Unusual or abnormal appearance of any body part is known as a deformity. A deformity not only affects the physical abilities of a child but also affects the child psychologically. An early detection of deformities can help in better management in the future.
Types of deformities
The types of deformities can be defined based on when they are developed-
Congenital deformities – Deformities that are present from birth, eg. Spina bifida, congenital hip dislocation, etc.
Developmental deformities- Deformities occurring due to improper development of the child. Eg. CTEV, stunted growth, etc.
Acquired deformities- Deformities that occur due to external factors- eg. due to malunion of fractures.
What are some commonly seen deformities in children?
Several deformities can be seen in children at different stages of development. Some of them are-
Congenital Talipes Equinovarus, often known as clubfoot is a disorder in which a child is born with one or both feet internally rotated at the ankle.
It generally has two types- postural ctev and structural ctev. Signs and symptoms of CTEV are-
Inward turning of feet
Tight calf muscles
Inability to walk properly
Pain in the foot
Congenital dislocation of hip-
A child can have congenital hip dislocation (CHD) if their hip is unstable at birth. It results from faulty hip joint construction in the foetus’ early developmental phases. This disorder is also known as “hip developmental dysplasia.” As your child gets older, this instability gets worse.
Sometimes a child’s hip’s ball-and-socket joint can dislocate. This implies that movement will cause the ball to fall out of the socket. Sometimes, the joint may fully dislocate.
A sideways curvature of the spine that occurs in newborns is known as congenital scoliosis. Congenital scoliosis, which affects roughly 1 in 10,000 babies, is the least prevalent of the three main kinds of scoliosis.
When the vertebrae do not develop normally before a baby is born, congenital scoliosis results. The severity of this kind of scoliosis can range from minor to life-threatening. Because the spine develops during the first few weeks of pregnancy at the same time as other organ systems, many kids with congenital scoliosis also have issues with their neurological systems, bladders, or kidneys. They might also experience issues with their spine or spinal cord.
A sharp forward angulation in the thoracic spine is know as kyphosis. Congenital kyphosis can be classified into two categories: failure of segmentation and failure of formation. A kyphosis is caused when a segment of one or more vertebral bodies fails to develop (Type I deformity), most commonly in the thoracolumbar spine. Kyphosis typically gets worse as a child grows . Typically, the abnormality is noticeable on the baby’s spine at birth as a lump or bump. When two or more vertebrae fail to separate and form typical discs and rectangular bones, the failure of segmentation deformity (Type II deformity) results. The likelihood of a diagnosis for this kind of congenital kyphosis increases when the youngster walks.
Cleft lip and cleft palate-
Openings or cracks in the upper lip, the palate, or both are known as cleft lip and cleft palate, respectively. When a developing baby’s facial tissues don’t fully seal, it can lead to cleft lip and cleft palate.
The most prevalent birth malformations are cleft lip and cleft palate. Although they most frequently manifest as solitary birth abnormalities, they are also linked to a variety of inherited genetic diseases or syndromes.
How are deformities diagnosed?
Deformities are diagnosed by a specialist doctor based on patient history, family history, and special tests and clinical examination. Imaging modalities such as XRAY, MRI, CT etc. may be done if thought necessary by the doctor. Certain special tests could also be performed to confirm the diagnosis.
Management of the deformities
The management of deformities in a child depends upon a number of factors. The doctor will examine the deformity thoroughly and to the extent with which it is interfering with the child’s function and accordingly decide the plan of management.
The condition can be managed surgically or non surgically by applying casts and braces. When to perform the surgery is decided by the doctor based on the condition and clinical judgement.
Deformities in children can cause quite a lot of stress to the child and the parents. The child may be discriminated against or can be treated differently and thus become sensitive. It is thus very important to diagnose them early and seek treatment promptly.
How Sancheti Hospital can help you?
Consider Sancheti Hospital if you are interested in plastic reconstructive surgery. It has a panel of leading surgeons with more than a decade’s experience in successfully carrying out various reconstructive surgeries. You can approach their panel of doctors for a diagnosis, treatment, and consultation to correct any deformities.
Body health and orthopaedic health are in direct correspondence with each other. Orthopaedic health means having healthy bones, joints and musculoskeletal parts of our body. Robust orthopaedic health ensures long healthy life. Along with regular exercise, a balanced diet, and stress management, we can have a well-maintained and healthy body.
The decrepit health of bones and joints invites orthopaedic disorders like:
Osteoporosis: Osteoporosis is a silent disease wherein the components of the bone are lost too rapidly or not replenished fast enough. Our bones become weak and brittle and make us vulnerable to fractures.
Chronic Pains: People having orthopaedic troubles often have aching knees or necks. These chronic pains are not only caused in the knees and neck but also in hands, joints, fingers, and backs.
Musculoskeletal Injuries: Musculoskeletal injuries are caused to the muscle or the skeleton due to stressful activities. They affect bones, joints, cartilages, ligaments, tendons, and muscles. They take place over a period of time and are fixed with the help of orthopaedic as well as physical therapy.
Prevention is better than cure. There are ways in which one can take care of their body and ensure good overall orthopaedic health at home. Inculcating these habits into your daily routine can ensure the good body and orthopaedic health.
Activities: Activities such as swimming, stretching, walking and biking could be done in proper amounts and added to one’s daily routine to maintain a healthy lifestyle. The activities keep our muscles engaged and bones in fine fettle.
A Balanced Diet: Incorporating foods rich in calcium, magnesium, zinc, Vitamin D, Vitamin K and potassium refine bone health. Keeping track of what to eat, when to eat, and how much to eat is also very crucial. Sources like dairy products such as milk and cheese, green leafy vegetables (excluding spinach), soya beans, tofu, plant-based drinks with added calcium, nuts, anything made with fortified flour, fish where you eat the bones, such as sardines and pilchards etc improve orthopaedic health.
Keeping a Healthy Weight: Having a healthy weight relieves pressure on the joints. Obesity and excessive fat strain the skeletal structure causing risks to one’s orthopaedic health. The extra weight can also cause the cushioning around the knees to wear away which can cause surgical situations. Maintaining a healthy weight according to your age and gender can help reduce serious orthopaedic situations.
Core Exercises: Exercises like yoga and pilates help strengthen our core muscles and also encourage good posture. It strengthens and stabilises the spine along with relieving pressure on the joints. Good movement is also achieved through these exercises.
Listen to your body: It is imperative to not strain or force activities on your body. The body knows its limits and it is important to understand them otherwise it could cause long-lasting damage. Feeling pain, dizziness, nausea, and fatigue are some signs that you are overdoing it.
With regular visits to the orthopaedic doctor, a balanced diet, and regular exercise a healthy body can be maintained and there shall be a reduced risk of diseases and illness. Everyone should take these few steps to ensure and continue living a healthy and long life.
How Sancheti hospital helps you?
The Sancheti shoulder surgery department specializes in successful orthopaedic procedures, including Arthroscopy, Plastic and Reconstructive Surgery, Spinal Surgery, Sports Injuries, and more. It has a team of highly-qualified and experienced doctors with access to the latest medical technology and equipment. Visit our website to learn more about our shoulder, neck, and back surgery experts and ensure a quick recovery.
Occasionally you can suffer from mild shoulder pain due to writing, using computers, or as a result of strenuous workouts. If your pain is persistent, you must consult a shoulder surgeon. Learn more about how specialists diagnose, and what happens after shoulder surgery, if you are undergoing one.
What happens after shoulder arthroscopy?
Shoulder arthroscopy is a minimally-invasive surgery that can be done for minor shoulder problems like shoulder impingement or rotator cuff tears, dislocation, and frozen shoulder. The cuts made during this procedure are tiny and about the size of a keyhole. The surgeon inserts a small camera, an arthroscope, through the cut to locate the shoulder injury. Doctors suggest shoulder arthroscopy when physical therapy, medications, and rest are ineffective.
Since this procedure is minimally invasive, patients can return home the same day or stay for another day at the hospital. Patients must follow proper post-operative care for the best results, when shoulder arthroscopy is minimally invasive.
What are the advantages of shoulder surgery?
The range of benefits that you get after a shoulder arthroscopy are:
Less tissue damage and chances of getting infections
Shorter recovery period
Less joint stiffness and pain when compared to open shoulder surgeries
What is the recovery time after shoulder surgery?
You can get back to your routine after six weeks of shoulder surgery. However, you have to be mindful of whatever you do. With time, you can slowly let your operated shoulder adapt to your old routine. Ice packs and medications help with pain relief. To be comfortable, you can sleep in a propped-up position with extra pillows. Sling support and gentle physical therapy may also help you get the groove, depending on your condition and the surgery.
When can I go back to work?
You can go to work, depending on the complexity of your surgery and how quick your recovery period is. You may be advised to stay away from driving after the procedure for a while. Ensure you listen and follow your surgeon’s advice.
When should I visit my doctor next?
You can visit for regular follow-ups with your surgeon after the procedure. If you suffer from
Fever or increased swelling
Discoloured or foul-smelling fluid around the wound
Tingling or numbing
Also, in cases when the pain does not reduce; you need to consult your doctor as early as possible.
How can Sancheti Hospital help you?
The shoulder surgery department at Sancheti has performed several rare and successful shoulder surgeries like long thoracic nerve decompression and arthroscopic biceps tenodesis. Its modern and advanced medical instruments include the latest radio frequency console, HD cameras and video recording towers. Head to our website and learn more about the shoulder surgery experts at our hospital for a speedy and successful recovery!
People also ask
How long will the pain last after shoulder surgery?
The pain after shoulder surgery usually lasts up to 6 weeks. However, the pain varies for every individual. You will need to be immobile with a sling till you heal. Also, ensure you strictly follow your doctor/surgeon’s advice.
How long does it take to feel normal after shoulder surgery?
The usual time to feel normal after shoulder surgery is three to six months. You will be able to start with basic movements in the first few weeks and then slowly slide into your usual routine after six months. Give your body the time to heal and follow the doctor’s suggestions to recover faster.
What are the do’s and don’ts after shoulder surgery?
Don’t drive, pull or push heavy objects after your shoulder surgery. Don’t use ointments, sprays, or other medications until your surgeon advises you to do so. You can walk for 10 to 20 minutes, change your dressing after four to five days of surgery and move your fingers five to ten times every hour.
For how long is bed rest required after shoulder surgery?
You will be advised to be on bed rest for at least six weeks. Depending on your recovery, your surgeon might increase the duration. Ensure you follow the instructions given by your doctor so that you give your shoulder the rest and time it needs to heal and recover.
Think about your lifestyle and habits to make a few modifications if you have suffered knee and joint pain and are wondering how to get relief from your suffering. If you’re one of the many people who experience knee pain, some elements of your daily routine or even your weight can be one of the factors. Fortunately, many of the contributing variables can be corrected, which will ensure pain-free & improved mobility.
To protect your knees, avoid the following blunders
Joint pain can be difficult to manage because both movement and rest are crucial to your ability to feel better. We recommend moving and strengthening your knee joints if you experience knee pain. You can lessen inflammation while also enhancing their support systems by keeping them active. Our staff of knee surgeons at Sancheti Hospital is aware of the substantial limitations that knee discomfort can have on our patients’ life, and can help you make some important changes for improved function.
Here are 6 unhealthy habits that may be harming your knees:
Living with pain: Yes, a little muscle ache is normal. But not if it persists for several days or if your knee joint muscles are bloated or unbearably painful. Pay attention to knee hinge joint pain because it’s not normal. Go easy on your exercises if you feel like you are overdoing them. See your doctor if the pain persists.
Battling excess weight: Your knees are under 2 kg of stress for every kg you add to your frame. Your feet, hips, and back are all put under tension. That results in wear and tear, which can cause harm, aches, and pains. Inflammation is also triggered by being overweight. That may cause swelling, stiffness, and discomfort in all of your joints, including those in your hands.
Neglecting ACL injury: The anterior cruciate ligament (ACL), one of the most often injured knee ligaments. Sports like roller skating, which call for fast cuts, twists, and jumps, increase the likelihood of the ACL rupturing. Soccer, basketball, football, and volleyball are some of the more popular high-risk sports. Women are more likely to sustain an ACL tear primarily because of the way they naturally jump, land, and turn. The likelihood of knee injuries can be reduced by training both male and female athletes to “rewire” themselves.
Overdoing weight training exercises: When you work hard and then give your body time to recover, you improve your fitness. You cannot work out vigorously every day. Overuse injuries can result from repetitive weight training if there is a sudden increase in workout duration and intensity. Stretching exercises should be done both before and after working out. Alternate days of intensive training with days of easy exercise should be done to help your body heal.
Resting too much: One of the first things you should do if you have acute knee pain is to rest (ice, compression, and elevation can help, too). By doing this, you’ll prevent hurting your knee’s damaged tissues and enable the joint to begin mending. However, if you spend too much time sitting still, your knee’s supporting muscles may weaken. This can wind up stressing the knee hinge joint even more and lead to chronic problems.
Wearing wrong shoes: Your feet and ankles are not adequately supported by worn-out shoes. Your knees, hips, and back will all be affected by that. For example, high-top basketball shoes can help prevent ankle sprains. However, excessive padding or arch support prevents your foot from moving naturally, which might keep you in a painful cycle. Heels might look great, but as heels go up it increases the twisting force on your knees resulting in osteoarthritis. That’s when the padding between the knee joint bones also deteriorates.
How Sancheti Hospital helps you?
When you visit Sancheti, we thoroughly examine your knees to identify the underlying issue so that we can help you regain your mobility, ensuring pain-free movement as soon as possible. Not to mention that this kind of early action can prevent other serious issues in the future. We strongly advise you to get in touch with Sancheti Hospital, Pune if you are experiencing knee discomfort so that we can create an arthritis knee pain treatment plan that will restore your zest for life.
People also ask?
What is the number one mistake that makes knees worse?
The biggest mistake that makes knees worse is to rest completely and stop doing any form of exercise. This is a major issue because often your knee will get stiff and the muscles around your knee will weaken.
How to reduce knee pain?
Simply use “RICE.” Rest, ice, compression, and elevation (RICE) is effective for treating knee pain caused by a flare-up of arthritis or a small injury. Rest your knee, use ice to reduce swelling, cover it with a compression bandage, and keep it elevated.
How can I make my knees stronger?
Exercises for knee strength are a great approach for keeping the legs healthy and injury-free. Additionally, stretching can keep the muscles flexible, which can reduce or even eliminate pain. Before starting any workout, anyone with health issues should consult their doctor.
Which fruit is good for knee pain?
Berries are known to be good for knee and joint pain. Berries have power pack anti-inflammatory properties. Anthocyanins, which can be found in fruits like blueberries, raspberries, strawberries, and blackberries, are rich in antioxidants, and are believed to reduce inflammation.
What causes knees and joint pain?
An injury, such as a torn ligament or damaged cartilage, may cause knee pain. Knee discomfort can also be caused by illnesses like arthritis, gout, and infections.
What protects your knee joint?
Movement protects your knee joint. Your joints need movement to thrive; the constant motion of an active lifestyle keeps them adequately lubricated. Additionally, it helps to develop the leg muscles that support your knees and lessen pain.
If you’ve had chronic pain in your hip area, or have recently had a grave injury that causes intense pain, you probably would need hip replacement surgery. But naturally, you’re bound to get all jittery and nervous when the word “surgery” comes up. However, you have no reason to worry, if you carefully read and follow this short guide about what total hip replacement surgery is, and how you should prepare for one.
What does hip replacement surgery do?
The removal and replacement of pieces of the pelvic and femoral bone (thighbone) that make up your hip joint constitutes a hip replacement. It is generally used to treat hip stiffness and discomfort brought on by hip arthritis. This surgery is occasionally performed to address various illnesses as well as injuries like a fractured or incorrectly developing hip.
The ball at the top of the thighbone (femur), is replaced during total hip replacement surgery, with metal, ceramic, or plastic. The hip cavity in the pelvic bone is also replaced. In a step-by-step procedure, total hip replacement surgery replaces worn-out cartilage with fresh joint material. Doctors can connect prosthetic joints to the bones, with or without bone cement.
The bone cement, which serves as a glue and fastens the prosthetic joint to the bone, is used to cement joints to the existing bone. A porous covering that is designed to enable the bones to attach to the artificial joint is used to attach uncemented joints. The porous coating’s pores are eventually filled with new bone that has grown to attach the joints to the bone.
What you can expect from hip replacement surgery
Patients can take particular measures both prior to and following surgery to shorten recovery time and enhance results. It’s crucial that you follow the guidance given to you by your orthopedic surgeon, the medical staff, and the rehabilitation therapist. To learn more about preoperative hip replacement seminars and patient education resources for joint replacement surgery, talk to your medical professionals.
The danger of infection is the most significant after the surgery, although it is relatively safe overall. The surgical infection rate for hip replacements at the facility or hospital where you will have your operation should be a question you ask your surgeon.
After surgery, you’ll take intravenous (IV) medicines for roughly a day. Additionally, you will be given painkillers and possibly blood clot preventatives. Constipation or an upset stomach after surgery are common side effects. If you feel unwell, consult a doctor or nurse.
A urinary catheter, a thin tube attached to your bladder, could be implanted so you won’t need to get out of bed to pee when you wake up after surgery. Additionally, you can have a compressive pump or stocking on your leg that applies pressure to keep the blood flowing and help eliminate blood clots.
How Sancheti Hospital helps you
Through minimal incisions, orthopedic physicians at Sancheti Hospital Pune, undertake hip replacement surgeries. This process is called minimally invasive surgery. It might result in less bleeding, a smaller scar, less pain, and a simpler recovery. Additionally, these procedures may need d specialised tools and materials, such as computer-generated tailored surgery resection guides, computer-assisted surgical intervention, and computer-assisted robotics. Sancheti Hospital has state-of-the-art machinery to ensure excellent and smooth hip replacement surgery, guided by the able hands of surgeons with years of expertise and knowledge.
People also ask
How long does it take to recover from hip replacement?
Recovery from a hip replacement can take two to four weeks on average, although every person is different. It depends on a number of variables, such as how active you were prior to surgery, your age, your diet, any underlying medical concerns, and other aspects of your health and lifestyle.
How long are you on bed rest after a hip replacement?
After surgery, expect to spend one to four days in bed, but physical therapy typically begins the day following your treatment. Barring difficulties, the procedure is gradual and steady, and every week should provide more mobility, improved balance, and reduced pain.
How long does it take to walk normally after hip surgery?
The majority of hip replacement patients may walk immediately after surgery or the day after; most can return to their regular routines within the first three to six weeks of a total hip replacement surgery.
What is the fastest way to recover from a hip replacement?
These are the top five suggestions you can use to recover more quickly.
More than any other joint in your body, your shoulder rotates across a wider range of motion. And if that is in chronic pain, going about your daily activities would be a tedious task. Your doctor may suggest replacement surgery if it’s giving you so much pain that you can’t reach into a cupboard, can’t get enough rest, or exhibit other major symptoms. With the right treatment and surgery, your mobility may improve, and your discomfort may be reduced.
Your surgery procedure will be arranged in advance, barring an emergency. So, you will have enough time to get ready and make plans for any particular assistance you might need after being released from the hospital. However, just like every other surgery, the recovery time for a shoulder surgery also varies. It can take anywhere between 4-12 weeks for you to recover after undergoing shoulder surgery. You can expedite the process by taking the appropriate and necessary measures to ensure smoother recovery. Here are some useful shoulder surgery recovery tips that will serve as the ultimate guide to your healing.
Things you’ll need to do after your shoulder surgery
You can either buy one or two pillows or find some extra ones around your home. Relaxing on your recliner or resting in bed with your wounded arm propped up with a cushion might give you some relief.
Taking the prescribed medication will definitely speed up your recovery process. Also, ensure that you do not miss your doses and adhere to the regular time. Before you take any new painkillers or over-the-counter medicines, do consult your doctor.
Eat fresh food
Having freshly cooked food is the best remedy to aid the healing process. Try to incorporate only freshly made and healthy food at home as much as possible. But if at all you cannot manage to get fresh food always, stocking up on frozen foods that are easy to heat up also proves handy.
Stock up on toiletries
Stock up on the items and brands you know you’ll need. This way, you’ll have sufficient toiletries on hand and don’t need to make last-minute runs to the store.
Use a shower chair
Through the use of a shower chair, which enables you to sit and rest while taking a shower, you can help lower your risk of falling. After surgery and the use of painkillers, these chairs come in handy. They are also perfect for those who have other ailments that could make it difficult for them to stand up straight, such as a brain injury that could induce dizziness.
Get easy-to-wear clothes
If you have clothes that button or zip rather than those that pull over your head, getting dressed will be simpler. Keep these garments close at hand in your closet before the operation. Additionally, because lacing your footwear with one hand is difficult, think about purchasing a pair of shoes with slip-on or Velcro straps.
Consume high-fibre foods
Following surgery, constipation is common and can be expected. Buy some high-fibre items to help you get rid of this uneasy sensation. Here are a few fibrous foods:
Black beans oats
Apples, pears, and skin-on baked potatoes
How to sleep properly after a shoulder surgery
The healing process following surgery depends on good sleep. Many patients who have just undergone shoulder surgery struggle to feel comfortable at night, which makes it difficult for them to fall asleep.
These tips will help you sleep well after shoulder surgery-
Sleep while inclining- Avoid sleeping on your back flat. It is preferable to sleep on an elevation for 4-6 weeks following surgery. A recliner might be the most comfortable choice for the initial week or two.
Put your sling on- Wearing your sling all day not only offers protection but also aids in maintaining the correct position of your arm. The same holds true at night. For the first week, using your sling at night can keep your shoulder in the right position while you sleep and guard against movement.
Employ a pillow prop– Put a little pillow between your torso and the shoulder that is healing. The additional help will keep your shoulder’s blood vessels open. Due to the fact that our blood contains oxygen, blood flow is crucial for healing. Collagen grows more quickly when oxygen is present, and it also fights infection.
Fix your medicine timing- Schedule your medication time such that you take your painkillers around 30 minutes before going to bed. When you are prepared to sleep, this will help to ensure that you are pain-free. Additionally, by taking your prescription immediately before bed, you’ll have plenty of time to sleep before you need to wake up again to take it.
Use Ice Compressions at night- You will fall asleep more quickly if you apply ice to your shoulder before going to bed since it will assist in calming the nerves and lessen inflammation. To prevent frostbite or irritation, keep a towel or soft cloth between your skin and the ice.
Helpful exercises after a shoulder surgery
Some extremely helpful exercises that will help your shoulder recover quickly are-
Assisted Shoulder Elevation
The procedures of arthroscopy, arthroplasty, and rotator cuff repair are frequently used in shoulder surgeries. Numerous shoulder injuries and ailments can be treated with these operations. Getting expert treatment and surgery at the best hospital in India, Sancheti Hospital, Pune, will ensure you get the right treatment from expert doctors and surgeons.
You may be able to continue an active, regular life after shoulder surgery if it improves your health or lessens your discomfort. For instance, shoulder surgery may be able to reduce your pain and provide your shoulder with some strength and an adequate range of motion. Surgery on your shoulder won’t stop potential shoulder injury.
How long does it take to recover from shoulder surgery?
Your recovery period after shoulder surgery will depend on the type of surgery or injury on your shoulder. Regular shoulder surgery may take anywhere between 4-12 weeks. Some cases might take even more time if the injury and surgery were complicated.
How painful is shoulder surgery recovery?
Undergoing shoulder surgery is no easy feat. But with the right postoperative care, you can ease your recovery process. After a shoulder arthroscopy, you will notice pain and swelling in your shoulder for at least the initial few weeks. Ensure that you rest the shoulder well to help the healing.
Is shoulder surgery major surgery?
Just like any other surgery, shoulder surgery also brings along with it a few complications and questions. While it is not a major surgery as a whole, one does need to take good care and precautions to ease the process right from the treatment plan to recovery.
What is the fastest way to recover from shoulder surgery?
The fastest way to recover from shoulder surgery would be to take excellent postoperative care. Keep your shoulder immobilized for a good amount, so it gets time to heal. But you also need to ensure that you are getting the right exercises, preferably with the help of a physiotherapist. Follow the tips in this guide, and your recovery process will speed up.
What percentage of shoulder surgeries are successful?
Since shoulder surgeries don’t have major complications, the success rates for such are quite high, depending on the type of procedure followed. Sancheti Hospital, Pune, has an excellent success rate in the shoulder and other joint surgeries. With an expert panel of doctors and surgeons with years of experience, the hospital has witnessed a commendable result in surgery success over the years.
Neurological conditions consist of various types of clinical representations that in turn cause different types of functional limitations. However, if one carefully notices the common problems that contribute maximally to functional limitation and needs a greater physiotherapy role, then it has to be abnormal tone, muscle weakness and improper control, coordination and balance. Thus most of the patient’s limitation due to neurological disorders is centred around these abnormalities. Hence most of the approaches are targeted either to increase the strength or improve the control or normalize the tone.
Various Neurological Approaches:
It is essential one is quite familiar with the various types of approaches used for neurological disorders and they are as follows:
Motor relearning program
Neurodevelopmental Approaches: The use of handling techniques remains the tool used to inhibit undesirable and inefficient postural control. Facilitation of more functional control of movement remains the goal of this approach.
Sensory integration: Sensory integration is the term used to indicate a therapeutic procedure, which combines various forms of sensory input to get the desired motor response. Sensory integration uses Vestibular based activities, Tactile based activities, Proprioceptive activities, Coordination activities, etc.
PNF: It deals with making use of the proprioceptor to modify the action of the motor system. The main proprioceptor utilized for this purpose is the muscle spindle. In the rehabilitation of neurological conditions, PNF can be used for strengthening and lengthening. The commonly practised PNF techniques are hold-relax and contract-relax. Depending on the subjective needs of the patients, rhythmic initiation, rhythmic stabilisation, reciprocal inhibition, the combination of isotonic, etc. are used.
Motor Relearning Program (MRP): MRP is done in 4 Steps which include, observation of the patient’s performance to the task, followed by practising the missing component using visual, and auditory feedback, practising the whole task and finally transfer of training.
Brunnstrom: The technique developed by Brunnstorm produces motion by provoking primitive movement patterns of synergistic movement patterns which are observed in fetal life and after pyramidal lesion. This technique is quite extensively used to develop tone in the flaccid (no tone) stage of hemiplegia and in the pure pyramidal lesion.
Roods techniques: Various facilitatory and inhibitory techniques are used to influence motor response.
The beauty of the various physiotherapy approaches to neurological disorders is their ability to bring about the necessary adaptation required in the central nervous system or even in the peripheral nervous system which contributes to the achievements. Of course, our brain has the ability to mould itself at any age depending upon the various stimulus given or the demand put in due to the ability that is called a Neuroplasticity but this natural process can be facilitated to a greater extent by physiotherapy interventions.
Why Choose Sancheti Hospital, Pune for Physiotherapy?
56 Years of Experience in Orthopedic and Rehabilitation.
Specialized Neuro Physiotherapy OPD Set-up.
Specialised Team Of Neuro Physiotherapists.
Use of latest technologies and types of equipment such as Balance Master.
Obesity is a global pandemic arising from the westernisation of cultures and an unprecedented influence of obesogenic environments. While losing weight, in general, is beneficial for your overall well being and an elongated lifespan, the following are a few reasons why you should consider weight loss if you are expecting to have surgery.
Avoiding Perioperative Risks: Perioperative risks are those risks and complications that might arise during the process of operation, hindering the healing process. These complications may include wound infection, joint infection, dislocation of the joint and the need for revision surgery.
Healing Complications: A wound requires an ample amount of oxygen and blood supply to heal after surgery. When you have a lot of fat in the body, it puts pressure on the blood and oxygen to reach the wound quickly. The risks of spending more time on the operating table are also high which may leave your wounds vulnerable to infections.
Anaesthesia: Anaesthesia interrupts the nerve signals between your brain and your body. When you have excessive fatty tissues, the doctors find it harder to locate the nerve to inject the anaesthesia, making it mortally risky during high emergency situations.
Cardiovascular Problems: Obesity is the key to cardiovascular problems. As deduced earlier, our wounds need an ample amount of oxygen and blood supply to heal after surgery and this oxygen-filled blood supply is done by our heart. An obese person’s heart needs to work harder to ensure adequate supply. Under these circumstances, anaesthesia poses the risk of a heart attack, angina, stroke and high blood pressure.
Surgeons often recommend starting a weight management plan so that their patients are well optimised for surgery. Having surgery can be the opportunity to make positive changes that have a long-term impact. Ensuring health and wellness through a well-planned diet, healthy eating behaviour and a fit body can make both: pre-surgical security and post-surgical prosperity even better!
To maintain or boost your joint or orthopedic health, exercise is the answer. “If you rest, you rust.” That becomes true when it comes to your joints. If your joint pain keeps you away from being active and doing the things you want to do, not engaging in some physical exercise can end up increasing your pain until it becomes difficult to do anything else. In this read, we will look at how to maintain healthy joints so you can keep living the life you want to live.
A healthy joint-
A healthy joint or healthy cartilage is the one that helps you move and have perpetual physical engagements by allowing bones to glide over one another. It also acts as a protection to the bones by preventing them from rubbing against each other and creating any resistance. Keeping your joints healthy will allow you to run, walk, jump, play sports, and do the other things you like to do.
An arthritic joint-
Arthritis is a common disorder that affects your joints. An arthritic joint can cause pain and inflammation, making it difficult to move or stay active. There are many types of arthritis. While arthritis usually affects older adults, it can develop in men, women, and children irrespective of their age.
Key differentiators between healthy joints and arthritic joints
Arthritic joints are different from healthy joints in the following ways: They have less lubrication, more synovial inflammation, less cartilage at the ends of the bones, more bone spurs from joint instability, reactive bone marrow cysts, and thickening of the bone at the joints since there is a loss of some of the cartilage that normally lies over the bone.
Causes of Arthritis-
A lot of various reasons can lead to arthritis. There is no single cause of all types of arthritis. The cause or causes vary according to the type or form of arthritis.
Possible causes of this problem may include:
An injury, leading to degenerative arthritis
Abnormal metabolism of a person
Inheritance, such as in osteoarthritis
Most types of arthritis are linked to a combination of various factors, but some have no obvious reason and appear to be unpredictable in their emergence.
Many people may be genetically more likely to develop a certain kind of arthritic condition. Some other factors like a previous injury, infection, smoking, or physically demanding occupations, can interact with genes to further increase the risk of arthritis.
Diet and nutrition can play a vital role in managing arthritis and the risk of arthritis, although specific foods, food sensitivities, or intolerances are not known to cause arthritis. Foods that increase inflammation, particularly animal-derived foods and diets high in refined sugar, can make symptoms worse, as can eating foods that provoke an immune system response.
How Is Arthritis Diagnosed?
A diagnosis of arthritis is the first step toward its treatment.
Your doctor will-
Consider your complete medical history. This will include a description of your symptoms.
Do a physical exam. Your doctor will check for swollen joints, tenderness, redness, warmth, or loss of motion in the joints.
Use imaging tests like X-rays. These can often tell what kind of arthritis you have. X-rays are used to diagnose osteoarthritis, often showing a loss of cartilage, bone spurs, and in severe cases, bone rubbing against bone.
Test your blood or urine samples. These tests can help tell your doctor what type of arthritis you have or rule out other diseases as the cause of your symptoms.
Blood tests for rheumatoid arthritis include one for antibodies called rheumatoid factors (RF), which most people with rheumatoid arthritis have in their blood, though RF may also be present in other disorders.
How Is Arthritis Treated?
The goal of treatment is to provide pain relief, increase joint mobility and strength, and control the disease as much as possible. Your doctor has several options to help you manage pain, prevent damage to the joint, and keep inflammation at bay.
Treatment of arthritis could include rest, physical therapy, hot or cold compresses, joint protection, exercise, drugs, and sometimes surgery to correct joint damage. Your treatment plan may involve more than one of these.
Treatments for osteoarthritis generally can help relieve pain and stiffness, but the disease may continue to get worse.
Arthritis Treatment: Physical Therapy
Protecting your joints is an important part of arthritis treatment. With the help of a physiotherapist, you can learn easier ways to do your normal activities. A physiotherapist can teach you how to:
Avoid positions that strain your joints
Help strengthen the joints
Use your strongest joints and muscles while sparing weaker ones
Provide braces or supports to protect certain joints
Use modified doorknobs, canes, or walkers
Arthritis Treatment: Medicine
Arthritis treatment will depend on the nature and seriousness of the underlying condition. The main goals are to reduce inflammation and improve the function of affected joints before more serious problems occur.
To reduce pain and inflammation, your doctor will probably prescribe a nonsteroidal anti-inflammatory drug (NSAID).
If you’re making decisions about drugs for arthritis pain relief, you may want to ask your doctor:
Which pain medication is best for me right now?
Is it safe to take this drug every day?
How long will I need to take this medication? Is it a short-term or long-term treatment?
When can I expect to see improvement in my arthritis pain?
Will this pain medicine interact with other medications I’m taking?
What potential side effects should I know about with this drug?
What can I do to decrease the risk of side effects?
What should I do if I have flare-ups of pain while taking this medication?
Is there anything else I can do to relieve my pain?
In general, these medications work by suppressing the overactive immune system.
Treatment of infectious arthritis typically involves large intravenous doses of antibiotics, as well as drainage of excess infected fluid from the joints.
Arthritis Treatment: Surgery
Various forms of surgery may be needed to reduce the discomfort of arthritis or to restore mobility or joint function.
If arthritic pain and inflammation become truly unbearable, or arthritic joints become so damaged, the answer may lie in surgical replacement. Today, knee and hip joints can be replaced with reliable artificial joints made of stainless steel, plastic, and ceramic materials. Shoulder joints, as well as smaller joints in the elbows and fingers, can also be replaced.
Spinal surgery is sometimes performed for neck and lower spine arthritis. Although the movement is limited after such surgery, the operations relieve excruciating pain and help prevent further damage to nerves or blood vessels.
Home remedies for arthritis
In addition to treatments recommended by your doctor, you can use dry heat from a heating pad or moist heat in the form of a hot bath or a hot-water bottle wrapped in a towel to help relieve pain and stiffness. Heat and rest are very effective in the short run for most people with the disease. Regular exercise is also important to keep the joints mobile.
If you are overweight, losing weight is key, especially when arthritis affects the lower back, knees, and legs. Extra pounds add to the load and pressure on your joints, which can cause your arthritis to get worse faster. Being overweight also raises your chances of related health problems. Consult a registered dietitian who can help you plan a healthy weight loss program.
Knee replacement surgery is otherwise known as knee arthroplasty. It involves scraping away the diseased cartilage around the knee, thigh bone, knee cap and other affected areas. An artificial joint of metal alloys, advanced plastics and polymers is placed. If you are someone who has recently undergone this or if you are about to, read on to learn about the recovery of total knee replacement surgery here
How to shower after knee surgery
Bathing after knee surgery can be complicated. But if you follow these steps given by your doctor, it is as easy as it sounds. Showering is advisable during the initial days of recovery, as the surgical wound would have just started to heal.
Most of the surgeries have waterproof dressing. To be sure, ask your doctor or nurse about it, so you can be extra cautious while you are showering. It does not mean you can submerge your leg in water if it is waterproof. Hence, cover your incision with plastic wrap or rubber so it stays dry while taking a shower. If the operated area is covered with sutures, staples or stitches, do not wet those 48 hours before your surgery. Ask for your doctor’s advice and introduce light showers on the stitches.
Recovery after total knee replacement week by week
After a successful surgery, you might be given pain killers to ease the pain and a blood transfusion if the red blood cells are less. The recovery phase of knee replacement surgery begins once you receive training from a physiotherapist at the hospital. It differs for each person. The recovery also depends on how complex and advanced the surgery is. However, here is a common guide to help you glide through this stage.
You will be assisted with crutches and a therapist to walk slowly before you are discharged. When you return home, you will be able to move frequently and quickly, with less pain. Most knee surgeries are minimally invasive these days. Hence, by week three, you can expect an improvement in your mobility and range of motion.
Stretching and exercises
The degrees of your knee’s flexion improve after every week. This flexion is calculated by how far you can turn your knees without discomfort. The physiotherapist will help you bend between 70 and 90 degrees during the first week. You will also regain strength and flexibility if you regularly catch up with the training sessions. You need not worry about the flexion degree, as the focus here is to help you get back on track with reduced after-effects of the surgery. You can sit on a chair, get out of the car among many things, if you are in tune with your training schedule.
Sticking to the old routine
By following a structured rule of recovery, your operated knee will show amazing healing and difference. By weeks 4 to 6, you can expect to resume your work like before. Your surgeon will also reduce the dosage of the pain medications you have been taking so far.
Do not worry if you have light scars, bruises and swelling even after 90 days of the surgery. It may take at least one year to recover completely. Although, by three months, you will be able to walk long distances, lift things that weigh less and travel short distances in a car or flight.
Using CPM machine
A CPM is called a continuous passive machine. Patients convalescing after joint surgeries use this CPM machine extensively. The CPM reduces the pain and the duration of the hospital stay. People reeling after knee replacement benefit from CPM’s automatic control that moves the muscles. Doctors recommend this for a better recovery after six weeks of the surgery.
Warning signs of infection
All patients go through a post-operation stage, where they are kept under observation. They might be affected by fever, swelling and other conditions. This, however, lasts for a few hours or days only. Note these signs for your future reference.
Post-operative fever is highly common in most patients. It is the body’s way of fighting injury and inflammation in the damaged area. It goes beyond 102 F, but there is no need for worry. Under constant monitoring, it reduces in two days.
Pain can be localised or a patient can experience it all over the body. It is again common to suffer from pains, as the muscles might have become poor, after the shock from the operation. There might also be other reasons like misalignment of the implant, implant rejection or infection. So, to be safe, inform your doctor about this and get treated at an earlier stage.
There is a chance of being affected by pneumonia or nasal congestion after the surgery. Inhale and exhale slowly, in rhythmic patterns to avoid these conditions.
Everyone who goes through surgeries experiences fatigue. It vanishes after a sound sleep.
Recovery at home after knee replacement
You can bounce back from the knee surgery, one step at a time, by following these steps.
Walking on a level surface – Post the operation, you need to be more careful while walking. Walking on inclined planes needs effort and puts more pressure on your knees. Hence, you are advised to initially walk on a level and smooth surface without help.
Climbing stairs – After gaining some courage and strength, try climbing two steps at a time on a staircase that is not steep.
Ice packs – Ice reduces the swelling in your operated area. Hence, help your knee with ice packs every day till it shrinks.
Comfortable sleepwear – Do not wear any tight clothes that stick to your knees. Sleep on a cushion mattress with soft pillows for comfort.
Use a walker or stretcher – To maintain your balance while walking, use a stretcher or walker.
Changing bandages and dressing – Get your affected area cleaned as per your doctor’s or nurse’s advice. Always wear fresh bandages to avoid infections.
Exercises to follow after total knee replacement surgery
We already stated how stretches and other exercises lead to a quick recovery. Here are a few activities that you can try at home.
Lie on your back and point your ankles upwards. Now, slowly pull the ankle of your surgical leg up and down. Repeat it ten times.
Sit on the floor and stretch your legs. Place a towel or your hand under the operated knee. Tighten the thighs and stay in that position for 20 counts. You can do two sets of this exercise.
Lie on your back or sit down, stretching your legs. Tighten your butt muscles for a minute and release them. If you are sitting during exercise, do not arch your back too low. Do the glute squeezes for 12- counts every day.
Knee bending on a chair
Sit on a chair and rest your foot lightly on the floor. Bend forward till your knee bends to an angle. Maintain posture till your legs feel sore. Repeat three sets daily.
The joint replacement team at Sancheti Hospital is one of the most talented and highly innovative surgeons. Their minimally invasive joint replacement procedures have been successful, with no post-op complications. So, if you are considering doing a knee replacement, reach out to the team at Sancheti Hospital.
People also ask
How long does a knee replacement last?
Successful knee replacements last for more than 15 years.
How to live with a replaced knee?
People can lead their lives like before, but with extra caution to the operated knee. Do not put much pressure on it.
What is the success rate of knee replacement?
The expected success rate of knee replacement is from 90 to 95%.
Which are the most painful days after knee replacement surgery?
The initial 30 days after the operation can be extremely painful, and the pain ceases from 6 months to one year.
What helps knee replacements heal faster?
Be in contact with your physiotherapist and perform all the activities that they ask you to. Try to be active, and this heals your knee faster.
When can I drive?
On your doctor’s advice, you can start driving 2-6 weeks after the surgery.
This article is for you if you are scheduled to have spine and back surgery or have already undergone one! Do not stress about it; find all the relevant information you need during your spine surgeryrecovery time.
Recovery tips after spine surgery Eat nutritious food
Eat high-fiber and protein-rich food to prevent constipation after the surgery. Include whole beans, pulses, and nuts, along with plenty of water in your daily diet.
Use ice packs and heating pads
For postoperative pain relief, you can use ice packs and heating pads for 15 to 20 minutes. Leave at least two hours of a gap before your next session.
Make use of a cane or walker
Use a cane or walker to support your weak back while you regain the lost balance and strength after the initial days of your surgery.
Cushion your back with a body pillow
With a soft pillow on your back, you can rest in the best position that you are comfortable in. There are different types of pillows, which you can use for all your spine problems.
Use a back brace for added support
If your surgeon suggests wearing a back brace, do not ignore it. Back braces are usually used to support and stabilise your neck and back and limit rapid and harsh spinal movements. The back brace looks like a vest that you can strap on and off easily.
How to sleep after spine surgery?
Your spine must be in a neutral position while you sleep. You must not rest on your belly, as the spine alignment will be disturbed. You can sleep on your back or side, wearing satin pajamas, so it is easy to switch sides. Elevate your upper back with a pillow and keep a towel under your knees to prevent strain while sleeping.
What exercise routine can you follow after spine surgery?
Lower back exercises help you regain strength and balance after your spine surgery. Here are the most effective rehabilitative exercises which you can follow:
Lie on your back with a mat if you are uncomfortable while doing it on the floor. When you are ready, bend and straighten your knee ten times.
Lean against the wall and bend your knees till they are at a 45-degree angle. Stay in this position for 10 seconds and release. Repeat it twice or thrice every day.
Straight leg raises
Straight leg raise is an excellent exercise if you are recovering from spinal surgery on your lower lumbar region. Lie on your back on a mat. Bend one knee while you lift another leg to an extent in the air. Hold this position for 10 seconds before you relax.
How long does it take to recover from back surgery? Depending on the severity of the condition, it may vary for every patient. However, it takes 4 to 6 weeks for an average person to recover from back surgery. You will be discharged in one or two days after the procedure. The expected level of mobility and function is after a month. You need not worry about this, as your surgeon will instruct you to care based on your body’s adaptability.
How can Sancheti Hospital help you?
One of the country’s forerunners for surgery, the Sancheti’s Spine Center team has excellent care specialties for your back and neck. Book an appointment with us and treat your spine the best way possible!
People also ask Can a person walk after spinal surgery?
If your spinal surgery was done through minimally invasive techniques, you can walk on the day of surgery. However, you may not be able to walk with the same vigour as before for around four to five weeks.
After what duration of the spine surgery can one bend over?
Since the standard recovery gradually develops after six weeks, initially you cannot bend too much. Increase the angle of bending after eight weeks.
What can you not do after spinal surgery?
Do not put too much pressure on the operated area of your spine. This includes bending, twisting, and lifting heavy objects of more than one or two kg. You are also asked not to stand or sit for an extended period, which can delay your healing process.
How long does the pain last after spinal surgery?
It can take up to six weeks for an average person to recover from the pain associated with spinal surgery. However, it depends on every individual’s health and lifestyle. As long as there is proper care for your operated area, you will recover soon.
Is a recliner good after back surgery?
Even though you are not advised to sit long after your surgery, recliners can help get a better alignment along your spine, as they give additional support to your back compared to other chairs.
Recovery from a hip replacement involves several stages. Preparing for the surgery and knowing what you can and cannot do in the days and weeks following surgery are two of them. Planning for at least three days or more is essential because hospital stays often last for two days or lesser.
If nothing goes wrong, your hospital stay will be brief. You should be aware of whether you will return home right away or visit a physical rehabilitation centre. You will have access to a lot of skilled assistance throughout treatment.
You’ll need assistance when you get home if you’re travelling straight from the hospital, and you’ll want your house to be ready for your limited mobility. Since the surgery will already be one that would be tiresome, here are a few tips to guide you through the entire process and to help you recover as soon as possible.
What happens after surgery?
You’ll be given an antibiotic and pain medicine following surgery. Your surgeon could advise medication or physiotherapy to avoid blood clots. You may be prescribed medicine, instructed to wear special stockings for two to three days after surgery, and instructed to perform ankle pumps to reduce your risk of developing a Deep Vein Thrombosis (DVT) after surgery. Depending on the method your surgeon prefers to use to close the wound, you might need to schedule an appointment to have any staples or exterior sutures removed.
Any of the following symptoms should require the immediate attention of your surgeon:
Ache or swell
Drainage from the wound
Lumps or acne
Anything else you find troubling
If there is no complication to look out for after your surgery, your physical therapy will start within a day.
What You Can Do to Improve your Recovery
The most effective surgical operation overall, across all surgical subspecialties, is hip replacement surgery, with patient satisfaction usually reported at 95% or above. A hip replacement allows patients to have active, healthy lifestyles and is known to greatly raise people’s quality of life.
The only restrictions you can anticipate after having a hip replacement, according to your surgeon, are those that are connected to your range of motion. Here are some things that you can do to ensure a faster recovery period.
It’s crucial to begin walking once the stiffness and pain have subsided, as well as while they are still there. Physical therapy is crucial to healing, but it must be carried out carefully and properly. A smart tip is to remove any clutter from the house, such as throw rugs. It will take some time to correct your posture, and slipups are possible. Physical treatment and 30-minute workout sessions, either in place of or in addition to it, will accelerate healing. Always be careful and keep an eye out for any potential problems, such as persistent pain.
Adjust the daily tasks
It’s crucial to keep in mind what you can and cannot do right away after surgery. For instance, driving must wait three to six weeks following surgery, prolonged walking must be postponed until the stitches are removed, and showering must be avoided to keep the scar dry. Showers and frequent baths are not an option, thus sponge baths can be opted for. Prior to the surgery, other arrangements for driving should be made, such as working from home or using a transport service.
Maintain a healthy diet and weight
It’s also a good idea to keep an eye on a patient’s nutrition since those who have had hip replacement surgery are less active. Losing activity can result in weight gain, which can negate the advantages of the replacement altogether.
Before and after a hip replacement, there are many things to think about. Following surgery, the first few days will be difficult. It will take several weeks before you can resume your regular exercise routine and longer walks. Don’t rush the healing process; most people may resume an active lifestyle after a hip replacement with time.
Take help of a physiotherapist
You’ll need to exercise using your new hip after surgery to walk and move about. To help you with this, consult a physical therapist. It’s crucial that you show up for your physiotherapy appointments. You will build strength by carefully adhering to the therapist’s instructions. Additionally, it will assist you in regaining your mobility. You should be able to return to many regular household tasks as the weeks pass.
How can I get proper sleep and rest after getting a hip replacement?
After your hip replacement, certain sleeping positions are preferable, while others should be avoided. Here are a few useful pointers:
What can you do?
Use a firm mattress or bed to sleep on.
To prevent your surgical leg from crossing your body in the middle, place a pillow or pillows between your knees.
When you start to feel uncomfortable, switch positions.
What to avoid?
Never go to bed on your stomach.
Never sleep with pillows between your knees.
What are the Exercises After Hip Replacement Surgery?
After a total hip replacement, it’s crucial to rebuild your strength and range of motion in order to get back to doing the things that are essential to you. The following fitness regimen will be recommended to you as soon as possible after surgery. You will first receive assistance from your physical therapist with the exercises, and you will be required to perform them as directed on your own. Some workouts will likely be stopped while you heal, while others might be added. If you experience any difficulties while performing your exercises, you must let your therapist or surgeon know. Some exercises that may be a part of your healing process will be-
How Sancheti Hospital Helps You Sancheti Hospital is amongst the leading hospitals across the country for all surgeries related to joint replacement, hip replacement, spine replacement, geriatrics, plastic and reconstructive surgeries, and all orthopedic issues. If you need a hip replacement surgery, Sancheti Hospital, Pune is your go-to. With a celebrated panel of leading surgeons with extensive experience, your hip replacement surgery will surely be successful. Your surgeon will follow a specific plan for treatment depending on your individual ailment and chart down the exact process to be followed right from your surgery to your recovery.
People also ask
How long does it take to walk normally after a hip replacement?
Everyone is different, but rehabilitation and being able to walk after a hip replacement can often take two to four weeks. It depends on a number of variables, such as how active you were prior to surgery, your age, your diet, any underlying medical concerns, and other aspects of your health and lifestyle.
How long are you on bed rest after a hip replacement?
While you may be allowed to go home on the next day of your surgery or the day after, you cannot get on with extensive activities. After 10 to 12 weeks of daily physical therapy exercises, you should be ready to resume the majority of your regular activities.
What 3 things should be avoided after hip replacement surgery?
While there is a big list of what not to do after a hip replacement surgery, here are the top 3 things you should follow-
Avoid crossing your legs at the knees for 6-8 weeks
Avoid leaning or bending forward and straining your hip for a few weeks
Avoid sleeping without a pillow between your knees
How long does the pain last after hip replacement?
Your pain after a hip replacement surgery will take around 10-12 weeks to go away. It may require some more or less time depending on your speed of recovery and how well you’re taking care fo yourself.
What happens first week after hip replacement?
At first, walking and exercise will make you feel uncomfortable, and your feet and legs may be swollen. You will learn hip strengthening exercises from a physiotherapist, who will also go through what you should and shouldn’t do following the operation. To prevent harming your new hip, they will instruct you on how to bend and sit.
The surgery takes an enormous toll on your body and other activities. When you cannot make the regular movements per usual, you are left dependent on someone else to help you with the most basic tasks. And when this happens over a prolonged period, it can leave you dejected. However, this does not have to be the case if you incorporate a few tips that will go a long way in helping you on your road to recovery.
A foot operation can make movement quite a task for you. But your recovery time can be significantly reduced if you indulge in foot and ankle exercises. If you choose to get your consultation and surgery at the Sancheti Hospital in Pune, you will be treated by the best podiatrists and surgeons across the country, with years of experience and knowledge. Here are a few tips to help you.
Important things to do after a foot surgery
Think about the following to help make your home as healing-friendly as possible:
– To prevent needless trips up and down stairs, move your primary areas for napping, clothing, and bathing to the ground floor of your house (if possible).
– Removing everything from your home that could be a tripping or navigational hazard, including unnecessary stuff, extra furniture, cords, and other obstructions.
– Installing night lights all over the house will ensure that you can always look where you’re going if you need to move around in the dark.
– Any commonly used items should be moved to locations where access won’t require bending over or reaching up high.
– Placing grab bars, non-skid mats, and other assistive devices in bathrooms, kitchens, and other areas where you might need a little more stability.
– Get custom-made shoes that would be the best footwear after surgery for your foot’s comfort.
– It is best to keep your foot elevated after surgery to help reduce the swelling and ensure proper blood flow.
What exercises to prefer after foot surgery?
Some exercises that help immensely after a foot surgery are-
Swimming This exercise is helpful only if you do not have a cast or a bandage after surgery. Swimming helps get the appropriate exercise and movement to the foot without putting too much weight on it. Swimming also helps in the proper blood flow in the legs.
Yoga and Pilates Indulging in Yoga and Pilates helps improve the legs’ flexibility and strength. Since an injury or surgery restricts muscle movement, exercises in Yoga or Pilates help to open the range of motion.
Stretches When you’re healing from foot surgery, stretching is a great exercise. You can do this right away after surgery, but be careful not to put any weight on your foot. By preventing any weight on your foot, you can stretch most of your body parts. These stretches will increase your flexibility, and you can add some stretching that will incorporate your muscles while also strengthening them.
Exercise Bikes Early in recovery, using a low-resistance exercise bike can be a valuable means of maintaining aerobic fitness. This is because only a tiny portion of your body weight must pass through your foot and ankle when using an exercise bike.Indulging in foot stability exercises will help speed up your recovery process. And in case you are not allowed to make any significant movements, your physiotherapist can also guide you with bed rest foot exercises to simplify the process.
How long does it take to walk after foot surgery?
The amount of time needed for recovery after a foot or ankle operation varies greatly depending on the complexity of the procedure, your age, general health, and how well you adhere to guidance (such as weight-bearing status, rest, elevation). Sensitivity and inflammation can go down for most foot and ankle operations in 3–4 months, but the recovery could take an entire year (or more) for more complex procedures.
Many foot and ankle surgeries result in delayed return to regular footwear due to bone healing and swelling issues. A significant proportion of foot and ankle operations require at least eight weeks before standard footwear can be tried. However, there are some operations where a patient can be estimated to resume wearing regular footwear in as little as 2-3 weeks. After the cast is
finally removed from patients who had surgery that required one, there is typically a 2-4 week period of slowly getting back to shoes.
You should anticipate being in regular shoes no earlier than 14 to 16 weeks after surgery if it necessitates a cast or boot for three months. Your podiatrist can review their expectations for your return to regular shoes with you both before and after the procedure.
People also ask
Is foot surgery a major surgery?
Ans. Although most foot surgeries are not considered major operations, complications or postoperative issues can still arise because the foot is not always as simple to rest as other body parts. This might cause delays in your recovery and compromise the outcome of your procedure. While it is impossible to eliminate the risk of complications, the majority can be avoided by following expert medical advice.You must maintain your body and foot in the best condition possible before surgery before being admitted to the hospital.
How long do you wear a boot after ankle surgery?
Ans. You might be told to wear the boot for six to eight weeks if your ankle or foot needs surgery. This is particularly valid if your ankle is held in place by screws and plates to speed the recovery of a fractured bone. Without assistance, walking could put a lot of pressure on the affected tissue and worsen the situation.
Wearing a walking boot for the first few weeks is crucial because this is the time when the bones and tissues are most susceptible and actively healing.
How long do you have to stay in hospital after foot surgery?
Ans. You will typically have to stay in hospital for two days following foot and ankle surgery, which takes one to two hours. Following the temporary cast, your foot will be bandaged, and you might need a splint for support. This enables you to move it relatively quickly after surgery, though you’ll likely need crutches for about six weeks.
Will I ever walk normally after ankle surgery?
Ans. Around three months after breaking your ankle, you should be able to return to your regular daily activities. Regaining your ankle’s strength and range of motion can take several months.
You’ll probably need to avoid putting any weight on your broken ankle for at least six weeks. Following ankle surgery, most people use crutches, but knee scooters and some hands-free crutches are also options to consider
What is the fastest way to recover from foot surgery?
Ans. By choosing minimally invasive surgery over traditional foot surgery, you can recover from foot surgery more quickly. Conservative treatment may be insufficient if you are experiencing foot or ankle pain. Your podiatrist may even advise a surgeon. Traditional foot surgery may be uncomfortable, leave scars, and require several weeks of bed rest. Enquire with your podiatrist about a minimally invasive surgical option as a substitute if you want to heal more quickly.
How long does it take to walk again after ankle surgery?Ans. In the first week, you must be able to walk with the help of a walker as much as possible without putting any weight on the injured leg. You begin partial weight-bearing as the swelling subsides, and after three to four weeks (let’s assume), you should be able to walk normally again. The rehabilitation you receive after that will determine your ability to function.
Multiple physical pains can be very troublesome; they gradually limit our ability to perform tasks or cause us to stop doing them altogether due to pain, weakness, or movement restrictions. Because they believe they are too weak or may end up getting hurt again, people frequently feel they cannot resume their sport or regular movements after an injury. In these situations, physical therapy can be very beneficial. Physiotherapy helps determine if you have any muscle pain that can be remedied through exercise.
Some people may avoid seeking medical care and attention, hoping that the pain or injury may heal by itself. But most often, going for rehabilitation therapy or finding a good physiotherapy center is highly essential.
If you’re looking for a reliable physiotherapist or a hospital, the Sancheti Hospital in Pune is your best option. Ranked 2nd best across the country, we offer advanced physiotherapy programs that focus on the complete healing and recovery of the patients
What is physiotherapy?
The science-based field of physiotherapy adopts a “whole person” perspective on health and quality of life, which considers the patient’s overall lifestyle. The patient’s participation in their own care through learning, awareness, emancipation, and therapies is at the centre of it all.
Physiotherapy has advantages for everyone at all stages of life. It aids in treating back pain and acute injuries, managing chronic diseases like asthma, and making preparations for childbirth or athletic competitions.
What do physiotherapists do?
Physiotherapists provide mobility and exercise, muscle relaxation, education, and counselling to people who have been injured, ill, or disabled. They support patients in pain management and preventing disease, preserving health for people of different ages.
The profession enables people to continue working while assisting them in maintaining their independence for as long as needed. It also helps encourage growth and promote recovery. Physiotherapists use their expertise to treat a variety of ailments linked to various body functions, including:
– Neurological (stroke, lupus, Parkinson’s)
– Neuromusculoskeletal (pain in the back, injury through sports, arthritis)
– Cardiovascular (chronic heart disease, rehabilitation after heart attack)
– Respiratory (asthma, chronic obstructive pulmonary disease, cystic fibrosis).
Physiotherapists are employed in different healthcare specialities. A few physiotherapists also work in service strategy, research, and training. One of the most significant works of physiotherapists is helping their patients get muscle pain relief.
When should I book an appointment with a physiotherapist?
When you experience pain in any part of your body, you may tend to ignore it and wait for it to heal on its own. However, doing so only increases the possibility of your pain increasing further and becoming chronic. You must book an appointment with a physiotherapist if-
1. Your pain worsens when indulging in certain activities or movements
2. There is no improvement in the pain, or the pain only worsens
3. The pain becomes unbearable and restricts your movements
4. You suffer an injury that hasn’t healed over quite some time
5. Your pain seems to spread to other parts as well, thus affecting your overall movement
Instead of ignoring or overlooking your pain, you can give yourself some relief from the pain by going to a good physiotherapist. Thankfully, now you can even consult a physiotherapist via online booking, saving you the trouble of physically finding one.
People also ask
What problems do physiotherapists treat?
Ans. Physiotherapists focus primarily on mechanical issues. A mechanical issue is aggravated by various stresses, such as knee pain that is exacerbated by climbing and descending stairs or foot pain that is exacerbated by running. Back pain that was made worse because of bending over and picking things up could be the cause. There is a good chance that a physiotherapist can help you if your pain is mechanical- by showing you how to do exercises that will make you better and by showing you various techniques.
What can I expect at physiotherapy?
Ans. An initial evaluation will take place during your first appointment. A physiotherapist will inquire into the specifics of your pain or injury and your treatment objectives. Next, your physiotherapist may perform several physical examinations to ascertain your.
– Motion Range (mobility and flexibility)
– Ligament strength and joint mobility
– Sensation and Reaction
– Nerve exams
– Swelling and Palpation
What are the four types of physiotherapy?
Ans. The different types of physiotherapy are– Neurological physiotherapy
– Orthopedic/Musculoskeletal physiotherapy
– Cardiopulmonary physiotherapy
– Pediatric physiotherapy
– Geriatric physiotherapy
Which place is the best for physiotherapy in India?
Ans. The Sancheti Hospital in Pune is ranked the 2nd best hospital in the country. It is adept with the latest machinery for dealing with various ailments and well-experienced doctors and physiotherapists. A systematic diagnosis, treatment, and recovery plan is followed to keep the process patient-centric and enable a holistic healing process.
Which type of physiotherapy is the best?
Ans. The most common form of physiotherapy is the orthopedic one, and it includes a wide range of issues, right from sports injuries to recovering from major surgeries.
Our bones are living tissues that constantly perform regeneration to survive. When the formation of new bones isn’t as fast as the deterioration of old bones, we face osteoporosis.
Vulnerable Groups While anybody can get osteoporosis, there are a few groups more vulnerable to the disease. For example,
Non-Hispanic white women and Asian women who have reached menopause.
People with low sex hormones (estrogen or testosterone) or high thyroid hormone levels.
People who have small body frames and lesser bone mass.
Those advanced in age.
People who’re underweight or have a calcium deficiency.
People who have a family history of the disease.
Fractures Osteoporosis causes our bones to become weak and brittle. So weak, that even a blow or a fall can cause you a fracture. It is a silent disease, whose presence you only realise after you’ve already got a fracture.
Fractures of the spine, hip, or wrist are the most common types in people with osteoporosis. However, the spine or hip fractures are the most serious complications of osteoporosis since hip fractures are often caused by a fall and can result in disability and the spine is an essential part of our nervous systems.
Low Trauma or Fragility Fractures: The low intensity falls or injuries that might not hurt a healthy bone but fracture a bone affected by osteoporosis. These are called low trauma or fragility fractures. Sometimes these fractures heal on their own by conservative treatment but other times you need to contact an orthopaedic surgeon. Following surgery, a physiotherapist will help train your nerves, muscles and bones post-fracture and shows exercises to get back on with your regular life.
Spine Fractures: Since they are relatively more critical, patients with spine fractures typically receive pain medication, exercises, and a back brace or treatment for muscle spasms while they heal. While most spine fractures heal by this, more severe cases need vertebroplasty or kyphoplasty.
Under vertebroplasty, your doctor injects bone cement into your spine to stabilise it and lessen the pain. Additionally, it can prevent further fractures of the vertebrae and curvature of the spine.
Under kyphoplasty, your doctor inserts a balloon device into the fractured vertebra to help restore the height and shape of the vertebra. The device leaves a small cavity. The doctor then fills the cavity with special bone cement.
Hip Fractures: Hip fractures are a break in the upper portion of the femur. They are highly painful and often too critical to have their surgical treatment delayed. X-rays, MRI scans or CT scans diagnose these fractures followed by treatments including surgical repair with screws, nails, or plates, a partial or total hip replacement and lastly, exercises.
Wrist Fractures: Wrist fractures are healed simply by adding a cast or splint.
Prevention is better than cure. If you’re diagnosed with osteoporosis, it’s a good idea to strengthen your bone health. Change your diet to include more nutritious food and enough calcium to aid your bone health. If your illness has been chronic, do not delay any further in consulting a good doctor to follow helpful treatment plans. Sancheti Hospital, Pune has the best surgeons and doctors that will fix your osteoporosis and you’ll recover faster than ever!
Parenting is surely a thrilling journey but it can also get intimidating sometimes. When you’re responsible for the health and well-being of a tiny human being, it is important to thoroughly research and comb through all the diet options to decide what’s best for a growing mind and body. This blog is to help you narrow down the five essential nutrients that a growing child needs, and design an ideal menu ensuring a balanced supply of all five of them.
Protein: Protein is a macronutrient of growth, development and many bodily functions such as recovery and repair of muscle, skin, organs, nails, hair and blood. It carries oxygen, converts food into energy and builds cells for the child. If your kid is a picky eater, there are plenty of delicious resources both inside the food and as supplements. The age group of 1-3 years should consume 13g, age group 4-8 years should consume 19g and the age group 9-13 years should consume 34g of protein daily.
Calcium: The only chance we get at building strong bones is during our childhood and teen years. Strong bones ensure fewer problems when you’re older since that is when your bones start deteriorating. Calcium also plays an important role in preventing blood clotting and muscle, nerve, and heart function. The age group of 1-3 years should consume 700mg, the age group 4-8 years should consume 1000mg and the age group 9-13 years should consume 1300mg of calcium daily.
Carbohydrates: Carbohydrates are the repository of energy for our bodies. They are reduced to simple sugar in our bloodstreams that fuel the enthusiastic little children who are constantly moving, talking, learning, and growing. Carbohydrates invigorate brains to keep us focused and use fat and protein to build and repair muscles. While carbohydrates are available as sugars, starches and fibres, it is recommended to consume starches and fibres more than sugar. Growing children need at least 130 grams of carbohydrates daily.
Vitamin C: While Vitamin C is widely known as an immunity booster to fight off common cold and flu, it has a range of benefits such as promoting healthy bone and teeth health, maintaining collagen, and overall skin health. It maintains good skin tissue health, plays the role of an antioxidant by neutralizing harmful effects of radicals on the cell membrane, and maintains healthy cells. The age group of 1-3 years should consume 15mg, the age group 4-8 years should consume 25mg and the age group 9-13 years should consume 45mg of Vitamin C daily.
Iron: Iron accelerates the movement of oxygen from the lungs to all the cells in the body. It assists our muscles to store oxygen. Lack of iron can lead to iron deficiency which highly affects the growth and development of children. The risk is as dangerous as forming iron deficiency- anemia, and impairs the child’s ability to function well. The age group of 1-3 years should consume 7mg the age group 4-8 years should consume 10mg, and the age group 9-13 years should consume 8mg of iron daily.
With these 5 groups of essential nutrients, your child is sure to grow up into a healthy human and keep all sickness and diseases at bay. The 5 nutrients work like magic to ensure the well-being and holistic development of a growing child.
Carpal tunnel is the space confined between the carpal bones dorsally and the carpal ligament (flexor retinaculum) volarly. The median nerve is susceptible to pressure as its course is through the tunnel. Carpal tunnel syndrome (CTS) is characterised by sensory loss and motor weakness that occurs when the nerve is compressed in the carpal tunnel. Any injury, compression, ischemia, and neurological conditions may cause a decrease in the space of the carpal tunnel or cause the contents of the tunnel to enlarge. This thereby reduces the space results in CTS.
What are the symptoms of CTS?
Increasing pain and paraesthesia (abnormal sensation, typically tingling “pins and needles”) in the hand.
Progressive weakness in the thumbs’ muscles (thenar muscles and first two lumbrical.)
Sensory loss in the distribution of the median nerve.
Reduced ROM at wrist and thumb and 2nd and 3rd fingers.
Common functional impairments
Decrease in prehension (tip-to-tip, tip-to-pad, and pad-to-pad) activities that require fine control of the thumb. Examples: Buttoning-unbuttoning shirt, handling small objects.
Avoidance of using the areas of hand with the sensory deficit.
Inability to sustain wrist or finger movements while repetitive movements need breaks. Example: Counting cash, cutting with scissors, typing, etc.
May disturb sleep.
What is the treatment of CTS?
In patients with mild to moderate symptoms, conservation (non-operative) management is used. The aim of the conservative intervention is to minimise and eliminate the causative factors. It includes-
Use of a static wrist orthosis in the neutral position at night.
Protect areas that have reduced sensations.
Identity and modify provoking activities and faulty postures. Modification of activities to keep the wrist in a neutral position.
Emphasis on the importance of reduction of stresses on the nerve.
Mobility at the restricted joints, muscles/tendons.
Tendon gliding exercises.
Median nerve mobilization exercises.
Carpal mobilizations if restricted.
The patient plays a major role in the treatment, just as much as the doctor does. It is essential that the patient monitors symptoms and reaches out to the doctor as soon as they face any discomfort.
Surgical Management: If the conservative intervention does not relieve the symptoms or if the symptoms are severe such as weakness, pain, persistent numbness or severe reduction in functional use, surgical management is the best option. Surgical decompression is effective to increase the volume of the carpal tunnel and relieve the compression on the median nerve. Usually, a dressing or an orthosis is used following surgery and physiotherapy is started.
Physiotherapy interventions include gradual training of grip and pinch strength, wound management and oedema control strategies, active tendon gliding exercises and exercises at the forearm, elbow and shoulder. After the suture removal, gentle scar mobilizations, muscle performance exercises, dexterity exercises, desensitization and sensory re-education is started. The patient is expected to return to full activity by 6-12 weeks.
Why Choose Sancheti Hospital, Pune for the treatment of Carpal Tunnel Syndrome?
Sancheti Hospital, Pune is India’s second-best hospital.
56 Years of Experience in Orthopedic and Rehabilitation.
Use of latest technologies and types of equipment.
What is a seizure? A seizure is a sudden and uncontrollable electrical disturbance in the brain. It can cause changes in levels of consciousness, behavior, movements or feelings.
How do I identify a seizure? The symptoms of a seizure can vary between mild to severe intensity. The signs include a staring spell, temporary confusion, uncontrollable jerking movements of arms or legs, loss of consciousness, cognitive and emotional functions like deja vu, fear or anxiety.
What are the initial precautions you should take as a witness?
Keep other people out of the way and ensure a good amount of space around the patient.
Clear any hard or sharp objects that might injure the patient.
Do not try to stop their movements forcibly.
Place the patient on their side to keep their airway clear. Resting on the side is a good recovery position.
Loosen any tight clothing around their neck: such as their scarf or tie to aid with breathing.
Cushion their head if they’re on the ground.
Record the time of the seizure and immediately call the ambulance if it exceeds five minutes.
Do not put anything in their mouth, on the off chance that they might bite you or hurt themselves.
When do I contact a doctor? Call a doctor if the patient:
Has never had a seizure before.
Has a high fever.
Has a second seizure following immediately.
Can’t breathe or gain consciousness long after the seizure has stopped.
Has injured themselves during the seizure.
Experiences heat exhaustion.
1) Is experiencing a seizure for more than five minutes.
If the person has epilepsy, it’s not necessary to go to the hospital every time. However, make sure their doctor knows about the seizure.
What information should I notify the doctor about? The following information might be relevant to the doctor:
The patient’s activity before the seizure.
If any part of the patient’s body twitched, jerked, or stiffened.
If the patient experienced a change in colour i.e.: if they became flushed, pale or blue.
Any change in the patient’s breathing.
If the seizure was sudden
What complications can the patient face?
Falling and breaking a bone.
Drowning in case they’re in the bath or the pool.
Car accidents if they’re driving.
Emotional side effects like anxiety or depression due to medication or frustration.
Endangered health of the baby, if the patient is pregnant.
It can be scary to witness a seizure but it’s important that you don’t panic for both, yourself and the patient. Any generalized seizure can be dangerous because the person is unaware of their surroundings and can’t protect themselves from harm. Be sure to take the necessary precautions, gently guide their way away from threats and be there for the patient as a support.
Sancheti Hospital, Pune, is equipped with the best doctors and surgeons, and state of the art machinery to treat diseases. The hospital also treats cases of epilepsy via methodological neuro-surgeries or a well-structured treatment plan. Sancheti Hospital, Pune is a truly reliable place to get yourself or your loved ones treated for epilepsy.
Who is a Pediatric Physiotherapist?
If you’re wondering about the difference between a pediatric physiotherapist and a general physiotherapist, read on to find out more. A pediatric therapist is a licensed healthcare professional who specializes in children’s treatment. A pediatric physiotherapist assesses various conditions in children, such as musculoskeletal injuries, birth abnormalities, and gross developmental delays, and treats other such conditions.
What are developmental delays?
Developmental delay is a condition in which a child has not achieved all the developmental skills expected at his/her age. Developmental delays can be seen because of different causes such as asphyxia, premature delivery of baby, trauma during delivery, infections, genetic causes, and neonatal meningitis.
There are 4 major types of developmental delays- cognitive, sensorimotor, speech and language, and socio-emotional delays. Developmental delays are first observed by the mother as she is the primary caregiver of the child. Early detection of developmental delays helps immensely for early intervention.
Role of physiotherapy in children with developmental delays?
Physiotherapy is one of the main treatment options for developmental delays. A pediatric physiotherapist plays an important role in such cases. The main aim is to promote the ability of the child to reach the missing milestones and to promote independence so that the child won’t face any difficulties in future. A pediatric physiotherapist usually works on the neural centres, sensory system, vestibular system, proprioceptive centres, muscles and muscle spindles.
Goals of treatment –
Improve the independence of the child
Improve confidence of the child and parents
Help achieve delayed milestones
Improve muscle strength and control
Improve head control
Improve mobility, posture, gait, and balance.
The specialized treatment protocol is determined by the pediatric physiotherapist based on the assessment. Different techniques are used while treating a child with a developmental delay such as Neurodevelopmental technique, Sensory integration, Myofascial release, Hydrotherapy, Assistive devices, Oromotor stimulation, and Play therapy.
The neurodevelopmental technique focuses on reinforcing the normal movement pattern without the use of compensation and strictly prohibits the use of abnormal patterns for motor recovery. Encourages proper alignment and symmetry of the trunk. Facilitates normal reactions.
Sensory Integration is designed to restore normal effective neurological processing by enhancing vestibular and proprioceptive systems. Enhances focus on education, society improves cognition.
Oro-motor stimulation helps to improve Oro-motor skills, which helps the baby in feeding and sucking.
Myofascial release along with stretching helps to loosen up the tight muscles.
Hydrotherapy is also one of the most used techniques in children with developmental delays. This technique uses water-based rehabilitation.
Play therapy is a type of psychotherapy that helps the child to tackle all emotional issues.
Assistive devices are external devices that are designed, or adapted to assist a person to perform a particular task.
An assistive device helps the child to maintain an upright posture, walk, and run.
Physiotherapy treatment will improve your child’s physical function by using a variety of activities that are fun and stimulating, as well as effective.
For more information on physiotherapy for developmental delay, or to book an appointment, contact Sancheti Hospital, Pune, one of the leading hospitals in the country for treating all illnesses.
“The greying of the world” is a realistic description of the population in many parts of the world. With the developments in science and technology in the 20th century and the introduction of antibiotics, vaccinations, modern surgical techniques and other medical advancements, the elderly population is living a longer life. As a person ages, he/she experiences a decline in strength and an associated loss of independence. This article addresses the interventions that older adults can undertake and ways to practice them for an easy and functional life.
Tips To Maintain A Good Physical Health:
Physical activity: While talking about healthy aging, physical activity is the cornerstone! Doing regular physical activities not only helps you live longer but also live better. Living better means more joyous years without pain or disability. Simple lifestyle changes like using stairs, going for a walk, taking stretch breaks, and practicing yoga can make a difference.
Although exercise has many benefits, maintaining a healthy weight is one of those. Many comorbidities are results of obesity and excess weight. Regular exercises keep a check on a healthy weight and help in preventing diseases like type 2 diabetes, blood pressure, etc.
As a person ages, their muscle function declines. Exercises help you keep the muscles and bones stronger. It also helps in maintaining balance and prevents falls.
Eating healthy: Smart food choices can help protect you from various health problems as you age. The standard dietary guidelines suggest an eating pattern that contains a wholesome amount of fresh vegetables, fruits, whole grains, healthy fats and lean proteins.
Getting good sleep: Sleep helps in keeping a person alert and improving their mood. If a person does not get good sleep, they may feel irritated, depressed, or become forgetful. Study shows that those who have good sleep have good problem-solving ability and good concentration.
Quit smoking/alcohol: Smoking, alcohol consumption, or consumption of similar substances have an adverse effect on health. These effects increase the risk of cancer and heart attack, and also affects many other parts of the body including the brain. Quitting or limiting consumption of these substances lowers the risk of developing many diseases, improves blood circulation, and improves the sense of smell and taste.
Having regular check-ups: Sometimes we ignore some basic symptoms which may have a consequence on health. Sometimes specific diseases like cancer doesn’t even show symptoms in the early stages. Having regular check-ups and consulting with your doctor timely can prevent these diseases or reduce the risk of developing them further.
Tips To Maintain Good Mental Health Mental health is vital to your entire well-being and quality of life. It has an impact on how you think, feel, act, make decisions, and interact with others. Healthy ageing involves handling social isolation, loneliness, stress, depression, and mood through medical and self-care.
Keeping in touch with others might help you improve your mood and overall well-being- whether in-person or over the phone/internet. Setting aside time each day to interact with people will help you stay connected. Engaging in new, skill-driven activities of interest can help too. Taking up group therapy also has a positive impact on the overall well-being.
Healthy ageing necessitates the upkeep of your physical, mental, and cognitive health. Small lifestyle modifications in your regular routine can help you live longer and healthier lives. Staying active, eating and sleeping well, and visiting the doctor on a regular basis are all ways to improve your physical health. Interact with family and friends, strive to stay cheerful, and engage in activities that you enjoy to maintain your mental health.
Any throbbing, constant, sharp or dull pain in your head, forehead or face is classified as a headache. Headaches are one of the most common pain conditions in the world resulting from signals that interact among the brain, blood vessels and surrounding nerves. During a headache, an unknown mechanism activates specific nerves that affect muscles and blood vessels. These nerves send pain signals to the brain.
What are the types of headaches?
There are more than 150 categories of headaches. Primary Headachesare those that occur independent of other medical conditions and Secondary Headaches are those that occur as symptoms of another underlying medical condition. The most common headaches are:
Tension Headache: It’s the most common kind of headache amongst teens and adults. They’re consistent without throbbing varying from mild to moderate pain on both sides of your head.
Migraines: They’re often pounding, throbbing headaches that last from 4 hours to 3 days and accompany symptoms like nausea, vomiting, sensitivity to light, noise and odours and an upset stomach. Migraines may happen 1-4 times a month.
Cluster Headaches: The most severe kinds of primary headaches that come in a cluster (usually in spring or fall) and cause an intense stabbing sensation, constantly throbbing behind the eye region without changing sides. They may occur 1-8 times a day for either a few weeks or months.
Sinus Headaches: When the open passageways behind the cheeks and forehead go through congestion or inflammation due to sinus infection, sinus headaches are caused. Its symptoms include bad taste in the mouth, consistent deep pain in one’s forehead and cheekbones, facial swelling, fever, the fullness of ears, snot and throbbing pain due to sudden movements.
Rebound Headaches: These headaches are the result of medication overuse or frequently taking painkillers.
New Daily Persistent Headaches: NDPHs hit suddenly and grow constantly without easing on both sides of our heads, unresponsive to medication.
Remitting Headaches: These are headaches that last for 6 months and leave for a period of time, only to come back.
What causes headaches?
The common causes of headaches include:
Sickness: These secondary headaches include infection, cold, fever, blow in the head and sometimes even a serious rudimentary problem.
Stress: Distress, depression, anxiety, poor posture, over-consumption of alcohol, skipping meals, and dehydration cause the majority of headaches in modern society.
Environment: Chemicals, perfumes, allergens, pollution, noise, lighting, and weather change are a few environmental triggers of headaches.
How are headaches diagnosed? Facts that aid in diagnosis includes:
The time and circumstances surrounding the onset of the headache.
Location of the pain.
Duration of the pain.
How severe it is on a scale of 1-10.
Whether one’s vision changed after the headache.
Time of the day that it occurs at
Whether it appears suddenly or without warning.
Events associated with the headache.
Relevant family history.
Treatment One of the most crucial aspects of treating headaches is figuring out your triggers. Though medications are a go-to option for treatment, there are various other options like stress management, biofeedback and multidisciplinary approaches.
There are various treatment plans to cure headaches. Contact your doctor to get a professional opinion and chart out the perfect treatment plan for you. If you’re looking for the best doctors and surgeons, Sancheti HospitalPune is your best bet. With top neuro-specialists and doctors, you can get an accurate diagnosis. Find the underlying cause of your recurrent headaches and get some respite from them with the best treatment plans.
The hip joint is the ball and socket joint that involves a ball (femoral head) that fits into the socket (acetabulum). The joint capsule and surrounding soft tissues provide stability to the joint.
Any reconstructive joint surgery that is designed to relieve pain and improve function is referred to as arthroplasty. It encompasses excision, interposition, and replacement arthroplasty. In Total Hip Replacement (THR), both the acetabulum and femoral portions of the joint are replaced with prosthetic components.
Minimally Invasive versus Traditional Arthroplasty
Recent advances in joint replacement procedures that may have a significant impact on the postoperative rehabilitation and outcome are the development of minimally invasive surgeries with less soft tissue disruption than the traditional methods. Although traditional hip arthroplasty procedures have provided excellent results in the past decades, they are ought to impose substantial trauma to the soft tissues (skin, muscles, joint capsule) leading to prolonged recovery and postoperative pain. Compared to the traditional procedures, minimally invasive procedures use smaller skin incisions, less muscle splitting to expose the joint and less capsular destruction.
Minimally Invasive Total Hip Arthroplasty
A minimally invasive THR surgery uses one or two smaller incisions (<10 cms in length) rather than a single longer incision (15-30 cms long) involving extensive muscle splitting. Studies indicate that the patients who underwent minimally invasive THR had less pain, shorter hospital stay, and were better at early mobility. Materials, Designs and Methods of Fixation
Prosthetic implants are made up of inert materials such as metal alloys, high-density polyethylene (plastics), and ceramics (sometimes).
Designs range from
Resurfacing/ unconstrained (not restricted or limited). These provide no inherent stability.
Articulated/fully constrained. These provide inherent stability.
Methods of fixation
When Is Minimally Invasive Total Hip Arthroplasty Contraindicated?
Despite the excellent functional outcomes after the joint replacement, not every patient is the candidate for an arthroplasty. Although opinions may vary on relative and absolute contraindications, the active infection stays the common concern. Other conditions where THR is contraindicated are:
Chronic osteomyelitis (infection in the bone).
Bone loss or malignant tumours that don’t allow an adequate implant fixation.
How Long Does It Take To Recover From A Minimal Invasive THR?
Patients are generally discharged after 1-3 days after the surgery. In-patient physiotherapy is started on the same day. The patient is encouraged and in-bed exercises are started to prevent secondary complications. Most patients can gradually increase their activities in 6-12 weeks.
The patient is advised to continue physiotherapy and visit for regular follow-ups. Why Choose Sancheti Hospital, Pune for a Minimally Invasive THR?
Sancheti Hospital, Pune is one of the best hospitals for a minimally invasive THR. You should definitely choose Sancheti for its attributes-
56 Years Of Experience in Orthopedic and Rehabilitation.
Use of latest technologies and types of equipment.
The 21st-century lifestyle has an overwhelming abundance of everything. And with so many things to cope with, stress takes over most of our conscience leaving us unhinged and anxious. Stress is our body’s natural defence against predators and danger. It prepares us to fight or flight and releases umpteen amounts of cortisol, epinephrine, and norepinephrine.
A few symptoms of stress can range from physical, emotional and behavioral effects and hinder the productivity and the general well-being of a human being. Chronic stress can also lead to complications like anxiety disorder, depression, heart disease, blood pressure problems etc.
Stress Management Techniques:
Exercise: Whether full-fledged workout plans or finding opportunities to just move your body, exercise is a great stress-buster. It releases hormones like endorphins that block pain, improve sleep and sedate you. It gives your body a euphoric feeling and when your body feels good, your mind follows. Running, swimming, dancing, walking, cycling, and cleaning are a few relaxing exercises.
Diet: The benefits of eating healthy foods have paramount impact on your mental health. By eating healthily, you can eliminate stress, boost your immune system, reduce blood pressure, and level your mood. While junk food, alcohol, cigarettes and caffeine can seem even more appealing when you’re under a lot of stress, lots of added sugar and fat can have the opposite effect. Antioxidants protect your cells from all the damage that stress causes. Complex carbohydrates, vitamin c, omega 3 fatty acids and magnesium are inherent stress busters.
Prioritisation: Grinding at work and having an over-the-top to-do list may be a hustler’s identity. But sometimes, focusing on only high priority and time-sensitive tasks can bring more satisfaction than anything else. Bring your nerd out; organise your schedules, relax, and pursue your personal interests and hobbies. Prioritize yourself over anything that’s causing you much stress.
a) The slow movements, stretching, and deep breathing of Yoga evaporate magnanimous amounts of stress.
b) The 5000-year-old cure of Meditation or the quiet exercise of paying attention to your breathing, allowing thoughts to come and go and living in your body than in your mind cures almost everyone.
c) Deep breathing calms your nervous system which controls your ability to relax.
d) Learning how to manage your heart rate, muscle tension, and blood pressure when stress hits through biofeedback can also help you recognize the sources of stress and eliminate them.
e) When you laugh, you take in more oxygen. Your heart, lungs, and muscles get a boost and your body releases those feel-good hormones. Take Laugh Therapy or watch a comedy show!
f) Simply ranting about what is stressing you out blows off a lot of steam. Talk therapy breaks down any negative thought patterns and gets it all out of your system.
g) Dodge stress bullets by not over-committing yourself, sharing responsibility, acknowledging the problem, thinking through before responding, and simply saying no to things are likely to stress you out.
Lastly, as the Stoics believe: “Focus on what you can control and let go of the rest.” You cannot control what life throws at you but you can control how your mind responds to them. Be there for yourself and treat yourself like you’d treat somebody you love.
If you think that your stress has become chronic and turned into a more severe mental health issue, you need to visit a doctor as soon as possible. Trust professional mental health experts at Sancheti Hospital, Pune, and get some respite from all the internal issues that you hesitate talking about.
Have you lately been finding it difficult to climb a couple of stairs without taking breaks? Or do winters feel like torture to your joints, especially your knees? You may be suffering from chronic knee pain instead of temporary knee pain.
While temporary pain may be due to a knee injury, constant knee pain results from underlying causes. Even though many people experience knee joint pain, chronic knee swelling and pain affects explicitly those in the older age bracket.
Before we delve into discussing chronic knee pain treatment, let us understand what causes it and how you can avoid it.
What is chronic knee pain? : Chronic knee pain is long-term pain due to an unhealed knee injury, trauma, or other underlying health conditions. When your injury refuses to heal, or the trauma to your knee joint is such that it requires constant medical attention, the pain may remain persistent or chronic and causes swelling and sensitivity to the knees.
What causes chronic knee pain? : The knee joint is the point of connection for the shinbone, thigh bone, and knee cap. Any injury to either of these can cause an indirect impact on the knee joint. Some common causes of trauma to the knees are accidents, gout and infections, damaged cartilage, falling from a height, build-up of uric acid, sport or workout injuries, and much more. Some of these may result in dull or minor knee pain; however, when the chronic knee pain is also unbearably extreme, there may be cause for some concern.
Bone tumours usually cause extreme knee pain that refuses to go away. Suppose you notice that your chronic knee pain has spread to other bones of your body. In that case, there is a possibility of bone disorder conditions like osteoarthritis or osteoporosis.
What are the symptoms of chronic knee pain? : During the onset of chronic knee pain, some symptoms accompany the initial dull ache in your knees. Be on the lookout for symptoms like muscle cramps, constant aching, pain due to movement, redness, tenderness and swelling of the joints, stiffness and weakness in the legs, reduced range of motion, and constant dull burning discomfort.
While most people will experience only a couple of these symptoms for their pain, some might even experience a majority or all of them as the pain increases over time. However, ensure that you do not delay seeking medical help and consult your doctor at the earliest.
How to prevent chronic knee pain?: Some ways to keep your chronic knee pain or injuries at bay-
1) Warm-up before workout: One of the most common trauma causes to the knee joints is suddenly working out without proper warm-up. This shocks the leg muscles and gives them no time to prepare to bear the stress of exercise. Have a good 10 minutes of warm-up before working out to prevent injuries.
2) Low-impact exercises: Go easy on your workout. When you know there is a risk of injury or overdoing the exercises, it is best to keep them low-impact and avoid further complications.
3) Maintain appropriate weight: Shedding the extra weight may be beneficial in more ways than one. Maintaining appropriate weight eases the strain on your leg muscles to bear your body weight, thus keeping them comfortable.
4) Intake of nutrition: Chronic knee pain may be a sign of declining nutrition and vitamins. Ensure eating a well-balanced meal and supplementing it with Vitamin D, B and Zinc to strengthen your bones.
5) Wear comfortable footwear: Footwear impacts our legs more than we can imagine. Wearing strenuous and uncomfortable footwear puts unnecessary pressure on the legs and causes the muscles and tendons to strain. Get yourself suitable footwear to avoid all leg or knee-related problems.
6) Get support: When you notice that the dull pain in your knees that you tried to ignore for a long time refuses to go away, it may be time for you to seek medical help. Injuries to the knees can only worsen if left neglected for a long time.
If you’re looking for the best place to treat your chronic knee pain or injury, Sancheti Hospital, Pune, is excellent. With the best surgeons and orthopaedics, your knee pain will surely heal and vanish!
People also Ask:
1. How do you treat chronic knee pain?: If you want to try some home remedies apart from visiting a doctor, resting your knee well is the most helpful. Keep it at an elevated position while resting to ensure proper blood flow. You can also use hot compressions to reduce pain and cold compressions to reduce swelling and redness.
2. How do I know if my knee pain is serious?: While some knee pains may be temporary, ones that can be serious are those resulting from accidents, falls, wounds, etc. If you notice a deformity or swelling and redness that won’t subside, you should immediately visit your doctor.
3. Can chronic knee pain be cured?: Since chronic knee pain may result from several underlying conditions, you cannot usually treat it on your own. However, seeking medical help at the best hospitals like Sancheti Hospital, Pune, will help cure your chronic pain and relieve you.
4. How do I know I need a knee replacement?: When you have knee pain that restricts your daily activities or persists even in your resting position throughout the day, it is possible that your knees need replacement. Conditions like osteoarthritis may damage your knee joints and make movement difficult.
Does it seem almost impossible for you to go about your day without feeling excruciating pain in your back? Or does bending over to pick up something feel like torture? You may be suffering from chronic back pain.
While lower back pain or upper back pain is a fairly common condition that most people face irrespective of age, persistent back pain may result from various underlying causes. The most common pain that people experience is lower back pain, shoulder pain, or muscle strains in the back. However, before finding out the cause and treatment for back pain, let us first understand the different kinds of back pain.
Types of back pain
1) Acute Back Pain: Sudden sharp or acute pain in the back results from an injury to the muscles or ligaments. An injury causing a fracture to the spine or a tear in the muscle fibres may give rise to acute back pain. This generally does not heal without seeking immediate medical help.
2) Chronic Back Pain: Having persistent back pain, whether in the upper or lower half of your back which refuses to go away, can be called chronic. While it is more common with increasing age, conditions like arthritis of the spine are a leading cause of chronic back pain.
3) Lumbar Radicular Pain: Lumbar radicular pain in the back is of the more severe kind and happens to an injury to the nerve roots of the lumbar spine. The pain feels like a highly intense, stabbing pain from the lower back to the leg, causing numbness and tingling.
How Does Back Pain Become a Chronic Illness?: Since back pain is a common condition, many people neglect it, assuming that it will heal independently. However, prolonged periods of ignored back pain may convert into chronic illness if you don’t seek timely medical help.
The onset of back pain may be due to accidents, acute sports injuries, workplace injuries, improper lifting practices, or weak back muscles. Pregnancy is also a significant factor for back pain amongst women. While these conditions need proper medical attention, there could also be underlying causes like tumours in the spine, arthritis, and the likes, which need urgent medical care.
What is the symptom of back pain?:
While back pain on its own may keep recurring due to various causes, that which continues to trouble you and makes your daily activities difficult may show symptoms at its onset. Be observant about symptoms like-
– Numbness or Tingling
– Excruciating pain, especially at night
– Radial pain shooting down the leg
– Unexplained weight loss
What causes back pain?: The most common causes of back pain are accidents and injuries due to sports. However, poor posture and long hours of sitting affect your back and weaken the muscles. Since the shoulder and neck muscles are connected, stress could be another cause of pain in the shoulder and back muscles.
While most pains go away with good exercise and warm compressions, cause for concern rises if there are symptoms of chronic illnesses like spinal tumours, arthritis, sciatica, spondylitis, etc. Such severe conditions may require back surgeries to heal completely. If you’re looking for the best chronic back pain treatment hospitals, Sancheti Hospital, Pune, is an excellent one. With well-qualified and famous surgeons, you can rest assured about the well-being of your back.
How to prevent back pain?: Making a few changes and incorporating them into your daily life will go a long way in helping you ease your back pain. While seeking professional medical help is extremely important, it is also essential that you take the initiative to maintain good health and thus keep chronic illnesses and aches and pains at bay. Here are some ways to prevent or ease your back pain-
Build muscle strength and flexibility
Maintain a healthy weight
Avoid lifting heavy objects
Correct your posture
Ensure your back is comfortable with good support when sitting
People also ask:
How do I know if my back pain is serious?While most back pains are harmless and are no cause for alarm, you should seek immediate medical attention if there are symptoms like high fever, stomach discomfort, sudden shooting pain in the back, unexplainable weight loss, and reduced bladder function.
What organs can cause lower back pain?Sudden pain in the lower back may result from poor functioning of organs like kidneys, appendix, pancreas, and large intestines. Since they are near the lower back area, disruption in their function may come out as one of the symptoms of lower back pain.
How can I fix my back?Most of your back pain problems will go away with proper exercising and releasing the muscles. Unknowingly we harbour tension in our muscles, which reflects as back or shoulder pain. With correct posture and good low-impact exercises, you can fix your back pain. However, if the pain is persistent, it is best to seek medical help.
What is the best medicine for back pain?An Ibuprofen or Tylenol are pain-relievers which may give you temporary relief from your nagging back pain. However, it is best if you do not self-diagnose and visit a doctor to get appropriate and adequate professional care for your chronic back pain. Visiting the best hospitals like Sancheti Hospital, Pune, will help you diagnose the underlying cause and get timely treatment.
Falls are the leading cause of injuries in the elderly. The consequences of falls can rise with growing age. For individuals above the age of 65, falling can lead to hospitalization, an increase in mortality rate, morbidity and spikes in the rate of nursing home placements.
The elderly are usually susceptible to falls because of accidents or environment-related reasons. However, there are multiple risk factors that precipitate the elderly to fall. They might be muscle weakness, arthritis, prescription medications that induce dizziness as their side effects, impairment in cognition or vision, postural hypotension (a state where your blood pressure drops due to an elongated period of lying or sitting), confusion, heart disease, diabetes, thyroid, nerves or blood vessels, improper footwear or simply an age older than 80.
Studies show that about 20-30% of senior citizens falling suffer through hip fractures, broken bones or head trauma. The recovery process leaves them with no independence and a complicatedly poor quality of life. Their mobility gets restricted and leads to functional decline. The fear of being placed in a nursing home leads to anxiety, depression, helplessness and feeling of isolation.
Prevention is better than cure. Following are a few precautions for fall prevention amongst the elderly:
Exercise programs improve muscle strength and make you stronger. It keeps your joints, tendons and ligaments flexible and slow exercises like walking or climbing stairs can also help reduce bone loss.
Sleeping adequately reduces dizziness and your chances of falling down.
Blood Pressure plays a key role in maintaining balance. When you stand up slowly your blood pressure doesn’t instantly drop and prevents you from feeling wobbly. It’s recommended to get your blood pressure checked while standing or lying down.
Clear the clutter! The majority of cases of falls are because of environmental barriers. Make sure you walk slowly on wet or icy surfaces. If you have a history of falls due to the same environment, it’s time to rearrange the space and make it fall-proof.
Strengthening your bones can go a long way to reducing hospital visits for fall-related fractures. Having healthy bones won’t reduce the chances of falling but it curtails the aftermath of dealing with a broken hip bone.
Good footwear like lace-up shoes with non-skid soles and low heels can increase grip on slippery or smooth surfaces and support your feet enough to prevent falling.
Install bars and handrails are crucial for going up and downstairs, getting on and off the toilet, without injuring yourself.
A sudden fall can be startling. Make sure you stay on the floor for a few moments to subside the impact of the fall and relax your breathing. Getting up too quickly can upset the injury. Thus, make sure you crawl and get up slowly towards a sturdy chair. Call for help from either people around you or dial an ambulance. You must inform your doctor about your fall history even at times you weren’t particularly hurt. It can alert the doctor about any secondary complications that might cause falls. The doctor might also recommend assistive devices like canes or walkers, or even a special bracelet to call for help when you fall. You must consult a physical therapist for the same.
Osteoarthritis and Rheumatoid arthritis both affect your joints. Both have “arthritis” as a suffix, but these two are different. “Arthritis” is an umbrella term for inflammation. Osteoarthritis is a primary degenerative disorder caused by wear and tear of articular cartilages, whereas Rheumatoid arthritis is an autoimmune disorder when the host’s immune system attacks the tissues around the joint.
Degenerative OA Vs Autoimmune RA
Osteoarthritis (OA) is a chronic degenerative disorder that primarily affects the articular cartilage of the joints. It also involves bone remodelling and overgrowth at the margins of the joint in the form of spurs. OA leads to activity limitation and reduced participation. Prolonged mechanical stress, muscle weakness, overweight, are possible causes of OA.
OA is classified into 4 grades.
Minor: Normal No joint space reduced.
Minor wear and tear in the joints. Little to no pain in the joints.
Mild: Normal Joint space.
Noticeable bone spurs in the joints. The joint becomes stiff and painful after prolonged rest periods.
Moderate: Moderate Joint space reduction.
Cartilage begins to erode. The joint becomes inflamed and causes pain even in simple activities like standing or walking.
Severe: Severe Joint space reduction.
Cartilage is almost worn off leading to an inflammatory response at the joint. Overgrowth of bony spurs and a lot of pain.
Rheumatoid arthritis (RA) is an autoimmune, inflammatory, systemic, long term disorder that affects the synovial linings of joints and other connective tissues. RA is characterised by fluctuations between active disease and remissions.
Classical symptoms of RA include Aching joints, stiffness and abrupt swelling, progressive deformities. The disease is characterised by symmetrical deformities in both limbs.
Onset is usually in the smaller joints of the hands and feet and most commonly the smaller joints at fingers (proximal interphalangeal joints). Pain is usually felt and muscle atrophy and weakness follows.
Deformities involved in RA:
Boutonniere Deformity: It is a deformity of the fingers in which the proximal interphalangeal joint (PIP) is flexed and the distal interphalangeal joint (DIP)
Swan-neck Deformity: Characterized by proximal interphalangeal (PIP) joint hyperextension and distal interphalangeal (DIP) joint flexion.
Ulnar deviation: Ulnar deviation at the fingers (metacarpophalangeal joints) is seen.
Scientifically, nutrition is the biochemical and physiological process through which an organism stays alive. The foods we eat can have a big impact on the structure and health of our brain and body. Good nutrition is a critical part of human health and development. Including the five types of nutrients i.e., proteins, fats, carbohydrates (sugars and dietary fibre), vitamins, and minerals in your meals is a good idea for the following reasons:
1) Immunity: Immunity is our ability to recognize harmful foreign bodies in our systems and fight them off. Healthy nutrition intake improves our defence against diseases. When you eat a wholesome and varied diet, you ensure your immune system functions at its best and guard against illnesses and immune deficiencies.
2) Mood: Evidence suggests a complementary relationship between diet and mood. Having good nutrition and a balanced diet ensures a healthy body, which in turn makes a healthy mind. Nutrients such as iron and omega-3 fatty acids found in protein-rich food have proven to boost one’s mood. Additionally, a study in 2016 found that high-glycaemic diets could induce depression and fatigue. This category includes many refined carbohydrates, such as those found in soft drinks, cakes, white bread, and biscuits.
3) Memory:The brain is an energy-intensive organ, consuming 20 per cent of our body’s calories. A properly fueled brain means a better chance of staying focused throughout the day both short- and long-term brain health can be improved by eating a brain-boosting diet.rm brain function. For example, Omega-3 fatty acids help build and repair brain cells. Nutrients like Vitamin D, Vitamin C, and Vitamin E are identified as nutrients and foods that protect against cognitive decline and dementia. Additionally, by reducing cellular stress and inflammation, antioxidants reduce brain ageing and neurodegenerative disorders, such as Alzheimer’s.
4) Weight: Being overweight or having obesity are risk factors for several conditions. This includes heart disease, type 2 diabetes, poor bone density and even some cancers. A good nutritious diet free from processed foods can help a person stay within their daily limit without monitoring calorie intake. Dietary fibre is particularly important for managing weight. Many plant-based foods contain dietary fibre, which helps people feel full by keeping them satisfied for longer periods of time
a) The imperativeness of good nutrition is not only a no-brainer for an expectant mother but also the father. Healthy individuals reproduce healthy children. We must make sure we transfer the best to the coming generation. A developing body needs the right nutrients to thrive so that cells are built and maintained and the body grows at the right place.
b)Children are visual learners. Adults who demonstrate healthy eating and exercise habits are more likely to pass these Studies also suggest that children who eat meals regularly with their families consumed more vegetables and fewer sugary foods than their peers who ate at home less frequently. In addition, children who participate in cooking at home may be more likely to make healthy dietary and lifestyle choices.
Scoliosis is the lateral curvature in the spine. It usually involves the thoracic and lumbar regions of the spine. Scoliosis is often diagnosed/seen in childhood. The angle of the curvature may be small or large. An angle that measures more than 10 degrees on an X-ray is considered scoliosis. Letters “C” or “S” are often used to describe the curvature.
Along with the curve at the spine, there may be asymmetry in the pelvis, hips, and lower limbs.
There are two types of scoliosis. They are:
Structural Scoliosis: Structural scoliosis involves an irreversible lateral curvature of the spine with fixed rotation of the vertebras of the spine.
In structural scoliosis, when bending forward to touch the ground, a mild rib hump is seen which indicates the fixed rotation of the vertebrae and rib cage.
Nonstructural Scoliosis: Nonstructural scoliosis is reversible and can be changed with positional changes such as lying straight, realignment of the pelvis by correcting leg-length discrepancy or with muscle contractions. It is also known as functional or postural scoliosis.
Causes Of Scoliosis:
The causes of structural scoliosis include:
Neuromuscular disorders like cerebral palsy, muscular dystrophies, spinal cord injury, etc.
Osteopathic disorders like rickets, fractures, hemivertebrae ( Hemi= Half. A condition in which half a vertebrae is not formed.)
Idiopathic conditions in which the cause is unknown.
The causes of nonstructural scoliosis include:
Leg-length discrepancy (A condition in which one leg is shorter than the other.)
Muscle guarding or muscle spasm because of pain in the back or neck
Habitual/prolonged incorrect posture.
Asymmetrical posture while sitting/standing.
Diagnosis Of Scoliosis
Physical examination: Initially, the doctor will take a thorough medical history and may inquire about the lifestyle. Your doctor may ask you to stand and then bend forward from the waist, arms hanging loosely, to see if one side of the rib cage is more prominent than the other during the physical exam. A neurological exam may also be performed by your doctor to look for Muscle strength, sensations and reflexes.
X-ray: X-rays help to diagnose the degree of curvature of the spine.
MRI: MRI may be suggested if the doctor suspects an underlying condition such as a spinal cord injury, etc.
Treatment Of Scoliosis
Depending on the type of scoliosis, the measurements of the curvature at the back, age, and other medical conditions, the best treatment is decided by the Orthopedician. The treatment of scoliosis includes a non-surgical and surgical approach.
The non-surgical approach is achieved with the use of a brace and physical therapy.
Use of a brace
The goal is to keep the curve under control since childhood so that surgery is not required. The braces are hard plastics. These can be rigid and elastic, allowing movement. They can be worn for 16 to 23 hours per day until the children are in growing age.
A thorough evaluation of the findings from the examinations, patient history, specific tests and measures is noted. The plan of treatment focuses on,
Postural alignment in sitting and standing.
Balance and Gait training.
Muscle strength and endurance training.
Ergonomic assessment and tips to improve ergonomics.
When curves are between 45 and 50 degrees, they are likely to worsen and may even affect how the lungs function. In such cases, your doctor may suggest spinal fusion surgery, which has been shown to reduce the progression of curves.
The curved small bones of the spine will be fused during this procedure. These vertebrae will fuse together to form a single straight bone as your child’s back heals. The curve would not change because growth in this area of the spine has been stopped.
Why Choose Sancheti Hospital, Pune for Treatment Of Scoliosis?
56 Years Of Experience in Orthopedic and Rehabilitation.
Use of latest technologies and types of equipment.
In-patient and Outpatient physiotherapy.
For more details or queries, reach us at our customer care number 88888 088 45
Around 20% of people make a resolution to lose weight in the new year. Losing weight is always a good idea, but shouldn’t be limited to fitting into your pants. Having good cardiac health and being in good shape are definitely solid reasons to consider weight loss. However, the following are a few alternative reasons why considering weight loss would be a great idea:
Reasons to Consider Weight Loss
1)Mood: Losing weight comes with diets and exercises. Though exercises sound strenuous, they release endorphins i.e., our feel-good hormones. These hormones make the overall experience of exercising less agonizing more wonderful. Losing weight improves confidence. When you look into the mirror at a more attractive and ideal body type, you start to feel better in your own skin.
2)Productivity: After losing a few kilos, you will feel more energized. Good nutrition and less weight to carry around will increase your productivity and leave you enough fuel to pursue things you always wanted to. When you’re naturally energized, you won’t need high-energy foods. Studies show that cutting down on these fatty and sugary foods will not only decline obesity but also improve the quality of your sleep. As you wake up well-rested, the whole positive circle will repeat, improving the standard of your life.
3)Health: Our joints experience daily wear and tear. However, being overweight leads to a faster decline in the health of our joints and makes us prone to arthritis. Anti-inflammatory diets are popularised for the same reasons. Obesity directly affects our adrenal glands and respiratory system and leaves us more vulnerable to seasonal allergies. Studies show that overweight people have less sensitive taste buds than healthier people. This means that losing weight makes your food taste better. Scientists speculate this is because of the hormonal changes that take place in your brain during weight loss that enhance the taste receptors. Healthy food full of nutrition also improves immunity.
4) Healthy and glowing skin: Counting calories directly links to eating better. Upgrading your diet will have countless positive side effects. When you include nutritious and low-calorie foods such as carrots, broccoli, and celery in your soups and sauces and balance meat with vegetables such as tomatoes, cucumbers, lettuce in your sandwich, you’ll get glowing skin in no time. Drinking fruit juices with lots of fibre will also leave you skinny and shining. You will breathe better and sweat less. Your overall skin health will improve, making you look younger!
5)Memory: You’ll stop relying on technology to remember something. When we acquire or experience something new, a new pathway between brain cells is formed. However, fructose– the primary component in sodas and other sweetened foods– disrupts this process. Thus, losing weight will cut the brain drain and increase efficiency.
Start your ultimate weight loss journey now! You’ll open several healthy doors in your life and even make life-long friends going through the same journey as you are. A leaner you not only ensures a longer life but also a better life, less prone to diseases.
Don’t ignore your pain! Are you tired of conservative management and still bearing with the pain because you are scared and have a lot of unanswered questions about hip replacement surgery? There is a lot of circulated information which is outdated or false. Here are the top 5 myths and facts about hip replacement that you should consider before you shrug off the option of surgery.
Myths about Hip Replacement
Myth 1: Hip Replacement Surgery Don’t Give Long Term Relief. I will need another surgery eventually.
Statistically, hip replacements can last for up to 20 years, or more. Depending on your age, comorbidities, and the joint procedure, the hip replacement may or may not require revision surgery.
Myth 2: I will have to be on bed rest for a long recovery time.
The fact is that you can expect to stand and start walking with the help of assistance and supervision on the day of surgery itself. The healing period takes time, but as the physical therapy starts from the day of surgery, you will learn to tackle the pain, improve the ranges and strengthen the muscles. You can expect to be back to your daily chores within a few weeks to months.
Myth 3: Hip Replacement Surgery is only for the elderly
Anybody who has pain, disability, trauma and impairments that need surgical intervention is the candidate for hip replacement. There is absolutely no age criterion for hip replacement surgery. THR is performed successfully at all age groups from juvenile arthritis to degenerative arthritis in the elderly.
Delayed surgery will only aggravate the pain and symptoms. It is also accompanied by other risks such as deterioration of the joint structures, reduced mobility and increased pain. Delayed surgery may also lead to a complicated one. Hence, as suggested by the surgeon, you should not table the idea of surgery till the moment the pain becomes unbearable.
Myth 5: I won’t be able to participate in sports and it will limit my mobility.
As soon as you have hip surgery, your mobility training is started under the supervision and assistance of the physical therapist. After a considerable recovery period, as soon as your surgeon gives you a thumbs-up you can gradually undertake many low-impact sports.
What Are The Next Steps in Hip replacement?
Isn’t the thought of movement of hip without pain a comforting one? Sancheti Hospital Pune specializes in surgical and non-surgical treatments for hip pain. It includes minimally invasive hip replacement surgery that helps you recover faster and with lesser pain. In-patient and out-patient physiotherapy to supervise and improve movement from the day of surgery. For more information and consultations with the orthopedic surgeon, call on our appointment desk number 88888 088 45
Like a muscle, bone has a living tissue that deteriorates over time. The bones absorb nutrients and minerals through childhood, adolescence, and early adulthood, increasing their strength and density. The majority of humans reach their peak bone mass in their early 30s. This means our bones reach their maximum capacity, strength, and density. From that point forward, our bones start losing their density. Bones that lose density tend to fracture easily.
Women are prone to bone-related diseases like osteoporosis, particularly after menopause. Osteoporosis is a disease you get when you lose bone faster than you make it. It makes your bones weak and brittle. It is thus important to look after your bones from an early age.
Following are a few ways for women to promote bone health:
Monitoring our diet and prioritizing vital nutrition like:
a)Calcium: Increasing calcium intake is the bread and butter of improving bone health. Adults need 700mg of calcium from sources like dairy products such as milk and cheese, green leafy vegetables (excluding spinach), soya beans, tofu, plant-based drinks with added calcium, nuts, anything made with fortified flour, fish where you eat the bones, such as sardines and pilchards, etc.
b)Magnesium: Magnesium plays a key role in converting vitamin D into an active form that promotes calcium absorption. Magnesium is found in small amounts in most foods, however, you can take supplements to ensure 400mg of magnesium per day.
c)Zinc: Zinc helps make up the mineral portion of your bones. By stimulating the formation of bone-building cells, it prevents the excessive breakdown of bone. Good sources of zinc include beef, shrimp, flaxseeds, oysters, and pumpkin seeds.
d)Vitamin D: Adults need 10mg of Vitamin D daily to promote bone health. Vitamin must not only be sourced from diet but also from the sun.
e)Vitamin K: Vitamin K helps the body make protein for healthy bones and can help the body reduce the amount of calcium it excretes.
f)Potassium: Potassium neutralizes the acids that remove calcium from the body
Bone is a living tissue that becomes stronger when exercised.
The following exercises improve bone health:
a)Weight-bearing exercises like walking, hiking, jogging, climbing stairs, playing tennis, and dancing that force you to work against gravity.
b)Resistance exercises such as lifting weights.
If you have osteoporosis or low bone mass, consulting an expert for exercises is recommended to lower the risk of breaking a bone or injuring the spine.
a) Caffeine: Excess caffeine accelerates bone loss in people who aren’t getting enough calcium.
b) Alcohol & Nicotine: Consuming more than 1-2 drinks a week reduces bone mass by 2% per year. Alcohol and nicotine combined reduce 8% of bone mass per year.
Lastly, the bone density scan measures the calcium and other minerals in your bones using a low-dose X-ray. While it’s recommended routinely for women over the age of 65, it helps in diagnosing bone conditions beforehand, especially when it’s in the family history.
Clubfoot is a congenital (present from birth) foot deformity. In comparison with the normal foot, a clubfoot points inwards and downwards. The twisting causes the toes to point towards the other leg. Clubfoot can be present in one or both the legs of the baby.
Causes of Clubfoot:
The cause of clubfoot is idiopathic (unknown). It also runs in the families (genetics).
Risk Factors of Clubfoot:
Clubfoot is a common condition in boys. Boys are twice likely to develop clubfoot than girls.
The following are some of the risk factors:
History of/in the family. If any of the parents or one of their other children have had clubfoot, the baby is more likely to get it.
Congenital problems. Clubfoot is sometimes linked to other skeleton abnormalities that are present at birth (congenital), such as spina bifida, a birth abnormality in which the spine and spinal cord do not develop or close properly.
Environment. Smoking/use of drugs during pregnancy increase the baby’s risk of developing clubfoot.
Antenatal. Clubfoot can be caused by a lack of fluid that surrounds the foetus in the pregnancy.
Treatment of Club Foot:
Clubfoot needs a doctor who specialises in bone and muscle deformities (pediatric orthopedics). Surgery was the commonly used treatment method. But now, the Ponseti method is used. The Ponseti method involves using a succession of casts, mild movements and strains of the foot, and a brace to gradually reposition the foot into the correct position.
The Ponseti technique is completed in two stages, Casting and Bracing.
Casting. A week or two after the baby is delivered, the first cast is applied. The baby then visits the surgeon around once a week for moderate stretching and moving of the foot, as well as the replacement with a fresh cast. The new cast moves the foot a little more in the right direction than the previous one. Over the course of a few weeks or months, most babies will wear a series of 5 to 7 casts.
Bracing. Instead of a cast, the orthopaedic surgeon suggests a brace (orthosis) after the foot is in the proper position. The orthosis consists of a bar with customised shoes or boots attached to each end. It prevents the foot from reverting to its original position before the casting. In the first few years of life, feet grow a lot and quite quickly. With the rapid growth of the foot, preventing it from reverting to the clubfoot position is the aim, and a brace is used to keep the corrected clubfoot in place.
For around three months, a child will wear the brace all the time, then only at night for a few years.
Parents’ Role In The Treatment of Clubfoot
Consider yourself as the other half of the whole process. By following the orthopedic surgeon’s treatment plan, you can do the needful at home and make sure that the child should walk, weight bear, run without pain.
Note our orthopedic experts have solutions and answers to your queries and problems. You can book an appointment on 88888 088 45 or write us on firstname.lastname@example.org
YOGA, it’s not simply trying to touch your feet or meditation. Yoga is a systematic practice of physical movements, breathing exercises, concentration aimed at bringing peace to the body and mind. It can also be performed as a relaxation technique. Yoga practices are used in health promotion programs and as a complementary treatment for conditions like anxiety disorders, depression, coronary heart disease, malignancies, and other musculoskeletal conditions. Yoga is a low-cost self-help method for improving one’s well-being.
Top 5 Health Benefits Of Practising Yoga
Yoga Asanas work by stretching your muscles. Stretching improves flexibility. Yoga Asanas help to improve the range of motion of the body. Yoga’s mindful approach to stretching helps to ensure that it is done safely, allowing the nervous system to release the muscles into subtle, effective stretches. This lowers the danger of ligament and tendon injury, which can occur with more severe approaches to flexibility exercise. Releasing muscle tension can also help them relax, allowing your body to open up more.
A certain form of yoga such as Ashtanga and power yoga help in increasing muscle tone and improving strength. Even moderate-intensity forms of yoga such as Hatha help to improve strength. Yoga poses focuses on the strength of different parts of the body. Yoga helps in strengthening the upper and lower back muscles, core muscles, upper and lower limb muscles.
Strong core equals strong correct posture. Most standing and sitting postures are held erect with a strong core. Yoga helps to improve mind-body connections, hence you quickly notice if you are slumping or slouching. Plus strong muscles help you sit/stand without getting tired and eliminate the need to slouch or slump.
Improves Cardiac Health
Research has proved that Yoga is known to lower blood pressure. It also has a direct relationship with heart rate. A slow heart rate is a good rate and yoga can benefit people with high blood pressure or heart diseases (coronary artery disease), and also those who had an episode of stroke. Yoga also helps in lowering cholesterol levels and triglyceride levels.
Yoga is an excellent way to relax and calm your mood. It also improves concentration and a sense of well-being. Yoga can help work stress, relax your body, improve blood circulation and make the body stronger.
A rotator cuff is a group of muscles and tendons (SITS- Supraspinatus, Infraspinatus, Teres Minor and Subscapularis) that surround the shoulder joint and keep the humeral head firmly within the shoulder’s shallow socket (scapular groove). A rotator cuff injury is a tear in the four muscles that stabilise your shoulder joint. It can result in a dull aching pain in the shoulder that often worsens with arm movement in all the planes. Rotator Cuff tears are broadly classified as partial-thickness or full-thickness tears.
Rotator Cuff injuries are common with increasing age and with people, whose job demands repeated overhead motions. Lack of blood supply, bone spurs, sports that strain the rotator cuff are a few other causes of rotator cuff injuries.
Rotator Cuff Tear Symptoms:
Pain when lifting the arm.
Pain when lying on the side.
Unable to lift the objects.
Generalized shoulder weakness.
Hear clicking/popping sounds when you move the arm above a certain angle.
If you experience any of these symptoms, contact your doctor immediately. Ignoring a minor tear can lead to severe complications of frozen shoulder or arthritis that are harder to treat.
Rotator Cuff Diagnostic Tests:
Physical examination: Your doctor will palpate on various parts of your shoulder and move your arm into various positions during the physical exam. He or she will also assess the strength of the muscles in your arms and around your shoulder.
In some cases, your doctor might suggest imaging tests like:
X-rays: Although an X-ray won’t reveal a rotator cuff tear, this test can reveal bone spurs or other potential causes of pain, such as arthritis.
MRI: Magnetic Resonance Imaging (MRI) uses radio waves to give a detailed image of the soft tissues involved. It gives the precise location of the injury in the involved structures.
Rotator Cuff Tear Treatment:
The doctor may suggest a combination of treatments. Conservative treatment comprises rest, icing and physical therapy. Failure of pain relief from conservative treatment may require surgery.
Conservative treatment mainly includes:
Physical therapy to make the shoulder muscles stronger.
Precautions and home exercise program as given by the physiotherapist.
Medications for pain relief.
Rest and icing to allow the shoulder muscles to heal.
Steroid injections as and when suggested by the doctor.
Failure of pain relief from conservative treatment may require surgery. Surgery may also be required when there is a complete tear. Following are the most commonly performed surgeries for Rotator Cuff Tear.
Arthroscopic approach. Your doctor will make a small cut in your shoulder and repair the tear with an arthroscope, which is a tube with a small camera and tiny instruments. As a result, your recovery time will be shorter than it would be if you had another type of surgery.
Traditional Open approach. Your doctor will use larger instruments to repair the tear in your shoulder muscles.
Mini-Open (arthroscopically assisted) approach. This procedure uses both arthroscopic and open techniques. Your doctor will begin with an arthroscope and progress to larger instruments as needed.
Transfer of a tendon. If your tendon is too torn to reattach, the doctors may be able to use a tendon from another part of your body.
Rotator Cuff Injury Prevention:
If you fall in the high-risk population of getting a rotator cuff injury, or you are involved in sports like basketball, tennis etc., or your job demands a lot of overhead activities, rotator cuff injury can be prevented by strengthening the shoulder muscles. Regular physiotherapy consultations and home exercises are key to strengthening the rotator cuff muscles and reducing the risk of injury.
Why Choose Sancheti Hospital, Pune for Rotator Cuff Tear Treatment?
56 Years Of Experience in Orthopedic and Rehabilitation.
Use of latest technologies and types of equipment.
In-patient and Outpatient physiotherapy.
For more details or queries, reach us at our appointment desk: 88888 088 45
Let us all admit that we spend a considerable part of our day sitting. We are often switching between a laptop and a smartphone, taking notes on our desks or traveling on a bike or car. Do you know, sitting for long hours can eventually lead to back pain? So, what can be done to prevent back pain? The best way to prevent back pain is to watch its ergonomics. Ergonomics is one of the essential components of injury prevention. Ergonomic in simple words is the study of work. It is a study of designing workplaces and manipulating tasks with the capacities and limitations of the human body.
Sitting is an inevitable component of office jobs, even with a few micro-walks throughout the day. Fortunately, there are numerous ways to set up your workstation in order to make your 9-to-5 life healthier and more comfortable. Here are a few tips to help prevent back pain.
Movement Is Life, Life Is Movement
Moving is an important element of keeping your spine healthy throughout the day. Have you heard of stretch breaks? Get up from the chair, move around and stretch for around 15-30 seconds. This not only offloads the spine but also keep you fresh. You can take a walk during your lunch break. So get up and start moving! These habits can considerably reduce neck and back pain.
Sitting is an inevitable component of office jobs, even with stretch breaks and micro-walks throughout the day. Fortunately, there are numerous ergonomic tips to make your 9-to-5 job healthier and more comfortable.
Setting up your computer screen: If your computer screen is set too high or too low, it may cause shoulder or neck strain at the end of the day. The top of the screen should be set at eye level so that you don’t have to glance up and down all the time.
Consider using an ergonomic chair with a backrest that supports the curve of your lower back (lumbar spine): Sit back in your chair with your thighs perpendicular to your knees at hip level. Place your feet on the floor or on a footrest to keep them comfortable.
Avoid excessive bending from the back: It’s advisable to sit at a desk with an appropriate posture if you’ll be answering emails for more than a few minutes rather than bending and leaning on the table.
Adjust your keyboard to a height where your elbows are bent approximately 90 degrees and your shoulders are not slumped.
Keep sufficient eye distance between the screen and eyes. At least 20 inches (51cm) will be an ideal distance.
Exercises at work that prevents neck or back pain
These exercises do not require open space and can be easily done on/around the desk.
Shoulder Shrugs: Try to raise your shoulders to your ear level and bring it down. Repeat for 10 times.
Shoulder Retractors: Sit in a neutral position and try to bring your shoulder backwards such that you are squeezing with the shoulder blades
Chin tucks: Sit in a neutral position and try to slowly glide the head backwards. Pull the head and chin as much as you can. Do not tilt or nod your head.
Stretching: Gentle stretches of the arms, legs and back.
If you’re still struggling with back pain, you can get the best back pain prevention and fitness tips from the best orthopedic doctors and physiotherapists with our hassle-free appointments. You can reach us at email@example.com with your problems and queries. You can also stay updated with the latest advancements for low back pain care and hear from our patients who fought back pain with us.
Why Choose Sancheti Hospital for Back Pain?
56 years of expertise in treating orthopedic conditions.
Use of advanced treatments, latest technology and types of equipment.
Physiotherapists who are experts in musculoskeletal conditions and manual therapy.
For more information and expert advice, call our appointment desk: 88888 088 45
Knee ligaments are the static stabilizing structures for rotational and accessory motions of the tibiofemoral (knee) joint. Out of the four primary ligaments, Anterior Cruciate Ligament (ACL) is the most commonly injured ligament. ACL injuries occur when it is sudden or quick movement, sharp rotational movement when weight-bearing, sharp turn when running or jumping, etc. It is often painful and the weight shift on the affected leg worsens the pain and makes it difficult.
What Causes ACL Injury?
Athletes often get ACL injuries. ACL injuries are caused when the athletes quickly change the direction and force of the movement. In sports like football, basketball, tennis, etc. there is often pivoting, twisting and cutting movements that put a great amount of stress force on the knee joint. The ACL integrates the knee joint against these forces. ACL injuries generally occur when the sportsperson attempts to twist the body on the planted foot and places weight on it. Due to this, a twisting force that ideally ACL must absorb is created. Failure of the ACL to cope with the excess twisting force causes the rupture of the ACL.
Symptoms Of ACL Injury
Pain: Pain occurs when putting pressure or weight on the knee joint. Walking becomes difficult because of pain and restricted motion at the knee joint.
Swelling: Most likely to happen in the first 24 hours after injury.
Reduced Range Of Motion: The ranges of knee flexion (unable to bend your knee) become restricted.
Diagnosis Of ACL Injury
For diagnosis of ACL injury, MRI and physical examination prove to be a great combination.
ACL Injury can be diagnosed in the following ways:
Physical examination: Specific tests to ACL are performed by the healthcare provider. Special tests such as Lachman’s test, Anterior Drawer’s Test, etc. The patient lies on his back and the doctor performs these tests. Often the patient complains of a lot of pain after an acute injury. So, a physical test can be difficult and the doctor relies on an MRI.
MRI: Doctors rely on MRI for its accuracy as MRI can show both soft tissues and bone. A damaged ACL will appear on an MRI.
Treatment Of ACL Injury
Treatment of ACL injury depends on the level of injury and the pain scale. Here are a few treatment options.
Take off the load: If the injury is minor, RICE (Rest, Icing, Compression & Elevation) can be practiced. Take off the load on the knee joint by using a brace, or crutches.
Medication: As recommended by the doctor, anti-inflammatory drugs for swelling are often prescribed. The doctor may also use other methods such as steroid injections.
Physiotherapy: An exercise protocol for a few weeks will be given which focuses on the protection of healing tissues, preventing extensor lag (reflex inhibition of muscle), decreasing swelling, achieving active control of ROM, weight-bearing as tolerated, and establishment of a home exercise program.
Surgery: If your ACL is badly torn, if your knee gives way when you walk, or if you’re an athlete, your doctor may recommend surgery. A surgeon will remove the damaged ACL and replace it with tissue to promote the growth of a new ligament in its place. People who have had surgery can often return to sports within a year with post-operative physical therapy.
Prevention Of ACL Injury
Many of the non-contact injuries can be avoided with exercises, particularly those that emphasize balance, strength, and plyometrics. If an athlete wants to avoid injury, they must be aware of their limbs’ relative contact with the ground and twisting movements. They should take care to understand the improper placement and quickly re-orient their limbs into a safe position.
Why Choose Sancheti Hospital, Pune for ACL Treatment?
56 Years Of Experience in Orthopedic and Rehabilitation.
Use of latest technologies and types of equipment.
In-patient and Outpatient physiotherapy.
For more details or queries, reach us at our appointment number: 88888 088 45
Frozen Shoulder also known as Adhesive Capsulitis or Periarthritis is a condition characterised by pain and stiffness of the shoulder joint. To break the myth, frozen shoulder is the development of capsular restrictions, rather than arthritic changes in the bone or cartilage that occurs with Osteoarthritis or Rheumatoid Arthritis. The capsule thickens and tightens with a frozen shoulder, making it difficult to move. Scar tissue develops in the joint, and synovial fluid, which keeps the joint lubricated, is reduced. These things make it much more difficult to move.
There is no known cause of frozen shoulder, hence it is called idiopathic. Although disorders in which there is prolonged pain and restricted motion such as trauma, immobilization, RA or OA may lead to secondary frozen shoulder. The pathogenesis for primary frozen shoulder can be a chronic musculotendinous or synovial tissue inflammation, such as the biceps tendon, rotator cuff or the joint capsule. People with diabetes mellitus and thyroid are at a higher risk of developing this disorder. The onset of Frozen Shoulder is gradual and it generally occurs between the ages of 40 and 65 years.
Stages of Frozen Shoulder
This clinical disorder progresses in a series of four stages. Each stage follows a continuum and can last a number of months.
Stage 1: The duration of this stage is less than 3 months. The onset is gradual and the pain increases with movement and at night time.
Stage 2: Referred to as“Freezing Stage.” The duration of this stage is between 3 and 9 months after onset. The pain is more intense even at rest. The shoulder range of motions gets limited in all directions.
Stage 3: Referred to as “Frozen Stage.” The duration of this stage is between 9 and 15 months after onset. The pain occurs with movement. However, pain starts to diminish in this stage. The shoulder becomes stiffer and movement becomes difficult.
Stage 4: Referred to as “Thawing Stage.” The duration of this stage is between 15 to 24 months after onset. The pain is minimal and the shoulder motions gradually improve during this stage.
Common impairments of functions and structures in Frozen Shoulder
Night pain and disturbed sleep.
Pain on motion and at rest.
Reduced mobility: Inability to reach overhead, behind the back, difficulties in dressing (wearing a shirt), reaching hands in the pant’s back pockets, self-grooming (combing hair, brushing teeth), etc.
Posture: Faulty posture compensations (protracted shoulders, or guarding the painful shoulder in elevation and adduction).
Glenohumeral muscle weakness.
Limitations to sustain repetitive movements.
The doctor will perform a physical examination to diagnose a frozen shoulder. They’ll examine it to see how painful it is and the pain-free range of motion. Both active (with the patient’s effort) and passive (with the help of the doctor) motions will be checked.
The doctor may decide if an anaesthetic injection is needed for the shoulder. This is a pain reliever that will make it easier for them to assess your active and passive ranges of motion.
Frozen Shoulder Treatment
The treatment may include NSAID’s that helps relieve pain and inflammation. The treatment may also include physiotherapy (strengthening and stretching exercises) to improve the range of motion of the shoulder joint.
If the symptoms do not improve with time, the following treatments can be recommended.
A corticosteroid injection: A corticosteroid injection to reduce pain and improve ROM.
Joint dissection: Sterile water is injected into the shoulder capsule to stretch it which helps you move the shoulder easily.
Physiotherapy: Strengthening and stretching shoulder girdle muscles to improve range of motion and pain reduction.
Shoulder manipulation: It is rarely done as shoulder arthroscopy has taken over. It is performed under general anesthesia, the surgeon may manipulate the joint.
Surgery: Surgery is rare in the frozen shoulder. But if other treatments do not help, an arthroscopic procedure may be needed.
Frozen Shoulder Prevention
Immobility that occurs as a result of a shoulder injury, a broken arm, or a stroke is one of the most prevalent causes of frozen shoulder. If you’ve suffered an injury to your shoulder that makes it difficult to move it, talk to your doctor about exercises you may follow to keep your shoulder’s range of motion.
Every one of us values the ability to move and function independently in our activities of daily living. Patients, regardless of age, are seeking help or are referred for physiotherapy because physiotherapists are trained professionals to treat the physical impairments that are caused due to injury, trauma, disease or congenital health conditions. Physiotherapy is also for individuals who have no functional or structural impairments but wish to improve their quality of life.
One of the fundamentals of physiotherapy is an individualized assessment and a carefully planned treatment regime for the subjective needs of the patient. This helps the physiotherapist to achieve the ultimate goal of the treatment regime. To bring the patient to an optimum, pain-free level of movement to perform mild to severe levels of physical activities.
Physiotherapy: Impact on Physical Function
An exercise program is planned that is aimed to provide a meaningful functional outcome. Out of the plethora of interventions used by the physical therapists in the continuation of bringing the patient back to pain-free movement, therapeutic exercises hold a strong grip to improve/ restore the patient’s function.
Therapeutic exercise is systemic, in control planned physical movements to help the patient with the intend to;
Prevent worsening of the impairments of body structures and function.
Remediate various congenital disorders.
Improve or restore various body functions and enhance activity participation.
Prevent or help to reduce health-related risks.
Optimize the overall fitness and sense of well-being.
Types of Physiotherapy Interventions
Physiotherapy personifies a wide range of movement techniques. The individualized plan is based on the underlying risk and the clinical reasoning of the impairment in the body. It also focuses on the level of activity and participation of the individual. The types of exercise interventions specific to therapeutic exercises are:
Muscle performance exercises, which includes muscle strength, power and endurance training.
Stretching and Flexibility training, which includes muscle lengthening techniques and joint manipulation/mobilization techniques.
Neuromuscular facilitation, inhibition and control.
Aerobic conditioning and reconditioning.
Postural control, body ergonomics and stabilization exercises.
Balance and agility training.
Breathing exercises and Ventilator Support Training.
Task-specific functional training.
How safe is Physiotherapy?
Regardless of the type of physical therapy intervention, the patient’s safety, of course, is paramount. Patient safety is the fundamental objective whether the exercise is performed under a therapist’s supervision or independently by the patient.
A patient’s detailed health history (past and present medical and surgical history) is documented. Special attention is given to the patients who are unaccustomed to exertion due to physical exertion. Risk factors from exercises are carefully identified and weighed before a treatment session is initiated. Medical clearance from the patient’s surgeon/ physician is also considered before initiating an exercise program.
Specifics to each intervention, the environment, the clinical setting and the equipment are tested beforehand. The accuracy and the safety of the movement patterns are supervised with appropriate speed, intensity and frequency. All in all, the physiotherapist incorporates the principles of joint protection techniques to minimize the risk of injury and provide maximum safety to the patient.
Who can take Physiotherapy?
You can take Physiotherapy if you are someone who,
Wishes to improve the functioning of the activities that are most important to you at the home, office, school, or during your leisure time.
Needs help to perform activities independently.
Wishes to perform the activities of daily living with pain-free movements.
Of all the activities you are finding difficult to perform, the activities you wish to do better and learn better.
Admitted to Inpatient and Outpatient setup.
Admitted to Intensive Critical Care.
Met with an accident/ after the surgery.
Improve the quality of life.
A physiotherapist understands how an exercise regime affects the tissues and the body systems and how the exercise-induced effects have an impact on improving the body structures and function. The ultimate goal of physiotherapy is the achievement of a pain-free and symptom-free movement. Many health conditions suggestive of surgery are improved with the help of Physiotherapy. Physiotherapy not only plays an important role in post-operative treatment but also in many pre-operative cases. All in all, Physiotherapy is a boon to medical science and should be practised for the betterment of patients’ health.