Did you undergo a surgery soon? Are you incapable of steady and smooth body movements? In that case, you require a post-operative physiotherapy session. It is for sure that after undergoing a surgery, everybody loses his or her strength and muscle flexibility. To get it back in order, you need to consult a physiotherapist in Kolkata. What Is Post-Operative Physiotherapy? Post-operative physiotherapy or post-surgery rehabilitation is a crucial process that involves a lot of physiotherapy sessions and exercises to help the patient get better and resume normal physical activities and improve the quality of life. In most cases, the doctor also recommends pre-surgery physiotherapy as it helps patients recover faster after surgery, specifically, increased joint movements and reduced swelling following an initial injury. Why Is Post-Operative Physiotherapy Important? Post-operative physiotherapy rehabilitation is essential for patients after undergoing surgeries related to orthopedic, cardiac, cancer and other major surgeries. Using a range of exercises, Physiotherapists help patients regain muscle strength and movement so that they can perform routine tasks as soon as possible. Physical exercises such as quadriceps sets, straight leg raises, ankle pumps, knee straightening exercises, bed-supported knee bends, sitting supported knee bends, stair climbing and descending and sitting unsupported knee bends, etc. help patients re-establish the muscle strength, joint motion, full joint movement and flexibility. Advanced exercises such as standing knee bends and assisted knee bends are recommended to build optimal strength and functionality, once the patient has regained independence for a shorter distance. What Are The Post-Operative Conditions That Require Intervention Of A Physiotherapist? Post-operative physiotherapy aims to reinstate lost mobility in the body after surgery through customized sessions and exercises. The conditions treated by best physiotherapists in Kolkata include: a. Total knee replacement Total knee replacement is an advanced surgical procedure to restore pain-free movement to the knee joint by replacing it with artificial material. Post-operative physiotherapy is recommended to patients as it helps them to get back on their feet, strengthens legs and restores knee movement. b. Total hip replacement Total hip replacement is an advanced surgical procedure in which worn out or damaged hip joint is replaced with artificial parts. Post-operative physiotherapy is recommended to patients as it helps them restore mobility and strength and enables to resume normal activities. It also helps patients heal from injuries caused due to trauma such as a hip fracture or dislocation caused by a fall. c. Spine surgeries Spine surgery is a major surgical procedure to treat spinal disorders and conditions. Post-operative physiotherapy will help patients manage pain after spine surgery, allowing them to recover as quickly as possible through lifestyle changes and exercise. What Are The Benefits Of Post-Operative Physiotherapy? At home physiotherapy after a surgery aims to help people to restore optimal mobility and overall functions in the body. It also helps in: a. Building muscle strength, improving posture and balance of the body. b. Reducing pain with various manual therapy that is crucial for strengthening weakened and disused muscles. c. Restoring normal movement patterns and habits. d. Returning to recreational activities, sports and peak performance. Post-Operative Exercises Regular exercise to restore your knee mobility and strength and a gradual return to everyday activities are important for your full recovery. Your orthopedic surgeon and physical therapist may recommend that you exercise approximately 20 to 30 minutes two or three times a day and walk 30 minutes, two or three times a day during your early recovery. The following guide can help you better understand your exercise program, supervised by your therapist and orthopedic surgeon. Start the following exercises as soon as you are able. You can begin these in the recovery room shortly after surgery. a. Quadriceps sets Tighten your thigh muscle. Try to straighten your knee. Hold for 5 to 10 seconds. Repeat this exercise approximately 10 times during a two-minute period, rest one minute and repeat. Continue until your thigh feels fatigued. b. Straight leg raises Tighten the thigh muscle with your knee fully straightened on the bed, as with the Quad set. Lift your leg several inches. Hold for five to 10 seconds. Slowly lower. Repeat until your thigh feels fatigued. You also can do leg raises while sitting. Fully tighten your thigh muscle and hold your knee fully straightened with your leg unsupported. Repeat as above. Continue these exercises periodically until full strength returns to your thigh. c. Ankle pumps Move your foot up and down rhythmically by contracting the calf and shin muscles. Perform this exercise periodically for two to three minutes, two or three times an hour in the recovery room. Continue this exercise until you are fully recovered and all ankle and lower-leg swelling has subsided. d. Knee straightening exercises Place a small rolled towel just above your heel so that it is not touching the bed. Tighten your thigh. Try to fully straighten your knee and to touch the back of your knee to the bed. Hold fully straightened for five to 10 seconds. Repeat until your thigh feels fatigued. e. Bed-supported knee bends Bend your knee as much as possible while sliding your foot on the bed. Hold your knee in a maximally bent position for 5 to 10 seconds and then straighten. Repeat several times until your leg feels fatigued or until you can completely bend your knee. f. Sitting supported knee bends While sitting at bedside or in a chair with your thigh supported, place your foot behind the heel of your operated knee for support. Slowly bend your knee as far as you can. Hold your knee in this position for 5 to 10 seconds. Repeat several times until your leg feels fatigued or until you can completely bend your knee. g. Sitting Unsupported Knee Bends While sitting at bedside or in a chair with your thigh supported, bend your knee as far as you can until your foot rests on the floor. With your foot lightly resting on the floor, slide your upper body forward in the chair to increase your knee bend. Hold for 5 to 10 seconds. Straighten your knee fully. Repeat several times until your leg feels fatigued or until you can completely bend your knee. Conclusion Soon after your surgery, you will begin to walk short distances in your hospital room and perform everyday activities. This early activity aids your recovery and helps your knee regain its strength and movement.
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Patients suffering from most types of low back pain are often referred for physical therapy for four weeks as an initial conservative treatment option before considering other more aggressive treatments, including back surgery. The goals of physical therapy are to decrease back pain, increase function, and teach the patient a maintenance program to prevent future back problems. Forms of Physical Therapy a. Passive physical therapy Passive physical therapy which includes things done to the patient, such as heat application, ice packs and electrical stimulation. For example, a heating pad may be applied to warm up the muscles prior to doing exercising and stretching, and an ice pack may be used afterward to sooth the muscles and soft tissues. b. Active physical therapy Active physical therapy, which focuses on specific exercises and stretching. For most low back pain treatments, active exercise is the focus of the physical therapy program. Exercise Benefits of Lower Back Pain Lumbar spine (low back) stability is largely dependent on the supporting abdominal (stomach) and low back musculature. The abdominal muscles provide the initial stabilizing support through their ability to generate pressure within the abdomen which is exerted posteriorly on the spine, thus providing an anterior support column (from the front of the spine). The low back muscles stabilize the spine from the back and lead to posterior support. Simply stated, the bony spine and discs are surrounded by muscles, and the stronger these specific muscles are, the less stress is placed on the discs and joints of the spine. The patients should develop a 'belt' of muscle around their spine. Physiotherapy Exercises to Reduce Lower Back Pain Here is a list of physiotherapy exercises for lower back pain that you can follow: a. Stretching Proper stretching of the muscles along with active exercise will help maintain normal range of motion and provide relief for muscles that are often suffering disuse atrophyor in spasm from inappropriate posture or nerve irritation. For many patients it is best to follow a stretching routine that has been individually designed for them by a physical therapist or a spine physician. As a general rule, low back pain patients should focus on stretching the lower back muscles, abdominal muscles, hips, and legs. The patient should never bounce during stretching, and all stretches should be slow and gradual. b. Dynamic stabilization exercises These exercises involve the use of a variety of exercises and may include use of exercise balls, balancing machines or specific stabilizing exercises. The point of dynamic stabilization exercise is to strengthen the secondary muscles of the spine and help support the spine through various ranges of motion. c. Core strengthening exercises These are specific exercises to strengthen the abdominal muscles and low back muscles (erector spinae) to provide the aforementioned 'belt of muscle' around the spine. These exercises typically include:
How Effective Is Lumbar Traction? Another aspect of physiotherapy for back pain program may include lumbar traction. With lumbar traction, the patient lies on his back and is secured on a special table with a cable coming from the foot-end of the table that attaches to a strap that has been placed around the patient's hips. The cable is attached to weights at the foot-end of the table that provide a continuous and gentle pulling force on the hips toward the foot-end of the table. The goal of traction is to unload the disc space and muscles in the lumbar spine. This unloading is thought to provide a recuperative period which allows the muscles to rest and takes pressure off the disc space. Research about the effectiveness of traction is controversial, with some studies showing that it adds value and other studies showing that it is of little or no value for patients with low back pain. Some Other At Home Exercises The best physiotherapist in Kolkata suggests some more easy exercises that you can perform on your own at home. They are as follows: a. Cat and cow pose Lie on all fours and keep your back straight. Then, bend your spine outward and upward toward the ceiling. Hold this pose till you feel a stretch in your neck, then bend your back inward and downward till you feel a stretch in your lower back. Repeat this around ten times. b. Cobra stretches Lie in the prone position and keep your hands on either side of your chest. Keep your feet planted firmly on the floor and press into your hands as you push your upper body, from your chest to your head, upward. Hold this pose for a few seconds and then gently lower yourself. c. Prone leg lifts This is similar to the cobra stretch, except that instead of lifting your upper body, you keep it planted firmly down. Keeping your legs stretched out and close together, raise them in one continuous motion as much as you can, hold the pose, and lower your legs back to the ground. d. Bridges Bridges are extremely helpful if you want to strengthen your lower back. To perform a bridge correctly, lie down on your back and rest your outstretched arms by your side. Lift your hips off the floor, keeping your body from the head to the knees in a straight line. Hold and lower. e. Leg stretches Lie on your back with your knees raised upward and your feet flat on the ground. Raise your right foot up, loop a band or a towel around it, and gently pull your foot toward your chest, keeping your right leg straight and unbent till you feel a stretch in your hamstrings. Conclusion Keep in mind that these stretches and exercises of physiotherapy for lower back pain may offer temporary relief, but it’s always advisable to get yourself medically evaluated for chronic back pain. Thus, it is highly recommended that once a patient is treated successfully with physical therapy, he develops an exercise maintenance program at home to help sustain the strength and muscle mass that was developed in physical therapy. 12/24/2020 Physical Therapy Treatment for Knee Pain - Keep Your Knees Strong With PhysiotherapyRead NowPhysical therapy for knee pain involves a thorough evaluation and assessment of your entire lower extremity from your hip to your foot. Your PT can assess your knee pain and prescribe the right treatments, including exercises and modalities in two ways:
PT, or rehab as some people call it or physiotherapy at home, can ease your muscle and joint pain. You'll work with a physical therapist, a licensed professional who uses a variety of methods to help strengthen your muscles and make your body feel and move better. Anatomy of the Knee The human knee is a hinge joint that is comprised of the tibia (shin) and the femur (thigh). The patella, or kneecap, is located in the front of the knee. The knee is supported by four ligaments. Two shock absorbers, each called a meniscus, are found within the knee. Pain in the knee can be caused by repetitive trauma and strain or injury. Occasionally it occurs for no apparent reason. When knee pain occurs, you may experience functional limitations that include difficulty walking, rising from sitting, or ascending and descending stairs. What Type of Knee Pain Do You Have? If you experience knee pain, it is important to determine if the pain is acute, sub-acute, or chronic in nature. This can help guide proper diagnosis and treatment.
Knee Pain Areas – You Should Know
Physiotherapy Exercise for Knee Pain To keep your knees strong and healthy for your daily activities and sports, the best physio near me recommends the following 5 physical therapy knee exercises:
If you do not have a stability ball available, you can just use the wall. Lean back against the wall and step forward about two feet in front of you. Slide your back down the wall until your thighs are almost parallel to the floor. Keep your whole back and hips pressed against the wall and hold this position for 5-10 seconds. You should feel your quads burning! Use your glutes to slide back up. Perform 2 sets of 10 reps.
Conclusion The knee is a major joint in the body that is responsible for walking, climbing stairs, and rising from a seated position. Pain in the knee can limit one or all of these activities. By working with your physical therapist and by performing physiotherapy exercises for knee pain, problems with knee pain may be avoided, and your mobility can be maintained. |
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December 2020
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