Treatment Modalities  available in the Clinic.

1)A thorough subjective& objective assessment of each patient and their clinical  complaints before planning treatment protocol.

Physiotherapy is an adjunct form of modality

Used widely in many Degenerative as well as postural disorders in younger age groups in concurrence with medical or surgical management by the Clinicians.

Physiotherapy comes into play in Prevention or delaying the degeneration of so many disorders.

Osteoarthritis Knee Joint:

It is primarily Cartilage erosion of the articular surface of the Femoral condyle and Tibial plateues,it can be Unicompartmental(Medial segment)or Bicompartmental(M&L)rarely Tricompartmental(M,L&P).

Risk markers for OA Knee:

1)Obesity

2)Congenital or acquired deformities like Genu varum,Genu valgum

3)Prolong standing

4)History of Trauma around Knee joint line can predispose an early OA Knee

Physiotherapy:

1)Deep Heat Therapy-SWD-will improve regional vaso dilatation thereby clearing the’P’ substance&improving nourishment to the tissues.It relieves the pain and sustain the relief.

2)Moist heat-Wax bath- can be done at home effectively, to sustain pain relief it should be done periodically

3)IFT to block Pain carrying  pathway ,so that Neural system will release Pain masking substances like Opiods,Endorphins& Endokelfins

4)Quadriceps& Hamstrings exercises (Isometric,Isotonic&Isokinetic)to improve the Tone,Power ,Strength,&Endurance  of these two essential muscles.

5)Mobilization exercises for Knee&Hip joint to preserve& improve mobility

6)Active&Passive stretching for IT band to improve lateral stability of the joint

7)Remedial advises like,avoid prolong standing, climbing stairs,walking on uneven surface and sitting on the floor with cross legs.

Cervical Spondylosis:

It is due to narrowing of Intervertebral  space between C5-C6 ,C6-C7 with structural damage and erosion of the Fibrocartilage of the vertebral bodies. It may be associated with Cervico -Brachio Neuralgia and may be presented with a Rudimentary Cervical Rib,in that case it may cause VBI(Vertebro -Basillar Insufficiency) .Sometimes it may be an indirect cause for Thoracic Outlet Syndrome.

Physiotherapy management for Cervical Spondylosis –

1)ICT-(Intermittent Cervical  Traction)It effectively stretches  the para Cervical structures provided the neck  should be positioned such a way depending upon the anterior or posterior or postero lateral narrowing of iv space.Otherwise, it may have an negative effect.

2)IFT  for pain relief ,whenever if the pain due to Neuromuscular cause, IFT is the preferred modality

SWD,if the pain due to Skeletomuscular cause

3)Isometric neck exs.to tone up the posterior neck muscles

4)Shoulder Bracing&shrugging exs.for brachio neuralgia

5)Neck should be positioned in Extension by placing a Roll on the neck space to counter flexion strain whenever the individual rest for sleep.

LOW BACK ACHE

Pain in the low back can be diffuse, dull, sore, spasmodic, excruciating and graduating into Glut, thigh & calf depends upon the severity of degenerative changes in the Lumbo-Sacral segment.

Possible causes are,

Postural, it is popularly called as Mechanical LBA

because of inadvertent ergonomic position in the working place

Lumbar spondylitis & spondylosis

Lumbar Disc Diseases(Ranging from Dessicated disc to Herniated)

Congenial deformities like Spina bifida ,Hemi Vertebra,Sacralization et

Reactive Inflammation due to Repetitive Similar or Stress Injuries (RSI)

Para Spinal Muscle Spasm Management –

A objective and subjective assessment is absolute necessary before planning a meticulous

Physiotherapy program

1)Most of the cases absolute bed rest ranging from few days to few weeks will reduce the pain considerably

2)SWD&IFT are very effective in pain relief

3)Pelvic Traction {Sustained or Intermittent)

4)Core Muscle stretching exs. followed by strengthening exs.for the spinal extensors,,,flexors and lateral flexors since the spine requires anchoring support.

5)Basic Back Care to prevent recurrence .