Month: January 2023

Om Physio Plus Nutrition & Yoga Therapy2023January
About Physiotherapist At Home
By Dr. Niraj Patel 0 Comments Physio , , , ,

Everything You Need To Know About Physiotherapist At Home

Physiotherapy is often given at a clinic or hospital, but occasionally you have to travel to a patient’s home to administer treatment. In a clinic, you must assess the patient, obtain a history, develop a strategy, and then begin treatment. At home, the procedure is still the same. However, there are a few extra things to be aware of with home sessions.

The majority of physiotherapists who are new to home visits first struggle. You are in the appropriate place if that describes you. In this post, we’ll offer helpful advice from the experiences of several home physiotherapists who conduct home sessions to help you get ready for physiotherapy.

What Is Home Physiotherapy or Home Physiotherapist?

Home physiotherapy refers to providing physiotherapy services to patients in their homes. While most physiotherapists offer in-clinic and home services, others specialize in this. It’s perfect for:

  • Patients who find it challenging to travel to a PT clinic for therapy due to mobility concerns
  • Elderly patients
  • When you want the patient to advance in a comfortable setting, typically for individuals who need ongoing physical treatment
  • Offering patients greater comfort than they would receive in a clinic
  • To provide individualized care that isn’t possible in a clinical setting
  • Patients who lack time to go to and from the clinic and wait for appointments

Additionally, it’s fantastic for physiotherapists since they work in various environments and support their patients’ improvement in the convenience of their homes, where they spend most of their time.

Advantages of Home Physiotherapy in Healthcare

  1. Family members can be involved in the care – The patient’s trusted family members may be present when medical professionals visit and treat the patient at home or offer home medical care. The patient’s family may readily supervise and monitor the care provided to the patient because they will be informed of the treatment process. Additionally, the close ones are reported if additional therapy is required.
  2. Convenience – Reducing stress by avoiding travel and transportation is one of the key arguments for choosing home physical treatment. Seniors who are confined to their homes find it extremely difficult to receive the necessary medical care by going to a hospital. The elderly frequently have trouble getting to and from the hospital. Knowing about home physiotherapy in the healthcare industry is practical and beneficial for receiving the required attention.
  3. Increased comfort and privacy – Staying at home for physiotherapy sessions is beneficial for persons with mobility and severe pain concerns. The patient typically enjoys resting and sleeping after receiving treatment. You can save yourself the trouble of getting up, driving, and visiting the hospital by using a home physical therapy service. It only worsens when you consider the probability of getting trapped in traffic. Another feature that patients frequently want in rehabilitation environments is privacy. People who ask you a lot of questions could come across. Additionally, you end yourself exercising in front of others, which many find awkward. Instead, you can receive treatment in the privacy of your own home, free from the pressure of onlookers.
  4. Preparation for the outpatient rehabilitation setting – Most orthopedic postoperative cases can be managed at home in their early phases. The initial objective is frequently to reduce pain and swelling while enhancing the range of motion, all of which can be accomplished at home. Additionally, your physiotherapist will inform you when you’re prepared to participate in more complex therapy and use exercise equipment during an outpatient session.

10 Tips To Prepare For Physiotherapy In A Home Setting

Home visits and online physical therapy sessions have increased in popularity since the pandemic. A home session and an in-clinic session have a few differences. If you’re visiting a patient’s house for the first time, you should be aware of the following:

  1. Don’t Go Into the Session Blind: – When a patient schedules an appointment, whether by phone or online, get a general history of the patient. You need to know whether they need chest physical therapy, musculoskeletal physical therapy, pediatric physical therapy, or neurological physical therapy. It will make it easier for you to remember to bring the necessary evaluation forms and to be mentally ready for your visit to the patient’s house.

    Before your visit, you could enquire about the following:

    1. What is your medical condition?
    2. What is the main issue for which you need my help?
    3. Could you briefly describe your medical background?

    Take thorough notes on your medical history, and conduct an evaluation akin to one you would have with a physiotherapist in a clinic. Fill out the forms, so you have a baseline against which to compare your results. Then, base your treatment plan on the patient’s health and desired outcomes.

  2. Polish Your Knowledge of the Patient’s Condition: –It would be best if you spent time reviewing the specifics of your patient’s disease, potential treatment options, and the level of recovery you can anticipate since you won’t have other therapists nearby to guide you in case you need assistance. That’s crucial, especially in challenging situations or ones where you lack a lot of expertise.Even if you don’t need their assistance, it can be comforting to know that senior physical therapists are present in a clinic. According to many new physiotherapists, the absence of coworkers in a home setting can initially make you feel less confident as you adjust to home sessions. You can be ready to provide physiotherapy and feel more confident in your service by brushing up on your understanding of the patient’s condition.
  3. Always Carry PPE With You:-You cannot ignore hygiene because you are giving physiotherapy in a home setting. After all, it is crucial for both patients and therapists. Gloves, face masks, and other safety gear that you might require for a home session are provided by some clinics. The therapists must occasionally purchase their own PPE, though.Because they don’t want to be exposed to illnesses that are frequently found in hospitals, people often choose home sessions. Make sure you don’t bring those infections into their house. You and the patient are both protected by PPE.
  4.  Make Sure You Have the Necessary Modalities and Equipment: –  Although manual therapy and exercises make up most of the physical therapy sessions, your patient may also need specific equipment for monitoring and treatment. You should pack a bag with all the supplies required for at-home physical treatment. It may include a TENS/EMS machine, hot-cold pack, K-tape, oximeter, resistance band, or anything unique to your patient.

Lastly,

One of Ahmedabad’s top physical therapists, Dr. Niraj Patel, is employed at Om Physio Plus Nutrition & Yoga Center. He has a reputable home physiotherapy practice and authority over many different illnesses. He does physiotherapy at home in Gota Cross Road, Ahmedabad, and the surrounding communities of Chandlodiya, Chandkheda, Kali, and Chharodia.

foot or heel Pain
By Dr. Niraj Patel 0 Comments Physio, Therapy , , , , ,

Do you have foot or heel Pain: Reasons, Symptoms, Treatment

Various illnesses, such as plantar fasciitis and Achilles tendonitis, can bring on heel discomfort. A typical foot and ankle complaint is a hurting heel. Over time, pain is reduced by stretching, orthotics, and rest. If you don’t address and neglect heel discomfort, you could develop persistent issues that will take longer to heal. Surgery is rarely required for heel discomfort.

What is heel pain?

A common foot and ankle issue is heel pain. Behind or beneath the heel, there may be pain. Numerous conditions can cause heel discomfort, including:

  • Plantar fasciitis is one
  • Tendonitis of the flexor or Achilles muscles
  • Bone growths
  • Sever’s illness (mainly in children 8-14 years old)
  • Bursitis
  • Stress fractures
  • Swelling tendons

Nonsurgical treatments are effective for most painful heel issues, but your body requires time to heal. You should seek medical attention to assist you in pinpointing the precise source of your heel pain so that the right course of treatment can be started. Walking and participating in regular activities can be challenging when you have heel pain.

How common is heel pain?

Heel discomfort affects more than 2 million Americans each year. The issue impacts the ages and genders of all people.

Where does heel pain develop?

Anywhere in the heel may be in pain, sore, or tender. Typically, you get heel pain:

  • In the back of the heel
  • Under the heel
  • Within the actual heel bone

What causes pain behind the heel?

Several issues can bring on back heel discomfort:

  • Achilles tendinitis: The Achilles tendon, which joins the calf muscle to the heel bone, is a fibrous tissue. It is the longest and strongest tendon in the body. Basketball players and runners are more likely to get Achilles tendonitis. This overuse injury causes tendon inflammation. The back of the heel becomes painful, swollen, and stiff due to tendonitis
  • Bursitis: Bursitis develops when bursae, the plural form of a bursa, swell. These sacs provide joint protection and permit easy movement. The back of your heel could feel sore and bruise-like. Bursitis often develops as a result of prolonged standing
  • Haglund’s deformity: An enlarged bony lump, also known as a pump bump, can develop in the heel’s back due to persistent inflammation and irritation. Pumps and other shoes with higher heels might exacerbate the pain and bump
  • Sever’s disease (calcaneal apophysitis): Inactive children between the ages of 8 and 14, Sever’s disease is a common source of heel discomfort. Children who engage in sports that include a lot of running and jumping are more likely to experience this issue. The growth plate in the heel’s rear becomes irritated due to increased sports activity

What causes pain beneath the heel?

The following conditions can result in pain beneath the heel:

  • Bone bruise (contusion): Stepping on a hard, pointy object might cause damage to the thick heel padding. Even if there is no visible discoloration, walking will cause your heel to feel sore. Both a stress fracture and Sever’s disease can result in discomfort that runs along the bottom, side, and back of the heel
  • Plantar fasciitis: Heel discomfort is most commonly caused by plantar fasciitis, which is this condition. It happens when the fascia, a band of connective tissue that runs along the bottom of the foot (the plantar surface), rips or strains. This painful ailment is more likely to occur in those who frequently run and jump. Common irritants include treadmills and harsh surfaces (like concrete) used for work or exercise
  • Heel spurs: These are bony growth that can develop on the heel bone due to persistent plantar fasciitis. Although some people experience pain, heel spurs are typically not uncomfortable

What are the risk factors for heel pain?

Heel discomfort can be brought on by anything that causes a lot of strain and pressure on your foot. Both your gait pattern (foot mechanics) and the structure of your feet have a role.

If you can relate to any of the following:

  • You are overweight (have obesity
  • Have high or flat arches, foot or ankle arthritis, or flat feet
  • Run or jump a lot while playing sports or working out
  • Stand a lot, especially on surfaces made of concrete
  • Put on insufficiently cushioned or arch-supported shoes

What are the symptoms of heel pain?

Depending on the reason, heel pain can have various symptoms.

  • A bony growth on the heel
  • Color change (bruising or redness)
  • Stiffness
  • Swelling
  • Tenderness
  • Aches when getting up from a sitting or resting position

How is heel pain diagnosed?

Your healthcare provider will assess your symptoms and perform a physical checkup. X-rays may also be taken to look for joint injury, bone fractures, arthritis, and bone alignment. These may disclose soft tissue issues that X-rays are unable to show. Rarely could you require an ultrasound or MRI.

How is heel pain managed or treated?

The majority of heel pain issues resolve over time with nonsurgical therapies. Therapies concentrate on reducing stress and strain on the heel, reducing tension and inflammation, and improving foot flexibility. These remedies consist of the following:

  • Steroid injections: They can reduce swelling and pain. Steroid injections for tendon issues should be administered sparingly, if ever; nonetheless, they may be beneficial for bursitis and plantar fasciitis
  • Orthotic devices: Shoe inserts (orthotics) purchased over the counter or built to help relieve heel pressure. Wearing a splint at night can comfort some people, especially if they have morning pain. For more severe symptoms, a walking boot may be required. You might also need to switch to more supportive footwear for everyday wear and exercise
  • Painkillers: Ice packs and nonsteroidal anti-inflammatory medications (NSAIDs) reduce pain and swelling
  • Physical therapy: Soft tissue adhesions can be removed using massage, physical therapy, and ultrasound therapy
  • Stretching exercises: Your doctor can demonstrate heel stretches for you for stiff tendons and muscles
  • Taping: To Use athletic or medical tape to support the foot arch or heel
  • Surgery is infrequently required to treat the majority of heel pain reasons

How can you prevent heel pain?

Heel discomfort is very common in runners. Your foot and heel tendons must remain flexible to avoid heel discomfort or stop it from returning. Wear supportive shoes that are correctly fitted and stretch frequently. Running on softer terrain and logging fewer kilometers will help you avoid injuries.

What the future holds for those who experience heel pain?

Nonsurgical therapies for heel pain usually work, but recovery takes time. You must exercise patience and allow your body enough time to heal. Too soon, resuming your regular activities can hinder your recovery. Rarely, you might require surgery.

When should you call the doctor?

Please get in touch with your healthcare provider straight away if any of the following happen:

  • An ache that doesn’t go away after a few weeks of rest or pain medication
  • Pain that makes moving or walking challenging
  • Extreme foot or heel edema, stiffness, or swelling

Lastly

One of Ahmedabad’s top physical therapists, Dr. Niraj Patel, is employed at Om Physio Plus Nutrition & Yoga Center. He does physiotherapy at home in Gota Cross Road, Ahmedabad, and the surrounding communities of Chandlodiya, Chandkheda, Kali, and Chharodia. Dr. Niraj Patel is among the best physiotherapists in Ahmedabad to choose from if you’re searching for treatment for yourself or a loved one. Contact Om Physio Plus Nutrition & Yoga Center to set up a home visit or to book an appointment with Dr. Niraj Patel.

 

foot rehabilitation exercise
By Dr. Niraj Patel 0 Comments Exercises , , ,

What is the best foot rehabilitation exercise program for you?

The foot is often forgotten or at least ignored when it comes to developing strength, mobility, coordination, and much more. However, there are proper scientific research has done to show that many foot rehabilitation exercises, if implemented, reduce the risks of falls and also bring some major benefits for athletes like increasing their performance on jumping. These foot and ankle rehabilitation exercises also bring up your scores on agility tests. Moreover, this exercise program reduces the likelihood of running or jumping-related injuries. Your feet’ strength is as much important as the strength of trunk muscles and their strength is often called feet core.

Does a set of foot rehabilitation exercises help with an injury?

A foot-related injury is often caused due to strain but in many people, these causes of injury like strains are themselves a result of weak feet. This is because people don’t usually strengthen their feet which can act like a weak link in a strong chain. Nonetheless, when an injury is caused, you have been prescribed a set exercise program that helps you to recover and perform day-to-day activities as soon as possible. These foot and ankle rehabilitation exercises are an organized set of strengthening and mobility activities that make your foot muscle remember to move after an injury and provide inner support to not let those movements cause damage.

What are the core exercises of the ankle and foot rehabilitation program?

It is recommended to do these exercises barefooted to increase the efficacy of this program but if you find it uncomfortable, you can perform them and still get benefitted from doing them with your shoes on.

Feet tapping

For this feet exercise, you have to be in a sitting position on a chair with your knees bent, approximately 90 degrees, and feet flat on the ground. From here, you have to keep your heels on the ground while lifting the toes and then tapping them back on the ground. You have to go up and down with your toes doing this for a total of 30 repetitions

This exercise is initially only prescribed for one set but as you repeat the program over time, you can introduce another set and also increase your reps.

feet tapping

Forefoot ascend/ Calf raise

Also known as the heel raise, this exercise is recommended to be done standing but you can do it sitting if you don’t have the strength for it yet. In this exercise, you simply have to raise your heels targeting your calves. It is prescribed to it for one set of 30 reps which can be quite hard initially. With time into the program, you can include a second set with more reps.

Forefoot ascend

Inver evert asymmetric coordination exercise

This is one of the important foot and ankle rehabilitation exercises in which you have to set up sitting on a chair and then invert one foot while everting the other foot. It is important that you briefly hold each side to gain strength and then go back and forth between changing sides. You will be prescribed to start with one set of 10 reps.

During the course of the program, you will also have to do a standing version of this exercise as you become stronger and more comfortable

Inver evert asymmetric coordination exercise

 

Forefoot abduction exercise

Set up in a sitting on chair position and then place a resistance or elastic band on your forefoot on one side while keeping your other for holding the other side of the band acting as an anchor to resist the motion. Let the former foot begin moving to the side against the anchoring foot. The important thing to remember is to keep your heel down while performing this motion. The prescribed reps in a set for this foot rehabilitation exercise are 10 reps and then you have to repeat for a second set. However, over time in the program, you are recommended to add in the additional set.

Dorsiflexors exercise

This exercise is set up similarly but instead of working on abductors, you will target the dorsiflexor. For that, you need to sit on a chair and anchor the band in front of you with some weight while keeping your forefoot inside the other end of the band. Focus on bringing your toes and foot up towards you. You have to go through as much range as you can while maintaining the band in position ensuring that you get a good top-end squeeze. Do this exercise for 10 reps on each side.

Dorsiflexors exercise

Ball squeeze drill

For this exercise, you will have your heel on the ground and then a ball set up under your toes. Your physiotherapist will ask you to try grabbing and holding the ball with your toes raising it up off the ground and putting it back under control. It is important to keep your heel on the ground while doing this. Switch between sets for each foot.

Ball squeeze drill

Conclusion

There is no doubt about the benefits of foot and ankle rehabilitation exercises. However, many people complain that the program of exercises they implemented did not match their goals. This is because many people just pick up a set of exercises from the internet and start performing them. While the information from your internet source can be reliable, it can only give you a set of general foot exercises that will not include customizations suitable for you. In order to get an effective foot rehabilitation exercise program suitable for your goals, you need to see a professional physiotherapist. You also want to keep your exercises open to variations which will depend upon your response to these exercises. For that, you again need a therapist to keep checking your progress. If you are in search of a physiotherapist for a prescribed set of foot and ankle rehabilitation exercises, contact Om Physio Plus Nutrition

stretching exercises for young athletes
By Dr. Niraj Patel 0 Comments Sporting , , ,

10 Most Important Stretching Exercises for Young Athletes

It is easy to say that athleticism is a quality that everyone can have. In fact, people, nowadays put “athletic” as an attribute on their social media. However, the reality is that it takes hard work and a lot of injuries to reach the point of calling yourself a true sportsman. A person who is very much into getting involved in any kind of sport that requires physical exertion is more prone to injuries than success. This is the reason that exercises for young athletes are an important process to avoid injuries during a sports match. One may not be successful in every match but getting out healthy at the end of the match gives them a chance to participate in forthcoming opportunities. Young athletes’ exercises are more praised because young people are up for a carrier in sports and their dreams should not be hindered by mere injuries.

What is there for a sportsperson from young athlete’s exercises?

These exercises not only provide core stability, strength, and activeness but also provide the most important quality which is flexibility, to be prevented any kind of muscle tear or soreness after the match. Young athlete knows the importance of getting involved in stretching exercises to open their body movement for more rigorous activities. However, what they don’t know is the benefits of performing these stretching exercises after a match or a session of professional exercises.

What should you keep in mind before doing any of these exercises?

Exercises for young athletes themselves require some kind of bodily preparation. This, most importantly, includes letting your body know that you are about to get involved in some physical activity. You can do this by simply walking quickly or even jogging to get your body warmed up. Also, you must also keep in mind that when you are stretching, you are not in a competition. So, follow your body while stretching by not pushing any of the stretch positions as this irresponsible push can cause your muscle to be strained. Lastly, your muscles do get strengthened because of exercise but if there is an injury in your muscle, these exercises may not be suitable for you. This is because a tear in a muscle can become worse because of uncalculated movements and you can only know the type of exercises and their levels suitable for you from a professional physical therapist. All these things are very important to know in order to really benefit from young athletes’ exercises.

What are some of the most effective stretching exercises for athletes?

Bound angle

This stretching exercise is also known as butterfly stretch in which you have to put your feet together and grab them while leaning forward. This exercise stretches out your groin and lower back

Bound angle

Seated cross shin

Also known as sitting Indian style, this exercise involves crossing your legs while leaning forward and trying to touch your elbows to the ground. You can start this exercise by only touching the ground with your hands and slowly pushing down your elbows.  This stretching targets the IT band and the glutes in the legs that are crossed underneath.

Seated cross shin

Seated straddle

This stretching is the best exercise for developing flare. In this exercise, you have to sit down a while back straight and keep your legs apart. After then you are required to lean side to side to each of your feet. This exercise stretches the hamstrings, groin, and lower back

Seated straddle

Pigeon variation

Bend one leg in front and put one leg out the back while arching your back or leaning forward. You should keep in mind to not push yourself too hard into this exercise. This is one of the exercises for athletes that stretches out the hips and effectively targets the IT band

Pigeon variation

Seated forward fold

This basic sit-and-reach exercise requires you to sit and keep your both legs in front of you while you try to reach the toes with your hands

Seated forward fold

The saddle

Sit on your bended legs while trying to go down from behind. At first, you can choose to go just to the point where your hands touch the grown behind. When you develop more flexibility, you can go down to your elbows or all the way down on your back. This exercise targets the quadriceps.

Basic lunge stretch

This exercise stretches the hip flexors on one side and the hip extensors on the other as you stand and then bend your one leg forward 90 degrees while stretching the other leg behind. Remember to do this stretching on both legs.

Basic lunge stretch

Deep sump squat

Good for mobility and flexibility, this exercise also decompresses the lower back. In this exercise, you have to sit in a squatting positing while trying to keep your joints stacked

Deep sump squat

Twisted cross

This exercise for athletes helps them to stretch out the front delts, the biceps, and the chest. In this exercise, you have to lie belly down while keeping one arm straight sideways on the ground. By the other arm, you have to push down by hand and twist your body on the former arm

Cat-Cow pose

This exercise is good for spinal mobility and preventing injury. This is more of a mobile moving pose rather than a static stretch. In this exercise, you have to sit on your hands and knees. In this position arch, your back and then hunch in and out

Cat-Cow pose

Conclusion

You, as an athlete, usually see a physiotherapist modify your training as a result of an injury or any kind of soreness because you are keen to get back at training as soon as possible. In reality, the injury you sustain is because of your body’s inability to deal with the pressure you have put on it. In this position, you can either reduce this stress on your body, which as an athlete you won’t, or you can involve in these exercises for young athletes to increase your body’s ability to deal with the training load. For the latter, you need to get in touch with a professional physiotherapist such as Dr. Niraj Patel, to access you and work on your weak parts.

To know more about us, contact Om Physio Plus Nutrition

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