physiotherapist at work

Being Physio: Physiotherapist at Work

A real story or shall we say slice of life from a physiotherapist who was pronounced as the best physiotherapist by her own patient? Afterall, what it takes to being a physio?! Read on, in her own words.

During our college days when we were being trained to be a physio, we were told a story. It was about this huge ship which gets stuck in the middle of the ocean. No one among the marine engineers on the ship could rescue the ship. Help was sought from far and near. But absolutely no one could help. After a while when all the efforts start to seem waste, someone suggested a local mechanic staying on a nearby island. Not leaving any stone unturned, he was brought to the ship. This poor local guy comes, observes and examines the engine and then takes out a tool out of his backpack and taps a few times on a particular area of the engine. To everyone’s surprise engine starts whirring in no time. When they ask him about his service charges, he demands a big amount. No one expected a visibly poor and local basic mechanic lacking any fancy degrees to charge so much. When he demands such an amount, they ask him for the split of the services to justify the bill. He calmly replies, “The technique I used to solve your problem doesn’t cost much, but having an understanding and knowledge about which technique needs to be used for this particular problem and how effectively it needs to be used is costing you so much.”

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Exercises for Back Pain

Exercises for Back Pain

75% of the Indian population reported lifetime prevalence of lower back pain (LBP), as per a study in 2009. Despite such a high coincidence of back pain across Indian populations,  a typical response to back pain is to take it easy: either staying in bed or at least stopping any strenuous activity — resting for more than a day or two can actually undermine healing and worsen pain.

“My back used to hurt all the time and now I don't feel it anymore" is a phrase we hear a lot from people who seek Exercise prescription from us at ReLiva physiotherapy clinics, consistently. So what is it about “Exercise as Medicine” that works so well for back pain relief?

Can I do exercises with lower back pain?

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Sciatica pain

साइटिका दर्द (Sciatica) और उपचार

साइटिका दर्द :  यह क्या है?

साइटिका एक सामान्य प्रकार का दर्द है जो कि साइटिका / कटिस्नायुशूल तंत्रिका को प्रभावित करता है, जो जांघ के पीछे और पैर के नीचे की तरफ से फैली है। निर्भर करता है, दर्द पैर या पैर की उंगलियों तक भी बढ़ सकता है। आमतौर पर निचले शरीर के केवल एक तरफ प्रभावित होता है।

रीढ़ की हड्डी को हमारे ट्रंक का भार सहन करना पड़ता है, और रीढ़ की हड्डी के निचले भाग में साइटिका तंत्रिका होती है। यदि मुद्रा, मांसपेशियों की ताकत, और श्रोणि संरेखण में परिवर्तन होते हैं, जिसके माध्यम से यह गुजरता है, तंत्रिका संपीड़ित होती है जो काफी आम तौर पर होने वाला पीठ और साइटिका /तंत्रिका दर्द पैदा करती है।

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Spondylosis-vs-Spondylitis-showed by the physiotherapist

Understanding Spondylosis VS Spondylitis

After back pain, neck pain is the second most common musculoskeletal complaint reported by patients. Resultantly, we hear the terms Spondylosis and Spondylitis most often from our patients as the cause of their back pain and neck pain. Sometimes people even use spondylitis and spondylosis interchangeably without understanding the difference and thereby the treatment involved to manage these spine conditions.

In this article, the spine Physiotherapists from ReLiva attempt to help you understand Spondylosis and Spondylitis, the difference between the two in terms of the symptoms, causes and treatment.

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better back posture

What’s causing your back pain? Is it poor posture

If you haven’t had an accident or picked particularly heavy weight before the back pain episode, chances are that it is caused by prolonged poor or bad posture. You could get rid of lower back pain and back injury by following good posture best practices. Understand why and how posture affects your back.

We often hear that good posture is essential for good health. We tend to actually recognize poor posture only when we see it formed as a result of bad habits carried out over years and evident in many adults. But only few people have a real grasp of the importance and necessity of good posture.

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Back-pain-causes-faqs-exercises

पीठ दर्द – कारण और घरेलू व्यायाम (Back Pain : gharelu upay)

Hindi Disclaimer

पीठ दर्द - कारण और घरेलू व्यायाम

मूल लेख यहाँ पढ़ें

पीठ दर्द - कारण और घरेलू व्यायाम हम में से 80 प्रतिशत लोग अपने जीवन में किसी न किसी समय पर पीठ दर्द का अनुभव करेंगे। सब दर्दों में पीठ दर्द सिरदर्द के बाद दूसरे स्थान पर है, और कार्यस्थल की चोटों की सूची में सबसे ऊपर है, जिससे किसी अन्य कार्यस्थल की चोट से अधिक समय, विकलांगता और धन का नुकसान हो जाता है। हमारी पीठ हड्डियों, टेंडन, अस्थिबंधन और नसों का एक सावधानीपूर्वक इंजीनियर नेटवर्क है जो हमारे शरीर के वजन और भार को संतुलित करने में मदद करती है। इस नाजुक प्रणाली के लिए कोई मामूली क्षति या असंतुलन मांसपेशियों और जोड़ों पर दबाव डाल सकता है, जिससे दर्द और चोट लग सकती है। खराब मुद्रा में काम करने, उठाने, झुकने और उठाने, और कमर से घूमकर करने वाली गतिविधियाँ धीरे-धीरे आपकी पीठ की सहायक संरचनाओं को कमजोर कर सकती है और साथ ही दर्द और चोट का कारण बन सकती है।

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Delayed Onset Muscle Soreness

DOMS: Hacks for Aching Sore Muscles

Last Updated on 26 Oct, 2018

Are you facing muscle pain and soreness after all that Diwali cleaning?

Climbing stairs becoming a torture to you? This could even happen after a good session of squats.

Can’t lift a spoon in the kitchen, after lifting those heavy buckets and moving cupboards? That was as good as lifting dumbbells at the gym.

And what’s worse, does the pain seem to hang around for 2, even 3 days??

If you are facing any of the above situations, there isn’t much cause to be worried, because this muscular pain and soreness is completely normal, and it even has a name: Delayed Onset Muscle Soreness, or DOMS.

Most people face this type of muscle soreness and acute pain after a strenuous workout in the gym or after taking up an out-of-turn new physical activity.

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buttock pain wallet

Buttock Pain? Is your heavy wallet to blame

Buttock Pain

Is your heavy wallet to blame?

Do you experience a sharp pain right at the centre of your buttock; especially when you sit? Do you get a sharp shooting pain radiating down your legs?

Well, this could be because of your big fat wallet. When it comes to wallet, size matters !

Carrying a big wallet in your back pocket can cause a major trouble to your back & buttocks. Your wallet may be a one stop locale for keeping your cards, cash, bills & coins. But sitting with heavy wallets in your back pocket can put a lot of stress on your buttocks, back and hip. The problem starts when your nerve in the buttock, known as SCIATIC NERVE gets pinched between your wallet & buttock. It causes pain in your hip and/or buttock. It can also cause pain all the way from your buttock down your leg.

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back pain

Low Back Pain, You’re not the only one

Low Back Pain

You're not the only one

Low back pain (LBP) is very common and reported by 80% of people at some time in their life but a lot of people just live with the pain. Many a times, LBP is not serious and will usually get better with rest and movement.

For everyday causes of lower back pain, standard at-home pain management is a reasonable approach. In fact, most cases of lower back pain are caused by a muscle strain and will get better relatively quickly and do not require treatment from a medical professional.

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Sciatica pain

Sciatica Pain and its Treatment

Read this post in Hindi

Last Updated on 15 Oct, 2018

What is Sciatica?

Sciatica is a common type of pain affecting the sciatic nerve, which extends from the lower back all the way through the back of the thigh and down through the leg. Depending on where the sciatic nerve is affected, the pain may also extend to the foot or toes. Usually only one side of the lower body is affected

The spine has to bear the weight of our trunk, and at the bottom of the spinal column is the sciatic nerve. If there are changes in posture, muscle strength, and pelvic alignment through which it passes, the nerve is compressed which leads to the quite common low back and sciatic nerve pains

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back pain

Back Pain – Causes, Self Care, FAQ and Home Exercise

Back Pain  I  Causes  I  Risk Factors  I  FAQ

Eighty percent of us will experience back problems at some point in our lives. Back pain is ranked second only to headaches as the most frequent cause of pain, and tops the list of workplace injuries, causing more loss of time, disability and money than any other workplace injury. Our backs are a carefully engineered network of bones, tendons, ligaments, and nerves that help balance and bear the weight of our bodies and the loads we carry. Any minor damage or imbalance to this delicate system can stress muscles and joints, causing pain and injury. A lifetime of poor posture, poor lifting, bending and reaching, and twisting activities can gradually weaken your back’s supportive structures as well as cause pain and injury.

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back pain and obesity

Obesity and Back Pain

Can reducing weight help in back pain?

Most people know that Obesity contributes to the development of heart diseases, diabetes, high blood pressure and colon cancer. However, did you know that obesity is a contributing factor to back pain? It’s true!

People who are overweight/obese and suffer from back pain may not be aware that their excess weight is actually contributing to their back pain. The spine is designed to carry the body’s weight and distribute the loads encountered during rest and activity. In order to compensate for extra weight, the spine can become tilted and stressed unevenly. As a result, overtime, the back may lose its proper support and an unnatural curvature of the spine may develop. One region of the spine that is most vulnerable to the effects of obesity is the low back- the lumbar spine.

Is back pain only Age-related?

It is true that with age, body tissues can cause changes to spinal anatomy. However, if you are overweight/ obese, chances are you have or will have back pain. You may have/develop one of the following conditions that can cause back pain.

  • Unhealthy posture: because of uneven load on the spine due to obesity, its curvature alters resulting in Scoliosis, kyphosis and lateral pelvic shifts and causes changes in our posture in order to cope up with our daily activities. Thus, an unhealthy posture can contribute to low back pain or sciatica( low back pain radiating down the leg). Physiotherapists at ReLiva are expert in assessing your posture and advising on the changes you may need.
  • Osteoporosis: A sedentary lifestyle coupled with unbalanced diet can affect the density or strength of the bones and an extra load is taken up by the weak back and core muscles leading to back pain.
  • Low muscular endurance and weakness: ReLiva Physiotherapy could plan an appropriate exercise plan for you to address specific muscular weakness which would help with your chronic back pain.
  • Poor flexibility of the muscles: an extra load on the muscles makes it weak overtime and in order to compensate the muscles become tight and can result in back pain. Tight muscles may even form fibre nodes within/ taut band which is called as trigger points which can also cause back pain or refer pain to different site as well mimicking a nerve pain.

Apart from back pain, obesity can also result in Low cardiac endurance: owing to the inactive lifestyle, an overweight/obese person gets easily fatigue and breathless making it a viscous cycle where the person becomes more inactive and prone to vascular diseases like varicose veins, deep vein thrombosis, heart diseases etc and metabolic diseases like diabetes.

Prevention is better than cure!

  • Start walking for at least 30 minutes daily from today itself. Keep checking your weight every month and indulge in healthy diet.
  • Consult a physiotherapist at ReLiva, to assess your muscular strength and flexibility and get started with the core exercise program to strengthen your core muscles.
  • For a balanced healthy diet, you can consult dietitian at ReLiva and maintain or reduce your weight.

Obesity and recovery from low back pain at ReLiva

  • Our Physiotherapist will assess and guide you with the treatment protocol.
  • You can strengthen your core muscles by joining core program at ReLiva.
  • You can improve your flexibility under the therapist guidance.
  • Pain modalities will help you to relieve back pain.
  • You can also consult a dietitian at ReLiva for weight reduction and obesity control.

 

Related Reading:

Back Pain – Causes, Self Care, FAQ and Home Exercise

Working long on Computer : Carpal Tunnel Syndrome

Ergonomics: Does it matter in your workplace

Neck Pain : Managing at Home

 

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