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.

Stuffing a wallet in your back pocket also tilts your pelvis to one side which puts more stress on your spine. Bigger the wallet; the more lopsided you sit & the achier your buttocks would be…

To minimize the stress on your buttock & spine, a small wallet that holds only the essentials is recommended. Also remember to take it out while seated for a long time – whether you are in a car, public transport or at your desk.

Instances of pain can be effectively managed by Physiotherapy treatment. So carry a smart wallet without wrecking your back

 

 

Knee pain surgery

Ageing Knees? Don’t go weak in your Knees

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.

Osteoarthritis (OA) is common among ageing population and one of the leading causes of disability. It is the second most common problem & the most frequent joint disease with a prevalence of 22% to 39% in India.

In Knee OA, the cartilage in the knee joint gradually wears away and it becomes frayed & rough and the space between the bones decreases. Arthritic knee usually begins with symptoms of joint click, pain and swelling that worsen in the morning. Knee arthritis can make it hard to do many activities such as walking and climbing stairs.

If unattended; the joint may become stiff & swollen, making it difficult to bend & straighten the knee. The knee may “lock” during the movement. It may creak, click, snap or make a grinding noise (crepitus). The pain can cause a feeling of weakness or buckling in the knee. Weather changes usually aggravate the symptoms - You may notice increased knee pain during rainy & cold weather.

Since OA is a degenerative condition; the damage occurred cannot be reversed. But timely intervention in the form of regular exercise and early Physiotherapy can arrest degeneration & maintain joint integrity.

Easy ways to manage OA knee :

  • Manage your Weight
  • Keep a check on your Calcium & Vitamin D levels
  • Avoid offending movements like squatting
  • Do not delay : Address the signs of pain in time
  • Specific knee exercises

We have some very easy and convenient tips to manage arthritis pain on our website. Read Here

cryotherapy ice, heat therapy for pain relief

ICE or HEAT: Which Treatment to Choose

Ice Or Heat

Whats Your Choice Of Treatment?

Ever had any doubts regarding application of ice or heat in case of acute pain?

We hear this question very often as to howto choose ice vs heat as a choice of treatment. Well, remember ice is for fresh injuries & heat is for stiff, chronic aching muscles.

Acute injuries cause the soft tissues to inflame, turn red, hot & swollen. Icing is mostly a mild, drugless way of dulling the pain & inflammation. On the other hand, chronic pains usually involve a lot of tension in the muscles & soft tissues.Comfortable bearable heat will likely soothe these tensed muscles.

More importantly remember-WHAT ICE & HEAT ARE NOT FOR

Both ice & heat are pointless when not needed. Heat can make acute inflammation significantly worse & ice can aggravate symptoms of tightness & stiffness. In fact it can also make any pain worse when its unwanted.So, if you add heat to a fresh injury, watch out: its going to get worse. Instead apply ice & CHILL !

 

avoid running injuries sports physiotherapy

RUN or REST: preventing common running injuries

RUN or REST

Preventing common running injuries

Many runners will experience injury at some point in their running career. Most injuries sustained by runners are, what are termed ‘overuse’ or ‘repetitive strain’ injuries. Most of these are minor and will not affect them greatly. But there could be others, that could threaten to prevent them from enjoying their sport temporarily or, in the worst cases, permanently.  The top 5 most common running injuries include :

  1. Runners knee (Knee pain)
  2. Plantar fasciitis (Foot and Heel pain)
  3. ITB friction syndrome (Outside of the Thigh pain)
  4. Shin Splints (Shin bone pain)
  5. Achilles tendon injury (Back of the Ankle and Heel pain)

It is important for first time runners to follow strengthening exercise regime apart from a progressive running schedule. If your body is not strong enough, or if you follow bad training practice, this can often result in overuse injuries.

How does one prevent them?

  • Improve and maintain your muscular flexibility by stretching exercises
  • Keep up with Muscle strengthening exercises
  • Increase your mileage gradually and periodize your training schedules
  • Cross train
  • Wear the correct type of running shoes based on your foot type and running technique
  • Never ignore Rest days
  • Stay hydrated and eat a well balanced diet

If you do feel your legs are heavy and tired while running and you’re carrying a niggle that you’re worried could become more serious. It’s best to stop and rest for a few days, giving the body a chance to recover at an early stage itself.

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.

However, it may be serious, if you are suffering with pins & needles, numbness, referred pain, extreme pain, headaches, problems with speech, vision or hearing please seek medical help immediately.

There are things you can do to help relieve the common back pain. But sometimes the pain can last a long time or keep coming back. If pain has lasted longer than one or two weeks, or begins to interfere with your mobility and daily activities, you should seek help from a trained medical professional for quick relief and recovery.

Quick Tips to keep back pain away

   1. Movement - Exercise regularly

   2. Keep posture in mind

   3. Have a good night's rest

   4. Keep your back supported

You could find some very easy and convenient exercises for your back in the office setting 

back pain

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

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.

Risk Factors for Back Pain
Being overweight. Your back has to support too much weight when you’re carrying extra pounds.
Poor muscle tone. If your muscles are not well toned, they can’t meet the challenge when you ask something extra of them.
Poor posture. Poor posture creates bodily stress, which can result in pain.
Improper lifting. Heavy lifting, carrying children, as well as occupational lifting can cause injury.
Desk /computer jobs. Our bodies don’t thrive sitting for long periods of time hunched over keyboards or other workspaces.
Unhappiness. Researchers have found that general dissatisfaction with our social and economic situations can double or triple the risk of low back pain.

With all these risk factors, it’s no wonder so many of us suffer from back pain. But it’s not a part of life you have to passively accept.

Frequently Asked Questions
Take a look at the following frequently asked questions—they’ll help you further understand this condition, and better care for yourself and your family.

Do I need surgery for my bad back?
No, not usually. More times than not, your back pain can be treated without going under the knife. However, some conditions, like a herniated disk, may benefit
from surgery. Even still, herniated disks may heal on their own. Bottom line—you should carefully consider your options, and then consider them again, before thinking about surgery.

What about alternative therapy?
Non-traditional therapy is becoming more widely accepted these days. It wasn’t long ago that chiropractic treatment was viewed as an “alternative” therapy. Now these specialists are a common part of the back care landscape. Other alternative therapies have received praise from sufferers, too. The choice is up to you.

Sit at a desk all day. Am I at risk for back pain and injury?
Yes. It’s a common misconception that physical laborers and construction workers are at a higher risk for back injuries. The fact is, those individuals in sedentary jobs are at risk for back injury, too. Exercise and regular movement are important factors in maintaining a healthy back.

How can I arrange my office environment to protect my back?
A chair with good back support and height adjusters that allow you to keep both feet flat on the floor can do wonders to keep your back in a healthy state. If you don’t have an adjustable chair, try to use a chair with a simple straight back whenever possible. Also, when it comes to your desk, arrange items (phone, keyboard, monitor, etc.) where you won’t have to twist and turn excessively to access them.

Will my back pain ever go away?
There’s good news and bad news. First the good news. With proper self-care and good prevention techniques you can be well on your way to fighting off back pain. Now the bad news. Considering that 80 percent of Indians experience back pain at some point in their lives—much of it recurring—you may never get rid of back pain altogether. That’s why it’s important to practice the prevention tips included in this section—and keep doing them even when you’re feeling better.

You may see an expert at ReLivaTM Physiotherapy & Rehab to ease your back pain and get a customised plan to keep your back happy.

This article is purely for general information. Please contact your healthcare expert for specialised medical care. Please go through our Disclaimer and Privacy policy.

Bells palsy physiotherapy treatment

Bells Palsy: Treatment with ReLiva Physiotherapy

Bell’s palsy is a condition that causes temporary weakness or paralysis of the muscles in one side of the face. It is the most common cause of Facial Paralysis.

It usually results from a dysfunction of the cranial nerve VII (the facial nerve) causing paralysis of one side of the face. The very peculiar feature of this condition is a rapid onset of partial or complete paralysis that often occurs overnight.

It is named after Scottish Anatomist Charles Bell (1774-1842) who first described this condition and hence the name – Bell’s Palsy.

 

Why does it happen?Bell's Palsy: Symptoms and treatment

Bell’s palsy is believed to occur when the nerve that controls the muscles in your face becomes compressed.

The exact cause is unknown, although it’s thought to be because the facial nerve becomes inflamed, possibly due to a viral infection. The herpes virus is thought to be the most common cause but other viruses may also be responsible.

Some conditions considered to be related to it are Brain tumors, Ear infection, Extreme cold exposure, Herpes zoster infection, Mumps etc.

What are the symptoms?

The symptoms of Bell’s palsy vary from person to person. The weakness on one side of the face can be described as either:

1. Partial Palsy, which is mild muscle weakness

2. Complete Palsy, which is no movement at all (Paralysis) – although this is very rare

Bell’s palsy can also affect

  • The eyelid and mouth, making it difficult to close and open them
  • Paralysis of one side of the face causing inability to close the affected side eye, loss of whistling, frowning, lip protrusion. In other words, “loss of expressions
  • Loss of sensation in the anterior 2/3rd of the tongue.
  • Excessive lacrimation (tears)
  • Upward & outward movement of the eyeball when patient attempts to close his eyes. This is called as Bell’s Phenomenon.
  • Some people even experience tingling in face, pain, moderate to severe headache, memory and balance issues.
  • In rare cases, it can affect both sides of a person’s face.

Who gets Bell’s Palsy?

Bell’s Palsy is a rare condition that affects about one in 5,000 people a year. It’s most common in people aged 15-60, with 15- to 44-year-olds experiencing the highest incidence

But people outside this age group can also suffer from the condition. Both men and women are affected equally.

Bell’s palsy is more common in pregnant women and those with diabetes and HIV, for reasons that are not yet fully understood.

YES! Babies can be born with facial palsy but this condition is more common in Adults.

Treating Bell’s Palsy

When you face weakness in the face, meet your physician/Neurologist immediately.

  • The first line of treatment is usually Medication to reduce inflammation of the facial nerve and Antivirals (if it is related to herpes infection). Steroids have been shown to be effective.
  • Physiotherapy treatment for Bell’s Palsy may consist of facial massage, exercises, acupuncture and electrical stimulation.
  • The third line of treatment is Surgery.

Most people with Bell’s palsy will make a full recovery within nine months. There are ways to accelerate the process and reduce the chance of complications. However, if you have not recovered by this time, there is a risk of more extensive nerve damage and further treatment may be needed.

How can Physiotherapy be helpful?Physiotherapy treatment for Bell's Palsy

Physiotherapy has been known to be successful in a big number of Bell’s Palsy cases.

  • Physiotherapy includes muscle re-education exercises and soft tissue techniques to prevent permanent contractures of the paralyzed facial muscles.
  • It helps to maintain the muscle tone of the affected facial muscles and stimulate facial nerve using Galvanic/Faradic Electrical Stimulation.
  • Physiotherapy is also helpful in reducing pain with the use of various pain relief modalities.

At ReLiva we can assess, treat and monitor your condition from the acute onset of Bell’s Palsy through the various stages of recovery. Our Physiotherapists will follow the standardized 4 step ReLiva process to identify your goals and aim to restore facial muscle strength and symmetry, and help to stimulate facial nerve and maintain muscle tone and improve their co-ordination and range of movement.

Self Help Advice

  • You should take care when eating not to bite the inside of your cheek or lip.
  • Check that your cheek and gums are free of food after eating.
  • Try use both sides of your mouth to chew food thus encouraging the muscles on the affected side to work.
  • Sometimes your speech may be affected. You may find giving your mouth a little extra support from your hand while you talk will ease this at times.
  • If the muscles around your eye are affected you should take particular care to remove dust from your eye. You can imitate blinking by gently closing your eye with your finger tips.
  • Glasses may be useful to protect against dust particles when you are outdoors.
  • You may need artificial teardrops to cleanse your eye.

You are invited to book a session with one of our clinics at ReLiva Physiotherapy & Rehab for Bell ’s Palsy rehabilitation exercises and advice. Our Physiotherapy experts will surely help you to “Smile”, “whistle” and “Express” yourself all over again!

This article is purely for general information. Please contact your healthcare expert for specialised medical care. Please go through our Disclaimer and Privacy policy 

frozen shoulder treatment

Frozen Shoulder: Understanding and Care

About Frozen ShoulderFrozen shoulder

Frozen shoulder, also known as adhesive capsulitis, is a condition that leads to pain and stiffness of the shoulder. Signs and symptoms begin gradually, worsen over time and then resolve, usually within one or two years. You will typically experience shoulder pain, followed by increasing stiffness. The stiffness may affect your ability to carry out everyday activities and, sometimes, you may not be able to move your shoulder at all.
1 Painful Stage
2 Frozen Stage
3 Thawing Stage

How does Frozen Shoulder progress?

Painful stage: During this stage, pain occurs with any movement of your shoulder, and your shoulder’s range of motion starts to become limited. This stage lasts for 3 to
9 months.
Frozen stage: Pain may begin to diminish during this stage. However, your shoulder becomes stiffer, and your range of motion decreases notably. This stages lasts from 4 to 12 months.
Thawing stage: During the thawing stage, the range of motion in your shoulder begins to improve with recovery. It may take anywhere from 12 to 42 months.

Frozen shoulder typically develops slowly, and in three stages. Each of these stages can last a number of months.

What are the Causes and Risk Factors?

Prolonged immobilization of the shoulder, such as after surgery (mastectomy) or an arm fracture. Usually affects woman above the age of 40 years. People who have certain medical problems appear to be predisposed to develop frozen shoulder.
Examples include:

  • Diabetes
  • Overactive thyroid (hyperthyroidism)
  • Underactive thyroid (hypothyroidism)
  • Cardiovascular disease
  • Tuberculosis
  • Parkinson’s disease

TIPS to Ease Your Symptoms

1. Use a hot pack on your shoulder for 10 to 15 minutes several times each day. Place a thin towel between your skin and the hot pack to prevent a burn.
2. Move your arm often, every hour if possible.
3. Use medication as prescribed by your doctor.
4. Sleeping Comfortably : If you sleep on your back, place a pillow under your involved arm and allow your hand to rest on your stomach. If you sleep on your side, sleep on the uninvolved side hugging a pillow across your chest.
5. Sitting Positions : Sit with good posture. Avoid slumping and slouching. Try to keep your shoulders back and down away from your ears.

Why is Physiotherapy Required?  Self diagnose frozen shoulder

This condition though self limiting, leads to decreased movement at the shoulder joint. Even though pain may reduce to negligible
after a particular time, stiffness and range will continue to remain affected. If you’ve had an injury that makes it difficult to move your
shoulder, talk to your doctor about it.

TIPS to Ease Your Symptoms

1. Use a hot pack on your shoulder for 10 to 15 minutes several times each day. Place a thin towel between your skin and the hot pack to prevent a burn.
2. Move your arm often, every hour if possible.
3. Use medication as prescribed by your doctor.
4. Sleeping Comfortably : If you sleep on your back, place a pillow under your involved arm and allow your hand to rest on your stomach. If you sleep on your side, sleep on the uninvolved side hugging a pillow across your chest.
5. Sitting Positions : Sit with good posture. Avoid slumping and slouching. Try to keep your shoulders back and down away from your ears.
A visit to your physical therapist may be beneficial to help you regain normal functional use of your arm. Your Physiotherapist can help you manage the pain and provide you with strategies to help you start using your arm normally again.

Do’s

  • Continue to move your shoulder else it will progress to the next stage of stiffness.
  • Use hot pack before exercise for improving movement, relaxation and reduction in pain.
  • Continue to use the shoulder for more functional activities like combing hair, reaching out for over head objects etc.
  • Keep your diabetes under control.
  • Take your pain medications on time.

Don’ts

  • Avoid vigorous shoulder movements.
  • Avoid wearing an arm sling to promote arm movement even if it keeps your arm in a pain-free zone,

This article is purely for general information. Please contact your healthcare expert for specialised medical care. Please go through our Disclaimer and Privacy policy.

office stretch for pain relief

5 minute Office Stretch exercises: Back, Neck pain

Make time for Office stretch and improve your productivity.

Taking the time to stretch throughout the day anywhere – in office or at home, can have numerous health benefits. Stretching can improve flexibility and is an important activity to warm up or cool down after exercise. Stretching can also be a fun and healthy break from your computer screen during the work day. These stretches along with correct sitting posture at workplace, also helps you to keep all those pain in the back and neck away.

This Office Stretch Sheet provides you with 6 simple and effective stretches that you can complete whilst sitting at your work station. The newly developed Standing Stretch Sheet is perfect to do before a lunchtime walk, and for those who have standing roles.

Try The Banana,  The Emu,  Reach for the Sky, The Rock, The Twister and The Yes & No today.

We recommend you repeat each stretch twice, and hold each time for 20 seconds.

Print a copy and pin it up next to your workstation to remind you and your colleagues – Have you stretched today?

 

5minute ReLiva office stretching exercises while Sitting at your desk in office

cardiac physiotherapy

CardioVascular Diseases – Improving Heart Health via Cardiac Rehab Program

India is one of the most populous countries in the world. The present health scenario suggests that our country is undergoing an epidemiological transition. The epidemiological infectious diseases are getting superseded by the non-communicable diseases (NCD). Estimates indicate that NCDs account for 53% of total deaths in India & Cardiovascular diseases (CVD) mortality tops the list of NCD deaths with 45% of deaths accounted by CVD.#1

Increasingly even the government setups in India are also acknowledging and approving of Cardiac Rehab Programs as effective and needed to ensure SPEEDY Recovery and enhance surgical OUTCOME (cardiac surgery).

CARDIOVASCULAR DISEASES

Cardiovascular diseases (CVDs) are a class of diseases that involves heart or blood vessels.

Common CVDs include-

  • Ischaemic Heart Disease (IHD)
  • Hypertensive Heart Disease (HHD)
  • Rheumatic Heart Disease (RHD)
  • Cardiomyopathies
  • Congenital Heart Disease (CHD)
  • Peripheral Artery Disease (PAD)

The underlying mechanism varies for the above mentioned diseases; the most common cause being atherosclerosis.

RISK FACTORS FOR CVDs

  • Hypertension
  • Smoking
  • Excessive alcohol intake
  • Diabetes
  • Obesity
  • High blood cholesterol
  • Poor diet
  • LACK OF EXERCISE & SEDENTARY LIFE STYLE

However it is estimated that 90% of CVDs are preventable.

Also most of the CVD patients can help lower their risk of future heart problems if they make changes to improve their health.

CARDIAC REHABILITATION

What is Cardiac Rehabilitation?

Cardiac Rehabilitation (Cardiac Rehab) is a professionally supervised program to help people recover from heart attacks, heart surgeries, percutaneous coronary intervention procedures such as stenting & angioplasties.

Cardiac Rehab program usually provide education & counselling services to help heart patients increase physical fitness, reduce cardiac symptoms & improve health.

BENEFITS OF CARDIAC REHAB

  • Reduction in all cause mortality rate by 20-30% (as per AHA)
  • Reduced cardiac symptoms (angina, dyspnea, fatigue)
  • Improved adherence & preventive medication
  • Increased exercise performance
  • Improved quality of life.

Increasingly even the government setups in India are also acknowledging and approving of Cardiac Rehab Programmes as effective and needed to ensure SPEEDY Recovery and enhance surgical OUTCOME.

What kind of services does the Cardiac Rehab Program offer?

(Read more details at http://reliva.in/knowledge_center/cardiac-rehab–staying-heart-healthy )

  • Appropriate recommendations are made for medical examination, physical activity & exercises,  based on the risk stratification process as per the American College of Sports Medicine (ACSM) that assigns participants into 3 categories-
  • Low Risk
  • Moderate risk
  • High Risk
  • A comprehensive health fitness evaluation typically includes the following before the planning & prescription of the Cardiac Rehab program
  • Resting Heart rate, BP, Height, Weight, BMI, ECG
  • Cardiorespiratory Fitness (if required) – TMT
  • Muscular Strength – RM method
  • Flexibility
  • An exercising training program is best designed to meet the individual’s health & physical fitness goals.

COMPONENTS OF EXERCISE TRAINING

  • Cardiovascular (aerobic) fitness
  • Muscular strength & endurance
  • Flexibility

Exercises that improve neuromuscular fitness such as balance & agility are also recommended by ACSM particularly for older adults & highly deconditioned persons.

ACSM also recommends loading exercises (i.e. weight bearing & resistance exercises) to maintain bone health.

A single exercise session includes the following-

Cardiac Rehab in Progress at Reliva
Cardiac Rehab in Progress at Reliva
  • Warm –up – at least 5 to 10 minutes of low <40% to moderate intensity cardiovascular & muscular endurance activities.
  • Stretching – at least 10 minutes of stretching exercises performed after warm up or cool down phase
  • Conditioning – this phase includes aerobic/resistance &/or sports related exercises
  • Cool Down – at least 5-10 minutes of low (<40% to moderate 40% -<60%)intensity of cardiovascular & muscular endurance activities.

Cardiac rehabilitation takes place as

  • In-patient Rehabilitation Programs
  • Outpatient exercise Programs

Outpatient cardiac rehab programs should begin as soon as hospital dismissal.

Most patients are capable of beginning a supervised exercise program with 1-2 weeks of leaving the hospital.

SUMMARY OF THE ACTUAL CARDIAC REHAB PROGRAM

  • While actual training program for each patient would differ, an indicative plan would be as follows:
COMPONENTSACTIVITIESRECOMMENDED TIME
Warm upStretching/low level calisthenics10 minutes
Aerobic ConditioningTreadmill (Mod Bruce/Bruce protocols or other protocols as indicative), cycle ergometer, cross trainer, stair stepping20-30 minutes as tolerated
Muscular ConditioningWeight training15-30 minutes as tolerated
Cool DownSlow walking/ stretching5-10 minutes
  • An indicative exercise prescription would be as follows (FITT Priciple) :
Frequency3-5 days/week
IntensityRPE- 11-16/ 20-80% using Heart rate Reserve
TimeApprox 60 minutes
TypeTreadmill/elliptical/ Cycle ergometer/Cross trainer/stair climber
Resistance Training8-10 exercises (1 set per exercise of 8-12 reps) that conditions the major musle groups atleast 2 days per week
Initial level of FitnessHigh = higher work loadLow =  lower work load

 

Having the essence of the details about Cardiac rehabilitation, it is important to take up these best benefitting programs seriously by moving out of the cages of ignorance & myths about CVD’s.

The larger group of hospitals do provide the cardiac rehab services but they reach out to the very few.

Its time we start giving importance to clinic based Cardiac Rehab programs who plan for the Outpatient Exercise programs for cardiac patients.

ReLiva Physiotherapy & Rehab Clinic in Navi Mumbai has taken an initiative towards providing this utmost care to the cardiac patients by providing clinically monitored & supervised Cardiac Rehab Outpatient programs.

We believe in “Exercise is Medicine”. (Read what our Cardiac Rehab patients have to say about us by clicking here.)

Like all medicines, ‘Effective Dosage” of exercise is important for achieving the desired results. “More” is not better. For cardiac patients, more exercise could be as or more dangerous as consuming higher dosage of medication than prescribed.

“Less” would not deliver desired & long term outcomes. Patients’ cardiovascular capabilities may remain suboptimal; thus impacting the quality of life & overall health.

Monitoring while cardiac rehab
Monitoring while cardiac rehab

“ Effective dosage” changes as physical capacity & capabilities change. Hence regular monitoring is critical to evaluate & arrive at “effective Dosage” at different stages of Cardiac rehab.

Read about Contribution of progress in a patient due to Cardiac Rehab Program : Patient at ReLivaTM in the next post by clicking here.

With these advances in Cardiac rehab, this program can become recognized as a cornerstone in a comprehensive management of cardiac patients.

More awareness is the prime necessity to optimize the effectiveness of the cardiac rehab program.

With such initiatives together we can definitely contribute towards a better life for the Cardiac patients.

Contributed by Dr. Anuradha Purohit – Mandlekar (PT). She is BPT, MPT(Cardio-thoracic), MIAP, American Health Association (AHA) certified specialist at ReLiva Physiotherapy & Rehab and pioneers the Cardiac Rehab Program.

#1- (ref – 2013, Vol.2, No.2,ISSN 2319-4154,Health Sciences E-Journal)

stroke recovery

Stroke Treatment and Life after Rehabilitation

There is life even after Stroke

Just Experienced Stroke?

If you just experienced a stroke, you are most likely scared and confused. Some of the questions you have may include: “Why did I have a stroke?”; “What kind of stroke treatment is available?”; and “What kind of rehabilitation do I need?”.

Your experiences will vary depending on where in your brain the stroke occurred and the type of stroke. Learn more about stroke, risks, types of treatment and rehabilitation, and recovery for your specific post-stroke challenges.

 

What is STROKE?

Also referred as “ Brain Attacks” or CVA (Cerebro Vascular Accident); Stroke is loss of brain function due to a disturbance in the blood supply to the brain.

This disturbance is caused by either Ischemia (lack of blood flow) or Haemorrhage ( rupture of blood vessels). Ischemia can be caused because of thrombosis (blood clot) blocking the flow of blood to brain and accounts to 80% of stroke cases.

Stroke and Ischemic heart disease together form the most lethal disease in India, causing long lasting brain damage and debilitating disabilities among those who survive

Why did I have a Stroke?

A stroke occurs when the blood supply to part of your brain is interrupted, depriving brain tissue of oxygen and food. Within minutes, brain cells begin to die. There are many factors that may contribute to having a stroke.

Risk Factors that can cause Stroke

Stroke is preventable with manageable risk factors such as Hypertension, Diabetes, Cigarette Smoking, High Alcohol Consumption, Sedentary lifestyle, Obesity and high cholesterol.

But there are certain non-modifiable risk factors such as Aging, Gender (males more affected than females) and Cardiac disease.

The cause of some strokes is never known. The good news is that strokes can be treated and prevented.

How do I know – Signs & Symptoms

Symptoms usually appear suddenly, over seconds to minutes and symptoms depending upon the area of the brain affected. Following are some of the main symptoms:

  • Hemiplegia (paralysis of one side of the body including face)
  • Numbness and Loss of sensations in the affected side of the body
  • Altered smell, taste, hearing or vision, difficulty in swallowing and speech
  • Balance problems, altered walking pattern and activity of daily living such as eating, dressing, mobility etc. get affected

Treatment

Immediate treatment can help minimize effects of stroke and improve recovery outcomes. Since stroke is a medical emergency, Rush the affected person to a medical facility.

The first line of treatment is Thrombolysis ( breaking the clot down) or Thrombectomy (removal of the clot by surgery).

Stroke affects everybody differently. Many stroke survivors continue to improve over a long time, sometimes over a number of years.  Recovery from stroke involves making changes in the physical, social and, emotional aspects of your life.

After the hospital discharge, a sustained Rehabilitation is required to resume lost body functions.

Rehabilitation is about getting back to normal life and living as independent a life as possible. It involves taking an active approach to ensure that your life goes on. This can mean learning new skills or relearning old ones. It may involve adapting to new limitations and post-stroke conditions. Or it can mean finding new social, emotional, and practical support to live your best life post-stroke.Stroke Recovery via Physiotherapy led Rehabilitation at ReLiva

With good care and rehabilitation, there is life after stroke.

Stroke Rehabilitation Programme

It is a process to help the stroke affected people to return back to normal life as much as possible by regaining & relearning the skills of everyday living. Physiotherapy, Occupational therapy and Speech therapy – together form the cornerstones of the Rehabilitation process for such people.

How Physiotherapy can help in Stroke Rehabilitation

  • Physiotherapist focuses on educating the patient and family members about the condition, improving the joint range and strength by performing exercises & relearning functional tasks such as bed mobility, transfers, walking etc.
  • Physiotherapist also works with patient to improve awareness and use of hemiplegic side with use of various neurological methods such as NDT/BOBATH.
  • Advanced Physiotherapy setups like those of ReLivaTM also offer novel non-invasive rehabilitation methods like Mirror therapy/ Motor Imagery etc.
  • Stroke also reduces general fitness thus a Cardiorespiratory Training under the supervision of a trained physiotherapist can improve the walking speed, tolerance & independence during walking.

Stroke Rehabilitation should be started as quickly as possible and can last anywhere from few months to over a year. Early recovery and rehabilitation can improve functions and sometimes result into remarkable recoveries for someone who suffered a stroke. Maximum return of function can be achieved/seen in the very first few months after the stroke incidence, so it is advisable – “Sooner the Better

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fibromyalgia chronic pain

Fibromyalgia

Fibromyalgia is a chronic condition that presents itself as a syndrome, characterized by body aches and pain, weakness, stiffness, tender points around joints and stressful mind. We at ReLiva Physiotherapy and Rehab help you deal with the various symptoms of fibromyalgia present at any point of this chronic condition in the best possible ways at our clinics in Thane, Vashi, Nerul and Navi Mumbai.

While there is no definite cure of this condition, physiotherapy helps in reducing the symptoms as well as improving the quality of life of an individual suffering from fibromyalgia. Something as easy as postural correction and correct postural habits taught by the physiotherapist helps the patient in relieving the stress placed on the tissues as well as relaxes the body.

Pain, which is the most disabling symptom of this condition, is dealt aptly by using hydrotherapy in the form of moist hot packs that is applied at the painful area or also by using cryotherapy, as per the patients’ condition and need. Along with this, myofascial release techniques may be used to release the tension off the muscles as well as produce relaxation. Tender point release therapy is used to treat the tender points while is followed by cryotherapy to reduce pain, promote healing and prevent any muscle soreness. Pain may also be treated with the help of electrotherapy equipment like Transcutaneous Electrical Nerve Stimulation (TENS) depending on the severity of the pain.

Stiffness is reduced by incorporating various stretching exercises that help improving the flexibility of the muscles. By loosening up the tight and stiff muscles, it helps reduce the tension built up in the muscles and helps relieve any stress placed on them. This also leads to pain reduction and induces relaxation. Various active and passive stretching exercises are done and also taught to the patient with the correct dosage and method. Along with this accurate range of motion (ROM) exercises are taught to the patient that helps in keeping the joints healthy and preventing any stiff joint conditions in the future. Strength training of the muscles forms the basic line of treatment for the weakness that the muscles develop in fibromyalgia. Gradual and slowly progressing strengthening exercises are taught to the patients, starting with free exercises and moving on to resistance training.

Aerobic exercises (low-speed, low-impact) also form a very important line of treatment in patients suffering from fibromyalgia. Aerobic training not only prevents the deconditioning of the body but also helps induce relaxation. They have significant beneficial effects on physical function, well being and potentially reducing pain. Stationary bicycle, steppers (to perform graded and controlled stair-case climbing) and other devices are used to perform aerobic training. Aerobic exercises help improving the overall quality of life by training the lungs and heart and increasing their ability to function.

Relaxation techniques that are taught to the patients help relax their mind and body and hence bring the stress levels down. This in turn induces good sleep and helps fight sleep disturbances. In this way it helps the patient maintain good health by taking necessary rest periods along with supervised physical activity. Lifestyle modification would be incorporating activities like walking, cycling, swimming, gardening, etc in leisure time that not only help in relaxing the mind but also maintain the body strength to fight fatigue and pain. Outdoor sports should be taken up to maintain good body functioning, as well as aid relaxation.

What is Fibromyalgia?

Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is a chronic condition diagnosed by the doctors based on patient’s symptoms and physical examination. Fibromyalgia mainly includes widespread muscle pain along with painful point around the joints, which is not actually joint pain but pain in the tissues around the joint. It is usually referred to as ‘fibromyalgia syndrome’ as it presents with a group of symptoms together. Common fibromyalgia symptoms may include generalized aches and pains and crippling fatigue. Presence of tender points, disturbed sleep, mood disturbances and depression is also seen. Muscles give the feeling of being over worked all the time. There may be pain and achiness around joints in the neck, shoulder, back and hips which make it difficult for the patient to sleep or exercise. Other symptoms may include abdominal pain, chronic headaches, and dryness in mouth, nose and eyes, incontinence, irritable bowel syndrome, stiffness, numbness/tingling in fingers and feet. Tender points at specific areas around the joints give a clear picture of the condition.

Diagnosis is mainly made on comprehensive physical examination and on the patient’s medical history. Research still continues on devising any specific blood test that could help confirm the diagnosis (e.g. FM/a) to rule out any other serious condition, your doctor may ask you to carry out a compete blood count(CBC), tests for thyroid, etc. Also, since the pain and symptoms are similar to that seen in arthritic conditions like Osteoarthritis and Rheumatoid Arthritis, specific tests to rule out these conditions is also done. A detailed FAQ regarding fibromyalgia can be found here.

What causes Fibromyalgia

It is still unclear why people develop fibromyalgia but theories suggest that it is not the outcome of a single factor but combination of factors working together. One of the researches suggests that poor physical conditioning leads to the symptoms of fibromyalgia while other suggests that continuous microtrauma leads to ongoing cycle of pain and fatigue. Combination of many physical and emotional stressors is believed to be responsible for the condition. Genetics is also believed to be one of the causes and fibromyalgia is seen running in families. Environmental factors like trauma, infections, etc are also believed to be contributing to causing fibromyalgia. Hormonal and chemical disturbances are also responsible in causing pain.

It is mainly thought to be a glitch in the way the body perceives pain. One of the main theories suggests that people suffering from fibromyalgia have developed changes in the way the Central Nervous System (CNS) processes the pain messages carried out by the body. Also low level of hormones like serotonin, noradrenaline and dopamine in the brain lead to alteration in mood, appetite, sleep, behave and response to stressful situations. Also hormones help regulate the processing of pain messages in the brain.

Benefits of Physiotherapy Treatment for Fibromyalgia patients

The benefit of physiotherapy is that it allows a person with fibromyalgia to work closely with a trained professional who can design a fibromyalgia-specific treatment program. The therapist documents your progress and gauges whether you are performing/practicing good therapy habits, alignments, and movement patterns when doing ‘homework’ or exercises at home.

Anne Reicherter, PT, DPT, PhD, a licensed physical therapist and associate professor in the department of physical therapy in the School of Medicine of the University of Maryland in Baltimore, says physical therapy can help fibromyalgia patients “manage” their daily living with less pain and generally make life more enjoyable”. She explains that people with fibromyalgia pain are often caught in a vicious cycle: Pain and fatigue prevent them from being active and exercising, but inactivity can trigger more pain and fatigue.

ReLiva Physiotherapy and Rehab helps you deal with fibromyalgia by using the following in their tailor-made and effectively designed treatment program:

    • Stretching Exercises
    • Strengthening Exercises
    • Pain Relief Methods
    • Aerobic Training
    • Myofascial Release
    • Relaxation Techniques

Myths and Facts about Fibromyalgia

1.   Myth: Fibromyalgia is rare.

Fact: Fibromyalgia is one of the most common types of chronic pain disorders. Census reports more than 10 million cases per year in India.

2.   Myth: Fibromyalgia is “all in the head.”

Fact: Fibromyalgia has been described for centuries. But it wasn’t until 1981 that the first scientific study formally confirmed fibromyalgia symptoms and tender points in the body. Since then, researchers have future tested pain reaction in people with fibromyalgia.

  • Imaging studies show that the brains of people with fibromyalgia have more activity in reaction to pain.
  • Studies also have shown that people with fibromyalgia feel pain more intensely at lower levels than people without the condition.
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