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Procedures to use Vaginal Tablets, Suppositories and Creams

TIPS

10 Health Benefits of Eggs

1. Eggs are great for the eyes. According to one study, an egg a day may prevent macular degeneraton due to the carotenoid content, specifically lutein and zeaxanthin. Both nutrients are more readily available to our bodies from eggs than from other sources.

2. In another study, researchers found that people who eat eggs every day lower their risk of developing cataracts, also because of the lutein and zeaxanthin in eggs.

3. One egg contains 6 grams of high-quality protein and all 9 essential amino acids.

4. According to a study by the Harvard School of Public Health, there is no significant link between egg consumption and heart disease. In fact, according to one study, regular consumption of eggs may help prevent blood clots, stroke, and heart attacks.

5. They are a good source of choline. One egg yolk has about 300 micrograms of choline. Choline is an important nutrient that helps regulate the brain, nervous system, and cardiovascular system.

6. They contain the right kind of fat. One egg contains just 5 grams of fat and only 1.5 grams of that is saturated fat.

7. New research shows that, contrary to previous belief, moderate consumption of eggs does not have a negative impact on cholesterol. In fact, recent studies have shown that regular consumption of two eggs per day does not affect a person's lipid profile and may, in fact, improve it. Research suggests that it is saturated fat that raises cholesterol rather than dietary cholesterol.

8. Eggs are one of the only foods that contain naturally occurring vitamin D.

9. Eggs may prevent breast cancer. In one study, women who consumed at least 6 eggs per week lowered their risk of breast cancer by 44%.
Prevention from cancer and cardiac problems
In a specific study, scientists examining the nutrients in the yolks of eggs laid by hens which had been fed a diet of corn or wheat only discovered the presence of tryptophan and tyrosine – amino acids – which are essential in preventing cardiovascular problems and cancer.

10. Eggs promote healthy hair and nails because of their high sulphur content and wide array of vitamins and minerals. Many people find their hair growing faster after adding eggs to their diet, especially if they were previously deficient in foods containing sulphur or B12

Always have a cool glass of water every early in the morning

Reasons for some neck strain

MYOFASCIAL RELEASE TREATMENT FOR HEADACHE OR NECK PAIN

The suboccipital muscles are prime contributors to headaches, migraines and stiff neck!
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There are 4 muscles involved in the suboccipital region also called 'Upper Cervical Spine':
Rectus capitis posterior major
Rectus capitis posterior minor
Obliquus capitis superior
Obliquus capitis inferior
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Tension in this muscle could cause headaches by disrupting the normal cerebrospinal fluid fluctuations… and hence the functioning of the vertebral artery and suboccipital nerve.
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The suboccipital area is very prone to get stiff and immobile, when the upper cervical spine can't rotate properly, that motion get picked up by the lower cervical spine, which we want to be actually more stable. That’s why it is very important to always check this important area and to mobilise it if  feel any restrictions!
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Releasing some of this tissue can directly affect and relieve your headache without the use of any drugs.
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Pictures 1 & 2 show a myofascial release technique for the suboccipital muscles.

Credit to Dr. Hafix Rana PT.

How to treat thoracic back pain with taping method

Achilles Rupture

Definition/Description

Achilles tendon rupture is an injury that affects the back of your lower leg. It most commonly occurs in people playing recreational sports. The Achilles tendon is a strong fibrous cord that connects the muscles in the back of your calf to your heel bone. If you overstretch your Achilles tendon, it can tear (rupture) completely or just partially. If your Achilles tendon ruptures, you might feel a pop or snap, followed by an immediate sharp pain in the back of your ankle and lower leg that is likely to affect your ability to walk properly.

Relevant Anatomical Structures

The Achilles tendon is the insertion of two lower leg muscles, the M. Soleus and the M. Gastrocnemius. These muscles are the main plantar flexors of the ankle. The Achilles tendon is the strongest and longest tendon in the body and connects these muscles to the calcaneal tuberosity.

Epidemiology /Etiology

An injury at the Achilles tendon usually occurs during sports that involve repeated stress on the lower leg muscles, such as badminton, soccer, volleyball, basketball, tennis, raquetball, squash. Eccentric movement puts an enormous amount of stress on the tendon. An Achilles tendon rupture occurs more frequently in men than women, with a ratio ranging from 1.7:1 to 12:1. The injury is most common in individuals between 30 to 50 years old.

Characteristics/Clinical Presentation

A complete rupture of the Achilles tendon will show the following characteristics:

- At the moment of rupture a sharp pain will be felt, as if the patient

was kicked in the heel.

- Often the rupture will coincide with a loud crack or pop sound.

- When palpating the tendon, a gap may be felt.

- The back of the heel will be swollen.

- Walking will be nearly impossible.

- Standing on the toes will be impossible.

- A positive outcome of the calf muscle squeeze test or Thompson

Test.

- Some patients will have a history of chronic tendonitis in the heel

or a prior cortisone injection.

Differential Diagnosis

Differential diagnosis includes:

- Acute Achilles tendon peritendinitis

- Tennis leg (medial gastrocnemius tear)

- Calf muscle strain or rupture

- Posterior tibialis stress syndrome

- Ligament injuries

- Fracture

- Posterior tibialis tendon injuries

- Peroneal injuries

Examination

Inspection

A swollen ankle can point to a rupture of the Achilles tendon.

The Achilles tendon is easily palpable. When palpating along the entire length of the tendon, a gap may be present.

It’s wise to compare to the healthy tendon on the other limb. Be aware that swelling can mask the gap

Active Movements

One of the first ways to see if a patient has torn his Achilles tendon is by observing his gait pattern. Plantar flexion is nearly if not totally impossible. So if the patient has a lot of trouble walking, it can be an indication of an Achilles rupture.

Instructing the patient to stand on his toes. With an Achilles rupture this will be impossible.

Ask the patient to actively execute a plantar flexion. Matles test .

Passive => Thompson test (calf squeeze test).

Medical Management (current best evidence)

Medical therapy for a patient with an Achilles tendon rupture consists of rest, pain control, serial casting.It will involve having a plaster cast or brace for about eight weeks, to protect the tendon while it heals. The plaster cast or brace is positioned so that the foot is pointing slightly downwards, which takes the strain off the tendon.

Traditionally, crutches were used to keep weight off the leg during the first few weeks of treatment. Now there is a trend towards early mobilization. This involves fitting a plaster or brace which you can walk on. It is more convenient because you do not need to use crutches.There is debate as to which treatment is best: surgery or conservative treatment. Conservative treatment may be suggested for older or less active people, and for people wishing to avoid surgery. But the choice of treatment depends on individual preference and circumstances. Surgery may also be recommended if there has been a delay in starting treatment.

However, a new piece of research found that surgery and conservative treatment actually gave equally good results, when patients were also given early mobilization treatment using a brace.

Physical Therapy Management (current best evidence)

Whether the tendon was treated surgically or non-surgically, the patient’s ankle will be immobilized by a cast for twelve weeks in case of surgery and 6 to 8 weeks when the condition was treated non-surgically.

Physical therapy for an Achilles tendon rupture starts immediately after the cast is removed and is mainly focused around firstly improving the range of motion (ROM) of the ankle, then increasing the muscle strength and muscle coordination.

Start off with gentle passive mobilization of the ankle and the subtalar joints. Later go on to active ROM exercises. After two weeks of physiotherapy, progressive resistance exercises are added. Ten weeks after the injury or surgery, start gait training exercises followed by activity specific movements. A return to activities should be expected at 4-6 months of therapy. The rate of rehabilitation greatly depends on the quality of the treatment and the motivation of the patient.

When treated with an eccentric training program, the patient is more likely to be able to return faster to sport. The eccentric exercises should reduce pain an tendon thickness and should improve function of the tendon (and muscles). The eccentric calf-muscle exercises, as described below, should be executed twice daily for 12 weeks. The exercise program consists of one to three sets of 15 repetitions per exercise, according to the improvement of the patient.

Not all patients benefit from an eccentric exercise program. It’s also proven that these exercises are less effective in sedentary people in comparison to athletes.

Some examples of exercises that can be given to the patient:

At the start of the therapy, 6 to 8 weeks after the surgery, let the patient do:

Active flexion/extension of the ankle

Ankle circles (clockwise and counterclockwise)

Straight leg lifts

Hip abduction

Standing hamstringcurl

Cycling on a stationary bicycle

8 through 12 weeks after the surgery, the patient can start with a theraband exercise program. (start with the theraband with the least resistance and work your way up from there.) The patient should also continue with the previous exercises.

- Ankle eversion and eversion

- Ankle plantar- and dorsiflexion

- 12 through 24 weeks after the surgery, the first set of exercises can

be executed with ankle weights. The following exercises can be

added to the training program:

- Calf stretch

- Toe raises

- Single leg balancing

The last step in rehabilitation the patient can start with eccentric exercises. During the eccentric part (lowering the heel), the patient had full weight on the injured foot, and during the concentric part (go on tiptoe) only the non-injured foot was used.

Patient takes places on a step, standing with full bodyweight on the forefoot of both feet, the knees are extended. Then he is asked to go stand on his toes and to raise his non-injured leg so that his bodyweight is on his injured leg. Now the patient slowly lowers his heel. In this way the calf muscle eccentrically guides the motion and is eccentrically trained.

When the patient can perform this exercise without discomfort he can increase the load by adding books or other weight to a backpack, or to perform the exercise with a flexed knee.

for more Understanding.

https://www.youtube.com/watch?v=t0boD9MWRo

Credit to All about DPT fb.

Do not try to shake a baby

Hip Impingement

Hip pain is a relatively common complaint for athletes (and non-athletes) of all levels. It can stem from the groin, or it can have its origin from intra-articular pathology or femoroacetabular impingement (FAI)

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The interest in the condition of FAI is increasing as the number of patients identified with and being treated for FAI has risen rapidly in the recent years

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To guide patients, clinicians and funders, a consensus meeting was summoned in 2016 with the aim to reach an international interdisciplinary agreement on the diagnosis and management of FAI

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They agreed on a definition of FAI as “a motion-related clinical disorder of the hip with a triad of symptoms, clinical signs and imaging findings. It represents symptomatic premature contact between the proximal femur and the acetabulum”

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Acetabulum = Hip Socket

Proximal Femur = Femoral Head and Neck

Credit: Doctor of Physiotherapy

HEALTH KNOWLEDGE: Normal sitting position

HEALTH KNOWLEDGE: Normal sitting position

Normal sitting position

PHYSIOTHERAPY

What is Physiotherapy ?
A common question for people that have never visited a physiotherapist is the very basic question of “What is Physiotherapy? Who are physiotherapists? What Conditions do Physiotherapists Treat?”
Physiotherapy is treatment to restore, maintain, and make the most of a patient’s mobility, function, and well-being. Physiotherapy helps through physical rehabilitation, injury prevention, and health and fitness. Physiotherapists get you involved in your own recovery. Physiotherapy encompasses rehabilitation, injury prevention and health promotion/
fitness. The profession employs a holistic approach to treatment, looking at the patient’s lifestyle and engaging them in their own treatment.
Physiotherapy is the treatment of injury, disease and disorders through physical methods — such as exercise, massage, manipulation and other treatments — over medication and surgery.
Many people may be of the opinion that physiotherapists mainly work with back and sports related injuries, but they would be very mistaken. Physiotherapists are highly trained health professionals who provide treatment for people suffering from physical problems arising from injury, disease, illness and ageing. Their aim is to improve a person's quality of life by using a variety of treatments to alleviate pain and restore function or, in the case of permanent injury or disease, to lessen the effects of any dysfunction.
We the Physiotherapy professionals work in a variety of environments including hospitals, community health centers, private practices, sports clubs, rehabilitation centers, schools, fitness centers and in the workplace. We either work alone or with other health providers to provide a multi-directional approach to rehabilitation.
The job role of the physiotherapist.
The role of a physiotherapist is extremely varied with no two days being the same. He/she may have to assess the physical condition of a patient in order to diagnose problems and implement a treatment plan, or alternatively they could also be re-training patients to walk, or helping others to cope with crutches, walking frames, or wheelchairs. He/she will also be responsible for educating their patients and their families, (as well as the community at large) to prevent injuries and to help those people lead healthy lifestyles. In some instances the physiotherapist may be asked to plan and put in place community fitness programs. Finally, physiotherapists can also issue sick leave certificates should it be deemed necessary to do so.
During the course of our career a physiotherapist will treat all manner of people including children with cerebral palsy, premature babies, pregnant women, people undergoing rehabilitation, athletes, the elderly (to try and get them fitter), and those needing help following heart disease, strokes, or major surgery.
Different types of Physiotherapy Specialization .
Physiotherapists can specialize in a number of different areas including sports medicine, children's health (paediatrics), and women's health and within these parameters there are three different areas of practice. These are:
• Musculoskeletal- which is also called orthopedic physiotherapy and is used to treat conditions such as sprains, back pain, arthritis, strains, incontinence, bursitis, posture problems, sport and workplace injuries, plus reduced mobility. Rehabilitation following surgery is also included within this category.
• Neurological- This is used to treat disorders of the nervous system including strokes, spinal cord injuries, acquired brain injuries, multiple sclerosis and Parkinson's disease. It can also be used for rehabilitation following brain surgery, pediatric neuro cases such as cerebral palsy.
• Respiratory - Cardiothoracic- is the name given to the treatment of used asthma, chronic bronchitis, emphysema and other cardio-respiratory disorders.
Types of Physiotherapy treatment.
Each individual's treatment is tailored to suit their specific requirements and a physiotherapist will choose from a wide range of treatment options, including:
• Manual therapies – These can include, joint manipulation and mobilization (which includes spinal mobilization), manual resistance training, and stretching.
• Exercise programs – such as muscle strengthening, posture re-training, cardiovascular stretching and training
• Electrotherapy techniques – which consists of Transcutaneous Electrical Nerve Stimulation (TENS), laser therapy, diathermy, and ultrasound.
• Dry needling, Vacuum cupping,
• Sports Taping
• Myofascial release
• Hydrotherapy / Aquatherapy
Why Physiotherapy?
One of the biggest reasons people go to a physiotherapist is because they’re in pain, but the cause of that pain can vary. Some people hurt their ankle, some have fallen on ice, some people come in because they’ve had a sore neck, back or shoulder for a while and they don’t know why. Some have an ongoing condition that they want to better manage. Physiotherapy not only helps in the management of pain & improving mobility but also recognizes warning signs and prevents them from happening. Thus, saving the patient from added pain of injury associated downtime. Physiotherapy is a science-based healthcare profession that promotes recovery in illness, injury or disability. It aims to restore movement and functional ability to the person’s full potential. Physiotherapy is an independent profession where practitioners make their own treatment decisions and clinical judgments. They constantly reassess the results of their treatments and adjust their approach.
Do you need a referral from a doctor to visit a Physio?
No, you do not require a doctor’s referral to see a physiotherapist. Physios are independent professionals just like dentists or other specialists. You can book an appointment directly with them. You can see a physiotherapist hospital or their private clinic.
When should I go see a physiotherapist?
Think about getting physiotherapy if you have an injury, or chronic pain that affects how you function everyday. A doctor may refer you to physiotherapy after surgery such as a hip or knee replacement, or an event such as a bell’s palsy or stroke.
If you are planning to go for any joint replacement surgery before that also you could visit a physiotherapist and in some cases you can avoid surgeries through physiotherapy treatment.
What problems do physiotherapists treat?
Physiotherapists focus on both prevention and rehabilitation. Treatment can be for problems caused by injury, disease or disability. Here are some examples:
• Cardiorespiratory: providing support, prevention and rehabilitation for people suffering from diseases and injuries that affect the heart and lungs, such as asthma.
• Cancer, palliative care and lymph-edema: treating, managing or preventing fatigue, pain, muscle and joint stiffness, and de-conditioning.
• Incontinence: managing and preventing incontinence and pelvic floor dysfunction.
• Women’s health concerns: addressing health issues surrounding pregnancy, birth, post-partum care, breastfeeding, menopause, bed wetting, prolapsed, loss of bladder or bowel control.
• Musculoskeletal: preventing and treating clients with musculoskeletal conditions such as neck and back pain.
• Neurological: promoting movement and quality of life in patients who have had severe brain or spinal cord damage from trauma, or who suffer from neurological diseases such as stroke, Parkinson’s disease and multiple sclerosis.
• Orthopedic: helping patients prevent or manage acute or chronic orthopedic conditions such as arthritis and amputations.
• Pain: managing or preventing pain and its impact on function in patients.
What to expect from a visit?
Each session with a physiotherapist is unique, because it depends on the client’s health issues and needs. However, a visit to a physiotherapist generally includes:
• Learning about the patient’s medical history;
• Assessing and diagnosing the patient’s condition and needs;
• Deciding long term and short term goals
• Creating a treatment plan that accounts for patient’s health, lifestyle and activities;

• Prescribing a course of exercises and necessary devices.

Credit to Midas Touch Physiotherapy Clinic.

HEALTH KNOWLEDGE: MUSCULAR DYSTROPHY

HEALTH KNOWLEDGE: MUSCULAR DYSTROPHY: Introduction Muscular Dystrophy is a medical disability, often inherited. It damages and weakens the patient's muscles over time...

MUSCULAR DYSTROPHY

Introduction

Muscular Dystrophy is a medical disability, often inherited. It damages and weakens the patient's muscles over time. This damage and weakness are blamed on the lack of a protein called dystrophin. This protein is crucial for normal muscle function. There is no cure for Muscular Dystrophy but take physiotherapy treatment for Muscular Dystrophy in Gurgaon is the way to move your body regularly. The absence of this protein can result in some serious problems related to walking, swallowing, and muscle coordination. 

More than 30 different kinds of muscular dystrophy have been reported. All of these vary in symptoms and severity. Muscular dystrophy can attack the person of any age, but the majority of the cases are detected among children. Young boys are more vulnerable as compared to girls. 

There's no fixed cure for muscular dystrophy. It is still a topic of debate and discussion. A few medicines and most importantly physical therapy can help alleviate the symptoms and slow down the development of this disease.here's no fixed cure for muscular dystrophy. It is still a topic of debate and discussion. A few medicines and most importantly physical therapy can help alleviate the symptoms and slow down the development of this disease.

Causes

The exact cause of Muscular Dystrophy is under debate. However, some schools of thought believe that Muscular Dystrophy is caused by mutations on the X chromosome. There are many types of this disorder and each type is said to be caused due to a different set of mutations. However, the similarity among them all is that they prevent the body from producing dystrophin. A point to be noted here is that Dystrophin is a protein indispensable to the human body. It is required by the body for building and repairing muscles.

Symptoms

There is no fixed set of signs and symptoms of Muscular Dystrophy as they vary from patient to patient. However, the most commonly reported symptoms are -

• Progressive muscular wasting
• Poor balance
• Scoliosis
• Frequent falls
• Finding it difficult to rise from a lying or sitting up position
• Trouble running and jumping
• Waddling gait
• Walking on the toes
• Large calf muscles
• Progressive inability to walk
• Waddling gait
• Calf deformation
• Muscle pain and stiffness
• Learning disabilities
• Limited range of movement
• Respiratory difficulty
• Cardiomyopathy
• Muscle spasms
• Gowers' sign

Diagnosis

The diagnosis of Muscular Dystrophy generally starts with the doctor examining the complete medical history of the patient, asking questions regarding the symptoms followed by conducting a physical examination. Generally, these are not sufficient to confirm the presence or absence of the disorder. Hence, the doctor may recommend tests like enzyme tests, electromyography, genetic testing, muscle biopsy, heart monitoring tests, and lung monitoring tests to take the proceedings further.

Treatment

No specific cure has been invented for the treatment of Muscular Dystrophy in Gurgaon till date. Some medicines and mostly physical therapy has been found helpful to alleviate the symptoms and keep the patient mobile for the longest possible time.

Patients with Muscular Dystrophy often struggle with a lot of everyday activities. Physiotherapy can help the patients effectively deal with a lot of neuro musculoskeletal problems. Physiotherapy can help slow down the digression of a range of motion, improve the muscle strength and the gait pattern. Physiotherapy also involves various stretching programs for the patients. It is a combination of a passive range of motion and active-assisted range of motion. Regular stretching of the ankle and hip is also involved.

The patient should not ignore the symptoms in the early stages and meet a qualified physiotherapist to get a personalized treatment plan developed. The physical therapy programme generally involves the following -

• Breathing assistance - General in the patients of Muscular Dystrophy it is noticed that the muscles used for breathing become weaker. It becomes important to use devices to help improve oxygen delivery through the night. In the most advanced cases of the disorder, a patient may need to use a ventilator to breathe on their behalf.
• Mobility aids - Some patients are also provided with canes, wheelchairs, and walkers. It helps to keep them mobile.
• Braces - Braces are used to keep the muscles and tendons stretched. Besides, it helps slow down their shortening. They also give the patient added support while moving.
• Range-of-motion and stretching exercises - It is often seen that Muscular Dystrophy restricts the flexibility of the joints resulting in a reduced mobility. Limbs of the patient often draw inward and become fixed in that position. Physiotherapists often suggest many Range-of-motion exercises that can help to keep the joints of the patient as flexible as possible.
• General exercises: A range of motion and stretching exercises form a part of the general exercises suggested to the patients of Muscular Dystrophy during physiotherapy sessions. It helps fight the unavoidable inward movement of the limbs as muscles and tendons shorten. Limbs of the patient tend to become fixed in position. These exercises along with some others keep them mobile for longer. Among the other exercises suggested are the standard low-impact aerobic exercises like walking and swimming. These can also help slow down the development of the disease into something serious.

       Courtesy: Pal physiotherapy

Donning PPE

Doffing PPE

Low back pain

Hernia

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