Friday, May 8, 2015

When Should I use a Cervical Collar ?

Some common questions asked by neck pain patients :

1. Should I use a Cervical Collar ?
2. Should I sleep without pillow ? 
3. Should I take any pain killers ?
4. Should I stop all exercise ?

It should be understood that all cases can not be generalised.
If you have pain due to muscle spasm or regular use of computers, then you may continue with all exercise,continue to use pillow,avoid pain killers and do not need a collar.
If there is a problem with vertebral alignment like changes in normal cervical curvature or disc compression /bulge then it needs to be handled more carefully. In very few cases pain killers and cervical collar may be required. Most people may be able to continue moderate form of exercise but exercise should be prescribed after elaborate assessment. Exercise prescription should be done only by a Physical Therapist. Patient should have no confusion about the fact that only a qualified Physical Therapist prescribes exercise. Teaching or training exercise is completely different from prescribing exercise.
 Pain killers or any form of medication is not a part of physio treatment,so one should not expect this to be discussed at a physio consultation. In most mechanical pains medicine and physiotherapy are two parallel forms of treatment and any one of them may be enough to subside the pain.Patient needs to  make a choice if he wants temporary relief by pain killers or permanent cure by complete rehabilitation.
In some European countries pain relief medication is prescribed by physiotherapists ,this is done in cases where physiotherapy alone may not work.In India it may be a teamwork between a physician and physio in cases where both exercise and medicine is needed.

Wednesday, January 21, 2015

The Family Physician - Your doctor friend.

http://www.physicalhealthconsultants.com/the-physio-way.html
 Once upon a time, your dad had a friend; he happened to be a doctor.You called him doctor uncle. Always well dressed, respected by everyone and he had a sense of humour too. He knew you since you were born and seemed to be an encyclopedia on your grandmother's health issues. A person so close to the family yet a thorough professional when it mattered.
 This doctor knew few other families in your locality and had no plans to expand his "BUSINESS" beyond his capacity. He never charged a rupee from your gardener or driver, instead would take out sample medicine from his drawer and give it to them for free.
 Did he even know the definition of "Executive Health Check Up" or "Corporate Gifts"?
 You have fond memories of him right but does your child know any such doctor uncle?

  It is not a luxury, it is a necessity for every family to have a family doctor. Your physician may be from field of modern medicine or depending on family preference may be a Homoeopath/Ayurveda or any other qualified medical practitioner.
 This doctor needs to be the first point of contact for minor to major health problems. If your family doctor feels necessary, he may refer you to specialists. This may save time for both you and the specialist  doctor because most of the common health problems may not need referral.
 When you go to a known doctor, he relates quantitative analysis of your health with the qualitative understanding of your lifestyle, family history, psychological/social aspects and health in general. All these aspects may be difficult to be discussed with unknown doctor in a ten-fifteen minute consultation. Quantitative values like blood test and other tests are just indicative values which may be used by your doctor to come to a conclusive diagnosis, after understanding all other aspects. These numbers or data are easily stored these days in e files or e medical history and that may be helpful in emergency for quick review of ones medical history. Any such data becomes more relevant when analysed in the right way by the correct person. As robots can't replace friends, same way no extent of technology can replace the reasoning power of your doctor. So when a known doctor is involved in such reasoning, better conclusion may be drawn.
  

Thursday, January 1, 2015

Wednesday, December 31, 2014

2014

2014, we moved to a new address.Started afresh in a new name. Continued our old school philosophy of being friends with patients. Thanks to all patients who kept trusting our ways,and ensured the transition was smooth. 

Saturday, December 27, 2014

दर्द से परेशान!!!!

These days we see different electromagnetic pain relief products being sold through tv and online.They claim to be free from any side effects,which depends on the usage.

If it was so easy to place electrodes anywhere on the body or use LASER on your own why would medical professionals need years of education? Knowledge of Anatomy and physiological effects of  all such treatments is necessary for proper usage.

We do not recommend self use of any such equipment.

Monday, December 15, 2014

Coccydinia

Most cases of tail bone pain, do not relate it to any particular cause.Very few cases get it due to injury.Patients may not know what to do with the pain.X ray may help in ruling out a fracture, in case of injury related coccyinia.Most often physiotherapy, particularly thermal modalities may be very helpful.At times  treatment may help the pain only temporarily and may take a few weeks to show significant improvement.In India coccyx manipulation is not a very popular technique but this is one effective way of treatment if performed.Very rarely, Coccygectomy or removal of tail bone by surgical intervention may become necessary.
I am writing this after meeting a case with Idiopathic Coccydinia.He has suffered for 9 months with no relevant treatment done.He did not know that physiotherapy may help.

Tuesday, December 2, 2014

Automatic Cars are better

Improve your choices to improve your health
It is a trend catching up in India, most manufacturers have at least one model of auto geared cars.These cars are very popular in many parts of the world but in India because of less fuel effeciency,nobody loved them so far.First auto cars entered Indian market around the same time as the launch of legendary Maruti 800. At that time they were known as cars for physically challenged.They required permission from various departments to be brought on road. These cars are good for a simple reason, that is less physical and mental stress. Stress levels in city traffic are high.It is easier to manoeuvre cars without gears, so the active involvement of central nervous system is eased up. Coming to physical stress,when your feet are constantly moving between accelerator, clutch and gear you are actually using the entire leg.Stress on hip,knee,ankle,heel and toes can not be avoided.Depending on good or bad techniques of driving,different people have different level of stress impact. For those who already suffer from spine related pain, driving auto gear vehicle is a good option to avoid further complication.

Saturday, November 22, 2014

How Physiotherapy Treatment Works...


Physiotherapy treatment is not limited to ultrasound therapy,IFT, SWD and wax therapy only.When you meet your physio, you may undergo assessment procedures that include general physical tests,posture,gait,balance analysis and problem specific manual testing. If underlying problem is figured out correctly,treatment becomes very easy. Treatment plan works better if it is unique as per your requirement.Your active participation during follow up makes the plan successful. Your regular feedback helps in changing and upgrading the rehabilitation plan time to time.  During the course of treatment your physical restrictions like pain and hypomobility are monitored to keep track of progress. Various means of treatment such as electrotherapy, exercises and manual therapy and active participation of patient thus make physical rehab a success. One very important aspect of electrotherapy is that though you may see only few modalities like Ultrasound,IFT,LASER,Muscle Stimulator etc. You may find your physio using the same things on many other patients but the fact is within each such modality,there is variety of programmes.So even your electrotherapy plan is generally unique where your physio makes choice of wavelength,frequency,dosage intensity and time duration depending on need.