Physiotherapy Hits

Yes ! I'm very much happy today because physiotherapy is getting very much popular in these days. I think there are lots of articles & visuals are coming in our magazines, newspapers and channels about the importance of physiotherapy in health management. patients now directly coming to our clinic. These articles stress on the importance of the fitness programs, and value of exercises therapy in healing musculoskeletal, neurological and cardiac problems. Another reason  is , physiotherapy has no side effects like anlgesic drugs and physiotherapy also promotes health and physios focusing on dysfunctions of the patients. People are very much aware of the side effects of the drugs and they tell doctors to refer physiotherapy and we don't need painkillers and injections. This is very positive  for us. 

But most of our physios are not ready to start  a clinic in India. The main reason is fear of faliure. Nobody knows its potential. Recent reports shows that orthopaedicians and neurologists are aware of this market and they going to start physiotherapy clinics and then our physios are very much happy to work under them. Why? We are not interested in risk taking, not interested in patient making, not even interested in ourselves. We are waiting to others to do something for the fullfillment of physiotherapy. They blame goverment, orthopaedicians, neurologists, and public. What we are doing for the development of our profession is not a question. 

India is the best for physiotherapists, because lots of oppurtunities are here in private, and public hospitals. But we have to work hard.

Why SMART Physiotherapy Centre

What is special in SMART Physiotherapy Centre...That is our culture, our way to deal with our patients, follow up with patients, follow up with referring doctors, all these makes us special.

Smart is a unique Rehabilitation Centre specialized in the prevention, assessment, treatment and research of Musculoskeletal Disorders, Soft Tissue Injuries, Sports Injuries, Neurological Disorders, Repetitive Strain Injuries and various Childhood Disabilities, through the most advanced and specialized Physiotherapy protocols.

Our primary focus is to restore function and improve your quality of life through caring, skilful and personalized applications of exemplary physiotherapy services for clients of all ages.

We are treatment and rehabilitation specialists in back and neck pain, joint problems, Shoulder & Knee pain, Sports injuries and Nerve impingement. We also specialise in running injuries, overuse injuries, repetitive strains, sciatica, work related injuries, osteoarthritis, & postural problems

Antenatal & Postnatal Fitness program

We offer a safe course of antenatal / postnatal care for expectant mothers and new mothers. During these sessions effective exercise techniques for the child bearing year and after childbirth will be taught including gentle stretching, toning and relaxation.This will help you to understand the basic changes of your body and common problems occurring during pregnancy and after childbirth. We teach you, how to prevent these problems.Postnatal Exercise class : A course of progressive exercises to help return muscles to their prepregnancy state and improve muscle tone.Exclusively for you, we also provide a bonus class about BACK PAIN, the most common problem during pregnancy and after childbirth. 80-90% ladies are suffering from back pain during thesew stages. So it will help you most.Our one hour session   covers :

• Basic body changes during pregnancy.
• Antenatal fitness
• Diet & nutrition
• Comfort , Back care programs
• Pelvic floor & abdominal muscle strengthening
• Breast feeding
• Prevention of urinary incontinence
• Postnatal exercises
• Postural correction techniques
• Postnatal depression prevention
• Video demonstration of exercises
• Book let for new mothers – will explain why exercises, when to stop exercises, pictures of all exercises with simple instructions, a beautiful session for your baby, vaccination chart and reminders etc.. etc…

What happens to this Infraspinatus

What happens to Infraspinatus ? For last week we have four patients having shoulder pain and four of them having the same symptoms. They complains pain over shoulder joint, restriction of shoulder movement. pain mainly over anterior aspect of the shoulder. Passive shoulder movements have no restrictions but actively they are unable to lift their shoulder, rotate their shoulder and these movements produces pain also. No tenderness over anterior region of the shoulder.

But on further examination severe tenderness over infraspinatus muscles is noted. Trigger points noted in all these patients. Treatment focused on infraspinatus includes Myotherapy, Trigger point therapy, stretching and active exercises for infraspinatus.

After one week  our treatment protocol gives us a dramatic improvement in their conditions. Three of them  have 90% decrease in frequency of pain and 100% improved ROM of shoulder. One patient required further treatment because his supraspinatus was also affected. But after 10 days he also got 90% result.

Infraspinatus :The Infraspinatus, one of the rotator cuff muscles, lies on the outside of the lower 2/3 of the shoulder blade.  It functions primarily to rotate your arm outwards and to pull your arm back.It is a external rotator of the glenohumeral joint and adductor of the arm.

The Infraspinatus and Teres minor rotate the head of the humerus outward (external rotation); they also assist in carrying the arm backward. Trigger Points in the Infraspinatus are commonly overlooked, due to the unique referral pattern.  Although this muscle is located on the back, the primary referral pain is to the front of the shoulder.  Pain can also be found along the outer portion of the shoulder, extending into the upper arm as well.

A common condition known as “Frozen Shoulder” causes weakness and stiffness in the shoulder.  This true condition is caused by adhesions and scar tissue in the joint.  Trigger Points in the Infraspinatus muscle can mimic the symptoms of “Frozen Shoulder.” 

So next time you sees a patient with shoulder pain or diagnosed as frozen shoulder rule out Infraspinatus trigger points.

Interesting Websites..

Last day i go through some interesting websites one of them is  "www.shape.com" which have very useful tips for weight loss, diet, exercises, lifestyle, etc.. The most catching is the 10 steps to Sure Fire Weight Loss... very practical and very useful for obese patients. Also have some popular articles like " 8 things you always wanted to know about dieting", "5 smarter ways to loss weights", and "sneaky ways to beat overeating".  

You can also enjoy www.mensfitness.com

Some Useful Websites

http://www.bl.uk/ British Library

http://www.health.library.mcgill.ca/ On line library, McGill University, USA

http://www.ipl.org/ Internet public library

http://www.isep.org.au/ International Society of Physiotherapy Educators

http://www.ncchta.org/Health Technology Assessment Programme (UK Government funded research reports and reviews)

http://www.nlm.nih.gov/ National Library of Medicine, USAAnd in case any of you don't know about this one for classics in literature.............

http://www.gutenberg.org/wiki/Main_Page Project Gutenberg[You won't find anything about physiotherapy on it]

Pes Anserinus Cont....

Today is the fifth day of his treatment...

On further examination we noted tightness of hamstrings and calf muscles. 

Our treatment plan is Ultrasound therapy with hydrocortisone cream (phonophoresis) X 7 days.

Stretching of hamstring muscles, calf muscles.

We applied taping technique, with lower leg on internal rotation from third day , that also reduced pain. He is still on rest.. Ask him to avoid stressful activities like hill climbing, stair climbing, twisting, prolonged marching etc..

Now there is 50% reduction in frequency of pain. Weight bearing and walking improved.

We r also waiting for further improvement... after hamstring stretching exercises