Avoiding knee or hip surgery by Physiotherapy

Some two million people around the world have surgery called knee arthoscopy every year to heal meniscal tears, damage to the crescent-shaped cartilage that cushions the knee joint.But, according to researchers in Norway, exercise might be just as good at healing these injuries as surgery

Losing weight, strengthening muscles, and increasing flexibility may help you stave off joint replacement.

Physical therapy

The main component of joint surgery avoidance is strengthening the muscles that support your joints. The quadriceps in the front of the thigh and the hamstrings in the back are key to knee strength. The stronger your quads are, the less load that gets transferred into the joint.

To build quad strength, you’ll start exercising while lying down: tightening your quads with your leg out in front of you, or lying on your stomach and raising your foot into the air to strengthen your hamstrings. You’ll progress to standing exercises such as leg lifts and curls, and graduate to exercising on weight machines.

The gluteal muscles in the buttocks and flexors in the pelvis are important for hip strength and flexibility. To beef them up, you’ll start with a number of different leg lifts, such as extensions and clamshells, before progressing to exercises on weight machines.

Stretching is important to keep the muscles flexible.

You’ll see a change in your muscles after four to six weeks of daily exercises. Then you can move to rigorous exercises two to three times a week, but you can never go back to a nonactive lifestyle. “Doing this doesn’t restore cartilage. If you stop, you’ll go back to the way you felt before,” says Nolan.

Weight loss

The force you place on your joints can be up to six times your weight, so shedding pounds can reduce that pressure. Even a 10-pound weight loss can make a huge difference. But don’t jump into a drastic diet plan. You’ll have to work with a dietitian to reduce calories but ensure you’re getting the baseline of what your body needs to build muscle and keep up your energy. A typical guideline is 130 grams (g) per day of carbohydrates for both men and women, and 56 g of protein per day for men, 46 g of protein per day for women.

Chondroitin and glucosamine supplements may help as well, although research has provided mixed results. Chondroitin sulfate helps to keep cartilage from deteriorating. Glucosamine stimulates cartilage formation and repair.

There’s no guarantee that a program of weight loss and muscle strengthening will help everyone avoid joint surgery, either. But experts say the approach is an important alternative and many surgeries have been avoided.

CB Physiotherapy at home offers high quality & Affordable home-care physiotherapy. You can book appointment

Reference : Harward health Publishing : Avoiding knee or hip surgery

How Physiotherapy can help older people

As we age our body inevitably goes through many physical changes. These natural age related changes include reduced bone density, reduced muscle strength, increased body fat, poorer coordination and stiffer joints. These normal effects of ageing can affect older people’s mobility and balance and make them more likely to fall and break bones. Older people also become more susceptible illness such as heart disease, high blood pressure, stroke, diabetes, arthritis and lung diseases such as chronic obstructive pulmonary disease. All of this can have a big impact on their daily lives and reduce their independence. For example elderly people often feel that they are not as quick and steady on their feet as they used to be and find that stairs are more difficult. This can then affect their ability to get out and about and lead to reduced independence.

However, we do not have to accept this as an inevitable part of ageing. While physiotherapy cannot stop ageing it can help to reduce the impact that it has on our bodies and our lives. Physiotherapists are trained to identify physical and other factors that prevent people from being as active and independent as they can be, and then they find ways of overcoming them. This makes them ideally placed to help older people stay as active as they can be. In fact physiotherapy has been shown to improve many of the factors associated with ageing including strength, balance, coordination, flexibility and pain levels. Ultimately physiotherapy has been proven by research to help older adults to maintain their health, well-being, functional ability and independence.


What specific ailments can physiotherapy help in the elderly?

Physiotherapy can help anyone who is starting to see the effects of life’s wear and tear on their bodies. It can also treat or prevent physical problems that might be brewing as a result of years of poor posture or sitting badly. Some specific ailments are mentioned below:

  • Back and/or neck pain
  • Sports’ injuries
  • Arthritis
  • Heart disease
  • Breathing problems,
  • Diabetes-related problems
  • Repetitive strain injury (RSI)
  • Heart disease
  • Osteoporosis
  • Cancer
  • Nervous system Problems such as Parkinson’s disease or multiple sclerosis
  • Alzheimer’s disease
  • Incontinence

How to Go About it:

At the first session, the physiotherapist will talk to them about their problem and what caused it.The physiotherapist will do a physical examination to assess your elderly relative’s  flexibility, strength and range of movement.Then they will devise a plan of care tailored to them as an individual

Physiotherapy is very hands-on and may include:

  • Massage
  • Heat or cold treatments
  • Ultrasound
  • Acupuncture
  • TENS(transcutaneous electrical stimulation)
  • Hydrotherapy (water treatment)
  • Home exercises to restore flexibility, build strength and improve co-ordination and balance, as well as recommending an exercise regime to help prevent future problems


CB Physiotherapy at home offers high quality & Affordable home-care physiotherapy. You can book appointment

Managing Rheumatoid Arthritis with Physiotherapy

What is Rheumatoid Arthritis?

Inflammation of joints causing redness and pain is known as arthritis. Rheumatoid arthritis is chronic autoimmune disorder that affects not only the joints but also skin, eyes, lungs, heart, nerves and blood vessels. It occurs when the immune system attacks the healthy tissues of the body erroneously instead of the foreign particles like virus or bacteria thus causing inflammation. In contradiction to osteoarthritis, rheumatoid arthritis affects the lining of the joints that cause painful inflammation which results into erosion of the bones and deformity of joints. This inflammation may cause impairment of other parts of the body eventually.

What are the symptoms of Rheumatoid Arthritis?

  • Swollen joints on both sides of the body; i.e. both hands, both knees, both eyes and so on. This symmetry differentiates it from other types of arthritis.
  • Stiffness of joints that seems to get worse in the mornings or after a period of inactivity.
    Lethargy and drastic loss of weight, sometimes accompanied by frequent fever.
  • Early stages of RA affect the hands initially beginning with the joints of the fingers and toes. In the progressive stage, the symptoms of RA spreads to the wrists, ankles, hips, shoulders on both sides of the body.
  • Over the time, RA may cause deformity of the joints.
  • The symptoms of RA are irregular in frequency and can vary in severity.

Does RA affect only the joints?

More than 40% of the people are diagnosed with RA affecting their:

  • Skin
  • Eyes
  • Lungs
  • Heart
  • Kidneys
  • Salivary glands
  • Nerve tissue
  • Bone marrow
  • Blood vessels

How does physiotherapy help to manage the pain of RA?

Managing Rheumatoid Arthritis with physiotherapy helps in achieving better mobility, strength and performing activities of daily living. Physiotherapy can be helpful reducing pain in the joints and muscles. In most cases, opting for managing Rheumatoid Arthritis with physiotherapy results in:

  • Better pain management and control
  • Improved ADL
  • Increase in range of motion
  • Prevent or control wear-and-tear of joints
  • Strengthening of joints
  • Increased stability
  • Better co-ordination of muscles and joints

Procedures followed for managing RA with physiotherapy:

Physio exercises: A proper planned physio workout session involving stretching, strengthening and aerobic conditioning can be highly beneficial to those affected with RA.

Use of modalities:


  • Phonophoresis: Phonophoresis is the use of ultrasound to boost the effectiveness of topically applied drugs. It helps to reduce the chronic pain in the joints that is experienced due to chronic inflammation of the affected joints.
  • Interferential Current: This involves the application of alternating current signals of variable frequency to infiltrate tissue painlessly.
  • Transcutaneous Electrical Nerve Stimulation (TENS): The process of treating pain with the use of mild electric current by inducing endorphin release to reduce the pain.
  • Cryotherapy: Application of ice to the region of pain to relieve muscle spasm, reduce spasticity and control swelling in the acute inflammation stage with cold packs, ice massage or vacocoolant sprays also prove beneficial for managing Rheumatoid Arthritis with physiotherapy


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Cervical Spondylosis & How Physiotherapy Can Help

Cervical spondylosis is a condition of the bones, discs and vertebrae in the neck. This condition is common in people above 50 years of age. It is generally caused due to wear and tear of the discs with aging which lose their fluid and become stiffer. It is the most common cause of neck pain in elderly people.

What are the causes of Cervical Spondylosis?

The main cause of this condition is aging. As a person age, there is a lot of wear and tear that happen to the bones, muscles and cartilages in the body. In the neck, the vertebrae dics become less elastic and provide less cushion and support. The bones and ligaments get thicker and put pressure on the spinal canal.

Other factors could be a previous injury to the neck or poor posture. Poor posture plus aging is the biggest contributor to this condition.

Being overweight and leading an inactive lifestyle also are a factor to this condition.

Symptoms of Cervical Spondylosis:

Generally there are no significant symptoms in this condition. They can develop gradually or occur suddenly. Some of the symptoms are-

  • Neck pain and stiffness. The pain might increase while standing, sitting, sneezing, coughing
  • Headache generally in the back of the head
  • Numbness and pain in the shoulder and arms
  • Inability to fully turn the head or neck
  • Grinding noise is sometimes felt while moving the neck

Cervical spondylosis is generally most severe in the mornings. It does improve with rest but flares up again at night.

How can Physiotherapy help?

If you are suffering from Cervical pain, you should get in touch with your physiotherapist immediately. Physiotherapy can not only help relieve the pain but also ensure prevent its recurrence. Normally when a patient suffering from the condition walks into my clinic, we begin with assessing how severe the condition is and what is the range of motion of the neck. Our treatment involves the following processes-

  • Relief from pain
  • Support to the neck
  • Restore full range of motion of the neck
  • Posture correction
  • Strengthen neck muscles
  • Preventing future recurrence

If you are suffering from neck pain and have the above symptoms, please feel free to make an appointment with us and let our team of experienced Physiotherapists take a look at you. The key to quick recovery from Cervical Spondylosis is early diagnosis.

You can call us at 011-39589169 or visit our website .

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