The most common indication for a primary knee replacement, TKA, is Osteoarthritis. Osteoarthritis causes the cartilage of the joint to become damaged and no longer able to absorb shock. Risk factors for knee osteoarthritis include gender, increased body mass index, history of a knee injury.  Pain is typically the main complaint of patients with knee osteoarthritis.

A TKA surgery typically lasts 1 to 2 hours. The majority of individuals begin physiotherapy during their inpatient stay, within 24 hours of surgery. Range of motion and strengthening exercises, cryotherapy and gait training are typically initiated, and a home exercise programme is prescribed before discharge from hospital.


The goal of physical therapy intervention during the early post-operative phase is to decrease swelling, increase range of motion, enhance muscle control and strength in the involved lower extremity and maximize patients’ mobility with a goal of functional independence. Physical therapy interventions are also directed towards identifying other sensomotor or systemic conditions that may influence a patients’ rehabilitation potential.


Ankle Pumps

  • Move your foot up and down rhythmically by contracting your calf and shin muscles.
  • Perform this exercise for 2 to 3 minutes, 2 or 3 times an hour in the recovery room.



  • Tighten your thigh muscle.
  • Try to straighten your knee.
  •  Hold for 5 to 10 seconds.

Towel Roll under the Heel

  • Place a small rolled towel just above your heel so that your heel is not touching the bed. Tighten your thigh.
  •  Try to fully straighten your knee and to touch the back of your knee to the bed.
  •  Hold fully straightened for 5 to 10 seconds.

Straight Leg Raises

  • Tighten your thigh muscle with your knee fully straightened on the bed, as with the quadriceps set above. Lift your leg 30-70 degree.
  •  Hold for 5 to 10 seconds.
  •  Slowly lower.

Bed-Supported Knee Bends

  • Slide your foot toward your buttocks, bending your knee and keeping your heel on the bed
  • . Hold your knee in a maximally bent position for 5 to 10 seconds and then straighten.

Sitting Supported Knee Bends

  • While sitting at your bedside or in a chair with your thigh supported, place your foot behind the heel of your operated knee for support.
  • Slowly bend your knee as far as you can.
  • Hold your knee in this position for 5 to 10 seconds.

Sitting Unsupported Knee Bends

  • While sitting at bedside or in a chair with your thigh supported, bend your knee as far as you can until your foot rests on the floor.
  •  With your foot lightly resting on the floor, slide your upper body forward in the chair to increase your knee bend.
  • Hold for 5 to 10 seconds.
  • Straighten your knee fully.


  • Proper walking is the best way to help your knee recover.
  •  At first, you will walk with a walker or crutches


Stair Climbing and Descending

  • At first, you will need a handrail for support and will be able to go only one step at a time
  •  Always lead up the stairs with your good knee and down the stairs with your operated knee.
  • Remember, “Up with the good” and “down with the bad”.
Standing Knee Bends Standing erect with the aid of a walker or crutches, lift your thigh and bend your knee as much as you can. Hold for 5 to 10 seconds. Then straighten your knee, touching the floor with your heel first.  

Facial Palsy Treatment in Gurgaon

Facial palsy is due to the damage in the facial nerve that supplies the muscles of the face. It can be categorized into two based on the location of casual pathology:

Central facial palsy- due to damage above the facial nucleus

Peripheral facial palsy-due to damage at or below the facial nucleus

FACIAL PALSY-It is the UMNL Of the facial nerve leading to paralysis of lower quadrant of the face on one side. The upper facial muscles are spare because of alternative pathways in the brain stem.

BELL’S PALSY- It’s the LMN Paralysis of one half of the face due to damage to the facial nerve on one side supplying the face.


  • Idiopathic
  • Infective
  • SLE
  • Neuroblastic
  • Neurological conditions


  • CVA
  • Intercranial tumors
  • MS
  • Syphillis
  • HIV



Paralysis of lower quad of face,

Deviation of mouth to the same side.


Loss of wrinkle on face,

Loss of expression

Typical bells phenomenon- i.e. upward and outward movement of eye ball when eyes are closed ,

Difficulty in closing of eyes,

Weakness in frawing, blowing air and muscles in distribution of V branches.



Pregnancy – might be due to hypercoagulability, elevated blood pressure, increased fluid load, virus infection and suppressed immunity

Infection of ear

Upper respiratory tract infection



  • One study found that PNF technique is more effective than conventional exercises.
  • Electrical stimulation
  • Nerve root stimulation
  • Splinting
  • Facial muscle PNF
  • Mirror exc
  • Facial massage

For more info contact our best team of physiotherapists on or call us at 8929294515

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