Clubfoot is a congenital condition (present at birth) that causes a baby’s foot to turn inward or downward. It can be mild or severe and occur in one or both feet. In babies who have clubfoot, the tendons that connect their leg muscles to their heel are too short. These tight tendons cause the foot to twist out of shape.
- Rigidity and other changes in the movements of the foot.
- A foot that is turned inward and downward, with toes pointing toward the opposite foot.
- The clubfoot may be smaller than the other foot.
- The heel on the clubfoot may be smaller than normal.
- Tightening of the Achilles tendon (heel cord).
- Inward turning of the front of the foot.
- Abnormal shape of the foot.
- In severe cases, the clubfoot may be twisted upside down.
- The calf muscle on the leg with the clubfoot will be slightly smaller.
Physiotherapy is always an important part of the treatment. The therapist manipulates the affected foot and may also tape it. This is usually done 2 to 3 days after birth. This treatment, if done by a trained pediatric physiotherapist, is successful in about 90% of children with club foot. This alone may be successful in most of the cases. Parents can learn these techniques and continue the treatment at home. Special footwear or braces may be required to ensure that the muscles do not pull the foot back into the clubbed position. These may be used until the child is 2 or 3 years old. If treatment is delayed, non-surgical treatment may be less successful.
Surgery may be performed to correct the abnormal tendons, ligaments, and joints. This may also include moving tendons into better positions for the best function. After surgery, a cast is applied to maintain the foot in the corrected position for 10 to 12 weeks. After the cast, a splint is used throughout the day. Once the child starts walking, the use of splint is gradually reduced.
Physiotherapy Post Surgery for a clubfoot can begin as soon as the surgeon recommends it. All treatment, either surgical or non-surgical including physiotherapy, is designed to give the child a foot that can be placed flat on the floor. Another goal is to assist the child’s walking biomechanics in order to encourage the child to walk as efficiently as possible. The goals also include minimizing any pain if present, preventing pain in the future, maintaining the mobility of the child’s muscles and tissues, and avoiding any weaknesses around the lower extremities and core from developing.
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Chiropractor focusses on the diagnosis and treatment of neuromuscular disorders, with an emphasis on treatment through manual adjustment and/or manipulation of the spine.
Conditions Chiropractor Can Treat
- Sciatica is characterized by pain that originates in the lower back or buttock that travels into one or both legs. Sciatic nerve pain varies in intensity and frequency; minimal, moderate, severe and occasional, intermittent, frequent or constant. Chiropractic care offers relief from pain without the need for any addictive drugs or medications and heals the body from within and not just alleviating the pain.
Reduces Inflammation: Chiropractic adjustments relieve pressure on the nervous system and helps the body release anti-inflammatory substance, which reduces inflammation and alleviates pain.
Restores Range of Motion: Chiropractic adjustments can help mobilize your spine and regain range of motion.
- Spinal adjustment is a technique that is used to realign the spine and reduce pressure on the spine. This technique can improve communication between the brain and the rest of the body, which can help speed the healing process and improve the overall health and function. Chiropractic adjustments address the pain at its source while providing relief at the same time.
Lower back pain
- Spinal manipulation and chiropractic care is generally considered a safe, effective treatment for acute lower back pain, the type of sudden injury that results from moving heavy objects or slip disc. Chiropractic treatment alleviates lower back pain caused by:
• Herniated Disc
• Degenerative Disc Disease
• Spinal Stenosis
• Slip Disc
- After a complete exam and medical history to discover the reason behind the neck pain, A Chiropractor can design a comprehensive, individualized treatment plan that addresses your needs for healing and pain relief. Usually, this involves very precise spinal adjustments to restore the correct alignment of the vertebrae. This frees up pinched nerves and leads to pain relief.
Headache, Anxiety and Stress
- Taking medicines to overcome headache is one option. But there’s a better one. Research shows that spinal manipulation done by chiropractors is an effective way to treat tension headaches and headaches that begin in the neck. Chiropractors work primarily with the spine, the root of the nervous system through which nerve impulses travel between the brain and the rest of the body and can help the body manage and process this stress in a healthier way.
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Bell’s palsy, or Bell Palsy, is facial paralysis which is caused by dysfunction of Cranial Nerve VII, the Facial Nerve. Bell’s palsy causes sudden, temporary weakness in your facial muscles. This makes half of your face appear to droop. It results in inability or reduced ability, to move the muscles on the affected side of the face i.e. Facial Palsy.
- Rapid onset of mild weakness to total paralysis on one side of the face
- Facial droop and difficulty making facial expressions, such as closing your eye or smiling
- Pain around the jaw or in or behind the ear on the affected side
- Increased sensitivity to sound on the affected side
- A decrease in ability to taste
- Changes in the amount of tears and saliva
Physiotherapy facilitates facial symmetry and improves facial paralysis. With appropriate exercises and physical therapy, Bell palsy patients can recover some of their lost facial movement and regain their facial muscle strength.
- “Initiation” exercises. In the early stages, when you might have difficulty producing any facial movement at all, your therapist will teach you exercises that cause (“initiate”) facial movement. Your therapist will show you how to position your face to make it easier to move (called “assisted range of motion”) or how to “trigger” the facial muscles to do what you want them to do.
- “Facilitation” exercises. Once you’re able to initiate movement of the facial muscles, your therapist will design exercises to increase the activity of the muscles, strengthen the muscles, and improve your ability to use the muscles for longer periods of time (“facilitate” muscle activity).
- Movement control exercises. Your therapist will design exercises to:
- Improve the coordination of your facial muscles
- Refine your facial movements for specific functions, such as speaking or closing your eye
- Refine movements for facial expressions, such as smiling
- Correct abnormal patterns of facial movement that can occur during recovery
- Mime therapy: This is a type of physical therapy. The patient is taught a series of exercises which strengthen the facial muscles. This usually results in better coordination and a wider range of movement.
For Physiotherapy Treatment of Bell's Palsy, Consult Our Experts or book Physiotherapy at home from a trusted physio near you @ CB Physiotherapy At Home www.cbphysiotherapy.in
Arthritis is inflammation of one or more of your joints. Pain, swelling, and stiffness are the primary symptoms of arthritis. Any joint in the body may be affected by the disease, but it is particularly common in the knee.
Knee arthritis can make it hard to do many everyday activities, such as walking or climbing stairs. It is a major cause of lost work time and a serious disability for many people.
Symptoms of Knee Arthritis
- Knee Pain often with a gradual onset and progression often worse first thing in the morning or after periods of inactivity
- Knee Pain often aggravated with weight bearing activities such as walking, going up or down stairs, kneeling and squatting
- Knee stiffness
- Knee swelling
- Warmth around the knee
- Clicking or grating
Knee arthritis is a degenerative condition. Physiotherapy treatment is aimed at improving the symptoms of the disease (i.e. knee pain, swelling, stiffness), and you should begin to notice a positive difference within one or a few physiotherapy sessions.
The main goals of physiotherapy for your knee arthritis are:
- Reduce your knee pain and inflammation.
- Normalize your knee joint range of motion.
- Strengthen your knee.
- Strengthen your lower limb: calves, hip and pelvis muscles.
- Improve your patellofemoral (knee cap) alignment and function.
- Normalize your muscle lengths.
- Improve your proprioception, agility and balance.
- Improve your technique and function eg walking, squatting.
Your physiotherapist may recommend the use of a knee brace to support your knee and help to de-load certain structures. There are many different styles available and it is important to find one that suits your need.
In some cases, patients with knee arthritis choose to undergo knee surgery to address the degeneration in the knee. The most common forms of surgery for this condition are arthroscopies, partial or total knee replacements.
- Post Surgery Rehabilitation:
Post-operative knee rehabilitation is one of the most important, yet too often neglected, aspects of knee surgery. The most successful and quickest outcomes result from the guidance and supervision of a qualified knee physiotherapist.
For Physiotherapy Treatment of knee arthritis, Consult Our Experts or book Physiotherapy at home from a trusted physio near you @ CB Physiotherapy At Home www.cbphysiotherapy.in