Osteon Physiotherapy Clinic

We are a team of highly experienced and qualified Manual Therapists and Sports Physiotherapists who are dedicated to provide therapy for rehabilitation and prevention as per international standards. We provide one-on-one therapy session to all of our clients.

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Will Strengthening Exercise improve the gap in my knees ?

when Physiotherapists are making you perform strength exercise the therapeutic objective is to gain strength through this exercise and for different treatment objectives different types of therapeutic exercises are there.

Physiotherapists are able to see the gap with X ray or MRI , but we improve the patient functions through therapeutic exercises. we don't treat x ray or MRI.

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Biomechanical changes in pregnancy causing ligamentous laxity

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Overtraining amongst Olympic Athletes

There are few athletes who are literally defying age in this Olympics. In a carrier of sports injuries are common. Injuries don't happen during sports events but also during preparation. Propensity of injuries increases as the athlete prepares for a big event like Olympics. Everyday athletes are giving their 100% in preparation,because this is bare minimum. To get a medal in Olympics you have to beat the best that's the only way . Number of injuries are there which can ruin the career of an athlete.

In light of this there is one Indian lady who is achieving milestones after milestones M C Marycom. She won her first international title in 2001 and gentlemen here we are in 2021 Olympics. She is one the strongest contender in her category but that is not good enough. To stay at the top she has to beat them all again.

Chances of overtraining and it's negligence are quite common at this stage. Chances of overtraining and it's negligence are quite common at this stage. To keep a check on that Sports Physiotherapist plays an important role.

From outside it looks like a dielema

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Fibromyalgia Treatment

Fibromyalgia treatment is symptomatic but diagnosis is important to set realistic expectations in treatment.

Fibromyalgia Diagnosis is done by rheumatologist.

Physiotherapy treatment helps in managing the symptoms.

Most common area is back of shoulder ,nature of pain is mostly diffused . Sharp pain is there on trigger points.

Less common area neck, lower back, thighs

Treatment approach in Physiotherapy for fibromyalgia.

1 Myofascial Release with hands and instrument like theragun.

2 Cupping Therapy

3 Dry Neeling

4 Kinesiotaping

5 Supervised stretching and strengthening exercises.

6 Posture Correction

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What is golfers elbow

It is inflammation at common flexor origin which is around the elbow , for exact understanding of location go through this 40 second video.

It requires Physiotherapy treatment for 3 week in mild cases but can also go up for 3 -6 months in severe cases.

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When should you go for MRI in case of back pain?

There are multiple reasons for back pain , MRI is an expensive investigation for lot of people but yet it is an important one.

There are some conditions where MRI investigation is very important.

A specialist is advising you MRI based on the sign and Symptoms and history of the problem.

Here are 6 major indications for MRI in back pain patients

1. Cancer

2. spinal infection

3 Trauma

4 Progressive Neurological Deficit

5 Subacute and Chronic back pain with Neurological Deficit.

6 Inflammatory condition.

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Role of Meniscus in Osteoarthritis

There are two meniscus in knee joint medial meniscus and lateral meniscus. They work as a shock absorber.

Meniscus injury are very commonly seen in MRI reports of knee osteoarthritis patient.

But there are lot of asymptomatic cases of meniscus tear/injury .

Chicken and egg concept.

Meniscus tear can lead to osteoarthritis and osteoarthritis can also lead to sudden meniscus tear.

Both these issues have potential to create each other..

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Benefits of knee cap

1 Low cost knee pain treatment

2 Easy to use

to know what the researchers are saying check this video

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How to get rid from Lumbar Belt (LS Belt)

Lumbar belt is a useful tool in the management of back pain. Now if you are using this belt , you must read this article.

Therapeutic advantages of lumbar belt

1 It reduces the pain

2 It improves the fucnctional status of patient in pain. This means people can do certain activities with the use of this which otherswise becomes more painfull without belt.

3 It reduces the dependency on analgesics (Pain killers)

4 It limits further damge in case of injuries.

How to use a lumbar belt

One should directly wear it on skin.

Those who are allergic to the material of belt , wear it over a cotton cloth.

Slippery clothes reduces the efficacy of this belt.

Don't wear the belt while lying down.

Mechanism of action - It reduces the load on trunk muscles. In layman's terminology you can say it takes up the work of muscles to some extent.

Complications / Side effects of lumbar belt

1 It increases the stiffness of lumbar spine across all corners by 27%. This means patient is noy able to use one fourt of the available range of movement.

2 Muscle inhibition - It is different than the lack of strength. For better understanding let's take an example of right and left hand. Muscles of your nondominant hand are not weak but still you can't write with that hand.

Similarly you ar not able to use your muscles like before the episode of pain

Maximum Duration of Lumbar belt should not exceed more than 12 weeks.

People have tendency to use it even afterwards because their treatment was somewhere lacking.

To wean of/get rid from Lumbar belt reactive Neuromuscular Training is needed. Which involves

1. Core Training with Perturbation

2. Push and pull to improve dynamic balance and static balance.

3 Balance training on air stability pad, foam pad, trampoline, balance master, stability trainer.

4 Theraband Training on Bosu

These exercises need to be continued for atleast 12 weeks to prevent recurrence of back pain without lumbar belt.

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Tendonitis treatment

Tendonitis means Inflammation of tendon.

Causes of Tendonitis

1 Direct Trauma

2 Chronic repetitive overuse cause Micro Trauma

3 Poor joint stability

4 To much too soon activities

5 Wrong shoes

6 Wrong sporting techniques

7 Muscular Imbalance

Fastest way to heal from Tendonitis

1 Inflammation Control through Physiotherapy treatment e.g.Ultrasonic Theapy, LASER therapy, IFT

2 Biomechanical Correction through Manual Therapy. Which means mobilzation, manipulation, tendon gliding exercises, Myofascial Release

3 Proper Nutrition, Vitamin A, Vit-C and Iron deficiency delays recovery

4; Activity limitations. Use of Orthotic braces e.g Thumb support, Ankle support, shoulder support etc.

Corticosteroid injections can also be used in extreme cases. But therapeutic exercises are very important to avoid side effects of steroid within the local area of application.

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Ligamentum Flavum Hypertrophy Treatment with Physiotherapy

Cause

This hypertrophy (Thickening) occurs because of excess mechanical stress coming on ligament. It is common in asian population.

Development

Excess mechanical stress is direct sequelae of bad posture in standing , sitting and dynamic activities.

Remedy

To reduce the mechanical stress from ligament as a treatment we need more activation of muscle surrounding the spine .

Multifidus training with pressure biofeedback is an excellent way to treat.

Once proper initiation of local stablizer (Multifidus) is achieved then we should add these 5 exercises. Depending on physical fitness level of patient

1. Planks

2 . Bird Dog Exercises

3 . Leg Raises

4 . Lower trunk rotation with swiss ball

5. Good morning exercises without weight.

Prakash Jha

Sports Physiotherapist

Osteon Physiotherapy Clinic &

Tulsi Multi Speciality Hospital

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Work from home is increasing the episodes of back pain and neck pain ?

Work from home has recently increased the episodes of back and neck pain in Covid Pandemic. Lot of Clinics have been closed because of financial losses in this time and so many are on the verge of it. Online Consultation have taken up but for Physiotherapy online consultation have more limitations. Together it is causing lot of trouble for patients. In this article we will discuss the factors responsible for these increasing episodes? How the patient should deal with such situations?

Furniture

Furniture at work place are designed accordingly for the office staff, so people can work for prolonged time with focused attention. Whereas when people are working from home they are sometimes sitting on floor / sofa / bed. It is almost impossible for any one to sit in perfect posture on any of this.

Behaviour & Posture

Our behaviour and posture are very much correlated eg When we are meeting a soldier we have a different posture and when we are meeting an artist it is different. Similarly we are more sloppy when we are working from home. Which creates lot of stress on Muscles and cervical spine (Neck Region).

Lack of Physical Activity

For whole lot of people going and coming back from office was the only Physical activity. Now that is also not happening. This is causing stifness in the spine and weakness in the muscles creating more episodes of back pain and neck pain.

No Fixed Working Schedule

People have weird work timings now. Employers are trying to extract more work by overutilizing work from home model. working from they are pushing work anytime day or night. This is affecting your hormonal profile . Now since people are not spending enough quality time with their family and kids they are facing mood disturbances , anxiety issues and abnormal sleep patterns.

Now what can we do about it ?

Here are some usefull tips that can be done

1 .Use a good chair and table to work .

2 .Take breaks like you used to take in office.

3. Spend at least 30 min to do movement based exercises, Walking at home, Yoga.

4. Wear office clothes. It gives a good feeling.

5. Play with kids, hugging and clapping releases endorphins which is 50 times more stronger than morphine (Strongest pain killer on planet)

6 Meet a Physiotherapist and learn the right exercises for yourself, so that you do it on your own and prevent any major cervical or Lowerback ( Lumbar Disc) issue

For any questions related to back you can email - [email protected]

Prakash Jha

Sports Physiotherapist

Osteon Physiotherapy Clinic &

Tulsi Multispeciality Hospital

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Calf Pain & it's Treatment

Common causes of calf pain

1 Superficial stiff muscle - Gastrocnemius

2 Deep stiff muscle - Soleus

3 Varicose veins

4 Compartment syndrome

5 Shin splints

6 Excess foot pronation

7 Flat feet

8 Calcaneal inversion

9 Calcaneal eversion

10 Dehydration

11 Trauma

When tissues are adhered to each other only stretching is not sufficient. Myofascial Release therapy and Theragun Treatment really helps the patient in quick time.

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Ankle Sprain Treatment

Sprain word is reffferd for ligament injuries. It means few fiber of ligament were stretched beyond there limit and they broke.

Lateral Ankle sprain is the most common sprain. There are multiple ligaments around the ankle but Anterior talofibular ligament is most vulnerable one for sprain.

1. Typical Symptoms are swelling and pain , difficulty in weight bearing.

2 Extent of injury is graded into there categories Grade 1, Grade 2 , Grade 3

Grade 1 and Grade 2 requires conservative management.

Grade 3 requires surgical intervention followed by that there is long term Physiotherapeutic Rehabilitation for 6 months.

 • What all is included in Physiotherapy for Ankle Sprain

Physiotherapy procedures performed in Ankle sprain

1 Kinesiotaping - It is a japanaese concept, where sports tapes are applied with certain percentage of stretch. Which maintains stability , improves weight bearing on injured leg at the same time doesn't restrict mobility.

2 Cold compress - It reduces inflammation around the injured area.

3 Ultrasonic Therapy- It accelrates the healing process and improves collagen re alignment after injury and work on inflammation.

4 Laser Therapy it work on deeper part of injury and promotes healing.

5 Balance / Proprioception training to recover the function of injured ligament.

6 Ankle strengthening exercises with the help of theraband and other tools.

7 Myofascial Release with Theragun to regain flexibility in calf area.

8 Appropriate advise on braces and anklet.

9 Plyometric exercises before returning to sports

10 Agility drills before returning to sports.

Prakash Jha

Sports Physiotherapist

Osteon Physiotherapy Clinic

Tulsi Multispeciality Hospital

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Temporo-Mandibular joint pain relief exercises

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Rohit Sharma Injury

Rohit Sharma recently had a hamstring injury in IPL as mentioned by media reports. In this article I will share

1 What is hamstring injury

2 what are different types of hamstring injury

3 how one can identify/diagnose this injury

4 what are the latest treatment bint

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Diet for Tendonitis

Diet for Tendonitis

Vit A (Natural soucrce Carrot)

Vit C ( Lemon)

Iron (Dates)

Taking these products will improve the recovery from a tendon injury.