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Lifestyle modification & management

Have you heard of osteoarthritis? Rather than an individual ailment, it refers to a series of conditions that involve degradation of the joints. This can lead to joint pain, tenderness, stiffness, creaking, locking of joints and sometimes swelling, all of which range from uncomfortable to painful and can greatly affect your daily activities due to reduced mobility. Though medication is often prescribed, the most effective solution is to nip osteoarthritis in the bud, or apply actions to your daily routine if it has already taken hold. This can include exercise, posture changes and lifestyle modification, all of which may be recommended by your physiotherapist.

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Soft Tissue management

What are the symptoms of soft tissue injuries? When soft tissue is damaged, there is usually immediate pain along with immediate or delayed swelling (excessive swelling can slow the healing process – see treatment below). Stiffness is also very common as a result of the trauma and swelling. Bruising may also develop after 24-48 hours. In the case of moderate to severe soft tissue injuries of muscles, tendons and ligaments around a joint, there may be instability experienced, especially to weight bearing joints like the hip, knee and ankle. How long will it take to recover from a soft tissue injury? The recovery time from grade 1 soft tissue injuries in one to two weeks and three to four weeks for a grade 2. Grade three soft tissue injuries require immediate assessment and treatment, with much longer recovery times. Recovery times can also depend on your age, general health and occupation. If you are not sure of the nature or extent of your injury, contact an experienced Specialist Physiotherapist for advice.

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Multiple sclerosis

Multiple sclerosis (MS) is a progressive autoimmune disease. Autoimmune diseases mistake normal, healthy parts of the body as foreign and attack them. In the case of MS, the body attacks and destroys the protective sheath that surrounds your nerves. This sheath is called myelin. The damage to and destruction of the myelin eventually affects the nerves. Nerve damage delays and disrupts communication between your brain and parts of the body. MS is unpredictable. It fluctuates and changes from month to month and person to person. For some people, MS is only mildly intrusive. The symptoms and signs of the disease are minuscule compared to more invasive conditions, such as a spinal cord injury or stroke. However, that’s not the case for everyone. MS can also progress quickly. Flares can be very difficult, and recovery might not be possible. Over time, MS destroys the myelin around your nerves. This damage cannot be repaired.

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Occupational life style hazards its management

Occupational Health Physiotherapists work collaboratively with a range of people including employers, employees, other health professionals, engineers and designers to offer a range of measures aimed at reducing health and safety risks for people at work. These can be grouped into the following categories: Primary prevention: protecting healthy people from developing disease or injury at work through health promotion, training and identification, assessment and control of potential hazards such as whole body vibration (rough rides), manual tasks, postural stresses and sedentary work. Secondary prevention: limiting long-term disability and preventing re-injury through early intervention and provision of suitable return to work duties. This includes identification and management of risks such as physical, psychosocial and organisational factors. Tertiary prevention: helping people to manage complicated long-term health problems such as chronic pain and disability and, where appropriate, return to modified work.

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Neuroalgia ND transverse myelitis

Transverse myelitis is really a rare inflammatory neurological disorder that triggers damage to the spinal-cord. The aims of physiotherapy treatment will differ with regards to the level of the spinal-cord damage caused by the transverse myelitis. Physiotherapy will help you reach and maintain your maximum physical potential and assist in the management of other facets of your condition. The effects of transverse myelitis can progress rapidly over minutes, or may progress on the number of weeks. The results are dependent on the amount of the spinal cord damage. Effects are usually seen below the degree of the spinal cord damage and may present as a reduction or complete lack of: • sensation • voluntary movement • proprioception (awareness of joint position in space) • bladder and bowel function • sexual function Individuals also commonly experience: • reduced capability to breathe deeply and cough • pain • muscular spasms In the height of the disorder approximately 50% of patients don't have any voluntary movements within their legs, almost all patients possess a degree of urinary incontinence, and also over 80% of patients report altered sensation. Physiotherapy for Transverse Myelitis Physiotherapist can guide you to achieve your maximum physical potential by treating the issues that arise following a onset of transverse myelitis. On your initial assessment both you and your physiotherapist will discuss realistic long and short term goals. These goals will be at the centre of the rehabilitation. The physiotherapy treatment you obtain will be dependent on your symptoms as well as your goals. With the correct medical and physiotherapy treatment, approximately another of patients create a full recovery following a initial onset, another have a moderate amount of permanent disability, along with a third make without any recovery and remain severely functionally disabled. Physiotherapy for patients with transverse myelitis includes; • exercises and stretches • joint care • pain control • hydrotherapy treatment • breathing exercises and chest clearance techniques • referral to appropriate health care professionals • anticipating and minimising secondary complications • provision of apparatus, orthoses, and wheelchairs • advice for you personally and those caring for yourself on handling techniques • teaching you the way to use specialised fitness equipment • teach transfers (getting in and from a wheelchair, bed, car, shower/bath and onto and off a toilet). • teach wheelchair skills • increased standard of living • increased independence • increased muscle strength • increased levels of energy • reduced pain and muscle spasms • reduced stiffness • reduced chance of chest infections

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weight loss management

Physiotherapy involves natural methods, such as exercise, massage, manipulation and adapted equipment, to help rehabilitate patients following an injury or suffering from movement disorders. You typically perform physiotherapy exercises at low intensities, as their purpose is to reduce and prevent stiffness -- not promote weight loss. However, when you perform them correctly, eat a healthy diet and combine them with other activities, you can lose weight with physiotherapy exercises.

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Body building injuries & Rehabilitation

Bodybuilding is a sport where the goal is to maximally develop the body in terms of mass, symmetry and balance throughout the body. To a lesser extent your gym junkies and casual weights goers who are trying to “tone up” or just get in better shape are doing a form of bodybuilding. But just like any sport bodybuilding isn’t without its injuries. There are many common injuries that occur in the gym. Soft tissue injuries such as sprains, strains and contusions will all occur. These can be the result of insufficient warming up, a lack of concentration, lifting too great a weight or too great a volume of training load. Outside of the weights room insuring adequate recovery both in terms of rest, active recovery and diet are all important. There are other factors that increase your risk of injury. Poor posture has a very large role to play when it comes to the increased risk of injury in any sport, but particularly bodybuilding and weightlifting. Human posture is something that is getting worse. We see it all day long in the clinic. We have all seen it in public. I mean think about the last time you saw a school kid with good posture. Hard to remember right? People driving desks for a living or looking down at some sort of technological device only serves to aid the negatively changing of our posture. When you break it down how much of your day is spent sitting down with travel, work or study and rest. Probably most of the time in the majority of cases. Changes to spinal curves and mobility, altered length and tone in muscle tissue and altered joint position and mobility all happen as a result not to mention an increase in morbidity rates! So now imagine after all these negative changes in posture that we go to lift weights expecting our bodies to remember how to move properly, have good mobility, to not get injured? All of sudden it sounds more plausible that we are heading towards disaster. Is the gym to blame for injuries or is it the poor posture that we spend all of our time developing and for that 1 hour in the gym we expect everything to go back to the way it was.

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Bell's palsy treatment & facial palsy

Bell's palsy is a weakness that effects the muscles of the face. It develops suddenly, usually on one side of the face. The cause is not clear but most cases are probably due to a viral infection. Most people make a full recovery within 2-3 months. A course of steroid tablets started within 72 hours of it starting improves the chance of full recovery even further. You should protect your eye if you cannot close your eyelids fully. What is Bell's palsy? Bell's palsy is a weakness (paralysis) that affects the muscles of the face. It is due to a problem with the facial nerve. The weakness usually affects one side of the face. Rarely, both sides are affected. Many people who have a Bell's palsy at first think that they have had a stroke. This is not so. Bell's palsy is very different to a stroke and full recovery occurs in most cases. Bell's palsy is named after the doctor who first described it. What is Facial palsy Overcoming the effects of facial paralysis is a long and difficult process. Dr. Arun Nair and the team know the importance that each step along the journey to facial reanimation has in a successful recovery. Our goal is to provide a physical therapy program that will help facilitate facial symmetry and improve facial paralysis. With the proper exercise and physical therapy, facial paralysis patients can recover some of their lost facial movement and regain the animation in their facial expressions. Whether your journey to facial reanimation includes surgery and physical therapy or just the therapy itself, our staff is committed to helping you every step of the way. At The Facial Paralysis Institute, we stress the importance of being evaluated by an expert neuromuscular therapist to learn the proper exercises for your condition. Every facial paralysis patient is unique and has a different functional profile. Therefore, there is no one physical therapy protocol that works for everyone. Upon evaluation with our physical therapists, you will learn the exact exercises that will benefit you the most.

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Spine deformity

Spine deformity can happen when unnatural curvature occurs, as in scoliosis (side-to-side curvature) or kyphosis and Scheuermann's disease (front-to-back curvature). It also occurs due to defect (e.g. spondylolisthesis) or damage to the spine (if there are multiple fractures or ankylosing spondylitis). Deformities do not commonly cause pain unless the change in structure restricts movement or reduces room in the spinal canal and puts pressure on the nerves there.

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