HOW CAN PHYSIOTHERAPY HELP THORACIC BACK PAIN

Our vertebral column has a unique structure built up for stability and functional mobility of our body. It is the axial part of the musculoskeletal system of the body.

It is divided into five segments:

  • Cervical (neck)
  • Thoracic (upper-mid back)
  • Lumbar (mid-lower back)
  • Sacral (lower back)
  • Coccygeal (tail bone)

Here, we are talking about thoracic segment of the vertebral column which is seen at the back of the chest and runs vertically from the level of shoulder in the center to the level of mid waist.

Along this region the vertebral column is held together with corresponding muscles, ligaments and other tissues.

Sometimes the muscles become weak due to some bad postural habits in day to day life and other abnormalities causing pain in the upper-middle back region which is often called thoracic back pain.

Thoracic Back Pain treatment in Gurgaon

Causes of thoracic back pain

  • Prolong sitting
  • Poor posture
  • Lack of mobility
  • Previous injury
  • Trauma

Symptoms of thoracic back pain

  • Pain and tenderness 
  • Morning stiffness
  • Discomfort during prolong sitting
  • Fatigue

Physiotherapy can help relieve thoracic back pain in various ways:

  1. Stretching exercises: to increase the flexibility of muscles
  2. Strengthening exercises: to provide strength and gain power
  3. Maintaining correct posture: to prevent the strain
  4. Taking few minutes breaks in between prolong sitting
  5. Precautions to be taken care of to prevent jerky and aggressive movements. 
  • Always take a turn before getting up out of bed
  • Avoid forward bending
  • Maintain an upright posture while sitting and standing
  • Avoid excessive heavy weight lifting
  • Regular exercises
  1. Myofascial release: to release the trigger points
  2. Soft tissue mobilisation
  3. Using advanced techniques like cupping, dry needling
  4. Electrical modalities : to ease pain and provide relaxation to tissues.
physiotherapy for Back Pain

Our physiotherapy center in Gurgaon Dynafisio provides all kinds of treatment possible for thoracic back pain to overcome in short time. Our team of physiotherapists have expertise in educating the patient, giving correct advices and set proper treatment by using all of the above mentioned techniques and best quality modalities.

We make sure to provide a comfortable and friendly environment for the patient to cope with the treatment process and make progress with equal efforts and a positive mindset.

You can visit our clinics at our branches: Sector 42, Sector 45 and Sector 83

Stroke: Symptoms, Causes, Treatment, Types & More

Stroke has another term called cerebrovascular accident which is known to be defined as the necrosis or death of brain cells due to the lack of oxygen through the blood supply to the brain. It can happen in two ways:

  1. Rupture of blood vessels causing internal bleeding; hemorrhagic stroke.
  2. Blockage of arteries by blood clots (thrombus or embolus); ischemic stroke.

Our brain has some areas and centres that regulate variety of functions like speech, Thoughts, respiration, thinking and analysing, motor activities etc. Stroke can alter these functions controlled by different areas of brain.

It can be caused by:

  • Hypertension (high blood pressure)
  • High BMI (body mass index)
  • Atrial fibrillation
  • Lack of mobility
  • Poor/imbalanced diet

Stroke includes symptoms like:

  • Paralysis (most common)
  • seizures
  • Fatigue
  • Incoordination and poor balance
  • Impaired vision
  • Dysarthria (difficulty talking)
  • Vertigo
  • Loss of sensations
  • Dysphagia (difficulty swallowing)
  • Headache
  • Disorientation
  • Mental confusion
  • Dementia (memory loss)

Risk factors of stroke include:

  • Age : people older than the age of 50 are at higher risks 
  • Diabetes
  • Hypertension (high blood pressure)
  • Smoking
  • Excessive alcohol intake 
  • Previous heart diseases

TRANSIENT ISCHAEMIC ATTACK (TIA) / MINI STROKE 

It’s another variant of stroke. Its duration is for a shorter period and it can resolve within 24 hours. A mini-stroke is considered to be a prior short episode of stroke.

In mini-stroke, the signs and symptoms happen to disappear within minutes or an hour. 

However one should always seek medical attention after the episode of TIA to prevent the further onset of stroke.

Physiotherapy Treatment of stroke includes:

  1. Positioning of the patient
  2. Chest physiotherapy
  3. Passive range of motion exercises 
  4. Active assisted exercises
  5. Electrical muscle stimulations
  6. Speech therapy
  7. Behavioural therapy
  8. Use of mobility aids
  9. Balance and coordination
  10. Gait training

Our physiotherapy center in Gurgaon Dynafisio provides you with all kinds of treatment possible for stroke. Our team of physiotherapists are experts in educating the patient, dealing with the behavior of the patient, making the patient comfortable and playful and teaching all kinds of exercises for muscle strengthening, coordination, and training for mobility aids. We harbor the best quality electrotherapy modalities for muscle stimulations to regain the functional mobility of the patient in case of paralysis. You can reach out to our branches of Dynafisio sector 42, 45 and 83.

LOWER BODY CROSS SYNDROME

Lower body cross syndrome is characterised by the weakness in abdominal
muscles and pelvic floor muscles along with the tightness of hip flexor muscles
and thoracolumbar extensors. Typically, this condition creates an imbalance
between the strength and flexibility of synergic muscles of lower limb.


Generally, the group muscles work with counter pressure of equal and
opposite forces exerted by them. When the forces become unequal it leads to
lower cross syndrome.

There are two types of lower body cross syndrome:

  • Anterior pelvic cross syndrome: pelvis is tilted posteriorly because
    weakened abdominal muscles
  • Posterior pelvic cross syndrome: pelvic is tilted anteriorly because of
    shortened or tight hip flexors

Lower body cross syndrome can be caused by:

  • Poor sitting/standing posture
  • Sedentary lifestyle
  • Previous injury


Symptoms include:

  1. Low back pain (most common)
  2. Fatigue
  3. Restlessness
  4. Reduced range of motion at joint

Treatment of lower boy cross syndrome includes: stretching and strengthening
exercises of lower limb.

Visit our physiotherapy clinic in Gurgaon Dynafisio if you go through any
of these symptoms and if your activities of daily living are getting affected. We
make sure to provide you the quality treatment for best and quick results. Our
team of physiotherapists set a standard protocol which is suitable for a certain
treatment and educate you about the procedure properly and along with the
exercises we also use best quality electrical modalities to reduce pain,
inflammation, relaxing the tissues, improves contractions etc. that contribute
in the whole treatment of a particular condition. You can also reach out to us
at our other branches in sec42 and 83.

BENEFITS OF PHYSIOTHERAPY IN DISC PROLAPSE

Physiotherapy plays the key role in treating the lower back disc prolapse for many patients. Physiotherapist often aims to recover the patient’s pain, functional restoration and decrease the neurological deficits associated with the disc prolapse. 

Disc prolapse is a condition when a disc between two consecutive vertebras herniates in either direction; posterior being the commonest. It is different with other low back or mechanical back pain. This pain usually comes in a sharp shooting, burning or in radiating pattern. This may sometimes result in weakness, numbness or tingling sensation in back, buttock, posterior thigh or leg depending upon the level of compression.  

Goals of Physiotherapy Treatment

  • Pain relief
  • Restoration of motion and function
  • Maintaining and resuming exercises
  • Improve strength and endurance 
  • Reduce and maintain body weight
  • Ambulation with proper weight bearing
  • Ergonomic advices
  • Prevent recurrences and flare-ups

What causes Disc Prolapse?

Disc prolapse is never sudden it starts gradually inside your body due to your bad lifestyle and postural habits. Once the fibrous wall; the covering of disc holding it inside the vertebrae goes into weakness then any sudden small force on the spine or your back is enough to break that sheath and allows disc to prolapse or herniate outward. Some of the common complaints of patient are like:-

  • Bending forward for any household work like sweeping or mopping
  • Sudden fall
  • Lifting any heavy object or luggage in some awkward position
  • Coughing, sneezing 
  • Obesity, age and degenerative changes are also the common factors for old age group.

Prevention of Disc Prolapse

  • Strengthening exercises – both for lower back and core is necessary to hold the spine in normal curve and posture. It can help for further recurrence or prolapse of disc.
  • Stretching exercises – for maintaining the flexibility and adding the extension group of exercises helps reduce pain and function of the spine.
  • Ergonomics – proper posture plays the key role in aggravating the disc prolapse or pain which can be maintained by with the help of proper guided ergonomic advices related to work by a physiotherapist.
  • Weight reduction – reducing and maintaining weight helps reduce stress and compression on spine.

Physiotherapy Treatment for Disc Prolapse

Along with these preventive exercise regime physiotherapist tailors the individual exercise plan according to their and condition and demands, which includes:-

  • Electrical modalities like –  US, TENS, IFT which helps to block the pain gated channels and give patients temporary relief and helps them to start their exercise treatment as early as possible.
  • Cryotherapy and thermotherapy – helps reduce spasm and inflammation. Strengthening and stretching exercises are performed together depending upon the type of disc prolapse.
  • Traction – manual or mechanical has a positive impact on reducing the compression on nerve roots. Soft tissue massage and joint mobilisation to reduce muscle spasm and increase the range and function of spine.

For further details related to customised treatment exercise pain according to patient condition and age, contact us at 8929294515 or www.dynafisio.com to guide you better in a right direction or you can reach us to your nearby location in Gurgaon Sector 45, 42, 83, and 28.

CEREBRAL PALSY – All you need to know

‘Cerebral’ means ‘Brain’ and ‘Palsy’ means ‘Muscle weakness’. It is a group of disorder that leads to poor postural tone, movements and balance. It affects the child during its underdeveloped immature brain either during his/her growing stage or during pregnancy itself due to any trauma or fall. It may be of various types among which Spastic Hemiplegic side is the commonest form affecting the child.

What may be the risk factors to develop CP?

Some of the risk factors that make the child vulnerable to CP may be during the pregnancy, labour or even after the birth.

Maternal causes:

  • Infection – It could be any viral infection like CMV, Rubella, or herpes that may travel through placenta and infect the child as well but these can be prevented by vaccination.
  • Intra-uterine Causes – Any infection to placenta or ‘torques tangles’ of placenta that may lead to deficient nutrition supply to the infant resulting in malnourished brain with lack of oxygen may develop CP.
  • Others – Mother suffering from thyroid problem or gestational diabetes.

Infant related causes:

  • Jaundice – Severe or untreated jaundice when is unable to filter by-products from blood stream leads to jaundice.
  • Infection or Inflammation – Bacterial meningitis or viral encephalitis that may result in inflammation around brain or spinal cord of child

Labour causes:

  • Breech delivery – When the delivery of child happens from legs out first instead of head may lead to trauma or bleeding into the brain.
  • Premature Birth – Delivery before 37 weeks, low birth weight, or weak immune system of a child makes him more prone to develop the infection and CP.

When to see a doctor?

Whenever a mother or any of the family member notices any of the following symptom in a child then you should immediately visit to a doctor:-

  • Most common symptom is the stiff muscles or un-coordinated musclura movements.
  • Exaggerated Reflexes or spasticity
  • Muscle movement either too tight or flappy
  • Difficulty walking or loss of balance
  • Difficulty in speech or swallowing
  • Excessive drooling or salivation formation
  • Un-coordinated eye response
  • Lack of fine movement like grasping or holding

If any of the family member notices any of these symptoms then you must take your child immediately to the doctor and confirm the diagnosis.

Ways to investigate CP?

  • MRI/CT Scan – These scans may the show the inactivity in the brain through imaging.
  • Blood Test – these test can be done to rule out other underlying causes like infections.
  • Physical findings – Doctor will examinethe child through the delayed milestones and other measures like lack of balance, muscle tone and normal ranges.

Management

  • Medical management – Muscle relaxant and sedatives works best to reduce and control the spasticity of the child. Baclofenac and Diazepam being the commonest form of muscle relaxant which your doctor may prescribe to relax the muscles.
  • Surgical management – Orthopaedic may use some surgical approach the compression or stiffness to increase the range of joints.
  • Therapy – Physiotherapy, occupational therapy and speech therapy plays the most important role in maintain the child functional.

Physiotherapy Management

  • Mobility – Mobilisation of the child is very essential to make him/her activate in daily activities or fulfilling his special needs with minimal support.
  • ADL – Activities of daily living like feeding, grooming, bathing and toileting can be taught with some special modifications can be taught with the help of physical therapist and occupational therapist.
  • Communication – Special signs and ways to communicate must be taught both to the child and to the family members in order to express their feeling, thoughts and needs.
  • Range of motion – Specific group of muscle stretching and strengthening exercises are to be taught to keep the child in motion and functional as much as possible.

For further help reach the best Neuro Physiotherapist in Gurgaon located in different sectors 45, 42, 28 & 83. We here look for the betterment of the child keeping in note to make the child most functional and independent as much as possible. We here look for educational training also for both the child and family members to help the child and make him learn at the home also. For further details contact us at 8929294515 or www.dynafisio.com

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