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Common causes of Back pain in Women♀️

7 Signs of a Good Physiotherapist

 1. THEY HAVE GREAT PATIENCE WHICH REFLECTS IN THEIR DEEDS.

Great physios have power of patience they never loose hope and calm. Most of the patients in the field of physical therapy are suffering from chronic diseases and these condition take long time to recovers. Some time there are the cases where we have to work to maintain the conditions only and keep the patient away from deterioration.

2. GREAT PHYSICAL THERAPISTS HAVE ONE EXTRA SENSE CALLED COMMON SENSE:

 Treating the patients with electrotherapy modality is not the only task in a field with disability as measure. Common sense pay a lot and make a therapist stand out of the queue.

3. GREAT PHYSICAL THERAPIST SPEAK WITH CERTAINTY: 

It’s rare to hear the truly great Physical therapist utter phrases such as "it may be,"“Um,” “I’m not sure” and “I think.” Great Physical therapists speak assertively because they know that it’s difficult to get people to listen to you if you can’t deliver your ideas with conviction.

4. GREAT PHYSIO TAKE RISKS:

 "Risk toh Spiderman ko bhi lena padta hai ... main toh phir bhi physio hoon" means even Spider-man has to take risk ... I am only a physio When great Physical therapists see an opportunity, they take it. Instead of worrying about what could go wrong, they ask themselves, “What’s stopping me? Why can’t I do that?” and they go for it. Fear doesn’t hold them back because they know that if they never try, they will never succeed. so great physical therapists take risks.

5. THEY GET THEIR HAPPINESS FROM WITHIN:

Happiness is a critical element of greatness, because in order to be great, you have to be happy with who you are. Physical therapists who brim with greatness derive their sense of pleasure and satisfaction from their own accomplishments, as opposed to what other people think of their accomplishments.

6. THEY AREN’T AFRAID TO BE WRONG:

Don't afraid of anybodies father! Great Physical therapists aren’t afraid to be proven wrong. They like putting their opinions out there to see if they hold up because they learn a lot from the times they are wrong and other people learn from them when they’re right. Learn from the mistakes of others. Self-assured people know what they are capable of and don’t treat being wrong as a personal slight.

7. GREAT PHYSICAL THERAPISTS SEEK OUT SMALL VICTORIES.

Great Physical therapists like to challenge themselves and compete, even when their efforts yield small victories. Small victories build new androgen receptors in the areas of the brain responsible for reward and motivation. The increase in androgen receptors increases the influence of testosterone, which further increases their confidence and eagerness to tackle future challenges. When you have a series of small victories, the boost in your confidence can last for months and years.

[https://physiotherapyanobleprofession.blogspot.com/2016/12/7-sign-and-symptoms-of-great-physical.html]

What we treat in Ideal Physiotherapy Centre?

At Ideal Physiotherapy Centre We treat a variety of conditions which span all age groups.

  Listed below we have a brief overview of some of these conditions. This list is not exhaustive so if you feel your condition is not on the list. Please contact us so we can discuss your particular problem.

Musculoskeletal Conditions:

Musculoskeletal conditions are simple conditions which are related to the muscles, tendons, ligaments, nerves and fascia.

Some common musculoskeletal conditions that we treat at the Ideal Physiotherapy Centre includes:

Spine Related Conditions

Neck pain
Acute torticollis
Wry neck
Cervicogenic Headaches
Whiplash
Nerve tension and neural entrapment
Trapped Nerves
Lumbar Prolapsed/Slipped discs
Facet joint dysfunction
Muscle Spasm
Postural conditions
Sciatica
Low Back Pain
Nerve Root Irritation
Sacroiliac Joint Dysfunction
Spondylolisthesis
Pre/Post pregnancy back and pelvic pain

Shoulder Conditions

Rotator Cuff injuries
Bursitis
Shoulder Instability
Frozen Shoulder/Arthritis
Shoulder Impingement
Rotator Cuff Tear
Rotator cuff tendinopathy
Adhesive Capsulitis
Bursitis

Wrist Conditions

Carpal Tunnel Syndrome
Impingement Syndrome
De Quervain’s Syndrome
Post Fracture Pain
Repetitive Strain Injury (RSI)

Sports Injuries:

Common sports injuries that we treat using our extensive experience at Ideal Physiotherapy Centre include:

Ankle and Lower leg

Ankle sprains
Achilles tendonitis/tendinopathy
Shin splints

Knee Related

Jumpers knee/Patellar Tendonitis
Runners Knee/ITBand Syndrome
ACL tears and post surgical rehabilitation
Meniscus/Knee Cartilage injuries and post surgical rehabilitation
MCL/LCL tears
Patellofemoral syndrome
Osgood’s Schlatter Syndrome

Upper Leg (Thigh)

Hamstring strains and tears
ITB syndrome/ Runners Knee

Pelvis and Hip

Hip Labral tear
Hip Impingement
Groin injuries
Osteitis pubis

Shoulder

Dislocated shoulders
Ac joint injury
Labral tear/SLAP lesion

Elbow

Tennis Elbow/Lateral Epicondylitis
Golfers Elbow/ Medial Epicondylitis
Bursitis

Wrist

Post – Fracture of radius or ulna

Biomechanical Conditions

In simple terms Biomechanics refers to the analysis of human movement and how external forces affect the body

Our physiotherapists at Ideal Physiotherapy Centre are trained in biomechanical analysis and correction, problems associated with biomechanics can cause

Foot Pain (e.g. Plantar fasciitis, heel pain, arch pain, metatarsalgia, bunions)
Calf strains
Shin splints
Achilles tendonitis
Knee pain
Low back pain

What can you do with Physiotherapy?

Musculoskeletal which is also called orthopaedic physiotherapy and is used to treat conditions such as sprains, back pain, arthritis, strains, incontinence, bursitis, posture problems, sport and workplace injuries, plus reduced mobility. Rehabilitation following surgery is also included within this category. 

 

The good news is if you seek out a physiotherapist immediately after getting back pain, treatment is extremely effective. ... Physiotherapists skilled in manual therapy use precise hands-on techniques to relieve stiffness and improve movement of the joints and muscles of your spine. 

 

 Does physiotherapy hurt? Generally, physiotherapy does not hurt although initially the stretches and exercises may cause slight discomfort; this is primarily due to the fact that the body is not used to such movement; as the body adjust and adapts it will be less painful.

Why I am Not Losing Weight!!!

1. Hormones: First on weight loss and weight gain list

Remember when you are hungry but actually angry? There is a term for that called hangry! The anger is an emotional or mood specific response to hunger, something controlled by hormones. So when hunger can make you angry, imagine what would be actually transpiring inside. Any Indian weight loss diet plan cashes in on this and makes you eat often to prevent hormone and enzyme spikes.
It is proven that hormones can either make you fat or even result in weight loss. Ever heard of leptin, ghrelin, stress hormone, thyroid hormones, insulin? Well, all these form a complex hormonal cocktail that greatly influences hunger, feeling of fullness, even fat storage pattern and places! Sounds freaky, doesn’t it? Well, the good part about it is, you could influence some of them (for example insulin, stress hormones etc.) with a good dieting chart.

2. Vitamins and minerals in the diet: Miss them and you miss weight loss goals

So you thought that burger hurts your waistline by only helping you pile on the calories? Well, think again! Studies are abounding that find nutrients such as vitamin D, calcium, B-complex vitamins can influence your weighing scale readings. Time to look at food in a more wholesome manner (like a healthy Indian diet) than just calories, cheese, butter, oil, fat etc!

3. Toxins in your belly giving your weight loss a toss

What are toxins? Everything around us; be it the pollution, smoke, food colours, food additives, plastics etc are all toxins and one of the obesity causes. Research finds that excess exposure to toxins make our body store it in small fat pockets. Yes, that is fat and toxins being stored in the body.

4. Sleep less and lose weight less 

If you sleep less then your body tries to cope up with the related exhaustion in multiple ways. By increasing secretion of stress hormones, making you susceptible to infections among other things. The result, weight gain.

5. The big baddie in the weight loss world; stress

Stress is like this enemy which weakens your body from all angles. Not only does it release hormones which result in fat storing but you tend to reach out to sugar and salt laden foods to comfort yourself. So even if you’re on any Indian diet plan to lose weight, lack of sleep can still keep you fat.  Read more about these 5 lesser known causes of obesity and how to tackle them.

Indian Diet Plan for Weight Loss in Four Weeks*conditions apply

Exercise is Medicine

Exercise is Medicine, and you need it Everyday

                                                                        - Dr. Jordan Metzl

Exercises to Improve Your Posture and Bring Relief to Your Back

Our aim with these planned series of back straightening exercises is to give you with an exercise program, which when practiced regularly, will help you get rid of round back and discomfort in the spine and give you an optimal posture. If you are diagnosed with a spinal or back injury, consult with your doctor if this exercises are suitable for you.

                                           Cat and Camel or Cow Pose

 

 Initial position. Start with your hands and knees on the exercise mat. Your knees should be directly below your hips and your palms under the shoulders. Keep your pelvis and spine in a neutral (straight) position, by engaging your abdominal muscles to support your spine.
● Pull your abdominal muscles in as you arch your back up like a stretching cat and simultaneously let your head and tailbone drop down toward the floor;
● Return to the initial position;
● Extend the upper part of the spine upwards, supporting it with your abdominal muscles. In the beginning, at this point you can return to the starting position. Later on, as you advance in the exercise, supplement it by moving your tailbone and hips up as well. Make sure your neck is a long extension of your spine and don’t let the head fall back;
● Return to starting position. Repeat 5 times.

Back Extension 

 

Initial position. Lie on your stomach and put your forehead on the exercise mat. Place your arms at your sides and press your palms on the thighs. Straighten your elbows. Put your legs together drawing out the toes slightly.
● Exhale. Gradually lift the head, chest and upper abdomen from the mat, keeping the feet and hands in the initial position;
● Inhale. Slowly lower the trunk and head to the initial position. Repeat the exercise 10 times.

* Please make sure to start from the 1st exercise and only after perfecting it work your way up to the more demanding ones to ensure a gradual progression and avoid any injuries.

                                                            Back Stretching

 

Initial position. Sit on the mat and straighten your back. Stretch your legs in front of you and place them apart – slightly wider than shoulder width. Toes are pointing upward (dorsiflexion). Lean straightened hands on a mat near the pelvis.
● Pull your abdomen in and at the same time tilt your head forward, bending your upper back and stretching your arms in front of you. Glide your hands forward on the mat, between your legs;
● Straightening your body, return to the initial position. Repeat the stretch 5 times.

* Please make sure to start from the 1st exercise and only after perfecting it work your way up to the more demanding ones to ensure a gradual progression and avoid any injuries.

                                 Supplementary Exercise for Back Stretching

 

 

In a supine position (on your back, face up), bring your knees to your chest. Hold the stretching position with medium to strong intensity. Avoid sharply increasing the intensity of the stretching. Keep the chest straightened, shoulders relaxed and the shoulder blades together. Breathe freely.

Heel Kick

 Initial position. Lie on your stomach and leaning on the arms, lift the upper torso. The forearm should be placed so that the angle between the shoulder and the body was about 90 degrees. The hands are clenched into fists and touching each other. Legs are extended and closed, toes slightly pointed.
● Inhale. Lift both legs about 5 cm from the floor. Vigorously bend one leg at the knee, trying to touch the buttocks with the heel;
● Exale. In the same energetic movement straighten your leg at the knee, bending the other one and going for the buttocks. Repeat the exercise 20 times (10 per leg).

* Please make sure to start from the 1st exercise and only after perfecting it work your way up to the more demanding ones to ensure a gradual progression and avoid any injuries.

                                                       Double Impact

 

Initial position. Lie on your stomach, putting your chin on mat. Bend your elbows and bring your hands behind your lower back. The hands should lie on the sacrum. Lift both legs approximately an inch (2-3 cm) from the mat. Straighten your knees and gently pull the toes.
● Vigorously bend your knees, trying to bring the heels towards the buttocks, as shown in the illustration;
● Lift the chest off the mat, straighten your arms at the elbows, turning the back of the hand towards the feet. Simultaneously, straighten your knees, trying to lift them as high as possible off the floor. Hold the position briefly then return to the initial position. Repeat 6 times.

* Please make sure to start from the 1st exercise and only after perfecting it work your way up to the more demanding ones to ensure a gradual progression and avoid any injuries.

                                                         Swimming

 Initial position. Lie on your stomach, stretch your arms in front of you, palms facing downwards. Slightly lift the chest, arms and legs of the mat. Keep the legs and toes extended.
● Raise your right arm and left leg;
● Then raise the left arm and right leg, while returning their opposite to their initial position. Continue the exercise for 10 exchanges. The exchange of the opposite limbs is quick, but smooth.

* Please make sure to start from the 1st exercise and only after perfecting it work your way up to the more demanding ones to ensure a gradual progression and avoid any injuries.

                                                        Stomach Rolls

 Initial position. Lie on your stomach, bend your knees and bring them on your hip. Take hold of the feet with your hands, as shown in the figure. Now, lift the head, chest and knees on the mat.
● Breathing in, roll forward onto your belly, as shown in the figure;
● Breathing out, roll in the opposite direction, from your stomach to the pelvis. Repeat the exercise 10 times.

* Please make sure to start from the 1st exercise and only after perfecting it work your way up to the more demanding ones to ensure a gradual progression and avoid any injuries.

                                                     Diving Swan

 

Initial position. Lie on your stomach and leaning on the arms, lift your chest off the mat. Elbows should be pushed forward and placed wider than shoulders and the hands should be touching. Legs and toes are extended.
● Breathing in, straighten the elbows and raise them to the sides on level with the shoulders and then raise your chest even higher. At the same time, lift slightly both legs off the mat;
● Breathing out, roll forward onto your belly, as shown on the last illustration;
● Breathing in, roll back into the intended position. Repeat 5 times, accompanying the rolls forward with exhalation, and the rolls back with inhalation.

* Please make sure to start from the 1st exercise and only after perfecting it work your way up to the more demanding ones to ensure a gradual progression and avoid any injuries.

                                    Diving Swan Alternative Variant

 

Diving Swan can also be performed by raising his hands above the head rather than keeping them wide apart, as shown in the illustration above. The same hand position is maintained on the reverse roll as well. This increases the load of spine extensor muscles, but also helps to maintain a uniform curvature of the spine during the rolls.

* Please make sure to start from the 1st exercise and only after perfecting it work your way up to the more demanding ones to ensure a gradual progression and avoid any injuries.

 

Ideal Physiotherapy Centre vlog

ஐடியல் பிசியோதெரபி மையம்---IDEAL PHYSIOTHERAPY CENTRE

Female Specific Red Flag Syptoms in Low Back Pain

Running: How to Safely Increase Your Mileage!!!

Do you want to start a running program? Are you already a runner and want to increase your miles? Are you recovering from an injury and trying to return to running? If you are working to accomplish any of these goals, you have probably wondered how to increase your running miles safely so that you are not hurt. Running-related injuries are very common, and training errors are the leading cause of preventable injuries. Most training injuries are the result of “too much, too soon, too fast, too quick.” Although preventing running injuries is complicated and scientists still have a lot to discover, one rule familiar to many runners is the 10% rule, which states that you should not increase running mileage more than 10% each week. A study published in the October 2014 issue of JOSPT puts the 10% rule to the test.

Although runners, coaches, and health care providers commonly use the 10% rule, more science is needed to understand its role in injury prevention. Researchers followed 873 new runners for 1 year; during this period, 202 runners had a running-related injury. The researchers compared runner injuries based on each participant's weekly increase in running distance: less than 10%, 10% to 30%, and more than 30% in the 2 weeks prior to injury. Runners who increased their mileage by more than 30% had a higher injury rate than those who increased their mileage by less than 10%. Runners who ran farther faster were at higher risk for patellofemoral pain (runner's knee), iliotibial band syndrome, medial tibial stress syndrome (shin splints), patellar tendinopathy (jumper's knee), greater trochanteric bursitis, and injury to the gluteus medius or tensor fascia latae (see illustration). However, other types of injuries were not linked to the 10% rule, such as plantar fasciitis, Achilles tendinopathy, calf injuries, hamstring injuries, tibial stress fractures, and hip flexor strains. The authors suggest that these injuries may be related to other training errors.

Practical Advice:-

A sudden increase in weekly running distance by more than 30% over a 2-week period may put runners at increased risk for developing running-related injuries. The lowest injury rates were found in new runners who increased their weekly mileage by less than 10% over 2 weeks. However, other running injuries may be linked to running pace, increasing running speed, sprint training, or other training errors. If you are starting a running program, your physical therapist can help customize a safe running progression to meet your needs. For more information on a personalized running program, contact your physical therapist specializing in musculoskeletal disorders and running-related injuries

Note:-

RUNNING-RELATED INJURIES. A sudden increase in weekly running distance by more than 30% over a 2-week period may put runners at increased risk for developing patellofemoral pain (runner's knee), iliotibial band syndrome, medial tibial stress syndrome (shin splints), patellar tendinopathy (jumper's knee), greater trochanteric bursitis, and injury to the gluteus medius or tensor fascia latae.

What Can Physiotherapy Do For Your Back & Neck Pain!!!

Rehabilitation is the science of blending physiology with exercises and applying these principles to the body when an injury is sustained. Physical therapy for back and neck conditions focuses on the structures that support the spine and its joints including muscles, tendons, and ligaments.

Goals of physical therapy in Neck and Back Pain

There are five main goals of physical therapy, as described below:

1. To educate patients on the principles of stretching and strengthening, which will in turn, help manage pain and accelerate tissue healing.
2. To educate patients on proper posture and ergonomic principles to preserve the spine.
3. To accelerate the stages of healing, which focus on:
   • Reducing pain and the inflammatory cycle
     • Apply passive modalities only if severe: ice/heat/ultrasound/traction/electrical stimulation
     • Educate regarding posture and resting in neutral position
   • Restoring muscular flexibility, joint mobility, and spine motion
     • Introduce specific stretching exercises and progressions to abolish pain and stiffness to specific regions with high frequency and repetitions
   • Strengthening the involved muscles
     • Teach how to maintain the new postures
   • Returning to normal activities
     • Create new awareness of body mechanics and daily stretching for life
4. To prevent future occurrences. As you are able to maneuver through episodes of back or neck pain, learn what program is needed to deter relapses.
5. To manage exacerbations. No matter how diligent you are, you are bound to have a forgetful moment, do an activity improperly and so suffer flare ups, but new knowledge will help eliminate symptoms in a couple days, instead of suffering for weeks or months.

Prevalence of pain

• Studies show that 90% of the population experience spine symptoms at least once in their lifetime.
• Many people have neck and back pain, but it is not always isolated to those regions. The pain can also travel into arms or head/eyes as well as radiate into the gluts, groin, hip and legs/feet.
• Each episode of back stiffness and pain can become progressively worse and last longer and travel farther from its origin.
• If you don't stop the cycle and figure out the cause of each episode, accumulation of damage to structures lead to eventual failure of the spinal structures. At this stage, physical therapy alone will not be effective. You will need more extensive intervention with spine doctors, pain management, or possibly a surgeon.
• If the symptoms were addressed early, 95% of herniated disc patients would NOT require surgery.

Action plan: What you can do?

• Overall, you need to maintain good posture throughout all of your daily activities. If you start to feel sore or stiff, change your posture and modify your body mechanics. Your body will warn you -- using pain as a signal -- when your body mechanics are improperly aligned. However, many times we choose to ignore these signals in order to complete the project, paper, book, etc. By not listening to your body, sometimes it is too late and the inflammatory process is initiated. The best way to avoid pain is to learn to listen to your body.
• Sit up straight! It feels better and puts the least amount of strain on your spine! If you sit or bend too often or for too long a period of time, bend in the opposite direction to balance the stresses out and relieve muscle tension.
• More on sitting: When sitting, arch your back 5 to 10 times if you feel stiff. Repeat two to three times a day (or more often if you are sore).
• Other stretching exercise to do at your desk:

1. shoulder rolls backwards x 10
2. shoulder blade squeeze x 10
3. chin in x 10
4. chin in & slowly stretch head back x 10
5. head turn over shoulders x 10 each way
6. standing back bend stretch x 10

• Strengthen and reeducate your postural muscles so that you can endure your daily activities. Although it takes more muscular and mental effort, create this new awareness and develop this new habit.
• Regular stretching of upper and lower cervical spine allows good posture to be maintained with little effort.

A physical therapist can make sure you are prescribed the appropriate exercises for your condition, and can modify the exercise as necessary. NOT all patients require referral from a physician for an evaluation to be seen by a physical therapist in the state of Ohio. You can check with your insurance company to see if a physician's referral is required. If a referral is not required you may be seen directly by the Physical Therapist.

Ergonomic tips

• Simply put, use your postural muscles! Don't just wear them. Think chest out, chin in, stomach tight with standing, walking, lifting and bending.
• Standing: Keep one foot in front of and more elevated than the other when working in a cupboard, ironing, washing dishes, or even standing at work.
• Sitting: Use lumbar support in car and/or chair or adjust car seat to upright. Sitting up straight puts the least amount of stress on the spine. It may take more muscular and mental effort but it is wise to create this new awareness and habit!
• Sleeping while lying on the side: Keep the bottom leg straight; top leg can be bent or rested on pillow.
• Bending: Use golfer's lift or ½ kneeling position when putting dishes in dishwasher, getting laundry out of washer, putting items into trunk/cart, etc.
• Lifting: Keep the object being lifted close to you; get down under it.

Remember that chronic poor posture causes a loss of flexibility in the major muscle in front of the shoulders (i.e., the pectoralis major muscle), decreases the mobility of the cervical spine, and causes loss of strength of the scapular muscles, making it almost impossible to maintain good posture.

Optimal body positioning to decrease neck and back pain

• Sleeping: Get into a neutral position, either on your back (use 1 pillow) or side (use 1 pillow). Avoid lying on your stomach if you have neck pain. When lying on your side, make sure your head is positioned such that you are looking ahead, not down at your feet. Contour pillows are good to use (though they take some time to get used to), or you can use pillows that incorporate a cervical roll.
• Driving: Stay upright with your head against the headrest and straighten arms out to keep shoulders back. Tilt rearview mirror a bit toward the roof so that an upright posture is necessary to maintain the total field of vision in the mirror.
• Using a computer: Screen should be positioned at eye level, with head back and chin in. Sit back in chair and use a lumbar roll. Use attached arm on monitor or other device to hold documents at eye level.
• Reading: Don't read in bed. Often, too much head flexion is created if pillows are bunched up behind the head. Instead, sit with your back against the headboard or in a chair next to the bed.
• Enjoying hobbies: For counter- or lap-based hobbies such as quilting, sewing, collecting items in albums, etc., don't continuously look down for long periods of time without taking a break. Change your physical position and stretch in the opposite direction about every 20 minutes.
• Gardening: Don't do marathon gardening sessions. Take frequent breaks. Half kneel or squat when working.
• Cleaning: When possible, half kneel or squat to keep spine in a neutral position.
• Watching television: Sit up straight in the chair or on your couch. Don't slouch. Get up periodically and walk around.

Why is posture so important?

The three natural curves of the spine plus the discs in the spine help absorb the "shock" or "forces" of everyday life. Jobs or tasks that require bending forward all day (in addition to the 3,000 and 5,000 times a day we ordinarily bend forward), decrease the natural curves of the spine, resulting in more stress being placed on the back side of ligament and joints of cervical and lumbar spine.

• Overall, bad posture results in more wear and tear on the spinal structures.
• After age 30, all the years of straining the normal tissue from slouching eventually decreases structural stability, allowing for greater wearing down of ligaments.
• Postural misalignment can cause radiating pain away from the back and spine due, for instance, to a pinched nerve; and muscle spasms can create headaches and neck/scapular pain.
• Pain often begins as a soreness or stiffness in the neck and shoulder blades and can progress to headache pressure and band-like symptoms around head and/or back tightness that can progress to the hip, leg, and toes.
• Many factors contribute to the onset of pain, including job duties, hobbies, household responsibilities, studying, and genetics.

References

• American Physical Therapy Association. Benefits of a Physical Therapist. Accessed 11/6/2013.
• American Physical Therapy Association. Health & Prevention Tips. Accessed 11/6/2013.
• American Physical Therapy Association. Video Library. Accessed 11/6/2013.
• UptoDate.com Patient Information: Neck Pain (Beyond the Basics).. Accessed 11/6/2013.

What we treat in Ideal Physiotherapy Centre..

What we(Ideal Physiotherapy Team) treat in our centre with privileague...

In Orthopedic Conditions:

1. POST FRACTURE STIFFNESS
2. ARTHRITIS (POLY ARTHRITIS, RHEUMATOID ARTHRITIS,OSTEOARTHRITIS)
3. CERVICAL AND LUMBAR SPONDYLOSIS (NECK PAIN,LOW BACK PAIN)
4. SCIATICA
5. POST(AFTER) HIP,KNEE,SHOULDER REPLACEMENT SURGERY REHABILITATION
6. SPORTS RELATED INJURIES( ANKLE SPRAIN,LEG STRAIN,WHIPLASH INJURY)
7. POST ACL, PCL AND MENISCAL  INJURY REHABILITATION.
   

In Neurologic Conditions:

1. STROKE (PARALYSIS)
2. PARKINSONISM
3. POLYNEUROPATHY ( MUSCLE WEAKNESS)
4. MULTIPLE SCLEROSIS
5. FACIAL PALSY/ BELLS PALSY
6. SPINAL CORD INJURY( QUADRIPLEGIA,PARAPLEGIA,MONOPLEGIA)
   

In Paediatric Conditions:

1. CEREBRAL PALSY
2. DELAYED MILESTONE
3. AUTISM
4. MUSCULAR DYSTROPHY
5. POLIOMYELITIS(POST POLIO RESIDUAL PARALYSIS)
   

In Cardiopulmonary Conditions:

1. POST CARDIAC SURGERY REHABILITATION
2. POST LUNG SURGERY REHABILITATION
3. CHEST PHYSIOTHERAPY & POSTURAL DRAINAGE FOR COPD & PNEUMONIA.
   

Other Situations we treat,

1. FOR PREGNANCY RELATED ANTENATAL AND POST NATAL EXERCISES AND POSTURAL ADVICE.
2. ON FIELD/OFF FIELD ATHLETIC INJURIES.
3. OFFICE ERGONOMIC ADVISES AND PREVENTIVE EXERCISE PRESCRIPTION
4. PLANNING AND COORDINATING GROUP EXERCISES FOR ELDER PEOPLE