Physiotherapy and Rehabilitation

it is the process of enhancing an individuals functional capacity to enable him or her to withstand a forthcoming surgery. It is a multi modal approach that includes.

• Medical optimization- preoperative smoking cessation, reduction in alcohol intake, and weight optimization benefit the patient in post operative period. These helps in reduction of risk of cardiopulmonary complications, wound infections, impaired healing of wound or bone, prolonged hospitalization.
• Physical exercise- a baseline assessment of functional capacity is performed using cardiopulmonary exercise test or 6 min walk test. And incorporating a suitable exercise programme and using the same tests to measure any changes in functional capacity. A combination of strength and aerobic exercises are included in programme as both muscle and cardiopulmonary fitness decline post surgery. Exercise intensity is optimized using heart rate monitoring or the use of borg’s scale. This all is well structured and tailored as per individuals preference and conditions where it enables you to see the progress.
  
  

  

• Nutritional support- literature has clearly shown that poor nutritional status is associated with poor postoperative outcomes; length of stay, infectious complications, readmission rates etc. being anemic, underweight or overweight (malnourished) or the grade of surgery should be considered. Interventions include preoperative carbohydrate loading reduces insulin resistance, minimizes protein loss, lean body mass and muscle function. Also some evidence in support of immunonutrition i.e. ingestion of amino acids, omega 3 fatty acids, and nucleotides promotes wound healing, reduces infectionrates, shortens length of stay. Such regimes are optimally commenced 5-7 days prior to surgery and continued post surgery for similar period in malnourished.
• Psychological support- the causes of fear in the patient awaiting surgery is manifold. The underlying diagnosis, surgery, anaesthesia, pain, survival, and recovery are all causes for concern. These stressors produce harmful effects on body. Aim of psychological support is two;
• To reduce psychological distress and anxiety associated with diagnosis and surgery.
• to maximize patient’s motivation and empower them to comply with exercise and nutritional aspects of the programme

• Ligament/ meniscus repair: common surgeries are ACL(anterior cruciate ligament) reconstruction , medial meniscal repair done in athletes as well as normal population. Physiotherapy rehab helps you regain muscle strength, joint position sense, and good balance. It helps transitioningback to your active lifestyle. Without complete rehab there is a increased risk of reinjury or developing muscle insufficiency.
• shoulder surgeries: common shoulder surgeries are done post shoulder fracture, dislocations, rotator cuff repair. Shoulder being the complex joint that gives the maximum mobility for daily activities and gets stability from the soft tissue around it. Physiotherapy aims at restoring range of motion, muscle strength,  balance and proprioception all attained in a phased manner.
• joint replacements:knee replacements, hip replacements are the surgeries done for degenerated joints. Physiotherapy pre and post surgery helps attain range of motion, early mobilization and regain muscle strengths.
• spinal surgeries: traumatic injuries leading to vertebrae fractures, retrolisthesis, spinal stenosis can lead to surgeries like spinal fusions. Early rehabilitation includes mobilization, maintaining cardiopulmonary fitness, working on core muscles.

Include overuse, traumatic injury example includesshin splint, ligament tears, strain, sprain, shoulder dislocations, tennis elbow, golfer’s elbow, PFPS, shoulder pain. Sportsmen have different goals and different fitness level from general population so does their rehabilitation program includes an approach aiming at maximum functional agility, strength and coordination.Complete rehab ensures early recovery and reduces the risk of reinjury.

Plantar fasciitis, Rheumatoid arthritis, Osteoarthritis, Cervical spondylosis, Non specific low back pain, Spinal stenosis these are some of the musculoskeletal inflammatory conditions which could be due to life style, work habits, underlying pathologies, biomechanical derangements. Adding physiotherapy support to your treatment helps you get back to your normal life and protects from further complications.

physiotherapy is commonly consulted forUrinary incontinence, Prenatal and postnatal care/fitness programmes to help women with maintaining good fitness for themselves and their babies. Exercises have been proved when supervised to be an aid in easy delivery , early recovery and mood enhancement. Physiotherapist can make a suitable exercise plan as per your fitness level and goals. In pregnant females, or females with pelvic floor dysunction physiotherapy helps regain pelvic floor muscle tone. Also helpful in pregnancy related cramps, low back aches etc.

Exercise in pregnancy

Hemiplegia, Cerebral palsy ,Carpal tunnel syndrome ,Bells’s palsy ,Parkinsonism are the common neurological conitions that have been helped with physiotherapy interventions. Various techniques like stretchings, PNF techniques, etc. are used in combinations to prevent deformity and muscle wasting.

Ergonomic assessment involves objective measurements of the risk factors that may lead to musculoskeletal disorders or injuries and advising measurable improvements in the work environment.

Posture evaluation ensures you are aware of optimal posture that provides maximum efficiency in daily activities.

After taking thorough history of the complaint/ injury and gaining a full understandingof where we need to return your fitness to, and as per your goals we will embark on a treatment. Our motto “ helping you , help yourself”

This includes :

Manual therapy: myofascial release, mobilization & adjustment. These are the techniques done by physiotherapists to manipulate or correct the alterations in bone or soft tissues.

Exercise therapy has been proven to help reduce pain, increases muscle strength, endurance etc. prescribed on the FITTVP principle (frequency, intensity, time, type, volume and progression). Each exercise is prescribed after physiotherapist assesses the patient and the goals to achieve. Exercise is a medicine that should be performed under supervision.

Electrotherapy- latest and advance modalities for pain relief, stimulation. Medium frequency and low frequency currents are used to stimulate mechanoreceptors and block pain at spinal level. Ultrasonic therapy utilizes sound waves to provide deep heating and promote healing to injured site.

Self treatment techniques & education- A complete rehabilitation plan designed specifically for you, that is taught to get the most effective outcome from the home programs.

EVIDENCE BASED PRACTICE PERSONALIZED TREATMENT PLAN EFFECTIVE & TIMELY TREATMENT HOLISTIC CARE EASY & QUICK APPOINTMENTS