Friday, February 27, 2009

Manualtherapy & Myotherapy Works

2 months back one patient came to our department with severe pain , swelling and restricted ankle movements. He is unable to walk without support. He is a lecturer and medically diagnosed with psoriatic arthritis. Disease started 2 years back and his ankle problem started one year back. All other joints are normal. ROM of his both ankle joint is nearly zero.
Most of the ortho specialists advised arthrodesis (surgical fusion of the joint). But he went for a second opinion and consulted with a physician and he directed him to our department for physiotherapy.

We started with hotpacks, then we slowly started mobilization of the joint in classic way. But it was very painful to him. So we applied Mulligan's movement with mobilization for 10mts, followed by myotherapy, deep friction technique over the ankle joint, Ultra sound therapy to reduce swelling. After 2 session we got dramatic result. On second day he has got 25% movement of his ankle joint and swelling reduced to 50%. We continued the same treatment plan and applied crepe bandage after treatment. After 10 days there is 90% reduction in the frequency of pain, swelling disappered and ROM become near normal. He is able to walk without support but mild limping was present... Then we strated some conditioning exercises for leg muscles first with very minimal resistance and progressed with moderate resistace, by the time we continued the mobilization and myotherapy for 10 more days. 

Now he is able to walk without support, gait near normal and ankle movemts are 100%!!
Mobilizations , myotherapy and exercises worked in this condition....

Is It Frozen Shoulder???

One of our patient comes with left shoulder pain and stiffness. He is having this problem 6 months back and he consulted many orthopaedicians and took lot of analgesics. Professionally he is a martial art tutor. The pain started gradually and decreased range of motion slowly. Now he has 110 degree of shoulder flexion and 100 degree abduction and 50%movement loss of rotations. All orthopaedicians diagnosed as frozen shoulder , but during the movement of his shoulder the restriction or end point feels rubbery or elastic end feel.

He came 4 days back in our clinic for physiotherapy services. On first day, our treatmentprotocol is same as that of frozen shoulder but we feel the end feel... so we changed the treatment protocol... we reassessed patient that find out trigger points over subscapularis, and tightness of latissmus dorsi muscles.

So we applied myofascial therapy, neuro muscular therapy and trigger point therapy for the particular muscle groups along with usual mobilization (mulligan techniques) and exercises... on third day there is 80% decrease in pain and 85% increase in range of motion...

Subscapularis is a rotator cuff muscle whose job is to stabilize the humeral head and seat it deeply into the glenoid fosa. It is the powerful medial rotator of the humerus. Problems oversubscapularis produces loss of lateral rotation and abduction movement..that mimics the frozen shoulder syndrome.

A through knowledge about the muscles and their function is most useful when treating this type of disorders..where traditional physiotherapy fails..............

Talk On Work Related Musculoskeletal Disorders In Dentistry





On 15th December , Indian Dental Association- Thrissur Branch (award winning IDA Branch in Kerala, India) on their annual meeting, organized a talk on Work related Musculoskeletal Disorders and Ergonomics in Dentistry.. Talk given by Dr.Grinto Davy Chirakekkaren (PT) on behalf of SMART Healthcare - Centre for musculoskeletal Disorders and Rehabilitation. The response was tremendous and most of the Dentists attended in the conference had met with one of the MSDs during their professional life.

Work Related Musculo-skeletal Disorders In Dentists

Work related musculo skeletal disorders are very common in dentists due to the type of work and posture during their time of work.Recent surveys shows that 40-60% dentists are affected with work related musculo skeletal disorders. The most common affected sites are neck, shoulder, hand, wrist and back. The disorders around neck and shoulder are
1.
myofascial pain syndrome
2.cervical 
spondylosis
3.
Rotator cuff injuries
4.Thoracic outlet syndrome etc..
The disorders affecting forearm,hand and wrist are
1.DeQuervains disease
 
2.Carpal Tunnel syndrome
3.Tennis Elbow
4.
Guyon's disease
5.Trigger finger
The disorders affecting back are
1.Lumbar 
spondylosis
2.Low back pain
3.Sciatica
4.Herniated disc

M pain and trigger points are common and most of the time they misdiagnosed simply as Cervical spondylosis and Carpal Tunnel Syndrome. So a through clinical examination is needed for every patient before starting the physio program.

Arthritis- SMART Protocol

Smart Health Care ..A leading centre for musculoskeletal disorders and rehabilitation... introduces special protocol for Rehabilitation for Arthritic patients, who were suffering from joint pain, joint stiffness and even bed ridden. This specialized protocol mainly based on exercise therapy have greater relief for these patients in addition to the modern drug management. So this combination therapy including drugs and physical therapy produces more effective results especially on patient's functional activity

Arthritis

At Smart Health Care , our researches shows that , patients with Arthritis (joint pain) of any type, our treatment protocol, includes myotherapy, mobilization ,stretching and specific active exercises produces greater results instead of conventional physiotherapy methods like wax bath and exercises.

SMART Physitherapy Centre - Specialised For Musculoskeletal Disorders

Smart Physiotherapy Centre- ..is located in Thrissur city, Kerala, India. This clinic manily deals with musculo skeletal disorders, Joint pain, RSI (Repitative strain injuries), Ergonomic consultancy, Sport injuries rehabilitation. & Antenatal and postnatal fitness program. We treat all aspects of orthopaedic & Sports injuries.

SMART stands for

S - Soft tissue & sports injuries

M- Manipulations & Myotherapy

A- Arthritic pain

R- RSI & Rehabilitation

T- Trigger point therapy

Thursday, February 19, 2009

Welcome to SMART Physiotherapy Centre

Smart Physiotherapy Centre offers advice and Treatment for a range of health problemsto help you make the most of your lifestyle.

Smart is a unique physiotherapy Centre specialized in the prevention, assessment,treatment and research of musculoskeletal disorders, joint pain, soft tissue injuries, sports injuries, repetitive strain injuries (RSI), neurological disorders and various childhood disabilities, through the most advanced and specialized tretment protocols. 

In SMART Physiotherapy Centre, we offer advice and treatment equivelent to international standards for a range of health problems to help you make the most of your lifestyle.

SMART PHYSIOTHERAPY CENTRE

Smart Health Care