Physiotherapy Treatments

General Information About Physiotehrapy. 

Physiotherapy is a branch of healthcare science, that mainly concentrates on the physical aspects of an individual's healthcare, by treating their physical ailments. It works towards this by maintenance and rehabilitation of the individual's physical activity, which is nothing but bringing back the lost activity to near normal perfection.Physiotherapy uses physical agents for the treatment of patients. The following list are the common physical agents used in physiotherapy.

Modalities Used

• SWD - Shortwave Diathermy

Short Wave diathermy current is a high frequency alternating current. The heat energy obtained from the wave is used for giving relief to the patient. Its frequency is 27,120,000 cycles per second and the wavelength is 11 metre. 
 

Where useful?

1.  Inflammation of shoulder joint

2.  Inflammation of Elbow Joint (Tennis Elbow)

3.  Degeneration of joints of neck (Cervical Spondylosis)

4.  Degeneration of joints like knee and hip (Osteoarthritis)

5.  Ligament Sprains in knee joint

6.  Low Back Ache

7.  Plantar fascitis (Heel Pain)

8.  Sinusitis

Where it should not be used?
General

1.    High Fever

2.  Fluctuating Blood Pressure

3.  Very sensitive Skin

4.  Persons with Untreated Fits

5.  Persons using Cardiac Pace Maker

6.  Severe kidney and heart problems

7.  Pregnant Women

8.  Mentally Retarded Individuals

9.  Tuberculosis of Bone

10. Malignant cancer

Local
If the treatment area has:

1.  Open wounds

2.  Skin disease

3.  Unhealed scars

4.  Recent burns

Advantages

1.  Relaxation of the muscles

2.  Effective in bacterial infections

3.  Relief of pain

Treatment Time

Initial Stage - 5-10 minutes
Moderate Stage - 10-20 minutes
Severe State - 20-30 minutes

Disadvantages

1. Burns

2. Scalds (Boils)

3. Overdose

4. Shock

5. Electric Sparking

6. Faintness

• MWD-Micowave Diatherapy

It's an electromagnetic wave used for treatment purposes with wavelength between infra-red rays and short wave diathermic waves. 

The heat energy obtained from the wave is used for giving relief to the patient.

Treatment Settings

Micro-wave diathermy waves used for treatment is of Wave length - 12.25 cm
Frequency - 2,450 cycles/sec

• IFT- Interferential Therapy 

Indicated for Individuals with

1.  Pain

2.  Muscles spasm (pain and tightness)

3.  Swelling

4.  Muscles strain

 

Where it should not be used

The Treatment area has:

1.  Localised wounds

2.  Unhealed scar

3.  Recent cuts

4.  Skin infections

 

Where useful?

1.  Pain

2.  Bacterial infection

3.  Septic fingers

4.  Boils

5.  Abscess

Where it should not be used?

1.  Cancer

2.  Tuberculosis of Bone

3.  Recent exposure to X-rays

4.  Defective blood circulation (In cases like Diabetes)

Advantages
Pain is relieved

1.  Healing of infections is faster

2.  Aids in relaxation

Disadvantages

1. Burns

2. Injuries to eyes

• US-Therapeutic ultrasound

• It's an electromagnetic wave different from sound waves. The frequencies of waves employed for medical purposes are between 5,00,000 and 3,000,000 cycles/sec.

  Where useful?

  1. Inflammation of Elbow Joint (Tennis elbow)

  2. Plantar fascitis(Heel pain)

  3. Shortening of Muscle or Ligament

  4. Inflammation of tendons(For eg Supraspinatus tendnitis)

  5. Ligament sprain(For eg Lateral Ligament sprain of ankle)

  6. Unhealed scars

  
  Where should it not be used?

  1.    Avoidance to specialised structures such as eyes, ears,ovaries or testes.

  2.    Growing ends of bones

  3.    Uterus of pregnant women

  4.  Areas with poor blood supply (In case of Diabetes)
  Cancer

  Advantages

  1. Relief of pain

  2. Healing of Soft tissues (Ligament)

  3. Healing of unhealed scars

  Disadvantages

  1. Burns

  2. Cavitation (Damage to bones)

  3. Overdose

  • TENS- Transcutanius Electrical Nerve stimulation

  Transcutaneous electrical nerve stimulation (TENS) may help stop pain by blocking nerve signals from reaching your brain. A physical therapist places electrodes on your skin near the area of your pain. TENS may relieve pain in your leg due to inflammation or compression of nerves in your back.
   

  • MS- Muscle stimulation

  Modified Galvanic Current
  
  In this treatment method the duration of current flow is long and continuous.
  
  Time duration - 10 - 200 milliseconds
  Frequency - 50 - 100 pulses/sec.
  Used in cases of severe nerve damage
  
  Surged Faradic Current
  
  Shorter duration and intermittent flow of current
  
  Time duration - .01-1 millisecond
  
  Frequency - 50 cycles per/sec. Used in cases of partial nerve damage or nerve compression 

  Where useful?

  1. All Nerve injuries(like Radial nerve Injury of the arm or hand)

  2. Muscle weakness(To activate the muscle)

  3. Facial nerve Injury

  
  Where should it not be used?
  Individuals who have

• 1. Recent cuts

  2. Open wounds

  3. Unhealed scars

  4. Recent fracture

  5. Metal plate fixation in their Body

  6. Skin infections

  7. Recent surgery

  • Mechanical Traction

  Traction helps relieve pain and intra-discal pressure thereby increasing mobility of lower back region. Traction is usually advisable in following conditions:
  
  1. Spinal nerve root impingement:
  
   Herniated disc

   Ligament encroachment
  
   Narrowing of the inter vertebral foramen
  
   Osteophyte encroachment
  
   Spinal nerve root swelling
  
  2. Joint hypo mobility
  
  3. Spondylolisthesis 
  
  4. Degenerative joint disease
  
  5. Extrinsic muscle spasm and muscle guarding
  
  6. Discogenic pain
  
  7. Joint pain
  
  8. Compression fracture
  
  9. Lumbar disc disorders of primary origin
  
  10. Lumbar disc disorders of secondary origin
  
  11. Sciatica

  
  TYPES OF TRACTION:

                         ICT- Intermittent Cervical

                         IPT-Intermittent Pelvic Traction

                         SCT-Static cervical Traction

                         SPT-Static Pelvic Traction

                         Skin Traction

  • Cryotherapy
  • Moist Heat - Wax Therapy

   

  Manual Therapy

• • Soft tissue mobilisation
  • Joint Mobilisation
  • Massage
  • Triger point release
  • Stretching 
  • Manual Traction

  Taping Techniques

  Exercise Therapy

  • Passive Movements Maintenance and  improvement Exercises
  • Passive to Active Assisted range improvement Exercises
  • Active Assisted to Active range improvement Exercises
  • Active range to Active Resisted improvement Exercises
  • Work task achievement Exercises
  • Functional Activity Maintenance Exercises.
  • Breathing Exercises
  • Cardiac Exercises
  • Aerobic Exercises
  • Fitness Exercises
  • Prenatal Exercises
  • Postnatal Exercises
  • Preoperative Exercises
  • Post operative Exercises
  • Milestone Developmental Exercises

   

  Get Free consultation through mobile 24/7 -- +91 9884584525

  Dr.Nakkiran.PT. B.P.T., M.Sc., M.I.A.P., C.P.C (US) India, P.G.D.I.P.L

  For appointmnets - 9884584525

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