Saksham Physiotherapy Clinic

Mode of Action

• It reduces pain.
• It relieves the stiffness of the joints.
• It reduces the muscle tightness.
• It increases the blood flow to the area bt causing vasodilatation.

Benefits

• The heat theraphy warms up the tissues and readies it for the future excercise therapy.

Goal

• It aims to increase the temperature and increase the blood flow to the area of treatment.

This is most popular and common form of heat therapy advised after fractures.Hydrocollator Packs contain silica gel which is encased in a canvas bag. This can be contoured to the various body regions.The heat delivered by the hydrocollator pack is a form of conductive heat.

Contraindication

• Open wounds.
• Anaesthetic Skin.
• Skin diseases and infections.

This consist of a mixture of one part of liquid petroleum to seven parts of paraffin.It is most often indicated to treat small areas like hands and feet (as in arthritis etc.)

Contraindication

• Open wounds.
• Anaesthetic Skin.
• Skin diseases and infections.

This is usually given by an ice pack, ice cube. It should be applied for a period of 10-15 minutes. After this patient has a feeling of numbness followed by local erythema. It effectively reduces pain, swelling, inflammation and spasticity when used immediately after an injury or fracture. It is less commonly used in the later stages of fracture rehabilitation. When used it reduces pain and spasn even in that stage. The temprature is 0-2° centigrade or 28-32°F.This is also helpful in reducing local metabolism, inflammation, and pain. The analgesic effects of ice result from a decreased nerve conduction velocity along pain fibers and a reduction of the muscle spindle activity responsible for mediating local muscle tone. It is usually most effective in the acute phase of treatment, though the patient can use it after physical therapy or the home exercise program to reduce pain and the inflammatory response.

Ultrasound is a deep heating modality that is most effective in heating tissues of deep joints. It has been found to be helpful in improving the distensibility of connective tissue, which facilitates stretching.

Types

• Continuous Ultrasound.
• Thermal effect to warm superficial tissues.
• Frequency of Ultrasound waves effects depth of tissues effected.
• Lower frequency waves penetrate tissues as deep as 2 inches or 5 cm.
Indication: Symptomatic relief in chronic injuries lasting beyond 2 weeks.


• Pulsed Ultrasound.
• Non-thermal effect theoretically speeds tissue healing at the cellular level.
Indication: Potential to speed healing when applied in first few days after injury

Contraindications

• Breast Implants.
• Epiphyseal plates.
• Eyes.
• Malignancies.
• Pacemakers.
• Thrombophlebitis.
• Laminectomy sites.

Interferential Therapy is approved for the symptomatic relief and management of chronic (long-term) intractable pain , post traumatic and post surgical pain. It has been shown that multiple daily treatments give improved results. Home treatment can help reduce pain, medication, and edema. Interferential Therapy can be used to treat pain associated with:Back, Neck, Shoulder and Knee injuries or problems like-

• Fibromyalgia.
• Joint injuries.
• Overuse injuries and surgical procedures.
• Edema, Inflammation.
• Carpal Tunnel Syndrome.
• Tennis Elbow.
• Sports Injuries.

Traction helps relieve pain and intra-discal pressure thereby increasing mobility of lower back region, straightening of the spinal curves, stretching of the spinal muscles, gliding (Movement of bones) of the inter vertebral joints, pain relief by releasing and stretching the tight capsule or ligament or adherent nerve root, mobilizing stiff inter-vertebral joints, reducing muscle guarding and spasm.

Traction is usually advisable in following conditions:

• Spinal nerve root impingement.
• Joint hypo mobility.
• Spondylolisthesis .
• Extrinsic muscle spasm and muscle guarding.
• Discogenic pain.
• Joint pain.
• Lumbar disc disorders.
• Sciatica.

Transcutaneous electrical nerve stimulation (TENS) has been used to treat a variety of pain conditions. Success rates range greatly due to many factors including electrode placement, chronicity of the problem, and previous treatments. It is generally used in chronic pain conditions and not indicated in the initial management of acute low back pain.Indications for TENS include neurogenic pain, musculoskeletal pain, visceral pain, sympathetically mediated pain, post-traumatic pain, and mild to moderate postoperative pain.

It also helps by

• Blocking the gate for pain sensation at brain level.
• Causing release of pain killers in brain.
• Increasing blood circulation.

An EMS machine (or Electrical Muscle Stimulator) is essentially an electronic machine with the capacity to contract your muscles via an electrical current passed through your muscle. Electronic muscle stimulation (EMS) may help you to facilitate the strengthening of weak muscles. MS appears to be more effective when the muscles are very weak and you have difficulty performing normal anti-gravity exercises. Another reason that EMS potentially works is via an improvement in the speed of motor unit activation. EMS can be used in conditions like-Nerve injuries, Nerve palsy, Muscle weakness etc.

Types

• Modified Galvanic Current: In this treatment method the duration of current flow is long and continuous.Used in cases of severe nerve damage.
• Surged Faradic Current: Shorter duration and intermittent current flow.Used in cases of partial nerve damage or nerve compression

It is a therapeutic device used for rehabilitation of upper limb.

Benefit are:

• Increase strength of the upper limb muscle.
• Increase joint range of motion.

• Ideal for the progressive range for the shoulder motion.
• Improves strength of upper limb muscle.
• Increase flexibility of joints.

HAND GRIP EXERCISER

• It is used for hand rehabilitation. It helps in increasing range of motion of all the finger.
• It increases the strength of the muscles of the hand.
• It is used as a progressive resisted exercise for hands.

ANKLE EXERCISER

• It is a therapeutic device used for strengthening dorsiflexors and planterflexors of the ankle joints.
• Increase ankle joint range of motion.
• Improving joint flexibility.

These are specially designed for the improvement of motor skills of the hand.

Benefit are:

• Improves strength.
• Improves gripping activities.
• Helps in prehension and precision training.

Swiss ball are inflatable balls made of soft elastic with a diameter of approximately 35 to 85 cm filled with air. This equipment is effective at targeting core muscle, which are essential for stability and good postures.

Benefit are:

• Posture reeducation.
• Increase lumbar mobility.
• Increase balance and stability.
• Develop overall control and strength of the core body muscle.