Monday 13 February 2023

 

Best Exercises During Pregnancy For Each Trimester

Exercise during pregnancy is generally safe for most women and can have many benefits for both the mother and the baby. Regular physical activity can help improve mood, increase energy levels, prevent excessive weight gain, and improve sleep. Additionally, exercise during pregnancy can also improve cardiovascular fitness, muscle strength, and prepare the body for the physical demands of labor and delivery. However, it's important to consult a physiotherapist before starting or continuing any exercise regimen during pregnancy, especially if you have any medical conditions or complications. In this blog, we will discuss the exercises that can be done during pregnancy along with their benefits,
Some women may need to modify their physical activity or avoid certain exercises during pregnancy. In general, low-impact activities such as walking, swimming, and stationary cycling are recommended during pregnancy. High-impact activities, such as running, and activities that have a risk of falling or abdominal trauma, such as contact sports, should be avoided.

Guideline for Exercising During different Phases of Pregnancy:

1st Trimester (0-12 weeks):

During this phase, most women have relatively normal energy levels. Light to moderate exercises such as walking, swimming, and stationary cycling are safe and can help reduce fatigue and stress. It's important to avoid high-impact activities and activities that involve jumping, bouncing, or rapid changes of direction.
During the first trimester of pregnancy, it's important to engage in physical activities that are gentle, low-impact, and safe for both you and your baby. Stretching and strengthening exercises can help to maintain good posture, reduce aches and pains, and prepare your body for the physical demands of pregnancy and childbirth. Some stretching and strengthening exercises that can be done during the first trimester of pregnancy include:

  • Pelvic curls are a great way to begin working on spinal mobility and strengthening the abdominal muscles that support your belly as it grows.
  • Bicep curls help prepare your arms for repeatedly lifting and holding your baby.
  • Kneeling push-ups, this exercise targets the core and upper body strengthening together.
  • Cat-Cow stretching exercises help to relieve lower back pain and improve posture),
  • Hamstring stretches help to relieve tightness in the back of the legs),
  • Leg Swings help to improve circulation and relieve tension in the legs),
  • Pelvic brace or Kegels exercise helps to strengthen the pelvic floor muscles, which support the uterus and help prevent urinary incontinence),
  • Squats help to strengthen the legs and prepare them for the physical demands of childbirth),
  • Arm and Shoulder strengthening exercises help to improve posture and reduce discomfort in the upper body.

2nd Trimester (13-28 weeks):

As the baby grows and the mother's body changes, it's important to continue to modify the exercise. Avoid exercises that involve lying on your back, as this can decrease blood flow to the baby. Swimming and stationary cycling are still great options, but resistance training can also be added, focusing on the upper body, legs, and core.
During the second trimester of pregnancy, it is generally safe to perform low-impact exercises, such as:

  • Incline pushups, target the shoulder, triceps, and chest.
  • Hip and knee flexor stretching exercises are done as the center of gravity changes and the belly tends to fall forward, creating shortened hip flexor muscles. 
  • Mermaid stretching exercises can also be done as the baby grows, it can start to create pressure on the diaphragm and ribs that can be painful.
  • Side-lying leg lifts help to prepare for the changing center of gravity, it’s important to get the muscles that help with balance and assist in pelvic stabilization stronger.
  • Pelvic Tilts, This exercise helps to strengthen the lower back and abdominal muscles.
  • Squats, target the legs, glutes, and core muscles.
  • Wall push-ups help to strengthen the chest, arms, and shoulder muscles.
  • Leg Lift Exercise helps strengthen the legs, hips, and lower back muscles.
  • Bridging exercise helps strengthen the glutes, hamstrings, and lower back muscles.
  • Cat-Cow Stretch exercise stretches the spine and neck muscles.
  • Hamstring Stretching exercise stretches the hamstrings, hips, and lower back.
  • Child's Pose exercise stretches the hips, back, and legs.
  • Butterfly Stretch exercise stretches the hips, inner thighs, and lower back.
  • Seated Straddle Stretch exercise stretches the inner thighs and hips.

3rd trimester (29-40 weeks):

During this phase, the baby is growing rapidly, and the mother's body is undergoing significant changes. Exercise may become more challenging, and it's important to listen to your body and adjust the intensity and duration of exercise as needed. Gentle activities such as walking and swimming can help keep the mother active and maintain good cardiovascular health. During the third trimester of pregnancy, it is important to focus on exercises that help prepare the body for labor and delivery as it's important to stay active and maintain strength and flexibility to support your changing body.
Here are some therapeutic exercises that can be done during the third trimester:

  • Diastasis recti correction exercises are done to combat the separation of the rectus abdominal muscles during pregnancy and it shows up as a bulge that runs down the midline of the abdomen,
  • Pelvic Tilts, this exercise helps strengthen your lower back and pelvic muscles.
  • Kegels, Kegels help to strengthen your pelvic floor muscles, which support your bladder, uterus, and rectum. To do Kegels, squeeze the muscles you would use to stop urinating, hold for 5-10 seconds, then relax. Repeat 10-15 times.
  • Cat-Cow Stretch, Wall Squats, and Hamstring Stretch can be continued in this phase also.
  • Leg and foot stretch exercises help to relieve cramps and improve blood circulation.
  • Pigeon Pose: Start on all fours, then bring one knee forward to your hand and the other leg behind you. Keep your back straight and hold for 30 seconds, then switch sides.
It's important to keep in mind that every woman's pregnancy is unique and always consult a physiotherapist before starting or modifying your exercise routine. Your healthcare provider can help you determine the right level of exercise for your individual needs and make any necessary adjustments as your pregnancy progresses. However, it's important to understand that the type and intensity of exercise may need to be modified throughout pregnancy to ensure the safety of both.

Exercises to avoid during pregnancy include:

Exercises that should be avoided during pregnancy include activities that have a risk of falling, such as horseback riding, ice skating, and gymnastics, as well as activities that have a risk of an abdominal injury, such as contact sports.
  • Scuba diving can lead to changes in pressure and nitrogen absorption, which can be harmful to the developing fetus.
  • Lying on your back can cause decreased blood flow to the fetus, so exercises that involve this position should be avoided.
  • Intense cardio or High-intensity cardio workouts, such as running and jumping, can cause stress on the joints and increase the risk of injury.
  • Weightlifting during pregnancy can put extra strain on the back and lead to injury.
It's also important to listen to your body and avoid overexertion, as well as stay well-hydrated before, during, and after physical activity. If you experience any unusual symptoms such as vaginal bleeding, shortness of breath, chest pain, or contractions, stop exercising and contact your healthcare provider immediately.

Exercising during pregnancy has many benefits, such as improving mood, increasing energy levels, reducing the risk of gestational diabetes, and helping with weight management. However, it's important to understand that the type and intensity of exercise may need to be modified throughout pregnancy to ensure the safety of both the mother and the baby.

Tuesday 7 February 2023

Understanding Motor Neuron Lesions And Associated Diseases

Motor neurons are a crucial component of the nervous system, responsible for transmitting signals from the brain to the muscles. However, when these neurons suffer a lesion or injury, it can lead to debilitating conditions such as Amyotrophic Lateral Sclerosis (ALS) or Spinal Muscular Dystrophy (SMD). In this blog, we will explore motor neuron lesions and their impact on the patient's life.

Motor Neuron Lesions:

Motor neuron lesions can greatly impact an individual's mobility and daily function, but with proper physiotherapy treatment, there is hope for improvement and recovery.
Lesions in motor neurons can cause problems with the control of movement and muscle function. Motor neurons are nerve cells that control muscle contractions, and damage to these cells can result in muscle weakness, paralysis, or other movement disorders. Motor neuron lesions refer to damage or destruction of the motor neurons, which are nerve cells responsible for transmitting signals from the brain and spinal cord to the muscles. This can result in muscle weakness, difficulty in movement, and loss of muscle tone. Lesions can be caused by various factors, including degenerative diseases (such as ALS or Lou Gehrig's disease), trauma, infection, exposure to toxins, and others.
Treatment for motor neuron lesions typically involves managing symptoms and slowing the progression of the disease, and may include physiotherapy, medications, and other forms of support.

Upper Motor Neuron Lesion (UMN Lesion)
Upper motor neuron diseases refer to a group of neurological conditions that affect the upper motor neurons, which are the nerve cells in the brain that control movement and coordination. Some common examples of upper motor neuron diseases include:

  • Amyotrophic lateral sclerosis (ALS)
  • Primary lateral sclerosis (PLS)
  • Progressive bulbar palsy (PBP)
  • Progressive muscular atrophy (PMA).
An upper motor lesion is a damage to the motor pathway in the central nervous system (CNS) above the level of the spinal cord. Some signs and manual tests for UMN lesions include:
  1. Weakness,
  2. Spasticity,
  3. Muscle wasting,
  4. Increased muscle tone,
  5. Hyperreflexia,
  6. Problems with coordination movement and coordination, etc.
Manual Tests that can help diagnose an Upper Motor Lesion Include:
  • Muscle tone test: Evaluates the resistance of a limb to passive movement, looking for increased muscle tone.
  • Reflex test: Tests for hyperreflexia, which is an exaggerated knee-jerk response.
  • Clonus test: Looks for rhythmic muscular contractions caused by sudden stretching.
  • Babinski sign: Tests for the presence of an abnormal reflex that involves dorsiflexion (upward movement) of the big toe and fanning of the other toes, which is a classic sign of an upper motor lesion.
These tests can help diagnose an upper motor lesion, but further tests, such as imaging studies (e.g., MRI or CT scan) or electrophysiological tests (e.g. EMG), may be necessary to confirm the diagnosis and determine the extent of the damage. Treatment options depend on the specific condition and may include medication, physiotherapy, and other supportive measures.


Lower Motor Neuron Lesion (LMN Lesion)
Lower motor neuron diseases refer to a group of disorders that affect the lower motor neurons in the spinal cord and brainstem. Some examples of lower motor neuron diseases include:
Lower motor neuron (LMN) lesions affect the anterior horn cells of the spinal cord or the cranial nerve nuclei in the brainstem. Some signs and manual tests for LMN lesions include:
  • Muscle weakness and atrophy,
  • Hypotonia (reduced muscle tone),
  • Fasciculations (twitching of individual muscle fibres),
  • Decreased or absent deep tendon reflexes (such as knee or ankle reflexes),
  • Muscle cramps or spasms, etc.
Manual tests for LMN lesions include:
Testing for muscle weakness: The strength of specific muscle groups can be tested by asking the patient to perform certain movements (e.g., lifting a limb against resistance)
Testing for hypotonia: The muscle tone can be assessed by passively moving the limb and observing the resistance offered by the muscles
Testing for fasciculations: The presence of fasciculations can be detected by visually examining the muscles or by palpation (feeling the muscle with the hands)
Testing for reflexes: Deep tendon reflexes can be tested by tapping a tendon with a reflex hammer and observing the response of the muscle.
It is important to note that these signs and tests are not specific to LMN lesions and may also occur with other conditions. A comprehensive clinical examination, imaging studies, and other tests may be necessary to confirm a diagnosis of an LMN lesion.

Physiotherapy plays a crucial role in the rehabilitation of patients with motor neuron lesions by helping to reduce symptoms, improve their mobility, and thus increase the overall quality of life.


 

Walking Abnormalities | Things You Need To Know About Your Walking Pattern


Have you ever had hip, knee, or back pain? Because of this, you lack a normal walking pattern. Then you need to understand about gait cycle. Today in this blog, we will discuss gait, how gait problems can create a vicious cycle of chronic pain, and how you can improve your gait to enhance your well-being.

WHAT IS GAIT?
Gait is the way the person walks, how he moves his limbs to get from one place to another. The gait cycle has 7 stages. And these stages should occur in succession with each other. 
The body muscles should work to counteract the external force of the body weight connecting with the ground, the steps should be even, and the length of each step should be appropriate for the height and weight.
Normal gait requires good coordination because, for a brief moment between each step, the weight rests solely on one leg. It happens so fast that the person may not notice it, but while one leg swings forward, the other leg is holding the person up. If the gait is normal, the person won't feel like he is losing his balance when this happens. Similarly, with a normal gait, the person should be able to walk on a flat surface, with ease, and not have to think about how to place each step.

Gait Abnormalities:
Any abnormality in gait causes deviation from a normal walking pattern, which can be caused by a variety of underlying conditions. Common symptoms of gait abnormalities include limping, difficulty walking, pain in the legs or feet, and a decrease in overall mobility. Gait abnormalities can be caused by injuries, neurological disorders, degenerative diseases, and other underlying health conditions. Early identification and treatment of gait abnormalities are crucial to prevent further deterioration of mobility and improve the overall quality of life. Physiotherapy, orthotic devices, and surgery are some of the common treatment options for gait abnormalities.
Pathological gait can be caused by a wide range of conditions, such as neurological disorders, musculoskeletal disorders, and certain medical conditions, such as strokeParkinson's diseasemultiple sclerosis, and peripheral neuropathy.

Hemiplegic Gait
Hemiplegic gait is a type of gait disorder that occurs in individuals who have suffered a stroke or brain injury. The gait is characterized by weakness or paralysis on one side of the body, leading to an uneven, shuffling, or dragging type of walk. This can also lead to difficulty with balance and coordination. Physiotherapy and other forms of rehabilitation can help improve hemiplegic gait, but the degree of improvement depends on the extent of the brain injury or stroke.

Diplegic Gait (Spastic Gait)
Diplegic gait is a type of gait disorder characterized by spasticity (stiffness and tightness) in the muscles of the legs, typically caused by damage to the brain or spinal cord. This can result in a "scissor gait" where the legs cross over each other while walking, as well as difficulty with balance and coordination. Diplegic gait is commonly seen in individuals with cerebral palsy, a neurological disorder that affects muscle control and movement. Cerebral palsy is a neurological disorder that affects muscle tone, movement, and coordination. Individuals with cerebral palsy may have difficulty with balance and coordination, leading to a characteristic "spastic" gait. Treatment options may include physical therapy, medications, and surgery to help improve muscle function and mobility.

Neuropathic Gait (Steppage Gait, Equine Gait)
Neuropathic gait refers to changes in walking patterns and movements caused by damage or disease to the nervous system. This can include conditions such as peripheral neuropathy, which affects the nerves in the limbs, or spinal cord injury, which can disrupt the communication between the brain and the rest of the body. Some common signs of neuropathic gait include foot drop, in which the foot drags on the ground while walking, and a high-stepping gait, in which the affected limb is lifted higher than normal to clear the ground. Other symptoms can include muscle weakness, balance problems, and muscle spasms. Unilateral, causes include L5 radiculopathy and peroneal nerve palsy and L5 radiculopathy, whereas bilateral, causes include Charcot-Marie-Tooth disease, amyotrophic lateral sclerosis, and other peripheral neuropathies including those associated with uncontrolled diabetes. Peripheral neuropathy affects the peripheral nerves and can lead to numbness, tingling, and weakness in the feet, making it difficult to walk. Treatment for neuropathic gait may include physiotherapy, orthotic devices, and medications to manage pain and other symptoms.

Myopathic Gait (Waddling Gait)
A myopathic gait is a walking pattern that is characteristic of individuals with muscle disorders, such as myopathies. Myopathic gait can be characterized by muscle weakness, difficulty initiating movement, foot drop, and a high-stepping or cane-like gait. The gait abnormalities seen in myopathies are caused by the abnormal structure, function, or metabolism of muscle fibers. Physiotherapy and assistive devices such as canes or braces can help improve gait and mobility in individuals with myopathies.

Choreiform Gait (Hyperkinetic Gait)
Choreiform gait is a type of abnormal movement disorder characterized by irregular, jerky, or unpredictable movements of the limbs and trunk. It is often seen in patients with Huntington's disease, a genetic disorder that affects the brain and central nervous system. Other neurological conditions such as Parkinson's disease and dystonia can also cause choreiform gait. It is typically diagnosed through physical examination and neurologic testing. Treatment options may include medication, physiotherapy, and occupational therapy.

Ataxic Gait(Cerebellar)
Ataxic gait is commonly seen in cerebellar disease, this gait is characterized by clumsy, staggering movements with a wide-based gait. While standing, the patient's body may swagger back and forth and from side to side, known as titubation. Patients are not able to walk from heel to toe or in a straight line and have a gait of acute alcohol intoxication that resembles the gait of cerebellar disease (ataxic gait).
Ataxic gait, also known as an unsteady gait, is a type of walking pattern characterized by a lack of coordination and balance. Multiple sclerosis is an autoimmune disorder that affects the central nervous system and individuals with MS may have an ataxic gait.

Parkinsonian Gait (Festinating Gait, Propulsive Gait)
Parkinson's disease is a progressive condition of the nervous system that affects the body's movement. Individuals with Parkinson's may have difficulty with initiating movement, leading to a characteristic "shuffling" gait. They may also experience freezing of gait, where they are unable to move their feet despite the intention to walk.
Parkinsonian gait refers to the distinctive way of walking that is commonly seen in individuals with Parkinson's disease. This type of gait is characterized by several features, including small, shuffling steps, a tendency to take shorter steps than normal, a stooped posture, and a decreased arm swing. These symptoms are caused by the degeneration of dopamine-producing cells in the brain, which leads to a loss of muscle control and coordination. Treatment for Parkinsonian gait typically involves the use of medications such as levodopa and dopamine agonists, as well as physiotherapy, occupational therapy, and deep brain stimulation.

Sensory Gait
Sensory gait refers to how the nervous system processes and uses sensory information from the environment to control and coordinate movement during walking or running. This can include information from the eyes, ears, proprioceptors (sensors in the joints and muscles), and skin receptors. Sensory gait can be affected by various neurological conditions such as Parkinson's disease, peripheral neuropathies, and other conditions that affect the nervous system.
Gait pathologies can greatly impact an individual's quality of life and ability to perform daily activities. Physiotherapy, 0ccupational therapy, and medication can help to improve symptoms and may allow individuals to regain some of their mobility.
It is important to consult a physiotherapist if you suspect you may have a gait pathology. They will be able to perform a thorough examination and may refer you to a specialist for further evaluation and treatment

Abnormal walking patterns can have a variety of causes and can significantly impact an individual's quality of life. It is important to seek professional help if you suspect you or someone you know may have an abnormal walking pattern. Physiotherapy, orthotics, and other interventions can help improve gait and reduce the risk of falls and other complications. Regular exercise, maintaining a healthy weight, and stretching can also help prevent abnormal walking patterns from developing. Remember, abnormal walking patterns are not normal, and it's important to take them seriously and address them as soon as possible.

Wednesday 25 January 2023


 

Top 10 Computer Ergonomic Tips To Prevent Pains And Aches

Do you feel discomfort and pain while working in your office and want to minimize this uneasiness? If yes, then you should go through this blog to ease yourself and produce a more productive workplace. In this blog, we will explore ergonomics, which is the study of the science of designing and arranging things in a way that minimizes the risk of injury and promotes efficiency.  Ergonomics includes a wide variety of studies ranging from the ergonomics of office furniture and equipment to ergonomic techniques for manual labor. Whether you're an office worker, a manual laborer, or someone looking to improve posture and comfort at home, this blog will help you to improve your overall well-being and productivity. 
Ergonomics is the study of how people interact with their environment, specifically with the design of equipment and system around them. It is essential to consult a physiotherapist who can well explain the importance of ergonomics in the workplace, and provide tips and strategies for creating a more ergonomic environment for the employees. In a workplace, ergonomics is essential for maintaining the health and well-being of employees for a safer, more comfortable, and more productive environment. Ergonomics helps to fit the human body into a healthy working environment and is especially important for desk-bound workers.

Tips to help you create an ergonomic workspace:

Chair:
Use a chair that supports your lower back and allows you to sit with your feet flat on the floor. Look for chairs with adjustable armrests and lumbar support. The chair should support your lower back and allows you to keep your feet flat on the floor.

Computer:
Position your computer monitor so that the top of the screen is at your eye level. This will help reduce strain on your neck and eyes. Keep the monitor about arm's length away from you.

Keyboard:
Place your keyboard and mouse at the same level, and use a wrist rest to support your hands while typing. Position your keyboard and mouse so that your wrists are in a neutral position.

Regular breaks:
Take regular breaks to stretch and move around. Set a reminder on your phone or computer to remind you to stand up and stretch every hour. Take frequent breaks to stand up and stretch.

Speakerphone or headset:
Use a headset or speakerphone instead of holding the phone between your shoulder and ear. Adjust the contrast and brightness of your monitor to reduce eye strain.

Standing desk:
Consider using a standing desk or a sit-stand desk, which allows you to adjust the height of your work surface to accommodate both sitting and standing positions.

Document holder:
Use a document holder to reduce neck and eye movement. Keep frequently used items within easy reach to minimize reaching and twisting.

Footrest:
Use a footrest to support your feet and reduce pressure on your lower back.


Strategies for implementing ergonomic changes in the workplace include:

  • Gradually make changes to your workstation over time, rather than trying to make everything perfect at once. Involve your employer or IT department in the process to make sure that you have the necessary equipment and support.
  • Setting reminders to take breaks, and do some stretches throughout the day. Ask a physiotherapist or ergonomics expert to evaluate your workstation and make recommendations. By following these tips, you can help prevent discomfort and injury and increase your productivity and well-being.

Ergonomics is an important aspect of maintaining a comfortable and safe work environment. By understanding the principles of ergonomics and making small adjustments in your work setup, you can prevent injuries, increase productivity, and improve your overall well-being. Remember, small changes can make a big difference, so take the time to assess your work area and make adjustments as needed.
Another thing you can do to reduce stress and keep yourself healthy is by strengthening your body by sleeping enough and maintaining fitness by exercising, This makes your body less prone to the negative effects of using a computer or desk for a prolonged time.

Monday 23 January 2023

 

Heat Therapy Or Cold Therapy | What's Best For An Injury?


Are you confused about when to use Cold therapy and Heat therapy after an injury? To find an answer to your question you need to go through this blog. Cold and heat therapy both can reduce pain. Cryotherapy (cold therapy) and thermotherapy (heat therapy) are useful adjuncts for the treatment of musculoskeletal injuries and soft tissue injuries. These therapies decrease pain in joints and muscles as well as soft tissues and have opposite effects on tissue metabolism, blood flow, and connective tissue extensibility.

Thermotherapy or Heat therapy
Thermotherapy consists of applying heat to the targeted area to induce a desired biological response. The majority of thermotherapies are designed to deliver thermal therapy to the tissue volume with minimal impact on intervening or surrounding tissues.

Application:
Superficial heat can be applied to the tissues by using hot packs, hot towels, heat wraps, wax baths, steam baths, saunas, and steam baths/rooms. Heat can be induced in the deeper tissues by electrotherapy modalities like ultrasound therapy, infrared radiation, shockwave, etc.
Exercise in warm water is a popular and effective treatment for pain relief for patients with painful musculoskeletal or neurologic conditions. The warmth of the water can block the nociception by acting on thermal receptors and mechanoreceptors, thus influencing spinal segmental mechanisms. It gives positive effects on cutaneous barrier homeostasis and anti-inflammatory activity. It also enhances blood flow and muscle relaxation. The hydrostatic effect may also relieve pain by reducing edema and dampening sympathetic nervous system activity.

Effects of Thermotherapy (Heat therapy):
By increasing the temperature of the skin or soft tissue:
  • Vasodilation occurs causing an increase in the blood flow.
  • Metabolic rate increases,
  • Tissue extensibility also increases.
  • Oxygen uptake increases.
  • Tissue healing accelerates.
  • Increases the efficacy of destructive enzymes.
  • Increases joint temperature.
  • Causes muscle relaxation.
  • Decreases joint stiffness.
  • Increases flexibility.

Conditions that can benefit from Thermotherapy (Heat therapy):
The use of thermotherapy can benefit individuals suffering from

Cryotherapy or Cold Therapy:
Cold therapy can be applied by using ice packs, cooling gel packs, ice baths, cold air, sprays, etc. Cold therapy is an effective treatment for soft tissue injuries. It reduces swelling and improves the range of motion. The application of ice may be useful for a variety of conditions.

Effects of Cryotherapy (Cold therapy):
By decreasing the temperature of the skin or soft tissue:
  • Vasoconstriction occurs causing a decrease in the blood flow.
  • Prevents hypoxic damage i.e. hunting reflex.
  • The tissue metabolism will decrease just like the neuronal excitability.
  • Inflammation decreases.
  • Tissue extensibility decreases.
  • The conduction rate decreases.
  • The activity of the cartilage-degrading enzyme decreases.
  • Collagenase, elastase, hyaluronidase, and protease, activity is inhibited.
  • Numbs the pain, and decreases swelling.
  • Blocks nerve impulses to the joints.

Conditions that can benefit from Cryotherapy (Cold therapy):
There are various conditions that can benefit from cold therapy, these include:
  • Tendonitis (jumper's knee, tennis elbow).
  • Recurrent ligament/joint inflammation (arthritis flare-ups).
  • Shin splints.
  • Plantar fasciitis.
  • Overuse injuries.
  • Strained or pulled muscles.
  • Sprains (shoulder, wrist, ankle).
  • Impact injuries to soft tissues like bruised hips, jammed fingers, facial traumas, etc.

Mechanism of action of Heat therapy and Cold therapy
Skin blood flow is controlled by two branches of the sympathetic nervous system, a cholinergic active vasodilator system, and a noradrenergic vasoconstrictor system. These dual sympathetic neural control mechanisms affect the major aspects of thermoregulatory responses on most of the human body's surface.
During periods of hypothermia, falling skin temperatures lead to an increase in sympathetic active vasoconstrictor nerve activity to reduce skin blood flow and conserve body heat.
During periods of heat stress, increasing skin temperatures lead to increase in sympathetic active vasodilator nerve activity to increase skin blood flow.

Contraindications for Heat therapy and Cold therapy:
There are certain conditions in which heat therapy should not be used. These include:
  • Acute traumas/injuries,
  • Allergies to heat,
  • Numbness of area being heated,
  • Open wound,
  • Heart conditions like coronary artery disease, heart failure, etc,
  • Diabetes,
  • Dermatitis,
  • Vascular diseases,
  • Multiple sclerosis,
  • Deep vein thrombosis, etc.

Certain conditions in which cold therapy should not be given include:
  • Cold allergy,
  • Sensory loss of superficial nerves opens wounds.
  • Hypersensitivity to cold,
  • Hypertension.
  • Coronary artery disease,
  • Asthma,

It is important to note that Cold therapy should be used on acute injuries during the first 48 hours, but should not be applied for more than 20 minutes at a time to prevent frostbite. By applying ice to the injured tissue, a cold temperature will help prevent further damage. Whereas heat treatment should never be done immediately after the injury as it causes further damage.


 What Is The Cost Of Physiotherapy In Delhi?

The cost of physiotherapists in Delhi can vary depending on a number of factors. Some of the most important considerations include the Location of the Clinic, the Experience and Qualification of the Physiotherapist, and the Type of Treatment/equipment required.

On average, physiotherapy sessions in Delhi can range from Rs. 500 to Rs. 2000 per session. However, it's important to note that charges can vary greatly depending on the location of the clinic and the experience of the physiotherapist. For example, a physiotherapy session in a high-end clinic in a posh location in Delhi may cost more than a session in a smaller clinic in a less affluent area.

In addition to the cost per session, it's also important to consider package rates that some clinics may offer. These packages can provide a discounted rate for a set number of sessions, which can be a cost-effective option for those seeking long-term treatment.

When choosing a physiotherapist in Delhi, it's also important to consider the experience and qualifications of the practitioner. Physiotherapists with more experience and specialized training may charge more for their services, but they may also be better equipped to provide effective treatment.

In Delhi, the cost of physiotherapy can vary depending on the location of the clinic. For example, physiotherapy sessions in posh areas like South Delhi, such as Hauz Khas or Defence Colony, may cost more than sessions in less affluent areas like North Delhi or East Delhi. However, it's important to note that even within a particular area, prices can vary greatly depending on the clinic and the experience of the physiotherapist.

One of the best options for physiotherapy in Delhi is the "CB Physiotherapy" clinic, where prices range from 600-800 for a basic physiotherapy session and 1000-2000 for advanced modalities or advanced physiotherapy sessions. The clinic is located in a prime location and is easily accessible, with experienced and qualified physiotherapists who are dedicated to providing the best quality care to their patients.

While cost is certainly an important consideration when choosing a physiotherapist, it's also important to keep in mind that the most important factor is the quality of care you receive. It's always recommended to check with individual clinics or physiotherapists for more accurate pricing and to make a decision based on the quality of service you receive.

Tuesday 17 January 2023

 


How Much Does Physiotherapy Cost In India?


Physiotherapy is a form of medical treatment that focuses on the rehabilitation and management of physical impairments, disabilities, and pain. In India, physiotherapy is becoming increasingly popular as a means of treating a wide range of conditions, including Musculoskeletal injuries, Neurological disorders, and chronic diseases.

The cost of physiotherapy in India varies depending on several factors, including the qualification and experience of the physiotherapist, the severity of the condition, the type of treatment, the location of the clinic, and the location of the home visit.

Qualification and Experience of the Physiotherapist:
It is one of the factors that affect the cost of physiotherapy. Physiotherapists with more experience and higher qualifications are likely to charge higher fees than those who are less experienced or less qualified. This is because they have more knowledge and skill in treating a wide range of conditions and are better able to provide effective treatment.

Severity of the Condition:
The charges also depend on the severity of the condition in case the condition is too severe and requires more time, interventions, and sessions. Then in such cases, the charges are more. If the condition is not severe, then the treatment requires less time, fewer interventions, and fewer sessions, and thus has low charges.

Type of Treatment / Clinic
One of the main factors that affect the cost of physiotherapy in India is the type of treatment. Physiotherapy treatments can include exercises, manual therapy, electrotherapy, and hydrotherapy, and the cost can vary depending on the specific type of treatment used.
For example, manual therapy, which involves the use of hands-on techniques to manipulate the muscles and joints, is generally more expensive than exercise-based physiotherapy.
Similarly, a small clinic offering basic physiotherapy services might charge less, but an advanced physiotherapy center might be costlier but offer a wide range of services best suited to you

Location of the Clinic:
The location of the physiotherapy clinic is also an important factor that affects the cost of treatment. Clinics in urban areas, such as major cities like Mumbai, Delhi, and Bangalore, tend to be more expensive than those located in rural areas. This is because the cost of running a clinic in an urban area is generally higher than in a rural area.

Home Visits:
Costs are different if the patient requires physiotherapy home visits. The charges increase if the patient wants to take treatment in his comfort zone i.e. his home as it includes the additional transportation costs of traveling to the patient's home.

In general, the cost of physiotherapy in India ranges from around 500 to 3000 INR per session, depending on the above-mentioned factors. It's important to note that some physiotherapy centers like CB Physiotherapy provide package sessions, where you can get multiple sessions at a discounted rate of 10 Percent to 20 Percent. CB physiotherapy also provides Tele physiotherapy at very minimal prices which is suitable for long-term treatments that go on for months.
Overall, physiotherapy is becoming an increasingly popular form of treatment in India, and the cost of treatment is generally affordable.