhance the effectiveness of treatment plans. These exercises offer targeted muscle engagement, promoting strength, flexibility, and overall mobility. However, it’s crucial to consult with a qualified Physiotherapist before attempting any new exercises to ensure they align with individual rehabilitation goals and limitations. With consistency and proper guidance, patients can unlock their full potential for recovery and regain optimal Physical function.

On-field Sports Injury Management | Immediate Physiotherapy And Rehab Strategies

 In the world of sports, athletes often face the risk of injuries during games, practices, or competitions. Mentioned in this blog are the common sports injuries that vary in type and severity, ranging from minor sprains to more serious fractures and dislocations. In the critical moments following an injury, the role of physiotherapy is paramount. This comprehensive guide discusses various injuries that occur on the field and explains in detail how physiotherapy can help manage them at the time of occurrence.

 Common On-Field Sports Injuries

Sprains and Strains:

Sprains involve the stretching or tearing of ligaments, while strains involve damage to muscles or tendons.

Physiotherapy Management: When a sprain or strain occurs, physiotherapists play a crucial role in immediate management. They assess the extent of the injury, implement the R.I.C.E protocol (Rest, Ice, Compression, Elevation) to reduce swelling and pain, and advise on the use of braces or taping for support. Physiotherapists can also provide guidance on when to start gentle range of motion exercises to prevent stiffness.

Fractures:

Fractures are broken bones that can result from high-impact collisions or falls.

Physiotherapy Management: In cases of fractures, immediate stabilization is crucial to prevent further damage. Physiotherapists may assist in splinting or immobilization. Once the fracture begins to heal, it plays a pivotal role in rehabilitation, focusing on restoring range of motion, muscle strength, and function.
 

Dislocations:

Dislocations occur when the ends of two bones are forced out of their normal positions.

Physiotherapy Management: Immediate on-field care involves reducing the dislocated joint, immobilization, and pain control. Physiotherapy comes into play during rehabilitation, where therapists guide the athlete through exercises and techniques to restore joint stability and prevent re-injury.

Contusions and Bruises:

Contusions are deep tissue bruises that result from blunt force trauma.

Physiotherapy Management: Physiotherapists use gentle mobilization techniques and massage to promote circulation and reduce swelling. They also provide advice on managing pain and may recommend the use of ice or heat packs to alleviate discomfort.

Concussions:

Concussions are traumatic brain injuries resulting from head impacts.

Physiotherapy Management: In cases of suspected concussion, immediate removal from play is essential. Athletes should undergo evaluation by a medical professional. While physiotherapists do not treat the concussion itself, they can assist in the management of post-concussion symptoms. This includes balance and coordination exercises, as well as guidance on when it's safe to return to play.

Abrasions and Cuts: 

Abrasions and cuts are common skin injuries.

Physiotherapy Management: Proper wound care is crucial for abrasions and cuts to prevent infection. Physiotherapists can provide initial first aid and ensure that the wound is cleaned and dressed appropriately.

Muscle Cramps:

Muscle cramps are involuntary contractions of muscles, often caused by dehydration.

Physiotherapy Management: Immediate on-field care for muscle cramps includes stretching and hydration. Physiotherapy can help address the underlying causes, such as muscle imbalances, through rehabilitation and provide strategies for preventing future cramps.

Ligament Injuries (e.g., ACL or MCL tears):

Ligament injuries are common in sports and often result from sudden twists or pivots.

Physiotherapy Management: For immediate management, physiotherapists emphasize immobilization and stabilization, particularly if the injury is severe. After surgery, if required, physiotherapy focuses on post-operative rehabilitation, including exercises to regain strength, balance, and range of motion. This helps athletes return to their sport safely.

Tendon Injuries (e.g., Achilles tendon rupture):

Tendon injuries involve tearing the connective tissue that attaches muscles to bones.

Physiotherapy Management: Immediate management includes immobilization and potential surgery. Post-surgery, physiotherapy is vital for tendon healing and strengthening. Therapists guide athletes through exercises and interventions to promote a full recovery.

Overuse Injuries (e.g., stress fractures, tendinopathies):

Overuse injuries result from repetitive strain on muscles or bones.

Physiotherapy Management: Resting from the aggravating activity is crucial for immediate management. Physiotherapy comes into play during the rehabilitation phase, helping athletes identify contributing factors, such as biomechanical issues, and designing tailored rehabilitation programs. This includes exercises to regain strength and flexibility while preventing re-injury.

Heat-Related Injuries (e.g., heat exhaustion, heat stroke):

Heat-related injuries occur due to excessive heat exposure.

Physiotherapy Management: Immediate on-field care includes cooling and hydration. Physiotherapists provide advice on prevention strategies, such as acclimatization to heat, and monitor athletes during hot weather to ensure their safety.

Soft Tissue Injuries (e.g., contusions, lacerations):

Soft tissue injuries involve damage to muscles, tendons, or ligaments.

Physiotherapy Management: In the case of soft tissue injuries, proper wound care and initial first aid are essential. Physiotherapy may be necessary for rehabilitation, focusing on restoring function and managing scar tissue.

Nerve Injuries (e.g., brachial plexus injury):

Nerve injuries can result from impact or stretching.

Physiotherapy Management: Immediate management involves stabilization, immobilization, and specialist referral. Physiotherapy plays a crucial role in nerve recovery and rehabilitation, helping athletes regain strength and function.

Cardiac Events (e.g., heart attack, arrhythmia):

Cardiac events can occur due to underlying heart conditions or extreme exertion.

Physiotherapy Management: Immediate medical attention and CPR, if needed, are essential. Physiotherapists may assist in cardiac rehabilitation once the athlete is stable, helping them gradually return to physical activity.

In the world of sports, injuries are a part of the game. However, immediate and effective management of these injuries is crucial to minimize further damage and facilitate a swift recovery. Physiotherapy, with its wide range of techniques and expertise, plays a pivotal role in on-field injury management. Whether it's a sprained ankle, a dislocated shoulder, or a muscle strain, physiotherapists are there to provide immediate care, reduce pain and swelling, and guide athletes on their path to recovery. In these critical moments, the role of physiotherapy can make all the difference in an athlete's journey back to the game.