Caring for Bed-ridden Elders

5 Tips to Care for Bedridden Elderly at Home

Bedridden elderly, whether they are in that state temporarily or for the long term, can really benefit from the kind of help a home caregiver can provide. Being a caregiver can be challenging but some simple measures will not only ease their job but also ensure elderly loved ones are well cared for during those times when they are particularly fragile.

[This is a part of series of articles on bed ridden patient care. Read more about 5 Kinds of People Prone to Bed Rest ]

What are the signs that need careful attention for bedridden elderly?

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People prone to Bed Rest

5 Kinds of People Prone to Bed Rest

When one hears the word bed-rest, it usually invokes imagery of acute injury or pain and rightly so – because under normal circumstances no healthy human would voluntarily restrict him/herself to bed giving up on all physical activity.

[This is a part of series of articles on bed ridden patient care. Read more about 5 Tips to Care for Bedridden Elderly at Home ]

What does it mean to be on bed rest?

“Bed rest” literally means confinement of an individual to bed, as part of treatment. Wikipedia calls bed rest as rest-cure and defines bed rest as a medical treatment in which a person lies in bed for most of the time to try to cure an illness.

What can cause a person to be on bed rest?

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हड्डियों का दर्द – उपचार और घरेलू उपाय (Osteoporosis: gharelu upchar)

Hindi Disclaimer

हड्डियों का दर्द - उपचार और घरेलू उपाय

मूल लेख यहाँ पढ़ें


अक्सर पूछे जाने वाले प्रश्न ।  फिजियोथेरेपी उपचार  I  कारण  ।  जोखिम  I  रोकथाम  I  व्यायाम

ओस्टियोपोरोसिस या हड्डियों का दर्द, बढ़ती उम्र वाली आबादी के बीच एक बहुत ही सामान्य अवस्था है: यह हड्डियों को कमजोर करता है, जिससे वे नाजुक हो जाती है और टूटने की अधिक संभावना होती हैं। हमारे फिजियोथेरेपिस्ट जो विभिन्न रिलिवा क्लिनिक (मुंबई, नवी मुंबई, ठाणे और पुणे) में जेरियाट्रिक रोगियों को देखते हैं, रिपोर्ट करते हैं कि कलाई, रीढ़ और हिप के फ्रैक्चर ऑस्टियोपोरोसिस के कारण होना सबसे आम है, लेकिन पसलियों, ह्यूमरस (ऊपरी भुजा की हड्डी) और श्रोणि के फ्रैक्चर भी असामान्य नहीं हैं।

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Osteoporosis : All You Wanted To Know

Last updated on 8 Jan 2019

FAQs  I  Dos & Don’ts  I  Physiotherapy Treatment I  Causes  I  Symptoms  I  Risk Factors  I  Prevention   I   Exercises

Osteoporosis is a very commonly seen condition among ageing population: it weakens bones, making them fragile and more likely to break. Our physiotherapists who see geriatric patients across different ReLiva clinics (Mumbai, Navi Mumbai, Thane and Pune) report that fracture of wrist, spine and hip are most common due to osteoporosis but fracture of ribs, humerus (upper arm bone) and pelvis are not uncommon either.

Studies indicate the number of osteoporosis patients in India alone, at approximately 36 million (2013). Osteoporosis leads to more than 1.5million fractures each year. Statistical data shows that 1 out of 2 women older than 50 years have osteoporosis related fractures and 1 out of 3 men older than 75 years.

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physiotherapy exercise for parkinsons treatment

पार्किंसंस रोग (Parkinson’s Disease) और उसके लक्षण (Symptoms)

Hindi Disclaimer

पार्किंसंस रोग (Parkinson's Disease) और उसके लक्षण (Symptoms)

  • क्या चलते वक्त या खड़े रहते समय आप अपना संतुलन खो बैठते है
  • क्या आप हाथ, पैर, जबड़े और चेहरे में कम्पन होता है?
  • क्या आप अपने शरीर के भागो में कठोरता महसूस करते हैं?
  • क्या आप अपने सामान्य शरीर की गति में अचानक धीमी गति का अनुभव कर रहे हैं?

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physiotherapy for parkinson's

Parkinson’s Disease: Lesser Known Facts

Lesser know facts about Parkinson's Disease

Are you facing sudden loss of balance?

Do you suffer from trembling in hands, legs, jaws and face?

Do you feel hardness or inflexibility in your body?

Are you experiencing sudden slowness in your normal body movements?

These are the symptoms of Parkinson's Disease. If you are experiencing any of these above symptoms than you should visit a doctor for proper assessment, diagnosis and treatment. ReLiva Physiotherapy and Rehab center offer expert physiotherapy care to help you deal with all the above symptoms.

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Knee pain surgery

Ageing Knees? Don’t go weak in your Knees

Do you hear a sudden click in your knee while bending down? Do your knees hurt while squatting? Well, your knees are trying to convey their ageing story. It may not be wise to ignore the click sound, minor pain or swelling once you have crossed your 50's.

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Knee Replacement Surgery – Care & Exercise

You are about to have Knee Replacement Surgery (TKR). A lot of the long term results of knee replacements depend on how much work you put into it following your operation. Patients who prepare for surgery and actively take part in their care can recover in less time and with less pain. This guide has general information along with tips for things to do before and after surgery to help you make it a success.
You may get different instructions from your surgeon, doctor or physiotherapist. Always follow the directions of your care team. This guide is meant to be used under the direction of your physiotherapist.
Caution: If you have too much pain in your knee to exercise, or if any of the exercises cause more pain or swelling in your knee, stop. Tell your physiotherapist or doctor. If your whole leg becomes swollen or hot, tell your doctor right away!

General Guidelines: Before Surgery                  TKR- Total Knee replacement recovery

If you exercise before surgery you can have a faster and easier recovery. Exercise helps to:

  • Maintain the range of movement of your knee
  • Make your muscles strong
  • Control your pain
  • Build your knowledge of how to exercise after surgery
  • Improve your sleep

Do activities that put less stress on your knee. Try cycling on a stationary bike (upright or seated) for 5-10 minutes, walking in water (water level should be atleast thigh deep). It is best to do specific knee movements and strengthening exercises (in guidance of physiotherapist).

  • Always warm up before exercising. Your physiotherapist may tell you to:
  • Apply moist heat to the front and back of your knee for 5-10 minutes OR Have a warm shower or bath

General Guidelines: After Surgery

Exercise after surgery will help you recover and regain the movement and strength of your knee. Exercise also helps to:

  • Reduce swelling
  • Prevent blood clots (Thrombosis)
  • Control your pain
  • Prevent constipation
  • Improve your sleep

Tips to help you make the most of your Knee (TKR) surgery


  • Take your recovery and rehab seriously. Exercise regularly as per the programme charted by your physiotherapist.
  • Continue with your knee replacement rehab programme for at least 3 weeks after surgery, probably 3 months of physiotherapy guided knee exercises to get the best result from your knee replacement.
  • Follow-up regularly with your surgeon, to monitor internal recovery.
  • Walker or crutches should be used until discontinued by Doctor or Physiotherapist.
  • Change knee position at least once an hour, while awake, to avoid stiffness.
  • Home exercises should be performed 3 times everyday unless advised differently by your Physiotherapist.
  • Walking is an excellent activity and you are strongly encouraged to gradually increase your walking distance after you leave hospital.
  • Walk outdoors as long as sidewalks are dry. Consider going to a mall to walk when the sidewalks are wet and slippery.
  • Swimming or walking inside swimming pool (where water level is at least till your thigh) is a very good strengthening exercise that prevents jerks and unnecessary strain on the knee.
  • Stay positive and committed. Don’t give up, and do what you can to keep a good attitude.

Don’ts :

For 6-8 weeks after surgery, avoid:

  • Any pivoting (twisting) on your knee 2.Kneeling down 3.Squatting
  • Avoid high impact activities that cause jerk and stress on the knee joint, example running, jogging, rock climbing etc.
  • Avoid unnecessary stress on your knee by lifting very heavy objects. This can cause damage to your new knee.
  • Avoid using Indian traditional toilet, instead use a Western Commode (WC) or toilet chair.

Immediately after surgery, you can continue to do the following in bed :

1. Deep Breathing and Coughing Exercises : Knee replacement rehab - Pump your ankles
Until you are up and moving well, take at least 10 deep breaths, followed by a cough, every hour that you are awake.
2. Pump Your Ankles :
When lying down, move feet up and down and in circles. Repeat 10 -15 times every hour you are awake.
3. Buttock Contractions
Tighten your buttock muscle and hold for a count of 5 seconds. Repeat five to ten times, three to four times each day

4. Moving your new knee :

It is important to move your knee soon after the operation unless your surgeon or physiotherapist tells you not to. This will minimize stiffness, pain and swelling, and reduce the formation of scar tissue. Check with your physiotherapist for guidance about the best way to warm up your new joint.


To Keep Pain and Swelling under control, once you are home:

1. Rest Your Joint          TKR - Rest your joint

  • Change positions often (every 20 minutes) when you are awake. Try sitting, standing, and walking.
  • Pace yourself. Take things easy and slow.
  • Lie down 3 times a day for 30 minutes on your bed.
  • Put your leg up and support it with a rolled towel or with pillows (as shown).

2. Use Ice
Ice your knee when it is hot and red, painful and after exercises. (If your knee is very stiff and painful, check with your physiotherapist before icing
Follow these steps:

  • If your scar is not healed, cover it with a clean bandage and clean plastic wrap
  • Put a damp hand towel over your knee
  • Put a flexible gel pack, or plastic bag with crushed ice on your knee
  • Leave the ice ON for 10 minutes. Take it OFF for 10 minutes. Put it back ON for 10 minutes. Repeat 4-6 times a day
  • DO NOT use ice if your doctor has told you that the circulation to your legs is poor and that you should avoid using ice or heat

3. Use Pain Medicine
Use your pain medicines as prescribed by your doctor. Tell your doctor if the pain is too much or not improving.

4. Use Walking Aids
Use the walking aid that your physiotherapist has measured and recommended. Do not change or stop using the walking aid until your physiotherapist or surgeon tells you to. Walkers, crutches and canes help to:

  • Reduce the stress on your knee Reduce pain Improve your balance and reduce falls
  • Remember it is better to have a good walking pattern using two crutches than to limp and risk losing balance.

5. Sleep :

It helps with rest and recovery. It is normal to have some sleepless nights up to 12 weeks after your knee surgery.

Consult an expert at ReLiva Physiotherapy & Rehab to learn more about rehab, Mobility Techniques and tips to make your Total Knee Replacement (TKR) Surgery a success.


Related Reading:

Physiotherapy at home

Ageing Knees? Don’t go weak in your Knees

Five Ways to check your Knee health

Arthritis – Do your Joints Pain?


fall prevention balance training

Falls of Seniors: What to do

More than one third of person 65 years of age or older fall each year and in half of such cases the falls are recurrent.

If you are a senior, ie 60 year or older that means you need to take more care and precautions for yourself. Other than medical conditions or diseases which you take care by doing routine blood tests and investigations, you should not forget to keep yourself free from falls.Read More

Dementia and Alzheimer

Dementia & Alzheimer’s: Tips for Care

Last Updated : 10 Oct, 2018

What is Dementia & Alzheimer’s Disease?

Dementia, a brain condition that causes problems with thinking and memory, is a major worldwide health problem among older people. Alzheimer’s Disease contributes approximately 70% of all Dementia cases. Epidemiological studies in India suggest about 1/3rd of the prevalence of Dementia & Alzheimer’s Disease (AD) as compared to The United States and other developed countries.

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cardiac rehab for healthy heart

Cardiac Rehab – Staying Heart Healthy

What is Cardiac Rehabilitation? cardiac rehab

Cardiac Rehabilitation is an individualized and personalized treatment plan, including evaluation and instruction on physical activity, stress management, and other health related areas.

An important part of the treatment of your specific heart problem. If you have one of the following diagnoses, you may be eligible to participate :
•    Heart Attack
•    Angina
•    Coronary artery angioplasty or stents
•    Open heart surgery such as coronary bypass or valve surgery
•    Heart failure

Even if you are prone to CVD,  a rehabilitation program  would mitigate the risk of a cardiac event.

Recent scientific studies have shown that people who complete a cardiac rehabilitation program can increase their life expectancy by up to five years.

Benefits of Cardiac Rehabilitation:

  • Live longer and lessen your chances for another heart attack
  • Control heart disease symptoms such as chest pain or shortness of breath
  • Stop or reverse damage to your blood vessels in your heart
  • Lessen the physical and emotional effects of heart disease
  • Improve your stamina and strength, getting you back to your usual activities, including work, hobbies, and regular exercise
  • Improve your confidence and well-being

Cardiac Rehabilitation Offers: 

1. A personalised, monitored and supervised exercise program incuding one or all of the following:

•  ECG

•  Heart rate

•  Blood pressure

•  SPO2

2. Assessment of your personal risk factors for heart and blood vessel disease

3. Education and support to make healthy lifestyle changes such as :

  • Maintaining a healthy weight
  • Beginning and maintaining a personalized exercise plan that works for you

ReLivaTM Cardiac Rehab program aims to deliver appropriate dosage of exercise under regular patient monitoring to achieve optimal cardiovascular capabilities.

Exercise = Medicine to keep your heart healthyCardiac rehab - Exercise is medicine to keep heart healthy


Related Reading:

CardioVascular Diseases – Improving Heart Health via Cardiac Rehab Program

Cardiac Rehab Program : Story of Recovery & Confidence

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