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

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 

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 

home remedy for neck pain

Neck Pain: Managing at Home

Neck pain or a stiff neck is a common problem and usually nothing to worry about, except that it may be far more troubling.Neck Pain : Healing at Home

Neck pain or a stiff neck are extremely common and can affect your life in so many different ways.  Whether it is sharp neck pain, dull muscular aches, headache, or an inability to fully move your head, a sore neck, it can be very frustrating yet it’s simple to fix in the majority of cases.

The pain and stiffness usually gets better after a few days or weeks, and is rarely a sign of a more serious problem.

Neck pain can occur anywhere in your neck, from the bottom of your head to the top of your shoulders. It can spread to your upper back or arms. It may limit how much you can move your head and neck.

What Causes Neck Pain / Stiffness?

Neck pain can be caused by any of these:

1. An activity that harms/strains the neck.

You can get a painful or stiff neck if you sleep in an awkward position, use a computer for a prolonged period of time, or strain a muscle because of bad posture like slouching, continuously looking at an elevated screen etc. Anxiety and stress can also sometimes cause tension in your neck muscles, which can lead to pain in your neck.

2. An injury.

Neck pain can also be caused by an injury. A fall from a ladder or whiplash from a car accident can cause neck pain.

3. A medical condition.

Some less common medical problems like an infection in the neck, narrowing of the spinal canal  in the neck (Cervical Spinal Stenosis), Rheumatoid Arthritis can also lead to neck pain.

In such cases the symptoms are far more acute. You may feel a knot, stiffness, or severe pain in your neck. The pain may spread to your shoulders, upper back, or arms. You may get a headache. You may not be able to move or turn your head and neck easily. Sometimes you might have pain that shoots down your arm, ­­numbness, tingling, or weakness in your arm. If you have such severe symptoms, you need immediate medical attention.

Whatever it may be, it is important to make an accurate diagnosis of the cause of your neck pain so that appropriate treatment can be directed at the cause. In most cases caused by the first reason – neck strain, you can normally manage your symptoms at home by following the advice below.

Managing Neck Pain at Home

For most of neck pain cases caused by strain/ posture, the advice is generally the same: carry on with your normal daily activities, keep active, and ease your neck to relieve the symptoms. You can also take these steps to manage your pain:

  • Try holding a hot water bottle or heat pack to your neck – this can help reduce the pain and any muscle spasms, although some people find cold packs offer better relief
  • Sleep on a low, firm pillow at night – using too many pillows may force your neck to bend unnaturally
  • Check your posture – bad posture can aggravate the pain, and it may have caused it in the first place
  • Avoid driving if you find it difficult to turn your head – this may prevent you being able to view traffic
  • If your neck is stiff or twisted, try some neck exercises – gently tense your neck muscles as you tilt your head up and down and from side to side, and as you carefully twist your neck from left to right; these exercises will help strengthen your neck muscles and improve your range of movement
  • If the pain or stiffness does not improve after a few days, or if you are worried your neck pain could have a more serious cause, you should see a doctor or Physiotherapist without further delay.

You can write to contact@reliva.in for more information and to receive document on neck exercises.

What Increases Your Risk?

Certain conditions can increase or decrease the chances of you getting a neck pain. Some of these are controllable and can be worked upon, while there are few others that remain beyond control.

Uncontrollable Risk factors for Neck Pain:

  • Age. People who are middle-aged or older are more likely to have breakdown (degeneration) of discs or joints, as well as bone spurs in the vertebrae of the neck (cervical spondylosis).
  • Recent injury or history of injury. A common injury to the neck is whiplash caused by a car accident.
  • Conditions that affect the bones and soft tissues of the neck and back, such as rheumatoid arthritis, a narrowing of the spinal canal (cervical spinal stenosis), or a severely curved spine (scoliosis).
  • A history of headaches.

Controllable Risk factors for Neck Pain:

  • Awkward positions that put stress on the neck, or poor posture at home or at work.
  • Stress or depression, or boredom at or unhappiness with work.
  • Heavy physical work.
  • Smoking or drug abuse.
  • Poor physical condition and lack of exercise

The human body is incredibly talented and will adjust itself so that other joints or muscles move further or work harder than they should to self-manage the pain. While this is usually okay on the short term, it’s devastating in the long term for neck pain. Unfortunately the result is often chronic neck pain, neck stiffness, headaches, wry neck or even tension type migraine.

Luckily, there is a very quick, extremely safe and long-term solution. And it’s waiting for you at ReLivaTM Physiotherapy & Rehab

Physiotherapy and Neck Pain

When you visit a physical therapist, you’ll first have a complete evaluation to assess the extent of movement, strength, reflexes and other potential sources of pain in the neck.

We understand that neck pain is not solely about joints and not solely about neck muscles. There is a whole gambit of information that your physiotherapist will analyse and correct if needed to resolve your individual problem. New research has shown that a combination of neck joint and muscle treatment performed by your physiotherapist and some specific strengthening exercises are an effective way to eliminate your neck pain, stiffness and headaches.

During treatment, your physiotherapist will work on relieving pain, strengthening your neck muscles and also help you improve your posture and range of motion. To help you learn proper postures, the physiotherapist might have you stand in front of a mirror while exercising so that you can see your mistakes and correct them.

The good news is that you can also reduce your chances of neck pain returning significantly if you do the right thing quickly. Please contact us for more specific advice on your neck pain.

SELF HELP ADVICE-  You may find the following advice helpful in preventing neck pain:

Do’ s :

  1. Make sure you have good posture when sitting and standing
  2. Take regular breaks from your desk, driving or any activity where your neck is held in the same position for a long period of time
  3. If you often feel stressed, tryrelaxation techniquesto help ease any tension in your neck
  4. Do turn to one side while getting up from supine/sleeping position.
  5. Use hot pack for your neck.
  6. Use towel roll under the neck during supine lying.
  7. Use pillow of normal thickness in side lying position.
  8. Use a seat belt when in a car.
  9. Make sure your mattress is relatively firm – a soft mattress could mean your neck is bent while you sleep
  10. You should retract your shoulders (move shoulders backward) atleast once every hour.

Don’t s :

  1. Avoid sleeping on your front, and make sure your head is in line with your body (not tilted to the side) if you sleep on your side
  2. Don’t bend your neck for a prolonged period of time.
  3. Avoid sitting for prolonged period of time in stressful posture.
  4. Do not lift heavy weights on head or back.
  5. Do not drive for long hours; take breaks.
  6. Avoid habit of holding the telephone on one shoulder and leaning at it for a long time.
  7. Do not take many pillows  (usually only one) to keep your head level with your body, while sleeping.
  8. In order to turn around, do not twist your neck or the body; instead turn around by moving your feet first.

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

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